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Dr. Sengottuvel

Pediatrician, Chennai

Dr. Sengottuvel 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. Sengottuvel
Dr. Sengottuvel is a popular Pediatrician in Anna Nagar East, Chennai. You can meet Dr. Sengottuvel personally at Dr.Karpagam's Clinic in Anna Nagar East, Chennai. You can book an instant appointment online with Dr. Sengottuvel 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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F-71, Anna Nagar East,Landmark:Balaji Bhavan Hotel, ChennaiChennai Get Directions
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Oppositional Defiant Disorder in Kids - How to Deal with it ?

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Oppositional Defiant Disorder in Kids - How to Deal with it ?

A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.

  1. Repeated temper tantrums
  2. Anger bursts, swearing, using obscene language
  3. Extremely argumentative, especially with people in authority (teachers, parents, etc.)
  4. Annoying others and getting annoyed easily
  5. Noncompliance to rules and regulations at school and institutions
  6. Defending one’s mistakes and blaming others for it
  7. These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.

Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

  1. Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
  2. Cognitive-behavioural therapy tries to mould the behaviour.
  3. If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
  4. The child also needs to be trained for appropriate behaviour under different circumstances.
  5. Rewards for positive behaviour and punishments for negative behaviour are useful ways.

Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3627 people found this helpful

My 9 month baby girl is only 6.3 kg wight. She was the same in 6th month. Afterthat there is wt gain. I am diabetic and feeding mothers feed. How could she gain weight.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My 9 month baby girl is only 6.3 kg wight. She was the same in 6th month. Afterthat there is wt gain. I am diabetic a...
Hi lybrate-user, thank you for your qjery. Generally birth weight doubles by 6 months of age and trebles by 1 year of age. For example, if a baby born with 3 kg weight, baby will be 6 kgs at 6 months and 9 kgs by 1 year of age. Give her breast feeds and continue to give complimentary feeds 3 to 4 times in a day. Make feeds calorie rich by adding a few drops of ghee or edible oil. Hope I have answered your concerns. Regards, Dr. E venkata ramana.
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Hello Doctor, My son is 3 months old from last Saturday he is suffering with cold and cough. Cough is very high. Coughing like as a elder. I consulted the doctor but no use from Saturday onwards I am using astha kind drops phenylephrine drops and also nasal drops. Not only these but also zinger crude with honey and tulasi crude. Daily hair is applied with castor oil. From last 2 days he is vomiting milk daily 2 times. nebulising is also done in 3 times. He is coughing continue up to 1 min. No fever so please give me suggestions. I can not see my child in this condition his voice also decreased up to 50%from last Sunday onwards. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Physician, Calicut
Hello Doctor, My son is 3 months old from last Saturday he is suffering with cold and cough. Cough is very high. Coug...
Dear lybrate-user, hope you are breast feeding your baby. As it will protect the immune system of your baby. For cold, use nasal saline drops in each nostrils 2 to 3 times. Let him lie in a head elevated position. Use yashti madhu churnam + honey, make into paste and let him leak it in small dose 2 to 3 times. Or sitopaladi churnam with honey. Heat til oil with small quantity of saindhava lavana (available in ayurveda shop. And apply on chest, lukewarm. Cover him fully when taking out. Don't lie him straight under the fan or switch off ac. Avoid head bath for 3 days. Bath him with warm water. If fever is present, show immediately to your nearest paediatrician.
1 person found this helpful
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Hello, My son of 3 years old keeps falling ill twice a month And runs high fever so every time doctor suggest a course of antibiotic. Like azithral cefixime and zenflox. We recently did his cbc, ultrasound of abdomen, urin test and everything comes normal. Is taking so many medicines safe. Are there any health concerns in the long run. Should we introduce pediasure or any supplement.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello,
My son of 3 years old keeps falling ill twice a month And runs high fever so every time doctor suggest a cours...
You have not mentioned range and duration of temp. Fever twice in a month relapse after a fortnight which may be due interrupted treatment for a definite cause of fever as various antibiotics used may not have been for sufficient time. Antibiotics are not safe if used unnecessary. I suggest, next time, to maintain temperature chart of 4 time for three to four days without medicine. If temp is > 101 degree f, give him 10 ml paracetamol. You may get back after that. House hold foods are better than pedisure.
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Hi .my daughter is 10. 8 years old. Which vaccination should be given in this age? Pls suggest.

DHMS (Hons.)
Homeopath, Patna
Hi .my daughter is 10. 8 years old. Which vaccination should be given in this age? Pls suggest.
hello, lybrate user, you should go for a routine check of your daughter to ascertain the need of vaccination, please. tk care.
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Hi I'm Naveen 23 male .Is milk really help to me b'coz some doctor said Cows milk is for baby cows and not humans. Milk is needed only till your weaning period is over after birth. That is 1-1.5 years after birth. No animal drinks the milk of another animal. Which one is correct can I take milk?

DHMS (Hons.)
Homeopath, Patna
Hi I'm Naveen 23 male .Is milk really help to me b'coz some doctor said Cows milk is for baby cows and not humans. Mi...
Hello, Milk is a balanced food ,essential for healthy human being. * It provides calcium,proteins, minirals + water. To nourish the body. * 1 glass of lukewarm milk taken at bed time regulate metabolism preventing constipation. Fats molecules in cow milk is less in comparison to buffalo milk. * 1, Ltr of, milk of cow should be consumed ,it is well digestible Tk care.
1 person found this helpful
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I had gestation diabetes during pregnancy. Can I use lactonic granules to increase breast milk supply?

MD in Gynaecology, MBBS
Gynaecologist, Delhi
I had gestation diabetes during pregnancy. Can I use lactonic granules to increase breast milk supply?
If the blood sugar values r normal post delivery can use these granules. Also should keep monitoring your blood sugar values.
1 person found this helpful
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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.
1 person found this helpful
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Most of the time my baby sleeps when I have to feed him. What should I do about it?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
In addition,while breastfeeding if baby tends to sleep just withdraw some breast from her mouth NOT FULLY,baby again starts aggressive sucking.
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My sons age is 12yrs. He creates too much inosance at school. His behaviour is very rediculous. No interest in studies. I am getting somany complaints from school. How to bing him in normal life. I get lot of tension. Whom to consult in this regard. He never follows my word. Pl guide me

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
It is necessary in such condition that parents should be polite and considerate. This problem should have not develop suddenly. It is a gradual process started long before. If there is no physical or mental development, consult a Psychiatrist.
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My 50 days boy has getting pain while passing the urine. Maily morning timing morning 10 am to 11 am and 6pm to 9pm. Once releses the urine he can sleep and play well. PlEASE advise me what can I do for him. Thanks

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Sometimes little baby boys have pain at the initiation of urination. Still give a urine sample for routine exam. Also get a local examination done by a pediatrician.
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My child not sit one place always running, school hour not listening round the arround class room, and watching out side.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
What is his age? Sometimes even normal children are hyperactive and want to play a lot. Not showing interest in studies. There is a fine line between normal and adhd behavior.
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My baby is 1 month old. Should I give her gripe water or mugli ghutti 555. Is these medicines are safe and useful for infants.

BHMS
Homeopath, Jalna
My baby is 1 month old. Should I give her gripe water or mugli ghutti 555. Is these medicines are safe and useful for...
Donot use ghutti & gripe water. Upto 6 month only mothers milk is important for proper growth & immunity power.
3 people found this helpful
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After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.

Pediatrician, Kaithal
Late starting of breastfeeding is the main cause, as baby sucking is best stimulation for better breast milk output. Continue to feed. Also check your medicines, you are taking. If there is Pyridoxine in any drug, please stop it as it also decreases milk output.
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My baby is 3 months old. What supplements can I start apart calcium he doesnt pass urine fully in 1 go and goes little by little.

Pediatrician, Mumbai
Start iron - tonoferon pediatric drops. Regarding urine problem will have to get it checked from pediatric surgeon or pediatrician for any stenosis or other problem.
1 person found this helpful
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Mera beta abhi 6th month ka hai. Usse pichle do month pehle wbc increase ho gaya tha jisse use fever, cough and cold, and loose motions ho rahe the. Hamne uska treatment karwaya tha tab wo thik ho gaya tha. But abhi 4-5 dino se use fir se bar bar fever ata jata hai. Doctor ko dikhaya wo bole baby ka wbc increase ho gaya hai. Abhi treatment chal raha hai. But me ye janna chahti hu ki uska wbc bar bar kyu increase ho jata hai, iska kya reason hai. please koi treatment ho to bataye. please suggest me, me kya karu. Mera baby bahut kamzor ho gaya hai. please sugest me. Answer hindi me de please,

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Mera beta abhi 6th month ka hai. Usse pichle do month pehle wbc increase ho gaya tha jisse use fever, cough and cold,...
Wbc के बढने से बुखार व खांसी आदि नहीं होते हैं बल्कि विशेष इन्फेक्शन के कारन ये बढ़ जाते हैं इसलिए बीमारी ठीक होने के बाद wbc ठीक हो जाते हैं। बार-बार इन्फेक्शन के कारन ही wbc बढ़ जाते हैं। wbc के बजाये बुखार के बार-बार आने के कारण का पता लगाए तथा उपयुक्त इलाज करें। बच्चे को दूध के साथ-साथ अन्य सॉफ्ट सेमिसोलिड देना शुरू करें।
1 person found this helpful
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Yesterday night my newborn baby of 2 and half months could not sleep at all. I thought it was because low supply of breastmilk. How could I know breastmilk is not enough for him?

MD - Paediatrics
Pediatrician, Rewa
Usually a breast fed baby passes urine 8 to 10 times in a day, sleeps wel after feed and gains weigt. There may be other reasons for crying please see a doc.
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