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Dr. Ravishankar

Pediatrician, Chennai

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 a renowned Pediatrician in Mogappair West, Chennai. Doctor is currently practising at Spandana Nursing Home in Mogappair West, 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 43 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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Spandana Nursing Home

No 6/13 Swarnapuri Apartment Ground Floor, Mogappair West. Landmark:J J Nagar Opp To Vijaya Bank, ChennaiChennai Get Directions
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Excess fluids lead to abnormality and death of babies .is that true .and I want details of abnormality. My sister is carrying twins and one baby is of less Weight which doctors told that it lead to death?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Excess fluids lead to abnormality and death of babies .is that true .and I want details of abnormality.
My sister is ...
Yes, twin- twin transfusion can cause excess blood in one twin and heart failure of one baby and less growth and anaemia in the other
1 person found this helpful
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My 4 years baby always sound her teeth at night. What's the problem with her? Please tell me.

MD, MBBS
Pediatrician, Bangalore
Grinding teeth is common in children during teeth erruption tme and goes automatically but some anxiety feer gum and teeth problem may cause this problem that to be taken care.
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Hello Doctors Team, My son born on 10-APR-2016 with 1.96kg with 34 Weeks 6 days and currently he is having 2.75 Kg with 39 Weeks 1 day My question here is that we are following PRE-NAN milk powder from his birth with the addition of Mother Milk feeding, and I would like to know that can we continue the same milk powder or we need to change with some other milk powder with the addition of mother's milk. Kindly suggest, Thanks.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hello Doctors Team,
My son born on 10-APR-2016 with 1.96kg with 34 Weeks 6 days and currently he is having 2.75 Kg wi...
Hello. It is best you give your baby only breast milk. Prenaan is also fine but mothers milk is best. Also you need to give vit d, calcium, phosphate, and iron suplementation to your baby as he is a lbw (low birth weight) baby. The weight gain by your child since birth has been appropriate.
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

My son is of 5 year age. He looks weaker than other same aged children. What should be his diet?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
He should be eating the same diet what you eat. Vegetables. Fruit. Low fat diary product. Lean meat. Whole grain cereal.
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My daughter is in 6th std, but she is very very slim and my son he is in 5th std he is very healthy and chubby. Please guide me Dr. Which extra food should I give her to gain weight. She is 30 kg.

C.S.C, D.C.H, M.B.B.S
General Physician,
Weight is alright and do not overfeed and make children obese. To be sure there is no illness, check her cbc, & tsh and send me the reports.
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Dear Sir, Greetings of the day. My son who is 5 years is given Cypon syrup. His intake has increased. Earlier we used to give him Neopeptine since last 4 -5 years. Now after someone suggested we give him Cypon syrup along with neopeptine. My question is whether it is safe to continue and is there any side effect in longterm how much time we should continue this. Is it ayurvedic/Allopathic? Kindly guide me. Thanks,

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
These meds do cause habit forming events. Prefer calorie dense diet rather then just making hunger stimulated.
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Sr mera cousin 17 year ka hai wo blood donate krnaa chahta hai, kya wo blood donate kar saktaa hai, aur blood donate karne se use koi problem to nhi hogi.

MD - Paediatrics
Pediatrician, Kolkata
Hello blood donation is generally given after informed consent about possibleverything pros and cons. At 17 years consent has to be given by parent. In case of dire emergency and his blood group is rare he may donate considering his haemoglobin %with pcv is appropriate and he has undergone checkup by a doctor. Hope this helps.
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Hi it's about my 15 months daughter. Two months before doctor recommended lactose free milk because of lactose intolerance. During this period whenever I tried her it's regular formula milk she got loose stools again. She is completely on formula milk with less amount of solid food (6 times milk 150 ml around per day) Should I continue with lactose free milk for more couple of months.

MD - Paediatrics
Pediatrician, Kolkata
Hi it's about my 15 months daughter. Two months before doctor recommended lactose free milk because of lactose intole...
Most of the lactose free formula are derived from soya (most of which is genetically modified ).So though short term use of soya milk is OK but prolonged use is strictly prohibited. There are other casein based formula in the market. You should try those. And try to decrease the amount of milk consumption by that time.
1 person found this helpful
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My boy age 11 months frequently passing the urine. In an hour approximately 6 to 8 times. May I know the reason.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My boy age 11 months frequently passing the urine. In an hour approximately 6 to 8 times. May I know the reason.
He probably has a mild urine infection. Get a urine routine and urine culture test done. See that he drinks plenty of liquids.
2 people found this helpful
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My 3 years daughter feels fear outside of home. She don't talk to other peoples. Her school teacher also complaints that she don't say even single word in class of 3 hours. But my daughter talk very good in home with family members. She don't play outside with other children. Pls suggest me how to handle this situation?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
Dear Mr. Lybrate-user, the problem you are facing is not uncommon. Some children are more shy and reserved than others and it is perfectly normal. However, this shyness becomes a problem if it interferes with our functioning in the society as a normal human being. If you think that your child's social life is getting affected by this, please consult a child counsellor.
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My son is 2 months old now. I have already administered him some doses of vaccines as given by the hospital. Now after some reading I am doubtful about painless vaccine. If I go for painful now will that disturb the schedule?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
My son is 2 months old now. I have already administered him some doses of vaccines as given by the hospital. Now afte...
At 2 months you would have given only one dose of triple DPT Hib (painless )so you can easily continue with the whole cell pertussis or DwPT now. It will not disturb the schedule
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Diploma in Child Health (DCH)
Pediatrician,
milk protein intolerance is more common in infancy.

My daughter is 9 years now, but her development neither in weight nor in height is proper. Please advice ,taking milk 300 ml daily and other food normally.

BHMS
Homeopath, Gurgaon
Try to include more carbohydrates and proteins. Give her more dals, chana, rajmah, soya, egg, chicken, fish, paneer for Protein. Make sure that the child is eating healthy nutritious home cooked meals and not eating junk food. Get the child's height and weight measured regularly to ensure proper growth and development.
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My son is 5 months sleeps in cradle. While sleeping he slightly forced with a wooden door in his head. Will it be a big issue.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son is 5 months sleeps in cradle. While sleeping he slightly forced with a wooden door in his head. Will it be a b...
Hello, Avoid casualties as much as you can.Since baby's body is delicate it can be a problem,as they are more prone to the injuries.
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Hi, A portion of my left breast has hardened and as a result, i am experiencing pain . I delivered a baby boy about 5 months back and currently lactating. Could you please explain the cause for the hardening ?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Probably it is glactocoele,that is some ducts are blocked.frequent suckling and emptying of breast may help and if possible surgeon may clean or open the ducts
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I have twin baby 5 month old I m not having enough milk can you give an advice what to give and what not to give.

MRCPCH, MBBS
Pediatrician, Gurgaon
I have twin baby 5 month old I m not having enough milk can you give an advice what to give and what not to give.
You can start formula milk but avoid cow's milk till 12 month age, also after 15-20 days you can start weaning babies with liquid things like dal etc but still milk should be priority for sometime at least till 7-8 month age. Take care.
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Sir/madam, my son is eight years old his perfectly alright but he is facing problem with his irregular n bad teeth. He was given bottle feeding at younger age. Is this the problem how to solve this.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Bottle feeding may be associated with teeth problems like caries and malacclusion. Better you show to a pediatric dentist.
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How can improve my baby girl weight since 5 months old still at 5.5 kg only present turned in to 11 months please help.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Start giving her semisolid,solid foods at frequent intervals (2 hourly) in addition to breast or top milk. Gradually increase amount of food with increasing age. After 4 months you can expect weight gain around 3 kgs.
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