Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 42 years of experience on Lybrate.com. You can find Pediatricians online in Bangalore 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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Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
My son is about 6 years 6months old suffering allergy-asthma from approximately 3 years back. Budecort (100 mg) inhaler & levolin inhaler, montelukast 5mg is consuming everyday as per advice of doctor. Please suggest.
My 2 days old baby keep on crying due to fever . How to overcome this. Fever due to vaccination injection. Due to switch she is not ready to drink milk also. Weight loss also.
My daughter is 5 years old her hair is very thin not even a little finger size I use coconut oil Nad clinic plus shampoo can you suggest Me what to do to make her hair thick oil shampoo and food that can be given.
My baby is nine month old, I can not brest feed her becouse no proper milk. She dont drink milk in bottle. I give her biscuits and cereal but it is very difficult to give her, she is very week, her weight is five kg from a long time, how should I feed her give a good segustion for my baby.
My son is fifteen months old and his weight is 9.5 kg. Is it normal? He is pre matured baby born with 2.5kg. But he is very active and all his activities were done correctly at each month. His developments are good but he doesn't gain weight. What to do?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Hello doctors, My daughter is 5 months old. 3 days after her birth doctor has done echocardiography and it was showing PFO 2 mm with L - > R Shunt. They have suggested that it will be closed with growth of the baby and I can consult any paediatric cardiologist after 6 months. I have consulted a doctor yesterday and he asked to do echo again. This time in echo it is showing that 3 mm ASD with L -> R shunt. Rest everything showing normal. And again doctor suggested that there is nothing to worry since the size is too small and you can just ignore for now and consult a doctor again after 1 year. I wanted to know through Lybrate that what is PFO and Asd. How come pfo is changed to ASD after 6 months. Is it the same or any difference. Any medication to fill the hole? How long it takes to fill the hole naturally. Is there any complication because of asd on my baby's health. Any precaution from my side? Kindly advice. Regards,
A kid at our home who is just 2 months old have a bit of cold and is been given an hepatitis b vaccine bcoz of which he is suffering a lot of pain. What should be done in such a situation?
My daughter born on 4th sept 2014 was admitted for acute dehydration when she was 4 mo. We had switched to cows milk when she was 3 mo. After hospitalisation she was on formula feed. We restarted cows milk last week, she is 6 mo now, and she started frequent motion again. Switched back to formula. Could she be lactose intolerant or are we making her switch to cows milk earlier?
Doctor, my son have 6 months, since 1 week I started to give wheat at 9 am, now he started to cry in the eve also for food, Bt I have enough milk he refused to drink just before his sleep, he only drink after 1 nap, what should I do now? Shall I give food two times a day? I'm confused. Pls. Reply me.
Which toothpaste is good for him he is 3 years old and mostly swallow the paste now we are using patanjali kids for him please suggest the safe one for him.
My 5 month old baby suffering from running nose and cough while she is also on medicine for dysentery is WALAMYCIN and ENTEROGERMINA what can I do for her cough and running nose.
Sir mari beti 1 year ki honaaa wali h WO stand nhi ho paati koi prob to nhi h mari bdi beti 7 mhinaaa ki bjagna lgi thi aisaaa kyu. Or mari choti beti bht kamjor h PR WO khatiii bht h hr tym bhukiii hi rhti h.maiii kya kruu ab.
My daughter is 5 months 25 days old Please suggest me can I give rotavirus vaccine first dose now in this age.
My daughter is 4years old. She is not gaining weight for last 1 years. She has reduced her weight. She has grown longer and have become thinner. She is very active and naughty. Force feeding. Food serving 9am, 12.30 pm, 1.30pm, 5.30pm, 9pm. Weight 14kg.
Child Aphasia is complex disorder that is caused by damage to parts of the brain that controls language and speech. This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depends on the extent of the damage as well as the location of the damage. Since this is not a birth disorder, therefore, you should be much more careful as so you notice that your kid is facing language disorder. A speech pathologist can diagnose language disorders and teach your child strategies to help.
What are the leading symptoms of aphasia in kids?
- Not understanding speech is one of the most common symptoms. Most patients cannot understand spoken or written language. Typically in these cases, the patient suffers from fluent Aphasia, which is caused by damage to the left temporal lobe of the brain. The patient's speech might seem meaningless and incoherent with lots of unnecessary words being used. The child usually becomes upset when people don't understand what he is saying.
- Patients suffering from this disorder also have trouble expressing their thoughts and understanding language and they often take more time to communicate. Only short sentences are used by these patients with words often left out, making the sentence sound incomplete. Such children suffer from non-fluent Aphasia where they understand what others are saying, but cannot communicate or speak well themselves. Their speech is almost similar to that of telegraphic languages that are usually followed by those toddlers who are just learning how to speak.
- Some children suffering from Aphasia might have trouble repeating words even though they don't have problem understanding what others are saying. These children suffer from conduction Aphasia and will be able to reproduce only parts of a sentence, if asked to repeat.
- Children affected with this disorder may see to be not listening to you or ignore you.
- Such kids might also have behavioral problems and may not be able to keep up with their friends and classmates. They will also suffer from forgetfulness.
Causes of Aphasia: The leading cause of Aphasia is brain injury, brain infection, brain tumour or abscess or bleeding in the brain.
Diagnosis of the disease: The disorder is diagnosed by a speech therapist who assesses the condition with a variety of tools to figure out the extent of damage. Its best to take your child to a paediatric speech pathologist who is an expert in treating children with brain injuries. The child will then be assessed on auditory comprehension, verbal expression, reading and writing ability and functional communication.
Treatment: There are many people who think that the speech trouble cannot be treated, but they are completely wrong. There are various ways to treat Aphasia. The younger the patient the better the chances of recovery since the brain is not that developed to handle specific functions in kids as in adults. The treatment will depend on the severity of the condition and the goal that is to be achieved. Factors behind this trouble need to be determined first otherwise the perfect treatment cannot be decided. Some of the most prominent factors are aphasia type, brain-injury cause, age, brain-lesion size and positioning and others.
Some of the leading tips that can be applied as per Association of National Stroke are as follows:
- Using props can be helpful in getting across messages.
- Speaking slowly and staying calm while speaking.
- Drawing pictures or words on paper for communication.