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Dr. Muthukumaran

Pediatrician, Chennai

230 at clinic
Dr. Muthukumaran Pediatrician, Chennai
230 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Muthukumaran
Dr. Muthukumaran is a popular Pediatrician in Mylapore, Chennai. You can consult Dr. Muthukumaran at Dr. Muthukumaran@St.Isabel's Hospital in Mylapore, Chennai. Book an appointment online with Dr. Muthukumaran 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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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Hello, My son is 23 months old (Soon 2 yrs old). He doesnt talk much. Just mama papa, kaka, aaoo, kind of 4-5 words. He is smart and eats well. His height has also not increased much in last one year is too late for development milestones? Please tell me if he needs some tests/treatment.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hello, My son is 23 months old (Soon 2 yrs old). He doesnt talk much. Just mama papa, kaka, aaoo, kind of 4-5 words. ...
Normally children will speak 2 to 3 word sentences at that age. Slight delay isn't a problem. If the height is around 87 cms, 2 cms more or less it's normal.
1 person found this helpful
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Sir, Hamara baby boy thik se khata nhi hai. Wo 3 saal ka hai kya use hum junior Horlicks, Little Champ Bourvita ya phir Pideasoure jaise koi product de sakte hai. Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
You have to check his thyroid by doing a tsh and then decide on medicines. Usually children are fussy and they will eat in due course.
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Sir hm logo ko 1 baby hui h 5 /6/16ko. But meri wife ne Av tk use breastfeeding nai karaya h. Qki baby nursery me h. Meri wife k dono boobs Bahut hi hard ho gaye h. To kya ye breastfeeding na karane ki vajah se h. Aur agar Aisa h to kya mai uska breastfeeding kar sakta Hu. Isse Mujhe ya use koi problem you nai hogi. Please help us.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
A normal newborn baby should never be put in nursery but advised rooming in that is staying with the mother soon after the birth of baby. The process of suckling the mothers breast must be initiated within half an hour after birth. The early baby is put on breast greater is chance of successful lactation. It is most unfortunate that nursing homes still have the primitive idea of keeping normal healthy baby in nursery. Well in your case it is breast engorgment that can be tackled with frequent hot foment at ion and frequent suckling of breast by baby. Family support is very important. I am sure by this simple practice mother shall no longer have breast engorgment and baby shall be put on exclusive mothers milk. Best wishes.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

My baby is nine and a half months old now. He is able to stand on his own by holding a chair, sofa or wall. When will he start to walk?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is nine and a half months old now. He is able to stand on his own by holding a chair, sofa or wall. When will...
Babies start standing with support by 9 months & without support by 9 to 12 months. By 13 months they should be able to walk without support. 1 or 2 months delay is not at all a problem.
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My son was 23 months old, he is suffering from heavy cold, since last night. Is there any home remedies. Please suggest me.

Pediatrician, Pune
Avoid ac, give a smoke and dist free environment, give plenty of fluids, can give teaspoon of honey with few drops of ginger twice a day.
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M.D.( Pediatrics), DCH
Pediatrician,
Irrespective of intentions you can't change the behavior of children positively by threatening, criticizing,demeaning, insulting and belittling them in front of others.
2 people found this helpful

My son age is 2.9 years but he is not gaining the weight currently he is only 10 kg. What should I do? he has suffering of Fever seizures. Let me know what treatment in homeopathy?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son age is 2.9 years but he is not gaining the weight currently he is only 10 kg. What should I do? he has sufferi...
Thanks3 year old child should normally weigh around 12 kgs. 80% and above is considered as normal. Give for worms and nutritious diet. Putting on more weight is not advisable nowadays. For fever and seizures you must give paracetamol and clobazam as soon as he gets fever.
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Why at the age of 9 months baby get frightened /start crying by the presence of many people i. E. When witness a party or marriage function?

MRCPCH, MBBS
Pediatrician, Gurgaon
Why at the age of 9 months baby get frightened /start crying by the presence of many people i. E. When witness a part...
Hello, at this age it is called stranger anxiety which is quiet normal for this age and would settle slowly with time so don't worry. If any other concern then let us know.
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Bronchitis asthma since 10years, cough, mucoid sputum 15days, Rs no added sounds, spo2 98%. B/L minimal basal, bronchiectasis radiologically stable. Tcdc bvse normal. The above was scripted on prescription.Kindly advise i am aged 54 years having hypertension. Weight 65, height 5'11.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Radiologically reports says b/l basal bronchiactasis,which is cause of sputum. Write your asthma medication. Try augmentin 625mg/three times day for seven days.
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My 8 month old grand daughter is unable to hold or lift her head. What are the probable causes. Which check do you suggest for diagnosis.

Pediatrician, Delhi
My 8 month old grand daughter is unable to hold or lift her head. What are the probable causes. Which check do you su...
It is a case cerebral palsy, a neurological examination is necessary. Mri of brain is what you have to for proper diagnosis.
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MD - Paediatrics, MBBS
Pediatrician, Faridabad
To prevent nappy rash,change nappy every six hour atleast.Between the changes,keep baby dry and naked for some time,then apply coconut oil.

My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting after feeding is another issue with her. In a day she is fed 8 to 10 times and she vomits the same time. It will be a great help if you give a good help.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting afte...
The nasal block in newborns is a common finding and you may not have put the decongestant drops and simply saline drops may have been used, similarly the vomiting as you say is possetting and most babies do this and you have to burp properly after each feed and never give anything in bottle.
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My daughter is 1 year 4 month old and she is suffering with chicken pox but the concern is she was already suffering with cold and cough. Which is still there. Is there any problem or what should we do at this point of time?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 1 year 4 month old and she is suffering with chicken pox but the concern is she was already suffering ...
These symptoms are associated with chickenpox. Paracetamol, rest, antihistamines will take care of them.
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DIABETIC and Your SMILE

BDS
Dentist, Rajouri
DIABETIC and Your SMILE

Did you know that 29.1 million people living in the united states have diabetes? that's 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year and 8.1 million people living with diabetes don't even know they have it. 

Diabetes affects your body's ability to process sugar. All food you eat is turned to sugar and used for energy. In type I diabetes, the body doesn't make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In type ii diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.

So what does this have to do with that smile of yours and how can you protect it? first, it's important to understand the signs of diabetes and the roles they play in your mouth.

The symptoms of untreated diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low. 

If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:

You may have less saliva, causing your mouth to feel dry. (dry mouth is also caused by certain medications.)
Because saliva protects your teeth, you're also at a higher risk of cavities.
Gums may become inflamed and bleed often (gingivitis).
You may have problems tasting food.
You may experience delayed wound healing.
You may be susceptible to infections inside of your mouth.
For children with diabetes, teeth may erupt at an age earlier than is typical.
Why people with diabetes are more prone to gum disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.

Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

How your dentist can help you fight diabetes

Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your hba1c. (this is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)

Your diabetes dental health action plan

Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:

Control your blood sugar levels. Use your diabetes-related medications as directed, changing to a healthier diet and even exercising more can help. Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth and help relieve dry mouth caused by diabetes.
Avoid smoking.
If you wear any type of denture, clean it each day.
Make sure to brush twice a day with a soft brush and floss correctly daily.
See your dentist for regular checkup.

3 people found this helpful

My dauter (now, 12months, identified at the age of 7th month after birth) suffering with hypoglyssemia (low sugar) on testing with criticl blood sample, it is found she has high insulin. May be due to tumor in pancria. We have treated with diazoxide but no change have found on recurrence. So we stoped its use. Do you have any treatment for same. Kindly revert.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
My dauter (now, 12months, identified at the age of 7th month after birth) suffering with hypoglyssemia (low sugar) on...
Kindly tell the level of blood glucose, insulin and c-peptide along with ct / mri if done. Permanent treatment is surgical removal. How ever a trail of diazoxide and somatostatin can be given.
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I am a lactating mother of 9 months 2nd baby (my ist baby is 4 years old) due 2 which I have calcium deficiency since 1 week followed by the symptoms numbness &tingling in hands & feet. Pain in joints, hallucinations,memory loss. Sitting under the sunlight gives me some relief.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Godanti bhasm 20 gm Satawer churan 100 gm Mix all And take 1 spoon with water two time before meal And consult me on Lybrate.
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My daughter is 17 month old she is still eating puree food or ground food items what can i do ?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
When baby is hungry,then give food item which must be chewed example roti,soft carrot semi cooked,banana.Do not at all give any thing in purie form whole day you will have to struggle but it is worth struggling
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