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Dr. Ashok Sigamani

Pediatrician, Chennai

250 at clinic
Dr. Ashok Sigamani Pediatrician, Chennai
250 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ashok Sigamani
Dr. Ashok Sigamani is a trusted Pediatrician in Ambikapuram, Chennai. He is currently practising at K M Speciality Hospital in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Ashok Sigamani on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 39 years of experience on Lybrate.com. You can find Pediatricians online in Chennai 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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No. 453/454, R.K. Shanmugam Salai, ChennaiChennai Get Directions
250 at clinic
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My little boy aged 33 months has normal bowel movement but with bad odour. At times he strains himself to let it out though he drinks a lot of water. How to help him to overcome this problem.

MBBS, MD
Pediatrician, Gurgaon
My little boy aged 33 months has normal bowel movement but with bad odour. At times he strains himself to let it out ...
if cereals intake in dietless and milk is more child gets constipated at times strain with hard stools.I hope you know now the problem.
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My 40 days old baby taking 120 ml of milk after every three hours But he cries n demands more milk please tell me the quantity of milk I should give him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 40 days old baby taking 120 ml of milk after every three hours But he cries n demands more milk please tell me the...
Give him exclusive breast milk. He will suck, what he needs. Feed him on demand. Do not stick to time.
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I am 22 year male recently analysed off having dyslexia and adhd which is affecting my studies and when inquired about how to help myself got a reply that an adult of this age cannot be helped what can I do about this.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It is difficult to treat adhd at any time in life, period. So, considering advanced ages, it makes it tougher because the behaviors are all set in and reinforced. However, do not lose hope: there is nothing that is impossible in life except that we have not yet discovered the solution. Every effort is worth it and you should never be in want for not having tried. I also believe that something done is better than nothing done, even if it is wrong: passivity is criminal. You need to combine medication and therapy for something effective to emerge for you. There are three areas of focus in therapy that needs serious work: concentration, hyperactivity, and impulse control. You will need to put yourself on a strict time-structure with planned activities which have reasonable and reachable goals. These must be monitored and assessed regularly to give you an idea of progress. There are concentration exercises in yoga, and the ear and eye exercise, that will benefit you a lot. Meditation will be tremendously useful to moderate your responses and to develop focus and good self-control. Emotional therapy will play a significant role to alleviate the impulsive behavior to a large extent. If all this is done in a social context i. E. In groups or by mixing with other people, you will gain tremendously. You need to be cooperative at all times. Your diet could do with less carbohydrates and a good bit of fiber. It is best to avoid high-energy foods. Vigorous exercise of at least 30 minutes a day will expunge the high energy levels. The treatment is long term and arduous but it is worth putting in this effort for a reasonable outcome. Regarding the dyslexia there are reading exercises by using index cards that will help you with those words that you particularly read wrong. Some teachers who specialize in treating this disorder have equipment and methods that employ the four avenues of word-learning: visual, audio, kinesthetic and tactile. They employ and associate letter and word sounds i. E. From the phonics with the phonemes.
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Preserve child's milk teeth

BDS, Post Graduate Diploma in Clinical Research
Dentist, Kolkata
It is always better to preserve a child's teeth till its succadenous one comes to a proper level. If there are cavities in a childs teeth go for filling or other conservative treatment as it preserves the arch lenght and maintenance of space for permanent teeth. Try to avoid dental extractions of cavitated milk teeth.
3 people found this helpful

I have 5 months old baby, she is on teething n now she is facing problems like frequent motions which is now green in color n 100 fever. What shud I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have 5 months old baby, she is on teething n now she is facing problems like frequent motions which is now green in...
Homoeopathic meedicine CHAMOMILLA 30 ( Dr REckeweg)Drink 1 drop in 1 spoon fresh water 3 time daily for 2-3 days. IMPROVEX Drops ( WELLMAN LAB) Drink 5 drops twice daily
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Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist, Delhi
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

  • Feeling breathless
  • Angina or chest pain with a feeling of pressure or tightness
  • Syncope of fainting
  • Palpitations and enhanced heartbeats
  • A steady decline in regular activities and energy levels
  • Fatigue due to little exertion
  • Not gaining weight
  • Poor eating patterns
  • Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:

  • MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
  • CT scan or computed tomography where three-dimensional images are extracted.
  • Chest X ray
  • Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

2972 people found this helpful

My son 8 yrs old he had refusing school and refuse to learning and dis obdientence.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
He is only 8 years and you are the parent: is there any choice he has, or was he given this option about attending school? just lead him by his ear to school and whether he likes it or not, he must be made to go. Now if he not a communicative child, then perhaps he has a problem at school that he may find difficult to discuss with you. Talk to his teacher and find out if there is something at school that is troubling him. If he has friends, talk to them too. If he does not have friends, that could be troubling in itself about the nature of the child. You may then want to check whether he has social problems for various reasons and meet with a child counselor, if the school has not got one. Learning has to be made interesting especially if he is an over-intelligent child. The disobedience will be an attempt to wrest back the control he may have lost when he was younger, or he may have lost his importance, if another child was born recently. The counselor will be able to help with all of these possibilities.
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My ninth month old son has not yet started crawling. Nor he is teething. Is this normal. What shall I do for his proper development.

MDS - Periodontics, BDS
Dentist, Ranchi
My ninth month old son has not yet started crawling. Nor he is teething. Is this normal. What shall I do for his prop...
Nothing to worry for teething at present....teething vary from child to child.....it might take some more time....
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Care Of The New Born

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Care Of The New Born

No matter how much time you spend researching on how to take care of your newborn, once your child is delivered, the first few weeks will leave you frantic and overwhelmed. However, there are a few tips which new parents must keep in mind.
 
Handling a newborn: 

  1. Since babies have a weak immune system and are susceptible to infections, it is of paramount importance that anyone who handles your child has clean and sanitized hands. 
  2. You also need to be careful about always supporting and cradling your child's head and neck since the muscles in his or her neck are weak at birth, and babies only develop head control after six months. 
  3. Never shake your newborn baby whether playfully or out of frustration. Shaking the baby can cause bleeding in the brain or in severe cases, death. Tickle your child's feet to wake him or her up. 
  4. Not only is it important to make sure that your baby is fastened securely in the car seat, stroller or carrier, you must also restrain from activities which may be bouncy or rough.

Diapering: 

Firstly, you must decide whether you want disposable or cloth diapers for your infant. Babies go through at least ten diapers a day (irrespective of whether they are cloth or disposable). While diapering, you must keep in mind to not leave your baby unattended on the changing tables. So get all the supplies such as clean diaper, diaper ointment (in case of rash), fasteners, diaper wipes and warm water, before changing his or her diaper. 

Bathing:

Newborn babies need to be given a sponge bath with warm water and very little soap till the navel and/or the circumcision heals completely. This can take about one to four weeks. After being healed, the baby should be bathed twice or thrice a week since frequent bathing may damage the baby's skin. 

Breastfeeding and Burping:

Doctors recommend feeding the baby on demand i.e. whenever your baby is hungry. Crying, putting fingers in the mouth, or making sucking noises convey that the baby is hungry. A newborn baby needs to be fed every couple of hours. 

Burping is important so that the air consumed during the feedings can be let out since it makes the baby fussy. Patting or rubbing a baby's back usually helps them to burp or pass gas.

Related Tip: "Viral Fever In New Born Babies"

3072 people found this helpful

My 2 yr 8 month old son has few non tender left cervical lymph nodes for last 3-4 months. Though he often suffers from urti, but these nodes persist even without infection. Should I be worried?

MD - Paediatrics
Pediatrician, Ranchi
I wont be overly worried if it is not tender as you have mentioned, not rapidly enlarging in size and not associated with any weight loss or positive family history of tuberculosis. The lymph nodes are a part of immunity and it regresses as the child grows.
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My 4 years baby not eating food properly and she vomiting while taking food every day, Please suggest good medicine for control vomiting Thank you.

MBBS, MD
Pediatrician, Gurgaon
At four years child should be completely self feeding. She should decide what amount she should take and eat. Generally vomiting is see. N when mothers force feed the child. Otherwise self eaters never have vomiting.
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Dear Dr. My son is 6 year old. Now he is in 2nd standard since April 2017. From last one year, he is not writing anything in all subject. Teachers always complains about it. But he is not listening to teachers as well as us. He talks & understand well. We tried a lot at home for writing practice, but no results. His concentration towards writing is almost Nil. Please give the suggestion that how to come out from this problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
YOur son seems have ADHD and need a counselling and check up .Dyslexia is a specific learning disability in reading. Kids with dyslexia have trouble reading accurately and fluently. They may also have trouble with reading comprehension, spelling and writing.
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My son is 56 days old almost 2 months, he having cough and cold ,can someone suggest some drops for him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 56 days old almost 2 months, he having cough and cold ,can someone suggest some drops for him.
Casual medicines for such young baby is not advisable. Consult pediatrician for appropriate medicine. U can instill saline nasal drop in each nostrils if nostrils are blocked.
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My daughter is 3 years old. She is always suffering from cold and cough and sometimes sneezing. Please suggest me home made cure for her because I do not want to feed her medicines.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
My daughter is 3 years old. She is always suffering from cold and cough and sometimes sneezing. Please suggest me hom...
Hello 10 drops of zinger /adrak mix with 1 tsp of neem-honey twice a day this not only treat years case but also boost her immunity too avoid heavy dose of medicine n milk powder if need then give a cow milk best wishes.
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My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it serious for my baby frequent cough? Tell me as soon as possible.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it...
That is Ok but always ask your doctor before its usage, also most of the times cough is self limiting and use of antihistaminics can be avoided. Steam inhalation, saline drops can relieve symptoms. Also be cautious if baby develop increased breathing rate or not feeding well and also if the child has high grade fever. Try to keep child warm during winter-use protective cap, gloves and socks.
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Hello Doctor, My baby is two months old and he is not having milk properly I think because of gas in his stomach. I gave colimex he get relief but again it happen.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello Doctor, My baby is two months old and he is not having milk properly I think because of gas in his stomach. I g...
While baby sucks milk, he swallow some air too and gets discomfort. Burping shall solve the problem. Colimex is not much useful.
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