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Dr. Saroja Shanmugam

Pediatrician, Chennai

Dr. Saroja Shanmugam Pediatrician, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Saroja Shanmugam
Dr. Saroja Shanmugam is an experienced Pediatrician in Padi, Chennai. She is currently practising at Rajan Nursing Home in Padi, Chennai. You can book an instant appointment online with Dr. Saroja Shanmugam on Lybrate.com.

Lybrate.com has an excellent community of 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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Rajan Nursing Home

No 43,Sathya Nagar,Padi,Landmark:Near To Sajred Heart School, ChennaiChennai Get Directions
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Thalassemia in Children - 4 Ways to Treat it!

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Thalassemia in Children - 4 Ways to Treat it!

Thalassemia is a type of a disease, resulting in the abnormal production of hemoglobin in the blood. Hemoglobin stimulates oxygen circulation all over the body. Therefore, a dip in the hemoglobin count can lead to anemia, a disease inducing weakness as well as fatigue. Acute anemia can take a toll on the organs and ultimately cause death.

Severe thalassemia in children yields symptoms, such as dark urine, abdominal swelling, slow growth, jaundice, a pale appearance and deformed skull bones. Diarrhea, frequent fevers and eating disorders are also common.

Treatment:

  1. Blood transfusions: Regular blood transfusion is the only treatment needed for beta thalassemia aiming to keep sufficient Hb level to avoid long-term complications, though bone marrow transplant is radical cure for the disease.
  2. Iron chelation therapy: The hemoglobin in the red blood cells is rich in iron-protein that gets deposited in the blood with regular blood transfusion. This condition is known as iron overload as it damages heart, liver and various parts of the body. Iron chelation therapy is used to prevent this damage as it helps to remove the excess iron from the body.  Deferoxamine and Deferasirox are two such medicines used for this therapy.
  3. Folic acid supplements: Folic acid being a B vitamin produces healthy red blood cells and is therefore recommended as a substitute for the above procedures.
  4. Transplant of blood and marrow stem cell: A blood and a marrow (a substance within the cavities of bones where blood cells are produced) transplant replaces the faulty stem cells with healthy ones contributed by a donor.
2493 people found this helpful

My daughter is 10 year old, she has started developing her body. We are worried about her puberty. Kindly advise how to delay her puberty.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not possible or needed to delay puberty which happens earlier than olden times in this generation. Any hormonal or other means to delay will give serious harms.
1 person found this helpful
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My daughter is 13 years old, she often suffer from sneezing, specially during early morning or at night. She continues to sneeze. Please advice some home remedy. As she takes citzin or avil medicine.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
If it is a long lasting problem, she may be suffering from allergic rhinitis. A clue to that would be other family members including parents or grandparents also suffering from some type of allergy. If so we would need anti allergy medicine, either orally or as nasal sprays.
1 person found this helpful
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My daughter started waking up during night since she was 8 month old, and till now gets up almost every hour (now 2 years), I had given her zentel a week before, please help im really tired now.

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
My daughter started waking up during night since she was 8 month old, and till now gets up almost every hour (now 2 y...
One of the reasons of her frequent waking up in night can be that she is feeling hungry try to feed her properly in dinner.
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Newborn baby2-3 days old only. Today she has 5 stools per day, green in colour. Is it normal? The baby is not taking breast milk. Cz the mother has not started lactating.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Newborn baby2-3 days old only. Today she has 5 stools per day, green in colour. Is it normal? The baby is not taking ...
Green stools are due to indigestion due to deficient mothers feed-------------mother should start taking homoeopathic medicine to increase her breast milk-------------- bloome-44 or milkosan (bioforce) drink 2 spoon 3 times daily--------
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My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to get on.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to...
Homoeopathic mdicine ALFALFA for CHILDREN ( Wilmar Schwabe India) Drink 1 spoon 3 times daily for 15 days.
1 person found this helpful
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My 3 months old baby is having some white headed rashes around anus. M worried. Pls help.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 3 months old baby is having some white headed rashes around anus. M worried. Pls help.
Avoid diapers. Keep part dry and clean. Apply siloderm cream over the area. If no relief, consult either pediatrician or skin specialist.
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My 3 years old son teeth is having small holes, please guide me what is the issue and solution?

MDS
Dentist, Guntur
My 3 years old son teeth is having small holes, please guide me what is the issue and solution?
It is a type of rampant caries use counter available fluoride foam/ approach a dentist for further care.
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33 weeks old boy baby born on 27th July now 5th day. My baby is now in icu. Baby and me are different hospital. My breast milk production started, now the breast have pain. How can I stopped temporarily. Dr. said baby will stay in icu still 4 days.

M.Ch - Paediatric Surgery, MS - General Surgery
Pediatric Surgeon, Kolkata
33 weeks old boy baby born on 27th July now 5th day. My baby is now in icu. Baby and me are different hospital. My br...
You do not need to stop lactation. Just express the breast milk as frequently as you can. There is no substitute to breast milk. Your baby will need the same when he comes back to you. If you do not do that, your milk production will automatically stop.
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I am a mother of an 11 month old baby. My LMP was 19 march it got over on 21 march. I have had an I-pill on 23 march. However, on 30 march I have my menses again. Is it normal or should I go for further consultation?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am a mother of an 11 month old baby. My LMP was 19 march it got over on 21 march. I have had an I-pill on 23 march....
Menses can come like this for a month or so after ipill specially if you r breastfeeding. This is normal response and needs no treatment copper t is best contraception for breastfeeding mothers.
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All About Diarrhea in Children

MBBS, MD - Paediatrics
Pediatrician, Pune
All About Diarrhea in Children

Diarrhea is a disorder that affects people of all age groups. Medically speaking, Diarrhea is a mechanism that the body uses to eliminate germs from the body. Usually this disorder lasts for a few days to a week. It is usually accompanied by nausea, fever and dehydration.

Children can be affected by diarrhea in a number of ways, some of them are:

  1. Infections: Various infections, such as the ones caused by rotavirus and salmonella bacteria can lead to diarrhea. Usually diarrhea in children is caused by viruses; if it is viral in nature, then it can also cause stomach cramps, headache and vomiting. It also leads to loss of fluid from the body. Hence, the child's fluid intake should be compensated accordingly. Usually oral rehydration solution that contains nutrient such as potassium and sodium are preferred.
  2. Medications: Intake of certain medications, such as antibiotics and laxatives can cause diarrhea in children. If the cause is due to antibiotic intake, then you should consult a doctor. The doctor may alter the dosage or ask to increase the child's water intake. Yoghurt may also help ease the symptoms of diarrhea if it is caused by antibiotics.
  3. Food poisoning: Diarrhea may also result from food poisoning; symptoms of this type usually disappear quickly. Along with loose and watery stools, the child may vomit frequently.

The major complication that results from diarrhea is dehydration. Severe dehydration may lead to severe brain damage and seizures. It may also cause symptoms of dry mouth, fatigue, dizziness and dark yellow urine.

Certain preventive measures are:

  1. Use your good judgment while eating outside. Do not consume food from places which use unhygienic modes of preparation.
  2. Make sure your child does not drink contaminated water and there is access to clean and filtered water all the time.
  3. Your child should be eating a balanced diet that primarily consists of vegetable and fruits. They also help in adding fiber to the diet that keeps your bowels healthy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
5441 people found this helpful

She is 8 years old child and her growth is not normal (3" 9 inch)and she is having unwanted hairs on skin. please suggest what we can do for it.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Give her protein rich nutritious diet and milk or milk products, vegetables, fruits, nuts and dry fruits of her choice. Give vitamin d 60, 000 units once in a month and calcium tab daily. Unwanted hair may be checked by either pediatrician or endocrinologist.
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My daughter is 2 years old and she has persistent problem of worms. Please suggest an effective homeopathic medicine except albendazole.

MD - Alternate Medicine, BHMS
Homeopath, Surat
My daughter is 2 years old and she has persistent problem of worms. Please suggest an effective homeopathic medicine ...
Hello lybrate-user. It needs proper consultation for that. There is no as such any specific homeopathic medicine for any diseases. This is basic principle of homeopathy. Better to get her properly consulted and treated. Take care. :)
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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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My daughter is advised to take attentrol10mg. She is 18 year old. She get lost and does not pay attention continuously. So doctor told us now that she is having ADHD problem. I just want to ask is it genetic or due to some other reason?

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
The exact cause of attention deficit hyperactivity disorder (adhd) isn't known. But it may run in families. Ongoing research is focused on finding the genes that cause a person to be likely to get adhd. A mother's use of cigarettes, alcohol, or other drugs during pregnancy may increase the risk for adhd.
1 person found this helpful
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My son is 5.3yrs old, he has stuffed nose and cold.How do I identify the wheeze? Medication for cold?

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Wheeze is a musical hissing sound which comes while breathing especially while exhaling the air. Usually they are found when patient is breathless during early morning hours.
13 people found this helpful
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Breastfeeding - Its Benefits for both Mother and Baby

Senior Residency, MD - Paediatrics, MBBS
Pediatrician, Gurgaon
Breastfeeding - Its Benefits for both Mother and Baby

Being a mother is the greatest gift to womankind. With the most amazing feeling of being a mother, comes big challenges and responsibilities. The first and foremost being, keeping the baby safe and healthy. Providing babies their best start begins with breastfeeding. Doctors around the world recommend exclusive breastfeeding to begin within the first hour of a baby’s life and continue until six months.

A mother’s milk has no substitute. It is packed with amazing nutritional benefits, the absence of which can lead children at risk of malnutrition and various diseases. Breast milk is often being termed as complete food with added antibodies, enzymes, hormones and fatty acids extremely vital for a delicate immune system of an infant. Babies build their immunity in the first few years of their life and breast milk is critical to developing immunity.

UNICEF working on child’s rights and well-being world over promotes breastfeeding schemes across many countries.

According to UNICEF reports, a non-breast fed child is 14 times likely to die within first six months than an exclusively breastfed child. An estimated 8,20,000 children under the age of five could be saved each year with increased breastfeeding. However, Only 38% of infants globally are breastfed. Looking at India’s state, Malnutrition continues to be one of the greatest challenges. One cost effective, safe and smart intervention to curb malnutrition and decrease infant mortality is breastfeeding.

Let’s now look at the benefits of breast milk for infants and mothers:

  • Breast milk is found to reduce the risk of respiratory tract infections, diarrhea, asthma, food allergies, leukemia, diabetes and celiac disease.
  • Psychologists have long established the positive effects of mother’s touch in the emotional development of babies. In addition to this, breastfeed has positive effects on child’s cognitive development.
  • Breastfeeding has amazing benefits for mothers. It is found to aid weight loss post pregnancy. It promotes better uterus shrinkage and delays menstruation. Lactating mothers naturally avoid pregnancy till they breastfeed. It reduces the risk of breast cancer, cardiovascular disease and rheumatoid arthritis later in life.
  • Considering the benefits of this super natural milk, many countries have now adopted an international code of marketing of breast-milk substitutes. The code promotes breastfeeding and restricts marketing of infant formula milk. India along with many other countries signed it.

India has also begun with a baby friendly hospital initiative where hospitals educate new mothers regarding breast feeding and strictly discourage infant formulas wherever possible. The myth of feeding newborn babies with honey, water, sugar does more harm than good. Thus, it is vital to exclusively breastfeed the baby at least for six months before introducing other foods. 

Ensure your child’s right to a healthy life through breastfeeding!

3 people found this helpful

Pain is feeling by passing urine in 11 year male children, docter told that the hole of urinary track is small so he need surgery, some other docter told that no need surgery, the problem can be solved by taking antibiotics we have confusion to come correct decision.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
First try with antibiotic for few days only if no relief then think for surgery. Its very small n day care surgery considering age do not give more n different type of antibiotic otherwise immune system effected. Best wishes.
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