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Dr. Piyush Kubavat

Fellowship in Pediatric Critical Care (IAP)

Pediatrician, veraval

17 Years Experience  ·  200 at clinic
Dr. Piyush Kubavat Fellowship in Pediatric Critical Care (IAP) Pediatrician, veraval
17 Years Experience  ·  200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Piyush Kubavat
He has helped numerous patients in his 17 years of experience as a Pediatrician. He is a qualified Fellowship in Pediatric Critical Care (IAP) . Book an appointment online with Dr. Piyush Kubavat and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 30 years of experience on Lybrate.com. You can find Pediatricians online in Veraval and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
Fellowship in Pediatric Critical Care (IAP) - B J Medical College, Ahmedabad - 2000
Languages spoken
English
Hindi
Professional Memberships
Indian Academy of Paediatrics

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My child (Boy) is 2 years 6 months old. He is taking foods normal. But his weight is fixed at 10.5 kg for last one year. What to do now? Is it very very underweight?

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
My child (Boy) is 2 years 6 months old. He is taking foods normal. But his weight is fixed at 10.5 kg for last one ye...
He is not underweight but if he is not gaining weight there may be ascaris worms infection. Get his stool test done.
1 person found this helpful
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

PDDM, MHA, MBBS
General Physician, Nashik
Using Adderall over an extended period can increase the risk of critical cardiovascular problems and strokes. There are also significant mental health issues associated with the long-term use of Adderall, such as depression, hostility and paranoia.
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My daughter aged 8 years has been feeling like vomiting for last 5 days. What should I do?

MBBS, MD
Pediatrician, Gurgaon
My daughter aged 8 years has been feeling like vomiting for last 5 days. What should I do?
Use antiemetic syrup like vomikind. It can be heatstrock. Keep him in cold climate. Watch if vomiting continue. Give oral waterwith ors. If vomiting persist, then you have to contact pediatrician.
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What Causes Early Childhood Trauma? + How to Identify this Condition?

Phd, Mphil, MSc, Bed, BA (Clinical Psychologist and Parent Child Relationship Expert)
Psychologist, Noida
What Causes Early Childhood Trauma? + How to Identify this Condition?

The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.

What Does this Condition Impact Childhood?

Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.

How do you identify this condition?

Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.

They may display signs like:

- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping

Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.

For instance:

Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.

On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.

If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma.

'Consult'.

Related Tip: What Really Causes Personality Disorders?

3131 people found this helpful

Can rotavirus vaccine be given after 2.5 month (1st dose) or it is too late to give baby the 1st dose and is it safe.

C.S.C, D.C.H, M.B.B.S
General Physician,
Can rotavirus vaccine be given after 2.5 month (1st dose) or it is too late to give baby the 1st dose and is it safe.
This is recommended for routine oral administration for all infants as a 3-dose series. The usual schedule is at ages 2, 4, and 6 months. Rotarix (GlaxoSmithKline) is recommended as a 2-dose series at ages 2 and 4 months. It can be given even if it is 2.5 months now.
1 person found this helpful
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Hi, I took Heavrix Vaccination for Hep A for my baby girl at the age of 1 year 2 months. May I know whether I have to take 2nd dose for the same after 6 months, ie now? But some of my friends says that they only took one dose for Hep A for their kids. Please clarify me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi, I took Heavrix Vaccination for Hep A for my baby girl at the age of 1 year 2 months. May I know whether I have to...
2nd dose of hepatitis a vaccine is required 6 months after 1st dose which usually is given at 1 year.
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I have twins of 1 n half month .my milk is not sufficient to them so can I feed thm cow milk.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
I have twins of 1 n half month .my milk is not sufficient to them so can I feed thm cow milk.
Hi, You can start cow's milk slowly and see how your children respond to it - whether they are able to digest it well or not. If not, you can dilute it a little, boil it and cool it and then feed your children. Also consult your gynae doctor.
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Last week my son had his 18 month vaccination. But he still has lump on that area and also had a pain. What should I do for this?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Last week my son had his 18 month vaccination. But he still has lump on that area and also had a pain. What should  I...
Post vaccination lump is usually due to dpt and sometimes it takes long time to resolve. If associated with pain, redness it may be an abscess. In that case it needs excision.
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If new born baby of 3 month old and we are taking care about everything but there is problem about lose motion every time within / between 10-15 days. How we can care of baby?

Pediatrician, Pune
babies do get golden yellow coloured loose stools , when on breast feeds , nothing needs to be done if the baby is gaining adequate weight and is otherwise well
1 person found this helpful
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6 Common Skin Problems in Children

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Delhi
6 Common Skin Problems in Children

Children are more susceptible to health problems as their immunity is still developing and along with frequent infections such as fever or stomach problems, skin problems are a common affliction. Most skin problems within children are a manifestation of the underlying conditions such as allergies or other sicknesses. Some of the common skin allergies and problems are mentioned here.

  1. Heat Rash or Prickly Heat: This is possibly the most common skin condition that children are generally afflicted by. These are small red bumps on the skin which look like minute pimples. It is caused due to the blockage of the pores and excessive sweating due to hot weather or wearing warm clothes.
  2. Ringworm: Unlike the name, this condition isn’t actually caused by the infection from a worm. Ringworm is named so due to the ring that forms on the skin which is scaly, inflamed, red in color and can be quite itchy. It is mostly caused by a fungus that lives on the skin. Ringworms are mostly passed through skin to skin contact.
  3. Chickenpox Rashes: Although there are vaccines that have minimized the occurrence of this disease, it still occurs from time to time. One of the tell-tale signs of this disease are the rashes that may develop all over the body which is accompanied by fever. Although, these may go away, some marks from the rashes may remain and it is important to take care so that they don’t leave any mark behind.
  4. Eczema: This is another very common skin condition that afflicts many kids and is usually attributed to allergies and asthma. The typical symptoms usually include a patch of raised skin which is inflamed and red. Children often complain about excessive itching and the affected skin tends to be quite dry. Although topical medications are useful, curing or treating the underlying symptoms shows remarkable improvement.
  5. Impetigo: This is a type of bacterial infection which primarily occurs around the mouth and nose but repeated scratching can spread it around other parts of the body as well. In this condition, red sores or blisters may develop on the skin and then develop a yellow crust which may even ooze fluid sometimes. It is mostly spread by the use of objects such as toys and clothing items or even towels. Antibiotics may be required to treat this condition.
  6. Allergic reactions or contact dermatitis: Another very common skin problems that affect kids, this occurs as a reaction to certain chemicals such as those found in certain foods, soaps, plants or insects which may either cause a lesion or an inflamed area on the skin. In some cases, it may form blister, although all of these will go away on their own. However, if it persists for more than a week or two or if it is extremely painful, you should immediately take your child to the doctor. If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
2561 people found this helpful

My 9 months old child pooping 4-5 times sometimes more from last 2 days. My mother says, it is due to his teeth. Is this ok? Or I have to do some medication? please suggest.

BHMS
Homeopath, Faridabad
My 9 months old child pooping 4-5 times sometimes more from last 2 days. My mother says, it is due to his teeth. Is t...
Hello, give him BC NO 21, 2 tabs thrice daily. Kindigest, 5 pills twice daily. Revert after 7 days.
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My daughter is 3 year old since from 4 days she is suffering fever medical check up done blood test done malaria, typhoid, and dengue test done and found nil report but albumin found in urine test pediatrician prescribed Fever mol mf, and opox CV, and monticope but Fever not cured.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 3 year old since from 4 days she is suffering fever medical check up done blood test done malaria, typ...
Fever for 4 days with albumin in urine indicates may be some thing else than common viral fever. Get her urine re checked. If it is viral fever, it may take 4-6 days to get cured.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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My 3 and a half month baby is crying a lot these days especially when I try to breastfeed him. After so many trials he starts breastfeeding but stops in between and starts crying again. Moreover he sucks his fingers vigorously. What can be the possible reasons?? What should I do?

MD - Paediatrics
Pediatrician,
My 3 and a half month baby is crying a lot these days especially when I try to breastfeed him. After so many trials h...
The only language newborns know is crying, crying. If he is gaining weight normally and active you don't have to worry about it. Burping: after each and evey feed try put him on your shoulder and burp him. Gas in the stomach will come out. Gas distension in the stomach may cause discomfort to the baby. Avoid spicy food while feeding. Check the mouth and tongue of the baby for mouth thrush (fungal infection -curd like layer) which may cause pain during feeding.
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Our 20 days old daughter vomits out the feed in one go after 3-4 hours of feed. She feels suffocation at that time. Sometime liquid comes out from her nose. We hold her straight for half an hour after feed so that the intake gets digested. How to stop vomits?

C.S.C, D.C.H, M.B.B.S
General Physician,
Our 20 days old daughter vomits out the feed in one go after 3-4 hours of feed. She feels suffocation at that time. S...
This is not vomiting but possetting. In all babies this is there due to lack of strengthening of a muscle where food pipe joins stomach. By 6 months to 1 year this problem will be over. After feed, you burp the child by putting her on your shoulder or on the thigh with stomach pressing on your thigh. You keep monitoring weight every month and you will be happy that all feed have not gone wasted! for regular advice on child rearing you ask privately and be in touch with me as your personal doctor. Regards.
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My 6 months old baby is not sleeping well. Only 9 hrs she sleeps in a day. Rest of the time she is very actively playing and laughing. Please suggest how to make her sleep.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
My 6 months old baby is not sleeping well. Only 9 hrs she sleeps in a day. Rest of the time she is very actively play...
There is no problem with your baby. Just her cycle is invert. If she is playing and ok. That means no medical problem. Please don't give any mediction causing sleep. They have their own sideeffects.
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My nephew had a problem in stomach he has not ate many food he got gas in his stomach. He go to bathroom twice and thrice but not cleared so he don't eat well.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My nephew had a problem in stomach he has not ate many food he got gas in his stomach. He go to bathroom twice and th...
Ask him to be more active in outdoor games,cycling. Avoid fast food,give more fruits,vegetables with fibre along with frequent water intake.
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