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Dr. Guru Swamy

Pediatrician, Chennai

100 at clinic
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Dr. Guru Swamy Pediatrician, Chennai
100 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Guru Swamy
Dr. Guru Swamy is a renowned Pediatrician in Tondiarpet, Chennai. You can meet Dr. Guru Swamy personally at Malligai Hospital in Tondiarpet, Chennai. Book an appointment online with Dr. Guru Swamy on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 44 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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Malligai Hospital

No 33, Kanaka Pillai Street, Tondiarpet. Landmark: Behind Agasthiya Theatre, ChennaiChennai Get Directions
100 at clinic
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Suffering from Chronic Cough - How to Manage it?

MBBS, MD - Internal Medicine
General Physician, Delhi
Suffering from Chronic Cough - How to Manage it?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

  1. Chronic cough with or without sputum.
  2. Fever more in the night time. 
  3. Poor appetite. 
  4. Unintentional weight loss

Read on to know about other common causes of chronic cough and how to manage them.

  1. Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
  2. Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
  3. Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
  4. Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
  5. Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
  6. Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.

The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5213 people found this helpful

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, Pondicherry
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.
1 person found this helpful
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My child is 9 months old. She occasionally suffers from cough. Mostly during night and if she sweats and catches cold. Sometimes she vomits while coughing vigorously. Please suggest remedies so that she becomes completely free of these irritations.

C.S.C, D.C.H, M.B.B.S
General Physician,
My child is 9 months old. She occasionally suffers from cough. Mostly during night and if she sweats and catches cold...
Cough at night can be due to allergy and she needs allergy prevention by Levocet M syrup. Vomiting in cough due to straining abdomen by cough and cough need to be corrected for this. No separate treatment for vomiting.
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Give me the diet chart of 14 month old baby, she eat dal-chawal, shira,when I give her fruit, milk,

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Give me the diet chart of 14 month old baby, she eat dal-chawal, shira,when I give her fruit, milk,
Give 4 meals of different varieties of baby's choice, 2 times dairy milk 125 gm each, fruits n vegetables of season. Continue breastfeeding in between.
1 person found this helpful
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I am 26 year old. I want know about what is the validity of tetanus injection after vaccination. Actually I take vaccination before 24 days. After 24 day have injured by rust iron. Should I take again vaccination? I have 3 times takes vaccination in last 6 months.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
I am 26 year old. I want know about what is the validity of tetanus injection after vaccination. Actually I take vacc...
Most studies have shown effectiveness for 10 years in majority of people. Hence Tetanus vaccine is recommended once every 10 years, as long as one has received the primary doses of 4 vaccines in childhood. A severe injury or large wound would warrant earlier vaccination along with use of Tetanus Immunoglobulin. Minor injuries need not be occasions to repeat the Tetanus Injection. Definitely not 4 times in 6 months.
1 person found this helpful
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I HV delivered a preterm baby of 1.900 gm. My delivery date was 28 July BT due to water discharge baby was delivered on 23 June. Baby was kept in ICU 4 13 days bcz he suffered from jaundice n pneumonia. Now d baby is OK BT he does potty around 8to 9 times a day, generally after feeding. I am worried. Is some problem there? Do I need to consult a doctor?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I HV delivered a preterm baby of 1.900 gm. My delivery date was 28 July BT due to water discharge baby was delivered ...
Since baby is ok but passing stool 8 to 9 times that too after feed is not abnormal if gaining weight properly. It is due to gastrocolic reflex. Your baby is still short of expected date of delivery by 9 days. If he is being fed properly, he must be weighing about 2700 gm now if his birth wt was about 2200 gm. So need not to worry otherwise consult doctor.
2 people found this helpful
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10 Signs You Must Not Ignore in Your Child - See a Neurologist Now!

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
10 Signs You Must Not Ignore in Your Child - See a Neurologist Now!
10 Signs your child needs to see a paediatric neurologist immediately

Your child needs complete care whether it is emotional, psychological or physical. A thorough evaluation of your child’s body and mind is vital at nascent stages. Especially if you observed any complaints by your little one that may require medical help, such as:

1. Frequent headaches
Much like adults, children too can experience headaches that last from 30 minutes to 3 hours. A range of primary or secondary headaches like, migraine, meningitis, sinusitis or tension may affect children due to neurological issues.

2. Blurry vision
If you observe either a vision developmental delay or near-sightedness and farsightedness in your child, it might be related to neurological issues.

3. Slurred Speech
If your child is 7-8 months and is not responding to sounds or cannot babble non-sense words, it calls for a neurological check-up.

4. Motor and Co-ordination Delay
Sometimes babies are unable to perform motor skill activities like crawling, walking or using fingers to grip or hold, such delay requires attention of the parent.

5. Fatigue
Check if your kid has become lazy and decreased his physical activities due to fatigue and tiredness suddenly of late.

6. Abnormal Movements
Common involuntary movements or tics like eye blinking, twitching of nose, grimacing or making sounds is in some cases overlooked. Tourette syndrome is an example of such a tic, which has been evaluated as a neurological issue.

7. Tremors or Seizures
Children are prone to febrile seizures (fits) or tremors along with fever that occur between 6 months and 5 years. These are signs of neurological issues that require an immediate check-up.

8. Numbness in Limbs
Neurological complications in your child’s infancy may also cause joint pain and numbness of arms and legs.

9. Behavioural disorders
A change in behaviour or attitude in your child is noticed if he/she is suffering from attention-deficit/hyperactivity disorder, school problems, sleep issues, intellectual disability or other neural conditions.

10. Weakness
This symptom is tricky in children, as it may be confused with general tiredness by your human eye. It may be unheard of but many children face trouble in performing easy tasks. A neurological exam may identify the source for treatments.

An underlying problem to the nervous system can cause harm or impairment in the normal growth and development of your kid. Early diagnosis helps in correct care, recovery and prevention of long-term problems. You can opt for a routine neurological examination if you find such symptoms in your child. These exams check the functioning of your child’s brain, spinal cord, nerves that come from the brain and spinal cord and offers accurate diagnosis.

Get your child the best treatment and care to rule out neurological issues!

3848 people found this helpful

My baby is 1.6 years old. She eats nothing. I tried many ways. Not evn angrily happily plsyfully. I tried various food. Bt all waste. She remains hungry. Bt evn thn whn I try to feed her. She cries a lot. She not evn want to explore food. Whn plate comes whether it has colors or of different texture. She runs away. She has reduced lots of weight. M getting hopeless now. Evn the food she likes, she wats for 2 days only. Thn again blank. What should I do. Please please help me.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
My baby is 1.6 years old. She eats nothing. I tried many ways. Not evn angrily happily plsyfully. I tried various foo...
Madam, Does the child have Nausea. How is the stools and urine. Does the child gets frequent coughs, cold. What was the birth weight and present weight. Do you use feeding bottle. Which type of food does the child eats, Is it sweet , masala, or fried items. Do you give hotel or bakery food daily. Get back to me with details for further advice.
2 people found this helpful
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My son is of 4 year 6 months doing potty in clothes often may I know how to resolve the issue.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Potty training need to be practiced. Children often ignore urges in between Playing mind. Understand whether he knows the passing of stools. If so, no issues, as he grows it will be alright. Make him sit and try toilet before going out in the morning regularly. Few children respond well while reducing packet milk intake for few days.
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My child has a fever for last 3 days and I check all that but he not fine how can I cure from tht fever.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My child has a fever for last 3 days and I check all that but he not fine how can I cure from tht fever.
Your description is incomplete which lack in range of temp and associated symptoms with fever. Fever is not disease but it is a symptom of disease. You may give one dose of paracetamol (125 mg) for the time being for fever and consult pediatrician.
1 person found this helpful
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