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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Hello, I am in big trouble please help me out. I am 29 weeks pregnant my weight is 43.00 my fetus weight is 1300gm I have just 2 month for having baby and I want a healthy baby and I want to be healthy I want to gain weight in just 2 month so which food or anything whatever I can eat gain weight fast and healthy please recommende me best thing for this.
My 5-year-old daughter has asthma. What is the effect of using an asthma preventer long-term? I heard that using it for years might cause bone shrinkage. Is it true? Are there any vitamins or supplements to help vision? OrI know I overeat at meals, but I can't help it. If I limit my portions, I'm hungry an hour later. How can I avoid overeating and have better control of my appetite? My stomach aches, thought it becomes fine in a day, but still it pains regularly, what to do?
Hi Dr. Greetings for the day! My baby girl birth with cleft palate now she is 4 months old. And I am planning to fit a feeding plate. Now my question is 1. If I fit feeding plate now will it be remove later at the time of surgery, or the same plate will be fixed for permanent. Also she is not gaining weight as ASD and PDA (7mm) was there from birth. Now only PDA (5mm) is there. Kindly suggest how she will gain weight. Birth weight 2.5 kg now she is in between 2.6 to 2.7 kg.
My daughter of 7 months, weight 7.5 kg stopped taking food. It seems she is teething. She refused to take even milk. What to do?
Hello Doctor, My daughter is 2 years old. I have two questions. 1. We are struggling to feed her everyday. She don't like to eat any sort of food beyond 2 spoons. Even if we involve her in some play and feed, she will vomit in some time. Not sure of reason. Can someone please help. 2. We forgot to take her for 2 years vaccine. Is there any problem if we take her for 2 years vaccine even with one month delay.
Hello Doctor, My 7 months old baby boy passes stool once in 3 days. Daily I am feeding him ragi malt, banana msh up, Cereals. Is it ok or do we need to consult Doctor?
My one month old baby boy feeds the most at night, like continuously from 2-7 am and does not stop, cries often devoid of sleep in those hours. Though during day hours he feeds normally at interval of 2 hours or more. Due to this night habit my milk also gets less secreted, especially at the time when he is actually hungry. And this habit leads to his improper digestion and releasing stools again and again. Which horrifies me. In short he nurses till sleep and simply wants to suck. How about the idea of a pacifier only at night when he is desperate for feeding without appetite. Kindly reply.
My son (4th month baby boy) having less hair so please tell hair growth tips n daily usage of baby shampoo (like Himalaya, johnson etc.) safe for babies?
I have 4 month old baby cries all the time and always unhappy and want to be held always don't understand why please help.
Hello need some info on infant babies, my daughter is 24 days old. I am giving her my milk but after that also she feels hungry I am giving her pro nab 1 formula milk. Is it safe to give formula milk thru feeder and how to clean her mouth from inside. Pls suggest anything for cough in her chest? Thnx.
My baby girl is 1 year old and since 3 to 4 days she facing some Urine issue, as In a day she do a 2 to 3 times urine only and at night sometimes she do a Urine and sometime notes. Urine come yellow and she not face any issue while she do Urine. She also have some cold since 4 to 5 days. Please guide me on that.
Meri gudiya 2 sal ki hai aur bathroom hamesha kapdo Mai hi deti hai. She knows and tell us everything but in case of toilet she doesn't tell us.what can be done
Hi, My baby girl is 6 months old she is suffering from motions from last 6 days we consulted doctor but it is not stopping.
The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.
Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.
Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
- Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
- Fever, nausea, and vomiting
- Abdominal fullness or bloating
- Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.
Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:
If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.
Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.
My son is 5 years old. Frequently he get cold when season changes or when ice creams taken. Recently he got eye allergy and found long site problem. Suggest for further for reducing this problem.
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
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.
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
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc