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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 child is 13 years old male. He is suffering from Idiopathic Epilepsy about 5 years ago. He continued valparin chrono 300 for 3 years according to neurologists advice and then stopped for 1 years because his EEG report was good. But current EEG report shows again Idiopathic Epilepsy. Dr. Again advised to cont same medicine for another 3 yrs. But when I take 2nd opinion from a Paediatric Neurologist he advised to stop the medicine and advised for IQ test & psychometry test & counselling. I am confused that should I continue the medicine or not? If yes which medicine he should continue? I Want your valuable opinion.
While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.
There are a few things that matters the most which are as follows:
1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.
The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.
E. G. Rice, potatos, bananas, or over ripen fruits.
And advice is to take them in minimum quantity instead of completely banning them.
Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.
2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.
In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.
3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.
If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.
So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.
And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.
4) general prevention of complication and specific cares:
By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:
Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.
Out of these one that I care the most and patients ingnore the most is foot care:&nbsp;
Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.
Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap.&nbsp;
Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.
These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.
Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.
There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:
E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.
Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.
Dr. my daughter will be 1 years by january 2017. She is fine and responds to everything and remember everything. The only worry for me is that though she crawls on her knees she hates walking. She stands by holding on to furnitures and other supports but still can't walk. Please help me dr.
Hello Sir, my son is about 6 months & 10 days of age. But there are some skin problem in his both legs near ankle. Some spots like which creates after itching. These are since last 2 months & not solving yet. He also has the problem of vomiting after taking his milk (bottle milk, never gets breast milk) and such serious cough problem also. Please suggest me what to do. Will wait for your reply eagerly.
If Joe says “no” to this request, cheerfully tell your child, “That’s okay, Sarah! Let’s wave bye-bye to Joe and blow him a kiss.”
2. Help create empathy within your child by explaining how something they have done may have hurt someone. Use language like, “I know you wanted that toy, but when you hit Rohan, it hurt him and he felt very sad. And we don’t want Rohan to feel sad because we hurt him.”
Encourage your child to imagine how he or she might feel if Rohan had hit them, instead. This can be done with a loving tone and a big hug, so the child doesn’t feel ashamed or embarrassed.
3. Teach kids to help others who may be in trouble. Talk to kids about helping other children*, and alerting trusted grown-ups when others need help.
Ask your child to watch interactions and notice what is happening. Get them used to observing behavior and checking in on what they see.
Use the family pet as an example, “Oh, it looks like the cat's tail is stuck! We have to help her!!”
Praise your child for assisting others who need help, but remind them that if a grown-up needs help with anything, that it is a grown-up’s job to help. Praise your child for alerting you to people who are in distress, so that the appropriate help can be provided.
4. Teach your kids that “no” and “stop” are important words and should be honored. One way to explain this may be, “Smriti said ‘no’, and when we hear ‘no’ we always stop what we’re doing immediately. No matter what.”
Also teach your child that his or her “no’s” are to be honored. Explain that just like we always stop doing something when someone says “no”, that our friends need to always stop when we say “no”, too. If a friend doesn’t stop when we say “no,” then we need to think about whether or not we feel good, and safe, playing with them. If not, it’s okay to choose other friends.
If you feel you must intervene, do so. Be kind, and explain to the other child how important “no” is. Your child will internalize how important it is both for himself and others.
5. Encourage children to read facial expressions and other body language: Scared, happy, sad, frustrated, angry and more. Charade-style guessing games with expressions are a great way to teach children how to read body language.
6. Never force a child to hug, touch or kiss anybody, for any reason. If Grandma is demanding a kiss, and your child is resistant, offer alternatives by saying something like, “Would you rather give Grandma a high-five or blow her a kiss, maybe?”
You can always explain to Grandma, later, what you’re doing and why. But don’t make a big deal out of it in front of your kid. If it’s a problem for Grandma, so be it, your job now is doing what’s best for your child and giving them the tools to be safe and happy, and help others do the same.
7. Encourage children to wash their own genitals during bath time. Of course parents have to help sometimes, but explaining to little Joe that his penis is important and that he needs to take care of it is a great way to help encourage body pride and a sense of ownership of his or her own body.
Also, model consent by asking for permission to help wash your child’s body. Keep it upbeat and always honor the child’s request to not be touched.
“Can I wash your back now? How about your feet? How about your bottom?” If the child says “no” then hand them the washcloth and say, “Cool! Your booty needs a wash. Go for it.”
8. Give children the opportunity to say yes or no in everyday choices, too. Let them choose clothing and have a say in what they wear, what they play, or how they do their hair. Obviously, there are times when you have to step in (dead of winter when your child wants to wear a sundress would be one of those times!), but help them understand that you heard his or her voice and that it mattered to you, but that you want to keep them safe and healthy.
9. Allow children to talk about their body in any way they want, without shame. Teach them the correct words for their genitals, and make yourself a safe place for talking about bodies and sex.
Say, “I’m so glad you asked me that!” If you don’t know how to answer their questions the right way just then, say, “I’m glad you’re asking me about this, but I want to look into it. Can we talk about it after dinner?” and make sure you follow up with them when you say you will.
If your first instinct is to shush them or act ashamed, then practice it alone or with a partner. The more you practice, the easier it will be.
10. Talk about “gut feelings” or instincts. Sometimes things make us feel weird, or scared, or yucky and we don’t know why. Ask your child if that has ever happened with them and listen quietly as they explain.
Teach them that this “belly voice” is sometimes correct, and that if they ever have a gut feeling that is confusing, they can always come to you for help in sorting through their feelings and making decisions. And remind them that no one has the right to touch them if they don’t want it.
11. “Use your words.” Don’t answer and respond to temper tantrums. Ask your child to use words, even just simple words, to tell you what’s going on.
My baby is 11months old by mistake she swallowed 1 MM. Plastic piece! She is not showing up any nausea tic signs! Please suggest I am tensed and worried!
Hello, my baby is 19 months old and doest want to eat rice at all. He enjoys fruits and milk some times cerelac. His weight is 14. 5 kg. Is it ok. Is he healthy?
The AAP and IAP both have recommended Vitamin D supplementation of 400 IU to all breastfeeding babies till 1 year of age irrespective of age,sex,race and ethnicity.
Sudden Infant Death Syndrome (SID) refers to the unexplained and sudden death of a seemingly hale and hearty baby. This condition tends to occur when the baby is asleep and that's why it's also known as crib death. Although the reason for the condition is still not known, many experts have attributed the cause of the condition to abnormal development in the parts of the baby's brain that oversees breathing and awakening from sleep. Nonetheless, there are ways that can prevent the problem from occurring and which are:
- Always place your baby on the back to sleep - Sleeping on the back is the safest position that your baby should be in, whenever he or she sleeps. You shouldn't let your child sleep on the sides as he or she can roll onto the stomach, and may hamper the breathing process. You can place your baby on the stomach when he or she is awake.
- Place your baby on a firm surface to sleep sans of any objects - It's best to place your baby on a firm mattress to sleep while avoiding thick and feather padding like a thick comforter. At the same time, objects like toys, stuffed animals or pillows should be removed from the crib as they may get in the way of your child's breathing by pressing on his or her face.
- Make sure your baby doesn't become very hot - For keeping your baby warm during sleep, it's best to opt for sleep clothing or blanket made of light material so that it doesn't make him or her feel very hot. If using a blanket, it should be placed loosely over the baby and one should also remember to not cover the baby's head during sleep.
- Use a pacifier - Research suggests that the use of the pacifier can reduce a baby's chance of dying from SIDS. This is because the pacifier helps in preventing the baby from rolling over onto his or her stomach during sleep. At the same time, it's also believed that the instrument helps in keeping the baby's tongue positioned in a manner that keeps his or her airways open.
- Breastfeed your baby - Breastfeeding your baby for a minimum of 6 months can help in preventing the occurrence of SIDS. Several studies have revealed this beneficial aspect of breastfeeding.
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