Need a pediatric assessment for my 4 year old boy having speech delay and behavioural problems in Mumbai

Hi Harini,

I'm sorry you're feeling this way. Since you've already had tests like ECG, Echo, IgE (serum), and lung function tests, which came back normal, but you're still experiencing breathing problems for the last 5 months, here are a few possible causes to consider:

Possible Causes

• Anxiety or panic-related breathing issues (often missed)

• GERD (acid reflux) causing chest tightness or breathlessness

• Allergies or undetected asthma

• Muscle fatigue or post-viral effects

• Anaemia or low haemoglobin

Next Steps

• Get a chest X-ray and CBC (Complete Blood Count) if not done.

• Consult a pulmonologist for a second opinion.

• Consider seeing a psychologist or psychiatrist if anxiety or panic is suspected.

• Maintain a symptom diary (timing, triggers, severity) to help identify patterns.

Precautions

• Avoid dust, smoke, cold air, and heavy exertion.

• Practice deep breathing exercises daily.

• Elevate your head while sleeping if reflux is suspected.

• Stay hydrated and follow a healthy, non-spicy diet.

Please don’t ignore persistent symptoms—early diagnosis helps with better recovery. Wishing you relief and better health soon.

Dear Sonu Ji,

Thank you for sharing your concern — hair thinning and receding hairline can be distressing, especially when remedies don't bring expected results. A change in environment (like moving to a new city) can sometimes trigger hair fall due to water quality, climate, or stress, but consistent and progressive hair loss often has deeper causes, like androgenetic alopecia (male pattern baldness), nutritional deficiencies, or scalp conditions.

🩺 Since you've already tried Ayurvedic remedies without relief and are concerned about the side effects of allopathic medicines like minoxidil or finasteride, here's what we suggest:

1. Consultation with a dermatologist/trichologist – A clinical examination and scalp analysis will help identify the exact cause of your hair loss.

2. Blood tests may be recommended to rule out deficiencies (like Vitamin D, B12, iron) or hormonal imbalances.

3. Based on the findings, the doctor can advise a personalised, low-risk treatment plan, which could include:

   • Mild topical solutions or natural-based alternatives with fewer side effects

   • Nutritional supplements

   • Non-invasive therapies like PRP (Platelet-Rich Plasma), low-level laser therapy, or mesotherapy

   • Lifestyle and diet modification

🔍 Important: Minoxidil and finasteride may have side effects in some individuals, but a doctor can help you understand safer usage, alternatives, or tailor lower-strength options if suitable.

Hair loss is manageable, but the key is early diagnosis, expert care and a healthy diet and lifestyle.

Namaste Saif ji,

Hyperhidrosis (zyada paseena aana) ka treatment kaafi tariko se kiya ja sakta hai. Agar aapko traditional treatments se relief nahi mil raha hai, to surgery bhi ek option ho sakta hai.

🔹 Hyperhidrosis ke Treatment Options:

1. Prescription Antiperspirants:

   • Strong aluminium-based antiperspirants jo doctor ke prescription se milte hain, inka use aapke sweating ko control karne mein madad kar sakta hai.

2. Oral Medications:

   • Kuch oral medications jaise anticholinergics sweating ko reduce karte hain, lekin iske kuch side effects ho sakte hain (jaise mouth dryness, blurred vision).

3. Botox Injections:

   • Botox ko underarms, hands, ya feet mein inject kiya jaata hai jo temporary taur par sweating ko rokta hai. Yeh usually 4-6 months tak effective hota hai.

4. Iontophoresis:

   • Yeh ek non-invasive treatment hai jisme ek mild electric current ka use hota hai sweat glands ko temporarily deactivate karne ke liye. Yeh mainly hands aur feet ke liye hota hai.

5. Microwave Therapy (MiraDry):

   • Yeh procedure underarm area mein sweat glands ko microwave energy se destroy karta hai. Isse long-term relief milta hai.

🔹 Surgical Option:

• Endoscopic Thoracic Sympathectomy (ETS):

  • Agar upar wale treatments se fayda nahi mil raha ho, to surgery ek option hota hai. Is surgery mein chest mein chhote cuts karke, nerves ko block kiya jaata hai jo sweating ko control karte hain.

  • Yeh surgery kaafi effective hoti hai, lekin kabhi-kabhi compensatory sweating (body ke doosre parts mein zyada paseena) ka risk ho sakta hai.

🔹 Precautions for Hyperhidrosis Management:

• Daily Hygiene: Antiperspirants ka use karein aur regular bath lein.

• Loose Cotton Clothes: Aise kapde pehene jo skin ko breathe karne dein.

• Stress Management: Stress aur anxiety ko manage karna zaroori hai kyunki yeh sweating ko trigger karte hain.

• Diet Adjustments: Spicy foods aur caffeine ko avoid karein, kyunki yeh sweating ko badha sakte hain.

🔹 Best Hospitals in Pune for Hyperhidrosis Surgery:

• Ruby Hall Clinic

• Jehangir Hospital

• Deenanath Mangeshkar Hospital

• Sahyadri Hospitals

Kaunsa treatment effective hoga, woh aapko doctor hi bataa paayenge aapki condition ke hisaab se.