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Dr. Subramaniam

Pediatrician, Chennai

Dr. Subramaniam Pediatrician, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Subramaniam
Dr. Subramaniam is one of the best Pediatricians in Anna Nagar, Chennai. Doctor is currently associated with Dr.Subramaniam's Clinic in Anna Nagar, Chennai. You can book an instant appointment online with Dr. Subramaniam on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 26 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.2071, Road 5th Street, Anna Nagar,Landmark:Near to police Booth, ChennaiChennai Get Directions
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My son is 8 years 9 months old. Last three days back i. E. On Monday he had a fever of 101.6 and it continued until yesterday i. E. Wednesday night. The fever ranged between 101 to 99. On tuesday along with the fever, rashes started, i. E. Pinpricked rash all over the body with slight itchiness, today he has no fever but rash is still present. Please help me with any medication. Thanking you.

C.S.C, D.C.H, M.B.B.S
General Physician,
If there is no fever , the rash will subside. It is exanthematous fever.Have you given Measles vaccine yet? THere is possibility of measles. But there is no specific medicine needed , only give Calpol syrup ( Tell me the weight to suggest dosage ) and tepid sponging of the body when there is fever. You can ask me privately to be your regular doctor.
1 person found this helpful
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Hi my daughter is 3 year old she is shivering has cough and fever I served her mefkind, tercoff and closure for 2 days right now she is shivering pls prescribe me medicines for her.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Hi my daughter is 3 year old she is shivering has cough and fever I served her mefkind, tercoff and closure for 2 day...
Shivering can be seen in any bacterial or viral infection. Give syp. Paracetomol for fever every 6 hourly. If it doesn't subsides even after 3 days blood test should be done.
2 people found this helpful
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My son have 1 and Half yrs. I still feeding breast milk. He is eager to drink only breast milk. Don't like to eat foods and all. How to solve this problem.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son have 1 and Half yrs. I still feeding breast milk. He is eager to drink only breast milk. Don't like to eat foo...
Hello, The more you delay the more adamant your child will become to have your milk. Cease your milk completely and ensure you Start giving him other weaning foods.
12 people found this helpful
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My newly born kid has ASD flow. ASD of 0.4 cm. Will he be ok after sometime. He has ostium secundum.please help

M.D PEADIATRICS, MBBS
Pediatrician, Pune
My newly born kid has ASD flow. ASD of 0.4 cm. Will he be ok after sometime. He has ostium secundum.please help
Hello lybrate-user, asd needs closure by device, it does not close on its own. Even if your baby is cliniclly asymptomatic, he will need to undergo this procedure after 1 year of age 2 prevent complications later in life.
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Iron Deficiency In Children - Symptoms And Prevention

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Iron Deficiency In Children - Symptoms And Prevention

Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.

Risk factors for iron deficiency in children

Infants and children at highest risk of iron deficiency include:

  1. Babies who are born prematurely or have a low birth weight
  2. Babies who drink cow's milk before age 1
  3. Breast-fed babies who aren't given complementary foods containing iron after age 6 months
  4. Babies who drink formula that isn't fortified with iron
  5. Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
  6. Children suffering from, Malabsorption, Chronic diarrhoea, thyroid disorders and Celiac Disease
  7. Children ages 1 to 5 who have been exposed to lead
  8. Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.

Symptoms of iron deficiency anaemia

The signs and symptoms of iron deficiency anaemia in children may include:

  1. Pale skin
  2. Fatigue or weakness
  3. Slow cognitive and social development
  4. Difficulty maintaining body temperature
  5. Increased likelihood of infections
  6. Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch

Prevent iron deficiency in children

Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:

  1. Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
  2. Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
  3. Deworming: The power to kill parasites. With such tablets, we can eliminate worms in children and stop parasites from absorbing the critical nutrients a child needs to develop.
  4. Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.

Don't take pallor lightly. Consult the doctor.

Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same. If you wish to discuss about any specific child related problem, you can consult a specialized pediatrician.

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Hello, my son is 3 years old and he catches cold frequently which results in wheezing. I also have the same problem but no asthma. Kindly help. Chest X-Ray has been done.

DHMS (Hons.)
Homeopath, Patna
Hello, * what's the report of chest. X-ray. * avoid. Dust, smoke. Cold intake, exposure to cold, junk food. * luke warm water b consumed in both d cases. * inhalation of steam, twice a day. * gargling with warm, saline water, twice/day for you. *homoeo - medicine** @ bacillinum 200-6 pills in a wk for u, but 2 pills for your child. @ bryonia alb 30-4/6 pills. Thrice a day. @ spongia 30-4/6 pills, thrice/day. Report, wkly. Stay healthy.
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My daughter -in-law 14 months baby was suffering from motions. She was crying too much while motioning. What to do sir/medium. Thank you.

C.S.C, D.C.H, M.B.B.S
General Physician,
If you are bottle feeding you stop bottle and give from a cup and if infective diarrhoea antibiotic is needed. The skin may have eroded her and it caues pain and crying and ther are creams.
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She has white discharge problem for many years. She has taken a lot of treatment. But she did not get well. She has a child of 7 years old. Now she wants one more child. Is there any problem in getting pregnant. If so please suggest me the right treatment.

C.S.C, D.C.H, M.B.B.S
General Physician,
White discharge is common. And if your gynaecologist has not suggested any medicines there is no disease like fungal infection, you surely can have a child.
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My 2 and half years son have perfect height 3.2 ft but weight is low is 11 kg and they didn't have any interest to eat take milk too also stool tight. He is seen like weak boy.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 2 and half years son have perfect height 3.2 ft but weight is low is 11 kg and they didn't have any interest to ea...
This weight is reasonable and his TSH need to be tested .He should be given all foods and ned not depend on milk intake.
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3 months old baby with fever since morning fever is slight not very high His 5 year old brother is recovering from viral fever. Probably he has contacted the same. Please suggest medicine.

Fellowship in Pediatric Critical Care (IAP), MD - Paediatrics, MBBS
Pediatrician, Jalandhar
3 months old baby with fever since morning fever is slight not very high
His 5 year old brother is recovering from vi...
Yes ji most likely viral. Can continue paracetamol drops thrice a day. But for babies less than 6 month old better show to nearest pediatrician.
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Managing Asthma at Home!

MBBS
General Physician, Bangalore
Managing Asthma at Home!

1. It is important to gargle with warm water immediately after nebulization. This measure is intended to wash out the deposits of drugs that if allowed to stay within the oral cavity, will lead to hoarseness of voice and oral ulcers.

2. Following the gargle, drink 2 cups of warm water. This measure will wash out the drugs that is deposited during nebulization on the walls of the esophagus. Thus avoid esophageal irritation caused due to the drug deposited on the inner walls of the esophagus.

3. It will definately help to have a air purifier at home to monitor the particulate matter content in the ambience. This will also reduce the frequency of attacks and enable relatively clean air for the affected, creating comfortable indoors.

4. Take time out to teach children on how to apply the inhaler effectively so as to be able to self-help during acute asthmatic attacks. If available, adrenaline shots of 0.5 to 1 mg may be carried on them, so that in event of severe asthmatic attack, a subcutaneous shot of adrenaline is life saving.

5. Be aware of early signs of an attack, point out these early signs to asthmatic children so that they may stop their activity and take self-help measures.

6. Do not wait for ambulances to arrive in case anybody is in acute asthmatic attack, sit the person in upright position, give them multiple shots through pocket inhaler or start nebulisation with duolin +/- budecort, if the affected person is carrying a adrenaline shot - 1mg subcutaneous should be given on the deltoid of either upper limb of the person.

I am expecting a baby very soon since we have crossed more than 5 years of marriage life. I do have hormonal imbalance issue. Is it curable?

MBBS
General Physician, Jalgaon
I am expecting a baby very soon since we have crossed more than 5 years of marriage life. I do have hormonal imbalanc...
Please Hormone imbalance, infertility can be treated successfully Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do perineal and pelvic exercises daily Take salads and fruits more Avoid oily spicy and fast food, non veg food, processed food Check your tubes for patency, check your husband 's semen Send me report on Lybrate For you Take Cap evecare by Himalaya 2 2 for 6 mths Ashokarishta 20 ml twice a day for 6 mths Lohasav 10 ml twice a day for 6 mths.
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My baby is one and a half months old, and feeds on my milk only. I want to know how can I confirm whether I can produce sufficient milk for my baby or not.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is one and a half months old, and feeds on my milk only. I want to know how can I confirm whether I can produ...
Weight gain is best parameter. If baby is on exclussive breast feed and passing urine 6 to 7 times in a day is also an indicator.
1 person found this helpful
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Actually right now im suffering from problem of dry scalp leading to dandruff and hair loss. It would very kind of you to consult me some counter measures to overcome these problems. I don't do any types of addiction like drugs, alcohol, cigarettes etc. But it had become my habit to masturbate daily.

BHMS
Homeopath, Sindhudurg
Actually right now im suffering from problem of dry scalp leading to dandruff and hair loss. It would very kind of yo...
Dry scalp and hair loss - homoepathic treatment kali mur 6x 4pills 3times tricho tab 2tab 3times arnica hair oil healwell company.
1 person found this helpful
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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.

1 person found this helpful

My baby is 6 weeks old, I have applied mustard oil on his body massage oil on thursday, now have a bad rash all over his face, ears and some on his neck. What can I use for that and what could be causing that? What I have to do pls guide us.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My baby is 6 weeks old, I have applied mustard oil on his body massage oil on thursday, now have a bad rash all over ...
Mustard oil is very strong for baby skin, so it can causes rash and skin burn so don't use it. If baby is cranky because of itching or burning use caladril lotion local application. You can use coconut oil, olive oil etc for massage.
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Hello Dr. My son is 2 years old lately he has his right scrotum enlarged and pressurized with water. Is there a solution to cure this without going for the knife. Am very anxious please advise. Thank you.

MD - Paediatrics
Pediatrician, Ranchi
Hello thanks for the query if the scrotal sac is too large it needs to be operated. Mild collection of fluid can be treated conservatively. I request you to attach an image so that I better able to help you out. Regards.
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My daughter is 10 months old she is not gaining weight. Wat can I do. I started solid foods. Wat was the quantity and which type of food I have to feed her to gain weight. She didn't get teeth till now.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
My daughter is 10 months old she is not gaining weight. Wat can I do. I started solid foods. Wat was the quantity and...
I don't know birth wt. But should be around 7.5 to 8 kgs. Kindly consult Dr. To rule out some illness.
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I have one year baby, but my baby has no improvement in weight gain, I'm so worry about my child, so pls suggest so prescription for my baby to gain weight, I hope I get a better idea to gain my babies weight.

MBBS, MD
Pediatrician, Gurgaon
I have one year baby, but my baby has no improvement in weight gain, I'm so worry about my child, so pls suggest so p...
well one year old baby will gain weight if he gets enough calories for his daily activity.he waste good amount of calories in his energetic work he is doing.you should give only two breast feeds,4-5 soup like,home made,added oil or butter at interval of 3 hours.h e must get one thousands calories per day.thanks ,a nice quistion
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