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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Hi My son is 6 years old and he will not eat properly. He is very thin and weak. I just need your suggestion. Can I give him ZINCOVIT syrup 200 ml which is a Nutritional Food Supplement Pls advice Thank you.
My baby (9 weeks old) have passed stool on last Monday (25/09/17), from Monday till today he have not passed stool.
My mother is 68 years she has been diagnosed for lung fibrosis she was taking lumenac 600mg 3 times + iveprid 10mg for last 2years no progression in disease but her saturation was 90 later fell to 60 on excretion now she is taking prifenex 800mg a day and Benz for cough her saturation is 84 while sitting and 65 while walking she is on 2lpm oxygen also her feet and face is swelling but her echo test is normal . We like to know the below questions: 1. Why is her feet and face swelling 2. Can she take both lumenac and prifenex together 3. Her pft test are excellent but still saturation is not returning. Why? 4. Her X-ray shows only each lung is 35% white shading rest looks black. Please answer our question. Regards Imthiyas Ahmed
My son is 4 months completed and 15 days running. His weight is 5 kgs and 516 grams. He has been taking less breast feeding for few days. Does he has normal weight? What should I do to increase his feeding? He has been habituated to suck fingers. Give me thorough information regarding this. Please suggest me to get rid off from this query.
Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.
- Congenital GHD - This form of GHD appears from at the time of birth itself.
- Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
- Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.
GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).
- Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
- Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
- Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
- Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
- Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.
- Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
- Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
- Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.
Tests to determine GHD:
- Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
- Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
- MRI-MRI scan can determine the health of your brain and pituitary gland.
- Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.
- Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
- Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
Hi, My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body which are increasing day by day. Please suggest the line of treatment. Thanks.
Hello doctors, we're in the process of relocating to different country which is of extreme chill climate upto (-10) degrees. Our current location has about 30 degrees. My query is that, how safe is it for our baby (7 months) in regards to the relocation from current 30 degrees to (-30) degrees. Thanks and appreciate in anticipation.
Hello doctor, I have daughter which is 10 years old. When she siting up and down her right knee have pain with sound. Day by day going it increasing. Give me proper replay.
Hi, My son is 3 yrs 7 months. He has developed the following symptoms over last 2 days: runny nose and watery eyes mild fever congestion coughing at night morning cough due to which he vomited. Is the above symptoms for common cold? What should be the treatment?
I am a feeding mother my son have 7 months old. He is suffering with motions I am already consult the doctor and use medicine but no use and does not control. I am also suffering with stomach pain. It comes with intervals and come on abdomen to stomach with highly. So in this time can I give feeding to my son and can I know what s the problem.
On 5.10.16, we shifts with our baby just 8 months old child from our native village to New Delhi who was feeding cow and mother's milk there. Now we have changed to buffalo milk in Delhi. Today he start vomiting two or three times. Suggest us. Thanks n Regards.
Is cyclopam safe for baby of a year old if he has stomach ache with smelly potty. Potty is little watery too 3 to 4 times a baby. Please tell.
My daughter 2.10 months old getting sick frequently and doctor gives antibiotics every time to cure it. Please advise permanent solution.
I was sincere student till 12th then in college I cannot focus on studies and always tend to postpone important task and if I concentrate too long I feel mentally tired. I always procrastinating and now I want to study but I can not. I think I have adultAdHD even at day before exam I cannot concentrate and do other things. I also have other adhd symptoms like fidgeting and cannot sit at one place. Due to this I feel guilty and anxious about exam and daily when I cannot study, Its like I want to study but I can't. I feel anxiety and guilty when I cannot study for exams and also daily as I am wasting weeks. I also have other symptoms of ADHD like fidgeting and cannot sit at a place. I also cannot socialise at all and I don't like to. Its like I want to study by isolating myself but I can't.
My 3 years old son has developed a white spot on his face from last 10 days. I am really worried about it. What should i do? Please advise.
My son is 13 years old and he weighs approx 70 kg what should I do to make his weight normal. His height is approximately 5.3 feet.
She has white discharge problem for many years. She has taken a lot of treatment. But she did not get well. She has a child of 7 years old. Now she wants one more child. Is there any problem in getting pregnant. If so please suggest me the right treatment.
Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.
Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:
- Feeling breathless
- Angina or chest pain with a feeling of pressure or tightness
- Syncope of fainting
- Palpitations and enhanced heartbeats
- A steady decline in regular activities and energy levels
- Fatigue due to little exertion
- Not gaining weight
- Poor eating patterns
- Problems in breathing
The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.
Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.
Other major tests which help in the diagnosis of valvar aortic stenosis include:
- MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
- CT scan or computed tomography where three-dimensional images are extracted.
- Chest X ray
- Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.
Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.
Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.
Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.