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Dr. R Asokan

Pediatrician, Chennai

300 at clinic
Dr. R Asokan Pediatrician, Chennai
300 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. R Asokan
Dr. R Asokan is a renowned Pediatrician in Saligramam, Chennai. You can consult Dr. R Asokan at VHM Hospital Pvt. Ltd. in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R Asokan on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 42 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.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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No 1/1, Arunachalam Road, Saligramam. Landmark: Opposite AVM Studio, Near To Vodafone Mini Store & Behind Hitech Diagnostic Center, ChennaiChennai Get Directions
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

My daughter is 6 years old having neck pain problem she is stremling problem voice is not clear please my problem solve it.

BHMS
Homeopath, Pune
hello please check her posture give her calcium and vit D rich food for speech disorder consult with good speech therapist thanks
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Hello sir My son Age 14 month. Weight 7 kg He can not sit. When I check him at orthopedic surgeon He says no treatment can do. Sir please tell me what I do M in so tense. Please suggest me.

MBBS, MD
Pediatrician, Gurgaon
Hello sir
My son  Age 14 month. Weight 7 kg
He can not sit.
When I check him at orthopedic surgeon
He says no treatme...
you should have talked with ortho. cosultant frankly.low birth is associated with many other diseases.please wrote her diet prev.and now.
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My 3 month baby is very unfair & black. What I eat for fairy baby. Can I eat saffron.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 3 month baby is very unfair & black. What I eat for fairy baby. Can I eat saffron.
YOu can eat saffron but it is not going to change the colour of your baby which is decided by genetic factors.
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My cousin aged 5 years has got c reactive protein level up to 21.3mg/dl. He was attacked by typhoid fever a month ago. Is it a serious condition?

MD - Paediatrics
Pediatrician, Chandigarh
Crp is an acute phase reactant which rise in infection. To rule out condition we need to investigate further and a detailed review of signs and symptoms. Kindly ask in private.
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My Son, 11 months old doing potty 4 times in a day since 3 days & losing weight. His current weight is 7.5 kg. Please advise how to overcome from this.

C.S.C, D.C.H, M.B.B.S
General Physician,
My Son, 11 months old doing potty 4 times in a day since 3 days & losing weight. His current weight is 7.5 kg. Please...
Is he bottle fed then stop bottle and feed from a cup with spoon. If it is infective diarrhoea , he needs antibiotics
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My 3 year old boy often falls sick. Suffers from runny nose following by fever. How to raise his immunity.

MBBS
General Physician, Jalgaon
My 3 year old boy often falls sick. Suffers from runny nose following by fever. How to raise his immunity.
Please Avoid giving him, Kurkure, chips, chocolate, biscuits etc Give him home made fresh food containing less spices and oil Give Sy geriforte by Himalaya 3 ml twice daily regularly for 6 to 9 months Put some cow ghee drops in both nostrils daily.
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My daughter aged 4 years is having cold and cough since 3 weeks. No fever. I am giving her medicines like cough syrup but with no use. Some days she looks absolutely fine but the other day she starts coughing badly. Mostly while sleeping she starts coughing badly. I am giving her asthalin syrup. But there is no relief. How to manage her cold and cough ?

DNB (Pediatrics), MBBS
Pediatrician, Mohali
My daughter aged 4 years is having cold and cough since 3 weeks. No fever. I am giving her medicines like cough syrup...
Hi, it is possible that your daughter has chest allergy. We need to get her checked with a doctor who can auscultate with a stethoscope for hearing a wheeze. If this is the case, then specific treatment like nebulization and long term treatment may be needed, along with some precautions. Please get back for specific advice, warm regards.
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My baby boy is 3 month old and not responding to see object and sound. So Dr. suggested for EEG. Result showing generalized epileptiform abnormality with posterior emphasis (modified hypsarrthymia.).

DHMS (Hons.)
Homeopath, Patna
My baby boy is 3 month old and not responding to see object and sound. So Dr. suggested for EEG.
Result showing gener...
Hello, lybrate-user, relax! homoeopathy can assist you successfully in your case. Give your baby the under noted homoeo medicine ; @Baryta carb 30 -1 drop, thrice with 1tsfl of milk. Report, wkly, your feedback matters for further follow-up, please. Tk care.
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My nephew aged 11 years, has seizure since last month. Doctors diagnosed it epilepsy. We started medicines but seizures occurs on every 2 & 3 days. Mostly during seizure his eyes goes upward and his body has vibrates as electric shocks. Once after seizure his body shocked many times. We asked him what is this. He said my nerves are jaults from inside. We want to know is it epilepsy or not. What should we do at the time of seizures. Eagerly waiting for your reply. At this time he is taking 2 medicines named valparin 200 & levecitram. Thanks.

DM - Neurology
Neurologist,
The description provided by suggests that your nephew has epileptic seizures; however, one point - when he says my nerves are jaults from inside' make this sound false. Please find out this: is he aware of his surroundings even when he has whole body jerking, or jerking on both sides of the body? if his body is jerking on both sides but he maintains awareness or is able to interact, then it is highly likely that it is a pseudo-seizure. Since he is only 11 years old, this may be due to situational anxiety. If he loses awareness during the fit, or if they involve only one half of his body, then it may be a true epileptic seizure. And the final answer can only come from an eeg which is done at the time when the episode is going on - which is not always possible! hence, we must always keep our minds open, make multiple observations, perform several eegs, treat with the presumption of epilepsy (giving benefit of doubt), and so on.For further assistance you can concern me privately.
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Merit daughter ki age 8 year 8 month hai. Ye abhi bhi vista pe pesab kart hai. Weight 18.5 kg and height 121cm hai. Kya ye normal hai if not please suggest me. Thanks.

MBBS DCH
Pediatrician, Gandhinagar
Your daughter is suffering from nocturnal enuresis means bed wetting. It should be treated. Don't give excess fluids before bed time. You should consult your pediatrician for treatment.
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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.

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Doctor my 20 months old baby quit active her weight is 8.5 kg and height is 77 cmt but i'm worried about weight not gain so what to do ?

MD - Paediatrics
Pediatrician, Chandigarh
Reduce the amount of milk in diet to 400 ml / day (2 glasses) make him eat three meals in the family pot give snacks two times a day. If required we can add supplements.
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My baby is 2.5 months old. She is 70% on lactogen from past 1 month & 30% on mother milk. From past 1 month she has severe colic problem. Also she passes the stool after 3 days by use of suppository capsule. Does the lactogen difficult to digest? Can we give Nan pro? It is easy to digest than lactogen? Or Cows milk will be a good option? We have tried colimex & colicaid but no effect on colic problem.

Pediatrician, Thane
My baby is 2.5 months old. She is 70% on lactogen from past 1 month & 30% on mother milk. From past 1 month she has s...
Babies on milk do not pass stools daily breast fed babies pass stools as late 1 week. Which is normal. Give her sy carmicide (green) 2ml three times for 10 days and whenever she cries give colicaid drops 15 drops sos this phase will settle by next month.
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I feed my baby for over 3 years as she didn't took other milk products. Now am 31 and my breasts were sagged please recommend any good remedy without side effects.

MBBS, MD
Pediatrician, Gurgaon
I feed my baby for over 3 years as she didn't took other milk products. Now am 31 and my breasts were sagged please r...
Well hardly any milk output at 2-3 years baby. It is too late to start food. Cereals and chapaties, bread. Now is time to give find taste of child so that it will be easier to switch over. Cereals diet is important. Milk has poor calories and if we try to correct it, result in too much protein which will bring other complication. Thanks.
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My 2 Months baby boy taking bottle feeding(Mother Milk not coming).He is taking NanPro1(Suggested by Doctor). Right now we are using only D3 drops. Some times he is feeling uneasy, is there any medicine for digestion. Please suggest me

MBBS, MD - Paediatrics, DCH
Pediatrician, Bangalore
Dear, Don't worry.Since your is on formula feeds by bottle,he tends to swallow air during feeds. Buy a small feeding bottle (100ml) and fill it 3/4th and feed him in semi reclining position.Burp him thoroughly after every feed. This should suffice.No need of any digestive medications. Dr Srinath ks
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Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
AGE APPROPRIATE CHORES FOR CHILDREN AROUND THE HOUSE
Teaching children how to get their personal needs met and to help around the house is an important and integral part of growing up. It helps them to become independent and also help others. They learn to appreciate dignity of work and cooperation, responsibility contribution and collaboration with co workers and spouses as they become adults. These tasks are as much for boys as for girls. The chores suggested below are a rough guideline of age appropriate jobs for children. Keep in mind that kids are different both developmentally and physically. Some children may be able to do more than others. So here goes:
2-4 year olds: help make bed, put away toys, fetch diapers and plastic bottles, put dirty clothes in bucket, help feed the pets. All tasks would need adult supervision.
4-7 year olds: set the table, help with bed making, watering the plants, feeding pets, start putting on own clothes, bathing, clean up messes, put away toys, put away clothes, carry light bags. Adult supervision would be required as child is learning new skills.
8-10 year olds: water plants, make bed, clean up room, clear the table, do small dishes, do small dusting around the house, cooking basic food like eggs, maggi, milk, keep the garbage out, fold clothes, basic sweeping and swabbing of the floor. Please note that adult supervision would be needed for new tasks.
11 year olds and older children: clean bathroom, clean kitchen, cooking simple to complex dishes, wash dishes, wash clothes, dusting.

If you liked what you read, please share it with others and you can also have a private chat with me if you have any questions about your child.
6 people found this helpful

What are symptoms of stammering in the children. My son is 2.5year old and as advised by his play school teacher he stammer some time. Sometimes we also felt, he like to say something but think. But at the same time, if he is learning to speak is it still be called stammering! Pls advise.

MD - Paediatrics
Pediatrician,
What are symptoms of stammering in the children. My son is 2.5year old and as advised by his play school teacher he s...
Please do not take yourself and pose undue anxiety over your child be calm, and help your child to repeat the stammered word or sentences calmly. You can wait and watch for some time, meanwhile helping child to speak and avoiding anxiety. If it persists, speech therapy will definitely help the child to come out of this. So need to worry!
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Felling cold and suffering from cough and having a races in the body and body is paining very much and can not suffer from the pain and sometimes there is a small pain in my chest.

MD - Paediatrics
Pediatrician, Bangalore
Felling cold and suffering from cough and having a races in the body and body is paining very much and can not suffer...
These symptoms what umentioned looks like viral fever. Take paracetamol 650 mg 3 times a day for 2 days. Take plenty of fluids and rest at home. Bland diet.
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