Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 32 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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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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My child is just one month old. She is suffering from cold and continuous diarrhoea. Doctor prescribed taxim o and zinc dry syrup. What can I do?
My son is now three and half years old but his weight is just 10kg. He is a premature baby. I'm giving him healthy food like nendrampalam, eggs, Milk, Rice, Dall, vegetables, fruits, pediasure etc. Often He getting sick like fever and cold. After that his weight is decreasing half to one kilograms. He is looking like two years old child. Please tell me how to increase his weight.
Dear, sir/Madam, my son is 07 years old and student of standard 1 in cbse school. He have a very big problem, in readings he is very strong and also catching lessons very much in school as fast but in writing very slow and too much absent -minded in class.
My younger son aged 4 years have a strange problem. He never sweats and feels hot. During summer he has to sit in Cooler. What's this problem.
I have one month old baby girl. There are certain red rashes on her cheeks. Doctor has prescribed a cream for it. What is the reason of these rashes.
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.
My son is two years old. He is qhis weight is approx 12 kg. He eats chapat & dalia but doesn't eat vegetables. What should we try for his food so that he can have all vitamins, calcium, iron etc.
My baby girl is 15 months old and her weight is 12kgs and height is 71cms and head circumference is 21 cms. Is she appropiate according to her age ?
My baby is 7 months old. Last week there was pulse polio campaign by govn and unfortunately was not in town and could not give the same to my baby. Now it is not available in any hospital, will this affect my child in future.
World Diabetes Day is celebrated on 14 November, each year. It is the primary global awareness campaign for diabetes as it is one of the major problem of today's time. With an upsurge in the number of people suffering from diabetes, the sole aim of celebrating this day is to create awareness about this disease and suggest preventive measures to those who have not acquired it and provide tips to manage it to those who are living with it.
So, here are 15 health tips that will help you manage your diabetes effectively:
- You should quit smoking as it is very bad for diabetic patients. Smoking leads to narrowing of the blood vessels, which reduces proper blood circulation.
- You have to track your exercise patterns. Take actual notes about your exercise habits and make necessary changes based on the record.
- Eliminate fast food from your diet. Avoid eating out at restaurants and avoid taking extra salt, sugar and calories. You should cook your meals at home with light ingredients and less salt and sugar.
- Diabetes severely affects your vision and blindness is and blindness is a serious problem which may occur. Hence, get your vision checked regularly to prevent retinopathy.
- Avoid having quick coffees. Fancy cups of coffee are full of sugar, which lead to glucose and insulin fluctuation in your body.
- You must stay active and fit. This is the most important lifestyle choice for any diabetic patient. By exercising, you will maintain a good shape, your metabolism gets boosted and the insulin production increases as well.
- You should use a pedometer to calculate how much you are moving each day while exercising.
- Try to consume fruits and vegetables. By trying new vegetables and fruits, you will be able to keep your blood sugar under check and see how your body reacts.
- You must increase your amount of fibre intake. Fibre is important for diabetic patients, which keeps the digestive processes to run smoothly. Your cholesterol level decreases and blood sugar levels may reduce if you take enough fibre.
- You should chew gum as it keeps your mouth busy. It makes you crave for less food.
- You should eat on smaller plates. This is a psychological trick which makes you consume less amount of food and your sugar and calorie levels are maintained.
- Before taking any food item or eating out, gather information about them. Learn about diabetes friendly food options at restaurants and check which products you should avoid buying from the market.
- You should get your blood sugar levels checked regularly. You should check it several times a day to learn how your body responds to food.
- Circulation problems may cause issues with your feet, which may lead to a lack of sensation, cuts and scrapes. Check your feet regularly to notice changes.
- Instead of having 2,3 large meals a day, you should take several small meals throughout the day. This will keep your body’s digestive processes active thereby increasing insulin sensitivity.