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Dr. M S Prakash

Pediatrician, Bangalore

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Dr. M S Prakash Pediatrician, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. M S Prakash
Dr. M S Prakash is one of the best Pediatricians in Jayanagar, Bangalore. He is currently associated with Dr Prakash Clinic in Jayanagar, Bangalore. Book an appointment online with Dr. M S Prakash on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 29 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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172 7th Main, 7th Cross, 2nd Block, Jaynagar Bangalore Get Directions
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My son who is 15 months old had not started talking while he listen everything.what to do

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My son who is 15 months old had not started talking while he listen everything.what to do
Have patience, some kids speak a little late. Just continue to talk to him with clear pronuncian. Avoid all types of nick names, slangs & mimicking child speech.
1 person found this helpful
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My son is 3 years old his weight is only 12 kg is it proper for him if not pls suggest me a diet chart for him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 years old his weight is only 12 kg is it proper for him if not pls suggest me a diet chart for him.
Ideal wt for this age is 14 kg. U may increase number of feeds including ghee cooked nutritious diet rich in protein of his choice n at his liberty. No force feeding.
2 people found this helpful
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
8 people found this helpful

M.D.( Pediatrics), DCH
Pediatrician,
Children learn through playing. It helps in the development of their social skills, intelligence, physical coordination, and lifelong coping mechanisms.

For my sister daughter aged 5, the mouth is getting reddish, when she take food little spicy also. Is there any problem with stomach?

MBBS, D.P.H
General Physician, Gurgaon
For my sister daughter aged 5, the mouth is getting reddish, when she take food little spicy also.
Is there any probl...
Yes it related with your digestive process you just take vitamin b comlex daily aplly zytee gel locally write your complete problem and consult on line for further management.
1 person found this helpful
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Can I give banana to my 7 month old baby. When he is suffering frm asthma. And what else can I give him to feed.in this situation. ANd what I shud not give pls help.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
Can I give banana to my 7 month old baby. When he is suffering frm asthma. And what else can I give him to feed.in th...
Banana is excellent recipe for your baby. In fact ashma has nothing to do with any kind of fruits. It is a myth. Please give your child home made cereals apart from mothers milk. Diet/feed has hardly any role in aetiopathogenesis of asthma. The triggering factors are viral infection dust smoke cold air change in season etc. Best wishes.
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My kid he is 2years old. He is having allergy on his right ear. When I apply'betagel' it will be in control. After a week again it starts. Please suggest treatment for him. Thank you.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My kid he is 2years old. He is having allergy on his right ear. When I apply'betagel' it will be in control. After a ...
Hi lybrate-user can you send some pics of it, it will be of great help. Most of the times allergy are atopic in nature for which you should apply good moisturizer like atogla lotion multiple times in a day specially immediately after bath. Do not use harsh soaps. You can use tedibar soap for bath.
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M.Phill
Psychologist, Chennai
Children with a positive self concept tend to be more confident, do better in school, act more independently and are more willing to try new activities.

How to treat certain allergic in kids? My daughter is 6 years old ; often she gets cold and cough due to this.

MD - Paediatrics, MBBS
Pediatrician, Delhi
Hi sir, for allergies prevention is better then treatment, change in weather might trouble the kid. In this case you can start antiallergic (antihistaminic) syrup for some time thanks.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MBBS, MD
Pediatrician, Gurgaon
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Most of time child is given tranquilizers mood elevators for long time. This causes side effects. But all these symptoms goes off after few months of discontinues the drugs.
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My daughter 5 year old. From lost 1 year she suffer due to diabetic. recently in test thyroid stimulating hormone 9.6 percentile. What can I do for her.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. I am sure you are treating her diabetes with insulin injections. Hope you are able to keep the glucose levels in fair control. As regards thyroid functions, are you referring to TSH value as 9.6 mU/L? If so then the child has hypothyroidism also. This needs to be treated with Levothyroxine. Dose has to be decided on the basis of TSH & T4 values plus weight of the child. It is absolutely essential to start the treatment immediately, otherwise child's intelligence will get affected. Thanks.
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My baby is 2 months old and weigh around 3.4 kg. She is passing stool very frequently I.e. Around 6 to 7 times in a day. The stool is neither solid not totally liquid. It's a semi liquid/solid. But my worry is frequent stool of daughter. Is it normal. Should I consult pediatrician? Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 2 months old and weigh around 3.4 kg. She is passing stool very frequently I.e. Around 6 to 7 times in a d...
If your baby is breastfed it is fine and if you bottle feed, stop bottle and give exclusively breast milk.
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Hello doctor my baby has not passed the motion for past three days. He s taking semi solid food like rice kanchi nestum rice n dhalwater along wth mother milk. Is it normal or it constipation. He s four months old baby. Pleas advice me. I'm really worried.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctor my baby has not passed the motion for past three days. He s taking semi solid food like rice kanchi nest...
To pass stool 4 to 5 times in a day or once in 4 to 5 days is normal. Therefore there is no need to worry.
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

5 people found this helpful

My son is 15 months old and he is suffering from cold frequently. He can't able to breathe also I have consulted many doctors but there is no change suggest me opinion how should I treat my son.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 15 months old and he is suffering from cold frequently. He can't able to breathe also I have consulted many...
Cold is self limited disease which get cured after some days. If nostrils are blocked, instill 1 to 2 drops of saline nasal drops in both nostrils 3 to 4 times in a day.
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Doctor i am having 7 month baby girl. She is having loose motion. Actually she got fresh 6-7 times a day. So what will be solution for that?

DMB
Pediatrician, Chennai
You have to give probiotics, lots of fluids like electral, zinc supplements and avoid formula or cows milk for 2 days. Please let me know if you are using a bottle?
1 person found this helpful
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My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second child. Some people say that children born in late ages are always by surgery. Is this true?

DGO, MBBS
Gynaecologist, Bhavnagar
My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second ...
No. There is no such rule that children at later age are born by surgery only though ratio may b more.
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My 18 month baby has cough and fever since a week I visit pediatrician. Also but there is no improvement her condition I give het nebulization thrice a day also.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 18 month baby has cough and fever since a week I visit pediatrician. Also but there is no improvement her conditio...
Which means you need to add another nebulizer regime and get detailed evaluation why it is not improving. There would be some trigger in home or in habits which is making cough to stay more like sweet cold food. Preservatives containing food like ketchup vinegar etc. Yellow fruits. Citrus food. Dust smoke powder soft toys. Playing in dust etc. Regards.
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My 3 and half months bay got vaccinated with pentavac 2 days back. But there is a hard swell amd reddish around the vaccinated area. What to do n what may be the reason. Does this cause problem to the leg after growth.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 3 and half months bay got vaccinated with pentavac 2 days back. But there is a hard swell amd reddish around the v...
no worry at all. this vaccine is reactogenic and causes swelling , lump and fever for few variable days --> just apply ice at that hardened part and it fades away in 4 weeks . if it is causing reduced leg movement or persistence of fever then only u shall be worried- well no long term effects !
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Child age 2 years months. He will not eat food. He will not go toilet daily. So please tell me for this remedy.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Child age 2 years months.
He will not eat food. He will not go toilet daily. So please tell me for this remedy.
Don't force him to eat. Give him food of his choice well nutritious prepared at home. Toileting in 2 to 3 days is normal.
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