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Dr. Mythili Shivaram

Pediatrician, Chennai

230 at clinic
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Dr. Mythili Shivaram 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. Mythili Shivaram
Dr. Mythili Shivaram is a trusted Pediatrician in Mylapore, Chennai. You can consult Dr. Mythili Shivaram at Dr. Mythili Shivaram@St.Isabel's Hospital in Mylapore, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mythili Shivaram on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 35 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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English

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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
230 at clinic
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DNB(Respireatory diseases), M.D
Pulmonologist, Coimbatore
Facts about asthma:
Asthma is a chronic inflammatory disorder of the airways.
symptoms are wheeze, cough, breathing difficulty.
Asthma is a controllable disease.
asthma can be diagnosed based on history & Pulmonary function test.
Inhaled drugs are the best choice for asthma.
Inhaled drugs are safe and practically have no side effects.
Asthma symptoms are variable.
regular follow-up is required to titrate the drugs.

Dr.M.balachandar

7 Possible Reasons Behind Bedwetting

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
7 Possible Reasons Behind Bedwetting

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4677 people found this helpful

My husband visits my 1.5 years old boy weekly once. Due to work he stays away from us. Is it Ok for 1.5 year boy or a little boy needs more care and affection from his father? .i stay with my parents actually. Kindly advice.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My husband visits my 1.5 years old boy weekly once. Due to work he stays away from us. Is it Ok for 1.5 year boy or a...
If it is possible to stay in his place of work you can devote more time to child and it is good for him
1 person found this helpful
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My baby boy of 21 days suffering from Red rashes near anal opening and it pains on passing stool, the stool is watery and contains bubbles. Plus advise.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My baby boy of 21 days suffering from Red rashes near anal opening and it pains on passing stool, the stool is watery...
This is usual and you should not give bottle feed and only breast milk and can apply diaper cream or T Bact cream.
1 person found this helpful
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My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic powder on it which contains (neomycin, bacitracin and sulphacetamide. And what is the procedure to apply?

Postgraduate Programme in Pediatric Nutrition, Diploma in Pediatric Emergency Medicine, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Bangalore
My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic...
Umbilical cord separates at 1 week of age. It is quite normal to notice some discharge for 1-2 days after this. It will dry and stop with normal cleansing. You can wipe with warm water and clean cloth. If it persists after 2 days, it might indicate umbilical granuloma which is scar tissue. Antibiotic powder and ointment is not necessary.
1 person found this helpful
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I'm 23 years old I had a Pilonidal cyst on my back with redness and lot of pain. Not able to sit and walk. Can you please suggest tablets and any remedies?

MBBS
General Physician,
A pilonidal cyst occurs at the bottom (coccyx) and can become infected and filledvwith pus. Pilnofa pk abscesses look like a pimpleatbthe bottom of the tailbone justbabove the crack of the buttock. The initial treatment for an infected pilonidal cyst is usually a procedure that can be perform ed in doctors office. Like antibiotics may require surgical incision.
1 person found this helpful

My baby is 2 month old. She is suffer from cold and cough. I am giving her maxtra and ascoril tds. She s having bowel movement 4 times a day withvlemon yellow color. Is dere anything to worry.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
My baby is 2 month old. She is suffer from cold and cough. I am giving her maxtra and ascoril tds. She s having bowel...
Please try to avoid medicine use without doctor advice. Bowel movements 3-4 times per day in a 2 month old is very normal if consistency is not watery, if child is passing urine 5-6 / day should not make you worry.
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My daughter was born pre-term 33 weeks and her birth weight was 1.4 kg. Now she is 14 month old and weight is 7.5 kg. She is not putting on weight as required. Her diet includes. 1 chapati with milk or dal. Rice with vegetables. Ragu.cerelac. Oats.Cows milk 1 cup. Please let me know if I can give her some supplement to gain weight.

B.Sc Biochemistry, P.G Diploma in Dietetics
Dietitian/Nutritionist, Navi Mumbai
My daughter was born pre-term 33 weeks and her birth weight was 1.4 kg. Now she is 14 month old and weight is 7.5 kg....
Hi You can give her similac for 12 month plus baby 3 scoops in 150 ml water once daily in place of regular milk. Also give her khichdi with more dal and made in ghee which will increase her protein and add veggies to it. If you eat eggs start with boiled egg's yolk thrice a week But first introduce egg slowly In normal milk add powder of almond.
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I had a son, 3 months older. We are using so many medicine for motion but they were not working. Can you please suggest a good medicine for him for motion.

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology, Certified Diabetic Educator, Diploma in Nutrition & Health Education (DNHE), Certificate in food Nutrition (CFN), Bachelor of Education, Bachelor of Arts (Physical Education)
Dietitian/Nutritionist, Agra
As miracle suggested give him plenty of fluids. Babies tend to dehydrate faster than adults as their weight is lesser than us. So give him chawal/dal/sabudana ka paani. And arrowroot is the best for dehydration. If he vomits also than it means some infection is there, ask every doctor first to give natural remedies, medicines given to babies are not a good option until the problem is critical.
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My 2 years daughter has loose motion from today. Pls provide me some home remedies for her. As she is not taken any medicine. Thanks.

MD - Paediatrics, MBBS
Pediatrician, Delhi
My 2 years daughter has loose motion from today. Pls provide me some home remedies for her. As she is not taken any m...
Hi, thank you for your query. You have not mentioned the frequency and colour of the motions. It would be best to consult a doctor and get a stool routine examination done. You can give her plenty of oral fluids in the form of lemonade, butter milk to prevent dehydration. Give her semisolid diet. Wishing your daughter all the best. Regards,
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