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Dr. Saravanan Sivanithi

NDT

Pediatrician, Chennai

12 Years Experience  ·  at clinic
Dr. Saravanan Sivanithi NDT Pediatrician, Chennai
12 Years Experience  ·  at clinic  ·  ₹ online
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Saravanan Sivanithi
Dr. Saravanan Sivanithi is a popular Pediatrician in Adyar, Chennai. He has been a successful Pediatrician for the last 12 years. He has done NDT. You can meet Dr. Saravanan Sivanithi personally at PEDIATRIC THERAPY ASSOCIATES in Adyar, Chennai. Book an appointment online with Dr. Saravanan Sivanithi and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 41 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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Education
NDT - U.S - 2004
Languages spoken
English

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17,2ND Avenue, Sastri Nagar, M G Road, AdyarChennai Get Directions
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My child is 17 months old, he has got a vomiting problem. Even if he' s got a normal fever, he vomits several times a day. Even in coughing, he vomits several times a day. In a simple problem like crying, irritation, normal fever, teething problem, runny nose, he vomits several times a day. We diagnose him and medicine works but after few days, again same problem. What may be the reason? how to diagnose him better? is there any problem with his intestines? please advice.

Pediatrician
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If there is frequent vomiting since birth / early infancy, as you have described he may be having gastroesophageal reflux, if his weight gain is not appropriate for his age ~8-10 kg, he may need evaluation for his recurrent vomiting, a milk scan which detects gastroesophageal reflux, usg abdomen may be the initial investigations to be done to find his cause of recurrent vomiting

MD - Paediatrics, MBBS
Pediatrician
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Dr. Sanjeev Kumar
today
Dr. Sanjeev Kumar
2 days ago
To prevent nappy rash,change nappy every six hour atleast.Between the changes,keep baby dry and naked for some time,then apply coconut oi

My son is 6years old. His weight is 23 KGS. And height is 4ft. But is very thin as if he is very weak. Wants to lie down always I have to force him to eat 3 meals and fruits. But with lots and lots of pressure. He has adenoids. He is been treated for the same. Please help.

MD-Pediatrics, MBBS
Pediatrician
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His wt is appropriate for his age. If he is cpmplaining of weakness get him examined if he is having some defficieny eg-iron, thyroid, vit d.

After 6 month what type of food I can give to my baby?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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Continue breast milk and add homemade soft porridge like semi solids, depending on where you are and your culinary practices.

She is weeping since her birth we have done all medical test which is good but when we give her painkiller (superspas) she remains quite for sometime so please give me suggestion what I do for my baby to control her weeping.

C.S.C, D.C.H, M.B.B.S
General Physician
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She is weeping since her birth we have done all medical test which is good but when we give her painkiller (superspas...
It could be colic and related to feeding practice . You avoid bottle feed and feed from a cup or glass anything other than breast milk . Burp gas properly . Colic aid is natural intestinal tonic for colic

My baby girl is 6 months old. Apart from breast milk what else can I feed her?

MD - Paediatrics, Diploma in Child Health (DCH), MBBS
Pediatrician
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Continue breast milk. Start breakfast which can consist of pureed apple/banana, start with one teaspoon and gradually increase to 15 teaspoons in a period of 10-15 days. After 10 days, add pureed dal for lunch, again starting from one teaspoon and gradually increase to 15 teaspoons in a period of 10-15 days. After another 10 days, add dinner, which can be flowing Cerelac or Suji Kheer. Starting with one teaspoon and gradually increase to 15 teaspoons in a period of 10-15 days. Just remeber each meal must be followed by milk and the child should continue with normal breast milk in between the meals. Weaning is a gradual process so go slow.

I have a one month baby and baby's hand and forehead is covered with lots of hair. Please suggest medicine or remedies for removing these hairs

DNB (Pediatrics), MBBS
Pediatrician
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This may be normal in newborns which needs no treatment but can be a serious disorder also. Need to know more about him.

My daughter is 4.5 years old she has not passed stool since 12 days she is on homeopathic medicine what should I do she is very fussy in eating wants only plain white rice no dal n no vegetables only chicken or egg.

MD - Paediatrics
Pediatrician
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She is suffering from constipation. She should be on a good fibre rich diet. Give plenty of water. As she has not passed stool for last 12 days. Initially rectal enema or suppository is to be given followed by regular laxative along with a good diet plan. As constipation is a chronic problem in most cases and most common cause is habitual constipation. You must ensure a regular bowel time after a drink irrespective of passage of atoll. She will be sitting for sometime say 10_ 15 minutes in a fixed time daily in a indian style toilet.

My sister blessed with baby boy. Today 22nd day. Still she is not getting milk sufficiently. What is treatment for increasing of milk for her? Please suggest me.

C.S.C, D.C.H, M.B.B.S
General Physician
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My sister blessed with baby boy. Today 22nd day. Still she is not getting milk sufficiently. What is treatment for in...
By constantly fondling the baby and feeding illl improve milk in most women. There is an ayurvedic capsule Lactare which is promoted as milk increasing product

My son is 7 months old and he has watery eyes.What may be the reason? and treatment?

MD - Paediatrics, MBBS
Pediatrician
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Massage at the nasal end of eye,5 times,clean from nose end to ear end of eyes with boiled cotton swabs,then obra eye drops .All this four times a day for one month

Hello gynecologist mam, I just want to know for new born baby when we can identified like whom. She looks like exactly? Now she s looks like my husband 20 days completes. For her.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician
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Hello gynecologist mam,
I just want to know for new born baby when we can identified like whom. She looks like exactl...
Your query is a very common concern paediatricians are confronted with. Unfortunately, there is no test which could tell whom with the child resemble more, the mother ot the father. At times, it is seen that some kids resemble family members other than parents, like grandparents.

My son is 1 year 2 months old and has constipation right from beginning. I do not encourage to many medicine's. please guide me what should I give him as at times he beads and cry while passing stool.

MD, MBBS
Pediatrician
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My son is 1 year 2 months old and has constipation right from beginning. I do not encourage to many medicine's. pleas...
If only milk fed than reduce numbers of milk 3 times a day and give solid food 3-4 times he should improve.

Hi. I have a baby who is 4 months old. From today morning he suddenly starts crying and then cry for a while. We are nit able to figure out the reason. He is taking feed properly and there was loose motions in the morning only once.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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Hi.
I have a baby who is 4 months old. From today morning he suddenly starts crying and then cry for a while. We are ...
If baby is taking feed properly, there may be chance that he may not be getting full feed or had been over fed which is less likely since he has crying since morning. An other reason may be discomfort for any reason. Look for that. One or two loose motion in a day is normal. I hope he must be on exclusive breast milk.

New born baby 50 days of age have loose stool. Please tell best medicine for this.

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician
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New born baby 50 days of age have loose stool. Please tell best medicine for this.
If the child is breast fed the loose stools are normal. Even if it's more than 10times in a day. As long as child is passing adequate urine. Feeding well. Active.

My daughter is 1 and half now her weight is very less every month she gain only hundred grams. She wake up in midnight and start crying.

C.S.C, D.C.H, M.B.B.S
General Physician
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My daughter is 1 and half now her weight is very less every month she gain only hundred grams. She wake up in midnigh...
YOu need to tell her weight and check her blood CBC and TSH and inform and the cry canbe colic and if you bottle feed you stop it an feed with a spoon and breast feed. You can also give anti colic drugs also

Is baby sleeping in womb? if yes, so which time?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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Is baby sleeping in womb? if yes, so which time?
Baby' sleeping is different from ours. But baby will be silent and we can call it sleeping especially when the mother is active and moving. Then baby will be feeling like rocking in cradle. Baby is then active and moves at night when mother is quiet.

International Academy of Classical Homeopathy, BHMS
Homeopath
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HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

My son 1 year and 5 months old he suffered from cystic fibrosis. Still we are continuing medicine. My son weight s only 6.5 kg. What can I do for weight gaining?

Pediatrician
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Keep a clean and smoke, dust free environment, preventing any respiratory problems, any illness contracted would take along time to recover hampering his weight gain, give small quantity high calorie diet in consultation with a dietitian.

My Son is one year old . Facing cold & cough again & again also what should I feed him bcz he not wants to eat cerelac , dal etc. What should I give me ?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My Son is one year old . Facing cold & cough again & again also what should I feed him bcz he not wants to eat cerela...
For repeated cold, do not use any antibiotic. To increase immunity, give vitamin a 60, 000 units daily for 3 to 4 days. Give him food of his taste, if he refuses one item, try another, not all at a time. Don't force feed.
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