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Dr. Puspha V

Pediatrician, Chennai

Dr. Puspha V Pediatrician, Chennai
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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. Puspha V
Dr. Puspha V is an experienced Pediatrician in Arumbakkam, Chennai. She is currently associated with Kody Clinic in Arumbakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Puspha V 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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881 , Poonamalle High Road ,Arumbakkam,Landmark:Nehru Nehru Rark, ChennaiChennai Get Directions
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My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see food she is 2 years old she is active very much but when ever climates changes occurs she will get ill can you suggest me how to protect my baby.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see f...
Homoeopathic medicine ECHNESIA 30 ( Dr Reckeweg) Drink 1 drop in 1 spoon fresh water twice daily for 3 months.
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My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindly suggest solution and also suggest applying oil is safe or not.

DHMS (Hons.)
Homeopath, Patna
My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindl...
Hello, ●New born baby is unable to distinguish between night & daytime. Hence, after few week, you have to educate the baby the difference between  day & night in order to establish sound sleep in the night. ●When its day, the baby should be brought in sun light to recognise the day time and similarly in night the baby should be kept in a dim. Light to recognise eving or night time. Her day should be brighter and the night be darker. ●This has to be ensured  that child is adequetly ,fed before going to bed & continued feeding 2 hrly. ●Some time the baby suffers from abdominal pain, earache,headache due to change in climate, cause her weep. ●  usually, we fail to assess the room- temprature being suitable for the baby to make her sleep, comfortably.Ac should be tuned & fan should be adjusted as per the need be. ● in the night while feeding the baby of your own  baby asleeps without taking sufficient quty of milk, makes her weep, again and again during sleep, please keep checking the fact & adjusted as the condition warants. Homoeopathically,  your baby might be nurtured, successfully. Your feedback is solicited to followup your baby. The care.
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My baby 20 months old. At 18 moths DPT vaccine given but at injection site inside swelling still appear 180 days gone from injection date. Starting it was big now it is small but we had doubt is it normal? Is it gone itself? Please advise. Thank You.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby 20 months old. At 18 moths DPT vaccine given but at injection site inside swelling still appear 180 days gone...
It is not clear whether swelling appeared 2 months ago or 180 days (6 months) ago. In any case get checked.
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My baby weight 4 kgs and she is 3rd month baby girl. Is her weight is good or bad? Mother feeding of my baby is very low, she drink formula milk. How to increase her weight?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby weight 4 kgs and she is 3rd month baby girl. Is her weight is good or bad? Mother feeding of my baby is very ...
Weight is reasonable and you need to check her thyroid by a TSH test and inform me. Formula should not bottle fed bu give in a cup.
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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 My child is 9 months old recently he had developed some infection in the front end area of the penis, I am not sure if it is a external injury or internal infection. There is swelling on penis and during urination it's normal he don't cry but while external touch he is crying. Is that something I need to worry about please advise.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Hi
My child is 9 months old recently he had developed some infection in the front end area of the penis, I am not sur...
Dear Lynbrate user Some times it can be insect bite or it can be infection also. It may become alright in a day or two You can apply some Antibiotic cream
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Sir/Mam I have 2 month old baby. I what to know about wheezing symptoms for 2 month baby. My baby makes sound from nose while feeding and sleeping. please tell me quickly.

DHMS (Hons.)
Homeopath, Patna
Sir/Mam I have 2 month old baby. I what to know about wheezing symptoms for 2 month baby. My baby makes sound from no...
Hello, nasal passage of your baby is not clear due to catarrh. Your baby & you are required to avoid cold intake, exposure to cold climate, dust, smoke. Give your baby Homoeo. Medicine @ spongea 30-1 drop thrice with 1tsfl of your milk. Pour saline water into nostril to dilate the passage to ease breathing of your baby. Report, wkly. Your feedback matters, please. Tk care.
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My baby is 2.5 month old. He feeds with bottle. please tell me what are the side effect of bottle if I properly sterilize the bottle before feed him.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is 2.5 month old. He feeds with bottle. please tell me what are the side effect of bottle if I properly steri...
Bottle feeding may result in diarrhoea, pneumonia, middle ear infection, gas accumulation, addiction etc. Bottle can be sterilised only if it's boiled for 20 minutes.
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My 3 year old son shows very strong resistance to take antibiotics (because of the bitter taste) and refuses to take them. When we try to forcibly give him, he spits it out. At times it happens that he gulps the medicine but immediately vomits. Please suggest solution ?

Pediatrician, Pune
He is right, antibiotics may not be always required for each and every illness, they have their own problems, and are very bad to taste, please try one which you are giving to your child. Avoid unjust use and abuse of antibiotics, they are the only weapons with us to fight the deadly organisms, frequent use makes their susceptibility less, and they dont work when definately needed.
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Hello doctor, meri baby 15 months ki ho gai h and uske abhi tak teeth nahi aaye use vit. D3 ke shacets bhi diye bt unse bhi koi effect nahi aaya. So please suggest something.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Normally teeth erupts between 4-7 months how ever we wait till 18 months for the first tooth to appear. If no tooth appears till this age you should consult a pediatric dentist.
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I am a newly mom but I am unable to feed my baby because I won't get milk in large quantity.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
There r some galactogauges available like satavary, which you can take to increase the milk production. If the child is still not getting enough milk then you have to give him formula milk.
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Hi Regarding to previous question what is the solution for respiratory tract infections. Thank you.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Proper hand hygiene; rule out allergic recurrent issues, as it's a common cause for the same. And vaccinate against seasonal flu every year for child above 6 months.
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My two years daughter fell down on the ground on 26.04. 15 & amp her femur bone break in two piece. X ray karne par diagnose hua ki bone thodi si ek dusre ke upar joint ho gayee hai kya future mai bone mai koi problems to nahi hogi.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please send me the latest x ray and let me know what treatment was given to her? do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Dear Doctor, This mail is regarding my child who is 10 years old and issues related to him are: 1.He had Dengue last year 2015 and was hospitalized for two weeks, and had 18 bottles IV fluid administered, he recovered but, his immunity has gone down. 2.He has started eating rather, hogs on food, has put up weight, he is 43 kgs now. 3. He has become lazy and has no interest in studies, was a very good student he used to be in 1- 3 ranking in the class. 4. His memory has gone down, because of his laziness. 5. Very important. He has got adenoids. Some extra growth inside nose which has to be operated, very soon we are deciding on that. Please, advice on this issue. Thanks.

M.Phil in Clinical Psychology, Ph.D. Psychology
Psychologist, Hubli-Dharwad
He might be 5th std. As we know children always vulnerable to suffer any type of disease till 10-12 years, unfortunate to know, he suffered from Dengue. Here, Im addressing of you 3-4th questions. Usually Childhood disorder, there would some precipitating factor to develop any types of problems usually, that would be no doubt academic activities. Stop worrying about his physical illness anyway that can be taken proper treatment. Now he required special attention related to his future in terms of academic activities need to be given special attention. My advise 1. Whatever he had general health complication is there first should be treated 2. Should not be over pampered at this stage by providing all he wanted 3. Find out Clinical or child Psychologist get id did done his IQ, he will also take care of counselling if required 4. Find out some special educator where he can be motivated and given special coaching for him as per his course curriculum 5. Some sort of physical exercise need to be assign to him, by assisting by you people. All the best.
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Sir my question is mera ladka h jiski umar 6th month h. Wo kal sham se abi tak 7-8 pooty kr chuka h. Iska karan kya h or is ke liye medicine kya h.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Sir my question is mera ladka h jiski umar 6th month h. Wo kal sham se abi tak 7-8 pooty kr chuka h. Iska karan kya h...
दिन में कई बार बच्चे खाना खाते ही potty जाते है जो की नार्मल है।। आप बस ये देखें की potty बहुत पतली तो नहीं है। अगर जयादा पतली है तो सबसे पहले जीवन रक्षक खोल (Ors) शुरू कर दे और आसपास के किसी अच्छे डॉक्टर की सलाह ले।।
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Hi my son is 3 years old & he takes proper diet however he do potty once in every alternate day. Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
You include more fiber in his diet and give more water and need to check blood cbc and tsh to see if hypothyroidism is an issue here.
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My son Jeremy is 14 months old and his fontanelle has still not closed. What can I do? He has also not started to walk.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My son Jeremy is 14 months old and his fontanelle has still not closed. What can I do? He has also not started to walk.
The Anterior fontanelle (AF) is simply an area on top of a baby’s head where the various bony plates that make up the skull have not yet come together. The fact that a newborn’s skull isn’t one solid bone at birth, but rather comprised of several bony plates is not just useful, but necessary, as it allows a newborn’s head to adjust enough in size to pass through the birth canal and then allow the skull to expand as babies’ brains grow considerably throughout the first year.------------AF is generally between 3 to 6 centimeters diameter during the first 6 months of life, and gradually gets smaller thereafter—closing some time between the ages of 10 and 25 months old. Any babies who are born prematurely, however, may have their anterior fontanelles close even later. -------So your question is of little concern right now and nothing to worry about-----------------------
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A child have 4. 5 years suffering with over active. Is it possible that the same child have developmental delay problem? he is very over active child.

C.S.C, D.C.H, M.B.B.S
General Physician,
As you have done these tests send the reports also. Some children are very over active. Only concern is whether he is adhd. To discuss details, come to talk privately.
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