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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
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My daughter is 5 months old. I have started giving outside food. She is always crying even after taking a food. Please suggest solution for this.
My son 3.5 years boy has a swollen of penis from last night. Now turning reddish. Has pain. What to do? Washed with lukewarm hot water with dettol. But still no relief.
Easy tip for toddler's mumma
When it’s time to feed your child dinner at the end of a long day, it’s a good idea to finish your meal first. Trying to feed a fussy child on an empty stomach will only make you irritable and impatient. Eat first and you’ll find you’re way more patient and energetic to tackle any challenges the dining table may throw up.
My son is 7 year old male they have high fever every evening last 3 days with cold suggest a good advice for my child.
My daughter is 3 Yrs 4 Mths old. We r planning to visit abroad where the climate is very cold so I request you to please suggest the medicines which I can carry to treat cough, cold, fever etc. I would be very Thankful to you for your kind suggestion.
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:
Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.
Finger-prick test. A typical blood sugar test includes the following:
A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.
To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:
Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:
Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.
Scabies is a contagious disease that is caused by small insects called mites, primarily the ‘human itch mite’. Small blisters are formed along the trail where the mites lay the eggs. You may experience symptoms of intense itching at night. The usual spots where scabies usually tend to develop are the fingers, armpits, elbows and the inner thighs.
This disease can spread by touch; sharing toiletries or sleeping with an infected person all contribute to the spread of this disease. The eggs and the feces of the mites in the burrows of the skin are what cause the itching in scabies. The eggs and the feces usually trigger allergic reactions on the skin.
The various homeopathic treatments for scabies are:
1. Carbo-veg: This remedy is effective when you experience dry abrupt eruptions on the body. Symptoms of itching tend to aggravate at night, especially during undressing. There is usually a smelly discharge from the infected areas.
2. Arsenic album: This remedy is used to treat scabies eruptions which appear on the bends of the knees. The burning and itching sensations tend to worsen at night.
3. Causticum: This is used to treat symptoms of scabies which include wet pustules with foul smelling pus. In this case, the skin develops a yellowish hue along with the presence of warts. Coughing and sneezing can lead to involuntary urination.
4. Hepar sulph: Hepar sulph is used when symptoms of crusty pustules develop on the hands, folds of the skin and the feet. The skin becomes sensitive to cold weather and the pustules have a cheese like discharge.
5. Lycopodium: Lycopodium is used to treat symptoms of scabies that occur on the genitals, scalp and the abdomen. Exposure to anything warm can aggravate the condition and intensify the itching. The pustules are moist and yellowish brown in color. The itching usually subsides if the skin comes in contact with anything cold.
I am 26 year old mother to 7 month old daughter. Please tell me the foods chart to feed my 7 month old daughter which will be safe for her.
You would have noticed that your child who was so eager to help out and please you earlier is no longer responding to you that way. They must be teenagers! Don't despair.Its natural and healthy for them to break away emotionally from their parents at this age. This will help them to become well adjusted adults. Here's how you can give them their space, yet gently guide them during this phase.
1. Give children some space: Giving them a chance to establish their own identity, giving them more freedom, is essential to help them establish their own place in the world. But it doesn't mean that if your child is moving around with a bad crowd or doing drugs you don't say anything. Let them explore and experiment with things that are not very risky. Eg. Catching a bus, auto. Going out with friends to a mall, going for tuitions on their own etc.
2. Choose your battles wisely: Don't lock your horns with them over cleaning up, sleeping late, coming back 1 hour late etc. Save your enquiry for more serious matters like permanent tattoo, going out late into the night and not keeping you informed, bad company etc.
3. Invite their friends over for a meal: It helps you to see who your child is meeting with and also to send a message that you are not rejecting them outright without any valid reason. Children see it as a mark of respect and fairness when you meet and talk to their friends. Also it helps them to see how their friends talk with you. Outright rejection of friends can bring on huge aggression and antagonism.
4. Decide rules and discipline in advance: If it's a 2 parent family, then it's important for the parents to have their own discussions first and come to a common consensus about what is acceptable and what is not. What will be the consequences of not following through with what was earlier negotiated. Remember that Consequences need to be discussed with your child too and should be fair for him/her.
5. Talk to your teens about the worst case scenario: whether it's taking drugs, pre marital sex, driving rashly or running away.The kid must know the worst that could happen. Let them see movies which showcase this as they get impacted by visuals more than dry conversations.
6. Tell them that you are available: When kids start experimenting and taking risks, they can land up in sticky situations like out of pocket money, a flat tyre, friends not showing up, not getting what they expected to happen. Let them know that you are available no matter what. Give them your confidence and trust. Teach them how to think of options if stuck in a bad spot. Tell them that you will come and pick them up if they can't come back on their own.
7. Keep the communication lines open: Don't instruct or interrogate them. Talk and share with them about your own life. Even a difficult day at work. This teaches them that's it's ok to talk to you even if something has gone wrong. Don't judge them. And if they are not ready to talk just then, then let them know that you can wait and you know how it's like to have a bad day.
8. Let them feel guilty: This is a hard one for some parents who come on too quickly to protect their children from feeling guilty when they have done something wrong. If your child has hurt someone or done something wrong, then it's important that they know how to deal with guilt. It's healthy to have some guilt rather than no remorse or guilt at all. This will help the children to stay within socially acceptable behaviours and norms.
9. Be a Role Model: Your actions are more noticed than your words! Your role will be important in helping them become morally, socially and ethically grounded person. If they have a healthy role model from early childhood, then it's less likely that they will take bad decisions as a rebellious teen.
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• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
SIGN AND SYMPTOMS:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.
• Avoid bony injuries, to prevent factures.
• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.
• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.