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Dr. Jayanthi Viswanatha

Pediatrician, Chennai

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Dr. Jayanthi Viswanatha 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.
More about Dr. Jayanthi Viswanatha
Dr. Jayanthi Viswanatha is a renowned Pediatrician in sholinganallur, Chennai. She is currently practising at Global Hospital And Health City in sholinganallur, Chennai. Book an appointment online with Dr. Jayanthi Viswanatha on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 36 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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Indian Academy of Paediatrics (IAP)

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Global Hospital And Health City

#439, Medavakkam Road, Cheran Nagar, Sholinganallur, Perumbakkam. Landmark: Near HCl & Near Shollinznumur Junction, ChennaiChennai Get Directions
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439, Cheran Nagar, Chennai, Tamil Nadu 600100Chennai Get Directions
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My son is 18 months old. He has not started eating much food. It seems it depends on his mood. If he is in mood, he eats otherwise not. And mainly depends on his mothers feeding. I am confused whether to go for any check up or anything else ?

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Hi, I think he is having normal weight to his age, a 18 month infant should weigh 3-4 times to his birth weight. Let him know different tastes and try to identify his cravings and aversions in food and feed him accordingly.
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I have 3 months old baby he is not getting enough milk. My milk supply is slow and very less. please tell me what to do. Even I am taking lactare capsules 2 per day.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Feed baby till either baby gets satisfied or breast is emptied then give top feed with spoon to satisfy baby. Repeat it every time. U take good nourishing diet a little more than usual diet. I hope it shall work. No medicine is going to increase milk production unless there is hormonal deficiency which probably is not in your case.
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Hello sir. Mera beta 10 month ka hai. Unka Wight 10 kg hey. Unki prblm ye hai ki wo sota kam hai wo pure din me only 2 hours sota hai aur rat me bhi thodi thodi der sok kar jagta rehta hey. Kya ye koi bimari hey. Hamne kai doctor ko bataya par usne kaha ki koi prblm hey hi nahi. Usne hame sleeping drops bhi diye par us se bhi koi gark nahi pada. Pls help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello, Ensure that the baby is made to eat well before he sleep, babys tend wake up again and again if they are hungry. A warm water spongying or bath will help him to sleep. Reduce sugar or any sweet item from his diet, excess sugar makes babys hyperactive. Lastly, fix up a timetable for his sleep, roz ek hi time pe bache ko sulaya karo, that works.
1 person found this helpful
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My four year baby is sick with a temperature of 99 degrees she can't keep anything down including liquids. Please what should I do.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Such low grade fever usually do not indicate anything wrong,unless accompanied by other sign & symptoms or for long duration.
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

4 people found this helpful

My 5 months son have fiver since last 3-4 days. All the day he remains normal but in the late night or early morning he has fiver. Doctor asked to give paracip drops 3-4 time a day. Today morning his temp was 100. 6 f. Please suggest what I have to do.

Pediatrician, Mumbai
Are there any other symptoms other than fever? continue paracetamol drops every 4 to 6 hourly and add ibugesic drops if fever continues to be high grade. If despite this, there is high fever get investigations (cbc, crp, urine routine) done.
1 person found this helpful
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Bed Wetting

BHMS
Homeopath, Delhi
Bed Wetting

Bedwetting or nocturnal eneuresis as it medically is quite common in children. Generally, bed-wetting before age 7 isn't a concern. At this age, your child may still be developing nighttime bladder control.


Bed-wetting is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected.

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. But if it still continues after 7 its a matter of concern this means the nervous control over the bladder is not yet reached.

Causes of bed wetting:

Commonest of all is habits. Many children habitually ignore the urge to urinate and put off urinating as long as they possibly can

Urinary tract infection: the resulting bladder irritation can cause pain or irritation with urination, a strongeurge to urinate (urgency), and frequent urination (frequency).

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.

Stress and Stressful events — such as becoming a big brother or sister, starting a new school, or sleeping away from home — may trigger bed-wetting.

Role of homoeopathy in bedwetting:

Homoeopathy works on the immune system. Homeopathic medicine will increase the muscle or nervous control and hence can cure it in a months time.

1 person found this helpful

All About Diarrhea in Children

MBBS, MD - Paediatrics
Pediatrician, Pune
All About Diarrhea in Children

Diarrhea is a disorder that affects people of all age groups. Medically speaking, Diarrhea is a mechanism that the body uses to eliminate germs from the body. Usually this disorder lasts for a few days to a week. It is usually accompanied by nausea, fever and dehydration.

Children can be affected by diarrhea in a number of ways, some of them are:

  1. Infections: Various infections, such as the ones caused by rotavirus and salmonella bacteria can lead to diarrhea. Usually diarrhea in children is caused by viruses; if it is viral in nature, then it can also cause stomach cramps, headache and vomiting. It also leads to loss of fluid from the body. Hence, the child's fluid intake should be compensated accordingly. Usually oral rehydration solution that contains nutrient such as potassium and sodium are preferred.
  2. Medications: Intake of certain medications, such as antibiotics and laxatives can cause diarrhea in children. If the cause is due to antibiotic intake, then you should consult a doctor. The doctor may alter the dosage or ask to increase the child's water intake. Yoghurt may also help ease the symptoms of diarrhea if it is caused by antibiotics.
  3. Food poisoning: Diarrhea may also result from food poisoning; symptoms of this type usually disappear quickly. Along with loose and watery stools, the child may vomit frequently.

The major complication that results from diarrhea is dehydration. Severe dehydration may lead to severe brain damage and seizures. It may also cause symptoms of dry mouth, fatigue, dizziness and dark yellow urine.

Certain preventive measures are:

  1. Use your good judgment while eating outside. Do not consume food from places which use unhygienic modes of preparation.
  2. Make sure your child does not drink contaminated water and there is access to clean and filtered water all the time.
  3. Your child should be eating a balanced diet that primarily consists of vegetable and fruits. They also help in adding fiber to the diet that keeps your bowels healthy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
5441 people found this helpful

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
The volatile oils in ginger have long made it a useful herbal remedy for nasal and chest congestion. Pour 2 cups of boiling water over a 1-inch piece of peeled, grated ginger; steep for 10 minutes; and strain. Add a pinch or two of cayenne pepper to the water and drink as needed.
3 people found this helpful

I have 4 month baby boy. He has a problem of green diarrhea. Please do help in this matter.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
During crawling normally, baby's have frequently green colored stools. Wait for 2 days, if not controlled do stool analysis to confirm infection.
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BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Rajkot
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.

My baby is 7 month old and he taking mother feed and formula feed. But before one week he is not taking formula feed. Due to this day by day his heal keep very low. Give some suggestion what I have to take for eat after mother feed.

C.S.C, D.C.H, M.B.B.S
General Physician,
Formula feed is best avoided and breastmilk is the best for baby. You can eat all nutritious food. He needs to be given homemade semi solids also
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Hello doctor my baby girl is 5 months old she don't drink milk every time she was only playing what can I do? Which food items I can feed to her?

MD - Paediatrics, MBBS
Pediatrician, Delhi
Good evening mam, that sounds really good that she is playing all the time and avoid milk. It shows that your baby is developing understanding and she is knowing that there is much fun in play rather than feed. If she is on your feed try to give her your deed for one more month after that as such you will add new and complimentary feed that will be new thi for her she is take interest in feeding new things. I hope she is double of her birthweight? nothing much to worry in this case.
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7 Tips to Safeguard Your Hearing

DNB (ENT), MBBS
ENT Specialist, Bangalore
7 Tips to Safeguard Your Hearing

Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age and the other is when the inner ear's hair cells break down and do not pick up sound well.

Here are 7 ways to safeguard your hearing:

  1. Try to avoid loud places: It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.
  2. Buy low noise rating equipment: The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.
  3. Wear hearing protection at loud places: However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.
  4. Avoid smoke: Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking. 
  5. Remove earwax properly: Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.
  6. Avoid medications which reduce hearing: Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.
  7. Get your hearing tested: Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.

Related Tip: "What Causes Hearing Loss? + How to Ensure You Can Help It as You Age"

4020 people found this helpful

Sir, my daughter is three years old and still her voice is not very clear, she cannot speak a sentence clearly. She's very active by nature. Please help i'm worried.

Pediatrician, Pune
to get a clear diction children do take some time , you can continue to interact with your child , but don't make her aware of her difficulty in speech , she should be OK in few months time, nothing much needs to be done if she is otherwise well
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My son is 7.5yrs. He shatters his teeth a lot at. I guess the term is called bruxism. Is there any remedy. And what are the drawbacks.

MDS Endodontist
Dentist, Delhi
Nite bruxism can be of two types. Day and night also called diurnal n nocturnal. It can be a result of several things one of them being stress. Cold etc. Yes there are treatments. Dentists usually make customised mouth guards for the patient t to wear so that it prevents dental damage. And try n reach the source of the problem to counsel them out of it. The habit has to broken to prevent temperomandibular joint dysfunctions mpds that is pain in jaw opening joint n jaw. Teeth wear. Tooth decay. Loss of vertical height due to that. Etc. It would be highly recommended you take him to a good oral pathologist or a pedodontist or a multi speciality dental clinic so that they may help you deal with the problem well good luck.
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Hello, my 5 month old baby suffered from uti with enterococcus bacteria. Was on iv antibiotics for 7 days. Followed by oral antibiotics. Later cephlaexin syrup 3 ml daily dose till date. Doc has asked for mcu scan. Before that we performed urine routine & culture. Urine pus cell was occasional. Bacteria nil. But culture report said significant growth of some other named bacteria. We waited 1 week to retest. 3 days back baby had fever so we ran to the doc to get him checked. Doc said its viral fever and cannot be uti again since he is on cephlexin daily dose. Still for our safety we had urine routine & culture done again. The urine routine says pus cell 3 -5. Bacteria nil. Culture report is yet to come but the prelimnary report said heavy growth of gram negative bacilli. Doc said it could be because of contamination. My question is. Why all the time different bacteria shows in the culture. Does he have uti. What could be the exact reason.

MD - Paediatrics
Pediatrician, Ranchi
First of all, for the diagnosis of persistent uti the bacteria grown should be same. So I agree with your doctor that there is a high chance of contamination. Clean catch sample of urine must be taken to avoid growth of contaminated bacteria. Once there is an attack of uti in children below 2 year of age it should be thoroughly investigated usg and then mcu after 3 months to see whether kidney has been affected or not. Long term prophylaxis (4-6 month) is needed. Regards.
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