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Dr. Roy Abraham

Pediatrician, Bangalore

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Dr. Roy Abraham Pediatrician, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Roy Abraham
Dr. Roy Abraham is a popular Pediatrician in Shivaji Nagar, Bangalore. You can consult Dr. Roy Abraham at Dr. Roy Abraham Clinic in Shivaji Nagar, Bangalore. You can book an instant appointment online with Dr. Roy Abraham on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 38 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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My 11 years old female child is still wetting bed. What is the solution?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician
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Early dinner. Limit fluid intake after dinner. Make her do urine middle of night same time. No sleeping on tummy. Do stool and urine exam.

Health Quote of the Week

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician
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If your child isn't hungry, don't force a meal or snack.
Health Quote of the Week

HI, my wife is blessed by a beautiful daughter 10 days ago and hospital gave me only this tablet LEVOFLOXACIN TABLETS IP LOXOF 500 MG for 10 days only some time my wife feel pain in her back side and some time in stomach but I wanted to know that why it happen and LeVofloxacin TABLETS IP LOXOF 500 mg what use for? please suggest what I will do?

Pediatrician
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HI, my wife is blessed by a beautiful daughter 10 days ago and hospital gave me only this tablet LEVOFLOXACIN TABLETS...
Levofloxacin is for infection, you did not mention whether it was normal delivery with episiotomy or caesaeriansection, in either case it should be given for seven days only.

Why there is a fever to the small child?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics)
Pediatrician
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Why there is a fever to the small child?
Hi, Fever can be because of a viral infection or a bacterial infection. Many other causes of fever are there and the cause depends on what problems or symptoms the child has.

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.

Breastfeeding of Infants Born to Hepatitis B Mother

Panchkula & Delhi
Mother and Child Care
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What is hepatitis b?
Hepatitis b can be defined as the viral infection of the liver. It is caused by hepatitis b virus (hbv). It is the most common type of virus and can affect a person adversely if left undetected and untreated.

What are the risks to the baby born to hepatitis b mother?
If the mother has hepatitis b, there are chances of transfer of virus to the baby. Transmission can occur while the baby is in utero, during delivery and in postpartum period. Most of the cases are due to transmission of virus at the time of delivery due to exposure to blood. That virus can infect the baby and can cause hepatitis in the baby. Baby can become a chronic carrier and can develop liver cirrhosis and hepatocellular carcinoma in later life.

Does breast milk contain hepatitis b virus?

Yes, hbv can be found in the breast milk of 70% of carrier mothers, but there is no evidence of transmission of hepatitis b through mother's milk.

Can hepatitis b positive mother give breastfeed to her baby?

Yes, according to who and unicef guidelines breastfeeding can be given, as breast milk is the natural and optimal feed to the baby. Mother feeding in hepatitis b positive mother infant can be made more safe by immunisation of the baby with hepatitis b vaccine and hepatitis b immunoglobulin. Hepatitis b vaccine and immunoglobulins are to be given within 12hrs of delivery and the vaccine should be repeated after 1 month and 6 months. This will substantially reduce perinatal transmission and virtually eliminate any risk of transmission through breastfeeding or breast milk feeding. Immunization of infants will also prevent infection from all other modes of hbv transmission. Exclusive breast feeding is to be continued till 6 months of age. Start complementary feeds at 6 months of age and along with that continue breast feeding for two years.

What to do if hepatitis b positive mother has sore or cracked or bleeding nipples?

Mothers should breastfeed the baby carefully so that she would not get cracked or sore nipple. In case she gets sore or cracked or bleeding for nipple, stop breast feeding and take treatment for sore nipples. Because sore nipples or cracked nipples can transmit the virus through exposure to blood. During that period she should express the milk and discard it. She should resume the feeding after the nipples are healed.
Breastfeeding of Infants Born to Hepatitis B Mother

MDS-Pedodontist
Dentist
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Children are the stars of everyone’s eyes. Their dazzling smile brightens everyone’s day. These beautiful teeth not only enhance their smile but are required for chewing, speech and normal growth & development. From childhood itself these pearly whites need care and protection. On getting infected, treating these very teeth can be a daunting task. "Baby teeth" are as important to infants and children as prermanent teeth are to older children and adults. Children's teeth actually start to form before birth! The first primary (”baby” or “milk”) tooth can appear in an infant as young as 6 months


Why are Milk teeth important?
As milk teeth fall out, it is a common misconception that they do not matter.
The primary teeth have a number of important roles:
• Essential in the first step of digesting food: chewing, biting and grinding
• Allow good pronunciation and speech habits
• Encourage normal development of the jaw bones and muscles
• Ensure there is enough room for permanent teeth to erupt
• Help your child feel comfortable about the way he/she looks
• Guide the permanent teeth to erupt at the correct position in the dental arch since the permanent teeth grow under the milk teeth
• Also, your child's general health can be affected if diseased baby teeth aren't treated.

Remember, some milk molars are not replaced until age ten to fourteen, so they must last for years

What would happen if milk teeth are not taken care of?
Tooth decay and disease present in milk teeth can cause pain and discomfort and can easily pass on to permanent teeth as they erupt. Milk molars remain in the mouth until around 10 to 12 years of age with lots of opportunity to pass decay on to their new permanent neighbors. If it spreads to the root, an infection in a decayed milk tooth can damage the developing permanent tooth lying directly underneath. Consequently, the permanent tooth may erupt either in the wrong position or may not erupt at all i.e. it may remain embedded in the gums.


Why a Pediatric Dentist?
In the same way that paediatricians are trained to meet a child's medical needs, a paediatric dental specialist is uniquely qualified to protect your child's oral health. Paediatric dentists have an additional two to three years of training at university paediatric facilities in addition to four year of dental study. They know how to deal with the behavioural aspects of children, how to make them feel comfortable, and to make the experience pleasant. Also, they are trained and qualified to treat special needs patients. Paediatric dentists have a holistic approach of handling a child patient whereby the dental visit becomes a pleasant experience and not a nightmare. The very reason they are well versed with the psychology of the child which aids in execution of treatment effectively & efficiently simultaneously instilling a positive dental attitude in those little ones

How to Handle Bedwetting ....

Diploma in Child Health, MBBS
Pediatrician
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Bedwetting causes stress

Know that bedwetting is often a normal part of growing up. Most children don't stay dry at night until about the age of 3. And it's usually not a concern for parents until around age 6. There are ways to work toward dry nights as a family.

Reassure your child by being supportive. He isn't wetting the bed on purpose. And bedwetting isn't typically a sign of an emotional or physical problem. Explain that it is normal, very common and that he won't always wet the bed.

Bedwetting often runs in families. If you or your partner wet the bed as a child, talk with your child about it. It'll help him see that people do outgrow it. And it may help him feel less alone and embarrassed.

Many things can lead to bedwetting. It could be the slower development of bladder control or heavy sleep. There may be hormonal issues. Stress and anxiety can be a cause. A child who's been dry and suddenly starts wetting the bed may have an infection or a big life change such as a move may be bothering her. Be sure to speak with your doctor if this is a new problem.

If she's 4 or older, ask for her ideas. What might help her stop wetting the bed? brainstorm together. Drinking less in the evening and cutting back on caffeinated drinks may be worth trying. You can also offer options like disposable underwear or waterproof sheets. By keeping it positive and involving her, you'll help build her confidence and encourage good bedtime habits

Praise and reward for staying dry

When your child has a dry night, praise her for it. Some families mark wet days and dry days on a calendar. Stickers or stars can make it fun. If your child stays dry a number of nights in a row, offer a small reward for a fun breakfast or small book. If she wets, be supportive and remind her that results will come if she keeps up her efforts

Provide simple reminders

Make using the bathroom just before he gets in bed part of his bedtime routine. Also, remind him that it's ok to get up during the night to use the bathroom. Nightlights can help him find his own way when he needs to go.

Resist the urge to wake your child a lot during the night. If you use this approach, waking once a night should be enough, perhaps right before you go to bed yourself. Keep in mind that if you deprive your child of rest and sleep, you may increase his level of stress. Stress can be a bedwetting trigger.

Involve your child in cleaning up

When he wets the bed, he can put his pjs in the hamper or help you change the sheets. Make sure he understands it's not a punishment, just part of what has to be done. The idea is to make him more aware of his bedwetting without scolding him or making him feel ashamed

Clean up: removing the smell of urine

Accidents happen. And when they do, urine can leave a stubborn odor in clothes and in bed linens. Try adding a half cup to a cup of white vinegar to your wash to remove the smell.

Cleaning a mattress: step 1

If you need to clean urine from a mattress, first use towels to blot up as much as you can. Keep blotting, but don't rub, until no more moisture comes to the surface.

Once you've blotted up as much of the urine as you can, saturate the entire area of urine stain with hydrogen peroxide. Let it stand for 5 minutes, and then use towels again to blot the area dry.

Once the mattress is dry, sprinkle baking soda over the entire area and let it stand for 24 hours. The next day, vacuum the baking soda away. It should be clean and odor free.

If your child is nervous about sleepovers, remind her of the steps she uses to stay dry at home. Giving her disposable underwear and extra clothes in case of an accident might put her at ease. A sleeping bag with waterproof lining may also help.

Beforehand, notify the adult host that your child may have some worries about bedwetting. Discuss your child's plans for handling it so everyone feels prepared.

Some medications (desipramine, desmopressin, or imipramine) may help for special occasions when your older child wants to stay dry, such as at camp.

Be patient about bedwetting

Scolding or losing your temper won't make your child stop wetting the bed. Don't bring up bedwetting in front of others to try to shame her. Embarrassment will only increase her stress and anxiety. Meanwhile, remember that bedwetting eventually does stop. Try practicing patience and providing support while you wait.

Dealing with teasing in the home

Bedwetting can make your child an easy target for teasing. To help him handle it, make your home safe for him. Don't allow anyone in your family to tease about it. Explain to siblings that bedwetting is something their brother doesn't have control over and that he needs everybody's love and support.

If your child avoids other children or comes home with unexplained injuries, she may be being bullied. Listen to what your child says. Talk with her and let her know that you know it's not her fault. Then talk with people at her school and ask what they've seen. Be proactive and work with the school to find ways to make the teasing stop.

When to call the doctor

If your child is still bedwetting at age 7, consider setting up a doctor's visit. While there may be a medical problem, most of the time there isn't. Also, see the doctor if your child suddenly starts wetting the bed after being dry for 6 months or more.
How to Handle Bedwetting

....

My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
Since she is not able to swallow even liquid, she should be hospitalize immediately to maintain hydration, electrolytes and nutrition. 100 degree F temp is not so high. It can be manged by giving paracetamol but is not able to swallow.

Tongue movement influences infant speech perception

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Free tongue movement in pre-verbal infants influences their perception.says Canadian researchers.

The results showed a teether inserted into the mouth of an infant has an impact on the tongue tip and blade movement influencing speech perception.

Speech perception is available even before infants accrue experience producing speech sounds.

My son is 2.5 months old baby his naval will swollen (hallow like) sometimes when breathing strongly and suddenly comes to normal stage after few seconds. He uses to urinate frequently means 15-20 times per day is this is normal please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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Swelling of naval usually gets corrected on its own by passage of time. Urination 15-20 times is not normal. Consult pediatrician.

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
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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.

Mera son ka age 3 year hai use pet me dard hota hai and cold bhi ho gya hai please iska solutions btaye. Koi home therapy bhi btaye.

MBBS, MD
Pediatrician
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Mera son ka age 3 year hai use pet me dard hota hai and cold bhi ho gya hai please iska solutions btaye. Koi home the...
Cyclopam syrup one spoon to be given six hrly. This will reduce patient pain. If repeated then you have to see a pediatrician.

I am married since 7 years. I have a 5 years old daughter. My husband is having erection problem. We need a second child. please help. Any diet plan or some medication.thanks.

Diploma in Child Health (DCH), MBBS
Pediatrician
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I am married since 7 years. I have a 5 years old daughter. My husband is having erection problem. We need a second ch...
Erectile problem is most likely a psychological one. Ask him not to worry. Ask him take a bath before sex. Avoid mobile phone tv etc. Use soft music. Create a relaxing environment. I hope he will overcome over this. Never ever show a displeasure if he is not able to make it.

How to grow child and to give food for baby starting 3 months to 2 years.please advice

MD - Alternate Medicine, BHMS
Homeopath
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How to grow child and to give food for baby starting 3 months to 2 years.please advice
Start with proteinaceous food mainly liquids and soft diet for 6-7 months. Then start giving chappatis vegetables and then spices after 1 year of age.

My son is 6 year old, a continuously bed wetting (one or two) by day one. What is the reason, how it goes away.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician
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Most of the times bed wetting is inorganic. The approach in this case will be to look for organic causes which are those that needs treatment with medication or surgery. These are usually not needed. If the condition is inorganic, behaviour therapy could be instituted.

Hello sir my son is 8 yrs old now. He is hyper active child. Please guide me what should I do?

C.S.C, D.C.H, M.B.B.S
General Physician
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Usually children are hyperactive. If you mean attention deficit hyperkinetic disorder, please see a pediatrician and do as he suggests.

She originally was diagnosed in childhood with a whole in heart, then itself vsd was got closed, now she is 11 years old and her weight is 27 kgs. Doing well. She is shuttle badminton player, she is strong enough but she is lien, which food can be given to her to become a little stout.

MBBS, Diploma in Child Health (DCH)
Pediatrician
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She originally was diagnosed in childhood with a whole in heart, then itself vsd was got closed, now she is 11 years ...
If she is active no need for tonics. She is cured now. Donn worry. Give regular diet rich in protein. Dry fruits. Etc.

I have one child. He is 5 years old. My sister also has a baby. After watching my sister breastfeeding her baby, my son also wants breastfeeding milk from me. Please suggest how can I breastfeed my son.

C.S.C, D.C.H, M.B.B.S
General Physician
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You have to clearly and lovingly explain to your child he is big and breast milk is for small babies. And there is no way you can produce milk as god has decided so. Encourage him to eat like you people as an adult (to boost his ego !)

I am suffering from bedwetting at the age of 16 years. How to resolve this problem.

MD - Paediatrics, MBBS
Pediatrician
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Are you a male or a female and since how long this problem is there. Furnish these details. Get urine examination done to rule out infection and diabetes.
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