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Dr. Narendra Kumar

Pediatrician, Hyderabad

450 at clinic
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Dr. Narendra Kumar Pediatrician, Hyderabad
450 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Narendra Kumar
Dr. Narendra Kumar is a popular Pediatrician in Khairatabad, Hyderabad. You can visit him at Lotus Children's Hospital in Khairatabad, Hyderabad. You can book an instant appointment online with Dr. Narendra Kumar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 39 years of experience on Lybrate.com. Find the best Pediatricians online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Professional Memberships
Indian assosciation of pediatric Surgeons (IAPS)
Asian assosciation of pediatric surgeons (AAPS)
Assosciation of surgeons of India (ASI)
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Indian assosciation of pediatric urology (IAPU)
Pediatric endoscopic society of India (PESI)

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Lotus Children's Hospital

D. No: 6-2-29, Lakdikapool - khairatabad road, Lakdikapul, Landmark: Opp to Royal function hall, HyderabadHyderabad Get Directions
450 at clinic
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Asthma in Children: Diagnosis and Treatment

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Asthma in Children: Diagnosis and Treatment

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

3453 people found this helpful

Hi, My child is 8 years old and he has bed wet problem. He wets the bed daily. He always passes urine two or three times while sleeping. I want solution of this. Please advise.

MBBS,D.Ped., Jawaharlal Nehru Medical college, Belgaum , Boston University, UNITED STATES OF AMERICA
Pediatrician, Ahmedabad
As per the history given by u, your child is suffering from Noctutlrnal enuresis. Which mainly have two types primary & secondary enuresis. Does your child has not learned toilet training at night since birth or he has learned it earlier & again he has started bed wetting? First get URINE routine micro test done. In your case proper toilet training with restriction of oral fluids after 9 pm is needed.
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My baby is of 3 months. Small white spots is seen on his face and hands. Earlier there were 1 or 2 but it increased to 5-6. Kindly suggest what could be the reason for these spots and how can it be cured.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
My baby is of 3 months. Small white spots is seen on his face and hands. Earlier there were 1 or 2 but it increased t...
Vitiligo is a genetic disorder triggered by indigestion and stressful conditions. There is always a confusion in patients mind regarding choosing right treatment approach for vitiligo. Every patient has 3 choices: 1.Allopathy - gives quick results but is not very safe for long term use. 2.Homeopathy- is safe but very slow and in most of cases it can not stop the spread of disease i.e old patches show some recovery but new white patches continue to come even while using the medication. Ayurvedic herbal medicines are used to purify blood and stop the spread of disease and external application are capable of quick repigmentation. We have integrated external Allopathic applications with internal Ayurvedic medication to give fast and long lasting results. For detailed queries like: 1. Causes of vitiligo 2. Is it genetic or can it spread to next generation 3. Causes of spread of disease after it remains stable for some years 4. Should we use homeopathy, allopathy or ayurveda. You can send pictures of the affected area. After reviewing the case.
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My baby 5 months has not gone motion for last 5 days she is only having breast feeding kindly tell me medicine or what problem she has.

MD (Peditrics), MBBS
Pediatrician,
My baby 5 months has not gone motion for last 5 days she is only having breast feeding kindly tell me medicine or wha...
Babies on breast feeding some time do not pass stool for 1wk or even longer. It is not constipation. No need to give medicine.
1 person found this helpful
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My 2 year baby has light bulge near vaccination area (in upper arm). It's not red and not painful as well. Have noticed few months back. Still remains same. No change could be seen.

post graduate in paediatric nutrition
Pediatrician, Srinagar
My 2 year baby has light bulge near vaccination area (in upper arm). It's not red and not painful as well. Have notic...
You need not to worry. If it is since few months. You only should send me pictures of swelling or consult local doctor.
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How many calories should be enough for a growing baby. And for how many days of its growth.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
How many calories should be enough for a growing baby. And for how many days of its growth.
1oo kcal per kg per day is the ideal requirement of babies . 2 GM per kg is approximate protein requirement of babies per day . these are the absolute number to be fulfilled . regards
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Adolescent Nutrition

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Adolescent Nutrition

Adolescence is a period of transition from childhood toadulthood. It is also a period of biologic, physical, emotional, and cognitive change. Teenagers want to be more independent, have an active lifestyle, and find their identity. They are frequently sensitive to criticism. These factors can put the adolescent at nutritional risk. In addition to growth and greater demand for calories and nutrients, their change in lifestyle affects food choices. Adolescents may skip meals, eat away from home, increase snacking, eat more convenience fast foods, and generally be more responsible for their food intake.4–6

Adolescents today are inundated with images of the “ideal body” from all types of media and at the same time struggling to define their own body image during an impressionable phase of their lives. It is during this time that disordered eating can become apparent and can manifest itself in an obsession with weight control, which can lead to long-term health concerns. Eating together as a family in a relaxed environment is very important at this stage.

The typical adolescent may display the following nutritional habits:
• Derives over 30% of calories from fat
• Skips breakfast (20%)
• Skips lunch (22%)
• Snacks heavily from 3:00 pm to bedtime (50%)

1 person found this helpful

A small baby always vomiting after drink milk? Face this problem from one week. What should we do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
A small baby always vomiting after drink milk? Face this problem from one week. What should we do?
If baby is gaining wt normally, need not to worry. Burping is the solution of vomiting (regurgitation).
1 person found this helpful
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Please help me out to increase my lactation I'm a feeding mom My milk supply suddenly dropped And baby isn't gaining weight. I'm a working mom.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
First meet Paediatrician and confirm that your lactation is less. Paediatrician can advise you for lactation as well as advise feeding for baby.
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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

Why my baby boy son is crying like anything. He is just 8 months. He is contentiously getting cold and cough.

MBBS
General Physician, Faridabad
Why my baby boy son is crying like anything. He is just 8 months. He is contentiously getting cold and cough.
it may be due to block nose, give 1/2 tsf syr triminic bd, steam inhalation, put nasal saline drops in each nostril, it will help. thanks
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5 Don ts When Your ADHD Child Is Upset or Angry

M.Sc - Applied Psychology, MS - Counselling and Psychotherapy, PG diploma in child guidance and family therapy
Psychologist, Delhi

Parents dread having to deal with meltdowns. However, parents of children with ADHD may face more meltdowns than other parents.

Children with ADHD are more prone to meltdowns for a number of reasons. Often their brain circuitry for emotional regulation is dysfunctional in which it takes less to trigger an anger episode that lasts for a longer periods of time than other children. This is the result of faulty wiring. Working with them on relaxation techniques like taking deep breaths or counting to ten at the first sign of being upset can help. It is important for them to practice these when they are calm.

These kids often aren’t fully tuned in to what is going on around them and miss important information that causes them to misinterpret a situation and then react to what they think is going on rather than what really happened. If you are having a discussion with your child, pause frequently to make sure they are getting your point. Ask questions to make sure they understand and encourage them to ask you questions as well.

Some ADHD kids lack the ability to be flexible causing them to go into meltdown mode when there is a change in routine or an expected event does not happen. For instance a boy may be having a great time “rough housing” with his dad but does not want to stop when dad feels it has gone on long enough. This can become ugly and lead to fewer such play situations. Agreeing to use a timer and stop when the timer says to stop rather than dad might help avoid this.

Here are some tips for coping with a meltdown:

1. Don’t Loose Your Cool

Take a few deep breaths. This triggers the relaxation response and will lower your own anxiety/anger level and make it possible for you to think clearly and model appropriate behavior for your child. Remember the preflight instruction, “When the mask comes down, please cover your own nose and mouth first before you assist your child.”

2. Don’t React – Respond

If you and your child have already agreed on how meltdowns will be handled with a behavior plan, make sure the plan is being followed. As an example, you might have agreed on an incentive program where your child can earn rewards for following the behavior plan. Incentives might be earning points every time he/she is able to calm down before having a meltdown. Points earned can be cashed in at the end of the day for a desired activity such as television time or a special treat.

If you do not have a plan in place then you can respond by saying “WE have a problem here. Let’s see how we can solve the problem TOGETHER.” Find out what the child’s concern is. See if there is a way to address it. It is not giving in if you modify a situation in a way that is more accepting to the child while still meeting your needs as well. Good leaders listen to the people they are leading and incorporate the feedback they receive.

3. Don’t Dictate – Discuss

Ask, “What is making you upset?” Listen carefully and respond empathetically such as “I see you (want or don’t want), what’s up?”  Find out what the child is concerned about. For instance if the problem is not wanting to go to bed, you might say, “I understand you do not want to go to bed right now even though 9:00 is your usual bedtime. What is bothering you about this?” Perhaps the child says, “I need to finish my video game so I can get to the next level.” You then can say, “So here is the problem we have. I want you to go to bed because it is your bedtime and you need your sleep to feel good and do well at school and baseball tomorrow and you want to stay up later to finish your game. I am not saying you don’t have to go to be now but do you have any ideas on how we can solve this?”

For discussion let’s say it is only for a few minutes and you decide for tonight to let him finish the game to avoid an hour or more of meltdown versus a few more minutes. You might say, “Ok for tonight you can finish the game. Tomorrow we can talk about this and come up with a solution so that from now on you will be able to finish what you are doing and go to bed on time.”

It is ok for us to listen to our children’s perspective on difficult situations. If this is an isolated incidence then, problem solving could avoid a major meltdown. However, we need to follow up the next day with a detailed discussion on how this can be avoided in the future.

If this is an ongoing problem, then simply stick to the program/plan you have already set in place. If you have been working on anger management techniques such a taking deep breaths, then remind the child to practice it.

4. Don’t Demand – Encourage

If you have a prearranged plan to follow or you have come to an agreement for this crisis situation then you can say, “I know you are upset right now but I also know you can do a good job of calming down now,” or “You know what our agreement is and I bet you will do your part now just like the great job you did yesterday. I love how you are getting better at this each time.”

5. Don’t Give Up – Stay Committed

  • Raising a child with any type of special need, be it developmental, psychological or medical, requires a tremendous amount of patience and strength to endure and continue to handle tough situations when they come up. Make sure you have a good support system. Be sure to have a break from time to time to do something fun and relaxing. Also, try to view the whole situation from the 30,000 foot level to see the progress you have made so far and that meltdowns now and then can just be little bumps in the road to helping your child learn to cope with the day to day events they encounter.
  • If you have truly committed to following a behavioral approach under the guidance of a mental health provider and are not seeing progress, please don’t hesitate to discuss this with your child’s physician. A referral to a psychologist for a comprehensive evaluation may uncover other conditions that may need to be addressed. Sometimes ADHD may be misdiagnosed or a child can have more than one disorder which needs to be addressed.
  • When talking to a professional, you should be able to tell them when and where these episodes happen and what took place just before the meltdown; these are valuable clues that a well trained clinician can use to modify your approach or discover an underlying skill deficit that can be improved or addressed.
  • Sometimes, when behavioral approaches have been in place for some time and have been tweaked all they can, medication may need to be considered. Parents should be cautious about having their child placed on medication prematurely, but when symptoms are severe and interfering with a child’s ability to function in several environments then medication should be considered and can be extremely helpful.

11 week baby girl crying continues since last night not having milk. Since 6 hours no pee.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
11 week baby girl crying continues since last night not having milk. Since 6 hours no pee.
cold & nasal block is the commonest cause of cry in young infant.Clear nasal pathway,burp baby well & continue breast feeding. Anticold drops,paracetamol may be given if needed in some cases.
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My 2 months baby boy was vomiting a little bit of milk after feeding. some times after one hour of feeding he is spitting little bit of milk(look like card). Please suggest me to prevent the vomiting

MD - Paediatrics, Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Burp him regularly after each meal. When you put him to sleep ensure that the head end is elevated about 15 degrees. This is self limiting and usually finishes by 6 months of age
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Sir my son is suffering from fever from 19/08/16 in starting it is 104 and every 4 hours it come back then it comes 6 hours then 8 hours then 12 hours then 18 hours after perecetomal syrup then how long it will go please suggest me and why is the duration of fever is long.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Your son is having fever for last 7 days. You must consult pediatrician not taking it lightly. Ups and down fever may be due to effect of paracetamol.
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I have no enough milk supply. Which milk I can give for feed to my daughter. please suggest. Take medicine for increase milk supply but no milk .my daughter feeling hungry after breast feed .what to do. Which milk I feed.

MBBS, Pg pediatrics
Pediatrician,
I have no enough milk supply. Which milk I can give for feed to my daughter. please suggest. Take medicine for increa...
Is your baby delivered after 37 completed weeks or not if yes, then your baby should be more than 2.4 kgs If yes then you can use lactogen powder after your feed. First express milk and check how much ml your getting. Then if your getting 30 ml or more then it wll be sufficient initially .If your getting below 20 ml then give your feed then mix lactogen 1 scoop in 30 ml water n give. Before starting the feed just give me your baby details 1.Weight of the baby at birth and present weight 2.Is your baby delivered after completing 37 weeks or 9 months 3.How many days old is your baby 4.Mode of delivery.
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Hello, My baby is one year old. Just few days back, his upper teeth has appeared. He had bit vomiting and loose motions after this.(Not sure what is the actual cause. I was giving calcarea -phos and munotism for almost two months and then stopped giving these medicines, Can I start these medicine again for my baby? How long I should continue these homeo medicines and what should be the dosage? Please guide.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Hello, My baby is one year old. Just few days back, his upper teeth has appeared. He had bit vomiting and loose motio...
Hi Lybrate user, during teeth appear vomiting &loose motion normal, you can give her homoeopathic medecine calcarea phos 3x 2tabs twice daily along with chamomilla 6 2 drops every after 6 hours. In half cup 2 drops mixed only 4teaspoonfull give rest water no need, if need you can contact with me privately, Take care you & your baby.
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