Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 25 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.
Book Clinic Appointment
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
Submit a review for Dr. MohandosYour feedback matters!
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.
Mera beta 20 days ka hai jab bhi doodh peeta hai vomit kar deta hai koi reason aur solution batao?please
The stress of a modern lifestyle have taken a toll on the mental health of the population all over the world. Earlier, it was adults who were mostly affected by the problems of depression, anxiety and stress. However, with the passage of time, even children are also suffering from major mental health problems, the roots of which again are anxiety, stress and depression.
Reasons behind it
Be it adults or children, the major cause of health issues is stress. Stress doesn’t only cause mental health problems, but serious physiological disorders as well such as hypertension, diabetes, heart diseases, sexual problems as well as other issues. If the anxiety or stress persists, it would then slowly develop into a pattern of the mind and then become conditioned, thus leading to depression. Nowadays, children are also being afflicted by depression. Similar to adults, depression in children is caused due to any combination of factors that are related to life events, physical health, family history, genetic vulnerability, environment and biochemical disturbance. It should be noted that depression is not just a passing phase. The symptoms are often left undiagnosed as well as untreated. This is because they are passed off as normal psychological and emotional changes that occur naturally during growth.
Some of the typical symptoms are:
1. Loss of interest in pleasurable activities such as hobbies or crafts which were pursued earlier eagerly
2. Loss of concentration
3. Sudden outbursts
4. Sleeping too much or sleeping too little, suddenly waking up early in the morning
5. Constant fatigue, decreased energy and being slower than usual at tasks
6. Excessively low appetite or increased appetite which would thus result in weight loss or binge eating resulting in weight gain
7. The development of physiological disorders which may stop responding to treatment. Many children develop headaches or digestion problems which aren’t resolved by medication.
8. Always sad or irritable or in a depressed mood
9. May find it difficult to sleep or concentrate on work and thus, studies and grades may suffer
10. Extreme and sudden mood changes accompanied by incessant crying
11. Suicidal thoughts
12. Loss of energy as well as lowered self esteem
With children, you have to be extra careful not to ill-diagnose the problems and if they persist for more than a few weeks, you should seek professional help. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I have thyroid from last 2 years. Is my new born baby also get it. Now her age is 4 months. If she has what is the solution?
Hello my daughter is 18 months old. Her weight is 9.3 kg. She is not at all having good quantity of food. She eats only 4 spoons of food. Does she have correct weight? Some of my cousins are suggesting me to use vitamin supplements. If you using vitamin supplements at that age is good. What should I use her? She drinks 2 cups of plain milk. Should I add some powder to the plain milk?
Dear Sir, My Daughter having Tonsils & Every month 1 or 2 day blood bleeding 5 to 10 drops in left nose, first time blood bleed at age 2, we consult doctor, dr. said operation have to done, but she is very young you come back after 3 years. now she is 7 years old, please suggest me what will be done. Thank you
My baby is 17 months old his diet is also ok as per the dietitian but still he is too thin his wright is 10 kg600gm. Is there any medicine dat can make him little bit fatty.
What should you suggest in diet for a ten year old son? Can it'll be safe to have coffee. For him? How many glasses of milk he should have?
I àm 35 male and my baby in 13 weeks old. I want to ask can I give water to my baby or after how many months I can give him cerelac.
My baby 6 month old just one week back we shifted yo cereals today we have given him boiled apple little banana and he vomited today after 5 hours now just given mom milk that also get vomited.
My 1 and half year old baby doing very hard stool. Today also found some blood traces. She is also not willing to eat.
Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
- Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
- What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
- Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
- Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child.
My 1 year old baby is suffering from cold from last 2 days I have give her wikoryl syrup4 ml. Is this medicine and dosage is right?
My baby girl is 2.5 month old and she is in formula feed but not taking enough feed and doing vomit once in a day. What should I do. Her birth weight was 2.75 and now she is 4.5. Her weight is enough or not?
The most advanced and effective communication device in this century is mobile phone. Mobile phone is not only being used by the corporate or highly qualified professional. People from all type of social group have mobile phone in their hands now. Usage of the mobile phone is not increased only with all social groups but also with people of all age groups. Children are the more noticeable group as they are using cell phones of all types. A recent research study shows that children are really capable of using any advanced type of mobile phones even without any proper guidance. Though mobile phones are the effective mode of communication, it is a well known fact that it also has adverse side effects if being over used. The mobile phones emit shockwave radioactive radiations that affect the body in various manners.
Adverse effects of mobile phone usage:
Today's children are growing up in a radio-frequency environment that never existed in human history before. The radiation emitted by mobile phones and mobile phone masts can have adverse effects on children. Some include:
- Affects your Immunity Status: cell phones after a full day usage contains many germs on their display which are highly numbered than your toilet seats. These germs are easily transferred to your body as you touch frequently or use close to your face for talking. This increases the risk of exposure to the germs and reduces your immune strength as immune status are not fully developed for children.
- Increase Risk of Chronic Pains: prolonged use of mobile phones for playing games or texting requires continuous movement for your hands which may develop chronic pain in joints of your shoulders and hands.
- Vision Problem: children when concentrate much on playing games in mobile phone they even fail to blink frequently with the increased interest and attraction towards the game. This causes the dryness of the conjunctiva and also increases the ocular tension.
- Affects your emotions negatively and increases the stress level
Mobile Phone Safety For Kids:
As a parent, you must take preventive measures to minimize your child's exposure to the harmful effects of mobile phones. These include:
- Do not give cell phone if your child is under 16 years. A child's brain is too sensitive to withstand the effects of mobile radiation.
- Do not let your child hold a mobile phone directly up to his head. Use an air-tube headset instead.
- Do not let your child make calls in buses, trains, cars, and elevators. The mobile phone works harder to get the signal out through the metal, which increases the power level.
- Do not let your child use cell phone when the signal is weak. It will increase the power to the maximum, as the phone attempts to connect to a new relay antenna.
- Limit the use of cell phone around children.
- Make sure that there is no mobile phone mast or network tower near your home or your kid's school.
- Do not let children take mobile phones to school.
- Do not leave mobile phones in your children's bedroom at night.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.