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Dr. Merlyn C.Joseph

Pediatrician, Chennai

200 at clinic
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Dr. Merlyn C.Joseph Pediatrician, Chennai
200 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Merlyn C.Joseph
Dr. Merlyn C.Joseph is one of the best Pediatricians in Anna Nagar, Chennai. She is currently practising at Dr.Merlyn C.Joseph's Clinic in Anna Nagar, Chennai. You can book an instant appointment online with Dr. Merlyn C.Joseph on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 29 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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A D 34, 10th Street, Sosa Anna Nagar,Anna Nagar, ChennaiChennai Get Directions
200 at clinic
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Paediatric Care a Concern

BDS
Dentist, Gurgaon

Baby Bottle Tooth Decay

 Tooth decay in infants and toddlers is often referred to as Baby Bottle Tooth Decay, or Early Childhood Caries. Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. Their first teeth also help make sure their adult teeth come in correctly. It’s important to start infants off with good oral care to help protect their teeth for decades to come.

You can help prevent your baby from getting cavities or developing what is called Baby Bottle Tooth Decay or Early Childhood Caries, by beginning an oral hygiene routine within the first few days after birth. Start by cleaning your baby’s mouth by wiping the gums with a clean gauze pad. This helps removes plaque that can harm erupting teeth. When your child's teeth begin to come in, brush them gently with a child's size toothbrush and a small amount of fluoride toothpaste, about the size of a grain of rice. For bottle feedings, place only formula, milk or breast milk inside and avoid using sugary beverages such as juice or soda. Infants should finish their bedtime and naptime bottle before going to bed.

Dental Emergencies

Accidents can happen anywhere, anytime. Knowing how to handle a dental emergency can mean the difference between saving and losing your child’s permanent tooth. For all dental emergencies, it’s important to take your child to the dentist or an emergency room as soon as possible.

Here are some tips if your child experiences a common dental emergency:

  • For a knocked-out tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your child’s cheek and gum, or in milk. Call your dentist right away.
  • For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down.
  • If your child bites his tongue or lip, clean the area gently and apply a cold compress.
  • For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues.
  • For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

Thumbsucking

Sucking is a natural reflex and infants and young children may suck on thumbs, fingers, pacifiers and other objects. It may help them relax or make them feel safe or happy. Most children stop sucking by age 4. If your child continues to thumb suck that after the permanent teeth have come in, it can cause problems with tooth alignment and your child’s bite. The frequency, duration and intensity of a habit will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs. If you are worried about your child’s sucking habits, talk to your dentist or consult your child's pediatrician.

Space Maintainers

Space maintainers help “hold space” for permanent teeth. Your child may need one if he or she loses a baby tooth prematurely, before the permanent tooth is ready to erupt. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of where they should be. When more adult teeth are ready to come into the mouth, there may not be enough room for them because of the lost space. To prevent this from happening, the dentist may recommend a space maintainer to hold open the space left by the missing tooth.

Sealants

Sealants are a fast and easy way of protecting your child’s teeth that act as barriers to cavity-prone areas. They are usually applied to the chewing surfaces of back teeth and sometimes used to cover deep pits and grooves. Sealing a tooth is fast and there is virtually no discomfort. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing but may have to be reapplied if needed. Both primary and permanent teeth can benefit from sealants. Ask your dentist if sealants will help your child.

Mouthguards

Mouthguards can help protect your child from a dental emergency. They should be worn whenever your child is participating in sports and recreational activities. Mouthguards cushion blows that would otherwise cause broken teeth, injuries to the lips and face and sometimes even jaw fractures. If your child participates in such pastimes, ask your dentist about custom-fitted mouth protectors.

Malocclusion

Malocclusion, or bad bite, is a condition in which the teeth are crowded, crooked or out of alignment, or the jaws don’t meet properly. This may become particularly noticeable between the ages of 6 and 12, when a child’s permanent teeth are coming in. If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease.

Bad bites can also:

  • Affect proper development of the jaws.
  • Make the protruding teeth at risk for chips and fractures.
  • Affect eating and speaking.
  • Make some teeth more likely to wear abnormally or faster than those that are properly aligned.

Anesthesia and Sedation

Your dentist might recommend that your child be administered anesthesia or sedation to relax them in order to safely complete some dental procedure.    

  • CONCLUSION : When your child’s first tooth appears, talk to your dentist about scheduling the first dental visit. Treat the first dental visit as you would a well-baby checkup with the child’s physician. Remember: starting early is the key to a lifetime of good dental health. Encourage healthy eating habits.

Hi, My newborn baby for hours if I let him. Only rarely is he relaxed or sleepy afterwards. However, when he given formula, he will sleep for four hours. He is currently 25 days old and take 4 ml formula from the bottle. What should I do? I am worried as he not satisfied with my feed. Whats wrong I do't know Please suggest.

MBBS, MS - General Surgery, MCh - Paediatric Surgery
Pediatrician, Mumbai
Hi, My newborn baby for hours if I let him. Only rarely is he relaxed or sleepy afterwards. However, when he given fo...
If on breast feeds he is passing urine more than six times a day and he is not irritable, crying and increasing weight then no worries, but if not then you may have to. Supplement with formula feeds. Consult your pediatrician for that.
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My child 7 month old Suffering from cough and cold Ascoril LS plus good for him? As suggested by doctor.

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
My child 7 month old
Suffering from cough and cold
Ascoril LS plus good for him? As suggested by doctor.
Hi thanks for your query in 7 month old baby to have a cough you can give syrup ascoril but before starting any medications on home I would like to suggest you to visit nearby pediatrician and get changed examination done and to rule out underlying pneumonia infection of the lungs.
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My son is 4 months old and he has a black mole on his back side of left leg. Is it anything to concern?

MBBS, MRCPCH
Pediatrician, Bangalore
My son is 4 months old and he has a black mole on his back side of left leg. Is it anything to concern?
Generally moles are not of concern. If they are growing or changing color, bleeding or too big in the first place, see your pediatrician.
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I am 14 years old. Which exercise is good for me. Should I exercise more or less.

MBBS
General Physician, Fatehabad
I am 14 years old. Which exercise is good for me. Should I exercise more or less.
Hi lybrate-user, Here is a home workout plan for teenagers that want to get fit, build some muscle and work out at home. This plan requires little to no equipment, This teenage workout program for beginners should work for you! 1. Chest / Triceps - 3 sets of push-ups, as many as you can do, with 60 seconds rest between sets 2. Back / Biceps - 3 sets of pull-ups, as many as you can do, with 60 seconds rest between sets 3. Legs: Three sets of get-ups, 8 – 15 repetitions per set, with 60 seconds rest between sets. 4. Abs: Three sets of crunches, 8-15 repetitions, with 60 seconds rest between sets Don’t Forget Nutrition! Last but not least, remember that for optimum muscle growth, you also need to keep an eye on what you eat. Hope this helps. Good Luck.
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Dear, sir/ Madam My son age 4.10 months got fever ,diarrhea, n vomiting from yesterday evening 4.30 pm.n now his stools looking like watery green. He had a prescribed by Apollo ems ,Emeset susp, econorm susp, crocin ds susp.(Vomit 8 times, fever ups n downs, watery stools 15 times from yesterday) Kindly suggest me some medicines for quick relief. Thank u.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
No short cut for recovery. Age is 4 mths (confused with 4.10) many times frequent stool is normal for this age. But if doctor has advised you medicine, continue and review with him if child is not accepting feeds or urine output is decreased.
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Sir my son is 3 years old with undescended testes. What should we do to cure this? please guide.

C.S.C, D.C.H, M.B.B.S
General Physician,
You must have seen your doctor. It has to be seriously taken. Untreated, it can lead to cancer. A pediatric surgeon may bring it down or remove as it depends on whether undescended testes is present in the inguinal canal.
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Is 60 ml pomegranate juice tough to digest for a two year baby. My daughter is two years old. She is suffering from acute problem of gas and indigestion. I am giving her 60 ml pomegranate juice daily. Can this be a cause for the problem. It has been newly introduced to her.

BMS
Ayurveda,
Is 60 ml pomegranate juice tough to digest for a two year baby. My daughter is two years old. She is suffering from a...
Hie lybrate-user. Pomegranate juice is safe for Child. Who told you it used in gas trouble. as said in ancient science pomegranate covering (chilaka) can use in diarrhoea (dysentery). Juice is used as anti oxidant so safe to give. Thank you.
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How to overcome chronic ITP, hypothyroidism and recently detected fibroids/cysts to enter into marital life and become pregnant at the age of 41?

MS - ENT,MBBS
ENT Specialist, Kolkata
How to overcome chronic ITP, hypothyroidism and recently detected fibroids/cysts to enter into marital life and becom...
Hi  First: medicines are mandatory.  Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If ypu have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Chronic ITP and fibroid will have to be answered by other specialists. Hope this helps Let me know.  Take care
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Hello doctor My 5 year young baby girl have allergy. Always she get sick of cold n cough. What should I do for her so that. She will not get sickness anymore. Please help.

FIAP(NEONATE), MD - Paediatrics
Pediatrician, Ahmedabad
Children are often prone to cold which may be due to viral infection or an allergic phenomena. The best way to deal with allergy is to avoid allergens that is to say avoid contact with any known factors which would lead to allergy. Also keep in mind that if there is an adequate weight gain and no other symptoms, no need to worry. As he grows, the episodes will become less frequent.
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