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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 30 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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Samayam clinic

# 30 12TH MAIN BTM LAYOUT IST STAGEBangalore Get Directions
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My baby is 1 year 4 month he don't eat so please suggest which type of food i should give or what I do for him ?

DMB
Pediatrician, Chennai
Your baby should be eating food you prepare for the whole family. Give a list of things he eats in one day and I can make suggestions for change. Also let us know the weight of the baby.
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Dear sir my son age 5 years suffering from nephrotic syndrom from last 2. 5 year what is actual complete treatment ?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Dear , nephrotic syndrome can`t be cured once for all. Its like flu you get it take treatment and it goes away, but as long as it is steroid sensitive it should not harm kidneys. If your baby requires too frequent doses of steroids then steroid sparing agent can be added.
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My girl baby is now 4 months old. She refuse to drink both breast and formula milk. Doc give some medicine for cold but that is not use. Still she do not drink milk properly. I also feed cerelac 3 times per day. Is this any reason for avoid milk. Some time her tummy is look empty but she refuse to drink milk. Please I am waiting for. Your valuable reply.

MD - Paediatrics
Pediatrician, Zirakpur
My girl baby is now 4 months old. She refuse to drink both breast and formula milk. Doc give some medicine for cold b...
Your baby might have nasal block first treat that by nasal saline drops. Once relievd baby may take milk. Can use complementary feed aftr 4 month at earliest if indicated but this is not indication to start cerelac now.
1 person found this helpful
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All You Need To Know About ADHD!

MBBS, MD - Psychiatry
Psychiatrist, Pune
All You Need To Know About ADHD!

It is often a problem to recognise whether a kid is naughty or has a problem. To recognise your kid's problem, here are some red flag signs.

  1. If your kid doesn't finish even 1 play activity and switches to next, then next, then it is an indication that something is wrong (Eg: switching tv channels in seconds, changing games on tab or mobile etc).
  2. If your kid doesn't wait for his/her turn while playing or talking and interrupts in between even on stopping.
  3. If your kid's hyperactivity doesn't let him/her complete even the activities of their liking like watching tv or coloring.
  4. If your child engages in dangerous activities like cutting, biting, breaking objects etc. without knowing what he/she is doing (exploratory play is not included)
  5. If the problematic behavior has begun after the age of 5-7 years

Why do kids have ADHD?

ADHD doesn't mean having a naughty child. It doesn't mean that your kid is troubling you on purpose. It doesn't mean that beating or punishing him/her will set the kid right. It doesn't mean a no-carbs, low fat, low preservative diet will make the kid alright. Diversion to high energy activities, sports will control the behavior. 

NO.... NO... NO.... THESE ARE MYTHS!!!

ADHD is a brain disorder where the wiring between activity controlling centres of the brain and activity producing centres of the brain has been disrupted. This loss of control is producing the following behaviors in a child with ADHD:

  1. Hyperactivity: Running all over the place, unable to sit quietly in class or other places, unable to follow social decorum, runs away middle of a task.
  2. Inattention: Making silly mistakes while doing homework/classwork, unable to follow multistep commands, forgets easily, misplaces day to day thing like eraser, sharpener etc.
  3. Impulsivity: Speaks between two people, cant wait for his/her turn while answering questions or during play, throws objects, eats limitlessly, engages in dangerous play etc.

Why should I get my child treated, बड़ा होगा/ होगी तो ठीक हो जाएगा"

NO....NO....NO....

ADHD IS A DISORDER. If not treated in time, this is what can happen to your child:

  1. With age hyperactivity will decrease, but, inattention will increase. This means more problems in learning and studies, frequent silly mistakes, social embarrasments etc.
  2. Since these children often get scolded, they start developing defiant features by the age of 6-8 years, conduct disorder by teenage and antisocial personality disorder by the age of 18 years. This means your kid would initially not listen to your commands, they would back answer you and gradually start lying, stealing, fighting and bullying with other kids and engage in unsafe behavior in teenage.
  3. Due to high impulsivity, these children have higher risk of engaging in high risk behaviors in teenage like smoking, drinking, casual sex, tattooing etc.
  4. Comorbid disorders like learning disability, mood disorders like depression, bipolar disorder are extremely common in these kids.

Is it treatable? What is the best thing to do for my child?

YES... YES.. YES...

ADHD is very much treatable. There is an option of using medicines and psychological method (mainly cognitive exercises).

  1. Medicines are good for kids who have moderate to severe ADHD. They cannot comply with cognitive exercises until controlled with medicines. Medicines too have their side effects, but without them, the kid would start falling behind. Hence, benefits out wiegh the risks.
  2. Cognitive exercises like attention enhancing tasks, assertiveness training, anger management works well with these kids. Particularly, attention enhancing tasks work well with kids who have mild to moderate severity of the disorder. When done in long term, these tasks also help in gradually withdrawing the medicines in these children.

Kids are never medicated with the aim of making them dependent on treatment or turning them into zombies. They are our future. And FUTURE NEEDS CAREFUL HANDLING.

Please feel free to ask any questions!

2460 people found this helpful

My son 5 years old. Nowadays he is urinate just a little drops and urinate frequently. In every 10 or 20 minutes. What to do?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
First off all, check if urine goes out in good steam or his hole is narrow with the skin not pulling down. Then check his urine re and culture and send me the reports.
1 person found this helpful
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My child aged 4 is vomiting severely vomited everything. She is vomited the medicine (emigo)

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
Vomiting may be due to acute gastritis, avoid oral antiemitics, withhold solid food till vomiting stop.
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My baby is 2 month 9 days n has not passed stool since 2 days. He is on breast feed but I need to give diluted cows milk once in day that to 60 ml only. He is not taking formula feed. Is it ok or any problem is there. He is passing gas.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 2 month 9 days n has not passed stool since 2 days. He is on breast feed but I need to give diluted cows m...
Give exclusive breastfeeding only up to 6 months of age. If stool is normal n passing once in 3 to 4 days, there is no cause of worry.
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ADHD - What Can Cause It?

Ph.D - Ph.D in Psychology, Ph. D - Education
Psychologist, Kakinada
ADHD - What Can Cause It?

ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.

ADHD Symptoms

The symptoms of this disorder among children can be categorized under three headings.

  1. Hyperactivity which includes
    1. Fidgeting
    2. Restlessness
    3. Inability to stay at one place runs around and tries to climb things
    4. Trouble playing quietly
    5. Excessive talking
  2. Inattention, which can be divided into symptoms like
    1. Getting easily distracted
    2. Tendency to loose things
    3. Daydreaming
    4. Facing problems related to organizing things
    5. Not listening carefully
    6. Forgetting about daily activities, carelessness
  3. Impulsiveness
    1. Interrupts others as they speak and talks out of turn
    2. Answers questions without listening to what has been asked
    3. Not being able to wait for their turn to come

Prevalence :
10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.

ADHD Causes
The probable causes of ADHD among children are,

  1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.
  2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.
1 person found this helpful

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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