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Dr Deepa

Dr Deepa Suvarna  | Answer  |Ask -

Paediatrician - Answered on Aug 08, 2023

Dr Deepa Suvarna is a practising paediatrician with 25 years of experience. She completed her MD in paediatrics from the TN Medical College and BYL Nair Hospital, MBBS from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College and diploma in child health from the College of Physicians and Surgeons.... more
Ramchandra Question by Ramchandra on Aug 06, 2023Hindi
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Dr Madam Namaskara , My daughter 14 years studying in class 9 , she is about 5 feet 9 inches weighs about 48 - 52 kgs , athletic built , plays football as a striker for school and national level and extremely active her diet intake is perfect we are pure vegetarian no eggs also, her morning starts with 10ml aloe vera juice with warm water , a small spoon of Amala + triphala + jeera powder with honey and a banana , she carries breakfast poha upma dosa idli to school which her mother makes , she eats lunch at school canteen , and when home at 3 pm she eats biscuits or some snacks or dal chawal or curd rice which she likes , night she has 4 phulkas , veg + khichdi . She does not have milk products like tea or coffee , this diet she is following since 3-4 years , but recently say since 2-3 months she is complaining if burning sensation in chest , burps and flatulence and causing her distress , my md Physician throughly examined her and concluded acidity n gas problem , he started 1 tab pan d for 5 days and she feels a lot better ,now he's asked us to continue for another 5 days and then stop , I am sure it's the school canteen food as we in the family don't experience this , what is to be done apart from stopping the school canteen food which could be a culprit please advice I am getting worried as it disturbs her .

Ans: Oily food cooked in re heated oil is the usual reason. Banana and curd helps. Avoid milk on empty stomach
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 24, 2024Hindi
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Hi Doctor, I'm 37 yrs Male physically and mentally fit. For last several years I'm following a strict diet where I eat 4 times in a day - Breakfast, Lunch, Snacks, Dinner. Nothing in between. I don't eat junk food. I have 2 questions for you: 1) Lately I have observed an urge to eat in-between (eg. an hour after breakfast) probably due to reduced sugar levels. Is it fine to eat some Jaggery/almonds/cashew in between? 2) When I have early dinner around 7pm, I get an acid reflux at night (especially if I eat Tur dal/any pulses). What can be the reason and what are the ways to tackle acid reflux? Thanks in advance.
Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi

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