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Dr. Pramila

Pediatrician, Chennai

300 at clinic
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Dr. Pramila Pediatrician, Chennai
300 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Pramila
Dr. Pramila is a trusted Pediatrician in Erode, Chennai. Doctor is currently associated with Pedo Planet Clinic, Anna Nagar in Erode, Chennai. You can book an instant appointment online with Dr. Pramila on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 40 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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Pedo Planet Clinic, Anna Nagar

Flat No.2, 1st Floor, 1076-G, TVS Colony, Annna Nagar West. Landmark:- Opp SKS Hospital, ChennaiChennai Get Directions
300 at clinic
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My son is 11 years old doesn't feel hungry at all and he complains all the time about head pain and back pain I am giving him liv 52 he is pale all the time not so active and got 2 white patches on skin.

BSC (Home), cerificate course in child care, diploma course in hospital administaration, master in food service management
Dietitian/Nutritionist, Vadodara
Weight is quite low 4 kg you can give pediasure in water 3scoob in 150 ml of water 2 times in a day.
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Me and my 3 yrs daughter are having cold and cough from more than 2 weeks.. Tried medicines given by doctors. For both of us. Still the situation is the same started pain in ears also with sore throat. i am sure my daughter is also in uncomfortable time. Can any 1 help us both.

BHMS
Homeopath, Faridabad
Me and my 3 yrs daughter are having cold and cough from more than 2 weeks.. Tried medicines given by doctors. For bot...
Hello, both of you take homoeopathic medicines - schwabe's alpha-cf and biocombination-6, both thrice a day for 4-5days. Avoid rough use of voice. Avoid cold food/ drinks. Avoid sitting long hours in a/c rooms.
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Paediatric Care a Concern

BDS
Dentist, Gurgaon

Baby Bottle Tooth Decay

 Tooth decay in infants and toddlers is often referred to as Baby Bottle Tooth Decay, or Early Childhood Caries. Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. Their first teeth also help make sure their adult teeth come in correctly. It’s important to start infants off with good oral care to help protect their teeth for decades to come.

You can help prevent your baby from getting cavities or developing what is called Baby Bottle Tooth Decay or Early Childhood Caries, by beginning an oral hygiene routine within the first few days after birth. Start by cleaning your baby’s mouth by wiping the gums with a clean gauze pad. This helps removes plaque that can harm erupting teeth. When your child's teeth begin to come in, brush them gently with a child's size toothbrush and a small amount of fluoride toothpaste, about the size of a grain of rice. For bottle feedings, place only formula, milk or breast milk inside and avoid using sugary beverages such as juice or soda. Infants should finish their bedtime and naptime bottle before going to bed.

Dental Emergencies

Accidents can happen anywhere, anytime. Knowing how to handle a dental emergency can mean the difference between saving and losing your child’s permanent tooth. For all dental emergencies, it’s important to take your child to the dentist or an emergency room as soon as possible.

Here are some tips if your child experiences a common dental emergency:

  • For a knocked-out tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your child’s cheek and gum, or in milk. Call your dentist right away.
  • For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down.
  • If your child bites his tongue or lip, clean the area gently and apply a cold compress.
  • For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues.
  • For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

Thumbsucking

Sucking is a natural reflex and infants and young children may suck on thumbs, fingers, pacifiers and other objects. It may help them relax or make them feel safe or happy. Most children stop sucking by age 4. If your child continues to thumb suck that after the permanent teeth have come in, it can cause problems with tooth alignment and your child’s bite. The frequency, duration and intensity of a habit will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs. If you are worried about your child’s sucking habits, talk to your dentist or consult your child's pediatrician.

Space Maintainers

Space maintainers help “hold space” for permanent teeth. Your child may need one if he or she loses a baby tooth prematurely, before the permanent tooth is ready to erupt. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of where they should be. When more adult teeth are ready to come into the mouth, there may not be enough room for them because of the lost space. To prevent this from happening, the dentist may recommend a space maintainer to hold open the space left by the missing tooth.

Sealants

Sealants are a fast and easy way of protecting your child’s teeth that act as barriers to cavity-prone areas. They are usually applied to the chewing surfaces of back teeth and sometimes used to cover deep pits and grooves. Sealing a tooth is fast and there is virtually no discomfort. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing but may have to be reapplied if needed. Both primary and permanent teeth can benefit from sealants. Ask your dentist if sealants will help your child.

Mouthguards

Mouthguards can help protect your child from a dental emergency. They should be worn whenever your child is participating in sports and recreational activities. Mouthguards cushion blows that would otherwise cause broken teeth, injuries to the lips and face and sometimes even jaw fractures. If your child participates in such pastimes, ask your dentist about custom-fitted mouth protectors.

Malocclusion

Malocclusion, or bad bite, is a condition in which the teeth are crowded, crooked or out of alignment, or the jaws don’t meet properly. This may become particularly noticeable between the ages of 6 and 12, when a child’s permanent teeth are coming in. If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease.

Bad bites can also:

  • Affect proper development of the jaws.
  • Make the protruding teeth at risk for chips and fractures.
  • Affect eating and speaking.
  • Make some teeth more likely to wear abnormally or faster than those that are properly aligned.

Anesthesia and Sedation

Your dentist might recommend that your child be administered anesthesia or sedation to relax them in order to safely complete some dental procedure.    

  • CONCLUSION : When your child’s first tooth appears, talk to your dentist about scheduling the first dental visit. Treat the first dental visit as you would a well-baby checkup with the child’s physician. Remember: starting early is the key to a lifetime of good dental health. Encourage healthy eating habits.

My younger daughter is 10 years old. She is not gaining her weight please suggest some diet for her.

MD - Paediatrics, MBBS
Pediatrician, Delhi
Hi, following advices will help: dietary advice: child should be given food in addition to milk, like fruits: banana, apple, mango, chiku, rice, cereals, paneer, yoghurt, paranthas, eggs, ghee and butter in every meal. Investigations: complete blood count with peripheral smear treatment: depending on the report, multivitamin or iron syrup, appetizer syrup and deworming syrup also needs to be given. I hope this has helped you. Wishing your child good health.
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My 2.5 month daughter is having dark green motion since one week. She is drinking Similac Advance 1 and partly on breast milk. Other than potty color, she has no other problem. Stool test results were normal. What can be done?

MRCPCH, MBBS
Pediatrician, Gurgaon
My 2.5 month daughter is having dark green motion since one week. She is drinking Similac Advance 1 and partly on bre...
At this age babies stool colour sometimes vary but as long as no other concern and feeding well, we don't need to give medicine. Just monitor feeding and urine output and if fine then we can keep watch only. Take care.
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Is zentel oral suspension safe for 11 months old baby? How much dosage should be given? Can I give it to my baby.

DHMS (Hons.)
Homeopath, Patna
Is zentel oral suspension safe for 11 months old baby? How much dosage should be given? Can I give it to my baby.
hello, lybrate user, zeital oral suspension is administered depending upon the intensity and type of the intestinal worm, I being a homoeopath can't suggest the doses of the medicine, concerned depending upon the age of the patient will be advised by some paediatrician, please. tk, care
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My baby boy is 2 months old. Now a days he is not sleeping well. And his weight is 5 kg now. 3.4 kg is his birth weight. I'm in doubt that is my milk is sufficient for him. Please let me know.

MD Pediatrics
Pediatrician, Vadodara
My baby boy is 2 months old. Now a days he is not sleeping well. And his weight is 5 kg now. 3.4 kg is his birth weig...
The weight should be around 5.6 kg. But 5 kg is not bad. Do not worry mothers milk is never insufficient. Peoples wrong advice makes it insufficient and that too in mothers mind. If the child gains atleast 15gms/day than do not worry. Also if the child passes 6-7 times urine and goes back to sleep after feeding than he is fine and geting enough milk. Always feed and empty one breast fully before going to another breast as the breast foremilk is rich in water and the hind milk is rich in protein and fat. Happy Feeding.
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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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