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Dr. Meera Sundharam

Pediatrician, Delhi

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Dr. Meera Sundharam Pediatrician, Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Meera Sundharam
Dr. Meera Sundharam is one of the best Pediatricians in Shalimar Bagh, Delhi. She is currently practising at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. Meera Sundharam on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 30 years of experience on Lybrate.com. You can find Pediatricians online in Delhi 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
Hindi
Professional Memberships
Indian Academy of Paediatrics (IAP)
Delhi Medical Association (DMA)
National Neonatology Forum (NNF)

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Max Hospital-Shalimar Bagh

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc. And I have always bone pain. It is genetic. Please help me. And suggests some medicine and treatment. And chest pain also.

MD - Internal Medicine
General Physician, Khammam
I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc....
Hello Lybrate user Sickle cell anemia patients are prone for above symptoms if the blood percentage drops. Take adequate amounts of oral fluids. Consult your physician and get evaluated.
3 people found this helpful
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Health Tips For Cough and Cold

Diploma in Naturopathy & Yogic Science (DNYS), bachelor Of Science in Nursing
Yoga & Naturopathy Specialist, Gandhinagar
Health Tips For Cough and Cold

10. Health tips for cough and cold

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1. ?????* 
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2. ???? ?? ???*
???? ??? ??? ???? ?? ???? ???? ??? ?????? ???? ????????? ?? ????? ?? ???????? ???? ???? ?? ????? ????? ??? ????? ???? ?? ?? ????? ????????? ????? ???? ??? 100 ????? ????? ???? ?? ??? ???? ??-??? ????? ??? ?? ????? ???? ???? ?? ????? ?? ??-?? ????? ?????? ?? ??? ???? ?????? ??? ?? ??????

3. ???? ??*
????? ??? ????? ??????? ???? ?? ??? ?? ??????????? ???? ???? ?? ???? ?? ??? ?? ???? ??? ???? ??? ??? ???? ???? ????? ?? ??????, ?? ????? ?? ????? ???? ????? ?? ?? ?? ?? ????? ??? ?? ???? ??????

4. ????-?????*
??? ????? ???? ????????? ?? ??? ????????? 1 ????? ??? ???? ???? ?? ??????? ?? 10-15 ?????? ?????????? ????? ??? ?? ???? ??? ???? ?? ???? ???? ???? ??????? ???? ?? ???? ??? ??????? ???? ?? ??? ?? ?????? ?? ?? ????? ?? ??? ??? ??? ??? ???? ????

5. ????*
???? ??? ??????? ?? ?? ?????? ?????????? ??? ????? ????? ????????????? ?????? ?? ??? ?? ?? ???? ?????? ?????? ?? ?????? ??? ???? ????? ????? ??? ???? ?? ??????? ?? ???? ???? ???? ??? ?? ????? ?? ???? ?? ?????? ?? ??? ???? ???? 3-4 ???? ???? ?? ??? ???????? ????? ????? ???? ?? ??-??? ????? ??? ??????? ????? ??? ?? ?????? ?? ??????? ?? ?????? ?? ?? ??? ??? ?? ?? ??? ??? ?????, ???? ???? ?? ?????? ??? ?? ??????

6. ????? ?? ?????*
????? ??? ???? ??? ???? ???? ???? ????? ???? ??? ?? ????? ??? ??????? ????? ?? ????? ?? ???????? ???? ?????? ?? ?? ???? ??? ???? ??? ????? ??? ???? ???? ?? ?? ???? ??????? ????? ??? ????? ????????? ????? ?? ???? ??? ???? ??????? ??? ??? ??? ????? ???? ????? ?? ????? ?? ?? ????? ???? ?? ?? ?? ????? ?? ???? ??? ?? ?? ???? ???? ???? ???? ?? ?????? ?? ???? ????? ??? ??????


7. ????? ?? ???*
????? ?? ??????? ?????????????? ???? ??? ?? ????? ?? ???? ??????? ?? ??? ?? ???? ??? ???? ??? ????? ???????? ??? ?? ????? ????? ?? ??? ??? ?? ????? ??? ???? ???? ?? ?????? ?? ?? ????? ?? ??? ??? ??? ??? ????

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?? ????? ???? ???? ??? ?? ????? ??? ??????? ???? ????? ????? ?? ???? ?? ??? ?????? ?? ??? ?? ??? ?? ???? ?? ????? ????? ?? ???? ?? ?????? ?? ??? ??? ?? ??? ??? ???? ????? ???? ?? ????? ??????? ??? ?? ????? ????? ???????

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10. ????????? ???? ??????? ????*
?????? (licorice), ???? ?? ?????? (chickweed)* ???? ???? ??????? ???????? ??? ?? ???? ??? ???? ??? ??? ?????? ?????? ???? ???? ??? ?????? ?? ??? ?? ????? ?? ??????? ?? ???? ???, ?? ?????? ????? ???? ?? ???? ??? ?????? ???? ??? ??????
 

5 people found this helpful

My four year baby is sick with a temperature of 99 degrees she can't keep anything down including liquids. Please what should I do.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Such low grade fever usually do not indicate anything wrong,unless accompanied by other sign & symptoms or for long duration.
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Mere behan ki ladki 40days ki hai dhoodh peene ke turant baad ulthi kar leti hai. Bahut ulthiyan kar rahi hai koi syrup ya upay batao.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Mere behan ki ladki 40days ki hai dhoodh peene ke turant baad ulthi kar leti hai. Bahut ulthiyan kar rahi hai koi syr...
It is called ger. Gastro esophageal reflux disease. Send details of birth history weight etc to private conversation option in lybrate. There only we doctor can write medicines n prescription. Till then keep adequate time for burping post feeds and while child is asleep make sure baby has 25 to 3o degree head up position. Thanks.
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Dear sir my son is 4 months and 26 days old. His weight is 5 kgs and 516 grams. Is he having normal weight? How can I feed to get increase the weight? please send me thorough information.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear sir my son is 4 months and 26 days old. His weight is 5 kgs and 516 grams. Is he having normal weight? How can I...
This is normal weight and it is not advisable o increase weight beyond the normal as it leads to obesity, a great hazard for children. From 4 months he should be given all homemade foods.
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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

Sir mari beti 1 year ki honaaa wali h WO stand nhi ho paati koi prob to nhi h mari bdi beti 7 mhinaaa ki bjagna lgi thi aisaaa kyu. Or mari choti beti bht kamjor h PR WO khatiii bht h hr tym bhukiii hi rhti h.maiii kya kruu ab.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Sir mari beti 1 year ki honaaa wali h WO stand nhi ho paati koi prob to nhi h mari bdi beti 7 mhinaaa ki bjagna lgi t...
Hi, Don't be over enthused, she may walk any time from now. Some babies walk little late. Anything before 15 months is OK. It delayed still consult an physician or Homeopathic doctor.
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I have a baby boy of 9 months he gas fever from last 2 days blood report wbc 17500 c-reactive protein 130.91.

Pediatrician, Pune
Get him evaluated by you pediatrician look for the source of infection, continue antibiotics prescribed.
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Hello doctors My baby in six month & we have started DAAL WATER. Request pls confirm whether we can add CURD in daily routine or guide what other diets which can add parallel to mother feed.

MD - Paediatrics
Pediatrician, Rewa
Hello doctors
My baby in six month & we have started DAAL WATER.
Request pls confirm whether we can add CURD in daily...
Please use home cooked semi solids like sooji, daliya, khichdi, daal chhaval, etc. Daal pani has no nutritional value so don't use it similarly fruit juices are not recommended, use mashed fruits. Add oil or ghee in diet to increase taste and caloric value, curd you can use it. Is very good for everyone.
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My elder daughter is 7 years she has problem of worms every 2 days she cries I gave mebex syrup & many a times other suspensions but no cure. She is too tiny & doesn't take her meal as she never feels hungry. Please help me.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You haven't mentioned big worms or small worms. If they are big worms put noworm suspension 10ml at bedtime & repeat the same after 15days. If they are small worms put mebex suspension 5ml at bedtime &repeat same after 15days & after 45 days. Maintain personal hygiene like trimming the nails.
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Hi sir. My son has 6 year old but still he is doing toilet in bed. Pls. Suggest what we do.

Pediatrician, Mumbai
Toilet meaning urine or stool? if urine then you can get a urine routine done to rule out infection. If reports normal then you can wait for some few months before starting therapy. If stool the you need to consult a pediatrician.
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Is PCV vaccine similar to pneumococcal? My son have been injected three doses of pneumococcal at 2 1/2 M, 3 1/2 M.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
Pcv i. E. Pneumococcal conjugate vaccine is injected at 1 and half; 2 and half and 3 and half months.
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A baby of 4 months don't take milk. So what should be given to a baby which will act as his food or milk.

C.S.C, D.C.H, M.B.B.S
General Physician,
A baby of 4 months don't take milk. So what should be given to a baby which  will act as his food or milk.
From four months you can give home made semisolids and other milk with spoon and never feed in bottle
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My 7 month old son having mucus, occasional pus cells and bacteria in his stool. Kindly suggest what to do.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
My 7 month old son having mucus, occasional pus cells and bacteria in his stool. Kindly suggest what to do.
Even though very rare, milk protein allergy can also happen in exclusively breastfeed babies. Consider cutting down all dairy products in your diet for few weeks to a month - milk, yogurt, ghee or butter, beef, biscuits, or anything that can contain bovine or milk products, and also common allergens such as eggs, wheat, peanuts - and see how it goes.
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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.

MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Mumbai
Sometimes malaria is resistant. Depends on what medication was used by your doctor. Or malaria may be gone, but because she is weak, she might have picked up some other infection. Kindly go back to the doctor who treated her for malaria and get her checked up.
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Hello doc my height is 5'10 nd my wife, s height is 5 Now I have a child new born baby I want to know baby's height. Baby grows on me or my wife thanks.

B.H.M.S
Homeopath, Lucknow
Hello doc my height is 5'10 nd my wife, s height is 5
Now I have a child new born baby
I want to know baby's height. ...
No it cant be told rt now . Let ur child grow up tke care of babies nutrition . Avoid infections to ur baby. Height growsbrapidly after age of 12 so wait n watch.
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I stopped him giving calcium syrup when he was 1 year. He sweats more when he play. So can I start to give him the calcium syrup.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I stopped him giving calcium syrup when he was 1 year. He sweats more when he play. So can I start to give him the ca...
every baby sweats more while playing as long as the bay is having proper food and weight gain nothing to be worried. Calcium syp has no relation with the sweating
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My son is 7 years old. He has one problem wo sota (sleeping) bhot kam karta hai aur khelta jyada hai aur sulane par rota hai. Uska weight 9 kg hai. Humne use doctor ko dikha kar sleeping drops bhi diye par kuch fark nahi pada pls aap koi upaye bataye jise wo jyada soye.

MBBS, MD
Pediatrician, Gurgaon
He. Is active child. Aperson is supposed to sleep for 4-6 hours sound sleep. Of he is eating by himself and active, play with his classmates. About low weight, you should let me know his birth history.
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