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.
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. NeduncheliyanYour feedback matters!
I am having so much of angry and un control my self ,my head is heating that time, I having 2 years baby.
Hello Dr. Mere Abhi 10 din hue he operation se ladki hue he to muje kya dhyan rakhna pdega khane me or care krne me.
In what tym different do we hav to feed our new born and if she s not satisfied can v giv her powder milk n how many times.
I have given painless pentaxim vaccine once to my 2 month baby boy after that I have given him painful pentavac vaccine. Will there be any reaction by changing the vaccines? Is it safe?
Hi I have 11 months baby boy. I want him to be social to all. And I want him to be stubborn free man. Need tips from you doctor so that I can follow it and it will b help full. For me.
My nephew, 4 yrs, suffering from measles for the first time since 1 week, and now doctors said measles virus has affected brain, he is not even seeing just sleeping, after admitted in hospital, he was getting fits 1 day and next day it stopped and he is shivering for half minute, fever which stopped again started 102 degree, reports are normal, CT scan is normal, bt in MRI it showed as measles virus affected brain, there is no improvement in him since admitted in hospital except only rashes and fits, what it could be, and how much time will it take for him to recover and will there be any complications in the future.
We all know the rules avoid junk food, eat healthy, say no to fizzy drinks and finish your veggies. But do kids really listen? who says eating right needs to be followed by the book! parents stress and worry about their children's bad eating habits day and night, just to find their child pigging out on that packet of chips you thought you managed to hide. Instead of setting rules for what he/she can or cannot eat (and we all know how much children love rules) why not provide them with options (you could even trick them into believing its totally unhealthy) they'll gobble up happily.
Say yes to junk food:
There is no parent who could eat healthy all the time, so how can you expect your kids to do the same? if they want chocolate, melt some rich chocolate in milk and serve it to them as hot chocolate. When your child demands choco chip cookies, try making them at home with healthier alternatives like atta instead of maida and olive oil instead of butter. And sometimes just give your kids a break, when they ask for a packet of chips or some silly over priced chocolate, just let them have it!
Sauce it up:
Stop trying to force feed icky green dry vegetables to your child! I'm sure you also couldn't have eaten something that bland, happily as a kid. It's unfair to ask your child to eat boiled broccoli and boring raw salads just to maintain that healthy balanced diet. Instead you could make all these vegetables yummy by adding different sauces and dressings to them. Load up any salad with some mayo dressing or thousand island or whatever you think your child might enjoy. If they're happy eating such yummy salads you probably won't worry about the calories in the sauces! serve beans, broccoli, cucumber and anything else you want them to eat in a creamy white sauce. That way they'll lick the bowl clean before you can even say green vegetables!
Serve dessert and food togteher:
Won't they just eat the dessert and skip dinner? if you give them just one serving of dessert long with dinner, they'll still be hungry after that small amount of dessert. So even if the attack the dessert first, odds are they'll still be hungry and will end up having their dinner too. The trick here is to give a small portion of dessert so they can't fill up on just dessert. You could serve items like fresh fruit, apple crumble, oatmeal cookies, frozen yogurt etc to keep the desserts on the healthier side.
Serve dinner for breakfast:
Whatever your child's favorite dinner dish is, try serving that for breakfast. If your child loves pizza, serve mini pizza's for breakfast. Just fill pita pockets with chicken, cheese, tomatoes and serve it up as a mini pizza. If your child loves egg then make an omelette with vegetables and some cut pieces of meat. You could even add some cheese to it! this might make them finish breakfast in no time.
If you child wants chips, offer tortilla chips with salsa. If they ask for french fries, make those at home using less oil and salt. When he/she asks for pizza, try making them at home instead of ordering them from outside. Just by proving similar alternatives to food they crave you can improve their eating habits. Also when you're cooking at home, you can toss in a lot of vegetables without them finding out!
Try new recipes:
Not only kids, every person gets tired of eating the same thing over and over again. Try to find various recipes for one food item so that your child can keep eating the same vegetables without saying the food is boring. You'll find more than 5 ways to make healthy pasta and a zillion ways to make paneer ki sabzi. Actually this little trick might even spruce up your taste buds, not to mention cooking won't seem like such a tedious task once you get tasty food as the reward!
Don't try too hard:
The more you push, the more they'll push back. Using threats, bribes, punishments and anger isn't going to make them eat vegetables. Just sit back and let them eat their food without nagging in between. Eventually you'll notice the food that used to lie on the corner of the plate is now happily settled in their stomach. This way they'll learn to eat healthy on their own, especially in the long run. You won't have to call them during their college ad working years to ask did you eat your fruits and vegetables today? Phew, now won't that be a relief.
In case of any query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778).
My son is 5 years old recently I delivered my second baby who is the girl. I was unable to take care of my son completely. Though my husband helped me a lot ,my son started watching TV and now he is completely addicted to cartoons. I am getting complain from school that he s not listening when teacher calls his name. Can you suggest any ideas to change my son.
My 7 year old son is suffering for cough. He have allegorical problems and now a days he can't breath properly and both nose blocked. Different pediatrician doctors referred antibiotic. Still he didn't get any relax. So please help.
What is ADHD?
ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).
The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.
What are the different types of ADHD?
Three major types of ADHD include the following:
ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.
ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.
ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.
What causes attention-deficit/hyperactivity disorder?
ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.
Who is affected by attention-deficit/hyperactivity disorder?
Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.
Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.
What are the symptoms of attention-deficit/hyperactivity disorder?
The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:
Short attention span for age (difficulty sustaining attention)
Difficulty listening to others
Difficulty attending to details
Poor organizational skills for age
Poor study skills for age
Often interrupts others
Has difficulty waiting for his or her turn in school and/or social games
Tends to blurt out answers instead of waiting to be called upon
Takes frequent risks, and often without thinking before acting
Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion
Has difficulty remaining in his/her seat even when it is expected
Fidgets with hands or squirms when in his or her seat; fidgeting excessively
Has difficulty engaging in quiet activities
Loses or forgets things repeatedly and often
Inability to stay on task; shifts from one task to another without bringing any to completion
The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.
How is attention-deficit/hyperactivity disorder diagnosed?
ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.
Treatment for attention-deficit/hyperactivity disorder
Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:
Your child's age, overall health, and medical history
Extent of your child's symptoms
Your child's tolerance for specific medications or therapies
Expectations for the course of the condition
Your opinion or preference
Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.
Treatment may include:
Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
Medications that are commonly used to treat ADHD include the following:
Methylphenidate (Ritalin, Metadate, Concerta, Methylin)
Dextroamphetamine (Dexedrine, Dextrostat)
A mixture of amphetamine salts (Adderall)
Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms.
Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:
Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)
Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.
Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.
Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:
Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)
Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.
Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.
Prevention of attention-deficit/hyperactivity disorder
Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.