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Dr. R Narasimaraju

Bachelor of Occupational Therapy (BOT), Master of Occupational Therapy (MOT)

Pediatrician, Chennai

9 Years Experience  ·  400 at clinic
Dr. R Narasimaraju Bachelor of Occupational Therapy (BOT), Master of Occupat... Pediatrician, Chennai
9 Years Experience  ·  400 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. R Narasimaraju
Dr. R Narasimaraju is an experienced Pediatrician in Pallikaranai, Chennai. He has been a successful Pediatrician for the last 9 years. He is a Bachelor of Occupational Therapy (BOT), Master of Occupational Therapy (MOT) . You can meet Dr. R Narasimaraju personally at Paramount Therapy Clinic in Pallikaranai, Chennai. Book an appointment online with Dr. R Narasimaraju 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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Specialty
Education
Bachelor of Occupational Therapy (BOT) - Meenakshi Universtiy, - 2008
Master of Occupational Therapy (MOT) - srm college, - 2011
Languages spoken
English
Professional Memberships
All India Occupational Therapists Association (AIOTA)

Location

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#1, Ground Floor, Ganapathypuram, Pallikaranai. Landmark: Next to Advent Church, Oil Mill Bus Stop, ChennaiChennai Get Directions
400 at clinic
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My son is 23 months old. He is not speaking not more than 3-5 words till now. He don't have any hearing problem. He understands all most everything we speak day to day. Is there any abnormality in this. Please suggest remedy.

MASLP
Speech Therapist, Hyderabad
My son is 23 months old. He is not speaking not more than 3-5 words till now. He don't have any hearing problem. He u...
At the age of 2 years pre schoolers speak more than few words. I child's understanding is OK and only verbal communication. I.e expression is lagging, a speech therapist / speech pathologist will be able to guide you how to interact with the child to elicit responses and develop communication using suitable modalities. It has been observed that children who enrol in early intervention show better prognosis compared to children who seek delayed diagnosis and treatment. If there is not much lag compared to peer group, home speech stimulation will help. Otherwise speech therapist will be able to develop expressive language skills. Good luck.
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WHAT IS THE PROPER TREATMENT FOR TUBERCULOSIS IN STOMACH ? WHETHER IT IS FULLY CURABLE ? HOW MUCH TIME IT TAKES TO CURE ? IS THERE IN MEDICINE IN AYURVEDA / HOMEOPATH FOR THE SAME ?

MD
Pediatrician, Secunderabad
It is 100% curable. With allopathic medicines (in most caes) time is 9 month in a new uncomplicated case there would be medicines in ayurveda and homeo also. But i personally dont advice to go for those medicine. Its a serious illness. Get treatment for it seriouslyy otherwise you will face serious problms. Try ayurveda and homeo for common cold or seasonal itching or constipation but for serious illness absolute no.
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My son is 23months old. Is pediasure is good for his health? or else suggest me any health drink.

Pediatrician, Pune
There is no alternative to good health nutritive home made diet, including dal rice, vegetable, chappati, eggs, which can be easil taken by a 2 year old.
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What we should do if baby got caught by fever of 105 ?

M.D.( Pediatrics), DCH
Pediatrician,
What we should do if baby got caught by fever of 105 ?
Very high grade fever, better to hospitalise her. You can give meanwhile paracetamol and tepid water sponging.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.
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Common Insulin Alternatives

DDF, FCCP, MD , MBBS
General Physician, Delhi
Common Insulin Alternatives

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

  1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 
  2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
  3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
  4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
  5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Related Tip: "Living Well with Type 2 Diabetes"

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My baby is 7 months old. His weight is 6.7kg. He is a pre-term baby born at 34 weeks with 2 kg weight. How to increase his weight.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My baby is 7 months old. His weight is 6.7kg. He is a pre-term baby born at 34 weeks with 2 kg weight. How to increas...
His weight is alright for age. Should give 2 semisolids. Dalia. Khichri with vegetables. Dal. Pureed fruits.
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My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.

MD - Paediatrics, MBBS
Pediatrician, Jodhpur
My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.
This finding by itself is suggesting umbilical for which no intervention is needed. This provisional advice provided by me stands subject to the actual examination of report/ image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
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My child 1y 6m cries during passing of urine since 2 days ( she shows the genitals that she has pain there ) Is it urine infection? Please suggest the remedy or medicine.

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Some times due to over heat / acidity of urine this may be possible Any have urine check up to rule out UTI, till then give more water.If the child is under breast milk, mother should take soft diet avoiding all spicy food.
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My daughter fell and broke her two front teeth today, what can be done.

Its important to save the two teeth if they are permanent and if they are milk teeth they can be removed.
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My 12 years old daughter has some bone growth on left side of chin. It is slowly growing around two years from now. What should be done?

Diploma in Child Health (DCH)
Pediatrician,
No growth should be neglected. The growth may be benign or malignant? consult a child specialist or a surgeon.
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Hi my question is what cause phlegm in babies. & what precautions should one take at home for 5 months old babies?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my question is what cause phlegm in babies. & what precautions should one take at home for 5 months old babies?
Normally the secretion of mouth come up in babies and need not be phlegm as you think . Phlegm comes in chest infection and is yellow in colour. YOu only need to wipe of the salival that form up in mouth as do in all babies
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My daughter is six months old, She has got cold and her nose is running she cries when she feels difficult to breath. Please suggest some treatment.

M. B. B. S. , D. C. H.
Pediatrician, Dhanbad
Your child is suffering from broncho pneumonia so ur treatment is_ 1.Ambrodil plus syr. 2.5 ml 8 hrly. 2. Omnacortil sus. 2.5ml 12 hrly. 3. Clavam bid dry sus. 2.5ml 12 hrly. And after fit ur child done vaccination of pneumococcal and hib 5
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My baby is 2 month old. She is not sleeping at night. Sleep at days. For that can I give her triclofos oral solution ip?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is 2 month old. She is not sleeping at night. Sleep at days. For that can I give her triclofos oral solution ip?
No never. This is a normal cycle for first 4 months of age. As during pregnancy when mom walks, baby swings like a jula, and even mom sleeps. The pendulum movement of baby stops in side tummy is his mom, so they get awake. So same sleep cycle continues post birth also. For atleast 4 months. Make sure child takes feeding well during night and gradually it would improve.
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Hello sir, My son 8 years old because of cough we went Dr. advice report in the reports wbctotal22.6 neutrophils 79 lymphocytes 13 why this high low what is reason for this from food climate please tell me.

DHMS (Hons.)
Homeopath, Patna
Hi * it shows that the child has suffered infection. * he is very much fond of junk food, * some times the climatic condition influences the immunity, causing such type of dis- balances * he should avoid cold exposure, cold intake, junk food * ask him to consume plenty of water to eliminate, toxins homoeo-care. @ bacilllinum 200- 3 drops, weekly @ baryta carb 30-4 drops thrice a day. @ five phos 6x-4 tabs thrice a day report after a week.
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I have daughter she is thirteen years old she has the habit of getting up in the night when she is asleep every one or two hours .I just want to know the cure for her restless sleep.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
Hello, Sleep disorders happen in every age group -- to infants, teens, and the elderly. Problem is, missing sleep repeatedly affects every part of your life -- from relationships with friends, to your ability to concentrate at school, to your mood. Many teens who miss sleep suffer with irritability, mood swings, and even depression. There are various reasons of sleep disorder like sleep apnea, GERD, Stress,nightmares and vivid dreams, restless leg syndrome, potential nighttime distractions, such as light or noise. No matter what is causing this problem. The Homeopathic medicines, which are made of natural substances and are completely safe with no side effects, are very capable and competent in the treatment of sleep disorders. The most suitable Homeopathic remedies are chosen after analyzing the symptoms in each individual. Please click on consult for further evaluation. Your feedback matters. Take care.
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MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
Managing Temper Tantrums in Children
All children from time to time will cling, shout, throw, resist, complain, argue and do not listen to their parents or teachers. Though they are normal, they can be upsetting to everyone around. They become problematic when they increase in severity, intensity and duration that is typical for the age of the child.
Usually they starts at around 1.5 years age and stay till 4 years of age.

WHY DO THEY HAVE TEMPER TANTRUMS

1.They get angry if they do not get what they want.
2.They want to control their lives.
3.They have not learnt effective skills to get what they want.
4.They learned from parents who show temper outbursts.

HOW TO PREVENT TANTRUMS

1.Praise the child for his/her good behavior
Give extra attention whenever child behaves well. Give him a hug and praise him. For example - when a child has put his shoes in place, instead of ignoring it, acknowledge it and praise him saying “Wow, that’s like a good boy. You put your shoes in the correct place. Wonderful!”

2.Encourage the child to use words.
For example - If he wants something, tell him to use words like ‘i want food/ i want this toy’ instead of screaming.

3.Also see whether they are eating and sleeping well.

4.Identify triggers -
For example, Are they hungry or tired? sometimes even when the parent is busy, a child can throw temper tantrum to gain attention.
After a long day of work, instead of directly going to make dinner, the parent can go give the child a hug and spend some quality time.

5.Give signals before ending an activity
For example - say “You have 5 more minutes before I switch off the TV” instead of switching it off suddenly.

HOW TO HANDLE TEMPER TANTRUMS

1.Remain calm and do not argue with the child - Before managing your child’s behavior you must manage your behavior (sometimes children learn from parents who show anger outbursts and learn to shout and scream). Shouting at the child will worsen the child’s behavior.

2.Think before acting and count till 10 if you are frustrated - and then think about the source of child’s frustration.

3.Come down to the child’s eye level - and say ‘you are starting to become hyper, calm down’

4.Distract the child - by asking them to focus on something else. For example say “let’s read a book or let’s go for a walk”

5.Ignore the tantrum - if it is to draw your attention. After the child becomes calm, show him attention.

6.Hold the child who is out of control - and who can harm him/herself. Tell the child that you will let him or her go only when he or she calms down. Reassure the child that everything will be alright.

7.Hug your child who is crying - and say that you love them but the behavior should change. Reassurance and hugging will always be comforting to the child.

8.Talk to the child after the child has calmed down - Talk to the child about his or her frustration.

Try to teach the child how to interact with a friend or sibling or parent and ask for what he or she wants.
Tell them how to express his or her feelings with words and recognise the feelings of others also without hitting and shouting.
Tell them the better ways to get things that they want.
Tell them that we all have anger within and also tell them how to appropriately express it.

9.Never give in to a tantrum - If you give in once the child will get used to it and his tantrums will increase more.

10.Do not let the tantrum interfere with your relationship - with your child.

Consult a professional if the tantrums are increasing even after 3.5 years of age or if there is self injurious behavior, depression, injuring others, low self esteem etc.
7 people found this helpful

Hello Dr. I have 3.8 old Son. He has a cough and I have given amrolite s syrup 4 ml. N my husband also given amrolite s by mistake again.

MBBS, MD
Pediatrician, Gurgaon
Hello Dr. I have 3.8 old Son. He has a cough and I have given amrolite s syrup 4 ml.
N my husband also given amrolite...
It's almost three times normal dose. But it won't be fatal. It will have adverse symptoms like tachycardia, irritability, diarrhoea, no antidote as drug is absorbed quickly. Mild sedatives for 24 hours.
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Hi, my son's age is 1.5 yr. He was suffering from periodic fever (as per doctor) which was recurrent for 2 months and was coming every alternate week. Now he is ok but in the due course we have done some tests of cbc, crp, mp dual antigen and urine re & culture. Urine test is ok with a scanty bacteria shown. Blood test is ok hb is 12.6 and the other components are ok only the concern is that the rbc is a bit small. Doctor prescribed iron tonic for 6 months. My question is is this a concern for having rbc a bit small? as doctor said to keep in observation for sometime. My baby is active with no weight loss or growth hamper till date. Please advice. Thank you in advance for your help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Please send all reports for proper advice. You can send them by ask privately option. The periodic fever syndromes' (also known as autoinflammatory diseases or autoinflammatory syndromes) are a set of disorders characterized by recurrent episodes of systemic and organ-specific inflammation. Unlike autoimmune disorders such as systemic lupus erythematosus, in which the disease is caused by abnormalities of the adaptive immune system, patients with autoinflammatory diseases do not produce autoantibodies or antigen-specific t or b cells. Instead, the autoinflammatory diseases are characterized by errors in the innate immune system. The syndromes are diverse, but tend to cause episodes of fever, joint pains, skin rashes, abdominal pains and may lead to chronic complications such as amyloidosis. Most autoinflammatory diseases are genetic and present during childhood. The most common genetic autoinflammatory syndrome is familial mediterranean fever, which causes short episodes of fever, abdominal pain, serositis, lasting less than 72 hours. It is caused by mutations in the mefv gene, which codes for the protein pyrin.
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