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Dr. Thirunavukkarasu

Pediatrician, Chennai

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Dr. Thirunavukkarasu Pediatrician, Chennai
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Thirunavukkarasu
Dr. Thirunavukkarasu is a renowned Pediatrician in Ashok Nagar, Chennai. You can meet Dr. Thirunavukkarasu personally at Sri Sai KRS Hospital in Ashok Nagar, Chennai. You can book an instant appointment online with Dr. Thirunavukkarasu on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 29 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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English

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Sri Sai KRS Hospital

No 39, 7th Avenue, Ashok Nagar. Landmark: Near To Titan, ChennaiChennai Get Directions
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I want to strengthen the immunity of my 2 years baby boy naturally. Can I pls know how! he fall ill frequently. Recently had typhoid. Now suffering from Cold&fever.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I want to strengthen the immunity of my 2 years baby boy naturally. Can I pls know how! he fall ill frequently. Recen...
If immunity system is functional, it requires nutritious balanced diet including micronutrients to maintain it. There is nothing extra to boost immunity.
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Our 6 yrs. Old son never chews any food. He swallows soft food but can't (or doesn't want to) chew solid food. He is otherwise normal. We have consulted local doctors and child psychologists but without any result. We fear he will be an object of fun at school as he can't eat his tiffen! Please help us.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
Your child is too used to eat soft grinded food since childhood, I suppose. You need not worry for now. You start giving slowly simisolid food now for sometime, so that your child will start eating solid food over the time.
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1. My 5 week old baby s giving some wired sound while sleeping and even she's awake sometimes at time of feeding. I don't know why she's giving such sound. It makes me worry. Can. you please tel me is this normal or any issue. Do I need to give any medicine for tat. 2. Daily she poops frequently. More than 10 times. Max of 15. To 2o times per day.When checked with Dr. Dr said its normal and will change after 30 days. Now she's 5 weeks old but still same.I'm Worrying alot. Pls help me 3. Crying while urinating and passing poops. Daily giving water. Only breastfeeding. What should I do. Pl help Dr. This s my first baby. I m very much worried.

BHMS
Homeopath, Faridabad
1. My 5 week old baby s giving some wired sound while sleeping and even she's awake sometimes at time of feeding. I d...
Hello, your baby is too young to give more medicines but you can give him Homoeopathic medicines as these are safe and work without side effects. Give him Kindigest (Schwabe), 4 pills thrice daily, this will improve his digestion.Revert after 7 days. For the wired sound you are talking , needs to examine physically, so consult a good paediatrician in chennai.
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My daughter six months old. I want to know her diet chart. Can I give him mash banana. Please help.

DMB
Pediatrician, Chennai
Weaning food have to be started after 6 months. Write your normal adult diet. I can make recommendations on what is your family food.
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I am a feeding mother my son have 7 months old. He is suffering with motions I am already consult the doctor and use medicine but no use and does not control. I am also suffering with stomach pain. It comes with intervals and come on abdomen to stomach with highly. So in this time can I give feeding to my son and can I know what s the problem.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am a feeding mother my son have 7 months old. He is suffering with motions I am already consult the doctor and use ...
Advice depends on nature, number, consistency n relation to feed of motion. Anyway if motions are 4 to 5 times even after feed n not watery n baby is active taking normal feed n gaining wt, there is no need to worry else follow advise of your doctor.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
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Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
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By birth, my son is suffering from tuberous sclerosis and due that he has so many issues like development delay, not able to speak, not social and almost all sign of autism. Please advice what treatment is available to recover from these issues. He is now of 4 year and we are sending him to play school so that he can mix with other kids. We also gave behavioral therapy for 4 months. Please advice.

Pediatrician, Pune
Tuberous sclerosis with mild neurological impairment with seizures can be controlled well with medications specially vigabatrine, if there are no renal, cardiac ailments prognosis is much improved, supportive care is what you can for the best
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I have 4 years old kid. He is very stubborn and he is not able to concentrate on his studies and not performing well. Even when I try make him to sit and write he is reluctant and try to avoid what ever ways I tried. Please suggest me what should I do to make my child study properly.

C.S.C, D.C.H, M.B.B.S
General Physician,
A 4 year old cannot be expected to concentrate on studies as he is still a playful child and not ready for serious studies. In our system where children are overloaded there're problems. However we can do some tests to make sure he has no disease. Ask me privately so that I can reply you in continuity regards.
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Going Back to Work After Having a Baby

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Going Back to Work After Having a Baby

Having a child is one of the most physically and emotionally trying situations that a couple will go through? This is especially true for a mother. The mother goes through a roller coaster of emotional and physical changes as well as other changes in her job and relationship. So, if you are going back to work after having a baby, read this article to gain some perspective!

  1. Deciding When: Timing is the first thing that matters in such cases. Remember to discuss this aspect with your partner and get some much needed advice from someone who will be sharing the child's responsibilities with you. Also, emotionally the mother has to be ready to leave the child for that duration in order to go to work and be productive. Feelings like guilt and helplessness may overwhelm you at first, but you have to have your coping mechanisms in place when it comes down to it.
  2. Coping Mechanisms: Speaking of coping mechanisms, let us discuss what all you can do to make a smooth transition from new mother to working mother. Finding support is crucial to begin with. The babysitter or family members who will be the caregiver for the child in those hours when you working, should be someone who you can trust implicitly. It may help to interview and spend time with a new nanny or babysitter before the child is born. This will help in setting a pace, understanding expectations and adjusting to each other even as you build trust. Another coping mechanism includes having someone you can talk to a friend, your parents, your spouse or a co worker. It can be anyone who will be willing to listen and offer you advice when you are feeling overwhelmed.
  3. Breastfeeding: If you do plan to continue breastfeeding your child, it would be best to discuss this with your boss or a counsellor at your place of work before you decide to get back to work. Ensure that you are given a separate room that is hygienic and well lit so that you can carry your breast pump and operate it there. Or, you can opt for day care within the office premises so that you can see your child and breastfeed him\her at regular intervals.

The choice of going back to work or staying at home after having a baby may not exactly be an easy one to make, but knowing your options and working your way around them with the right coping mechanisms and support can help you in gaining the right perspective that will help you focus on both areas with vigour and love. If you wish to discuss about any specific problem, you can consult a Psychologist.

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