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Dr. Shankaran

Pediatrician, Chennai

250 at clinic
Dr. Shankaran Pediatrician, Chennai
250 at clinic
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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. Shankaran
Dr. Shankaran is a popular Pediatrician in Triplicane, Chennai. Doctor is currently associated with Sakthi Hospital and Research Centre in Triplicane, Chennai. You can book an instant appointment online with Dr. Shankaran on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 38 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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No: 175, Big Street, Triplicane. Landmark: Near To Indian Bank, ChennaiChennai Get Directions
250 at clinic
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Sexual Abuse - Mental and Psychological Effects on Children

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
Sexual Abuse -  Mental and Psychological Effects on Children

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.

Future Consequences-

  1. A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.

  2. The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.

  3. They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.

  4. Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.

  5. Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.

  6. Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being ‘paedophilia’ or the sexual arousal involving prepubescent children.

Conclusion-

The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

3652 people found this helpful

Hi sir. My son has 6 year old but still he is doing toilet in bed. Pls. Suggest what we do.

Pediatrician, Mumbai
Toilet meaning urine or stool? if urine then you can get a urine routine done to rule out infection. If reports normal then you can wait for some few months before starting therapy. If stool the you need to consult a pediatrician.
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My daughter is seven and she gets cold attack every night her nose gets blocked and she freaks out as it becomes very uncomfortable for her to breathe. She doesnotven have cold in a days times that affects her.

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist, Jhansi
My daughter is seven and she gets cold attack every night her nose gets blocked and she freaks out as it becomes very...
Difficulty in breathing can due lung problem like asthma etc too, so you should consult a pulmonologist along ent surgeon, try steam inhaltation before sleeping.
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My daughter fell down a few days ago from swing n hurt her back. Though the injury is very small bit it still pains. It is on the spine n little reddish. What should I do?

BPTh/BPT
Physiotherapist, Hyderabad
My daughter fell down a few days ago from swing n hurt her back. Though the injury is very small bit it still pains. ...
Hello Ms. Lybrate-user, please see to it, that there is no swelling present, if injury had occurred in less than 48 hrs you can apply ice or vapocoolant spray, but if more than 48 hrs you can apply local heat in the vicinity of the injury. If pain & swelling still persists persistent please consult a competent orthopaedician.
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My baby is 5month old. Her weight was 2.5 kg at the time of birth now she is 7.4kg.She is only breast fed and no formals are given. Is she obess? What should I do?

M.D.( Pediatrics), DCH
Pediatrician,
Congratulations for exclusively breast feeding your baby.No she is not obese.Refer to IAP Growth chart and plot weight against age. You should play with your child and love her all the time. For under active thyroid don't stop medicines without doctor's advice.
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How much salt do babies and children need? How much salt or sodium is good for me?

C.S.C, D.C.H, M.B.B.S
General Physician,
How much salt do babies and children need? How much salt or sodium is good for me?
The maximum recommended amount of salt for babies and children is: Up to 12 months – less than 1g of salt a day (less than 0.4g sodium) 1 to 3 years – 2g of salt a day (0.8g sodium) 4 to 6 years – 3g of salt a day (1.2g sodium) 7 to 10 years – 5g of salt a day (2g sodium) 11 years and over – 6g of salt a day (2.4g sodium)
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My daughter is 3 year old. Everytime while going to bed she asks her legs are paining and she want leg massage since last 4 months.

Pediatrician, Pune
Could be growing pains, usually normal can also be given calcium supplements, coconut water, fruits.
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My baby is 4 month old. And suffering from cough. I used ascoril LS 15 ml syrup .Please suggest me the medicine. How much ml I given the syrup.

MD - Paediatrics
Pediatrician,
My baby is 4 month old. And suffering from cough.
I used ascoril LS 15 ml syrup .Please suggest me the medicine. How ...
If your baby is having fever then only you should give antibiotic. Otherwise just instill normal saline nasal drops 1 drop in each nostril 4-5 times in a day. Look for fast breathing, fever or toxic look of child, if you find anything abnormal consult a pediatrician.
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I am 74 yrs, have dust allergy that is controlled but cough and cold is continuing for more than 7 days. What would you suggest.

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Sir, you may have respiratory tract infection. If you are bringing yellowish sputum then you may require antibiotic like Azithromycin.
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Kid is 5.5 months old suffering from cold and congestion giving nasal drops any medication for congestion. No fever.

MBBS, MD - Paediatrics
Pediatrician,
Kid is 5.5 months old suffering from cold and congestion giving nasal drops any medication for congestion. No fever.
Nasal drop is best drug here. Give saline nasal drop by entering the nozzle inside nostril and press it. The forceful flow will remove the congestion. If it's more then in market one nose suction bulb available use it. Otherwise dileys mucous sucker is best.
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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.

3626 people found this helpful

Homeopathy in day to day life-Improve your digestion

BHMS
Homeopath, Delhi
Homeopathy in day to day life-Improve your digestion
1.Drink a cup of boiled water in the morning before breakfast. This seems to cleanse the stomach and often works wonders.
2.Eat slowly. One of the main causes of indigestion is unchewed food.
Don’t eat food “piping hot”. Our stomachs are not meant to have hot foods inside them. A useful thing to remember is that if it is hot in the mouth it is hot in the stomach. This includes tea and coffee. Food and drinks that are too hot may disrupt enzymes and injure the lining of the stomach. So, always wait for it to cool.
3.Don’t eat on the hoof. Meals should be taken at a leisurely pace. If you eat on the move, there is more chance that digestion will not begin. Instead foods in the stomach and intestine will start to ferment, producing gases that bloat you.
4.Avoid eating fruit with the meal. Tempting though it is, because it seems lighter on the stomach than puddings, it is not good at the end of a meal. This is because fruit digests faster than dense proteins, so fermentation and gas accumulation may occur.
5.If bloating is a persistent problem, try simplifying your meals. Instead of having lots of food groups at one meal try separating them. For exam­ple, proteins need acid enzyme diges­tive juices, whereas carbohydrates need alkaline enzyme digestive juices. When you have to break down both types all at once you are not achieving optimal enzymatic action, so some fermentation and gas accumulation may occur.
6.Try taking slightly smaller servings and think twice about second help­ings. As a good rule of thumb, try to get into the habit of estimating the quantity you allow yourself using “nature’s food bowl”. Cup your two hands together as if you were using them to make a bowl. The quantity of food that would fill that “bowl” should be your maximum at any meal.
7.Make sure that you drink enough water. Ideally, hydrate your stomach with a glass of water half an hour before a meal.
Source:British Homoeopathic association
6 people found this helpful

I have a problem in chest allergy. There is some noise in cold like as a vessel. I take many allopathy medicine. Now take medicine from arogeoum centre. Please advise.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
I have a problem in chest allergy. There is some noise in cold like as a vessel. I take many allopathy medicine. Now ...
If problem is very regular and causing breathlessness inhalation therapy would be more useful.Do eosinophil count from a laboratory
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I am 32 years old woman. My last delivery date 13/08/2014. I discontinue Brest feeding my baby after one year of delivery due to some problem. Nowadays I want to continue feeding again but my milk is insufficient for my baby. How can I increase my milk naturally. Thank youŸ

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Increase your dietary intake of milk. Herbs like shatavari help in promoting milk production in females so consume them daily.
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My grand son 2 months baby is suffering with chronic constipation and the pope is very hard. He gets motion only if we apply Glicerin suppository otherwise suffering very hard. Please advise to avoid his problem ?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Probably the feed is less,if baby is breast feeding then immediately after breast feed give top feed.Give tab perinorm thrice a day and galact powder 2tsf thrice a day for 15 days to mother
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I was born a baby in Feb 2015 and my period is starting from this month but not regularly why is it a problem?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I was born a baby in Feb 2015 and my period is starting from this month but not regularly why is it a problem?
If you are breast feeding and your periods have just resumed then wait for 3 cycles at least to see what happens. Normally the first few periods may be irregular . I would also advice you to use a good contraception in the meantime.
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My baby have gave 2.5 month vaccine at yesterday noon. She have around 99.5 fever till today, so is this thing to worry or its a common. Also how much day fever effect. Please let us know.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My baby have gave 2.5 month vaccine at yesterday noon. She have around 99.5 fever till today, so is this thing to wor...
Vaccines are organisms to fight various kinds of diseases but body usually treat these organisms as foreign bodies. The body fight off the strain of organisms injected through vaccines to give signs in the form of rise in temperature. When the individual is attacked by organisms, the body fights them back to save life of child. High temperature kills bacteria and viruses which thrive in the body at normal temperature. Rise in temperature help the body to produce more white blood cells, antibodies and other infection-fighting agents for infants’ protection. In fact, fever is beneficial in infants after vaccination.Dont wory it will subside automatically in a day or two.
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My son is 7 years old. He is suffering from recurring tonsillitis from the last 3 years. He is having a fever after every 15 days. I have got his CBC test reports his Hg is 11.6, TLC is 3200, ESR 50, RBC 4.45, HCt 32.7, MCV 73.5, MCH 26.1, MCHC 35.5, RDW 15.4, platelet 217000, MPV 7.6 kindly advice what to do? is his blood reports are normal? is he require any special medication? pls. advice.

MD - Paediatrics, MBBS
Pediatrician, Delhi
My son is 7 years old. He is suffering from recurring tonsillitis from the last 3 years.  He is having a fever after ...
Hi, follow these precautions: - avoid cold drinks, ice creams. - avoid fried things from outside. - give seasonal fruits like oranges which boost immunity. - to built adequate immunity give enough vitamin c in their diet in the form of green leafy vegetables, fresh fruits & salads, - add few drops of lemon juice in their meal. -teach them to cover their mouth while coughing /sneezing. Treatment: - give cheston cs syrup 5 ml sos - antibiotics if no improvement after following above precautions. I hope this has helped you. Wish your child good health.
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