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Dr. Rama Devi P

Pediatrician, Chennai

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Dr. Rama Devi P Pediatrician, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rama Devi P
Dr. Rama Devi P is a renowned Pediatrician in Ambattur, Chennai. She is currently practising at Dr.Rama Devi's Clinic in Ambattur, Chennai. You can book an instant appointment online with Dr. Rama Devi P on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 37 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.15, Surya Prakasam Street,Krishnapuram, Ambattur,Landmark:Opp.Bus terminal&Co-operation Bank, ChennaiChennai Get Directions
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

4 people found this helpful

My daughter has turned now 1 and half month. I just want to know is there any vaccination should b given to daughter from birth. If any please give me full details of vaccination like which vaccines and how many times.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My daughter has turned now 1 and half month. I just want to know is there any vaccination should b given to daughter ...
The child should receive several vaccines like DPT, OPV, IPV, pneumococcal, Rotavirus, Hepatitis B etc. Please see Pediatrician and start the serial vaccinations right away.
2 people found this helpful
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Hello doctor, My daughter is 3 years old and yesterday I got some reasons what could be symptoms of autism. 1) she does not have eye contact except her parents with other people, 2) does not want to play with other children 3) enjoying to watch TV and phone when she watching in phone she does not want to give it back 4) become very stubborn and feel irritated and started crying to get any thing 5) speak everything even the Hindi mantra also but sometime the speech is not so clear 6) sometimes live in her own world in school Are all these symptoms of autism and the therapy could help my child to be normal as other children. And can my child also study in regular schools. Thank you.

MD - Paediatrics
Pediatrician, Mumbai
Yes. It may be autism. Visit for a detailed neurodevelopmental and speech therapy consultation. She may also need neuro occupational therapist if the diagnosis confirmed by clinical examination. Most kids with autism who have fluent speech do well with adequate support. Do not get scared. Also do not feel that child is too special or superkid just because there is suspicion of autism. Your kid is normal till evaluation. There are some medicines that may be added for support.
1 person found this helpful
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HI Can kids use sunscreen. My daughter is 28 months old & she gets tanned easily because of her sensitive skin. Please suggest a best sunscreen for her face and body both.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Use sunscreens with at least 15 or 25 spf half an hour before leaving the house and reapply again every 3 to 4 hours.
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My daughter is 2 years old is suffering from fever 102 degree. Doctor gave an antibiotic and paracetamol syrup. She is not at all having any food and juices. She is taking only plain water. I am worried. Without any food juice or milk how can I give her medicine. Kindly advice.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My daughter is 2 years old is suffering from fever 102 degree. Doctor gave an antibiotic and paracetamol syrup. She i...
Generallychildren ahving fever will be fussy aout eating and drinking. Once the temperature comes down they will be fine. So do not let the temperature go up often, keep giving paracetamol syrup in intervals of 4-6 hours, try to feed them what they like when they are off temperature.
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My baby is 1.5 month old, he is passing green stool, he is on formula and breast milk both.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 1.5 month old, he is passing green stool, he is on formula and breast milk both.
You have to stop the formula and if it is given in bottle you must stop bottle feeding and give it with spoon or a sipper . Give only breastmilk for a healthy baby
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Hi I am 24 years I am feeding milk to my child from the next day of delivery ,after 2 months the milk is not coming what shall I do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
There should be any reason of decreasing of milk if you had been exclusively breast milk to the satisfaction of baby. Continue exclusive breast feeding till either breast is emptied or baby is satisfied. In case if after emptying of breast, baby remains hungry, give him top feed kept ready in hand. This practice may increase milk production provided you are taking good nourishing diet. Else you may consult obstetrician.
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Sudden Sensorineural Hearing Loss: Causes and Evaluation

MS - ENT, MBBS
ENT Specialist, Hyderabad
Sudden Sensorineural Hearing Loss: Causes and Evaluation

SSHL is not like any other normal hear-loss trouble. Rather it is quite a severe condition. Sudden deafness can occur at any time due to several reasons. This trouble does not affect both the ears rather only one specific ear is usually affected, and thus this is one of the prominent signs that can help the doctors to understand that SSHL has occurred. 


What are the leading causes of this hearing loss?

  1. Head injury: If you have faced any severe kind of head injury ever, then it might bring SSHL. This is why you are suggested to get necessary treatment on time so that this kind of hearing loss can be avoided.
  2. Loud-noise exposure: If your ears are exposed to louder noises or sounds in a consistent manner, then there is a greater possibility of the occurrence of this hearing loss. Thus, you should stay away from unwanted noises. 
  3. Ageing: With the increase in age, hearing power slowly decreases. However, if you take proper precautions from the very beginning, then SSHL can be definitely avoided. 
  4. Blood-circulation troubles: Interrupted blood-circulation creates different physical troubles out of which hearing loos is one of the most prominent one. And if timely treatment is not provided, then it might get converted into SSHL. 
  5. Ototoxic medication: This kind of medication should not be continued for long without doctor's prescription otherwise SSHL might occur. 
  6. Lyme disease: This is a kind of disease, which occurs due to tick bites and this is pretty infectious in nature. Apart from that, this disease is now considered as one of the main sources of SSHL. 

How to evaluate this hearing loss? 

  1. History analysis: The history of the patient needs to be known first otherwise SSHL cannot be perfectly treated. If the history shows that the patient already has an existing trouble of ear loss for which SSHL has been proven, then in accordance with the same the treatment can be prescribed. 
  2. Laboratory and imaging: Laboratory analysis is one of the main methods for evaluating SSHL and necessary images of the ears boost the potentiality and importance of this kind of analysis to a great extent. 
  3. Quick evaluation: This kind of medical evaluation is mainly made on the basis of the symptoms. The doctors often follow the signs thoroughly in order to determine as to whether the patients have SSHL or not. This evaluation is highly supported by different medical tests that are prescribed by the doctor.
4741 people found this helpful

My baby girl is 1 year 3 months old she is facing lots of difficulty while passing stool she cries a lot and also has pain while doing potty and also the stool is hard like rock. Please doctor help me.

DHMS (Hons.)
Homeopath, Patna
My baby girl is 1 year 3 months old she is facing lots of difficulty while passing stool she cries a lot and also has...
Hello, Lybrate user, give your child the under noted Homoeo medicine:@ Nux vom 30-4 pills, thrice. •her water intake be raised to soften stool of your daughter to prevent her constipation. •her diet be easily digestible on small intervals. •give, her seasonal fruits with green vegetables. Report after 3 days. Your feedback is solicited for further follow-up, please. Tk, care.
1 person found this helpful
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Hi my baby has completed 1 yr, during his birth he was suffered from severe jaundice the blood transfusion has done now he is active but not crawling and sitting, he is rolling please suggest what to do for him for quick milestone.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Hi my baby has completed 1 yr, during his birth he was suffered from severe jaundice the blood transfusion has done n...
Sir, You have to consult Neurologist. He needs regular follow up and physiotherapy. He needs stimulation exercises. Does he have eye contact, head control, rolling over. Further miles stones can be trained.
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My daughter is 8 years old with 50 kg weight. Her skin is also very rough. her prescribed tests are normal. what should we do to reduce her weight?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Jaipur
My daughter is 8 years old with 50 kg weight. Her skin is also very rough. her prescribed tests are normal. what shou...
Healthy diet, avoid oily food, do exercise. Important thing is to visit Dr. For hormonal check up. Hormonal disturbance may b cause behind it.
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Hi. My baby is just 15 days old ans she got contact dermatitis on her face as well as on whole body. Can I use soframycin for this treatment as prescribed by a skin specialist?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), FACEE PEDIATRICS
Pediatrician, Allahabad
Hi. My baby is just 15 days old ans she got contact dermatitis on her face as well as on whole body. Can I use sofram...
No I didnot prefer soframycin for contact dermatitis. Please remove the causative agent. Keep skin moisturtized by like vaselineand consult to pediatrician for proper management.
1 person found this helpful
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My baby is suffering from viral diariah for 7 days. normally after how much time it will cured.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is suffering from viral diariah for 7 days. normally after how much time it will cured.
It will heal in a week and if you bottle feed you must stop bottle and feed with a spoon from a cup or glass
1 person found this helpful
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Hi doctor Please tell me what food can breast feeding mother avoid. And can she drink coconut water? She is breast feeding to 14 days old baby so please suggest some food for their health.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor Please tell me what food can breast feeding mother avoid. And can she drink coconut water?
She is breast fe...
Yes breastfeeding mother can drink coconut water and eat all homely foods .In general, there are only two foods breastfeeding women should avoid or consume in very small amounts: alcohol and fish. ... Plus, any foods that someone in the family has an allergy to should be avoided; the most common ones are eggs, peanuts, soy, wheat, corn, and milk.
1 person found this helpful
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My son is two month old due to cough n cold we took him to doc today. He had recommended steam for him n given us Some Ipratropium nebulizer solution Bp .can we use such solution for steaming via nebulizer .I hope it doesn't have any side effects as he is having little bit cough n cold only. Pls given us second advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is two month old due to cough n cold we took him to doc today. He had recommended steam for him n given us Som...
Common cold and cough are usually viral n self limiting, n require no tt unless there is some complications. Attending doctor is best judge. Trust him n follow advise.
1 person found this helpful
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Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is not eating anything. We consulted doctor for this and he said there is no medicine to make him hungry. Need to try giving him food. What should I do to make him hungry and eat food. Please suggest im much worried.

BHMS
Homeopath, Mumbai
Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is ...
Hello need to rncourage him to hve. Try to make new new reciepies and feed him. He will like any I the taste. It happens due to habit of feeding milk. Its not he is not hungry. He gets hungry bt he wants milk. Either stop giving milk it will difficult but he will b oky soon. If he is hving habit of bottle. There one product comes senisolid feeding bottle with spoon feed him grinded food in it. If any queries consult.
3 people found this helpful
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5 Foods That'll Help Increase Your Child's Height Naturally

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
5 Foods That'll Help Increase Your Child's Height Naturally

Did you know that there are certain foods that increase your child's height naturally? Foods that are rich in essential nutrients such as Vitamins, Calcium, Zinc, Magnesium etc can prove to be highly instrumental in adding extra inches to your child's height. Read on...

1. Whole Grains - Whole grains are rich sources of Zinc, Magnesium and Vitamin B, which play a very vital role in promoting your child's growth during his/her budding years. Additionally, whole grains also contain calories and carbohydrates, which ensure the maintenance of proper weight in your child, imparting him/her with the requisite energy to go on throughout the day. Feed your child whole-grain breads, cereals and pastas to make him healthier and taller.

2. Milk - Milk contains calcium and Vitamin D, which help in bone development during the growing years of a child, besides increasing his/her physical strength. Milk also helps in assimilating different proteins making it one of the best foods to be consumed by your child for attaining a good height. Three servings of milk, or milk products such as cheese or yoghurt, each day will suffice your child's Vitamin D and calcium requirement.

3. Fruits and Vegetables - Fruits are excellent sources of Vitamin A, which is instrumental in ensuring an enhanced rate of bone growth in your child, consequently making him/her taller. You can include carrots, mangoes, sweet potatoes, spinach etc. in your child?s diet to aid his/her height growth. It's advisable to provide him/her with 3 to 5 servings of fruits and vegetables every day.

4. Eggs - To ensure that your child grows taller naturally, providing him/her with a protein rich diet is very crucial. Eggs contain ample amount of protein needed to keep your child energetic throughout the day and help him/her grow taller. One to two eggs per day is considered to be the ideal intake amount for a child.

5. Soybeans - Soybeans are rich sources of protein and help in enhancing the growth of bones and muscles of your child, which in turn adds to his/her height during the budding years. You can cook various soybean dishes or you can add ground soybean powder to the dough while making rotis to make soybean a part of your child?s diet.

Although a child's height is also dependent on his/her genes, a well balanced diet containing these super-foods will increase your child's chances of growing to the fullest to attain a good height.

'Consult'.

5652 people found this helpful

My 2 months baby's body getting sometimes hot and sometimes normal. Don't know why past 3 days it's happening.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My 2 months baby's body getting sometimes hot and sometimes normal. Don't know why past 3 days it's happening.
This is normal due to weather changes. If he is active and taking milk regularly, sleeping normally if the body is warm sometimes you need not worry.
2 people found this helpful
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My 4 month old daughter is doing 5-6 stools coming out in form of bubbles and usually greenish yellow in colour sometimes with mucus is this any sort of infection as its been a month gvng her medicines.

M.D.( Pediatrics), DCH
Pediatrician,
If child is exclusively breast fed, it is ok and nothing needs to be done. See that she is putting on weight regularly.
1 person found this helpful
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My child is having minor Epilepsy. He is taking Keppra 250 daily twice. Since November 2014. Since he started taking medicine. He is fine. I just want to know that now almost 1 and a half year is being completed. So should I continue this medicine or should I go to doctor again to confirm.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Your neurologist should be able to answer your query well, initially you need to reduce the dosage and see, if no seizures you can further reduce the dose and gradually taper the dose and stop. Ifno epileptic attacks. Also get an eeg done.
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