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Dr. Shekar

Pediatrician, Chennai

250 at clinic
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Dr. Shekar Pediatrician, Chennai
250 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shekar
Dr. Shekar is a renowned Pediatrician in Thiruvottiyur, Chennai. You can meet Dr. Shekar personally at Sugam Hospital in Thiruvottiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shekar 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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Sugam Hospital

No 349, Thiruvottiyur High Road, Thiruvottiyur. Landmark: Near Vadivudaiyan Temple & Near Tiruvottiyur Bus Stop, ChennaiChennai Get Directions
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Basic information given above is of my baby girl. She is of one and half month age. My question is whether to provide water for my baby during this hot summer or not? Is it necessary to give gripe water?

MD - Paediatrics
Pediatrician, Rewa
Basic information given above is of my baby girl. She is of one and half month age. My question is whether to provide...
You should give only mother's milk fo 6 months. Breast milk contains enough water to quench the thirst of baby, all prelacteals including gripe water should be avoided.
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I àm 35 male and my baby in 13 weeks old. I want to ask can I give water to my baby or after how many months I can give him cerelac.

C.S.C, D.C.H, M.B.B.S
General Physician,
I àm 35 male and my baby in 13 weeks old. I want to ask can I give water to my baby or after how many months I can gi...
If you give cerelac you have to give boiled water in between the feed. BUt exclusive breastfeeding till 4- 6 months is ideal for your baby.
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My son 10 months old having cold since 10 days could you please suggest remedy to get the relief from cold.

Pediatrician, Indore
My son  10 months old having cold since 10 days could you please suggest remedy to get the relief from cold.
Best remedy is saline nasal drops to be put in nose every two hours and plain water steam inhalation 3-4 times a day for 15-20 min.
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My kid is 14 months old and snoring is the problem. Respire with a slight sound and some times feel difficulty in breathing (Weariness). Just want to know better to contact pediatric Pulmonology or ENT department?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My kid is 14 months old and snoring is the problem. Respire with a slight sound and some times feel difficulty in bre...
Ensure child breaths per nose only, may put local nasal drops with decongestants given by mouth for short period.
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Sexual Abuse - Mental and Psychological Effects on Children

MBBS, MD Psychiatry, DPM Psychological Medicine
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.

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Hello, can you please suggest me which is the best milk for my 3years old child? Cow Milk or Buffalo Milk?

Doctor of Medicine - Pediatrics
Pediatrician, Agra
Between the two, prefer undiluted cow's milk as it is more near to human milk in composition and hence more easily digestible.
5 people found this helpful
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My daughter is in 6th std she has lots of lices and nits in her hair pls give me some solution for this ?

Pediatrician, Pune
can apply 15ml gammascab lotion mixed with shampoo thrice in a week over her hair , the same should be done for other family members if they are having the same , screen some of her close friends in the school who might be having similar problem
1 person found this helpful
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How to Deal with Severe Epilepsy

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
How to Deal with Severe Epilepsy

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication: Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery: Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

  1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
  2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
  3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
  4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
  5. Surgery to remove half the brain's cortex or outer layer

Dietary changes: A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

4490 people found this helpful

I have a daughter who is 8.5 years old. Actually her problem is that she does not want to eat and she is underweight. Whatever she eats she eats with water. What should I do sir?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Hello lybrate-user, you have not mentioned your daughter's weight, which should b between 26-28kg. What I will advice is do not force her to eat, let her demand food, & serve only heathy food items avoiding junk food like bakery products, all kinds of wafers, chocolets etc. Pl make sure that she has salad & fresh fruits daily. Treat constipation if that is the case, deworm her every 6 months. If she is falling sick often she needs to b seen &investigated by Dr. I hope this solves your problem. All the best!
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My child is infected by virus in blood.And as per blood test CRP is 149 mg/l. Now we have given for culture test ? Doctors not tellung wt is the problem fr my child.

MD, MBBS
Pediatrician, Cuttack
High CRP is pointing to bacterial Sepsis / inflammation. Consult Pediatrician without delay. Will need blood culture , Lumbar Puncture & CSF study to rule out Sepsis/ Meningitis.
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Dear doctor, I have a 12 year old son. He does’t show any interest in studies. He always likes to play computer and mobile games or watch TV. He studies and writes very little, compared with the syllabus for exams. This is happening from class I on words. He is studying with state syllabus. He studied well up to UKG only. Even when I try to show interesting videos in internet related to studies, he does’t like. Even when we scold him, he doesn't care. He frequently bunks classes. Even brushing teeth and bathing does not do regularly, even when we - parents put a lot of pressure. But he loves us and plays with us well. He behaves well with friends and neighbors. He also likes to eat junk food daily, because of which he is getting frequent health problems. I like to know whether there is anyway to change his behavior and create interest in studies to him, avoid junk food.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good ​Afternoon, The symptoms that you describe for your son are very characteristic of ADHD with behavioral disturbances. Attention Deficit Hyperactivity Disorder can be of 3 types, isolated inattentive type, hyperactive/impulsive type and mixed type. It seems like he has been having these symptoms since 5-6 years of age. I also believe that you will do well to take him to a psychiatrist so that he gets better. He may also be having depression and irritability is a common sign of depression. I believe that you need to let me know more about your kid so that I can get to a proper diagnosis and help with management. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio or video appointment for confidential and private consultation you may do so by contacting the help desk of Lybrate.
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My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
I don't know your past history of seizures but if you have given it regularly for 4 years and no seizure, I think you can slowly reduce the dose and stop it with constant watch for some time.
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Hi My baby is 18 days old. She's unable to poop calmly she always cries tightening her face and body while pooping and farting. Pls give me some solution to overcome this.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi My baby is 18 days old. She's unable to poop calmly she always cries tightening her face and body while pooping an...
I hear this complain from many mothers . Your baby cries not due to pain but the sensation of full rectum and bladder cannot be conveyed in word by the baby and they cry and announce ti is time to pee or poop . It is normal behaviour or all babies . Give only breast feed and no bottle feeding. Burp well after each feed
1 person found this helpful
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What is time of teething in babies. My baby is 10 month old but no teeth yet should I worried? Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
What is time of teething in babies. My baby is 10 month old but no teeth yet should I worried? Please advise.
Only eruption of teeth is delayed in otherwise normal child you can ignore. Give a calcium preparation.
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My son is 5 year old and after every 10 days he has cold. But its not running. I can hear/ feel the chest congestion and phelgum cause of that he sleeps with open mouth. Also 1 more issue I saw grey hair in his head which is quite surprising for me and worrisome too. Please suggest.

MBBS, DNB (Dermatology)
Dermatologist, Mumbai
My son is 5 year old and after every 10 days he has cold. But its not running. I can hear/ feel the chest congestion ...
Oiling his hair with a mixture of oils like olive, sesame, coconut oil etc. Please consult on private chat with clinical photographs for treatment prescription.
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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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My son having loose motion since 17 days (7 to 8 times. Doctor prescribed vibact dry syrup and said its viral diarrhea (milk allergy_mothers milk) but there is no sign of recovery. And baby is healthy and normal. Please give alternate syrup and how to overcome from this.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son having loose motion since 17 days (7 to 8 times. Doctor prescribed vibact dry syrup and said its viral diarrhe...
You have not mentioned the age of your child. If you are feeding anything in bottle you stop bottle and feed only with glass and only bm alone and inform me.
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My baby girl is 2.4 year old. When she take bath she got some marks on her body every where.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby girl is 2.4 year old. When she take bath she got some marks on her body every where.
The marks are allergic rashes and use wash water and try changing the soap or gel you are using. Apply coconut oil on the affected area.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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