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Dr. Ramesh S

MBBS, Diploma in Child Health (DCH), MD - Paediatrics

Pediatrician, Bangalore

24 Years Experience  ·  150 at clinic
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Dr. Ramesh S MBBS, Diploma in Child Health (DCH), MD - Paediatrics Pediatrician, Bangalore
24 Years Experience  ·  150 at clinic
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Personal Statement

To provide my patients with the highest quality dental care, 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 dental care, I’m dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ramesh S
Dr. Ramesh S is one of the best Pediatricians in Thanisandra Main Road, Bangalore. He has had many happy patients in his 24 years of journey as a Pediatrician. He is a MBBS, Diploma in Child Health (DCH), MD - Paediatrics . You can meet Dr. Ramesh S personally at Shiva Priya Clinic & Child Care Centre in Thanisandra Main Road, Bangalore. You can book an instant appointment online with Dr. Ramesh S on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 33 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 - Kasturba Medical College,belgaum - 1993
Diploma in Child Health (DCH) - Kasturba Medical College,belgaum - 1998
MD - Paediatrics - Bangalore Medical College - 2009
Languages spoken
English

Location

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Shiva Priya Clinic & Child Care Centre

Kempanna Complex, Saray Palya Bus Stop, Thanisandra Main Road,H B R Layout,NagwaraBangalore Get Directions
150 at clinic
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

Hi doctor. I actually need to travel to china with my baby as my husband is working there. So we have to shift back. My baby gal is 3 months old now and her height and weight are 64cms and 6.4kg respectively. Is my baby fit for air travel? what precautions I need to take while traveling and after reaching there?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Hi doctor. I actually need to travel to china with my baby as my husband is working there. So we have to shift back. ...
baby should be free from throat.ear infection .whenever u plan air travel. her ht. wt are normal .after reaching continue with breast feeding. start semisolids only after 5 months
1 person found this helpful
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How to take care of a just born baby? What should be given instead of milk to a 5 years baby?

C.S.C, D.C.H, M.B.B.S
General Physician,
How to take care of a just born baby? What should be given instead of milk to a 5 years baby?
Just newborn need to be kept warm and breastfeed given. For five year old all home made food can be given.
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My 4 year old son is having recurring fever of 102 from yesterday ,he has cold, cough and sometimes complain of stomach ache, now after he got up from sleep he got his eyes red too. Doctor prescribed taximo and calpol, sinarest.sometimes says as vomiting feeling. What should be done next.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear lybrateuser as the child is having 102 feverget his blood test done and for malaria also urie routine examination also. Then further plannig.
1 person found this helpful
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I have a baby boy of 3 months old. I have given him the first dose of painless vaccine pentaxim. Is pentaxim safe and effective for my baby? Should I give him the second dose or should I give the painful regular vaccine?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I have a baby boy of 3 months old. I have given him the first dose of painless vaccine pentaxim. Is pentaxim safe and...
Its totally your choice , though the Indian academy of pediatrics recommend giving painful vaccine, but neither WHO or center for Disease control say that painful is better then painless. so i suggest you to go for whatever you are comfortable with.
1 person found this helpful
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My son is one year old what meal timetable I can follow? He is only 8.5 kg. He is active but looks lean. Help me to provide the best meal timetable.

MD - Homeopathy
Homeopath, Aurangabad
My son is one year old what meal timetable I can follow? He is only 8.5 kg. He is active but looks lean. Help me to p...
1 year old child should eat what we are eating but less spicy and chilli give him everything what you are eating do not follow any fun tastic diet.
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What should we give to 2 years old baby in his diet and also which meal should give them a proper balanced diet?

M.D(Pediatrics), MBBS
Pediatrician, Rewari
What should we give to 2 years old baby in his diet and also which meal should give them a proper balanced diet?
Lybrate-user just give your baby home made food like cereal based gruel, milk based gruel, milk, seasonal fruits and vegetables.
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Video Games and Neurological Problems Associated with Them

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Video Games and Neurological Problems Associated with Them

Your mother has often yelled at you for playing video games for long hours but obviously you haven’t paid heed to it. Such is the obsession with video games that they don’t let you rest unless you have championed all the levels in the virtual interface. Here is the source of all problems. Studies have revealed that video games have a direct relation to neurological disorders. As a result, many health experts across the world consider video game as a kind of health abuse.

People who play action-oriented video games are at higher risks. The more you indulge in these kinds of games, the more they are going to affect the hippocampus section of your brain. It is that part of the brain which is considered to be the centre of your nervous system, memory, and emotion. This has a detrimental effect on your overall brain health.

Let us see some of the signs which may indicate the onset of certain complications arising from an over indulgence in these games.
1. You spend hours on the computer or related gaming devices and devote lesser hours for your family and friends.
2. You get agitated when someone stops you midway through the game
3. You become socially isolated and show signs of occasional mood swings
4. You are unable to keep a track of time once you start playing
5. You repeatedly neglect your studies, resulting in a dip in performance at school

Why does this happen?
All of the above signs indicate that sooner or later you might develop neurological problems. When you spend an excessive number of hours on playing and navigating through the games, the ‘hippocampus’ portion of your brain shows signs of decreased gray matter. As a result, the volume of the hippocampus shrinks, causing severe nerve related disorders such as schizophrenia, Alzheimer’s disease, dementia, depression, and overall general stress.

One of the biggest reasons behind this is a lack of self-control. Most of the video games will encourage you to steal cars, run away after a theft and kill your enemies. Moreover, if you succeed, you are rewarded. This naturally unleashes a blatant urge for the gratification of all these awkward desires in your real life too. Hence, once you are encountered with the reality, you tend to show violent behavior.

2588 people found this helpful

My girl child has Down Syndrome. She is 5 years old now.Her speech is delayed.She has tonsils.Due to tonsils she has week imuue system. Please give me some sujeshion. Thanks

DIABETES MANAGEMENT, MBBS, Diploma in Family Medicine
Geneticist, Hyderabad
Hi lybrate-user, There is developmental delay in all spheres (motor, adaptive and social) in children with Down’s syndrome and most common genetic cause of learning disability & mental retardation. As there is no curative therapy, counseling has a central role to play in the management. Having Down's syndrome child can be challenging at times. But with help professional support, most people are able to have healthy, active and more independent lives. There are many children who have done wonders and hence take it as chanllenge and support your kid to develop and learn.
1 person found this helpful
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My baby girl is 6 months old these days she's licking floor and always keeps her thumb finger in her mouth. Since three days she is going motion quiet often and yesterday loose motions happened suggest some remedy. Thank you.

Fellowship in Neonatology, MD - Paediatrics, MBBS
Pediatrician, Bangalore
My baby girl is 6 months old these days she's licking floor and always keeps her thumb finger in her mouth.  Since th...
Thumb sucking these months is acceptable, may be due to teeting. Last 3 days may she have diarrea, look for dehydration. Consult doctor with baby.
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My daughter is 4 months and 1 week old. Still she did not get her head balance. When can I expect stiffness in her neck and back muscle?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 4 months and 1 week old. Still she did not get her head balance. When can I expect stiffness in her ne...
Some babies will have delayed neck control. If other milestones are normal you can wait for 1 more month.
3 people found this helpful
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My baby had varicella vaccination on March 11th 2015, cane swine flu vaccine be given to her on 27th, please need reply soon ?

M.D.( Pediatrics), DCH
Pediatrician,
I will wait for a month after giving Varicella vaccine. It is a live vaccine and causes attenuated infection in recipient. And all viral infections are known to hamper immuno genesity for about 4 weeks. But if it is urgent and must to give H1N1 it should be treating pediatrician's discrimination.
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My baby is vomiting for more then 2 weeks and he also do not drink milk only forcefully we give. He is 8.5 month and wt 7 kg. Please suggest?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is vomiting for more then 2 weeks and he also do not drink milk only forcefully we give.
He is 8.5 month and ...
If he is bottle fed you have to stop bottle and give breast and other feed, if you give give with a spoon ,If he has temperature also then he has to be looked ofr an infection.
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M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
The volatile oils in ginger have long made it a useful herbal remedy for nasal and chest congestion. Pour 2 cups of boiling water over a 1-inch piece of peeled, grated ginger; steep for 10 minutes; and strain. Add a pinch or two of cayenne pepper to the water and drink as needed.
3 people found this helpful

Please suggest some solution which can used for cough n cold for 2 months infant. So that it can used in nebulizer .also suggest home remidy we can use it.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
Please suggest some solution which can used for cough n cold for 2 months infant. So that it can used in nebulizer .a...
Use of steam inhalation and saline drops and protection of child from cold during winters are some home remedies in a 2 month old child. Exclusive breast feeding also protecr your child from cold.
1 person found this helpful
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My boy baby stop the breast feeding I have some milk powder. This milk powder without sugar. I can add sugar it is right or wrong.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
no milk powder is not recommended as it already has sugar in it. There are certain specific formula milks available for the infants and should deb taken in consultation with the pediatrician.
1 person found this helpful
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My son is 5 months old and the colour of his potty is green and he do the same thing around 4-5 times in a da. Is there any problem and he drinks bottle milk as well as mothersfeed. 41.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is 5 months old and the colour of his potty is green and he do the same thing around 4-5 times in a da. Is the...
In Fact, his potty colour and loose stools is due to bottle feeding and if you must give other feeds you feed it with a a spoon or Katori . Stop bottle , and I have experienced this issue many times in my clinical practice
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My age is 16 I am still slim My friends is tall and fat I want to became a good healthy person what I have to take?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
My age is 16  I am still slim
My friends is tall and fat I want to became a good healthy person what I have to take?
When you are trying to gain weight, you should eat food the rich in vitamins and minerals. 1. Healthy food includes meat, egg, milk, fruit vegetables, fruits, and nuts. Cashews, almonds, dates, walnuts, dry grapes, apricots, peaches are some of the dried fruits and nuts that can be added to breakfast, salads, cereal and desserts. Sesame seeds, ground nuts, and peanuts also contain fats in them and can help in adding that extra pounds you desire. 2. Sometimes loss of appetite may also cause weight loss. So you should take following remedies improving weight a]triphala kadha 4tsp before lunch and dinner b]amala juice 4 tsp + sugar 2 tsp+ honey 2 tsp empty stomach in the morning umami flavor increases satiety and enhances appetite. Due to improving hunger and digestion whatever you will eat more and even you eat more it will digest properly and your weight will increase naturally without any supplement.
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My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have any bad effect?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), Fellowship in Pediatric Critical Care (IAP)
Pediatrician, Delhi
My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have an...
Yes, you can give. These vaccines provide better immunity according to latest literature. Usually these Vaccines have few mild side effects mainly fever which subside on medication. Serious side effects are very rare.
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