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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 41 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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She is 4 months baby girl some time she cry excess and she get out of control I press her ears stomach no pain is their all time she vomit when I feed her and I give similac milk powder that powder is also not suit she so what is the reason why she cry alot thank you mostly in night.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
She is 4 months baby girl some time she cry excess and she get out of control I press her ears stomach no pain is the...
It is the coilc form the powder which you may be giving in bottle and stop bottle and feed if you must with a spoon. Breast milk and homemade mashed food is the best in this age . Inform me personally
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Can I give my I year old baby junior horlicks? or suggest any other health drink for 1 year old baby ?

MBBS DCH
Pediatrician, Gandhinagar
If your baby's weight is less than normal then use pediasure powder 2 glasses per day atleast for 6 months
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My baby is 5 months old, he is having continuous loose motion from yesterday and now my baby is crying a lot. Can he have worms in his intestine. Early my mother in law gave him banana, curd, mango shake, orange juice.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
If he is bottle fed stop bottle immediately and give breast milk and homemade semi solids. You can give cyclopam drops 7 drops which will reduce crying if due ti to colic pain. You need constant support in rearing abby. You can ask privately in this site. Regards.
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Is Your Baby Crying Too Much - 6 Homeopathic Remedies You Can Try!

B H M S, MD
Homeopath, Thrissur
Is Your Baby Crying Too Much - 6 Homeopathic Remedies You Can Try!

Crying is often considered as a good sign for babies, especially when the baby is too small to talk about how he or she may be feeling. Crying is often an indicator that the baby is hungry or sleepy. But if your baby is crying a lot, it could also mean that he or she is in pain or distress. Blocked nasal passages, sudden shock, colic and indigestion problems are some of the most common problems that can cause frequent and constant crying. Homeopathy is a holistic approach that can help in treating persistent crying when it comes to babies. Read on to know more.

  1. Chamomilla: This medicine can be used when the child is whining relentlessly. It can also treat fretful behaviour, as well as irritability. Also, this medicine can be used when the child needs constant carrying around and petting. When the child is never still and suffering from earache or headache, this medicine can be used too.
  2. Cina: Screaming children and their discomfort can be treated with Cina. This medicine can also be used to treat symptoms like moaning and coughing along with anxious behaviour. Also, when children gasp for air and end up turning pale, this medicine can be prescribed. Further, the doctor may prescribe this medicine when the child is having nightmares and not getting enough sleep.
  3. Causticum: This medicine is ideal for children who are extremely sensitive and cry at the smallest instance. In such cases, the child will be cranky because of the threat of pain or idea of pain, rather than the actual pain. This child will usually cry persistently because of a low threshold of pain. In such cases, this medicine can help.
  4. Rheum: Impatience and vehemence can be treated with the help of this medicine. In many cases the child will be cranky throughout the night and toss all night as well. The child may even be cranky with his or her favourite items and toys. Unpleasantness is usually a part of a child’s behaviour in such cases. Rheum can help in tackling this problem with regular doses.
  5. Belladona: This medicine is helpful for children who begin to cry violently as if he or she is in severe pain. Teeth gritting and screams are common symptoms of children who will require this medicine. This is especially helpful when the child is crying without any apparent reason.
  6. Aconite: When the child cries constantly and becomes anxious, Aconite can be used to help soothe the child. This medicine can also help in cases where the child is scared of falling off to sleep and is anxious.

My 1.7 month baby girl has been suffering from dry cough for 3-4 days. Please suggest how treat.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 1.7 month baby girl has been suffering from dry cough for 3-4 days. Please suggest how treat.
If there is no fever n baby is otherwise normal, it may be due to nostrils block. Instill saline nasal drop in each nostrils 4 to 5 times in a day.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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I have a 2 year female, she is not eating properly, we have to feed her by hand and that also she do not take too much just few spoon she is losing her weight and also she is becoming lazy or you can say she is feeling lack of energy, I took her to vet near my house and on the first go the vet says it is a track fever and gave her vew injection but still no success, she is also not drinking the required amount of water just around. 5 or 1 liter a day mostly around. 5 liter in a day. I am very worried about her as per doctor all tests are ok. What to do.

MBBS, MD
Pediatrician, Gurgaon
I have a 2 year female, she is not eating properly, we have to feed her by hand and that also she do not take too muc...
Normal diet of small child is. From birth to 5-6 months-- breast feed only 3-4 hrly interval six times a day. Their after start reducing the frequency of breast feed and start with soup like feeds two times at six months, increase to four times at one year. Breast at one year is given only two times for 10-20 minutes only. Next step in development is self feeding. By 9 months child start picking up things lying on floor and put it in mouth. That he should be taught self feeding. This period runs upto 18 months. Your child has to pass all these stages. First find out what type s of food he likes of course at home. Give these food six times to be eaten by himself. It is high time child learn to eat by themselves. Otherwise they become timid children.
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We have 3 years old son, he doesn't eat anything, we use" Apti must" hungry syrup but it doesn't works well. He is always crying and he didn't sleep properly, we are worrying about him, please give me a best suggestion.

MBBS
General Physician, Jalgaon
We have 3 years old son, he doesn't eat anything, we use" Apti must" hungry syrup but it doesn't works well. He is al...
Don't worry Don't give him chips, biscuits, chocolate etc Don't force him to eat Pl mention his height and weight Give Syp cyp L 2ml twice a day on empty stomach Syp geriforte by Himalaya 2.5 ml twice a day after food All for 3 months Re Consult me on lybrate after 15 days.
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I have a 3 years old daughter. Now a days she is filling a problem. When ever she done the toilet. She fill so much itching and burn on the sensitive area. So what can I do for her?

MBBS, MD
Pediatrician, Gurgaon
Personal hygiene most likely she may have vaginal fungal infection. Please treat it after confirmation.
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My baby 4 months old is suffering from loose motion since 3 days. Please suggest me that can I give very small piece of ciplox tz?

BHMS, PGDPC
Homeopath, Nashik
My baby 4 months old is suffering from loose motion since 3 days. Please suggest me that can I give very small piece ...
Take homeopathic medicine for best results. 1) Nux vomica 200.4 pills Three times a day for 3 days. See the results and contact me for follow up. Thanks.
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