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Dr. Som Sekhar

Pediatrician, Bangalore

150 at clinic
Dr. Som Sekhar Pediatrician, Bangalore
150 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Som Sekhar
Dr. Som Sekhar is one of the best Pediatricians in Yelahanka, Bangalore. You can meet Dr. Som Sekhar personally at Akshaya Nursing Home in Yelahanka, Bangalore. Save your time and book an appointment online with Dr. Som Sekhar on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 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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Akshaya Nursing Home

#33/34, 2nd Stage, Balagi Avenue, Attur Main Road, Yelahanka New Town. Landmark: Near Royal Concord SchoolBangalore Get Directions
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My son (11 years) have been suffering from cough since last 2 years. Though the cough is intermittent in nature, he says that something blocks his chest, for which, he coughs. He was diagnosed with anti allergy medicines, but of no use. Can you suggest the remedy?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Please see a good pulmonologist. Two years is too long a period of suffering. He needs to be checked out thoroughly with blood tests and Xray chest. Maybe it is simple asthma, but still!
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M.P.T.(Ortho)
Physiotherapist, Gurgaon
Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.
3 people found this helpful

Hi mera baby 8 months hai par us ka weight 5.4 kg hai us ka weight nahi badta please give me suggestion ki me kya karo.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
No diluted milk if top fed, start weaning with suji ki kheer, banana or chiku shake, daal. Add another meal after fifteen days. Please see your doctor to rule out any disease
1 person found this helpful
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Hi. My 14 month old son has been waking up every hour at night since a month. Otherwise he would sleep at least 3 to 4 hrs at a stretch and then wake up for feed and back to sleep. I don't given him milk during the day just at night for his feeds. Please advise. Thanks.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi. My 14 month old son has been waking up every hour at night since a month. Otherwise he would sleep at least 3 to ...
If your son is other wise normal, due to normal behaveir change, he may be willing to play with you. Try it. And change your habit. Give him milk in day and solids at night too.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

Nasoclear should be given how many times a day & how many drops in each nostril to a 6 months baby.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Nasoclear should be given how many times a day & how many drops in each nostril to a 6 months baby.
Nasoclear is saline drops to moist nasal mucosa help in removing nasal block. 2-4 drops in both nostrils is advised 3-4 times a day.
2 people found this helpful
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My 4 year old son having high fever 101.5 under the arm right now. Given paracetamol syrup (5 mg) at 7 pm, please suggest.

DRCH, BHMS
Homeopath, Bareilly
My 4 year old son having high fever 101.5 under the arm right now. Given paracetamol syrup (5 mg) at 7 pm, please sug...
There might be some infection that manifest in the form of fever. Visit to nearby doctor for specific treatment. Give him liquid diet to maintain proper hydration of the body.
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ADHD - 3 Common Signs!

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
ADHD - 3 Common Signs!

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.

My child is having 6 years he is not write alphabets how can I do he is not concentrating to write.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Lack of attention is one of the features of adhd. But its very premature to comment on the basis of data you have given.
1 person found this helpful
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My son, 6 years, suffering from stomach pain, and his stomach becomes high temperature, and he is suffering from cold cough. Please suggest me. What should I do?

MBBS, MD
Pediatrician, Gurgaon
Mixed symptoms&signs are sometime noted in viral infection. Suggest not to go out for food&snacks in this time. Better hyegiene at home and surrounding is equily important. Personal hygiene.
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My daughter is 9 months old and she coughs at night a lot. I have been noticing change in noises she make, like she has a lot of cough in. Thanks!

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 9 months old and she coughs at night a lot. I have been noticing change in noises she make, like she h...
Night time cough especially after 1 am may be an indicator of asthma. Please confirm by showing to a pediatrician.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MBBS
General Physician,
more than medicine it is the consultation of of the clinal psychologist and help the child understand the child's psychology and for behaviable pattern of the child by school,parents,and socioiety.

My 2 and half year child has reduced speaking, is afraid of many things, needs parent to be with him to be happy. Fond of toy cars and watching Laptop, mobile.

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
My 2 and half year child has reduced speaking, is afraid of many things, needs parent to be with him to be happy. Fon...
Insecurity in kids is very common. Spend quality time with him even if it's less in the busy schedule. Try to spend lesser time with gadgets. Kids do immitate what they see. Give some rewards for doing good work. And encourage the child.
1 person found this helpful
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My 7 month girl is getting fever every 5-6 hours. She is on paracetamol from 3 days. Also she is getting teeth. Does she need antibiotics?

Pediatrician, Pune
Your doctor would be the best judge, antibiotics may not be required for minor ailments, body has sufficient power to fight those deadly organisms and we know it, as we use to do it before invention of antibiotics.
1 person found this helpful
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Hi sir My child is 2 year old. He just fall down from stairs. And he got some rubbed in his forehead. Please suggest if I can use Quadriderm RF for relief now. Or Omni jel. Thanks. We.

M.D.( Pediatrics), DCH
Pediatrician,
Hi sir
My child is 2 year old. He just fall down from stairs. And he got some rubbed in his forehead.
Please suggest ...
Sir, external injury to forehead is much important with respect to injury inside the cranium and not externally to forehead. External injury may be treated with application of soframycin if trivial. Main concern is brain injury. Watch for symptoms such as vomiting, convulsions, unconsciousness after fall. If any of these are visible, visit pediatrician 24-48 hours observation may be needed. Anyway it is worthwhile getting clinically examined by pediatrician, child's health is of paramount importantance.
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My 1 year 7 month old child have trigger thumb on right hand since last month should it be cured by itself or it need any surgical intervention?

C.S.C, D.C.H, M.B.B.S
General Physician,
My 1 year 7 month old child have trigger thumb on right hand since last month should it be cured by itself or it need...
Trigger finger is a painful condition that causes the fingers or thumb to catch or lock when bent. In the thumb its called trigger thumb. Trigger finger happens when tendons in the finger or thumb become inflamed. Tendons are tough bands of tissue that connect muscles and bones. How is the thumb position now? wait for some more time or show an ortho.
2 people found this helpful
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I am sneezing continuously and also have dry throat and coughing. Please suggest cure.

MBBS, cc USG
General Physician, Gurgaon
I am sneezing continuously and also have dry throat and coughing. Please suggest cure.
Hello, If symptoms are sneezing, Running nose, blocked nose 1.Take proper rest/ lot of fluids 2. and Take proper home made diet. 3. Do Steam inhalation carefully by steam inhaler twice a day for 2-3 days, 4. You can take Tablet Levocetrizine 5 mg one tablet after food once a day bedtime for 3 days.(if no drug allergy) Consult Physician for further management
1 person found this helpful
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2 mahine ke baby ko pet dard/constipation ke liye medicine suggest kare. Aur jyada rona na aaye to kya kare?

Pediatrician, Kaithal
2 mahine ke baby ko pet dard/constipation ke liye medicine suggest kare. Aur jyada rona na aaye to kya kare?
Burping for pain abdomen. As far as constipation is concerned, it may be normal in breast fed babies, if stools are not hard
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