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Dr. Purnima Samayam

Pediatrician, Bangalore

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Dr. Purnima Samayam Pediatrician, Bangalore
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Purnima Samayam
Dr. Purnima Samayam is one of the best Pediatricians in BTM Layout, Bangalore. You can meet Dr. Purnima Samayam personally at Samayam clinic in BTM Layout, Bangalore. Book an appointment online with Dr. Purnima Samayam and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 32 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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# 30 12TH MAIN BTM LAYOUT IST STAGEBangalore Get Directions
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Hello. My child is. Now 2 month old. She is just breastfeed. She is 59 inch in height. And she is measuring 4200 2 weeks ago. Is this normal height and weight? I want my baby to gain weight because she looks lean, can you please suggest me fruits or vegetables that I should include in my diet. So that she can gain weight.

DMB
Pediatrician, Chennai
Hello. My child is. Now 2 month old. She is just breastfeed. She is 59 inch in height. And she is measuring 4200 2 we...
You have not mentioned her birth weight. Babies will gain 500 gms in the first 3 months. If your baby has gained this weight, you need not worry. Give only mother's milk and vitamin d supplements.
1 person found this helpful
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My baby is 3 month old. I have started weaning him. I give him powdered biscuits mixed in water. Wat food cn I give him ? Cm I go him fruits mashed or blended.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is 3 month old. I have started weaning him. I give him powdered biscuits mixed in water. Wat food cn I give h...
Weaning should be done at 4 months and you are giving wrong thing which is biscuits. Maida is not advisable in first 9 months. If at you wanna start early weaning. That too shall be after 4 completed months not now. When you start weaning. You shall first give simple things like dal water, rice water, thin crushed khichdi, kheer, sheera, crushed and pre boiled potato tomato. Porridge upma ragi dalia sattu. Etc. One by one. Weaning is slow and complimentary process to breast feeds so never reduce breast feeds on first 6 months and shall be continued till a year. Regards.
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I have pain in my breast since two days today I notice harness in downward side of my breast I feel heaviness also. I stop breastfeed since one year.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
You should continue to breast feed your baby to get relief from engorgement of breast. You may even express breast milk in addition for quick relief.
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I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking milks and sweats it has got less. But now I have problem of block nose even if I don't have cold. I can breathe through one nose only .it is very difficult to live with one nose breathing .and also pressure is created in head I can't hear properly due to ear blockage from cold .please tell me what to do now?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking mi...
Take tab sinarest one tab three times a day for 7 days steam inhalation three times a day for 7 days nasivion nasal drops one drop in each nostril every 8 hourly for 3 days.
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My baby is 6 month old and yesterday she had loose motion (3 times) in a day. Her other activities are normal. Is it because of her teething or some other reason. And should I give her ORS.

DNB (Pediatrics)
Pediatrician, Amravati
My baby is 6 month old and yesterday she had loose motion (3 times) in a day. Her other activities are normal. Is it ...
Nothing to worry if baby is not vomiting, and no fever. Feed her regularly. Ors could be given but make it in given proportion.
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My son is 3 week old, he sleep whole day and in night cry so much that he can breath and because black while crying. He cry continuous whole night and keep on feeding continuously whole as soon as I remove him from latching as it pain too much if I feed him more than 45 mins. What should I do to keep him calm at least if he does not sleep.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 week old, he sleep whole day and in night cry so much that he can breath and because black while crying. ...
If baby sleeps whole day, breast feed him about every 2-3 hourly in day time then probably baby shall not cry whole night and shall be satisfied in night with intermittent feeding too. This shall keep him calm in night as he shall not be hungry and sleep well. Take care of his comfort too. Cry in night is due to not satisfactory feeding in day time and may be wet.
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My son aged 12 years reading in Class-VI. Basically he is very obedient in nature but he is very unmindful and sometimes he is alone thinking something else and that's why he could not concentrate in reading and he is very slow learner despite his vigorous labor. He is not interested in sports and other physical activities. He has god gifted singing talent. He usually likes to sit alone. He could not adjust with friends in school properly. He is shaky in unknown areas and could not respond promptly. We the parents are very much anxious about his marks at School and his lonely behaviour. Please let me know whether there is any Education Therapy or any counseling is required for him. If it's required then please tell me how much time will be required for that as we are living at Silchar far distance from Guwahati. Please let me know whether this treatment is available at your organisation.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
My son aged 12 years reading in Class-VI. Basically he is very obedient in nature but he is very unmindful and someti...
At least you have identified his great skill in singing. so you must explore that extensively to build self-confidence and to develop this area. This is an Early Adolescent stage and any manifestation of problems like these are indicative of some serious that needs the attention of a professional. There may be some developmental issues and/or genetic that needs immediate attention. If you do not attend to it now, it will disappear and make it appear that there is nothing wrong. That is a deception. It will come again in mid-adolescence seeking a resolution. If you do not solve it then it will come again finally for the last time in late adolescence. If at that time you do not resolve it, the child will enter adulthood with permanent negative traits that lead to a breakdown and cause even personality disorders. The more it is delayed, the more severe can be the effects.
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My two year daughter had fever for three days. Now the fever has gone. But her body is still somewhat warm. And also she is not eating anything. Just falling asleep often. Please suggests the main reason for this.

MD - Homeopathy, BHMS
Homeopath, Ahmedabad
My two year daughter had fever for three days. Now the fever has gone. But her body is still somewhat warm. And also ...
Dear Sumna, This is due to post fever effect...Give her plenty of fluids... If she is sleeping, let her sleep, it will enhance recovery.
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I have a 8 month old female baby. She is having fever, running nose, nose block, Coughing since 4 days now. We have given medicines as prescribed by a doctor in our location. However, after giving medicines her temperature keeps on fluctuating, cold and cough remains the same. We don't know what to do now.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a 8 month old female baby. She is having fever, running nose, nose block, Coughing since 4 days now. We have g...
Probably your baby is suffering from viral fever and must be getting medicine containing paracetamol used for fever, due to which temp is fluctuating. If there is no relief after 4 days of treatment, consult pediatrician else you may wait for another 2 days if baby is taking normal feed and active.
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I am a 14 years old boy. I am suffering from loss of memory and I am unable to memorize the lessons read in previous day. What shall I do?

MD
Pediatrician, Indore
You improve your concentration by pranayam and yoga. Apart from this you have to be away from face book whats app and many more these kind of internet activities. Instead involve in some out door sport this will help you to regain memory.
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My 6 months old breastfed daughter passing green runny stool 5-6 times a day for the last few days. We have recently started her on solid such as iron fortified cerelac and mashed bananas etc. She does not have fever, no sign of sickness, feeding well and perfectly normal. Still is there something to be worried about. Please advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 6 months old breastfed daughter passing green runny stool 5-6 times a day for the last few days. We have recently ...
Give her one item only once in a day .when after few weeks she starts digesting give twice in a day. Continue breastfeeding.
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Ask for help with Breastfeeding

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Ask for help with Breastfeeding
Breastfeeding may not necessarily come naturally to us. It is a good idea to get your facts right about breastfeeding before your baby is born, and also to seek help with establishing successful breastfeeding.

My 6 year old daughter is suffering from vitamin d deficiency and under weight what diet do you suggest please advice.

MBBS
General Physician, Mumbai
Main thing is make her take daily sunbath from 8 am to 10 am for a year and make her eat nutritious food as per her taste
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Kids using Smart Phones may have health issues

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Kids using Smart Phones may have health issues

The study says that smartphone addiction can reduce Melatonin hormone levels which may lead to Neurodegenerative diseases later in life for children.

Melatonin hormone secreted by the pineal gland in the brain which helps regulate other hormones and maintains body's circadian Rhythm. 

Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 

  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 

  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 

  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 

  • depression 

  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 

  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 

  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 

  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 

  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 

  • continually starting new tasks before finishing old ones 

  • poor organisational skills 

  • inability to focus or prioritise 

  • continually losing or misplacing things 

  • forgetfulness 

  • restlessness and edginess 

  • difficulty keeping quiet and speaking out of turn 

  • blurting out responses and often interrupting others 

  • mood swings, irritability and a quick temper 

  • inability to deal with stress 

  • extreme impatience 

  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 

  • bipolar disorder – a condition that affects your moods, which can swing from one extreme to another 

  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.

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Is it advisable to give dexamethasone, i.M. To a 7 month baby ? having breathing problem.

M.D.( Pediatrics), DCH
Pediatrician,
Steroids are helpful in wheeze associated breathing problems but your paediatrician will be best judge.
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Dear doctor, my son is 13 years old, weight - 30 kg only, suffering from hypo thyroid. My son is on eltorxin 75 mcg (glaxo) per day. Some of my relatives suggest to take spirulina tab or powder, noni-c powder and daily one glass of water of lemon salt (1/2 tea spoon). Can I give spirulina tab, noni-c and one glass of lemon salt water. Please guide.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear doctor, my son is 13 years old, weight - 30 kg only, suffering from hypo thyroid. My son is on eltorxin 75 mcg (...
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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After going to loo (toilet) my son used to have pain there and irritation also. His age is 14. Please suggest remedies for this.

MD - Psychiatry, BHMS
Homeopath, Dhule
if the stool is hard then it may cause pain. other reason can be piles and fissures. please give him 2-3 litres water daily. green leafy vegetables
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My baby who is 2 months old didn't pass stool for 4 days. He is passing foul smelly fart continuously and has been crying all night. Seems like his stomach is upset. He is exclusively breast needed. What to do to help him?

DNB (Pediatrics)
Pediatrician, Amravati
My baby who is 2 months old didn't pass stool for 4 days. He is passing foul smelly fart continuously and has been cr...
At this age babies may pass stools once in 8 days, this may be normal if abdomen is soft and baby is not vomiting. Burp your baby after each feed.
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Dear Doctor my son is 8 years old he is having fever since last 20 days he has suffered from jaundice in this period but his jaundice is cured but the temperature is not coming down rather it is increasing now it has touched 103.2f we have been giving him fepanil please suggest. Thanks.

BHMS
Homeopath, Faridabad
Hello, the underlying disease process may result in fever and other sign and symptoms. You can give him alpha liv, 1 tsp thrice daily after meals. Antifebrinum 3x, tabs thrice daily. Carduus m. Q, 10 drops with water twice daily. Revert with feedback.
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