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Dr. Mythili Shivaram

Pediatrician, Chennai

230 at clinic
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 39 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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No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Sexual Abuse - Mental and Psychological Effects on Children

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
Sexual Abuse -  Mental and Psychological Effects on Children

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.

Future Consequences-

  1. A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.

  2. The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.

  3. They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.

  4. Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.

  5. Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.

  6. Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being ‘paedophilia’ or the sexual arousal involving prepubescent children.

Conclusion-

The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

3652 people found this helpful

Hi, My daughter who is 9 months old has severe cold, suffering from blocked nose. Which is the best medicine for my baby.

Pediatrician, Indore
Hi, My daughter who is 9 months old has severe cold, suffering from blocked nose. Which is the best medicine for my b...
Give simple saline nasal drops every 2 hrs. Give plain water steam inhalation 2-3 times a day. If not recovered in 2-3 days or has other symptoms, consult your pediatrician.
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My baby is 2 month old n she is hvng cloudiness on his eyes is it normal n she was born very week 2 kilo now her weight is 4 kilo so what should I do please help me out.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
My baby is 2 month old n she is hvng cloudiness on his eyes is it normal n she was born very week 2 kilo now her weig...
Your baby is normal now, you clean her eyes with cotton and luke warm water. If problem persists consult eye specialist.
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My 3 months baby boy. When he born known us TEF problem. So operate him now he take feed well but he suffering from lots of cough. Suggest me what I do. I'm very worried about him. Please.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 3 months baby boy. When he born known us TEF problem. So operate him now he take feed well but he suffering from l...
It is not clear whether he coughs after feed or go on coughing or cougs intermitantly and since how many days particularly after operation. It is advicable to consult peditrician and operating surgeon.
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My baby is 6 month old. Want to know can I give her solid food before half an hour of her bedtime in night. Which food should I give that is easy to digest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 6 month old. Want to know can I give her solid food before half an hour of her bedtime in night. Which foo...
At this age give, start with semi solids once in day time which may be increased with increasing age and then mashed solids can be given.
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My daughter is 8 years old. She has pain in her molars on the right side. I consulted a dentist who suggested root canal and cap. She is just eight years and those are not her permanent teeth. Is it neccessary for her to undergo a root canal treatment.

M.D.( Pediatrics), DCH
Pediatrician,
Yes it is, as if not treated this will be source of infection, causing bacterimia all along till new tooth comes.
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Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist, Delhi
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

  • Feeling breathless
  • Angina or chest pain with a feeling of pressure or tightness
  • Syncope of fainting
  • Palpitations and enhanced heartbeats
  • A steady decline in regular activities and energy levels
  • Fatigue due to little exertion
  • Not gaining weight
  • Poor eating patterns
  • Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:

  • MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
  • CT scan or computed tomography where three-dimensional images are extracted.
  • Chest X ray
  • Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

2972 people found this helpful

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block injection is effective for six months
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My daughter is 28 months have diarrhea with occasional stomach aches. Her diet mainly includes milk. She stays on milk the whole morning. Then she has her lunch (rice, vegetables,fish). In the evening she has either milk rawa (suji)/cornflakes with milk/ oats with milk/dalia khichdi and at night for dinner she has chapati with milk. But as of now milk intake have stopped due to her ill-health. What should I give her now apart from milk so that she gets the required nutrients till she gets back to her normal diet.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My daughter is 28 months have diarrhea with occasional stomach aches. Her diet mainly includes milk. She stays on mil...
during diarrhea milk shall be less advisable..preferable shall be other stuff like mung water,ORS ,daal ka pani,curd,butter milk, if at wanna use milk then use formula milk like LO-LAC etc to avoid lactose intolerance. use of zinc and probiotics like econorm are advisable
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I have a two months baby boy. Today it is observed that he has only one testicle. Please explain what should I do? Is there any problem with one testicle Pls advice in details.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a two months baby boy. Today it is observed that he has only one testicle.
Please explain what should I do?
Is...
It is possible that baby may have a retractile testis which you could not feel. This condition may improve with the growing age or by manipulating practice. Other reason may be undescended testis which may create problem. Before going for U/S abdomen which may reveal undescended testis, consult pediatrician.
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My girl child is 03 years old. She does not eat happily. We force eat her with very difficultly . Therefore she is very thin as compare to same age group child .What should I do?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
If your baby is not suffering from any disease then here are some tips. Most important is STOP FORCED FEEDING. Basic principal is six meals a day, three large and three small, feed size is three to four fist size, allow to finish in twenty minutes eating time, if not finished then withdraw the left over, do nothing in between the meals, love your baby a lot and express it too but food only during feeding time.The food should be rich in fats and protins example eggs, kheer, khidi with ghee, stuffed paratha, halwa, upma, shakes, grind nuts etc.FOOD SHOULD BE PLEASURE NOT PUNISHMENT.
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My son is 4 year old. He is having cough continuously if I fail to give monticope. We have tested that he is having allergy. I am giving monticope for the past 3 months. Please give suggestions. I am very much worried about my son. Whether I have to continue or change the medicine.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
These medicines are some side effects as well and your kid is too small. According to me you should follow ayurvedic treatment along with. And after some recovery you can totally shift to ayurvedic treatment.
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Hello doctors, please tell me can I give after noon cooked rice by 7: 00 pm to my 9 months baby?

DHMS (Hons.)
Homeopath, Patna
Hello doctors, please tell me can I give after noon cooked rice by 7: 00 pm to my 9 months baby?
Hello Lybrate user. It should be cooked immediately to eat. If it is cooked late will carry high rate of fermentation causing gastric disorder with cold effect, moreover, you may give rice in the evening, provided your child is not susceptible to catch cold, frquently and she is not troubled much with gastric disorder. It, should be in all respect fresh -cooked & slightly warm before to consume. Tk care.
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I am 26 years old and breastfeeding. I get leg cramps in the night. I take my meals on time. I drink milk at night but still because of the pain I can't sleep the whole night. Please prescribe any medicines.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
this could be due to less liquid intake or vitamin D deficiency.. secondly post pregnancy exercises are a must..shall be started to.avoid muscle spasms.regards
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Now my baby is 5 month old. I have low Brest milk if I eat more vegetables or fruits also having same problem pls suggest it is there any tablet or any home remedy.

DNB(Pediatrics), DCH
Pediatrician, Chennai
Now my baby is 5 month old. I have low Brest milk if I eat more vegetables or fruits also having same problem pls sug...
Hi Ms. Lybrate-user it is quite normal by this time to get secretions low, thing is you eat lots protein containing food and drink plenty of water. After 6 months of your baby's age you can start complementary feeds and increase complements gradually.
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How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

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Hello doctor! Should I give 2almonds daily to my 22months old daughter without soak? And what are the healthy food to boost her mind.

Advance training in Child Neurology , Advance Training in Ketogenic Diet Therapy, Post Doctoral Fellowship in Pediatric Neurology, Advance training in Clinical Neurophysiology, MD , Diploma in Child Health (DCH), MBBS
Neurologist, Aligarh
Hello doctor! Should I give 2almonds daily to my 22months old daughter without soak? And what are the healthy food to...
Can be given but in powder form dissolved in the milk. Other dry fruit are also to be used. Fruits, green leafy vegetables along with dates to sharpen her mind.
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Respected Sir, My son is 5 years old his height is ok but weight is only 11 k.g, Why weight do not increase? Sir help me because his total report is normal. And wrote some medicine properly.

M.B.B.S,D.C.H
Pediatrician, Pune
If height velocity is normal, nothing to worry. Need 6 monthly growth monitoring and if required few investiga.
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