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#Child Kidney Doctor in Delhi
Child Kidney Specialist in Delhi
Dr. Sidharth Kumar Sethi
Kidney & Urology Institute
He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.
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He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.
Call Now: 0124-4141414 Visit: www.pediatricnephrologyindia.com
You can also search for: Child Kidney Specialist in India Child Kidney Doctor in IndiaBest Pediatric Nephrologist in India Nephrotic syndrome Specialist in Delhi
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Best Pediatric Nephrologist in Delhi
Child Kidney Specialist in India
A Glimpse On Chronic Kidney Disease
CKD (chronic kidney disease) is a lifelong condition in which the kidney function slowly declines over many years. It is common in adults but extremely rare in children. It can be caused by a number of conditions affecting the kidney and can present at birth or later on during childhood. All kidney conditions do not cause CKD and all kids with CKD do not always progress to the end stage. It is a complicated disease with a wide spectrum from which full recovery is not possible but timely specialist care can help your child live a long, healthy and wholesome life.
How Severe Is My Child’s Disease?
CKD is divided into 5 stages based on GFR [glomerular filtration rate- tells how well the tiny filters (glomeruli) inside your child’s kidney are cleaning the blood].
How Would My Child Be Treated?
Your child will require specialized medical care from a pediatric nephrologist. It is important that you regularly visit the clinic for follow-up appointments even if your child feels well. At each of these visits, the growth(height,weight) and kidney function of your child would be monitored to avoid any future complications. The medical treatment aims at-
Reducing blood pressure [by low salt diet and medicines]
Slowing protein loss in the urine [by medicines like ACE-I(angiotensin converting enzyme inhibitor) or ARB(angiotensin receptor blocker)]
Avoiding bone disease [by calcium and vitamin D supplements] 
Controlling anemia [by erythropoietin supplements or blood transfusion]
Healthful living-
Ensure that your child eats at least five servings of fruits and vegetables a day. Cut down on his/her sugar and fat intake.
Get him/her plenty of exercise.
Avoid taking common medicines like ibuprofen/diclofenac without higher supervision as they cause further kidney damage.
Many children with progressive disease who develop ESRD would ultimately need dialysis, which uses special equipment to remove waste products and extra water from their body. The best treatment is a kidney transplant, in which a healthy kidney from another person is transplanted into the child. After a successful kidney transplant, the child can live a healthy life, but will need to take medicines to look after the new kidney.
What To Anticipate About My Kid’s Future?
CKD can take a heavy emotional toll not just on the kid but the entire household. Speaking with families of other children with CKD can be a huge support. Your child will need to take care of his or her health throughout life. As an adult, he/she will be supported by a new team. Due to the current medical advancements, children with CKD can reach their adulthood with better kidney outcomes. They should be encouraged to live a full and fulfilling life, pursue higher education, work and have a family.For any queries or concerns, please visit this website/contact Dr. Sethi today.
TAG : Child Kidney Specialist in Delhi, Child Kidney Doctor in Gurgaon, Pediatric Nephrology India
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Acute kidney injury (AKI) is common in neonates admitted to neonatal intensive care units (NICUs). There is a need to have prospective data on the risk factors and outcomes of acute peritoneal dialysis (PD) in neonates. The use of kidney replacement therapy in this population compared to older populations has been associated with worse outcomes (mortality rates 17–24%) along with a longer stay in the NICU and/or hospital.
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Healthy kidneys for Healthy kids call Dr. Sidharth he is Child Kidney Specialist and Child Kidney Doctor in Gurgaon, Delhi, India.
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Ayurvedic Clinic For Kidney Disease in Faridabad .
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What Is the Health-Care Scheme of the Central Government?
Employees of the Central Government have access to healthcare and medical care under the Central Government Health Scheme. The CGHS meets all of the democratic pillars’ healthcare demands. It includes the Press, the Legislature, the Judiciary, and the Executive. Employees and retirees of the Central Government have access to excellent health care through the CGHS. In addition, the CGHS covers 74 cities across India to improve healthcare accessibility. CGHS also regulates allopathic, homoeopathic, Ayurveda, Unani, Siddha, and Yoga health-care systems.
Benefits Of Central Government Health Scheme? (CGHS)
CGHS provides outstanding facilities for retirees and Central government employees to receive effective healthcare treatment for any health condition. Take a look at the following details to understand more about its benefits: You can seek OPD treatment, which includes medication issues. Consult a recognised polyclinic/government hospital or an ayurvedic clinic. Excellent treatment services are provided by government and empanelled hospitals. Pensioners and other designated beneficiaries can receive cashless care at CGHS-approved hospitals and diagnostic centres in Delhi NCR. Expense reimbursement is possible in clinics and hospitals. Family Welfare, Maternity, and Child Health Services are available to you. Ayurveda, homoeopathy, unani, and siddha medicines can provide medical care and therapies (AYUSH).
Eligibility For Central Government Health Scheme .
To join the CGHS To avail CGHS facility at the CGHS empanelled clinics in Delhi, you need to meet some specific criteria for availing of excellent healthcare services. To know more, take a look at the details given below:
All central government employees, Central Civil employees, and dependent family members in the CGHS areas are eligible for CGHS. Similarly, pensioners, railway, armed forces, retiring employees, widows of the central government, Delhi Police personnel and families, and Civilian employees of defence can avail of CGHS healthcare services.
Ex-Governors and Lt. Governors families, Ex-Vice Presidents, Military Officers, Governments servants transferred to a non-CGHS area, IAS Officers on North-Eastern Cadre, Parliamentary Secretaries, Sitting Judges of Supreme Court and High Court of Delhi, and former judges are also eligible for CGHS.
And, other Central govt. Employees and retired employees can also get CGHS healthcare services.
How You Can Avail Free Treatment?
– Get free treatment services through a CGHS card.
– Referral is must for patients below 75 years.
– Also, by availing insurance, you can get free treatment for every health issue.
– Lastly, all employees of central governments will get healthcare treatment through reimbursement.
Reasons To Visit CGHS Empanelled Clinics & Hospitals In Delhi NCR Visiting the CGHS certified clinics and hospitals in Delhi ncr can offer you excellent services that can help you get effective treatment services. To know more, take a look at the list of benefits listed below:
Get cashless treatments.
From eye care, dental care, and every health issue, services are offered by CGHS empanelled hospitals and clinics. You can avail excellent and certified services for ayurvedic treatment. In which, panchakarma therapies, ayurvedic remedies, and yoga are also there. Avail of effective treatment for OPD care. Serious to acute disease can be easily treated at CGHS empanelled hospitals and clinics. Similarly, you can get effective natural care for health through Ayurveda, panchakarma therapies and get a free consultation from ayurvedic doctors and experts.
Top CGHS Approved Clinics In Faridabad .
Jeena Sikho Lifeacaer limited Ayurveda Clinics & Hospitals is one of the CGHS approved Health care Center in Faridabad . At Jeena Sikho Lifecare Limited Ayurveda Clinics, you can get certified Ayurvedic care for every health issue. So whether you’re suffering from kidney failure, liver problem, heart disease, digestive problem, mental illness, low immunity or any other serious illness at Jeena Sikho Lifecare Limited Ayurveda Clinics, you can get total care through dietary changes, panchakarma therapies, and ayurvedic remedies. Apart from that, if you’re facing any critical health issues, then you can visit Jeena Sikho lIfecaer . This is the best CGHS Empanelled Hospitals in Faridabad for holistic care through Ayurveda, homoeopathy, and naturopathy. Therefore, if you want to lead a healthy life, you can surely visit Jeena Sikho Lifeacare Limited Faridabad Clinic .
You Can Contact us on - 9896096271 - 7873578735
or Visit our Clinic in Faridabad - Address: Shop. No. 2, Basement Shushma Complex Sector 20-B, Ajronda Chowk, Near, Neelam Flyover, Faridabad, Haryana 121001
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drprashantjain1 · 3 months
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Hydronephrosis Treatment In Delhi
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Many people have never heard of the term hydronephrosis. That’s because it is only prevalent in around 1% of the general population according to a research paper published by Science Direct. Hydronephrosis can affect both children and adults. In fact, it can even affect babies in the womb; this can be found via prenatal ultrasound. The same study by Science Direct observed that 1 in 100 to 200 fetuses suffered from hydronephrosis. Because of this, finding out that you suffer from hydronephrosis and require surgery might seem daunting. But don’t worry about it. You can find hydronephrosis treatment in Delhi without breaking a sweat!
What exactly is it?
Hydronephrosis is a condition wherein one or both of the kidneys swell up. This happens either because of some blockage in drainage system of urineor urine refluxing back in the kidneys which can eventually damage the kidney of child.
Therefore, it is essential that you consult doctor once hydronephrosis has been diagnosed. Once the diagnosis is made child needs to be evaluated in detail. Not all hydronephrosis requires surgical intervention but needs to be monitored closely to avoid any renal damage.
Signs of Hydronephrosis
Here are some of the most commonly known signs and symptoms of hydronephrosis.
Antenatal diagnosis on ultrasound scan.
Urinary tract infection
Pain and lump in the back and the sides.
Urinary symptoms like frequent urination, crying during urination etc.
These signs are particularly useful to suspect hydronephrosis in children. Infants, in particular, can have failure to thrive. If you have suspicion that your child may be suffering from hydronephrosis or has all the signs mentioned above, it might be a good idea to consult a doctor.
Causes of Hydronephrosis
As mentioned above, hydronephrosis is a condition that prevents urine draining from the kidneys, which causes the kidneys to swell up. Hydronephrosis usually develops because of two main causes:
Obstruction in Urinary System
Blockage in the upper ureter (Pelvi-ureteric Junction) or lower ureter (Uretero-vesical junction) or Bladder oulet (Posterior urethral valve) can cause hydronephrosis on one side or both sides.
One of the commonest cause is blockage at ureteropelvic junction. This is essentially the very point (or junction) where the ureter and kidney meet.
Posterior Urethral valves are seen in boys and usually causes bilateral hydronephrosis. This is treated by endoscopic resection surgery. If not treated timely it can cause significant morbidity.
Vesicoureteral Reflux
Another cause of hydronephrosis is the vesicoureteral reflux where the urine flows backward from the bladder to the kidneys via the ureter. This condition is unique because usually the urine should only flow from the kidneys to the bladder- not the other way around.
Hydronephrosis treatment in Delhi
If you’re looking for hydronephrosis treatment in Delhi, then you’ll be happy to know that there’s plenty of options available. Your doctor who, after examination, ask for a few tests. This may include the following:
Blood test
Urine test
Ultrasound Imaging
Voiding Cystourethrogram
Renal Scan (DTPA or DMSA scan)
Combined, these tests examine your kidneys, bladder, Urethra and checks if they’re working fine. The kind of treatment you’ll receive for hydronephrosis depends strictly on how severe the condition is.
Some of the causes are self-limiting and may need just close observation with regular testings. Hydronephrosis causing recurrent urinary infections or deterioration of renal functions might require surgical intervention.
However, we do not recommend that you go with this approach as it can even lead to your mild case developing into a severe case of hydronephrosis, which will need surgery. Hydronephrosis surgery cost depends solely on how critical the situation is.
However, you should not look at hydronephrosis surgery costs when looking to treat the disease. As we mentioned, it’s not life-threatening at the same time living with hydronephrosis can severely impact your quality of living. So don’t wait it out!
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mymedtrips · 8 months
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Neurosurgery Cost in India
Brain surgeries in India have a success rate of 80-90%. In most cases, neurosurgery is successful when brain tumors are detected earlier and proper medication is given. Moreover, the total cost of neurosurgery can reach a total of six figure receipt. So let's now discuss about the neurosurgery cost in India, best neurosurgery hospitals in India, and best neurosurgery doctors in India.
To treat the diseases or disorders of the nervous system, neurosurgery is performed on the patient. The nervous system includes the brain, spinal cord, or spinal column. This surgery can be performed on either an adult or a child, whomsoever is required to undergo it. The neurosurgeons, the ones who specialise in neurosurgery are responsible to diagnose the neurological disorders, treat the patient by performing a surgery, followed by rehabilitation.
Neurosurgery has been gaining recognition from the early 1900s, Since then, the methods and techniques used in neurosurgery have been highly developed, thereby increasing its success rate. There are various methods of neurosurgeries such as conventional neurosurgery, microsurgery, endovascular neurosurgery, etc., each one being adopted based on the type of neurological disease of the patient. Inspite of all the latest advancements of technology, neurosurgery still has certain risks associated with it, which includes brain swelling, seizures, blood clotting in the brain, problems with speech, memory, balance, strokes, and many more. But when it becomes necessary, it has to be performed before the disease worsens.
Neurosurgery Cost in India
The neurosurgery cost in India is dependent on a variety of factors. The surgeon's fee, the surgeon himself, the type of neurosurgery, the hospital, tests and scans, room charges, and medical condition of the patient, all these factors together affect the cost of neurosurgery. However, the average cost of neurosurgery in India is around INR 1 lakh and the maximum cost can reach up to INR 4,50,000. This cost is a generalised picture, and is prone to fluctuate based on the aforementioned factors.
Best Neurosurgery Hospitals in India:
To get a good treatment, you need first-class facilities. Following are the best hospitals for neurosurgery in India with the facilities and treatment:
IBS Institute of Brain and Spine, Lajpat Nagar III, Sarojini Nagar, New Delhi
Artemis Hospital, Bindapur, Haryana, Gurgaon
BGS Gleneagles Global Hospitals, Uttarahalli Main Road, Sunkalpalya, Bengaluru, Karnataka
Best Neurosurgery Doctors in India:
Apart from a good neurosurgery hospital, a good neurosurgeon with all the skills and expertise is also equally vital. Below are the best doctors for neurosurgery in India:
Dr. V.P. Singh, Medanta - The Medicity, Gurgaon, Haryana.
Dr. Sanjeev Dua, Max Super Specialty Hospital, New Delhi.
Dr. R. Srinivasa, Aster CMI Hospital, Bangalore.
My Med Trip is one of the best medical tourism companies in India. We provide complete medical and healthcare services with consulting in India for patients from all over the world including South African countries like Kenya, Ethiopia, South Africa, etc. We help you in finding the best hospitals, doctors, and good accommodations at affordable costs in India. We offer Kidney, liver, lung, heart, and bone marrow transplants and treatment; shoulder replacement surgery cost in India, knee replacement surgeries, breast cancer surgery cost in India, skin cancer treatment, kidney transplant cost in India, heart transplant, bone marrow transplant cost in India, heart replacement, top heart hospital in India, knee replacement, best Kidney transplant hospital in India and so on. Source: https://mymedtrips.blogspot.com/2023/09/neurosurgery-cost-in-india.html
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thewokeindia · 1 year
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AIIMS Delhi performs groundbreaking surgery on three-month-old baby, sets global record
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AIIMS Delhi sets global record with groundbreaking surgery on 3-month-old baby:
Department of Paediatric Surgery at AIIMS Delhi performed Bilateral Laparoscopic Pyeloplasty on a three-month-old infant, setting a new record for the youngest patient to have undergone this procedure. The child was discharged from the hospital in just three days following the successful surgery, which not only demonstrates AIIMS Delhi's dedication to providing cutting-edge paediatric surgical treatment.
AIIMS Delhi doctors planned carefully for laparoscopic surgery on both kidneys: The surgical team, directed by Dr. Vishesh Jain, decided to perform a laparoscopic procedure on both kidneys to reduce invasiveness and maximize advantages.
Careful planning was done by AIIMS Delhi doctors before the procedure to improve cosmesis and strategically place incisions to allow for surgery on both sides without using the same incisions.
For more reads : AIIMS Delhi
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deepikashomeopathy · 1 year
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Homeopathy Kidney Specialist in Delhi | Dr. Deepika's Homeopathy
Dr. Deepika's Homeopathy is India's best homeopathic clinical chain, Where we restore your health naturally. we have experienced doctors with a demonstrated history of working in the health wellness and fitness industry. Our Expertise in Kidney Stones, GallStones, PCOS/PCOD, Thyroid, Fatty Liver, Skin issues, Warts, Piles, Infertility, Child Health, and Male/Female Sexual issues.
Visit Us:- https://drdeepikashomeopathy.com/
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Dr. Prashant Jain provides the Treatment for Anorectal Malformation in India
Imperforate Anus/Absent Anal Opening Treatment Delhi, India
Imperforate anus or absent anal opening, also called anorectal malformation, is a birth defect that happens during the development of baby in early in pregnancy, when the baby is still developing. In this defect, the baby’s anal opening (where stool exits) and the rectum (the last part of the large intestine), do not develop properly, preventing the child from to pass stool.
The condition affects one in 5,000 babies, and it is slightly more common in males than in females. In a baby with anorectal malformation, any of the following can happen:
The anal opening is too small or in the incorrect location
The anal opening is absent and the rectum enters other parts like urethra, the bladder, vestibule or vagina, which can lead to infections and bowel obstruction.
The anal opening may be absent and the rectum, reproductive system, and urologic system form a single common opening called a cloaca, where both urine and stool are passed.
At birth, doctors check the position and size of anal opening. New-borns pass their first stool within 48 hours of birth, so internal malformations are detected quickly. If an issue is found, we do a number of tests to better understand the problems and develop a long-term plan for the best outcome. This problem can be associated with other malformations. Various tests which are performed include:
X-rays of the abdomen to show how far the rectum reaches, and to see if there are any problems with the way the lower backbone has developed.
Abdominal ultrasound to find any problems in kidney.
Spinal ultrasound or MRI to look at the spine for a tethered spinal cord, which can cause neurological problems, such as incontinence and leg weakness as the child grows.
Echocardiogram to find heart defects.
These malformations will always require surgical repair by pediatric surgeon in single or multiple stage, but the exact procedure will depend on the type and severity of the defect, any associated health conditions, and the child’s overall health. Depending on the type and severity these babies may require a stoma formation (a temporary diversion of stools from abdominal wall).
Even though corrective surgery may restore some function, important nerves and muscles that tell your child when the rectum is full of stool and help keep the contents inside may be missing or damaged, so we start a bowel management program when they reach toilet-training to help them become clean.
Tags - Anorectal malformation in india, best pediatric surgeon in india, best pediatric surgeon in delhi
For more information link - www.pedsurgerydelhi.com
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The Speciality Of Child Neurologists In Medical Science
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A physician treating children with nervous system disorders is a child neurologist or pediatric neurologist. Neurological issues might begin in the brain, spine, nerves, or muscles. Paediatric neurologists specialize in treating children and adolescents while addressing most nervous system disorders.  
The best child neurologists in Delhi may decide to concentrate on particular disorders that are extremely complex or call for intensive therapy because the field is so broad. They are qualified to deal with the particular requirements of a child, including conditions that only affect kids. 
What conditions do child neurologists treat?    
A pediatric neurologist treats any ailment affecting a child's nervous system or brain. Some diseases could be hereditary or congenital. The best child neurologists in Delhi often evaluate a child's medical history in the context of growth and development. They also inform the child's parents about the health of the brain and nervous system and disease prevention. 
Pediatric neurologists also diagnose acute and chronic brain and nervous system disorders, including headaches, learning difficulties, and other ailments. Instead of practicing general child neurology, some doctors opt to specialize in a particular field. The areas of expertise for pediatric neurologists may include malformations, complex metabolic problems, muscle and nerve diseases, and autism. 
What are the symptoms that indicate you should visit a pediatric neurologist?   
 According to the best child neurologists in Delhi, if your child exhibits any of the following signs or ailments, think about seeking treatment from a pediatric neurologist: 
Frequent loss of memory 
Lack of feeling, numbness, or tingling in the body 
Moving-related issues 
Tremors 
Delays in development 
Problems walking 
severe, regular, or persistent headaches 
Unsteady balance 
unconsciousness for no apparent reason 
Jerks or tics that occur accidentally 
Seizures 
coordination issues or other issues involving motor function 
If your kid has a neurological problem, they will need to see a pediatric neurologist for treatment or monitoring. 
Which tests are related to Child neurology treatment?   
The symptoms of your kid, their medical history, and a physical examination are generally used by child neurologists to determine a diagnosis. But according to the best child neurologists in Delhi, further tests are required. 
EEG: During an EEG test, your brain's electrical activity is examined for any issues. Using this test, you may check for seizures and ensure that your child's brain produces the appropriate kinds of electrical activity for their age. 
EMG: To detect symptoms like pain, numbness, tingling, or weakening in the muscles or nerves, this test measures and records electrical activity in the muscles and nerves. 
Imaging tests: To take images of the brain and spine, imaging tests like the MRI or CT scan are employed. These can detect brain tumor symptoms, stroke, infection, multiple sclerosis, genetic disorders, and more. 
Lumbar puncture: A tiny needle is inserted into the lower back during this examination to collect a sample of the spinal fluid that envelops your brain and spinal cord. Inflammation or infection symptoms are found using this. 
General health and screening tests: Complete blood count, blood culture, spinal fluid analysis, urinalysis, chest X-ray, blood glucose test, electrolyte test, liver function test, kidney function test, blood pressure test, blood oxygen level test, and arterial blood gas testing are among the tests that are included in this. 
Evoked Potentials: This helps track the brain's electrical activity in response to sensory input and identify problems with vision, numbness, and tingling. 
Some Specialized fields of Pediatric neurology  
To comprehend how the needs of the organs change, neurology needs many specialists. Your youngster will be examined by a pediatric neurologist utilizing several different methods. Beyond what is required for the child neurology program, extra training and testing are required for board certification. Some of the specializations of the best child neurologists in Delhi are described below. 
Neurodevelopmental disabilities: This field of study focuses on identifying and managing childhood neurological disorders such as cerebral palsy treatments in gurgaon and mental retardation that have a long-term effect on the nervous system. 
Clinical neurophysiology: This area of expertise uses advanced diagnostic procedures, such as electroencephalography to identify and treat persons with nervous system diseases. 
Neuromuscular medicine: Muscular dystrophy and diabetic neuropathic pain are just two examples of the illnesses of the nerve, muscle, or neuromuscular junction that are the focus of this subject. 
Vascular neurology: This study focuses on identifying and managing brain or nervous system injuries resulting from illnesses, including paediatric stroke and spinal cord injuries. 
Epilepsy Treatment in Gurgaon: This specialized study focuses on identifying and managing individuals with chronic seizures and seizure disorders. 
Hospice and palliative medicine: Concerning people who have serious and terminal illnesses, this specialty focuses on preventing and reducing suffering. 
Pain and sleep medicine: This approach focuses on treating patients with acute or chronic pain brought on by several illnesses and sleep problems. 
According to the above study, we discussed paediatric neurologist functions and specializations. The best way to reduce your child's risk of permanent brain damage, disability, and other complications is to see the best child neurologist in Delhi NCR. If your child suffers from a neurological disorder, you should consult Dr. Rakesh Jain, a senior Consultant Paediatric Neurologist at Fortis Memorial Research Institute, Gurgaon. 
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Kidney Disease Care especially for Children
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Kidney Disease Care especially for Children
Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.
Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.
Dr. Sidharth Kumar Sethi
Kidney & Urology Institute
He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.
He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.
To schedule an appointment With the Child Kidney Doctor in Delhi, please contact: Name: Dr. Sidharth Sethi (Child Kidney Doctor in Delhi) Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com
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Risk factors and outcomes of neonates with acute kidney injury needing peritoneal dialysis
Acute kidney injury (AKI) is common in neonates admitted to neonatal intensive care units (NICUs). There is a need to have prospective data on the risk factors and outcomes of acute peritoneal dialysis (PD) in neonates. The use of kidney replacement therapy in this population compared to older populations has been associated with worse outcomes (mortality rates 17–24%) along with a longer stay in the NICU and/or hospital.
Methods:
The following multicentre, prospective study was derived from the TINKER (The Indian PCRRT-ICONIC Neonatal Kidney Educational Registry) database, assessing all admitted neonates ≤28 days who received intravenous fluids for at least 48 h. The following neonates were excluded: death within 48 h, presence of any lethal chromosomal anomaly, requirement of congenital heart surgery within the first 7 days of life and those receiving only routine care in nursery. Demographic data (maternal and neonatal) and daily clinical and laboratory parameters were recorded. AKI was defined according to the Neonatal Kidney Disease: Improving Global Outcomes criteria.
Results:
Of the included 1600 neonates, a total of 491 (30.7%) had AKI. Of these 491 neonates with AKI, 44 (9%) required PD. Among neonates with AKI, the odds of needing PD was significantly higher among those with significant cardiac disease (odds ratio (95% confidence interval): 4.95 (2.39–10.27); p < 0.001), inotropes usage (4.77 (1.98–11.51); p < 0.001), severe peripartum event (4.37 (1.31–14.57); p = 0.02), requirement of respiratory support in NICU (4.17 (1.00–17.59); p = 0.04), necrotising enterocolitis (3.96 (1.21–13.02); p = 0.03), any grade of intraventricular haemorrhage (3.71 (1.63–8.45); p = 0.001), evidence of fluid overload during the first 12 h in NICU (3.69 (1.27–10.70); p = 0.02) and requirement of resuscitation in the delivery room (2.72 (1.45–5.12); p = 0.001). AKI neonates with PD as compared to those without PD had a significantly lower median (interquartile range) duration of stay in NICU (7 (4–14) vs. 11 (6–21) days; p = 0.004), but significantly higher mortality (31 (70.5%) vs. 50 (3.2%); p < 0.001). This discrepancy is likely attributable to the critical state of the neonates with AKI.
Conclusions:
This is the largest prospective, multicentre study specifically looking at neonatal AKI and need for dialysis in neonates. AKI was seen in 30.7% of neonates (with the need for acute PD in 9% of the AKI group). The odds of needing acute PD were significantly higher among those with significant cardiac disease, inotropes usage, severe peripartum event, requirement of respiratory support in NICU, necrotising enterocolitis, any grade of intraventricular haemorrhage, evidence of fluid overload more than 10% during the first 12 h in NICU and requirement of resuscitation in the delivery room. AKI neonates with PD as compared to AKI neonates without PD had a significantly higher mortality. There is a need to keep a vigilant watch in neonates with risk factors for the development of AKI and need for PD.
TAG-  Kidney Doctor in Gurgaon, Child Kidney Specialist in India, Best Pediatric Nephrologist in India 
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Child Kidney Specialist in Delhi - Dr. Sidharth Kumar sethi
Healthy Kidneys For Healthy Kids
Better kidney health for kids: What you should know!
Did you know that kidney diseases can start young? Literally. Unlike in the case of grown-ups, children can develop kidney diseases due to congenital defect, prematurity, or past hospitalization. "Also, children with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Needless to say that the sooner the issue is diagnosed, better can be the results," adds Dr Sidharth Kumar Sethi, Consultant, Pediatric Nephrology, Medanta, The Medicity, Gurgaon.
Early signs of kidney disease in kids
Early diagnose of kidney problem can help treat the ailment in time. Here are some signs that you should watch out for:
- Swelling around the eyes-face -feet- abdomen- whole body - Bed wetting (5 years or older) can be since birth or if the problem recurs after the child had stopped bed wetting for some time -Frequent urination - Crying during urination (in infants) - Painful urination (in older kids) - Unpleasant-smelling urine -Unexplained low-grade fever or recurrent fever episodes - Urine that is cloudy, bloody or dark brown - Persistent abdominal pain - Childhood renal stones - Frequent severe headaches - High blood pressure - Producing less urine -Producing more than 2 litre urine/ day -Poor appetite (in older children) - Poor eating habits, vomiting (in newborns & infants) - Slow growth or weight gain -Weak urinary stream, dribbling of urine stream - Weakness, excessive tiredness or loss of energy - Pale skin appearance
Protection plan
Have lots of water: To keep kidneys healthy, kids should stay hydrated- mostly by drinking water. Their pee should be pale in color, and they should drink more than usual when exercising especially under a hot sun. Kids should avoid nutrient-spiked drinks. Enough water is still the best and safest bet to meet their fluid needs.
Avoid sports drinks and processed: Today's diets are so extreme and unhealthy. Vitamin waters, sports or energy drinks, processed 'super-foods' are not nutritious and add to the risk of obesity in children.
Avoid too much protein: Protein intake should be in adequate amount. It is advisable to not make your kids indulge in too much protein.
Excess salt is bad: Too much sodium (in junk food, burgers, chips and street food) can contribute to high blood pressure. Eating more whole foods, choosing fewer processed foods- emphasizing those with made without added salt or sauce can help lower sodium intake. Cooking more at home can also help families slash sodium. Cut back on table salt and salty snacks.
Regular exercise: Increasing physical activity not only helps to reduce blood pressure, but it can help a child who is overweight reach and maintain a healthy weight. Sports and exercise programs at school may be good ways to increase the child's activity level.
Who should be screened?
Following children should be screened by a specialist for blood and urine test; growth and blood pressure:
Family history of kidney disease
Children born early or small-for-date
Obese children; or those not growing well
Abnormal antenatal ultrasound
History of urine infection
Abnormal urine examination
It is also extremely important for the health community to encourage pregnant females to undergo antenatal ultasonography. With the growing cases of kidney issues in children, it is crucial that we encourage and facilitate education, early detection and a healthy life style in children, starting at birth and continuing through to old age, to combat the increase of preventable kidney damage and to treat children early.
Tags - Child Kidney Specialist in Delhi, Child Kidney Specialist in Gurgaon, Pediatric Nephrology India
For more information link - www.pediatricnephrologyindia.com
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Therefore, we provide here a position paper centered on emergency preparation with resource allocation for critical COVID-19 cases within the pediatric population, specifically where renal conditions worsen due to the onset of AKI.
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