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Dr. Prakesh

Pediatrician, Chennai

150 at clinic
Dr. Prakesh Pediatrician, Chennai
150 at clinic  ·  ₹ online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Prakesh
Dr. Prakesh is a trusted Pediatrician in Pallavaram, Chennai. Doctor is currently practising at Pallavaram Children Medical Centre in Pallavaram, Chennai. Book an appointment online with Dr. Prakesh on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 41 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 11, Bharathi Nagar 1ST Street, Pallavaram,Landmark:Zamin Pallavaram, ChennaiChennai Get Directions
150 at clinic
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My son is suffering from itp since last one year what is treatment.

C.S.C, D.C.H, M.B.B.S
Pediatrician
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My son is suffering from itp since last one year what is treatment.
Idiopathic thrombocytopenic purpura (ITP) is a disorder that can lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets ? the cells that help your blood clot. Idiopathic thrombocytopenic purpura, which is also called immune thrombocytopenic purpura, affects both children and adults. Children often develop idiopathic thrombocytopenic purpura after a viral infection and usually recover fully without treatment. In adults, however, the disorder is often chronic. Treatment of idiopathic thrombocytopenic purpura depends on your symptoms, your platelet count and your age. If you don't have signs of bleeding and your platelet count isn't too low, treatment for idiopathic thrombocytopenic purpura usually isn't necessary. More serious cases may be treated with medications or, in critical situations, with surgery. Ask privately for personal advice in each case faced by your child.

My baby of 1 year she is having a cough from several days. What should i do to prevent her cough?

MD - Paediatrics, MBBS
Pediatrician
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Probably you want to ask treatment.Please give syp levolin 5ml thrice a day and nasal spray thrice a day

I am having fever from last three days followed by headache and little cold and cough. Please suggest any medicine for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am having fever from last three days followed by headache and little cold and cough. Please suggest any medicine fo...
Take tab. Dolo 650 mg sos. Tab. Lcz -10 mg once a day. Gargle with warm water, drink warm water, juice,green veg., veg. Soups, lquid diets, dalia, protein diets, tulsi leaf in tea or warm water, geloy juice, Take plenty of liqiuds. Juice, avoid cold things. Avoid oily foods. A avoid cold area, dust area, cold things .i.e. ice creams, take bed rest , If symptoms persist then do tests cbc, x ray chest and consult again.

C.S.C, D.C.H, M.B.B.S
General Physician
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Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring

My baby girl is 2.5 month old and she is in formula feed but not taking enough feed and doing vomit once in a day. What should I do. Her birth weight was 2.75 and now she is 4.5. Her weight is enough or not?

MBBS DCH
Pediatrician
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Her weight is absolutely normal. Why are you giving formula feed? 1-2 vomiting per day is normal. Don't give formula with bottle.

I am 29 yrs. I am having belching of abdomen. I am having cough at present. What antibiotics i can choose. What is the treatment for belching?

MD PULMONARY, DTCD
Pulmonologist
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Belching it self can cause cough. Try tab pantaprazole and levosulpride combination. Reduce spicy food,tea and coffee. Take food in small quantity at a time. If due to belching it will help you.

My son is 3 week old, he sleep whole day and in night cry so much that he can breath and because black while crying. He cry continuous whole night and keep on feeding continuously whole as soon as I remove him from latching as it pain too much if I feed him more than 45 mins. What should I do to keep him calm at least if he does not sleep.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My son is 3 week old, he sleep whole day and in night cry so much that he can breath and because black while crying. ...
If baby sleeps whole day, breast feed him about every 2-3 hourly in day time then probably baby shall not cry whole night and shall be satisfied in night with intermittent feeding too. This shall keep him calm in night as he shall not be hungry and sleep well. Take care of his comfort too. Cry in night is due to not satisfactory feeding in day time and may be wet.

Meri 1 year 6 month old baby h. Usko loose motion ho rhe h. Or latrine me khoon aa ra h. Khoon kyu aa ra h? Or vo bahut kmjor ho gya h please give solution.

M.D.Pediatrics, MBBS
Pediatrician
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Meri 1 year 6 month old baby h. Usko loose motion ho rhe h. Or latrine me khoon aa ra h. Khoon kyu aa ra h? Or vo bah...
Dear mother if your child has blood in motion it is called dysentery for that you have to give her antibiotics and of course ors and zinc are to be given. You can give her injections but if she is not vomiting then medicine can be given by mouth also. But keep on giving ors and zinc and khichri nimbupani and curd.

HI its Bharat from Giridih. I have a continuous bed wetting problem after suffering the serious meningitis problem in the year2000. I have to face same during journey also. Tell me what to do?

C.S.C, D.C.H, M.B.B.S
General Physician
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HI its Bharat from Giridih. I have a continuous bed wetting problem after suffering the serious meningitis problem in...
It is the consequence of meningitis and as it is you can use adult diapers. Medications can treat a variety of conditions of which bedwetting is a symptom. For example: Antibiotics can eliminate UTIs. Anticholinergic drugs can calm an irritated bladder. Eesmopressin acetate increases levels of ADH to slow nighttime urine production. DHT-blocking medications reduce swelling of the prostate gland.

My daughter is 4 years old and her skin is sensitive to insect bites (Mostly Mosquito). She develops bumps and rashes after bite. She can’t stop rubbing it again and again which converts it to a wound and in many places in her hand and leg she has black patch for this. Is there a medicine which will help reducing the sensitivity and what is the best medicine for after bite.

MD - Dermatology, MBBS
Dermatologist
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My daughter is 4 years old and her skin is sensitive to insect bites (Mostly Mosquito). She develops bumps and rashes...
Hello, protection from mosquitos is the best solution. Make her wear full sleeves clothes. Apply mosquito repellant creams or patches on clothes. After the bite, apply an antibiotic cream like fucidin cream on the wound twice a day. Apply dermocalm or calosoft lotion on the rash as and when it gets itchy. Her sensitivity may reduce as she grows older.

Hi from yesterday onwards my baby is suffering from severe cold n cough he has running nose. Currently giving nasoclear n brozedex 0.7 ml. He s six month old son. Is this medicine ok.

MBBS
General Physician
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Hi from yesterday onwards my baby is suffering from severe cold n cough he has running nose. Currently giving nasocle...
Dear lybrateuser, -The medicines are ok, watch for fever, breathing problem, sleeping difficulty,feeding problem -keep infant well hydrated, warm, give regular feeds.

Hi, I have 7 months old baby. Which brand is good for my child's skin, himalaya or johnson's baby? And please tell me the reason.

MBBS, MD
Pediatrician
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Hi, I have 7 months old baby. Which brand is good for my child's skin, himalaya or johnson's baby? And please tell me...
Himalaya is herbal, hence less likely to cause allergy. On the other hand johnson soap. Contain milk which may cause temp. Redness allergy.

Hi I am 24 yrs and I have a 2 years infant. After stopping breast feeding. My breasts hv completely sagged. Massaged 4 3 months. .bt don't find any result. Suggest me .hw 2 enhance my breast.

MD - Paediatrics
Pediatrician
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Hi I am 24 yrs and I have a 2 years infant. After stopping breast feeding. My breasts hv completely sagged. Massaged ...
this is absolutely normal you can achieve mild enhancement by doing pectoral muscle exercises. Other wise surgery for breast enhancement is the answer. You can use different types of padding in bra so that the appearance above the cloth is back

My 1 year 7 month old child have trigger thumb on right hand since last month should it be cured by itself or it need any surgical intervention?

C.S.C, D.C.H, M.B.B.S
General Physician
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My 1 year 7 month old child have trigger thumb on right hand since last month should it be cured by itself or it need...
Trigger finger is a painful condition that causes the fingers or thumb to catch or lock when bent. In the thumb its called trigger thumb. Trigger finger happens when tendons in the finger or thumb become inflamed. Tendons are tough bands of tissue that connect muscles and bones. How is the thumb position now? wait for some more time or show an ortho.

Is it safe to feed horlicks and fruit juice to an infant other than formula milk?

C.S.C, D.C.H, M.B.B.S
General Physician
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Is it safe to feed horlicks and fruit juice to an infant other than formula milk?
It is better to avoid formula and give only breast milk. You tell the age of the infant. Fruit juice can be given and horlicks also. Always give more natural vitamins in food form. Ask me in case of doubts.

My female baby doing liquid motion 12 Times In a day, so please give treatment. New born Baby is 11 days old.

MD - Paediatrics
Pediatrician
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My female baby doing liquid motion 12 Times In a day, so please give treatment. New born Baby is 11 days old.
If baby is on mothers milk and quantity of motion is less no worry. If baby is bottlefed and color of motion different motion test should be done and treated accordingly.

Its an issue about my son he is 2 years old and has not spoken any word such as mumma or papa etc. He just speaks random things which makes no sense, he get things done by grabbing our finger n taking us to what ever he wants. I am getting concerned now, is this some thing to worry about and how long will it take my son to talk. Please provide guidance.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist
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Its an issue about my son he is 2 years old and has not spoken any word such as mumma or papa etc. He just speaks ran...
Dear lybrate user. I am sure that you consulted your child specialist about this. What was his advise. Delay in speech is normal upto an age of 2 and half years. Even though there is speech delay, 2 year old child should speak some words, for sure. I suggest you to have a detailed discussion with your child specialist. Take care.

Homeopathic Therapy for the Mother and Her New Born

BHMS
Homeopath
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Homeopathic therapy for the mother and her newborn



When you are becoming a mother, then a great deal of special attention needs to be paid towards you and the baby. At such a delicate juncture in life, you cannot risk the health of the baby and the mother by resorting to conventional medicine system that comes bundled with plenty of side effects. Listed below are a few reasons why you should opt for a homeopathic system of medication.

-It is completely safe as it has no side effects
-Homeopathic medicines are mostly prepared from non-toxic substances such as plants
-The medicine works by stimulating the body's own immune and healing systems
-Homeopathy not only targets one ailment but the overall well-being of the body

For the Mother

-Wound healing

After you deliver a baby, your body has a lot of internal bleeding and wounds that require special medical care. Here homeopathy comes to the rescue using Arnica Montana, which is one of the most popular agents that help in healing.

-Breast problems

Homeopathy is quite useful in treating a lot of breast related conditions like mastitis, cracked nipples, breast lumps and such others. In this condition a homeopathic medicine called Phytolacca Decandra can help treat such issues.

-Baby blues

It refers to periods of low moods and depressions that happen after conceiving a baby. In this case, the homeopathic medicine Pulsatilla helps you to revive your mood.

For the Baby

-Teething

Teething is the stage when the baby tends to develop his or her baby teeth. It is identified by a baby with bright red cheek crying due to discomfort.

-Sleep

Uneven sleeping pattern of babies is also a common problem which causes them discomfort and irritation which makes them cry at times.

-Immunization

It is known that homeopathic medicine mostly focuses on the overall betterment of the human body.

Therefore, taking homeopathic remedies also fortifies your immune system thus helping the baby fight ailments in an efficient and effective manner.

If you would like to consult with me privately, please click on 'Consult'.
Homeopathic Therapy for the Mother and Her New Born

Respected doctor, my son is 3 1/2 year old and is suffering from epilepsy, as now at this stage he sits properly, but not standing or walking and not talking as little bit he is trying now but not up to that level, the treatment is going through" neurosuregon" as epilepsy medicine is being given to him the response is good. Please guide me what are the chances & how many days it will take & what are the medicines & excercises for him.

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist
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Is there some history of delayed cry or perinatal anoxic ischaemic insult as he is having delayed milestones. It seems that he is having cerebral palsy. Needs evaluation by neurologist.

I am 25 years old women and had one baby where am still breastfeeding am seeing so wean day by day went off down to weight from 65 to 45 within two months. What should I do?

M.D in Homoeopathy, B.H.M.S
Homeopath
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I am 25 years old women and had one baby where am still breastfeeding am seeing so wean day by day went off down to w...
Weaning is recommended when the baby is 9 months old. If you are still breast feeding, it is recommended to stop it immediately. As the child grows, his nutritional need also increase which is drained out from you. You should start outside food for your baby as early as possible if the child is more than 7 months old.
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