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Dr. V.K. Sairam

Pediatrician, Chennai

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Dr. V.K. Sairam Pediatrician, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. V.K. Sairam
Dr. V.K. Sairam is a popular Pediatrician in Anna Nagar West, Chennai. You can meet Dr. V.K. Sairam personally at Children's Health Center in Anna Nagar West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. V.K. Sairam on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 39 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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Children's Health Center

#Z280, 5th Avenue, Anna Nagar West. Landmark: Behind Hotel Saravana Bhavan, ChennaiChennai Get Directions
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Hi My daughter is almost a year old. But for the year she hardly takes 3 to 4 hours rest during the whole night. She wants play at night so I think she has not any physical problem. What should I do for she take more sleep at night. Please help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics , Diabetes Educator
Dietitian/Nutritionist, Mumbai
Hi
My daughter is almost a year old. But for the year she hardly takes 3 to 4 hours rest during the whole night. She ...
Hello,, Cut down on her afternoon naps.Set up a timetable for her with lots of physical activity.Give her warm water shower in the night and make sure she isn't hungry at bedtime.Set up a routine for her.Cut down on her sugar consumption.
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Understanding The Survival Rate Of Childhood Leukaemia!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Understanding The Survival Rate Of Childhood Leukaemia!

The diagnosis of leukemia in a child is followed by a discussion regarding the treatment and tenure required for complete recovery. The way in which the doctors go through the treatment after diagnosis of leukemia is based on various factors. Such factors that influence the outlook of the child are termed as prognosis.

These prognostic factors help in taking the decision regarding what sort of treatment should be offered to the child. Treatments may either be standard or intensive based on the prognostic factors. These factors, however, are vital in treating acute lymphocytic Leukemia than the other type called the acute myelogenous Leukemia. Above all these, survival rates are discussed and these rates play an important role. Parents of the child affected may at times insist that they get to know the survival rates.

The 5-year survival rates: The 5-year survival statistics are a common method used for discussing survival rates. This is the rate that denotes the percentage of children who live for a minimum of 5 years after the diagnosis of cancer. In the case of acute leukemia, it is rare for the cancer cells to come back after five years and so, you can come to a conclusion that the child has recovered.

Prognostic factors: The survival rates are based on a number of children who are diagnosed, but this is not conclusive. The type of Leukemia also plays a vital role. There are also various other prognostic factors that affect the child's outlook such as age, gender, weight, initial blood counts, and the way the child is responding to treatments. However, the survival rates are roughly the best estimates even after taking these factors into account.

Acute lymphocytic leukemia - 5-year survival rates
The survival rate for acute lymphocytic leukemia is greater than 85℅ and there is a vast improvement in this percentage over a period of time.

Acute Myelogenous Leukemia -5-year survival rates
The cumulative survival rate for Acute Myelogenous Leukemia is about 60℅ - 70℅. There was a substantial increase is this percentage over time. There are a few subtypes which have a different percentage of survival rates.

Juvenile Myelomonocytic Leukemia - 5-year survival rates
50℅ is the survival rate for this type of Leukemia.

Remission
The stage where there is no sign of Leukemia after 6 weeks of treatment even after the performance of lab tests which are very sensitive, it is called as remission. The remission stage does not necessarily mean that

Leukemia has been cured completely.
In conclusion, there is a significant increase in the percentage of survival rates when it comes to cancer. It has increased from 10℅ to 90℅ in the past few years. Factually speaking, there are approximately 375000 adult survivors in the United States who were diagnosed with cancer in their childhood. If you wish to discuss about any specific problem, you can consult an Oncologist.

4051 people found this helpful

I have 8 month old baby. Usne 4 days se poty nai ki h. Is it normal or should I consult any doctor. Regards.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
I have 8 month old baby. Usne 4 days se poty nai ki h. Is it normal or should I consult any doctor.
Regards.
Need not worry this is a common problem in children of this age group. You can use dulcolax paediatric per rectal suppository, which you need to insert in the anus (rectal opening) better to get it done under supervision, take help of a nurse. You can use duphalac syrup also.
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Is it safe to vaccinate your kid after 3 years if you have missed out some of the schedules?

MD - Paediatrics
Pediatrician, Ranchi
Thanks for the query yes, there is catch up period defined for each vaccination. You can get your kid vaccinated safely. Please let me know till now which vaccines he has taken so that I better able to tell you about further needs. Regards.
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After vaccination of DTap-IPV/Hib my kid had little fever doctor suggested p-125 0.5 ml but without knowingly I gave flu cold drops of0. 5 ml but there was not much fever. My kid is as usual now without any difference. Will this affect him? I'm very upset kindly tell me. He usually have his breast milk and sleep for an longer time. He is just 75 days old baby.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
After vaccination of DTap-IPV/Hib my kid had little fever doctor suggested p-125 0.5 ml but without knowingly I gave ...
This is paracetamol in dose of about 60 mg per dose shall be effective for fever n pain. Look if 0.5 ml of of flu cold drops contains that quantity. Other constituents in cold drops is not known to comment.
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My Child Is Getting Stubborn. How Do I Handle This?

MD - Paediatrics
Pediatrician, Bathinda


A common scene" while you are shopping with your child, he stops in front of a shop and asks for an expensive toy. You try convincing him that he already has many. He refuses to listen, starts crying rolls over on the floor, you try to stop. You yell and shout at him but nothing seems to work. You finally buy the toy for him. Now he is happy!”


Are all kids stubborn?

Most kids are stubborn at times. This is considered normal in the first few years of life. However, if this behavior is persistent, then it calls for evaluation and introspection on part of the parents.


What problems can arise due to their stubborn behavior?

  • A pervasive stubborn and adamant attitude in children can lead to the following:
  • Increased anxiety and stress in the family
  • Child may lag behind in academics
  • Child can develop an understanding that through his behavior, he can get his way always
  • Will have difficulty adjusting in school and with friends
  • May develop a defiant and aggressive attitude

Is punishment an effective method?

Punishment works as a temporary method to stop stubborn behavior. However, it is not recommended always. First it is important for parents to understand reason for kids being stubborn.


What can parents do when child is in the midst of a tantrum?

When the child is in the midst of a tantrum, it is important that parents stay calm and composed. Time out, walking away from the situation, ignoring the child, till he gets out of it is the best solution.


What is a time out?

Time-out is a form of behavioural modification that involves temporarily separating a child from an environment where unacceptable behavior occurred. Time-outs may be on a chair, in a corner, bedroom, or any other location where there are no distractions, and reduced access to fun items, activities and people.
This procedure is preferable to other punishments such as reprimanding, yelling at or spanking the child for their misbehavior.


How much time can I give a time out for?

Time outs must be brief. A rule of thumb for time outs is" one minute per year of age, for example if your child is 5 yrs old, time out given maybe for 5 mins.


What is positive reinforcement?

Positive reinforcement is catching your child doing good and praising/ rewarding him for the same. It is an effective means to improve behavior in children. Set up a target for your child, give him stars on days when he meets set goals and at the end of the week, reward him with something that he wants. This is called behavioral charting and is very effective in kids.


Common parenting tips to be followed:

  • Children learn by observing parents. Parents attitude and behavior influences child’s behavior in a major way
  • Listen, don’t argue
  • Stay calm
  • Reinforce positive behavior. Catch your child doing any good and praise him for it. Let him know his good behavior is being noticed and appreciated, it will help to increase this behavior
  • Ignore tantrums
  • Understand your child’s behavior
  • Do not give into his blackmailing
  • Spend quality time with your children. Let them know you are available for them
  • Be aware of your own emotions and actions
  • Respect them
  • Ensure your child is engaged and busy. Boredom many times can trigger tantrums
  • As parents, understand the difference between needs and wants

Identify the antecedents to their stubborn behavior. Do not scold them or beat them, but be composed when you deal with them. Do not give in to their demands in the midst of a tantrum. Ignoring the tantrum is the best way out.

Most crucial aspect is to ensure that all members of the family agree on the same disciplining method. Convince all at home that being firm with the child when he throws tantrums is in the best interest of the child.

Disclaimer" the information is based on standard medical guidelines and is purely informative. Not to be used for treatment.”

1 person found this helpful

My daughter is 3 weeks old from the day 1 she is doing loose motions almost 10-15 times a day. I concern with my pediatric she is like new born me hota hai.

BHMS
Homeopath, Kolkata
My daughter is 3 weeks old from the day 1 she is doing loose motions almost 10-15 times a day. I concern with my pedi...
For a baby mother's milk is best. Try to avoid any artificial feed as far as possible till six months. If loose motion means diarrhea kind of thing then with fever and other symptoms then you need to visit to doctor, otherwise frequent motion happens in new born and its a good sign that they are getting enough milk..
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My son is 7yrs old voimiting every morning when he go to school. In holidays he does not do this. With eating or without eating he vomitts every morning. What will be the reason. I have done lft, blood test, urine and stool test.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Vomiting is never functional. Kindly try to give him an antiemetic half an hour before the anticipated time of vomiting and review.
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