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Dr. Perumal

Pediatrician, Chennai

Dr. Perumal Pediatrician, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Perumal
Dr. Perumal is an experienced Pediatrician in Chetpet, Chennai. Doctor is currently associated with Padmini Nursing Home in Chetpet, Chennai. You can book an instant appointment online with Dr. Perumal on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 26 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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#9, Pachiyappa College, Hostel Road, Chetpet, Landmark: Near Maharishi School, ChennaiChennai Get Directions
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I have a daughter 2 year's old. And I want 5 years gap for 2nd child. And I'm not comfortable with copper t. Can I use vaginal pills? And which one. And m feeding still. please help.

B.H.M.S
Homeopath, Patna
I have a daughter 2 year's old. And I want 5 years gap for 2nd child. And I'm not comfortable with copper t. Can I us...
Stop all these things imediatly. 2. NATRUM MUR 200 ONE DROP IN A CUP OF WATER FOR THREE NIGHTS EVERY MONTH TILL YOU AVOID PREGNANCY. JUST AFTER CESATION OF MENSE.
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Baby Poop - What's Normal & What's Not

MD-DNB (Pediatrics), FCPS (Paediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Baby Poop - What's Normal & What's Not

As a new mother, you will be always in a constant state of worry whether you are doing things right. And of those many, many things you worry about, your baby’s bowel movements are one of them.

A baby’s poop is a sign of his/her health. Thus, you do need to know what is normal and what needs medical attention. Read on to know more about your baby’s poop.

What’s Normal?

The kind of poop depends on how you are feeding your child. If you breastfeed the baby, his/her poop will be:

  1. Small in size—no bigger than a coin

  2. Light in colour, usually a greenish-brown or bright yellow

  3. Sloppy in texture

The first few weeks of breastfeeding will produce waste daily, after each feed. The frequency will diminish later, but that is not a concern, as long as the waste is easily passed and is soft.

If you are feeding your child formula, the poop will be different. You will notice that the poop is:

  1. Bulkier

  2. Yellow-ish brown or pale yellow in colour

  3. Smells stronger

The next worry you have is when you change your baby’s feeding routine. When you switch from breastmilk to formula, you will notice:

  1. The poop is darker in colour.

  2. The texture becomes thicker.

  3. The smell also becomes stronger.

The other dramatic change you will see is when your baby starts eating solids.

What isn't Normal?

There are mostly two things you need to be concerned about: diarrhoea and constipation. Both of these conditions mostly affect babies who are formula-fed.

If your baby has diarrhoea, you will notice:

  1. The poop is runny

  2. Frequency and amount of poop is increased

And if you suspect constipation, be aware of the following signs:

  1. Your baby finds it difficult to poop

  2. The poop is dry and small

  3. The tummy is hard when you touch it

  4. There might be blood in the poop

Green poo:

If you're breastfeeding, green poo can be a sign that your baby is taking in too much lactose (the natural sugar found in milk). This can happen if she feeds often, but doesn't get the rich milk at the end of the feed to fill her up. Make sure your baby finishes feeding from one breast before you offer her your other one.

If you are feeding your baby formula milk, the brand you are using could be turning your baby's poo dark green. It may be worth switching to a different formula to see if that has any effect.

If the symptoms last longer than 24 hours, visit your health visitor or GP. The cause may be:

  • a food sensitivity

  • side-effects of medication

  • your baby's feeding routine

  • a stomach bug

Very pale poo:

Very pale poo can be a sign of jaundice, which is common in newborns. Jaundice causes your newborn's skin and the whites of her eyes to look yellow, and usually clears up within a couple of weeks of birth. Tell your midwife or doctor if your baby has jaundice, even if it looks like it's going away.

Also tell your midwife or doctor if your baby is passing very pale, chalky white, poos. This can be a sign of liver problems, especially where jaundice lasts beyond two weeks.

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My daughter has diabetes and gas issue she is taking insulator from last 2 years she can not walk suggest the food she should take to have control on diabetes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Homeopath,
My daughter has diabetes and gas issue she is taking insulator from last 2 years she can not walk suggest the food sh...
She can take more protein diet like sprouts, been, 2fruits curd, dal, aviod maida, junk food, high carbohydrates. Take more liquid salads and raw veg for roufage.
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I have a 18 Months baby. Doctor told that baby dose not have enough blood in the body. What can I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I have a 18 Months baby. Doctor told that baby dose not  have enough blood in the body. What can I do?
Get hb% and peripheral blood smear done depending on the type of anemia treatment advice can be given.
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My 9 months old child pooping 4-5 times sometimes more from last 2 days. My mother says, it is due to his teeth. Is this ok? Or I have to do some medication? please suggest.

BHMS
Homeopath, Faridabad
My 9 months old child pooping 4-5 times sometimes more from last 2 days. My mother says, it is due to his teeth. Is t...
Hello, give him BC NO 21, 2 tabs thrice daily. Kindigest, 5 pills twice daily. Revert after 7 days.
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Because of plenty of motions of my baby of 1month old I was suggested to stop breast feeding. And I have taken tablets to stop breast feeding. But some body told not to stop giving milk to child. So how the milk can be produced. Any tablets? Please suggest.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Because of plenty of motions of my baby of 1month old I was suggested to stop breast feeding. And I have taken tablet...
Suckling baby is the only solution for increasing breastmilk. Take plenty of water and eat good food. You have to continue breastfeeding at least till the age of 2 years.
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Lactose Intolerance in Kids

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Lactose Intolerance in Kids

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.

Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.

Symptoms:

The symptoms of lactose intolerance are:

  1. Bloating; on consumption of milk over a period of time

  2. Diarrhea is also very common

  3. Stomach pain

  4. Nausea

Diagnosis:

  1. It is self -diagnosable; just strike out foods containing lactose from your child’s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must’ve been lactose intolerance.

  2. However, it can be tricky as many non-dairy products also contain lactose.

  3. If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child’s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one’s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.

Treatment:

This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the ‘lactose- free’ milk variety for your child.

2635 people found this helpful

How Acidic Foods Affect Your Teeth

MDS Prosthodontics, BDS
Dentist, Mumbai
How Acidic Foods Affect Your Teeth

We all got together to indulge into our favourite foods this holiday season, where platter overflowed with sweet, spicy and acidic foods. However, when it comes to teeth, sugar isn’t the only culprit that cause tooth decay. High levels of acid in everyday foods and drinks are equally harmful. Lemons to wine, high-acid foods and drinks erode your teeth, causing decay, sensitivity and discoloration. But that doesn’t mean you have to strike all acidic foods and drinks from your diet. The way you consume these items can lessen their damage on your teeth.

Tooth erosion:

It is a type of tooth wear where, the protective surface of your teeth or the enamel wears away exposing the underlying material, called dentin. This leaves your tooth vulnerable to tartar, plaque and bacteria, which cause decay.

Causes of tooth erosion:

Calcium is a key ingredient in building strong teeth. Unfortunately, exposing your teeth to acid can leach calcium from your enamel, causing this protective surface to break down. Foods which have Ph. below 5.0 to 5.7 are acidic. This acid can come from many sources, including the following:

· Carbonated drinks. All soft drinks, including “diet” options, contain high levels of acid that can easily dissolve your enamel.

· Wine. Whether you choose red, white or rosé, drinking wine will soften your enamel.

· Pickles. Which are traditionally seen in an Indian platter

· Fruit juice. The most acidic options include lemon, cranberry, orange and apple.

· Citric fruits. Snacking or sucking on lemons, oranges and limes can wear down your teeth.

· Candy. No sugary sweets are good for your teeth, but you should pay extra attention to avoid sour gummies and candies.

· Sugar. Even though sugar itself does not contain high levels of acidity, it promotes the growth of acid-creating bacteria in your mouth, creating an acidic environment.

· Stomach acid. Vomiting and reflux also can cause serious tooth damage when stomach acid comes into contact with your teeth. If you suffer from an eating disorder, acid reflux or a related condition, seek professional help.

Signs of tooth erosion

Acid wear may lead to serious dental problems. It is important to notice the signs of tooth erosion in its early stages (sensitivity and discoloration) before more severe damage occur, such as cracks, pain and decay.

· Sensitivity. As your teeth’s protective enamel wears away, you may feel a twinge of pain when you consume hot, cold or sweet food and drink. As more enamel is worn away, teeth become increasingly sensitive.

· Discoloration. Teeth can become increasingly yellow as the thinning enamel layer exposes the underlying dentin.

· Rounded teeth. Your teeth may have a rounded or “sand-blasted” look.

· Sharp edges. You might notice thinning of teeth with sharp edges which might cut your tongue and cheeks.

· Transparency. Your front teeth may appear slightly translucent near the edges.

· Cracks. Small cracks and roughness may appear at the edges of teeth.

· Cupping. Small dents may appear on the chewing surface of the teeth, and fillings may appear to be rising up out of the tooth.

What you can do to prevent tooth erosion

Follow these tips to reduce the effects of acid on your teeth.

· Eating higher pH. Food alongside. This helps in lowering the acidity. Includes food like nuts, cheese, oatmeal, mangoes, melons, banana, apples, eggs, vegetables, brown rice and whole grains.

· Eat with meals. Instead of snacking throughout the day, save acidic foods for mealtimes. This will reduce their contact with your teeth and help neutralize the acid by eating it with other foods.

· Wash down with water. Sip water alongside or after the acidic food or drink to wash it out of your mouth.

· Use a straw. While having acidic beverages, reduce their contact with your teeth by using a straw and finishing the drink quickly, instead of sipping over a long period of time.

· Say no to bubbles. Swap out carbonated drinks with water, milk or tea.

· Wait before brushing. Acid softens your enamel, so brushing immediately after eating or drinking high-acid foods or drinks can actually cause damage. Wait at least half an hour and then start brushing. In the meantime, you can always rinse your mouth with tap water.

· Quit smoking. Studies have showed that smokers are more prone to acidity leading to acid reflux and teeth erosion

· Professional help. See your dentist twice a year for dental cleaning and oral screening.

· Sugar free gums. Chewing on sugar free gums increase the saliva flow which, neutralise the acid and help the teeth to stay strong.

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Hello Doc. Is tht is gud to start giving cerelac or nanpro to my 5 months old baby? Whch one is gud?

MD - Paediatrics
Pediatrician,
Hello Doc. Is tht is gud to start giving cerelac or nanpro to my 5 months old baby? Whch one is gud?
You can start complementary feeding if your kid is 150 days old. You can start with cerelac rice, home available semi solid food, fruit juice, baked apple etc.
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Hello doctor, My 10 months old infant is passing very hard stool that too not passing completely. I am giving more water but still the same thing is happening please suggest what to do.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello doctor,
My 10 months old infant is passing very hard stool that too not passing completely. I am giving more wa...
If you bottle feed then, you have to stop bottle and feed from a cup or glass. GIve him more water and fiber rich homemade foods. YOu need to check his thyroid status as hypothyroidism can also cause constipation.
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My son 2 and half year kills swallowed 5Rs coin I took X-ray and it's I'm stomach near to small intestine, I want your opinion weather it will come out through motion?

MD - Paediatrics
Pediatrician, Greater Noida
My son 2 and half year kills swallowed 5Rs coin I took X-ray and it's I'm stomach near to small intestine, I want you...
It will come out without any intervention, just monitor in stool, revert back if he has constipation.
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My daughter is 15 months old. She is active. I am giving milk, rice, vegetables and fruits in daily food. Shall I start her giving non veg. please suggest me what to give for better growth of my baby. Her weight is 2.8 kg at birth. Now she is only 8.5 kg. I consulted pediatrician also. I am giving min min syrup daily.

BHMS
Homeopath, Faridabad
My daughter is 15 months old. She is active. I am giving milk, rice, vegetables and fruits in daily food. Shall I sta...
Hi, You can start giving her little non-veg. specially chicken (can give fish also) which should be well cooked in turmeric and salt, that's it. Kids like different flavours and taste. Multivitamin A to Z can be given for 3 months only.
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Any Formula milk powder for preterm baby which is easily digestible from 0-6 months baby and not harmful if given in case of emergency if baby is not stopping crying after a long feed also.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Any Formula milk powder for preterm baby which is easily digestible from 0-6 months baby and not harmful if given in ...
No formula milk is better than mother's milk n there should not be any reason for not sufficient milk. There may be problem with proper posture to feed to satisfaction of baby.
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What type drink should be given to a child of 14months for hot summer season. Bcoz many times when she was fed some food she was bomiting. Feeling pain to left her waste.

DMB
Pediatrician, Chennai
Children should not vomit. They vomit if force fed or have infection of stomach or urinary tract. Please tel me if the child passes urine well and amount of fluids such as milk, juice and water he consumes in one day?
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My son 1 month old. He is having prickly heat on his face and head. He is having much on head. How to get rid of prickly heat. Please suggest any medicine.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son 1 month old. He is having prickly heat on his face and head. He is having much on head. How to get rid of pric...
Hello, Infants technically sweat a lot and if not taken care they develop boils. You need to change his clothes often and make him wear very lose comfortable cotton garments. Air him often, specially in between the changing of garments.
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My son 1.5 yrs having fever twice or thrice in a day. Almost 2 week. Due to fever gems occur in neck. Please help me.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics)
Pediatrician, Bangalore
My son 1.5 yrs having fever twice or thrice in a day. Almost 2 week. Due to fever gems occur in neck. Please help me.
Hi, welcome to lybrate fever for more than 5days -a week is not a simple one. It may be serious one. Your child needs to be examined thoroughly and some blood tests need to be done if needed after examination. Please consult a pediatrician immediately.
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I have a 10 month baby, in this condition which type of medicine should take and what are the side effect after taking that medicine?

MBBS, MD
Pediatrician, Gurgaon
I have a 10 month baby, in this condition which type of medicine should take and what are the side effect after takin...
he needs three breast feed per day.inbet ween you should give cereals,curd/milk based porridge three times.freshly prepared at home.
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Hi sir my son is 3 years old from the last 2 days my son has cough and blocked nose suddenly fever came doctor prescribed P 250 levolin and relent plus but it is of no use the fever subsides can you Tel me the antibiotic sir.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
Hi sir my son is 3 years old from the last 2 days my son has cough and blocked nose suddenly fever came doctor prescr...
Fever can be because of viral illness also, which does not require antibiotics, you should wait for atleast 3 days, because a viral illness will subside on its own, however if the child looks really sick, azithromycin is the antibiotic which will help.
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My daughter is 13 years old and got matured this year in June. But still bed wetting habit has not gone from her. Any remedy for controlling bed wetting at this age for her.

MBBS
Pediatrician,
Emotional problems at home cause bed wetting, make sure goes to urination before sleeping. Make sure she is not get stressed.
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