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Dr. S Sabanayakam

Pediatrician, Chennai

150 at clinic
Dr. S Sabanayakam Pediatrician, Chennai
150 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. S Sabanayakam
Dr. S Sabanayakam is a trusted Pediatrician in Poonamallee, Chennai. You can visit him at Mangalam Hospital - Poonamalle in Poonamallee, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. S Sabanayakam on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 25 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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1, Judge Chellappa Street, Poonamallee.Landmark: Near Bus Stop , Opp.Haneefa Super Market, ChennaiChennai Get Directions
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My baby is 6 month old. Want to know can I give her solid food before half an hour of her bedtime in night. Which food should I give that is easy to digest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 6 month old. Want to know can I give her solid food before half an hour of her bedtime in night. Which foo...
At this age give, start with semi solids once in day time which may be increased with increasing age and then mashed solids can be given.
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My daughter at the age 11+ now, having a problem of bedwetting at night. please suggest.

BAMS
Ayurveda, Bangalore
Some children attain control over urination very late. You should try to train them as much as possible. Wake them up every 2-3 hrs once at night and take them to the toilet. Ask them not to drink water or milk before going to bed which helps to reduce the urine production. Make sure theat the child does not have any neurological deficits by getting them examined by a doctor.
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Delivery done for my wife 5 days before. But breast milk was not producing adequately. So insufficient diet for baby. can milk formation be done by some food? Any other diet can be given?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Milk supply is dependent on stimulation by the baby provides while feeding. More you breastfeed your baby, more milk will be produced. Try to feed your baby more often if your milk supply is less. Pumping your breasts after feeding also can stimulate more milk production. Two main causes of less breastmilk supply is poor latch or scheduled feeding. Baby should not nipple feed, rather should breastfeed. Baby should have wide open mouth and the nipple should go towards back of the mouth. There are certain medicines which can increase quantity of milk. If your child is sleeping well and active with your milk then milk is adequate for the baby. A substance that increases milk supply is called a galactagogue. Some of the most commonly used herbal galactagogues are fenugreek, blessed thistle, and alfalfa. There are also several prescription medications that can increase milk supply. Domperidone and metoclopramide increase the production of prolactin and thereby breast milk also. Shatavari powder is an ayurvedic preparation that can increase milk production.
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Hello doctor, my son s nine month old. suffering from. Severe running nose n dry cough for past one month. Dr. saying his chest s clear n no wheezing. Initially we have raccezzine n levolin syrup n then we gave alcon n levolin syrup. Now we are giving allegra n levolin syrup. I'm realy worries. It's intake s reduced due to. Cold.please me out.

DHMS (Hons.)
Homeopath, Patna
Hello doctor, my son s nine month old. suffering from. Severe running nose n dry cough for past one month. Dr. saying...
Hello, Lybrate user, tk, homoeopathic medicine:@ Bryonia alb 30 -1 drop with 1tsdl of mother milk ,thrice. Protect your baby from cold, exposure to cold climate. Her mother should remain healthy to keep your baby fit. Tk care. Report, after 4 days tk care.
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Could there be an endocrinology related issue that could cause obesity in children if they are gaining weight even with careful diet (no junk food, soda, overeating) and good physical activity?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Yes Indeed. It is a good idea to consult a doctor and do a metabolic screening including a thyroid profile.
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Sir my son is one and half year old but he don't intake milk a single ml. He only drinks milk from bootle when he is in deep sleep otherwise he refuses to take milk. I had tried many flovours in milk nt he refuses just by seeing n drinking it. Please help me I am much worried about his deficiency for calcium.

Pediatrician, Pune
Not more than 2 cups of milk is required for childs growth, in addition giving extra milk reduces appetite, and the child does not take the diet, solid food essential for his growth, also excessive milk causes iron deficiency anemia, constipation, additional supplementation of milk may not be required, enhance his other food intake, rice dal, chapati, all of which contain sufficient calcium, outdoor playing and exposing to sunlight provides the require vit d and calcium for his growth.
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What vaccines should be given to a baby born to a hepatitis b infected mother?

MD - Paediatrics, MBBS
Pediatrician,
What vaccines should be given to a baby born to a hepatitis b infected mother?
All routine vaccines i. E bcg/opv/hepatitis b to b given. One difference wud be, as the mother is hep b + ve, hepatitis b vaccine shud b given at birth, and repeated at 1 month and 2 months age (instead of standard 0, 1 and 6 months) rest vaccines as per normal schedule.
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My son 6 years old still not able to speak clearly, also he us not behavior like 6 years old child. Pls help.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. Your child needs to be assessed with some psychological disorders and learning disabilities. This can be done with the help of a psychologist. Take care.
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Diabetes - How Proper Nutrition Can Help You Combat It?

M.sc - Nutrition Science
Dietitian/Nutritionist, Delhi
Diabetes - How Proper Nutrition Can Help You Combat It?

There are many myths about diabetes, especially related to what you can eat and what you can’t. Lots of people think that diabetics shouldn’t eat sweets at all. This is not true. Similarly, all carbs and fats are not bad. A high protein diet is also not required and there are no special diabetic meals. So, what should you as a diabetic, eat to combat diabetes? Read on to find out:

  1. Low glycemic index foods: Complex carbs are best for you as they limit the amount of sugar released into your blood stream and are digested more slowly and prevent your body from releasing too much insulin. These are also called low GI foods as well as slow-release carbs and are also high in fibre. Processed carbs like white bread, pasta, and rice, as well as sodas, packaged meals, and snacks must be junked. These are all called high glycemic index (GI) foods and spike your blood sugar.
  2. Manage sugar wisely: Diabetes doesn’t mean that you can’t eat sugar or desserts. It means you have to be smart with sugar, like
    • Take smaller servings of your favourite desserts as they are best eaten in moderation.
    • Reduce the sugar in your diet slowly rather than at once. This will give your taste buds some time to adjust, reducing sugar cravings.
    • If you want to eat dessert, hold back on carbs in a meal. Balance out meals so that you don’t eat too many carb-heavy foods.
    • Add some healthy fat to your diet, as it slows down the digestive process, which means that your blood sugar levels don’t spike as quickly.
  3. Eat sweets along with a meal and not alone: Sweets eaten alone can spike your blood sugar levels a lot.
  4. Don’t drink alcohol: Alcohol is full of calories and carbs and cocktails are loaded with sugar. Alcohol can interfere with diabetes medication and insulin, as well.
  5. Avoid junk, soft drinks, soda and juices: They are all packed with sugar.
  6. Avoid processed or packaged foods: These are loaded with hidden sugars. Eat food cooked at home.
  7. Remember high protein diets are not always good: Studies have shown that if you eat too much protein, especially animal protein, you may become insulin resistant. A healthy diet for diabetics includes protein, carbohydrates, and fats for the body to function properly.
  8. Eat more of these
    • Healthy fats found in raw nuts, olive oil, fish oils, and flax seeds.
    • Also eat more fruits and vegetables. Avoid juices.
    • Eat more high fibre cereals.
  9. And avoid foods like
    • Trans fats which means all deep-fried foods
    • Fast foods, especially cakes, pastries, and chips
    • Red meat

Remember, your overall eating patterns are very important. It’s also important to eat at regular intervals and avoid missing meals. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

1 person found this helpful

Allergy And Asthma Prevention

MD - Paediatrics, MBBS
Allergist/Immunologist, Kollam
Allergy And Asthma Prevention
  • Prevention is better than cure as we all know, few tips eat plenty of fruits and vegetables organic as much as possible,
  • Eat only fresh food avoid processed food and bakery products as they contain harmful food additives, avoid red meat if possible, sleep well minimum 6 hrs a day, avoid cold food if allergic,
  • Do not use mosquito coils, liquid, do not smoke.
  • Exercise daily as much as possible
2 people found this helpful

My baby is 15 month old. On Saturday he started vomiting and had fever. We went to our doctor and he gave medicines. Also informed us that he might have loose motions. And we have to do stool test. And yesterday he started having loose motions. Now our relatives are saying that all these are happening because of molar teeth eruptions. Is this true?

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 15 month old. On Saturday he started vomiting and had fever. We went to our doctor and he gave medicines. ...
well teeth eruption per se is not the cause ..reason is habit of putting eveything in mouth while teeth eruption is happening.which brings lot many viruses in tummy.eventually leading to infections. so, 1.frequent hand washing and good hygeine is the only answer. 2.give probiotics 3.immunize the baby on time.
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3-4 very small pustules have started appearing over my baby's face (cheek), especially below his eye. They don't seem painful but the count is slowly increasing and the existing ones are not going away. Need to understand whether they should be left unattended or there is a cure. Please help.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
3-4 very small pustules have started appearing over my baby's face (cheek), especially below his eye. They don't seem...
See similar on the hidden part of body like chest and on back. If it is then it is chicken pox consult if chicken pox or leave as it is.
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I am having a 1 year 6 months old baby. When I would stop her to feed.

MD - Paediatrics, MBBS
Pediatrician,
I am having a 1 year 6 months old baby. When I would stop her to feed.
You should continue feeding at least till the age of 2 years because it helps for brain development.
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I breastfeed my son for 10 months nd milk was, very less. And now after quiting breastfeeding my breast is very small nd loose. What to do?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
The best solution is brava and fat grafting to your breasts which will increase the size and improve the tightness without breast scars. The other method is breast by implants by making a cut in each breast.
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Can I Eat Rice If I Have Diabetes?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, 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 daughter is very thin actually wife's parent and all her relatives are thin, but I need my daughter to gain wait so please suggest me some vitamin or protein syrup. She 2.5 year old.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is very thin actually wife's parent and all her relatives are thin, but I need my daughter to gain wait s...
You have not mentioned the age and weight. Anyway you should remember that lean children are healthier than chubby children.
1 person found this helpful
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My nephew, who is 9 months old, got hurt on his fore head by a tap. He has not been vaccinated with tetanus. Is it ok if he s not vaccinated with TT.

MBBS, MD
Pediatrician, Gurgaon
My nephew, who is 9 months old, got hurt on his fore head by a tap.
He has not been vaccinated with tetanus.
Is it ok...
You should now get him vaccinated by triple or quadruple vaccine. Both these contain tetanus vaccine.
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Stress Free

Bachelor Of Physiotherapy
Physiotherapist, Noida
Stress Free

How to effectively handle work related stress

The statistics on stress at workplace are staggering with half of respondents in studies reporting that they face higher than normal stress levels at work. Stress is a silent killer and can lead to serious health issues like stroke and heart attack. Stress at the workplace could be due to excessive workloads, unclear responsibilities, lack of control, unrealistic deadlines and noisy work environment.

While it is a good thing to be competitive and excel in whatever you are doing, it is also very important to learn to tackle stress and take life easy. Remember, we live only once! here are some simple and effective ways to handle workplace stress:

1. Seek support at work

Research has shown that having one good friend at work reduces the chances of quitting. Sharing your thoughts with another person not only reduces the stress levels but also might lead to discovering new ways to handle tough situations. Take proactive steps to be more friendly and sociable at work.

2. Manage work better

Try prioritizing better and not expecting perfection in every task. In case your role is over-loaded, try talking to your manager to reduce the load or if possible, delegate some work. Accept that you have certain limits to your productivity and do not try to prove yourself by over-working.

3. Get moving

It is a proven fact that exercises in any form reduces stress levels. Try to exercise for half an hour daily in the form walking, swimming, playing a sport or running. You can take short walking breaks at work that can add up to half an hour in a day.

Reduce weight with weight management products >>

4. Try breathing exercises

Breathing deeply for four counts on inhale and exhale can reduce stress levels immediately. You can try alternating breathing exercise i. E. Long inhale with one nostril and exhaling with the other nostril, which brings focus and energy in the morning before starting work.

5. Take a power nap

10 minutes of shut eye goes a long way in recharging your tired brain. Any longer than 15 minutes will end up making you groggy. Just put your head down on the desk, and clear your mind of all thoughts for 10 minutes.

6. Eat right

Food has a big role to play in determining our stress levels. Avoid processed food, sugar and high amount of refined carbs like flour, white rice etc. Maintaining your blood glucose levels by eating more complex carbohydrates that are slowly digested like ragi, jowar, bajra gives you steady energy levels throughout the day.

Take care of your sugar, liver, skin & more with ayurvedic products

7. Get enough sleep

Over-worked employees often cut back on sleep and try to squeeze in work at night. Over the long term, this practice can severely impact your health and leads to more stress. A restful night's sleep of at least 6 hours is mandatory for all adults. Lack of sleep causes irritability and diminished ability to deal with stress. Avoid looking at laptop, tv or phone screens when you are trying to fall asleep.

You have to take charge of your own work-life balance and draw the line where you feel uncomfortable since no one will do it for you. Over-working might give benefits in the short term in terms of recognition and promotion, but it causes emotional, mental and physical burnout in the long term. Stay healthy, stay happy.

4 people found this helpful

My 40 days old daughter is suffering from cough and more of cold. Which medicine should I give her?

BHMS
Homeopath, Faridabad
My 40 days old daughter is suffering from cough and more of cold. Which medicine should I give her?
Hello, Give her homoeopathic medicines which are very much safe to give even to the new born babies! Schwabe’s Alpha-CF and Biocombination-11 (either make them in powdered form or else dissolve in your milk), both after every 2 hourly for 3 days. Also use Nasoclear nasal drops. Management: -Avoid exposure to Air-conditioner or cold air (wrap in a warm stole). -Give her steam in a closed room twice or thrice.
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