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Dr. Purnima Samayam

Pediatrician, Bangalore

at clinic
Dr. Purnima Samayam Pediatrician, Bangalore
at clinic  ·  ₹ online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Purnima Samayam
Dr. Purnima Samayam is a renowned Pediatrician in BTM Layout, Bangalore. You can consult Dr. Purnima Samayam at Samayam clinic in BTM Layout, Bangalore. You can book an instant appointment online with Dr. Purnima Samayam on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 37 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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Can I give boiled apple with milk in the evening to my 8 month- old baby boy??

MD - Paediatrics, MBBS
Pediatrician
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Yes but by boiling fruit ,it's nutritive value becomes very little,instead you may give shakes of banana,chiku,mangoes in summer etc

Baby girl aged 2 years had slight temperature for the last two days, she was administered acetominofin and she is under control, but yesterday we observed a slight swelling on the lower part behind her ear. What might be the reason for this. This is not paining and she is quite normal otherwise.

ICMR Training. in. clinical. Genetics and Metabolism, Fellowship in Pediatric And Adolescent Endocrinology
Pediatrician
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Could be a simple lymph node. Very common in this age group. Its normal. If its not painful then its not a cause of concern. Its normal physiology of childhood. Dont waste your time and money on it. Let it be.

Please recommend the best medicine for enlarged TONSIL for 5 year child.

MD PULMONARY, DTCD
Pulmonologist
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There is nothing like best medicine for tosils. Enlarged tonsils with no complaint does not require medication. Enlarged tonsils with recurrent fever may require medication/surgical intervention as per ENT spe. observation.

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.

MD - Paediatrics
Pediatrician
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My daughter is 5 years old her hair is very thin not even a little finger size I use coconut oil Nad clinic plus sham...
Cnslt skin specialist fr any local infctn if any. But mostly this is due to dietary deficiencies which needs to be corrected first.

Halo sir mera beta , age 13 years .bohat slow hai bohat shy hai .ankh Mila ke baat nahi Kar sakta or darke baat karta hai or confidence nahi hai or kisi jaldi mixup nahi hota .kyu usko kisi doctor ko dikhana chahida? Please help me mujhe samajh nahi aa raja kya karna chahie?

DHMS (Hons.)
Homeopath
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Halo sir mera beta , age 13 years .bohat slow hai bohat shy hai .ankh Mila ke baat nahi Kar sakta or darke baat karta...
Hello, give him homoeo medicine: @ ignatia 30-6 polls thrice. Orally. @ five phos 6x-4 tbs, thrice, orally. Please, ask him to go for meditation to strengthen his brain, cells, tissues to get confident to talk to any body, boldly. Allow him to do whatever he likes to. Tk care.

My baby is 1 year now. Baby boy. He is teething. Started eating basic food- khichdi, roti, dahi, paneer, dal, egg etc. At times will only take milk and biscuits or some fruits. Takes coconut water. 1) whats the ideal diet for a 1 years old , in terms of quantity and 2) what all should be included in the diet 3) calcium an iron should be continued for how long? 4) spices and salt can be introduced now? 5) can give honey?

MD-Pediatrics, MBBS
Pediatrician
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My baby is 1 year now. Baby boy. He is teething. Started eating basic food- khichdi, roti, dahi, paneer, dal, egg etc...
UCan give all home made foods -khichre,veg soups,daliya,eggs,fresh fruits,dal etc.ucan give salt .too spicy foods can cause gastritis(acidity)ucan give honey instead of sugar&u can continue iron.

I have a girl baby 3yrs old. Recently I find out she is having abnormal heart beat like 120 times/minute. What should I do?

MD - Paediatrics, MBBS
Pediatrician
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Increased heart beating occurs due to many reasons like fever, anxiety, exercise, anemia etc. It need not be a heart problem.

parenting tip

MD - Paediatrics, MBBS
Pediatrician
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अपने बच्चे की छोटी गलतियों पर बहुत ज्यादा गुस्सा न हो,अन्यथा भविष्य में वे अपनी गलतियों के बारे में आपको कभी नहीं बताऐंगे

Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care
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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.
Know All About Gynae Laparoscopy Surgery

My son is just 4 months old and I am lactating him. Can I have green tea with lemon and honey? Does the drink reduce breast milk?

FIAP(NEONATE), MD - Paediatrics
Pediatrician
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My son is just 4 months old and I am lactating him. Can I have green tea with lemon and honey? Does the drink reduce ...
Continue breastfeeding till 6 months of age. Nothing else is required. Early complementary feeding can be started after 4 and half months of age. However green tea is not a good choice for your child warm regards.

When to introduce pillow to babies ?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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After one year soft pillows can be given. If you need regular advice regarding your baby, you are free to to ask privately in this site to me.

Sir, my son is 5 years old, he is suffering of paratotitis. What kind of treatment will be given to him ?

Pediatrician
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Has he received mumps vaccine, mmr? if he has developed parotitis, most likely it could be mumps, viral infection involving the parotid gland, it usually requires, rest, some oral analgesics, antipyeretics, plent of liquids orally, rest.

I am, a mother of 3 and a half months old baby girl. I am concerned about my lactation as my baby's pediatrician has told me that my baby is having a slow weight gain respective of her age, she weighs 5.5 kgs. My question is that is there really anything to worry about her weight? Is my baby not getting sufficient breast milk? I am confused whether I am producing enough breast milk or not? It will be very kind of you, if you could help me out.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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I am, a mother of 3 and a half months old baby girl. I am concerned about my lactation as my baby's pediatrician has ...
Nature provides milk to baby through her mother which is sufficient to feed baby if mother is taking nutritious good diet. Weight of baby is 5.5 kg which is with in normal range. It is good indication that baby is getting sufficient milk.

Migraine and Homoeopathy

BHMS
Homeopath
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Migraine is a complex disorder characterized by recurrent episodes of a headache, most often unilateral and in some cases associated with visual or sensory symptoms collectively known as an aura that arise most often before the head pain but that may occur during or afterward . Migraine is most common in women and has a strong genetic component.

Signs and symptoms

Typical symptoms of migraine include the following:

1.Throbbing or a pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity

2.Unilateral and localized pain in the frontotemporal and ocular area but the pain may be felt anywhere around the head or neck

3.Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse

4.Headache lasts 4-72 hours

5.Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness

6.Sensitivity to light and sound


Features of migraine aura are as follows:

1.May precede or accompany the headache phase or may occur in isolation

2.Usually develops over 5-20 minutes and lasts less than 60 minutes

3.Most commonly visual but can be sensory, motor, or any combination of these

4.Visual symptoms may be positive or negative

5.The most common positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border

Physical findings during a migraine headache may include the following:

*Cranial/cervical muscle tenderness
*Horner syndrome (ie, relative miosis with 1-2 mm of ptosis on the same side as the headache)
*Conjunctival injection
*Tachycardia or bradycardia
*Hypertension or hypotension
*Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)
*Adie-type pupil (ie, poor light reactivity, with near dissociation from light)

Homoeopathic constitutional treatment cures this malady completely since it goes to the root of the disease and removes this tendency permanently.

Some of Homoeopathic remedies used for treating migraine are Belladonna,Spigelia,Sanguinaria,Glonoine,Natrum mur,Phosphorus, Tuberculinum, Iris versicolor,medicine should be strictly selected based on symptom similarity only to get permanent cure.

What are the best fruits to eat after delivery the baby which helps to newly born baby.

MD - Paediatrics
Pediatrician
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What are the best fruits to eat after delivery the baby which helps to newly born baby.
If you are asking about mother's diet. Then she should have 1800 to 2200calorie perday yo breastfeed comfortably. She can have 5 portions of fruits whatever us seasonally available preferred during day time. Drink plenty of water 4 to 6 lper day. Water is important for hydration and good flow of milk. Apples, papaya, my samba, banana are all good. Ask her to have dry fruits few pieces twice a day. (almond+kishmish) plenty of green veggies. Good protein source with each meak (no soya) hope this helps.

Hi Doctor, My 2 years old son followed a sysfol active tablet. He is fine and shows no sign of poisoning is there anything to be worried about?

DNB - Pediatrician
Pediatrician
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Hi Doctor,
My 2 years old son followed a sysfol active tablet.
He is fine and shows no sign of poisoning is there any...
Hi, No worries! SYSFOL tablet is a vitamin tablet, if your child develops any symptoms like nausea, vomiting, rashes, etc. Then consult nearby child specialist.

My son is now 40 days old and is on PreNan. He always pooped well; however, off late he seems constipated and has been pooping in the form of clay balls. At times he cries while pooping. What is should I do to help him so that he does not struggle?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My son is now 40 days old and is on PreNan. He always pooped well; however, off late he seems constipated and has bee...
Homoeopathic medicine---------------- alumina 30 (dr reckeweg) drop 5 drops in 20 ml fresh water and give 1 spoon 3 times daily for 2 days----------after 2 days again prepare the same solution and giv it till stools are normal-------------
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