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Dr. P.Balamourougane

Pediatrician, Chennai

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 36 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.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Hello doctors my baby girl born on Aug 27 2016 with 2.50 kg.the problem is she is not gaining weight. Now also her weight 2.50 kg only. Her under eye and foot are swelling little bit. What is the problem.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hello doctors my baby girl born on Aug 27 2016 with 2.50 kg.the problem is she is not gaining weight. Now also her we...
She is not getting enough nutrition. Breast feed her every 2 hours & take her weight after 15 days, she should increase 30-35 gm a day if fed properly. If no breastmilk is available any formula feed to be given with full hygeine by bottle.
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Child Development and Behavior

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Child Development and Behavior

Behavior of a child should always be closely monitored during his/her early development. Sometimes signs of several personality disorders tend to show up early in life. Proper monitoring of the child's behavior helps to identify the signs and properly diagnose the condition if the child is suffering from any potential personality disorder. 

Here are a few facts you should keep in mind:

  1. You might often find it difficult to differentiate between the normal and abnormal behavior of your child. You might consult the pediatrician in this case to compare the child's general behavioral patterns with that of other children in the same age group.
  2. It is very important to understand your child's development process. It helps you to interpret his/her behavior and to identify signs of personality disorder.
  3. There are a few common behavior patterns, which tend to act as a guide to understanding the behavior of your child. Some of these patterns should be encouraged as they lead to proper behavioral development of your child while patterns of negative behavior should be discouraged. 
  4. You should also consult a doctor if your child shows negative behavior persistently even after disciplining measures.
  5. Being polite, doing chores on a regular basis, following instructions should be encouraged and rewarded as it helps in the proper personality development of your child.
  6. Behavioral patterns like an inclination towards defensive, regressive and aggressive behavior should not be encouraged but can be tolerated in certain situations like illness or in times of stress.
  7. Behavioral patterns like an increased inclination to violence or an excessive competitive attitude towards their siblings should never be allowed. 
  8. Prejudice or racism, stealing or inclination towards substance abuse, angry outbursts point towards problems in the child's mental, physical or social well-being. You are also advised to take your child to a psychological expert to find out whether he/she is suffering from any sort of behavioral disorder. 
  9. Your behavior also plays a major role in development of your child and his/her behavioral patterns. It is often seen that if a child is subjected to excessive physical, mental or emotional abuse or is engaged in too many curricular and extracurricular activities, he/she is likely to develop several behavioral disorders over time.
4938 people found this helpful

My 2 month old son has umbilical hernia. Painless,navel protrusion approx one inch. Any treatment possible in homeopathy as allopathy calls for waiting till 3 years.

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
My 2 month old son has umbilical hernia. Painless,navel protrusion approx one inch. Any treatment possible in homeopa...
Plz do not do anything, It will not hurt your baby. Umbilical hernia is very very innocent hernia. This could be operated when it hurts or just for cosmetic reson.
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My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections were given in right thigh & one in left thigh. I observed that the place where injections had been given in right thigh, got hardened. Please advise us what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections...
Pentavalent vaccine causes local reactions like pain and swelling at the site of injection which usually lasts for 48 hours. You can show to your doctor if doesn't reduce.
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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

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Hi, I breastfed my baby till she was 9months old, now she is 2yr 2months old and has never asked for breastfeed. I have noticed milk coming out from nipples off and on. please tell me possible reasons for it.

MD - Paediatrics, MBBS
Pediatrician, Delhi
It is very common to have milk being expressed out from the nipples even though you may not be breast feeding. We need to worry if there is engorgement or pain in the breast tissue.
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Breastfed Babies Have Lower Childhood Leukemia Risk

MBBS
General Physician, Himatnagar
Breastfed Babies Have Lower Childhood Leukemia Risk
When you are having a baby, chances are good that lots of people will have lots of advice. One of the things they’ll probably recommend is breastfeeding. Everyone from your obstetrician to the nurses in the maternity ward to possibly even your friends and family will tell you that it’s important to nurse, and with good reason. Breastfeeding has been linked with lots of benefits including better bonding with your infant, losing those pregnancy pounds faster, and a higher IQ in your child. And now, new research offers up yet another reason it is important to breastfeed–possibly decreasing the likelihood that your baby will develop leukemia as a child.
The study, which was conducted at the University of Haifa in Israel, found that nursing may lower the risk of pediatric leukemia by 14 to 19 percent. The scientists reached this conclusion by performing a meta-analysis of 18 studies that had been previously published. The subjects of each of the 18 investigations were mothers of children who had been diagnosed with leukemia and mothers of children who were healthy. They were asked questions that included whether or not they breastfed their children and their responses were compiled and compared.
The research was not designed to prove cause and effect, and these findings in no way show that failure to nurse a baby causes pediatric leukemia. However, that difference of 14 to 19 percent is significant enough to establish an association between breastfeeding and lowering a child’s risk of this disease. The scientists found that it was a minimum of six months of breastfeeding that appears to confer some type of protection.
The major weakness of this type of study is that the findings are based on recall. You might think that you would certainly remember the length of time that you nursed a child, but if you are asked about it several years later and have more than one kid, some of the details might be a little fuzzy. However, even if that is an issue, it stands to reason that most mothers can provide a fairly accurate account of whether or not they breastfed and the approximate duration.
At any rate, even if the 14 to 19 percent determined by the scientists is slightly off, the evidence still provides a link to reducing the chance of your child developing leukemia. And any potential reduction of a risk like that is something most mothers would jump at. Leukemias, which affect the bone marrow and blood, are responsible for approximately 30 percent of all pediatric cancers according to the American Cancer Society. It is the most common form of childhood cancer, and treatment typically involves chemotherapy and sometimes radiation or surgery as well.
While the research did not address exactly how breastfeeding might help prevent pediatric leukemia, the answer might lie in a 2014 study at the University of Kentucky in Lexington that showed breast milk is an effective route of transmitting antibodies from mother to baby. These antibodies serve a valuable function by quickly bringing the infant’s immune system up to speed and helping the child fight off infections. And as Jon Barron has pointed out,cancer is intimately tied to the strength of your immune system. Other research has found that breastfed babies are hospitalized less frequently than their bottle-fed counterparts, have a lower risk of sudden infant death syndrome, and have diminished rates of ear infections, diarrhea, allergies, anddiabetes.
Ultimately, to breastfeed a child or not is a matter of choice. But with so many proven health benefits to both infant and mother (breastfeeding has been shown to reduce your risk of breast and ovarian cancer as well as rheumatoid arthritis), it is hard to imagine many reasons why a woman would choose formula over nursing. Of course sometimes there are extenuating circumstances due to an adoption, inability to produce sufficient quantities of breast milk, and other issues that might preclude nursing. But any time spent breastfeeding is worthwhile for the health of both you and your little one.
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I'm a 17 year old girl, in the last year of school. I regularly eat fried food, and processed item. Junk food is a major part of my diet. I don't exercise AT ALL. Now down to the symptoms: I was eating Smileys (frozen ready to eat-fried potato things), and a swallowed three of them very fast. Suddenly, my ears started popping, there was tightness in my chest, and I was unable to breathe. I could barely ask my friend for water. As soon as I had a sip, I felt better. However, my ears still feel weird. Please help.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
I'm a 17 year old girl, in the last year of school. I regularly eat fried food, and processed item. Junk food is a ma...
Eating frozen food very quickly has led to your problem. Take some steam inhalation and you will feel better. The ear is probably blocked leading to this problem. It is advisable to start eating healthy foods and stop junk food. You will feel better
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I am a grandma. Why does doctors advise hot water bath and refuse to give drinking water to new born babies?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am a grandma. Why does doctors advise hot water bath and refuse to give drinking water to new born babies?
Hello, Warm water bath can surely be given. But feeding water before 6 months of age can lead to various infections in the baby. Mother milk has enough water vo tent in it ro prevent dehydration. Water is the major source of infection for any age group.
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My daughter is 2 and half year old, she eat very less her weight is only 11 kg, what can we do so that she eat something. She not even takes medicine if we try to give medicine she do the vomiting.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Bangalore
My daughter is 2 and half year old, she eat very less her weight is only 11 kg, what can we do so that she eat someth...
Dear lybrate-user, do nothing, no medicines to make her eat necessary. Its normal. Don't force her to eat but encourage her, giving what she likes.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Why You Should Talk To Your Little One Earnestly

If your toddler talks to you in gibberish what do you do? Experts tell us that you should act as if you understand what your child is speaking. It will encourage him to speak and he will pick up the mother?s tongue faster.
Parents? response to children?s activities makes a world of difference to their growth. If you indulge in a conversation with your toddler, he will feel encouraged to talk. Never mind if you can?t make out his blabbering. Words don?t matter, your attention does! Show interest and talk to your kid. Just wait and watch how quickly your baby picks up language skills!
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My daughter is 13 years old, she is using Nivea Cream but want to use sunscreen now, she is playing basket ball also. Please answer the best sunscreen for her sensitive skin for daily use.

Diploma in Child Health (DCH), MBBS
Pediatrician, Aurangabad
There are many sunscreen lotions in the market with different spf values. Guidelines to choose a good sunscreen: spf:(sun protection factor).-the higher the spf the better it is for sun protection. -try and get a waterproof sunscreen as she will be sweating while playing. -remember that due to sweating, one has to reapply the sunscreen every 45 minutes.
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My newly born child is 5 days old. The result of his Thyroid Profile is under: T3- 3.19, T4- 238.34 & TSH-6.01. All the value is above under biological reference interval. His mother is a patient of hypo-thyroid and she is being taken thyroid medicine of the dose of 200 for five days and 150 for weekend. Her thyroid value is control. What will be serious problem for newly born child for these result of thyroid profile. Please suggest.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My newly born child is 5 days old. The result of his Thyroid Profile is under: T3- 3.19, T4- 238.34 & TSH-6.01. All t...
Repeat test is required after few days. If child has problem in growth etc. It is very much required to act further.
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My 2 months baby's body getting sometimes hot and sometimes normal. Don't know why past 3 days it's happening.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My 2 months baby's body getting sometimes hot and sometimes normal. Don't know why past 3 days it's happening.
This is normal due to weather changes. If he is active and taking milk regularly, sleeping normally if the body is warm sometimes you need not worry.
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I am 28 year old women Mujhe ek ladki hui hai Jo 2 mahine ki hai Mai use dud pila rahi thi To mujhe mere boobs mai dard hone laga To mujhe pata chala ki mere ek boobs mai ganth si ho rahi hai jisse mujhe dard hai Ye kis Baje se hai Or mai kya karu.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Get your self checked by obstetrician to ascertain cause of Ganth. Aise aapako sahee pata chal jayega aur uchit upchar ho jayga. Bachche ko dusare boob se dudh pilate rahe aur yadi dard sahan karane layak hai to ganth walee boob se bhee dudh playe. Doctor ko avashay dikhale.
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Hello their I want to know that is rota vaccination is must for infants. Can't we give the vaccination at a age of 5.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Hello their I want to know that is rota vaccination is must for infants. Can't we give the vaccination at a age of 5.
Rotavirus vaccine protects your child from diarrhoea due to rotavirus which is common in 6 months to 1 year age. It is preferably given before 6 months age in 2 or 3 doses.
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