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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 baby is 5 months old. She does not consume my breastfeed. Even a one time per day she does not intake my breastfeed. What shall I do?
My baby is 2 month year. His mother not producing sufficient amount of milk for feeding. Please tell me what can I do n if any medicine available please prescribe me. I heard from my friend that PERINORM is used for it. Please guide me. Thanks.
I am 16 years old and I am having ulcers in the mouth since last 5-6 days. I have been eating tablets like B-capsule and Riboflavin together with Zytee mouth paint but it's having no effect. So what can I do in such situation?
My son (2 years 3 months) is not saying any sentences. He says 1-25, A-Z, knows and says animals, their sounds, colours, shapes, vegetables, body parts etc. He says milk, water, rice etc when needed. Says Hello, Goodnight, bye bye etc. But never says his own name and doesn't interact properly. What to do? Please help.
My 2 and a half month old son is on exclusive breast feed. From yesterday morning he started potty with mucus, watery, sometimes foamy, after he did it 7 times I called a doctor and he prescribed enterogermina 1 ample two times for two days, z&d drops 0.5 ml daily for 14 days and vitazyme 3 times daily, I gave my son the medicine, still next day morning he did potty 6 times, mucus was still there, but inspite of all these my son was smiling, he was playing, sleeping but at night he is crying excessively, uncontrollable,what should I do? Will my son take time to be ok? What to do when he is crying so much specially at night?
Dear Sir/Madam, My son is 10 month old, His health is very good but teeth is still not yet come. So please tell me what shall I do for it or it is okay if teeth come late? Which food or fruits I give give him for teeth growth. Thanks you.
My daughter 5 year old. From lost 1 year she suffer due to diabetic. recently in test thyroid stimulating hormone 9.6 percentile. What can I do for her.
Hi my son is 1 year 8 months he's not eating properly don't know y he use to eat well but fr 2 days hes not eating he had cold we are giving him recofast and augpen kid DT.
My 5yr old complains of pain in the leg often while sleeping in the night, what could be the reason? There is no specific leg or specific place on the leg. Who should be consulted, a paediatrician or orthopedist ?
My son is 2.5 months old baby his naval will swollen (hallow like) sometimes when breathing strongly and suddenly comes to normal stage after few seconds. He uses to urinate frequently means 15-20 times per day is this is normal please suggest.
When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.
What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.
Causes: Though still not exactly established, some things that are believed to cause colic include:
- The baby's digestive system that is growing and goes through spasms
- Extreme sensitivity to noise and light in the surrounding environment
- Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
- Hormones that are supposedly affecting the baby's moods
Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.
- Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
- Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
- Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
- Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.
Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.
When babies graduate from liquids to semi-solids, their diet needs to be tasty as well as healthy. This is the time where immunities are built and how well they eat now will largely decide how fit they will be in the years to come. Selecting their diet is crucial. Papaya is one item which is highly recommended in a baby's diet. Here are the reasons why:
1)Eyesight - Papayas are good for eyesight as they have vitamin A. At a stage when your baby is developing his eyesight, a little help from what he eats will do wonders.
2)Blood Generation - Papayas are known to increase blood count.
3)Digestion - Papayas improve digestion. Since babies are mostly in sedentary position, digestion needs assistance. Mashed papayas are a good idea for this.
4)Skin Problems - Papayas control skin ulcers.
5)Brain - Papayas facilitate brain development which is very important for babies.
6)Bones - Papayas are good for bones. Apart from the oil massages and milk intake, this would also add to the benefit.
7)Muscles - Papayas strengthen the muscles as well.
8)Immunity Building - Papayas are a good source of vitamin C and folate. It strengthens your child’s immune system.
9)Intestinal Worms - Infants at times suffer with the problem of parasitic worms in their intestines. Small amounts of dried papaya seeds with honey can be useful in controlling these intestinal worms.
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