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Paediatric Endocrinology

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About Paediatric Endocrinology

Expert Care for Hormonal, Growth and Metabolic Disorders in Children

The Paediatric Endocrinology service at Sitaram Bhartia Institute of Science and Research provides evaluation, diagnosis, treatment planning, and long-term care for infants, children, and adolescents with hormonal, growth, puberty, diabetes, thyroid, bone, and metabolic concerns.

Hormones play an important role in a child’s growth, development, metabolism, puberty, blood sugar regulation, bone health, and overall wellbeing. When hormone levels are too high, too low, or when the body does not respond to them properly, children may experience concerns related to growth, weight, puberty, blood sugar, energy levels, or development.

Our Paediatric Endocrinologists work closely with paediatricians, nutritionists, psychologists, diabetes educators, and other specialists to provide coordinated, personalised, and family-centred care for every child.

Conditions and Concerns We Support

Our Paediatric Endocrinology service provides evaluation and management for:

  • Growth disorders
  • Short stature
  • Tall stature
  • Delayed puberty
  • Early or precocious puberty
  • Type 1 diabetes
  • Type 2 diabetes
  • Newly diagnosed diabetes
  • Thyroid disorders
  • Childhood obesity
  • Pituitary disorders
  • Adrenal disorders
  • Congenital adrenal hyperplasia
  • Calcium and bone disorders
  • Disorders of sexual development
  • Hypoglycaemia
  • Metabolic disorders
  • PCOS in adolescents
  • Vitamin D deficiency
  • Rickets
  • Recurrent fractures
  • Hormonal causes of weight or growth concerns

Our Paediatric Endocrinology Services

Paediatric Endocrinology Consultation

A paediatric endocrinology consultation helps assess concerns related to growth, puberty, thyroid function, diabetes, weight, hormones, bone health, and metabolism.

During consultation, the specialist may review:

  • Growth pattern
  • Height and weight records
  • Puberty development
  • Medical and family history
  • Diet and lifestyle
  • Blood sugar records where relevant
  • Previous reports and investigations
  • Medicines and treatment history
  • Symptoms related to thyroid, adrenal, pituitary, or metabolic disorders
  • Need for further testing or follow-up

The goal is to understand the underlying cause and create a care plan suited to the child’s age, diagnosis, and long-term health needs.

Growth Disorders

Every child grows at their own pace, but significant differences in height or growth pattern may need medical evaluation.

Parents may consider assessment if their child:

  • Is significantly shorter than expected for age
  • Is significantly taller than expected for age
  • Has slowed growth over time
  • Is not meeting expected growth milestones
  • Has delayed puberty along with poor growth
  • Has a family history of growth disorders
  • Has a chronic illness affecting growth

Evaluation may include growth measurements, growth chart analysis, hormone assessment, bone age assessment, and other investigations where clinically indicated.

Childhood Diabetes Care

Diabetes in children requires regular monitoring, education, family support, and long-term care.

Our team provides care for:

  • Type 1 diabetes
  • Type 2 diabetes
  • Newly diagnosed diabetes
  • Prediabetes in selected children
  • Diabetes education
  • Insulin therapy guidance
  • Blood sugar monitoring
  • Continuous Glucose Monitoring support where suitable
  • Insulin pump therapy guidance where appropriate
  • HbA1c monitoring
  • Long-term diabetes follow-up
  • Nutrition and lifestyle counselling

The aim is to help children and families manage diabetes confidently while supporting growth, activity, school life, and overall wellbeing.

Thyroid Disorders

The thyroid gland plays an important role in growth, brain development, energy levels, and metabolism.

Our Paediatric Endocrinology team evaluates and treats:

  • Congenital hypothyroidism
  • Hypothyroidism
  • Hyperthyroidism
  • Goitre
  • Thyroid nodules
  • Autoimmune thyroid disorders
  • Abnormal thyroid function tests
  • Growth or weight concerns linked with thyroid disease

Early diagnosis and timely treatment are important for healthy growth and development.

Puberty Disorders

Puberty is a natural part of growing up, but it may sometimes begin too early or later than expected.

Our specialists assess children and adolescents with:

  • Early puberty
  • Precocious puberty
  • Delayed puberty
  • Menstrual concerns in adolescents
  • Hormonal causes of delayed growth
  • Pubertal development concerns
  • Rapid physical changes before the expected age
  • Lack of expected pubertal changes

Evaluation is individualised based on the child’s age, growth, examination findings, family history, and clinical concerns.

Childhood Obesity and Metabolic Health

Childhood obesity may increase the risk of long-term health concerns and may sometimes be linked with hormonal or metabolic factors.

Our approach focuses on:

  • Identifying underlying medical causes
  • Growth and weight assessment
  • Nutrition assessment
  • Lifestyle counselling
  • Physical activity guidance
  • Metabolic evaluation
  • Screening for associated health risks
  • Long-term weight management support

Care plans are tailored to the child’s age, medical condition, family routine, and emotional wellbeing.

Adrenal and Pituitary Disorders

The adrenal and pituitary glands regulate important hormones related to growth, puberty, stress response, metabolism, salt balance, and overall development.

Our Paediatric Endocrinology service evaluates:

  • Adrenal insufficiency
  • Congenital adrenal hyperplasia
  • Pituitary hormone deficiencies
  • Excess hormone production
  • Growth hormone-related concerns
  • Puberty-related hormone concerns
  • Disorders affecting multiple hormone systems

Diagnosis is based on detailed clinical assessment supported by specialised investigations where needed.

Calcium and Bone Health Disorders

Healthy bones are important for normal growth, movement, strength, and development.

We assess children with:

  • Vitamin D deficiency
  • Rickets
  • Calcium disorders
  • Bone fragility
  • Recurrent fractures
  • Metabolic bone disease
  • Delayed bone growth
  • Hormonal conditions affecting bone health

Treatment aims to optimise bone health while supporting normal growth and development.

Disorders of Sexual Development

Disorders of sexual development require careful, sensitive, and multidisciplinary evaluation.

The care plan may involve:

  • Detailed clinical assessment
  • Hormonal evaluation
  • Imaging where required
  • Genetic testing where clinically indicated
  • Family counselling
  • Coordination with paediatrics, endocrinology, surgery, genetics, psychology, and other specialists where needed

Care is planned with sensitivity, confidentiality, and family-centred counselling.

Hypoglycaemia and Metabolic Disorders

Low blood sugar and metabolic disorders in children require timely assessment because they may affect energy levels, feeding, growth, development, and safety.

Children may need evaluation for:

  • Frequent low blood sugar episodes
  • Unexplained weakness or lethargy
  • Feeding difficulty with low sugar episodes
  • Seizures linked with low blood sugar
  • Suspected metabolic disorders
  • Abnormal metabolic reports

Treatment and follow-up depend on the cause, age of the child, clinical condition, and investigation findings.

PCOS in Adolescents

Adolescent girls may need endocrine evaluation for hormonal concerns such as irregular periods, acne, excess facial or body hair, weight concerns, or suspected PCOS.

Care may include:

  • Clinical assessment=
  • Menstrual history review
  • Hormonal evaluation where required
  • Nutrition and lifestyle guidance
  • Weight and metabolic assessment
  • Long-term follow-up
  • Coordination with gynaecology where needed

Counselling is provided in an age-appropriate and sensitive manner.

Comprehensive Endocrine Evaluation

Depending on the child’s condition, evaluation may include:

  • Growth assessment
  • Growth chart analysis
  • Hormone testingBlood glucose evaluation
  • HbA1c testing
  • Bone age assessment
  • Thyroid function tests
  • Calcium and Vitamin D assessment
  • Puberty assessment
  • Nutritional assessment
  • Imaging studies where required
  • Genetic testing where clinically indicated
  • Review of previous medical records

Investigations are recommended only when clinically appropriate.

Coordinated Care with Other Specialities

Hormonal and metabolic disorders in children may need support from multiple teams.

Our Paediatric Endocrinology team may coordinate with:

  • Paediatrics
  • Diabetes and Endocrinology
  • Nutrition and Dietetics
  • Psychology
  • Obstetrics and Gynaecology
  • Paediatric Neurology
  • Imaging and Diagnostics
  • Paediatric Surgery
  • Genetic counselling services where required
  • Child Health Educators
  • Nursing and diabetes education teams

This coordinated approach helps families receive connected care for diagnosis, treatment, lifestyle guidance, monitoring, and follow-up.

Our Approach to Paediatric Endocrinology

At Sitaram Bhartia, paediatric endocrine care involves more than treating hormone levels.

Our approach includes:

  • Comprehensive clinical evaluation
  • Evidence-based treatment planning
  • Individualised hormone management
  • Growth and development monitoring
  • Nutrition and lifestyle guidance
  • Family education and counselling
  • Age-appropriate communication with children and adolescents
  • Long-term follow-up
  • Multidisciplinary care coordination
  • Focus on practical, sustainable care

We work closely with families to help children manage endocrine conditions while supporting growth, confidence, school life, and everyday wellbeing.

When Should You Consult a Paediatric Endocrinologist?

You may consider consulting a Paediatric Endocrinologist if your child has:

  • Poor growth or short stature
  • Excessive growth or tall stature
  • Early puberty
  • Delayed puberty
  • Diabetes or persistent high blood sugar
  • Frequent low blood sugar episodes
  • Excessive thirst or urination
  • Rapid or unexplained weight gain
  • Obesity with hormonal concerns
  • Thyroid enlargement
  • Abnormal thyroid test results
  • Recurrent fractures or bone concerns
  • Vitamin D deficiency or rickets
  • Hormonal or metabolic disorder
  • Menstrual concerns in adolescence
  • Suspected PCOS in adolescence
  • A diagnosed adrenal, pituitary, or genetic endocrine condition

Early diagnosis and timely care can help support healthier growth, development, and long-term outcomes.

Doctors and Care Team

The Paediatric Endocrinology service is supported by paediatric endocrinologists, paediatricians, dietitians, diabetes educators, psychologists, nurses, coordinators, and other specialists where required.

The team works together to provide endocrine evaluation, growth assessment, diabetes education, nutrition guidance, hormone management, parent counselling, and long-term follow-up.

Why Choose Sitaram Bhartia for Paediatric Endocrinology?

Specialist Paediatric Endocrinology Care

Children and adolescents receive focused evaluation for growth, puberty, diabetes, thyroid, adrenal, pituitary, bone, and metabolic concerns.

Comprehensive Growth and Hormone Assessment

The team evaluates height, weight, growth pattern, puberty, blood sugar, thyroid function, bone health, and other hormone-related concerns.

Childhood Diabetes Support

Families receive guidance for blood sugar monitoring, insulin therapy, meal planning, diabetes education, CGM support where suitable, and long-term diabetes follow-up.

Individualised Care Plans

Every child’s treatment plan is based on age, symptoms, diagnosis, growth pattern, reports, lifestyle, family routine, and long-term health goals.

Family-Centred Counselling

Parents are guided clearly on the child’s condition, treatment options, warning signs, monitoring, medicines, nutrition, and follow-up needs.

Nutrition and Lifestyle Support

Dietitians and healthcare teams support children with diabetes, obesity, PCOS, metabolic concerns, and growth-related nutrition needs.

Multidisciplinary Coordination

Care may be coordinated with paediatrics, nutrition, psychology, gynaecology, imaging, neurology, surgery, genetics, and other teams where required.

Long-Term Continuity of Care

Many endocrine conditions need ongoing monitoring. The team supports children through different stages of growth, puberty, adolescence, and transition planning where needed.

Evidence-Based Treatment

Care decisions are guided by clinical assessment, investigations, current medical evidence, and the individual needs of the child.

Meet Our Team

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Dr. Swashti Agarwal

Dr. Swashti Agarwal

Visiting Consultant,
Paediatric Endocrinology

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Dr. Swashti Agarwal-test

Dr. Swashti Agarwal-test

Paediatric Endocrinology

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Dr. Moumita Saha

Visiting Consultant,
Paediatric Endocrinology

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