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Dr. Prakesh

Pediatrician, Chennai

150 at clinic
Dr. Prakesh Pediatrician, Chennai
150 at clinic
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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 27 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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Pallavaram Children Medical Centre

No 11, Bharathi Nagar 1ST Street, Pallavaram,Landmark:Zamin Pallavaram, ChennaiChennai Get Directions
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How To Treat Diaper Rash In Children?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology, post graduate certificate in dermatology
Dermatologist, Narnaul
How To Treat Diaper Rash In Children?

Your baby's skin is soft and sensitive. Being cautious can reduce the chances of skin infections, but it doesn't in any way refute the possibility altogether. Hence, you must be overly careful. Your baby could face intense discomfort if you happen to neglect the appearance of diaper rashes. Persistent rashes on your baby's bottom can make him or her irritable. Look into the causes and remedies of diaper rash in children to keep your baby cheerful.

Causes of Diaper Rash in Babies:

  1. Friction and lack of air circulation between the skin and the diaper can make your baby suffer from rashes. Make sure the baby doesn't rub against a diaper for too long; existing rashes can go worse in that case.
  2. You should never let your child remain in a dirty diaper for more than a while. A dirty diaper increases the risk of bacterial infections on your baby's bottom.
  3. Skin chafing could also be the reason behind diaper rashes.
  4. Yeast infections could surface in the form of rashes on a baby's bottom. Yeast or fungus is present in small amounts in every person's body. It can be easily developed in the moist yet warm atmosphere of a child's diaper. Being the mother, if you are on medications, your child's chances of contracting skin rashes is likely to be more. The side effects show in children as they are breastfed.

Ways to Treat Diaper Rash in Babies:

  1. Each time a diaper is changed; the area must be washed with lukewarm water and cleaned with a soft piece of cloth. The area should then be dried completely. It is best to avoid soaps as they can be harsh on sensitive skin.
  2. Applying ointments or petroleum jelly can soothe diaper rash. Powder can keep the area dry; it can also remedy itching.
  3. Feed your child liquids like cranberry juice; it makes his or her urine less concentrated. Concentrated urine can cause severe bacterial infection. If you wish to discuss about any specific problem, you can consult a Dermatologist.
2686 people found this helpful

Want to know about PCV vaccination for my 2 month baby.Is it is an important vaccination? ?what is the cost?

Pediatrician,
yeah its quite important.. protects child from respiratory infections.. cost varies from 1500 - 3500rs
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Hello doctors, My baby girl is 5 months old. She is getting cold often. And due that she gets itchy nose and eyes. She is getting irritated because of that. Her weight was 5.5 kgs last month on 5th august. Another concern is that she is getting lots of sweating on her forehead and head when she is drinking milk. Whether it is mothers milk or topfeed. Kindly advice on this.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
Hello doctors, My baby girl is 5 months old. She is getting cold often. And due that she gets itchy nose and eyes. Sh...
ya this is very normal up to 1 year of age as they haven't develop immunity for change in atmosphere and Pollens from outside regarding perspiration on the forehead it's very common continue feeding this is part of the life add calcium and iron in your prescription strongly recommended.
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At what age of my infant shall I start feeding her top milk and other liquid. She is 1.5 month now only on breastfeed?

C.S.C, D.C.H, M.B.B.S
General Physician,
At what age of my infant shall I start feeding her top milk and other liquid. She is 1.5 month now only on breastfeed?
You must not give top fed in bottle with nipple and exclusive breast feed till 4-6 months when homemade semisolids can be started.
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My son is not having solid food he is 1 yr. Should I give his any multivitamin medicine.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
My son is not having solid food he is 1 yr. Should I give his any multivitamin medicine.
A 1 year child has to be gradually weaned to semi solids and solid foods. The process needs to start from 6 months onwards. If your child has just been introduced to semisolid, be patient and keep giving him 3 semisolid meals. You can give him multivitamin medicine till he is not accepting his feeds properly.
2 people found this helpful
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FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Respiratory tract infection Is an important cause of mortality in under 5 children in India. If your child refuses feed, if takes rapid shallow breaths, if skin colour appear bluish, if high grade fever and cough then it is the sign of severe pneumonia. Immediately rush to hospital. If hospital too far then give first dose of antibiotics like amoxycillin clavulanic acid and relieve fever by paracetamol, cold sponging. Don't close his mouth. Allow him to breathe fresh air.
It is the timely medical treatment which matters.
3 people found this helpful

We have a 7 days old daughter but my wife unable to produce her breast milk and my daughter is not able to feed her breast milk please suggest with remedy.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You can try lactare tablets - 2 tablet once daily and see if it helps. Best is to keep trying by putting the baby to the breast and expressing the milk that comes out. It should gradually increase.
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My daughter has just completed 7 years n last 2 weeks she is complaining while bathing that her nipples r paining even I can observe that her breast portion is growing. In this case what should I do?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is a normal process of growth and development. Need not panic and need not intervene too much just ignore it. As the child is attaining menarche its a part of development of secondary sexual characters like growth of breasts/nipples. Just counsel the child about this and be calm and patient, it will subside soon!
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I am losing hair fall. Which shampoo is better to control hair fall and home remedies for hair fall. I want to reduce my weight. Can you tell some tips for weight loss. What are the weaning foods for 5 month old baby.

BHMS
Homeopath, Sindhudurg
I am losing hair fall. Which shampoo is better to control hair fall and home remedies for hair fall.
I want to reduce...
Hibiscus leaves or flowers well, this is the best ayurvedic home remedy for hair loss. Hibiscus flowers and leaves can be very helpful in preventing hair loss and to promote hair growth. Hibiscus flowers are used as an effective cure for split ends and dandruff as well. Heat 12-15 hibiscus flowers in 2 tablespoons of coconut oil. Strain the solution and collect the oil. Apply this concoction to the scalp and hairs, leave overnight and wash in the morning. To use the hibiscus leaves, grind them into fine paste and apply the paste to the scalp and hairs. Leave it on for 30 minutes to 1 hour. Rinse off with plenty of water. This controls the hair loss automatically and promotes hair growth. Hibiscus leaves for strong and long hair.
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Hi, my baby is 3 months old. He is doing poti once in 3 days and it is in green colour smelling a lot. Is that any problem? Please suggest me the solution.

MBBS
General Physician, Mumbai
Hi, my baby is 3 months old. He is doing poti once in 3 days and it is in green colour smelling a lot. Is that any pr...
I will suggest you to get his stools checked in a laboratory and follow up with reports and if there is no tightening of abdomen there is no problem even if he does not pass stools for seven days.
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My child has a fever for last 3 days and I check all that but he not fine how can I cure from tht fever.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My child has a fever for last 3 days and I check all that but he not fine how can I cure from tht fever.
Your description is incomplete which lack in range of temp and associated symptoms with fever. Fever is not disease but it is a symptom of disease. You may give one dose of paracetamol (125 mg) for the time being for fever and consult pediatrician.
1 person found this helpful
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I have some kind of allergy from dust. Because of this I think I usually suffer from tonsillitis. What can I do or should do to be healthy?

MBBS
General Physician, Cuttack
Do an allergy test after consulting allergy specialist and follow the advice and treatment given by him
1 person found this helpful
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Is your child suffering with ADHD?

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.
1 person found this helpful

Hii my baby is 2 & half year old. He is suffering from phimosis issue & deficiency of iron too. He do not like chapati & sabji he inly likes potatoes. He is on milk only Pls suggest me he is suffering from two problems what I can do as a mother for him.

DHMS (Hons.)
Homeopath, Patna
Hii my baby is 2 & half year old. He is suffering from phimosis issue & deficiency of iron too. He do not like chapat...
Hello, Lybrate user, your baby boy is delicate with soft covering of penis can be reverted back by practicing to open it over glance ,gently applying mustered oil on prepuce being the old traditional method as Dadi ma used to practice in olden days to prevent phimosis. You need to practice this method for number of days, patiently. Give him under lying homoeopathic medicine for stimulating appetite:@ cheledonium 30-2 pills, thrice. Intake of water be enhanced. Give her colorful meal as per his choice. Report, wkly.
1 person found this helpful
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MD , Peditrics
Pediatrician, Ahmedabad
Give exclusive breast milk till six months of age to your child avoid bottle feeding it may lead to so many complications such as it may lead to diarrhea sepsis dental problems ear infection chances of aspirations so and on

My baby is 3 months old. He is stooling after every breastfeed. What is the reason for this and how to overcome this problem?

PALS, MD, MBBS
Pediatrician, Delhi
My baby is 3 months old. He is stooling after every breastfeed. What is the reason for this and how to overcome this ...
Hi, its normal for brest fed babies to pass stools after baby. You just have to be sure that he is passing 6-7 times urine in a day, he is active and playful and gaining weight.
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Hi, my son is 7 weeks and 6 days old, he born at 35th week with no medical condition and weight is 2 kgs, from 3 to 4th week onwards he is pooping every half an hour to one hour a very little amount, otherwise pooping 3 to 4 times a day (some good amount, my concern is pooping every half an hour? Is it normal? What causes it? When will he becomes normal?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Hi, my son is 7 weeks and 6 days old, he born at 35th week with no medical condition and weight is 2 kgs, from 3 to 4...
When a breastfed baby has a bowel movement after nearly every feeding during the first few weeks, it's a good sign – it means he's getting plenty of milk. But it's normal for them to poop after every feeding as well.
1 person found this helpful
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My 2 years old daughter is not drinking milk we have to give her force fully.What can we do?

M. Ch., FEBS, MBBS
Liver Transplant Surgeon, Delhi
My 2 years old daughter is not drinking milk we have to give her force fully.What can we do?
No need to give milk forcefully. Every child has there own likes and dislikes. Instead of milk if she is taking milk products like curd cheese its ok. Even if not this then just ensure that she has a healthy diet. Milk is not essential. By giving her forcefully you are ensuring that she never takes milk in her life. So stop it.
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My son is 15 month. He no creative mind. He is only cry when he is see another person. He is no learn more anything. He is only like saw t. V; or mobile. What should I do?

MD - Homeopathy
Pediatrician, Mumbai
My son is 15 month. He no creative mind. He is only cry when he is see another person. He is no learn more anything. ...
15 months old children really need parents a lot as a support while learning new things or while socializing because everything is new for them. Both the parents should spend time with him and visit places like parks, toy libraries so that he gets exposed to outer world. Be strict regarding tv watching because it will be no interaction phase. He will not learn communication skills only by watching tv. He needs to be exposed to outer world may be by books, toys some interesting games where he has to use his brain according to his age and capability. Do not create stress for him. Relax and approach him confidently. Have patience.
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Migraine and Homoeopathy

BHMS
Homeopath, Chennai

Migraine is a complex disorder characterized by recurrent episodes of a headache, most often unilateral and in some cases associated with visual or sensory symptoms collectively known as an aura that arise most often before the head pain but that may occur during or afterward . Migraine is most common in women and has a strong genetic component.

Signs and symptoms

Typical symptoms of migraine include the following:

1.Throbbing or a pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity

2.Unilateral and localized pain in the frontotemporal and ocular area but the pain may be felt anywhere around the head or neck

3.Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse

4.Headache lasts 4-72 hours

5.Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness

6.Sensitivity to light and sound


Features of migraine aura are as follows:

1.May precede or accompany the headache phase or may occur in isolation

2.Usually develops over 5-20 minutes and lasts less than 60 minutes

3.Most commonly visual but can be sensory, motor, or any combination of these

4.Visual symptoms may be positive or negative

5.The most common positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border

Physical findings during a migraine headache may include the following:

*Cranial/cervical muscle tenderness
*Horner syndrome (ie, relative miosis with 1-2 mm of ptosis on the same side as the headache)
*Conjunctival injection
*Tachycardia or bradycardia
**Hypertension or hypotension
*Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)
*Adie-type pupil (ie, poor light reactivity, with near dissociation from light)

Homoeopathic constitutional treatment cures this malady completely since it goes to the root of the disease and removes this tendency permanently.

Some of Homoeopathic remedies used for treating migraine are Belladonna,Spigelia,Sanguinaria,Glonoine,Natrum mur,Phosphorus, Tuberculinum, Iris versicolor,medicine should be strictly selected based on symptom similarity only to get permanent cure.

*Hypertension
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