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My child is seven years old, cared for her very much. He does not have any work carefully. My child is good at studies, but he does not read the carefully. While studying, he seems to make the picture. What to do?
My baby is only 9 month old. She has some red rashes on her chicks on both sides of nose. What is the problem treatment.
Most uncontrolled asthmatics think they are controlled
Two thirds of patients with uncontrolled asthma think that their disease is well under control. Asthmatics on proper medicines can not only live a normal life but also reduce their future complications.
Uncontrolled asthmatics invariably end up with complications related to right heart due to persistent lack of oxygenation in the blood.
Dr Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, over 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years.
The reasons are:
Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.
In severe asthma, low blood oxygen levels might impair a person’s ability to assess their own breathing difficulty.
The notion of asthma control seems poorly understood by asthmatic patients.
Mild to moderate asthma limits the activities of a person and over a period of time they take that as their normal limits.
My 2 month old baby is on formula milk as iam not having breast milk from Day1. He has constipation on Dexolac premium. So we have switched to nan pro 1 and after using that he has vomiting from 3rd day. We have taken him to hospital and doctor gave him domstal and enterogermina. Now iam confused whether to use dexolac or nan pro. Please help me.
Hello sir my son age 13 years. When he take bath in early mornings with cold water he gets some dots in full body and sometime he become unconscious.PLease do help
I gave birth to a boy on the 24 week1day of pregnancy. 760grms weight. Now in ICU. Have any problem in future?
My baby girl is 6 month. Her weight is 6 kilo 200gm. Now I want to give her normal food and breastfeeding also so please tell me perfect diet chart for her.
My son is 3 years and 6 months old. But he is not eating fruits and do not tell while potty. He do potty in standing pose. Should we scold/bat him? how to handle him. We are helpless.
My baby is lactose intolerant n she is one year old. I take care of her food. No mistake in that. N she is teething but she gets loose motions very fast n dosent go without antibiotics. She is 7. 5 kg only
New born baby not taking powder milk as no milk from Breast from last three days. What should we do?
My son is 1 month and 16 days old. Last few days ago we saw some little drop of blood in his stool. Then we went to doctor. He advised for his stool test. We did his stool test and found mucus, pus cell is 10-12/hpf and occult blood is negative. After seeing the stool test report Doctor said, there is an infection in his stool. Dr. Prescribed Omnix-50 (antibiotic) and Gut-Ok twice a day for five days. After completion of medicine I did another stool test at another lab and found mucus is still present, pus cell is negative, occult blood is negative. After seeing the second stool test report doctor said now there is no infection. Then we told him he has completed all medicines in time but we saw little drop of blood in his every stool when he passes till day. Then Doctor told us, there is no blood in his stool. Actually doctor says there is no blood but we say there is blood. I want to know Is there any blood in his stool or not? If there is blood then what can we do now and if there is no blood then what is this red little drops which look like as same as blood. please reply……
Hello Friends, I’m Dr.Vikas Deshmukh. I’m a neuro-psychiatrist and sexologist working in Navi Mumbai, Vashi area. So today, we are going to talk about ADHD.
So, what exactly is ADHD and why is it important to you?
ADHD means Attention Deficit Hyperactivity Disorder. So the name itself is self explanatory. So in ADHD there are three major components. One, is inattention. Other is hyperactivity and the last is, impulsivity. Early diagnosis and management of ADHD is very important or else it can ruin your child’s academic or career. So the first symptom of ADHD is inattention. Inattention is not noticeable until the child goes to school.
Most of the time inattention could be neglected at home. In inattention the child might be procrastinating the things, not completing the task, switching from one uncompleted task to another uncompleted task, unable to complete both the tasks. So symptoms can be disorganized, bahut messy rahega child, bilkul he cheezein yahan wahan padi hui hai, systematically kuch dhang se kaam nahi ho pa raha hai use. Then he is not able to focus on certain topic. Teacher padha rahi hai toh ye choti si awaz aayegi toh uska dhyaan wahan jayega, teacher jo padha rahi hai who likh nahi payega theek se, small small mistakes he’ll make, likhte hue bhi ek word gayab ho jayega, ek word mein kahin ek letter gayab ho jayega, kabhi kabhi cheexein bhool kar aane – bhoolna, forgetfulness is also a very common symptom. Pen bhoolke aayega, pencil bhool ke aayega, eraser bhool ke aayega, kabhi kabhi tiffin, kabhi water bottle bhool kar aayega. This is very common.
- Inattentiveness mein ek aur bhi chhez hai jaise ki aap usko bulaoge toh ek baar mein woh aapke taraf dhyaan nahi de payega. You have to call him multiple times. “Arre beta mein ne kitni baar bola, kitni baar mein aap ko yeh sab sunaya. Agar usko aap kuch kaam bolte ho, jaise teen se chaar cheezein ek saath bolte ho toh who saare teen chaar kaam ek saath dhyaan mein nahi rakh pata hai. Koi na koi cheez hundred percent bhoolega. Yeh inattention mein bahut common hai.
- Second one is hyperactivity. Hyperactivity mein child is very hyper, not able to sit in one place, constant fidgeting, squirming in their seat, fidgeting means kuch na kuch movement chalu rahega – haath ka, per ka, kuch na kuch – bina hile beth nahi sakta baccha. Isko bolte hai constant fidgeting and squirming in the seat. Kuch nahi rahega toh seat pe he idhar udhar apne aap mein hona. Yeh sab who baccha aapko karte hue dikhai dega. Hyperactivity mein aur ek cheez, you feel as if uss ke andar motor fix kiya hai, continuously on the move, unable to stop at all.
- The next thing we can see is trouble playing quiet games like Chess or pursuing quiet hobbies, he can not do that. Then, talks excessively, bahut zyada baat karna ki usko stop karna mushkil ho jata hai. And in adult and teenage, this hyperacticity can be seen in the form of inner restlessness. Who andar se restless feel hota hai unko. You may not see that hyperactivity physically but that inner restlessness is there.
- So the third part is impulsivity. Impulsivity is when the child is impatient. He cannot wait for his turn. Queue mein agar khara hai, toh “Arre mera number kyun nahi aa raha hai hai, kyun mein itne der se khara hoon.” If you ask him a question, before completion of the question he will blurt out the answer. “Teacher answer yeh hai, teacher yeh hai.” He can make multiple mistakes for that. Frequently interrupts others. Do bade baat kar rahe ho toh baat khatam hone tak rukega nahi, beech mein aa ke aap ko disturb karega. Aap ko lagega har baccha aisa karta hai but hamesha agar bacha karta rahe toh this is a sign of ADHD.
Kabhi kabhi agar kar raha hai toh it’s okay, jab usko urgency rahega, jab usko kahin jaa na rahega. Starting conversations at inappropriate times is also a sign of ADHD.
So ADHD manage karna kyun zaroori hai?
ADHD mainly do components ko bahut zyada affect karta hai. One is academic and other is socialization. Toh academics mein kaise ADHD kaise harm kar sakega? For example, if your kid has an IQ jisse use ninety percent marks aa sakte hai aaram se but if he is not able to pay attention aur woh studies mein focus nahi kar payega, attention nahi de payega teacher kya padha rahi hai, books mein kya likha hua hai, toh who padhke apne brain mein register nahi kar payega. So attention is first required for registration. Then, again, when he wants to recall it, tab bhi use dimaag shant rakh ke recall karna padta hai. Tab bhi use recall karne ke liye attention chahiye. Toh jo ninety percent ka baccha hai agar usko ADHD hai, according to the severity of ADHD, he can slip down to sixty percent, fifty percent, or forty percent. So aaj kal ki zindagi main ek ek marks ke liye bhi bahut tagra competition hai, you know that. Agar ye competition mein itna agar bacche ka performance kum ho gaya toh this is very dangerous for the career of your child. So time pe ilaaj hona zaroori hai. Doosra behviour mein, socialization mein farak dikhta hai. Agar mein kahin galti karta hoon ya mujhse koi galti hoti hai aur woh mere parents ko, mere teachers ko pasand nahi aayi toh I should be attentive ki mein uss cheez ko dhyaan mein rakhu. Dhyaan mein rakhne ke liye mujhe attention chahiye, “Arre haan mummy ne last time aise bola tha, mummy ko ye pasand nahi aaya tha, teacher ko who cheez pasand nahi aayi thi”. Yeh mere dimaag mein register hona chahiye, yeh register hone ke baad mein jab next time kaam karoonga, tab mujhe who samajh mein ayega ki “arre haan, nahi last time yeh galti kiya tha, mummy ko pasand nahi aaya tha, ab yeh nahi karna chahiye.” But yeh attention he mere paas nahi rahega toh wahi galtiyan mein roz karoonga. Kal bhi maine maar khaaya tha, aaj bhi mein maar khaaonga, aur parso bhi mein maar khaane wala hoon. So this is a part and parcel of life ho jaata hai, aur wahi wahi galtiyaan repeat hoti hai. Toh patient khud ke ilava kissi aur ke bare mein soch nahi pata. Toh woh socialization mein kaafi peeche pad jaata hai.
Is ke treatment part mein kya aata hai?
First is Occupational Therapy jiss mein child ka hyperactivity kaafi hadh tak kum hota hai. Second is parenting techniques ki baccho ko behavioural therapy mein daal kar ke kaise uska parenting kiya jaaye. And third one is medicines. Medicine is a very important part of therapy. Most of the parents ask us ki arre itne chote bache ko medicines chalu karenge, kuch side effects hoga toh, kuch problem hua toh? Minor side effects medicines ke rehte hai but those side effects can be managed with proper consultation. Aur yeh medicines baccho ke liye he banaya gaya hai toh baccho ko yahi dena padega. Baccho ko sardi khaasi ho gaya, baccho ko bukhar aa gaya tabh aap bolte ho ki baccho ko medicine nahi dena chahiye? Agar who baccho ke liye banaya gaya hai toh who baccho ko he dena padega. So hope this discussion is helpful for you and please be proactive and seek help.
Don’t let ADHD destroy your child’s future. For more information, you can contact me on www.lybrate.com.
Thank you very much!