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Dr. Shaji

Pediatrician, Chennai

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Dr. Shaji Pediatrician, Chennai
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Personal Statement

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. Shaji
Dr. Shaji is an experienced Pediatrician in Retteri, Chennai. You can visit him/her at Retteri Sri Kumaran Health Centre Private Limited in Retteri, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shaji on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 29 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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English

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Retteri Sri Kumaran Health Centre Private Limited

No 1419 A, 200 Feet Inner Ring Road, Retteri Junction, Kolathur. Landmark: Near To Petrol Bunk, ChennaiChennai Get Directions
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Hello sir my son is 10 year old. He is not eating food any time. I am consulting many doctor but no improvement. Please suggest me what we do.

Masters in Nutritional Therapy, Diabetes Educator, MSc - Food & Applied Nutrition
Dietitian/Nutritionist, Kolkata
Loss of appetite at this age can be due to various reasons like anaemia, depression, stress etc. Consult a doctor to check his iron levels. Talk to him if he is going through any stress. Encourage him to eat little at small intervals. Prepare food of his choice and keep a happy environment.
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If the father have diabetes after his parenting then how is the link of his child's have diabetes. Is anything matters related to his gene or something else? If the risk is more then what care should someone suppose to take to avoid the risk?

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
If the father have diabetes after his parenting then how is the link of his child's have diabetes. Is anything matter...
Yes the risk of diabetes is higher if father has diabetes. Do rtegular exercise and keep the weight in normal range for your height. Eat healthy homemade food with less fat and carbohydrate diet.
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I have a baby girl. She is 6 months old. She had a fever cold. She is not sleeping without ac. Please advice what to do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Chandigarh
I have a baby girl. She is 6 months old. She had a fever cold. She is not sleeping without ac. Please advice what to do?
Try steam Inhalation and Allium cepa 30 homeopathy 2pills dissolved in a spoon of water thrice a day, AC is fine keep temp at 25.
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Which kind of treatment is suitable for loose motion in child who has age less then 5 years?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
Who-ors is suitable for all types of diarrhoeas. If diarrhoea persists for a duration or gets worse, please consult a paediatrician to see if any specific therapy is needed for diarrhoea.
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

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My baby 19 month's old. Main apne baby ko daily brash karti ho fir bhi uske upar k teeth par yellow nisan ho raha h subah teeth par.

BDS
Dentist,
My baby 19 month's old. Main apne baby ko daily brash karti ho fir bhi uske upar k teeth par yellow nisan ho raha h s...
Does she drink bottled milk that has sugar? If that solution stays in contact with her teeth for a longer time, she could develop what is known as nursing bottle caries.
1 person found this helpful
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My daughter aged 5 months. We are giving her NAN PRO 1 as breast feeding is not sufficient for her. Now my query is whether nan pro 1 is good or we can shift to lactogen 1. Please advice as there is lot of confusion on this.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My daughter aged 5 months. We are giving her NAN PRO 1 as breast feeding is not sufficient for her. Now my query is w...
Both Nan and lactogen are good. But do not bottle feed with bottle and nipple. Feed with a spoon. But at 5 months you give home made soft porridges and slowly give all home made food mashed well. Continue breastfeeding even though it is little.
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I am facing severe pain while feeding, while feeding I am facing pain in nipple after feeding for every 5 minutes I am facing shoot out pain all over breast almost for an hour to 1 and half hour. My gynic suggested zericlav 625 mg, L-Panto, chymomax. While using that medicines my pain was reduced but after stopping medicines again I am facing the pain. And if the pain was severe a white spot was seen on the nipple. please kindly suggest me the best, I am unable to bear this.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
If you r getting relief after medicine n reappearing after stopping medicine, it appears that medicine might be discontinued before tt is complete for some reason or other. Pls continue tt as per advise of doctor. If tt is stopped after doctor advise, pls take 2nd opinion. It is difficult to advise without examination.
1 person found this helpful
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Symptoms That Indiacates Iron Deficiency in a Child's Body

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Symptoms That Indiacates Iron Deficiency in a Child's Body

For the growth and development of children, they need an essential nutrient; Iron. It helps in the transfer of oxygen from lungs to the body's tissues. Red blood cells contain iron in the hemoglobin. The hemoglobin carries oxygen in the blood to the different parts of the body. Iron has an important role to play in the development of brain and generating energy in a child's body. The lack of sufficient iron in the child's body can lead to anemia, which is a nutritional deficient illness and will require medical attention. When a child suffers from anemia, the lack of oxygen makes a child weak and sick.

There are certain symptoms of Iron deficiency in a child's body. These are:

  1. Infections and weak immune system can make a child suffer from frequent infections.
  2. Lethargy and fatigue is another common symptom of an iron deficient body. Due to deficiency of Iron it is difficult for the body to transport oxygen to cells in the body and hence it unable to generate enough energy levels.
  3. Breathlessness and increased sweating can be a sign that your child may be suffering from iron deficiency.
  4. Pica Children suffering from iron deficiency may find a special taste for non-food substances like chalk, dirt and clay.
  5. Lack of iron in the body hampers the physical growth of a child.

The deficiency of iron in children can be diagnosed through blood tests. Your doctor may recommend supplementing iron content orally or through multivitamin medicines. But the deficiency of Iron in a child's body should be taken care of with absolute urgency.

Proper steps should be taken to prevent the deficiency of Iron in children. Those notable precautions are mentioned below:

  1. Balanced diet: A well balanced diet is always recommended. For older children (within 9-12 years of age), red meat, chicken and fish would suffice as good sources of iron.
  2. Oral iron supplements: Oral iron supplements would be required for children with low weight at birth and who have a deficiency of iron in their daily diet.
  3. Vitamin C: Foods such as strawberries, tomatoes and potatoes help in providing the sufficient iron content when included in daily diets, thus reducing the chances of anemia.
  4. In vegetarian diet green vegetables, jaggery, dates etc. are rich sources of iron.
2 people found this helpful

Three and half month Child not sleep properly and always crying and not take feed.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
Hello lybrate-user. I could understand how difficult it is to manage kids when they are cranky and crying with no identifiable reason. Unfortunately, a diagnosis couldn't be reached without an examination. May I advise you to see a paediatrician in-person for an assessment.
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