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Dr. Sankaranarayanan

Pediatrician, Chennai

250 at clinic
Dr. Sankaranarayanan Pediatrician, Chennai
250 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. Sankaranarayanan
Dr. Sankaranarayanan is one of the best Pediatricians in Kasthuri Hospital, Chennai. You can meet Dr. Sankaranarayanan personally at Kasthuri Hospital in Kasthuri Hospital, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sankaranarayanan on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 36 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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#119, Shanmugam Road, Thambaram West. Landmark: Opp. to Mocque, ChennaiChennai Get Directions
250 at clinic
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#119, Shanmugam Road, Thambaram West. Landmark: Opp. to Mocque.Chennai Get Directions
250 at clinic
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Nursing Bottle Caries- Causes and Management

Certified Implantologist, Aesthetic , BDS
Dentist, Gurgaon
Nursing Bottle Caries- Causes and Management

Nursing improperly often becomes a big reason for tooth decay and caries in babies. The way out is to get the baby tooth cared for from the very first day. This form of tooth decay is associated with nursing, when the baby sucks the pacifier, or takes other sugary juices or drinks, or formula milk from a nursing bottle.

The main causes of nursing bottle caries:
The babies are often fed in nursing bottles or feeding bottles, and the bottle nipple often stays in the mouth for long; sometimes overnight also if not taken care of. Again, the babies are pacified with pacifiers, which are often dipped in honey or a sugar solution, and this again brings in more reasons for dental caries. In any of the situations described, the baby's newly formed teeth which are susceptible to all forms of decay and damages while being gentle and new can get cavities. The sugary liquids and milk can form a coating on the teeth which brings in cavities.

How to prevent the nursing caries:
The best option to prevent is not to leave the baby with the bottle or pacifier for long. Again, the pacifier or the bottle should be always washed properly, sterilized and not left in the mouth of the baby uncared, especially during sleep time, when the baby sleeps while sucking onto them.

There are some steps to follow to prevent the early tooth decay and maintain baby dental hygiene. They are:

1. Even before the first tooth comes out, massage and clean the baby's gums with a clean washcloth or soft cotton everyday, and after every long feeding.

2. You don't need toothpaste to start brushing the first few new teeth that come out. Just brush without a toothpaste and use a very soft gentle brush to form the habit. In areas where no tooth has come up, brush and massage the gums only.

  • When all the teeth have come up, start flossing everyday
  • Try to take the baby for a dental checkup at least every year if not every six months.
  • Try to cut down on the consumption of extra sweet beverages. Add some water to the fruit juice to dilute the concentration and sweetness.

All these steps mentioned are great to start healthy and good dental care and hygiene, and if you follow them well, then dental caries will be away.

4365 people found this helpful

Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti fuliya ho gai he. Kya karu?

Homeopath, Raebareli
Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti  fuliya ho gai he. Kya karu?
Don't worry, patient may be suffering from measles (rulea virus) and incubation period 20-21 days and also suffer from cough, fever, cold etc. Suggest - complete bed rest. Homoeopathic medice- 1- variolinum- 30 (3 dose, alternate day) 2- belladonna- 30 (od)
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My son aged 8 yrs. He suffer from alergic cough from last 2 months. Please advice the treatment.

DNB (Respiratory diseases), MBBS
Allergist/Immunologist, Nagpur
Allergic cough is most commonly due to nasal allergy. Nasal secretions drop from back of nose over throat leading to repeated cough. I can help.
1 person found this helpful
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Brush Your Teeth Regularly

BDS, Basic Life Support (B.L.S)
Dentist, Pune
Brush Your Teeth Regularly

Brush twice a day, keep tooth problems away: brushing twice a day removes the tiny left out food particles from the mouth and keeps it fresher and cleaner.

2 people found this helpful

I am losing hair fall. Which shampoo is better to control hair fall and home remedies for hair fall. I want to reduce my weight. Can you tell some tips for weight loss. What are the weaning foods for 5 month old baby.

BHMS
Homeopath, Sindhudurg
I am losing hair fall. Which shampoo is better to control hair fall and home remedies for hair fall.
I want to reduce...
Hibiscus leaves or flowers well, this is the best ayurvedic home remedy for hair loss. Hibiscus flowers and leaves can be very helpful in preventing hair loss and to promote hair growth. Hibiscus flowers are used as an effective cure for split ends and dandruff as well. Heat 12-15 hibiscus flowers in 2 tablespoons of coconut oil. Strain the solution and collect the oil. Apply this concoction to the scalp and hairs, leave overnight and wash in the morning. To use the hibiscus leaves, grind them into fine paste and apply the paste to the scalp and hairs. Leave it on for 30 minutes to 1 hour. Rinse off with plenty of water. This controls the hair loss automatically and promotes hair growth. Hibiscus leaves for strong and long hair.
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I have a baby who was 34 weeks born. He was fare enough when he born. And he was put in ICU for 10 days and he has lost his skin colour he is so dark now. He s one year old now. Whats the solution.

MBBS , DCH ,MIAP ,PGDHA
Pediatrician,
I have a baby who was 34 weeks born. He was fare enough when he born. And he was put in ICU for 10 days and he has lo...
The stay in icu did not cause the skin colour to change. Please try to get over the obsession for fair skin. Having a healthy baby is more important.
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My daughter is 3 months old. I feel to continue at least for 1 year My milk supply is very low please give me prescription to increase breast milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 3 months old. I feel to continue at least for 1 year My milk supply is very low please give me prescri...
More suckling gives more production of milk. Keep baby on breast till either baby is satisfied or breast is emptied. In case breast becomes empty and baby is still hungry, give him top feed which to be kept ready. Give exclusive breast milk till 6 months of age.
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Can we use shampoo for a 3 yrs old child if yes then which brand shampoo can we use.

C.S.C, D.C.H, M.B.B.S
General Physician,
No it is safe to avoid. Regarding online consultation there are certain points which all should know and follow the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin or I have thyroid disease, cannot help a discerning doctor give a scientific advice. 2) it is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch in case of new-born babies and for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer.
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My daughter is 2 years old girl. She eats idli, 2eggs white, 2 banana, 3 times pasteurized milk; and some biscuits and chocolates, and apple juice, vegetable soup, rice with any curry. .she is not becoming fat why. Suggest me.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 2 years old girl. She eats idli, 2eggs white, 2 banana, 3 times pasteurized milk; and some biscuits an...
It is better to remain non fatty and active . Fat is obesity and a disease. Try not to make her fatty .
1 person found this helpful
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My grandson is two years old yet he is not speaking. We are doing speech therapy, can we consult a children phycotist?

MD - Paediatrics
Pediatrician, Chandigarh
Does he makes sounds? babbles speaks monosyllables like mama papa dada? if yes then there is mild delay in speech. If not get his hearing assessment done.
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Hi doc, my 45 days old son is around 4.2 kg and his birth weight is 3.4 kg. Doc told his weight gain is too slow. I am on breastfeeding. He is around 56 cm in height. I am really worried. He is peeing and pooping. He looks quite active and normal. I am really confused. Please suggest whether I need to introduce formula or other supplements for his weight to peek.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi doc, my 45 days old son is around 4.2 kg and his birth weight is 3.4 kg. Doc told his weight gain is too slow. I a...
Continue breastfeeding, your baby is growing normally & weight gain will be seen in near future. Supplement semisolid/liquid diet at 6 months of age. No need to start any formula feeds.
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I have a baby girl age is 5months. After drinking milk she always feeling vomiting. When it will lost.

MBBS
General Physician, Chandigarh
I have a baby girl age is 5months. After drinking milk she always feeling vomiting. When it will lost.
After feeding the baby hold her upside on your shoulder pat her back softly till she burps and lie her down only after half an hour of feeding.
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My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have any bad effect?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), Fellowship in Pediatric Critical Care (IAP)
Pediatrician, Delhi
My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have an...
Yes, you can give. These vaccines provide better immunity according to latest literature. Usually these Vaccines have few mild side effects mainly fever which subside on medication. Serious side effects are very rare.
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Which vitamins boost mind power in child at age 6.?

M.D.( Pediatrics), DCH
Pediatrician,
Loving behaviour of the parents with the child can boost mind power not only at 6 years but it start right at birth of the child.
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Can I give both ostocalcium and orofer XT syrup to my son together, if yes then can it be given at same time or at different time interval.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Can I give both ostocalcium and orofer XT syrup to my son together, if yes then can it be given at same time or at di...
ideal way to give orofer is in morning hours while child is almost empty stomach . ostocalcium shall not be given together , best way is to keep 2-4 hours gap, suitably with milk.
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How to increase breast milk in quantity for baby? Any medicine or any natural remedy.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Many people ask this question in a mistaken belief that the milk production in the mother is less. Most often it is not true. If the baby is passing plenty of urine, 5-6 semi formed stools per day and if the baby is gaining weight, the breast milk is sufficient. However to ensure good supply of milk, the mother must feed the baby often to ensure the" let down reflex" which happens only when the baby suckles. Drink plenty of water and take frequent small nutritious meals.(extra calories 300-500, in form of ghee, butter are helpful. Stop worrying. Stress reduces milk production. Have sufficient privacy, nurse the baby in peace. Methi dana, zeera plenty of dal and vegetables and fruits will do the trick. Enjoy the feeding, don't treat it as a burden. Take help from an experienced person.
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My grand daughter 4 years old female baby affected by sight not clearance. While we check ,doctor told the sight is slowly vanishing. She also affected by heavy head ache. Please advise .

BHMS
Homeopath, Raebareli
My grand daughter 4 years old female baby affected by sight not clearance. While we check ,doctor told the sight is s...
Please do a mri brain and send it to me. Also send the optometry report. Also give her a glass of milk daily. Let me know if there is a genetically predisposition for her complaints.
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Super fact of the day - 28th October, 2015

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Super fact of the day - 28th October, 2015
A baby starts off life with 350 bones. During growth, bones fuse together and an adult ends up with only 206!

Would you like to share this interesting fact with family or friends? go ahead and share!
144 people found this helpful
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