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Dr. P.Balamourougane

Pediatrician, Chennai

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Dr. P.Balamourougane Pediatrician, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. P.Balamourougane
Dr. P.Balamourougane is one of the best Pediatricians in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. P.Balamourougane 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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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supplement). What r the ways to make them breastfeed again?

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supple...
You have to stop bottle and if you formula give it with a spoon or sipper and never bottle with nipple.
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My cousin aged 5 years has got c reactive protein level up to 21.3mg/dl. He was attacked by typhoid fever a month ago. Is it a serious condition?

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Crp is an acute phase reactant which rise in infection. To rule out condition we need to investigate further and a detailed review of signs and symptoms. Kindly ask in private.
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Sir I have six months baby. She oftenly getting cold and cough. Now also she has same problem. But along with loose motion what medicine can give.

MBBS DCH
Pediatrician, Gandhinagar
No medicines are required in mild cough and cold. Loose motions are common in viral infection, no treatment is required. If stool is watery start pomegranate and apple juice, continue breastfeeding.
1 person found this helpful
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Oppositional Defiant Disorder in Kids - How to Deal with it ?

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Oppositional Defiant Disorder in Kids - How to Deal with it ?

A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.

  1. Repeated temper tantrums
  2. Anger bursts, swearing, using obscene language
  3. Extremely argumentative, especially with people in authority (teachers, parents, etc.)
  4. Annoying others and getting annoyed easily
  5. Noncompliance to rules and regulations at school and institutions
  6. Defending one’s mistakes and blaming others for it
  7. These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.

Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

  1. Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
  2. Cognitive-behavioural therapy tries to mould the behaviour.
  3. If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
  4. The child also needs to be trained for appropriate behaviour under different circumstances.
  5. Rewards for positive behaviour and punishments for negative behaviour are useful ways.

Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3627 people found this helpful

Mari beti 2 saal ki h usnaiii abiii peanut bht saari khaliii rhiii usko br br poty AAA rhiii h.khdaa khadaaa usko poty nikal rhi h kyaaa kru smj nhi aaaa rhaaa.

BHMS,NDDY
Homeopath, Jaipur
Mari beti 2 saal ki h usnaiii abiii peanut bht saari khaliii rhiii usko br br poty AAA rhiii h.khdaa khadaaa usko pot...
Give her ars alb 200 Singal dose and aloe 30 both are homeopathy medicine it will help you definitely.
1 person found this helpful
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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?

MD - Anaesthesiology
Pain Management Specialist, Kakinada
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
There is no spine block injection. There is an injection called epidural steriod injection given for the disc problems of the back and neck if there is radicular pain due to disc bulge and which is known in the mri. The results are variable from individual to individual and some experience long term results even with single injection and some require 2 to 3 injections in a gap of few months. But it is mostly without side effects.
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Hello Doctor, My son completed 5 months and entered into 6 th month 1st week. He always keeps his head towards left side and holds bit crossed towards left. Is that normal or do we need to do get him checked? If so. Should we consultant paediatrician or orthopaedic? Please suggest?

MBBS, MD
Pediatrician, Gurgaon
Hello Doctor, My son completed 5 months and entered into 6 th month 1st week. He always keeps his head towards left s...
Mental status of child. Cry when given to other family members. Recognise the relations, in house. That will decide about further referance.
1 person found this helpful
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After my delivery iam getting very fat. Now my baby is nine month old. How can I get weight loss it's possible (iam feeding the baby)

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Dindigul
After my delivery iam getting very fat. Now my baby is nine month old. How can I get weight loss it's possible (iam f...
Dear lybrate-user, is your delivery normal/ caesar. Wats your present weight. Since your feeding your baby, its not advisable to go for internal medicine rite nw. Because mother's feed is very important for a baby & also you can regularise your body weight only by feeding your baby. Don't be stress or panic. Its easy to reduce weight. Kindly reply to my questions so that I can guide you in an easy way. Enjoy motherhood. Have a great day thank you.
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My wife is unable to produce milk for my baby. Kindly suggest with other options between cow milk and Lactogen.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My wife is unable to produce milk for my baby.
Kindly suggest with other options between cow milk and Lactogen.
Usually there is no reason not producing enough milk for infant except not inclination of mother to feed baby. Encourage mother to feed baby and simultaneously find out other reasons consulting obstetrician n to treat accordingly. No milk is better than mother's milk.
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Why Your Baby is Missing Sound Sleep?

MBBS, MD - Paediatrics
Pediatrician, Varanasi
Why Your Baby is Missing Sound Sleep?

When you hold your new born in your arms for the first time, you will count him or her as the greatest blessing of your life. This is also the time when you are burdened with the responsibilities of another human. The sleep patterns in new-borns are erratic and you will never see them follow any pattern as such. They sleep off just about any time of the day and you will not see any pattern until about your angel is about 6 to 7 weeks old. After that age, they get quite adaptable and you will be able to get him or her adapted to certain patterns. This will make things very easy for you and your partner.

So why won’t your baby sleep?

1. Your baby is too excited to fall asleep

Babies are a powerhouse of energy. Activities like tossing him in the air or giving him an exciting bath full of fun and frolic will probably do the opposite of winding him down. It will make him more excited and he will not want to go to bed thinking he would miss out on the other fun activities that are in store for him.

Solution: Replace the fun tickles with other activities like comforting massages or story time and lullabies. Dim the lights, cosy up the room. Make it a routine and you will find your baby easing into a deep slumber in no time.

2. Your baby is too sensitive to the external or internal environment

Every baby is not a sound sleeper. Some babies may jolt awake with just a simple nod, others may dose off amidst noise and screams as well. If your baby is of the first kind, then you may face a bunch of troubles to keep your baby calm and cosy. You may bother your baby’s sleep if your phone starts to ring around her or by the constant honking of cars outside.

Solution: Keep her surroundings as warm and comfortable as possible. Keep her in a room that is away from the bustling noise of the cars, if possible or sound proof her room. Start by dimming the lights and getting her comfortable clothes that will keep her free when she is sleeping. Keep her sheets and pillows clean and ensure they do not remain wet.

3. Your baby snacks in the middle of the night

As it was mentioned before, babies have erratic schedules. They can get hungry or cranky just about any time of the day. Mid-night snacking is probably numero uno reason as to why your baby will not fall asleep at night. If you feed your baby to sleep every time, he or she might associate it with nursing.

Solution: It is okay to train your baby to comfort itself in the middle of the night. Whenever it may think it is hungry, he or she will cry and expect you to nurse him to sleep. Put him in the nursery when he is relatively sleepy to allow him to fall asleep all by himself. You may stand by till he does, but do not swaddle him. If you wish to discuss about any specific problem, you can consult a Pediatrician.

3994 people found this helpful

Is there any treatment for vitiligo skin? My daughter (10 years old) suffering from vitiligo skin the appearance to her face. Is there a cure can remove the effect of vitiligoly's spots phenomenon?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
Hello lybrate-user hadi, as your 10 years old daughter facing vitiligo problem, vitiligo is a genetic disorder trigger by indigestion and stressful conditions. There was always confusion in patients mind regarding choosing right treatment approach for vitiligo. Allopathy can give quick results but is not very safe for long term uses if steroids are used. Homeopathic is safe but very slow and in most of cases it can not stop the spread of disease i. E old patches shows some recovery but new white patches continue to come even when we are using homeopathy. If one think abourt using ayurveda there is no good vaidya who is expertise in vitiligo. At kayakalp global we have integrated external allopathic applications with internal ayurvedic medication to give fast and long lasting results. Ayurvedic herbal medicines are used to purify blood and stop the spread of disease and external application are capable of quickly start regimentation. For detail replies regarding 1. Causes of vitiligo 2. Is it genetic or can it spread to next generation 3. Causes of spread of disease after it remains stable for some years 4. Should we use homeopathy, allopathy or ayurveda. You can contact clinic you can send pictures of vitiligo effected parts extra use of haldi and vit. C should be avoided in vitiligo.
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My grand child 2 months old shows sort of tremors in all limbs for just a fraction of a second 4 to 5 times a day.Is it a cause of concern needing medical attention?

Pediatrician, Pune
Was the baby born pre mature, did he have any problems at time of birth? the tremors you are describing, could be jittriness, because of low blood sugar and calcium in the babies, kindly get it checked, and evaluated by your pediatrician, sometimes it may be normal till 3 months of age, please ensure and consult your pediatrician.
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My 6 and half month old baby is doing green colored motions frequently. What should I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Colour is not an issue. If the stool consistency is loose and more than 3 times in a day you must take care of hydration and continue breastfeeding.
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My 2 year old son frequent cough n cold. But is active.What are the signs to Chek allergies or asthma ?

MRCP (UK), DNB, MD
Pulmonologist, Mumbai
Dear, Need to get some details. Is he also having fever, loss of appetite or weight? Any family history of allergy like runny nose, eczema etc? Asthma is a genetic disease. And clinical examination and history are the best diagnostic tools. It can also be treated easily and help your son lead a normal childhood.
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Gastro-Oesophageal Reflux In Babies

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Gastro-Oesophageal Reflux In Babies

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:

  • A persistent cough
  • Choking or gagging while eating
  • Refusing to eat
  • Crying while feeding
  • Heartburn
  • Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

  1. Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
  2. pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
  3. Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
  4. Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:

  • Raise the head of the baby's crib
  • After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
  • Change his feeding schedule
  • Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
  • Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

4343 people found this helpful

My eight month old daughter weighs only 6.5 kg. She has not gain weight since 3 month. She prefers only breast feed does not eat anything. Suggest remedies that could help her gain weight and also recommend a proper diet.

DNB (Neonatology), MD - Paediatrics, MBBS
Pediatrician, Delhi
My eight month old daughter weighs only 6.5 kg. She has not gain weight since 3 month. She prefers only breast feed d...
What was her birth weight. Not gaining weight for 3 month is not normal. Breastfeeding alone is not sufficient at this age. Solid food has to be offered. Also need to see if there is any other issue / factors. Better show a pediatrician.
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Hi, mera beta 10 months ka hai nd he always faces loose motion problem. Vo jo bhi khata hai usko as it is nikal deta hai, din mai 4 se 5 baar jata hai nd he will become little week now. Medicines bhi de rahe hai but unse bhi koi khas farak nahi padh raha hai, uski bottle ko bhi hm din mai 3 baar boil karte hai still pata nahi usko ye problem q hai. Please help me in this asap.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi, mera beta 10 months ka hai nd he always faces loose motion problem. Vo jo bhi khata hai usko as it is nikal deta ...
Just stop feeding with bottle,give milk with a small tumbler & add solid foods after every 3 hours. Gradually increase quantum of food with increasing age & weight. Be careful about hygeine.
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My 2 month baby is just 4 kg she is not gaining weight properly, Doctor suggested, zinkosure 2:50 ml and mysac- z sachet what is your opinion ? please help.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Please dont give any medicines to the baby. Just continue breast feeding 8-10 times a day. Do night feeding also. Baby is just 2m old. She will gain weight with breast feeds itself.
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