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Dr. Sarath Chander

Pediatrician, Chennai

150 at clinic
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Dr. Sarath Chander 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. Sarath Chander
Dr. Sarath Chander is a renowned Pediatrician in Kolapakkam, Chennai. He is currently practising at sarath in Kolapakkam, Chennai. Save your time and book an appointment online with Dr. Sarath Chander on Lybrate.com.

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My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia . Her pediatrician suggested brain MRI as there may be problem with nerve and told that her legs are week. Please help us with your advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia ....
It is to be assessed whether baby is not able to stand due to delayed milestones or some other pathological reason. Child is already under care of pediatrician. Trust your pediatrician.
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My 22 month baby has been suffering from loose motion from last 3 day. I already given him o2 syrup but. Not effective so please kindly provide my some suggestion and medicine name or any gharelu upaye m waiting please suggest me.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
My 22 month baby has been suffering from loose motion from last 3 day. I already given him o2 syrup but. Not effectiv...
Viral infection is most common cause of diarrhea. It subsides by its own in 5-7 days. Only treatment is that give him home made soft bland diet like rice, khichdi, boiled potatoes, curd, tender coconut water etc along with plenty of water and ors. Keep watch on urine output and activity of baby. If looking lethargic consult paediatrician. But if stool is greenish, sticky or bloody then it should be checked in lab and if any pus cells, mucus, blood or parasites are found then only antibiotics should be given.
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I need some information about my baby she's 17 days old in head water no noise upper lip cut I am submitting her reports CT scan ultrasound.

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
I need some information about my baby she's 17 days old in head water no noise upper lip cut I am submitting her repo...
Hi as you mention about water retention in the brain that is called as hydrocephalus, the treatment modalities for the same depends on the degree of the hydrocephalus, the ecological factor for which we must know the ct scan findings and ultrasonography findings, but as far as hydrocephalus is concerned, it does require medical or surgical intervention depending on the severity of the disease.
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What is the effect to stop adwize tablet after taking this tablet for 3 and half years to cure my autistic child now aged 13 years, who is also is an epilectic patient.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.
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Growth Failure- Is Your Child Short?

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Fatehpur
Growth Failure- Is Your Child Short?

Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible. 

Why to worry?

Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem. 

When to worry? 

Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys. 

What causes growth failure? 

Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy). 

How can I improve my child's growth?

Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth. 

What can be done if my child is very short? 

Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease. 

Time is important- act now if your child is short.

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How is Homeopathy is Beneficial for Your Child During Exams and Result Time?

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow

How is Homoeopathy beneficial  for your child during exams and result time?

Some Kids take tests with no tension at all, some get a bit nervous and tense, while others suffer with tummy aches, restlessness, headaches, nerves, mental dullness and an inability to focus. Just as some bodies overreact to allergens or toxins, others overreact to stresses like tests, public speaking or performing.

Fortunately homeopathy does not discriminate. Its applications include mental, emotional and physical symptoms equally. Without slowing, accelerating, depressing or stimulating mental function, our safe natural homeopathic remedies help the body steady its responses and maintain a healthier balance.

One gets the first bitter taste of stress in the adolescent years. There is pressure to perform well in exams, an anxiety whether one will be accepted by peers and to add to it all, difference in generations cause many arguments. All these lead to stress in susceptible youngsters. It is important to deal with stress at this stage because it lays foundations of the mental make up of individual for the years to come.


 

EXAM ANXIETY

The most common form of student stress is exam anxiety. Marked by a feeling of panic, the student feels upper pared for the exams, almost every student experience exam stress. To some extend exam anxiety functions as stress and motivates students to put in greater efforts while studying However, at times it gets it gets out of hand and the inevitable result is distress.


 

Initial symptoms of exam anxiety are:

  • Increased perspirations.

  • rapid heart beating.

  • Upset stomach.

  • Tense muscles.

  • Headache.

 

However when full-blow distress, then the following symptoms are observed:

  • Inability to focus and understand.

  • Difficulty in retrieving key words and concepts.

  • A ‘blank feeling when one tries to remember the answers.

  • Remembering the answers after the exam is over.

  • The unfortunate result of excess exam stress is that the student fares badly in exams in spite of having worked hard.

The other common stressors faced by a student are…

  • Failure in examinations

  • The first year’s college, requiring adjustment to new study material and people.

  • Transfer to another college/educational institutions.

  • Economic burden of higher studies.

  • Problem with teachers.

  • Being expelled or having to quit college.


 

Homoeopathic approach…

Since this form of distress spoils the performance of even the brightest of students, it becomes a matter of concern and requires treatment at the right point of time we treat distress forms of exam anxiety through a group of specific homeopathic medications. These medications function by controlling and reducing the extent of exam anxieties as perceived by the human body. These in turn work by controlling stress levels and preventing symptoms of distress from setting in, thus giving the student a chance to perform at his/her best potential.

A further advantage of the treatment that homeopathy has no side effects, like drowsiness, insomnia or trembling, unlike conventional treatment. And also we guide to our patient yoga, prename and meditations under our treatment, improved his mental ability and patient free from his mental disease.


 

Few of the problems where homoeopathy improves your child are-

  • Staying focused and sharp – common situations, such as jitters before an exam or job interview, poor concentration, exhaustion from overwork, and eyestrain from prolonged computer use.

  • Exam apprehension and stomach upset before exams.

  • Nervous before public speaking ,orals,viva or exams .

  • Poor Concentration, Stress, and Overwork.

  • Inability to relax and over-stimulated mind.

  • Eyestrain and muscle stiffness.

  • Humiliation,shame and Failure.

  • Reprimand/Criticism and Bullying.

  • Worry and Fear of failure.

  • Depression,anger,irritability  and agitation.


 

2016, Naina Homoeo Care by Dr Sameer

My daughter is 8 years old and her weight is 14. What to do to put up her weight. She does not eat properly.

MBBS, MD
Pediatrician, Gurgaon
My daughter is 8 years old and her weight is 14. What to do to put up her weight. She does not eat properly.
stop market junk food. prepare cereal based paratha both the time adding salt ,ALU,dal onion etc.every time new.serve with small amount of curry,curd,milk.add chocolate powder if available. give oily biscuits.
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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 boy of 12 days is of 3 KGS he is breastfeeding now how can I increase his weight.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby boy of 12 days is of 3 KGS he is breastfeeding now   how can I increase his weight.
Weight shall increase normally, if baby is taking normal feed exclusive breast milk up to 6 months of age. 3 kg at 12 days is quite good.
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Hi, my son is 2 months. Now a days sometimes he goes to deep sleep and don't take feeding for more than 5 hours. Is it normal? What should we do to give him regular feeding like once in 3 hrs types.

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
Hi, my son is 2 months. Now a days sometimes he goes to deep sleep and don't take feeding for more than 5 hours. Is i...
You can wake him up at set interval to feed or if baby sleeps comfortable then can wait 4-5 hours and feed once they get up and would be more comfortable if they sleep after a good feed.
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My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. We are giving her enfamil a+ and rice dal. Please suggest what to do ?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. W...
You give her only breast milk. If you give bottle feed stop it and give with cup and spoon. Check her tsh and inform me. As you are giving formulas give boiled water frequently and send me report.
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At time of birth my baby weight 2.9 and decrease to 2.33 kgs and gradually increase 3 kgs now she is finished her 3rd month my baby weight is 4 kgs. Is it good? Can I start cerelac? I don't have breastfeeding my baby won't nursing from the beginning. When I started she cried and won't suck milk. I used nestle Nan 1 and my milk through nipple shield. How to increase my baby weight.

C.S.C, D.C.H, M.B.B.S
General Physician,
At time of birth my baby weight 2.9 and decrease to 2.33 kgs and gradually increase 3 kgs now she is finished her 3rd...
This weight is less than normal weight at this age. But ther is nothing to fear. You should not feed in bottle but feed with a spoon or baby sipper. Cerelac and other homemade semi solids can be started from 4th month onwards
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Common Orthopedic Disorders In Children

M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
Common Orthopedic Disorders In Children

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

  1. Flatfeet: While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.
  2. Toe Walking: Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.
  3. Pigeon Toes: In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.
  4. Knock-Knees: It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.
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My baby is 3.5 month old after feeding after a burp still she remove milk or curdling y is happening also is it compulsory to give injectable polio bcos it is highly not available. And she also has gas issues.

MBBS, MD - Paediatrics
Pediatrician, Hyderabad
My baby is 3.5 month old after feeding after a burp still she remove milk or curdling y is happening also is it compu...
Sometimes small amount of vomits may occur even after burping. It is common in this age. Try to place a folded towel under her shoulders so that the regurgitation of milk is reduced. IPV is mandatory, yes. But you can receive it whenever available. 2 doses within 2 years of age is sufficient for immunity.
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My 6 year old daughter is suffering from vitamin d deficiency and under weight what diet do you suggest please advice.

MBBS
General Physician, Mumbai
Main thing is make her take daily sunbath from 8 am to 10 am for a year and make her eat nutritious food as per her taste
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My daughter is 7 months old and the problem is ,she's don't like any types of food, including milk she take just only feeding ,no fruit juice, no boil vegetable cerelac cerelac is safe for child she eat only 3 or 4teaspoon and her weight is remained same from last 3 months 6.450 is it ok please suggest I am very worried.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 7 months old and the problem is ,she's don't like any types of food, including milk
she take just only...
Don't do force feeding. Start semi solids with one item like dal, khichadi, suji kheer etc what ever amount she takes that shall develop her taste too. Additional top milk with spoon (no bottle). Suji kheer is as good as cerelac. Her weight is with normal range.
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Hello My baby is not passing out potty from last two days. He is only depends on mother feed. What should I do. Is it normal.

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
Hello My baby is not passing out potty from last two days. He is only depends on mother feed. What should I do. Is it...
Yes it's normal. You can wait till 6/7 days also if baby is on breast feed. And till baby is comfortable.
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My daughter 2 years old, she suffering from fever last 15 days, we have taken treatment from two doctors in Haridwar, 1 st doctor Dr. Dixit from Dev Bhumi Hospital couldn't diagnose any problem. On 12th Sept suggest it's Pneumoniae.(from 09th Sept to 12th Sept,) We changed doctor on 12th Sept Dr. Anjul Shrimali in metro chhaya hospital till date. First he diagnosis Pneumoniae. If we stop medicine fever remain come up to 101'F, so checkup for typhoid, pls find typhoid report, his medicine is still continue. But stop the medicine, fever remain come back up to 101'F. This doctor also suggest for second opinion.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter 2 years old, she suffering from fever last 15 days, we have taken treatment from two doctors in Haridwar,...
Since fever is not associated with any other symptom n lasting for 15 days, it is advisable to stop all medicine n to maintain temp chart 4 times in a day for 4 days. Give paracetamol 125 mg if temp > 100' F n repeat after 6-8 hours if needed. Get blood tested for GBP/ PBS and urine R/e. Give him normal light diet and keep well hydrated. Then you may come back. There is no harm to take an other opinion.
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