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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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Children with highly involved parents had enhanced social functioning and fewer behaviour problems.
Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).
Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.
Fever in Children - Causes:
Causes of fever include:
- Bacterial infections
- Viral infections, like influenza (the "flu")
- Illicit drugs
- illnesses related to heat exposure
- Rarely, inflammatory diseases
When to seek medical care:
- The child is younger than 6 months of age (regardless of prematurity).
- One is unable to control the fever.
- One suspects a child may become dehydrated from vomiting, diarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
- The child has been to a doctor but is now getting worse or new symptoms or signs have developed.
Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.
Take a child to an emergency clinic when any of the following happen:
- One has serious concerns and is unable to contact the child's doctor.
- One suspects the child is dehydrated.
- A seizure occurs.
- The child has a purple or red rash.
- A change in consciousness occurs.
- The child's breathing is shallow, rapid, or difficult.
- The child is younger than 2 months of age.
- The child has a headache that will not go away.
- The child continues to vomit.
- The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)
Home Remedies for Fever in Children:
The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.
- The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
- To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
- Glass thermometers work well but may break, and they take several minutes to get a reading.
- Digital thermometers are inexpensive and obtain a reading in seconds.
- Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
- Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
- Acetaminophen and ibuprofen are used to reduce fever.
- Follow the dosage and frequency instructions printed on the label.
- Remember to continue to give the medication over at least 24 hours or the fever will usually return.
- Children should not be overdressed indoors, even in the winter.
- Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
- The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
- A sponge bath in warm water will help reduce a fever.
- Such a bath is usually not needed but may more quickly reduce the fever.
- Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
- The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
- Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.
- The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
- Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup, other rehydrating drinks available at the grocery or drugstore.
- A child should urinate light-colored urine at least every four hours if well hydrated.
- If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.
- The third goal is to monitor the child for signs of serious or life-threatening illness.
- A good strategy is to reduce the child's temperature below 102 F (39 C).
- Also, make sure the child is drinking enough clear fluids .
- If both these conditions are met and the child still appears ill, a more serious problem may exist.
- If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.
Hello Doctor, my son age 9 years having fever and dry cough. From yesterday morning. I have been giving him crocin syrup 10 ml , kidicare and adulsa. His fever goes once he take crocin but in few hours it comes back. Can you confirm id antibiotic need to be given.
My daughter age 6 suffers frequently with allergic cough, doctor gives anti-allergic drugs like-montair, levo cetrigen, asthalin, please suggest.
My brother is 8 years old. He can't talk, can't walk, can't sit since birth. I have tried many hospitals but all are waste of money and time. Now what should I do?
I have a baby of 17 day, she is not drink brest milk because it is not coming quickly, but we will try to feed 2-3 times through manual extraction but now brest milk is not coming. Very less quantity is coming. How can the brest milk quantity increase and how can we feed our baby.(any aid for feeding) we have tried brest pump but it is not working.
Choosing a career is a serious concern for students soon after completing 10th standard when one is required to make a choice of subjects for 11th grade. While still very young, many of us hardly know what is good for us and which field is best. For most of us, choosing a career is not a serious affair until 12th grade. However, once a student is done with 12th, he rethinks - “Did I make the right choice of subjects in class XIth?” I had always wanted to go in this field after school, but nobody guided me about subjects required for it in class XIth and XIIth. So, after completing school one feels very sad and frustrated that interest lay in A–field but wasted 2 school years doing B-Field, a totally different course of study.
Therefore, when selecting subjects in XIth, it is very necessary to have a career goal in place keeping the market in mind. In addition to this, selecting the right education institution in XIth is equally important. Eg. “I am interested in Fine Arts but my school offers only Science and Commerce.” So, the child takes one of these only and loses track of what he wants, sowing the seeds for future distress in the field thrust upon him. Unfortunately, not many students are able to discover their potentials and interests at this stage and end up making wrong choices.
In this scenario, seeking the help of an experienced and qualified career counselor becomes absolutely necessary who can assist in discovering your potential and aptitude and accordingly suggest the right course. Career counselor usually employs testing of three factors – aptitude, interest and personality. These aspects help the counselors in deciding the right career path for a student. With an increase in the number of opportunities in the market, the importance of career counseling has also increased manifold. People have begun to realize the fact that not all can become engineers or doctors and started exploring other fields depending on their talent and interest in alternate domains.
Sound guidance will depend on the qualifications, training and experience of the professional. It is always a good idea to first know about the professional expertise of the counsellor/psychologist on whom you depend for making a life-long career choice. Generally speaking, school counsellors are post-graduates with about 9 months diploma in counselling and guidance with a focus on school children. They may or may not have done M.Phil, or Ph.D to qualify as a doctor. Similarly, anybody with just a graduation degree in Psychology can self-proclaim as a Counsellor/Psychologist and offer guidance and counselling, charging much less a fees. For any professional you choose, the higher the educational qualifications, more the number of practical trainings from reputed institutes, and the greater the professional experience, more dependable will be the advice given by them.
Vocational guidance for students and adults is one of the best ways to choose the right career path. With a plethora of career choices out there, sound career counselling plays a pivotal role in ensuring that right career choices are made. This is rewarding, considering that an individual can choose the right career path as per the strengths and talents he possesses. Right counselling not only helps the person to grow in the job quickly but gives ample room to learn in his desired field.
Here is a list of some major benefits of vocational guidance and career counselling:
- Right assessment of weakness and strength: Career counselling is typically conducted by expert professionals with years of experience behind their back. They assess a candidate based on various aptitude tests. The test results rightly portray the strength and weaknesses of a candidate. This information plays a key role in determining the right career choice for a candidate. A person can ensure that he refrain from choosing a wrong career that leads to frustration and low work satisfaction.
- Right goal setting leads to better choice: A counsellor can help a candidate choose the right goal and help him to outline the process of achieving it. Furthermore, an experienced counsellor can help a candidate lay down a plan to reach the goal. A step by step blueprint of reaching the goal in a realistic manner helps a candidate to achieve his dream career faster. With right goal setting, a person can attend career success over a very short period of time.
- Explore various career choices: There are vast career choices that a person can explore that are available within the scope of a person’s expertise. A career counsellor can throw light on these choices and help a person focus on the right option. This ensures that a person saves a lot of time and energy while figuring out the best possible career choice that is out there. This is particularly true in cases where a person is trying to make a mid-career switch.
- The right guidance and support: An experienced career counsellor can guide a candidate to get hold of the right set of skills and expertise that may be required to achieve a particular career. This ensures that a candidate is adequately prepared before the big opportunity knocks on the door. Right guidance not only cut down the preparation time, it increases the chances of success as well.
- Search Support: While the job search is on, a good counsellor can help a candidate prepare in terms of resume preparation, cover letter, video introduction etc. They can also help a candidate with the right kind of networking to land that dream job.
To conclude, the crux of career counselling is to get the necessary guidance from a qualified professional that would help the student/adult in making the right choice regarding his career. If you wish to discuss about any specific problem, you can consult a Psychologist.