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Dr. Ravishankar

Pediatrician, Chennai

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Dr. Ravishankar Pediatrician, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ravishankar
Dr. Ravishankar is one of the best Pediatricians in Pallikaranai, Chennai. Doctor is currently practising at Revathi Child Clinic in Pallikaranai, Chennai. Book an appointment online with Dr. Ravishankar on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 44 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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Breastfeeding baby. 6 months old. With cough. 101.6 fever a few times. Vomiting milk. With cold. Stool with blood a few times. Not dark red blood. Wakes up in night crying. Before bloody stool. Sticky poop. With normal yellow.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Breastfeeding baby. 6 months old. With cough. 101.6 fever a few times. Vomiting milk. With cold. Stool with blood a f...
Decongestants with abroad spectrum antibiotic & antipyretic, cold sponging+, antiemetic. For 4 days, investigate cause if no response to above treatment. Continue breastfeeding as usual.
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My son 11 years old has been diagnosed with appendicitis and swelling in testicles. Kindly suggest.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Sulph iod 200 one dose alternate day 2 doses Lyco 12c 3tims day for 10days Ruta 12c 3tims day for 10days
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My son 5 years old, dob 11/2010. He did action like dogs sexual contact. He did with his toy sponge dog. I got afraid. Will it be a problem. It was happened before 3 days then I hide the dog. Today he did the same action with poo sponge doll. Please suggest me what should I do?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Perhaps he is imitating what he has seen & not knowing what it means. He will forget this in some time.This is a good example of chidren being best imimitaters.No need to give much attention to this.
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My baby girl is just 8 days old and suddenly one night she produce gas and poop 3 times at night. She got hiccup frequently. I too advice from child specialist and he prescribed COLIZA drop and advice to do a bilirubin test. In test report it is found that the total bilirubin is 15. 3 mg and direct bilirubin is 0.3 mg and indirect bilirubin is 15. 0 mg. Is it a matter of concerns.

DHMS (Hons.)
Homeopath, Patna
My baby girl is just 8 days old and suddenly one night she produce gas and poop 3 times at night. She got hiccup freq...
Hello, Indirect biluribin upto 5.0 mg be tolerable but raised level be addressed to an x pert, please. Gastric disorder producing hiccup is a normal go with a newly born baby. You may give her homoeopathic medicine:@.China 30-1 drop with 1tsfl of your milk, thrice. You should take care of yourself to keep your baby fit. Avoid, junkfood, alcohol, spicy food. Take care.
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Diploma in Child Health (DCH)
Pediatrician, Ahmednagar
Foods like peanuts, whole grapes, cherry tomatoes, carrots, hot dogs, meat sticks, or hard candies should be kept away from toddlers as they may have problem in chewing them. Give them mashed, cut and easily chewable food.
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Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 

  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 

  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 

  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 

  • depression 

  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 

  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 

  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 

  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 

  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 

  • continually starting new tasks before finishing old ones 

  • poor organisational skills 

  • inability to focus or prioritise 

  • continually losing or misplacing things 

  • forgetfulness 

  • restlessness and edginess 

  • difficulty keeping quiet and speaking out of turn 

  • blurting out responses and often interrupting others 

  • mood swings, irritability and a quick temper 

  • inability to deal with stress 

  • extreme impatience 

  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 

  • bipolar disorder – a condition that affects your moods, which can swing from one extreme to another 

  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.

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She has rashes on her arms body neck and thigh. She does not have fever, no muscle pain. No itchiness of the rashes. One pulmonary doctor said it was a german measles. But when we consulted a pediatrician he said it was a non viral .

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
She has rashes on her arms body neck and thigh. She does not have fever, no muscle pain. No itchiness of the rashes. ...
There are many type of rashes which can be differentiated mor easily by look. It is very difficult to say any thing about these rashes. Since she has no associated symptoms, leave it as such and ma y apply caladryl lotion.
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My son who is 14 years old has been running a few 10km races. He cycles 4 km everyday. He wants to participate in a 21 km run. He would be jogging and walking alternately (ie not running the entire 21 K). Is it safe for him to participate? Any precautions? Any inputs/ advice would be greatly valued. Thank you.

DMB
Pediatrician, Chennai
Needs lot of training such as strengthening excercises and do stretches regularly. Get help from a professional trainer or he can end up with injuries.
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Hello doctor God gifted me a cute angel but she is suffering from spina bifida but she is active and cute the moments of her legs and hands is normal she eat normally and drink milk properly breathing properly sleeping crying and playing normally but we are worried about spina bifida. please tell what could I do and where is the best treatment of it? Thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hello doctor
God gifted me a cute angel but she is suffering from spina bifida but she is active and cute the moments...
Which degree of spina bifida? If it is not open donot worry it will cause no harm, if it is open then it will need closure, you can fix an appointment with pediatric surgeon in any medical college patiala, ludhiana, jaipur good luck.
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