Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 42 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
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. VelmuruganYour feedback matters!
My son in law age 2.4 years is not eating food daily instead eating biscuits lays etc. What should I do him to eat food. Suggest some ways.
Pet dog bites on her face. Dog is vaccinated. Kindly advice treatment, diet, and necessary instructions to follow. Thanking you.
My niece is only 2 & half months and within 4-6 days of her birth Paediatrician suggested to get the heart checked at our convenience. Yesterday, we did the Eco & it was diagnosed that the she needs Balloon Pulmonary Valvoplanty or the heart will be continue to damage. We are afraid that at this such a young age this surgery is necessary? Please let me know your contact details to share the report for proper diagnosis & Dr. From Lybrate can suggest st a true way forward.
My baby boy is 4weeks old. Suggest some sops and body lotions. Coconut oil/almond oil/olive oil which one is better? control old soap is better than Santoor baby soap? Please give me some information.
Our baby is 3 months and 1 week old, she is suffering with cold , please can any one suggest me how to cure it in a easy way.
I have a baby boy having a problem. Mean he fall in trouble when goes for latrine. He is 3 years old and it takes him lot of time to do potty. Please suggest what to do ?
Hello my daughter is one year old. She cant eat much more. I want to knew what type of food is good for her and how can I handle her so she can eat as per required amount. Please suggest me what can I do for her.
Hello. My son is only two years old with 10 kg weight he doesn't want to eat and he only pee twice in a day. So, please help me.
My 18 month baby has cough and fever since a week I visit pediatrician. Also but there is no improvement her condition I give het nebulization thrice a day also.
What is a growth disorder?
A growth disorder is any type of problem in infants, children, or teenagers that prevents normal growth. Normal growth depends upon several factors, such as nutrition, genetics, and hormones (chemical messengers of the body). Hormones are necessary for normal growth and development; they regulate the body's growth, metabolism (the physical and chemical processes of the body), and sexual development and function.
Endocrine (hormonal) causes of growth disorders include thyroid hormone deficiency (hypothyroidism), growth hormone deficiency, hypopituitarism, or other hormone disorders. However, some growth problems are not necessarily growth disorders; normal variants of growth patterns include genetic short height (familial short stature) and slow growth/delayed puberty (constitutional growth delay).
Although growth hormone was originally used to treat growth hormone deficiency (this group of patients respond the best to growth hormone therapy), there have been other conditions for which growth hormone therapy has been approved for use. These include Turner syndrome, chronic renal insufficiency, Prader-Willi syndrome, and children who were small for gestational age and have not caught up in their growth by the age of two years. In 2003 the FDA approved the use of growth hormone for children who have
Hi I am 36 years old breastfeeding my child, cause of low supply I am taking lactare tablets and galact granules (ayurvedic medicine), now its going good, my gynaecologist told you can take as long as you want to feed, are there any side effects on using it for me and my baby, one more question my 5 months old baby suffering from times versicolor, I am confusing cause it is because of these tablets, please help me whether I will continue or not.
The underrated vegetable is know for its hefty nutritional values. It is a known diuretic (which helps to remove excess water and toxins) from the system and also help in gastroinstestinal problems like flatulence(gas),indigestion and acidity. It surely makes a healing punch.
Breast milk provides essential nutrients for infants and is a mix of nutrients, which include vitamins, proteins and fat that are necessary for a baby's growth. Apart from benefitting babies, breastfeeding benefits mothers too.
Here are 4 benefits of breastfeeding:
1) Provides nutrients and protection to the baby - The best food a mother can give to her baby is her breast milk. It helps your baby to grow and develop. Breast milk is custom-made by all mothers for their own babies and, thus, contains a perfect mix of essential nutrients. Breast milk contains a mixture of protein, carbohydrate, fat, vitamins and minerals, which are very important for the proper growth and development of the baby. It also contains many antibodies that reduce the chance of diseases and allergies. In fact, the milk's content changes as your baby grows to keep up with the infant's needs.
2) Convenience - The milk from breasts is always safe and fresh, and is precisely of the right temperature, which what makes it a convenient food for the baby. What's more, it doesn't require heating, boiling or sterilizing as such; and can be fed to the baby anywhere, anytime.
3) Benefits mothers - According to a research, breastfeeding, to an extent, provides protection against breast and ovarian cancer. It also serves as a measure of protection against weak bones in the later part of life. Calories are required in order to produce milk. So, breastfeeding helps to gradually lose weight after pregnancy as well. Moreover, breast feeding also defers the return of menstruation for a little while.
4) Continues the special relationship between mother and child - The bond between a mother and a child strengthens due to the intimacy and the closeness involved in breastfeeding. One of the remarkable facts about this is the more a baby breastfeeds, the more milk the mother produces. If you wish to discuss about any specific problem, you can consult a pediatrician.
I have baby boy of 2 years he ate chocklate too much now his teeths are black what can I do for clean his teeths I brush his teeths daily but unable to clean his teeths any suggestion please?
Hi. I am 21years old. I have 6 months baby. I reduced little my stomach fat. Bt I have big back. How to reduce my back calories?
My child born on 2 april 2015 vomits milk I breast feed her nor does she burps easily please help as i am worried.
My son is near to complete 3 year .he has often face cold and cough in a month. He doesn't like medicine so never take medicine. What can I do for him please help me.
Hi. My daughter is 5 yrs old. She had malaria last week. We have completed the doses as directed by the physician. But still she is having fever this morning.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC