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Dr. H Paramesh

MBBS

Pediatrician, Bangalore

7 Years Experience  ·  600 at clinic
Dr. H Paramesh MBBS Pediatrician, Bangalore
7 Years Experience  ·  600 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. H Paramesh
Dr. H Paramesh is a popular Pediatrician in RMV 2nd Stage, Bangalore. He has over 7 years of experience as a Pediatrician. He is a qualified MBBS. You can visit him at Lakeside Center for Health Promotion, in RMV 2nd Stage, Bangalore. You can book an instant appointment online with Dr. H Paramesh on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 38 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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Specialty
Education
MBBS - Andhra Medical College, Visakhapatnam - 2010
Languages spoken
English

Location

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Lakeside Center For Health Promotion

No 535, 5th Main,12th cross, HIG Dollars Colony,RMV 2nd stage Bangalore Get Directions
600 at clinic
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My baby is 1 years 9 months. His birth weight was 2.2 and now he is 7.5.I am very much worried abt his weight. Hi iz very active. But very thin. Nowadays he is not eating food properly. He will drink milk (Nan pro all d time. One of my friend suggest me abt protein powder. Is DAT good to give now. please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 1 years 9 months. His birth weight was 2.2 and now he is 7.5.I am very much worried abt his weight. Hi iz ...
He is showing failure to thrive and need to check his blood CBC and TSH and hypothyroidism can cause lack of weight gain and if he is feeding from bottle it must be stopped and should be fed with a spoon or cup and breast should be continued.
1 person found this helpful
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Bottle Feeding

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Bottle Feeding

Health considerations when bottle-feeding

If you decide not to breastfeed, or are unable to breastfeed, commercial iron-fortified formulas can give your baby the nutrition he or she needs. Infant formulas have the right amounts of protein, calories, fat, vitamins, and minerals for growth. However, formula does not contain the immune factors that are in breastmilk. The immune factors in breastmilk help prevent infections and other health conditions throughout a baby's life.

Picture of a baby feeding himself a bottle

Infants who take enough iron-fortified infant formula usually don’t need vitamin and mineral supplements. However, the American Academy of Pediatrics recommends vitamin D supplementation for all babies drinking formula until they are drinking at least 32 ounces a day. Fluoride supplements are recommended for babies whose primary water supply is not fluoridated. Check with your baby's healthcare provider about vitamin D and fluoride supplements.

Types of infant formula

  • Cow's milk-based formula. Most infants should be able to tolerate a standard cow's milk formula. Cow's milk formulas are modified to be closer to human milk. These formulas have lactose as the carbohydrate (sugar) source. They are available in ready-to-feed cans, liquid concentrate, and powder. Regular cow's milk is not an appropriate source of nutrition for a human baby.

  • Soy-based or lactose-free formulas. These formulas are used if an infant can’t tolerate lactose, which is rarely a significant problem in babies. They don’t contain lactose as the sugar source. As many as 50% of all infants who are allergic to cow's milk formula will also be allergic to soy-based formulas. Talk with your baby's healthcare provider before changing formulas. Vegetarian parents may prefer soy-based formulas. But they should be aware that breastfeeding is still the best option.

  • Specialized formulas. There are special formulas for babies who are premature or who have certain rare disorders or diseases. These formulas may have special directions for use. They are prescribed by the baby's healthcare provider.

  • Hydrolyzed formulas. Hydrolyzed formulas are easier to digest. They may be used in babies at risk for allergies. They are more expensive than regular formulas. Talk with your baby's healthcare provider before using these formulas.

  • Low iron formulas. These formulas are not recommended.

Helpful hints for feeding your baby

  • Breastmilk only is the ideal feeding for at least 6 months. This means no water, sugar water, or formula.

  • Wait until breastfeeding is well established before giving your baby breastmilk in a bottle.

  • Working mothers can use a breast pump on break time and refrigerate or freeze the milk for later use as a bottle-feeding. Refrigerated breastmilk should be used within 24 hours after pumping. Frozen breastmilk is good for several months in the freezer. Fathers and other family members can be involved in feeding time if breastmilk is offered from a bottle occasionally.

  • Offer cow's milk-based formula with iron as first choice of formula if not breastfeeding.

  • Keep your baby on breastmilk or baby formula until he or she is 1 year old. After this time, you may switch to whole milk. Children under 2 years old should not drink skim or low-fat milk.

  • It’s important to follow the formula preparation directions exactly as directed on the packaging. Using too much water can result in poor weight gain. It's also important to discuss your water supply with your child's healthcare provider. In some areas, water must be boiled first, or bottled water should be used.

  • Bottles should never be propped up.

  • Babies should never be put to sleep with a bottle. This can cause cavities to develop.

  • All babies, whether breast or bottle fed, should be offered a feeding whenever they show signs of hunger.

1 person found this helpful

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
A new born baby breathing in a fast or abnormal way is something unusual. In such a case, contact your pediatrician immediately.
1 person found this helpful

My baby she is 7 years old she has cold and cough and tonsil problemcontentious what medicine should I give her please suggest me.

MBBS
General Physician, Mumbai
My baby she is 7 years old she has cold and cough and tonsil problemcontentious what medicine should I give her pleas...
Whenever there is mucous discharge from the nostrils I will suggest her to take half tablet of cetrizine at night and For dry cough I will suggest you to take syp Ascoril-D 2.5 ml and can repeat after a gap of twelve hours as and when required and For pain take half tablet paracetamol 650 mg.
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My new born baby is 5 days old and he has tsh: 178.201 t3: 93.67 t4: 4.74, Can you please let me k ow the complications in the future and the medications to be used, please let me know if it is of any serious as I am really worried.

C.S.C, D.C.H, M.B.B.S
General Physician,
My new born baby is 5 days old and he has tsh: 178.201 t3: 93.67 t4: 4.74, Can you please let me k ow the complicatio...
For a newborn, a normal T4 range is 11.8 to 22.6 micrograms per deciliter, and a normal TSH range for a newborn is 1 to 39 microunits per milliliter. Older children should have T4 in the range of 6.4 to 13.3 micrograms per deciliter, and a TSH range of 0.7 to 6.4 microunits per milliliter. You have to repeat test after 2 weeks and if low, he needs to be given medicines.
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My baby is 6 months old n we r going for painless vaccination. I just wanna know is it safe for baby or not.

Pediatrician, Chennai
My baby is 6 months old n we r going for painless vaccination. I just wanna know is it safe for baby or not.
Hi lybrate-user! Recently many people are coming up with doubts about painless vaccination. I would like to tell you that apart from oral polio drops and rotaviral vaccine, every vaccine is an injection which involves prick with needle. Of course it is going to give some pain to your child for that moment. Nowadays combination vaccines come with 4 to 5 components so that your child will be pricked only once or twice and not 4 to 5 times. Hope this helped you.
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My kid baby boy age is 13 months but his weight is just 8 kg and the boy is very active. Please help me.

ICMR Training. in. clinical. Genetics and Metabolism, Fellowship in Pediatric And Adolescent Endocrinology
Pediatrician, Jalandhar
Hello , weight is less, but birth weight and feeding practices are important to assess. Also it depends on the height gain and weight gain pattern whether the child is having an issue or not. You should ask your pediatrician to plot the height and weight and head size on growth chart and keep monitoring growth every two months. This way you can make an informed decision and management can be done. I hope it helped Dr. Uppal growth, childhood diabetes and hormone specialist.
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My baby girl is 7 mnths old. She is having rashes kind of on her chin and around the mouth. Its been spreading to her face and back too. May I know what is the problem and treatment for it? kindly help on it please.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Is she itching? send picture of the rashes so that we can know what it is and decide what is best for your daughter.
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My son is 8 years old & his weight is 27 kg. He is suffering from headache since last two months. All reports are normal. Usko chashma bhi lag gya +0.5 ka. Fundus test bhi normal hai. please advice me. Thanks.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My son is 8 years old & his weight is 27 kg. He is suffering from headache since last two months. All reports are nor...
You have not stated properly how long the headache lasts each time it comes. If it's for only a few hours and goes away after sleep, it is likely to be a tension headache. He may be having stress due to study or problems in school or home. Drinking less water may also cause headache due to dehydration. Blocked nose, sinus infection and nasal allergy also may cause long standing headache. Migraine headache lasts longer, usually more than a day if untreated. Get him properly examined by your local pediatrician. He may need a CT Scan to diagnose if the problem is persistent and worsening.
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Hi I have a son of 1 year 6 month age. His tlc goes high in every 1month gap by which his fever goes high. Please suggest.

MD - Paediatrics
Pediatrician, Ranchi
Recurrent fever with high leucocyte counts at interval of every one month may be due to frequent infection. In this age 6-8 infections in a year is common as the immune system is not fully developed. But if infection is severe enough to cause hospital admission or prolong illness proper evaluation should be done. I would be better able to answer if history is provided in detail. Regards.
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My daughter 6 yrs old getting very slow growth.Her D O B is 04/6/2008.Her present hieght is 110 cm,and weight is 19 Kg.But she is very active.What i have to do for her normal growth? Shall i consult what Dr in this regard?I am very much worrying.Kindly guide and advise me in this matter.I will greateful to you for ever.

M.D.( Pediatrics), DCH
Pediatrician,
You have to stop worrying and start enjoying. Plot the weight and height on IAP Growth chart(Google it) for girls and see yourself if it is normal or not.
2 people found this helpful
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Hi, My baby 10 month old and it's his teething time so I need to know what is normal problem that the baby can face in this period.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Hi, My baby 10 month old and it's his teething time so I need to know what is normal problem that the baby can face i...
Some babies face absolutely no problem during teething. But generally, loose motions, salivation, and mild fever are generally associated with teething.
1 person found this helpful
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My 2 years old son's weight is 10. 280 kg.How can his weight be increased? He suffers from hardened stool frequently. Can I give him pediasure

MD - Paediatrics, MBBS
Pediatrician, Gurgaon
Your son is a little under weight. He may be having anemia also. Expected weight is around 12 Kg at 2 years of age. His constipation may be because of poor diet. He should eat more green leafy vegetables. You should get his blood tested for Complete Hemogram which includes hemoglobin. He may require iron supplementation. After blood report he may require more investigations. For this he requires check up by a Pediatrician.
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Hi, My daughter is 4 months old and she doesn't take the mother's milk. We give Lactogen powder, however she doesn't digest properly and time to time it comes out from mouth, not too much. We also keep her for 2 mints with shoulder after having the milk. Suggest me what we should do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi, My daughter is 4 months old and she doesn't take the mother's milk. We give Lactogen powder, however she doesn't ...
You need not to worry. This is regurgitation occurs after feed usually due to swallowing of air too during feed. If feeding with bottle, switch to spoon feeding which shall reduce episodes of regurgitation. Give more time to burping. At this age if her wt is about 6 kg, it indicates she is taking required feed.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
MONITORING TO MANITAIN ASTHMA CONTROL
Ongoing monitoring is essential to maintain and establish the lowest step and dose of treatment to minimize cost and maximise safety.
Typically patient should be seen one to three months after initial assesment,and every three months thereafter.After an exacerbation.the patient should be assesed within two weeks to one month.
At every visit the patient inform the doctor following.
Use of short acting B2 agonist
Night awakening due to cough/breathlessness.
Interferance in day today activity by cough/breathless.
Any triger observed by patient.
Any concern regarding drug use.

On the basis of above information ,doctor can step up,step down or continue same treatment.
If asthma not controlled,then step treatment
If asthma partly controlled ,then consider stepping up treatment.
If asthma well controlled for three months ,then step down treatment is recommended. The goal is to maintain control with minimum treatment.

Monitoring is still reccomended even after control is achieved,as asthma is a variable disease,treatment has to be adjusted periodically.




2 people found this helpful

Why vaccination of baby is confusing? Which Standard should we follow as Government Schedule and Private Schedule are different.

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
Why vaccination of baby is confusing? Which Standard should we follow as Government Schedule and Private Schedule are...
Hello lybrate user, best schedule to follow is the schedule mentioned by the indian academy of pediatrics which includes all the vaccines that are important for your baby. The govt schedule is the basic immunization model and consists of all the mandatory vaccines but certain optional vaccines due to affordability issues have not been included. So iap includes all the vaccines mandatory as well as optional. So if affordability is not an issue you could go for the iap schedule which all private practitioners follow.
1 person found this helpful
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My infant son (1 1/2 years old) is not gaining weight. He is very moody when it comes to eating. What should I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My infant son (1 1/2 years old) is not gaining weight. He is very moody when it comes to eating. What should I do?
Usually children don't eat well during 2nd year. Try to give foods with different taste. De worm him. Weight also will not increase during 2nd year.
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My son age is 4 years old he does not take meal and not interested in any food someone given me advice to use ayurvedic medicine charak" mallon" is this better for his health.

DNB(Pediatrics), DCH
Pediatrician, Chennai
Hi Mr. Lybrate-user it is normal for the children of this age (<5yrs) to be fussy. If his weight and height is normal for his age and is healthy then it should not be a concern. Also don't force him and don't give frequent feed as he will not be hungry. Let him play and make him as for food and slowly make it a habit by food at appropriate time.
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My daughter is 3 years old. She is always suffering from cold and cough and sometimes sneezing. Please suggest me home made cure for her because I do not want to feed her medicines.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
My daughter is 3 years old. She is always suffering from cold and cough and sometimes sneezing. Please suggest me hom...
Hello 10 drops of zinger /adrak mix with 1 tsp of neem-honey twice a day this not only treat years case but also boost her immunity too avoid heavy dose of medicine n milk powder if need then give a cow milk best wishes.
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