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.
Book Clinic Appointment with Dr. Thirunavukkarasu
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. ThirunavukkarasuYour feedback matters!
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.
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.
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.
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.
My daughter of three years is suffering from severe cough since the last three days. Initially the problem was only in the middle of the night. Since yesterday, it has increased a lot and she is continously couphing. The doctor prescribed tixcylix. No relief after taking the medicine for two days. Please help.
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
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
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.
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.
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.
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!
- 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.
- 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.
- 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.