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Dr. Shanmuga Sundharam

Pediatrician, Chennai

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Dr. Shanmuga Sundharam Pediatrician, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shanmuga Sundharam
Dr. Shanmuga Sundharam is a renowned Pediatrician in Pallavaram, Chennai. She is currently practising at Lakshmi Nursing Home - Pallavaram in Pallavaram, Chennai. You can book an instant appointment online with Dr. Shanmuga Sundharam on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 44 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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Lakshmi Nursing Home - Pallavaram

No 6, Shandy Road, Pallavaram. Landmark:Backside Janaga Theater, ChennaiChennai Get Directions
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My daughter (7 years) is suffering from adenoids. We found this problem in the age of 3-4 years and suggested to wait for another two years. She had no problem during these 2 years. From last month onwards she was suffering from ear pain and now doctor says to go for surgery. Request you to kindly suggest is there a remedy without surgery or still shall we wait for some years?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Get xray nasopharynx done only after that further can be planned. Adenoids cause eustachian tube blockage and ear problem that require surgery for adenoids and ear (grommet insertion).
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My son is 5 months old and the colour of his potty is green and he do the same thing around 4-5 times in a da. Is there any problem and he drinks bottle milk as well as mothersfeed. 41.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My son is 5 months old and the colour of his potty is green and he do the same thing around 4-5 times in a da. Is the...
In Fact, his potty colour and loose stools is due to bottle feeding and if you must give other feeds you feed it with a a spoon or Katori . Stop bottle , and I have experienced this issue many times in my clinical practice
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My two years and 5 months baby boy weight 12 kg has diagnosis encysted hydrocele of cord on right side. He often complain cold cough and runny nose. How it can be treated please suggest. I am always worried about his physical problem. Since 6 months he gain no weight. After given appetizer he given no interest in talking food. please help me doctors.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
My two years and 5 months baby boy weight 12 kg has diagnosis encysted hydrocele of cord on right side. He often comp...
Hello. Encysted hydrocoele needs herniotomy. Consult a surgeon and plan for surgery. Cough and cold not related to this condition. Appetizer not required. Consult a paediatrician to check weight and height according to age.
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My son is 7 years old ad he weighs around 24 kg. Since birth his immunity is low and very frequently he gets cold, cough, fever, flu etc. H also gets frequent headaches due to gastric problems leading to nausea and vomiting. Ost of the times he gets allergic and dry cough. Please advice medicine to cure cough and cold, headaches and for increasing immunity.

MBBS,D.Ped., Jawaharlal Nehru Medical college, Belgaum , Boston University, UNITED STATES OF AMERICA
Pediatrician, Ahmedabad
Modify diet eg. Give green leafy vegetables, turmeric powder in milk, honey with tulsi leaf, fresh fruit, dates. Avoid chocolates, ice cream, biscuits, artificial flavoured food, packet food, junk food. Start syrup. Septilin 5ml two times a day regularly for one to three month if other investigation reports are normal.
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I have again done the stool test of my child. My child is 1 month 22 days old. The stool test report is as under: Colour- Yellow with Reddish streak. Consistency: Semisolid, Odour: Offensive, Mucus (), Reaction: Ph 6.0, Occult Blood: Positive (ve), RBC: 6-8/Hpf, Pus Cells: 2-3/ Hpf, Bacteria flora: Normal, Veg Cells, Starch, Fat globules are Nil. We see some little drops of blood in his stool when he passes stool most of time. Dr. (Pediatrician) advised us to go surgeon for checking the cause of stool. What can we do now? Why there is blood in his stool and what is his problem. My child is normal habitual and his body temperature is also normal. He is only breastfed.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
I have again done the stool test of my child. My child is 1 month 22 days old. The stool test report is as under: Col...
Common causes: is an infection or ,Cow's milk protein allergy. Infection can be because of bottle feeds due to inadequate sterilization. Also putting hands or cloth in the mouth may cause it. Hence get a stool culture test. Also give only breast feeds for 6 months. CMPA can be because of giving top feeds, even formula. It can also happen due to milk products consumption by mother who is breast feeding. Stopping cows milk in mother and child is the answer. Soya formulas may be used.
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My child is 4 and half years old girl. She is very thin. How to increase her weight and height?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
We cannot increase height as it is genetic nature and for weight you have to tell her weight to assess her condition. ANyway you need to check her TSH to make sure she does not have hypothyroidism which is a reason for lack of weight gain
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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, Pune
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
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My son is 2 month and 15 days old. He stated to vomit like thick milk after some time of feeding. What to do .his weight is 3.950 Kg. please let us know reason nd reason.

BHMS
Homeopath, Kolkata
My son is 2 month and 15 days old. He stated to vomit like thick milk after some time of feeding.
What to do .his wei...
Perhaps you need to change the milk (if you are giving him powder milk change to cow's milk). In any case breast milk is most nutritious for him Give him Gripe-water twice daily for few days and see if this helps him.
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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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ADHD - Know Its Symptoms In Children And Teenagers!

M.A -Psychology, pgdg&pc
Psychologist, Kolkata
ADHD - Know Its Symptoms In Children And Teenagers!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 
  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 
  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 
  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 
  • depression 
  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 
  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 
  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 
  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 
  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 
  • continually starting new tasks before finishing old ones 
  • poor organisational skills 
  • inability to focus or prioritise 
  • continually losing or misplacing things 
  • forgetfulness 
  • restlessness and edginess 
  • difficulty keeping quiet and speaking out of turn 
  • blurting out responses and often interrupting others 
  • mood swings, irritability and a quick temper 
  • inability to deal with stress 
  • extreme impatience 
  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 
  • bipolar disordera condition that affects your moods, which can swing from one extreme to another 
  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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