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Dr. Bala Kishore

MBBS, Diploma in Child Health (DCH) , DNB - Pediatrics

Pediatrician, Hyderabad

14 Years Experience  ·  100 at clinic
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Dr. Bala Kishore MBBS, Diploma in Child Health (DCH) , DNB - Pediatrics Pediatrician, Hyderabad
14 Years Experience  ·  100 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Bala Kishore
Dr. Bala Kishore is a trusted Pediatrician in Erragadda, Hyderabad. Doctor is currently practising at St Theresas Hospital in Erragadda, Hyderabad. Save your time and book an appointment online with Dr. Bala Kishore on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 36 years of experience on Lybrate.com. You can find Pediatricians online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Kurnool Medical College, Kurnool - 2003
Diploma in Child Health (DCH) - Manipal University - 2006
DNB - Pediatrics - National Board of Examinations, New Delhi - 2008
Languages spoken
English

Location

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Chinmay Children's Clinic

Rajiv Nagar Cross Road. Landmark: Above Manas Eye HospitalHyderabad Get Directions
100 at clinic
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I m suffering from cold and cough from 1 weak so please advise me the good medicine.

MBBS, MBA (Healthcare)
General Physician, Delhi
I m suffering from cold and cough from 1 weak so please advise me the good medicine.
take sinarest one tab at night for 3 days. honitus 2 tsf 2 times a day. do gargle. take steam. inform if not ok.
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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

My baby is 5 month old so after 5 month baby which type of eating food. Suggest me.

MBBS, MD
Pediatrician, Gurgaon
My baby is 5 month old so after 5 month baby which type of eating food. Suggest me.
Madam five monthsplus baby may or maynot satisfy with breast milk alone. This can be best judged by weight gain of baby and demand of breast feeds. If twenty minutes of sucking should keep child playingfor four hrs. Means breast milk is enough. Same is fact for feed baby. 5-6 months is crucial to start semi liquid soup type of feeds two three times a day breast feed is continued at five hrs interval. Frequency of breast feed should never increased nor contd sucking beyond twenty minutes is advocated.
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Hi respected sir/madam, my 4 year older son just 13 k.gs. In weight, I have tried so many doctors, pediasure, but he is not getting healthy and strong. Blood test, hemoglobin test are normal. Respected sir / madam. He is also not getting interested in foods, he like bread tea, chips, and immune system is not good too. Running nose, fever etc. wht should I do. Please do reply. I will be grateful.

BHMS
Homeopath, Secunderabad
You need to talk to him about the benefits of a healthy diet. There are many children's programs available online to educate children about healthy living. If you could make him appreciate its importance ,then he will happily adapt the healthy food. Have patience and go slow. Limit the junk food and introduce healthy food which is made with a tasty flavor at home. Allow him to play outdoors (or any physical activity ). If his cold is severe or recurrent then you can try Homeopathy. You can contact me for a detailed consultation so that a remedy suitable for his constitution can be given.
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Is it necessary to vaccinate my baby (16 month old) with MMR and PCV booster injection? IMA vaccination card does not mention these vaccinations but their staff says that these vaccinations are private and mandatory. Although I have vaccinated my baby with Varicella and hepatitis A vaccines in private clinics which are not mentioned in IMA vaccination card. So please guide me about these MMR and PCV booster vaccines about their necessities.

MBBS,MD(PGI,Chandigarh)
Pediatrician, Kolkata
Is it necessary to vaccinate my baby (16 month old) with MMR and PCV booster injection? IMA vaccination card does not...
Actally this schedule is made by IAP(Indian Academy of Pediatrics).Yes as per this schedule you should give MMR2 and PCV booster at 15 month of age.Always it is better to use available vaccines to protect your child from a particular disease.
1 person found this helpful
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My baby was Started 4 month I'm using Johnson baby powder by born onwards but on my baby face will be rashes and face will be dry too I consultant my family doctor he gave dermadew soap and cream so which cream and soap, oil is best for my baby sir.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby was Started 4 month I'm using Johnson baby powder by born onwards but on my baby face will be rashes and face...
there is no description of nature of rash. It is better to avoid using powder or cream. for bath, use glycerin soap.
1 person found this helpful
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My baby is 5 month old 6 th is running. Which type of food I gave him? Can I gave him Cerelac?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 5 month old 6 th is running.
Which type of food I gave him?
Can I gave him Cerelac?
You have to start all homemade foods mashed well according to his taste, By one year should be sit with you on dining table.
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Homeopathy for Common Cold and Cough

DHMS
Homeopath, Rewari
Homeopathy for Common Cold and Cough

Common cold and cough is one of the most common viral illnesses that have no specific treatment. Allopathic medicines provide palliative cure to just treat the symptoms, there is no definite antiviral for it. There is also popular belief having cold once or twice a year is a good way to cleanse the body. On the contrary, cough and cold could be the first symptoms of a serious underlying disease like pneumonia. From that angle, it is better to treat it than to just let it run its natural course. Especially in children and elderly, it can be chronic issue with repeated bouts and therefore, treatment becomes mandatory.

The good news is that homeopathy provides a cure for this, that not just treat external symptoms. Also, like any other condition, homeopathy looks at treating the whole myriad of associated symptoms, thereby providing holistic treatment.  Below are 5 common homeopathic remedies for chronic cough and cold:

1. Aconitum or Aconite:  Used in the early stages of a cold that was sudden in onset and severe.  There could be associated nasal discharge, fever and chills, chest congestion, itchy throat, and a traumatic experience.  The person may also feel thirsty, anxious, and agitated.

2. Allium Cepa:  Severe burning and watery eyes, nasal irritation, copious amounts of discharge, hoarseness, and headache. The runny nose improves in open air, but worsens when being indoors.

3. Arsenicum album: The patient usually has complaints on the right side including watery nasal discharge, weakness, restlessness, chills, thirst. The discharge can irritate the upper lip and nasal mucosa.  The cold gradually moves to the throat and the irritation also shifts down (this phase requires a different treatment). 

4. Belladonna: When the cold has a sudden onset with red face, high fever, cold feet, this can be used in the early stages of the cold. There is associated high fever, tickly throat, glassy eyes, dry cough, restlessness, and delirium 

5. Euphrasia: Burning eyes and profuse nasal discharge lead to reddened eyes and cheeks. More common in children, the condition worsens in open air, at night, and while lying down. The cough then moves down into the larynx, produces a harsh, hoarse voice. 

6. Pulsatilla: Yellow or greenish mucous, nasal congestion, mouth breathing are some symptoms where this is used. It is very commonly used in newborn babies, if the discharge colour is green or yellow. Associated symptoms include moodiness, easy crying, craving for attention, easily hurt and sensitive. 

Homeopathy does 'cure' the cough and cold in patients, in the true sense of the word.  That provides palliative care and holistic treatment of the condition too.

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Hi my 3. 5 yr child developed swelling around nose and lips please please please and right part of face. He also got fever. Please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
He could be having fever as a result of some infection and swelling may be due to angioedema due to allergy to any substance or as result of cold. More details are needed to give any specific suggestion
1 person found this helpful
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My son is 3 years old his weight is only 12 kg is it proper for him if not pls suggest me a diet chart for him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 years old his weight is only 12 kg is it proper for him if not pls suggest me a diet chart for him.
Ideal wt for this age is 14 kg. U may increase number of feeds including ghee cooked nutritious diet rich in protein of his choice n at his liberty. No force feeding.
2 people found this helpful
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MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Upto six months of age, exclusive breast feeding is recommended. Even water should not be offered to the baby. The mother should drink extra water/liquids like juices/soupsetc and keep herself well hydrated for optimum milk production. Also she should take a wholesome diet and never worry that her milk is not sufficient for the baby. If the baby is passing urine frequently, passing stool 6-10 times per day and gaining weight, breast milk production is enough.
4 people found this helpful

MD - Ophthalmology, MBBS
Ophthalmologist, Delhi
Such a congenital abnormalities not rare in children & have a very reaching negative impact on attaining normal vision in children.
Must show your ward to pediatric ophthalmologist before the age of 3 .
2 people found this helpful

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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Potato Chips and French fries promote obesity in Children

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Potato Chips and French fries promote obesity in Children

Potato chips and French fries turn out to be two of the most obesity promoting foods among children and adolescents in a Study by researchers from the Duke National University of Singapore 

On the other hand whole Grains and high fibre cereals were associated with Weight loss as were potatoes cooked without oil and dressing have low energy density are highly satiating and do not cause weight gain.potatoes are also rich in potassium vitamins and other essential nutrients 

18 people found this helpful

How much ONDEM syrup must be given to 1 year child & How many times a day in case of vomiting?

C.S.C, D.C.H, M.B.B.S
General Physician,
How much ONDEM syrup must be given to 1 year child & How many times a day in case of vomiting?
Dose of medicines for babies depend on weight and normally assuming he is 10 Kg or more 2.5 Ml is enough
2 people found this helpful
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