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Dr. Hemchand

Pediatrician, Chennai

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Dr. Hemchand Pediatrician, Chennai
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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.
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Dr. Hemchand is a trusted Pediatrician in Chintadripet, Chennai. Doctor is currently associated with Star Healthcare in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Hemchand 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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"Ram Krupa", Plot No. 145, 3rd Main Road , East Kamaraj Nagar, (opp Shankara School), ChennaiChennai Get Directions
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Bedwetting - 7 Possible Reasons Behind It

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2855 people found this helpful

Could you please suggest the supplements needed for me while breastfeeding? I am a vegetarian and my baby is 4 months old.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
Could you please suggest the supplements needed for me while breastfeeding?
I am a vegetarian and my baby is 4 months...
Apart from a balanced healthy diet, no supplement is usually required. If your doctor has advised any supplements, then it could be because you are deficit for them. There are no generic supplements beneficial for everyone.
1 person found this helpful
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My Daughter is 4 months old. I recently moved to my husband's place from my mother's home. Since the day my parents left us, she is so aggressive and cranky. Does she miss them or is it because of new place and new people?

C.S.C, D.C.H, M.B.B.S
General Physician,
My Daughter is 4 months old. I recently moved to my husband's place from my mother's home. Since the day my parents l...
It can be both and you give her good attention and care to make her feel at home . She will adapt to new environment
1 person found this helpful
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My baby feeding lactogen .In what color does baby pass the motion. My baby passing the motion in cement color nd sometimes yellow.

MBBS, MD
Pediatrician, Gurgaon
My baby feeding lactogen .In what color does baby pass the motion. My baby passing the motion in cement color nd some...
variable colors are noted with bottle,lactogen milk feeds.pale yellow is most common.stoolare bit hard,solid.other colors are noted.so cement light colored cannot be taken as disease.
1 person found this helpful
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My 4 year old daughter is suffering from cough since last three months, although a paediatrician was consulted however intermittent coughing persists.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 4 year old daughter is suffering from cough since last three months, although a paediatrician was consulted howeve...
Better to screen for bronchitis or asthma --> wait for 3 more days and then also doesn't reduce then get" peak flow metry" done at pediatrician's clinic and know the response of bronchodilator medicines in form of nebulisation, I think it would cure the problem. But has to assessed by a certified pediatrician not by your own.
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I am 34 years old. My new born baby (male) 4 months old now but his ureter is very big found. And urine is retain. His bladder is small size. How can I do doctor.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am 34 years old. My new born baby (male) 4 months old now but his ureter is very big found. And urine is retain. Hi...
Dear , your baby boy is born with congenital urinary defects. I would like to see the usg scan and mcu reports along with the pictures before I advise you.
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My 07 months baby boy has loose motion as water. He is not feeling good and weeping regularly. What should I take medicine or precautions.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 07 months baby boy has loose motion as water.
He is not feeling good and weeping regularly.
What should I take med...
If motions r watery, give him water n ORS to prevent dehydration and consult pediatrician. Continue feeding.
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My daughter had hepatitis A for 3 weeks she stopped her 6 months baby feeding. Now she is alright but she had a lot of itching. Can she start her baby feeding back. because Dr. says yes n pediatric Dr. said not to feed.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I strongly advocate breastfeeding babies till at least 2 years of age, even later if required. It is never late to relocate and re-establish breastfeeding even if your baby has had a gap for a while. I am a lactation consultant, and I can help you with re-establishing breastfeeding. Let me know if you need my help.
1 person found this helpful
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My new born baby makes some disturbing voices even at his sleep. In malayalam we call it as'muuree. I am not sure of the english term. Pls help wht to do. Is this normal?

MD
Pediatrician, Indore
Some time hoarsness of voice is there. If no breathing difficulty. Then wait watch. You may consult pedics.
1 person found this helpful
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Hi, I have a 4 month old girl child. Please suggest how to care for and how to treat for best grow. And suggest any books, literature or tools which help us better. Thanking you.

C.S.C, D.C.H, M.B.B.S
General Physician,
To give you a good guidance I need to know the present weight. Weight alone is not the indicator of good health. You can continue to give breast milk and add home made semisolids like raggi porridge, mashed banana and slowly introduce all the homemade foods. You need to be in regular touch with me so that I can personally interact and guide you as this is very interesting part of caring for babies, I like. Ask me privately.
3 people found this helpful
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My child who is 6 year low. He is still dispose his urine on bed. Please suggest how can we stop it.

C.S.C, D.C.H, M.B.B.S
General Physician,
^6 years is too early to give toilet training and do not not give any drinks 2 ours before bedtime and in between wake him up and take to toilet
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Hi My one month 20 days baby's total bilirubin is 3.5 where direct bilirubin as 1.16 mg/dl and indirect as 2.34 mg/dl however there is a weight improvement and feeding properly but the skin appears yellowish. Is there iany risk factor here?

MBBS
General Physician, Jalgaon
Hi My one month 20 days baby's total bilirubin is 3.5 where direct bilirubin as 1.16 mg/dl and indirect as 2.34 mg/dl...
Please Give her mild sunlight exposure twice a day Liv 52. Drops 1drop twice a day Check your baby's blood group Re Consult me on Lybrate after 7 days.
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My son 4.5 year old weight 17 kg his sgot level in 73 and sgpt and bilirubrin is normal. Is its to reason to worry. Please suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My son 4.5 year old weight 17 kg his sgot level in 73 and sgpt and bilirubrin is normal. Is its to reason to worry. P...
Not a big problem... Just keep a good watch on him... If he develops anything further... And also keep him on healthy diet.
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My baby is 5 month old she is passing lot of gas and she had pain in her stomach. Whole night she was crying. Frequently this problem occurs and she spends sleepless nights only crying. She is being formula fed we r giving her NAN PRO 1.

MBBS
General Physician, Bangalore
My baby is 5 month old she is passing lot of gas and she had pain in her stomach. Whole night she was crying. Frequen...
Sir, You should burp the child for 10 minutes after each feed. You can give colopep drops 10 drops 4times per day 1/2 hour after feeds for 2 weeks. Get back to me if excessive crying continues.
1 person found this helpful

My sister's baby suffering from gastric problem, baby is one month old can you plzzz suggest any tips for this problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
My sister's baby suffering from gastric problem, baby is one month old can you plzzz suggest any tips for this problem.
It is common in most of the babies and you have to burp well after each feed ad do not bottle feed and for personalised answer you can consult em her on the site.
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My child is ten years old but his growth is not proper on height also not take interest in taking food/diet what can we do and also want to know what will be height after of ten years.

Diploma in Naturopathy, B.A.M.S
Ayurveda, Gurgaon
now a days kids prefer lot of junks which leads to deficiency its one. Of them normally calcium defeciency leads to this. Try to give him diet rich in calcium and proper excercises. Calcium rich diet like milk. Cheese. Curd yogurt r rich in calcium and excercise like swimning skiping juumping helps in increasing height. Few medicines accd to child also helps to increase height.
1 person found this helpful
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Hello doctor, today I took my daughter for blood test. She is 4 years, wt 17kg. Height ok. Some different test results are as follow- heamoglobin- 9.5, pcv- 28, lymphocytes- 62, eosinophils-06, neutrophils-28. All other results are withing limits. Blood group b+. Our medical unit doctor prescribe her 1. Syp. Tonoferon. 3 month. 2. Noworm for 3month. One dose per month. 3. Advise to take fish, meat, iron reach food. In our generation no thalesymia history. Her mother also haemoglobin--10.8. Low. Please advise us for my little one and her mother.

C.S.C, D.C.H, M.B.B.S
General Physician,
YOur child has mild anemia and she is on correct treatment. However, CHeck her TFT, PBS and tonoferon can be continued for 6 months to one year and she need to take a lot of iron containing foods and green leafy vegetable. FOr mother give RARICAP capsule once daily and check her TFT ANd PBS. You can ask me privately and keep me as your family doctor.
1 person found this helpful
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Dear Doctors, My younger daughter is 8 years old, suffers occasionally from cluster sneezing (sneezes upto 5 times in one go many times everyday especially in the mornings.

FIAP(NEONATE), MD - Paediatrics
Pediatrician, Ahmedabad
Your child seems to be suffering from allergic response. The best way to deal with allergies is to avoid the allergens. Any episode like the present one can be dealt with cetirizine. Warm regards.
1 person found this helpful
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My baby is just 7 kg his age is 1.5 year old, very thin, while at birth his weight is just 2.2 kg. Till now no improvement? what should I do? he will do motion 4 to 5 times daily.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
do stool exam. rule out lactose intolerance. give him vitamin d multivitamin with zn.pediasure.give 3 semisolids. cut down milk.
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My daughter is six months old and was administered BCG vaccine at birth. Till date there is no scar on her arm. Should we vaccinate her again. Does successful BCG vaccine necessarily leave scar?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
My daughter is six months old and was administered BCG vaccine at birth. Till date there is no scar on her arm. Shoul...
Hello lybrate-user, some babies fail to develope scar after bcg vaccination esp. When given immediately after birth, but that does not mean that, she has not developed immunity, so no need to repeat vaccine.
2 people found this helpful
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