Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 40 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.
Book Clinic Appointment
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
Submit a review for Dr. Shyam RajYour feedback matters!
The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond, but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.
6 ways to help your baby learn speaking:
- Let them listen a lot: Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them as with the help of their friends they can learn many words.
- Read a book: You should start reading to your child as early as possible. The type of book is not as important as you may use, various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.
- Talk as much as you can: Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.
- Look for cues: If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.
- Limit television: Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact, which results in reduced language learning.
- Treat ear infections early: It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.
My baby has loose motions. Giving antibiotics as the doctor said he has stomach infection. But it's not stopping. What can we do.
"Keep things positive"
Kid’s don’t like to hear what they can’t do, tell them what they can do instead. Keep it fun and positive. Everyone likes to be praised for a job well done. Celebrate successes and help children and teens develop a good self-image.
Dr. Dilip Pawar
For any queries and doubt feel free to visit us at penguinclinic.com or post your query on facebook.
It's important to teach kids about cavities at an early age. The more they know about how to keep their teeth healthy, the more likely it is that they'll develop good dental habits - and keep those up throughout their lives.
Here are some pointers so you can talk to your kids about cavities and how to prevent them.
What are cavities and what causes them?
A cavity is a hole that forms in a tooth. Everything we eat and drink, especially sweets forms plaque. If we're not careful, plaque can attack our teeth and damage them.
Why are cavities bad?
A cavity causes harm to your tooth, and it can also be painful to you. If left untreated, the hole can grow and get bigger or deeper. It may get so big that that the whole tooth gets damaged. If that happens, your dentist may have to remove it.
How can I protect my teeth from cavities?
Cavities can form if we eat too many sweets and don't clean our teeth properly. The best way to protect your teeth is to choose healthy snacks like fruits, vegetables, and whole grains. Try to avoid sugary foods and drinks, like candy and soda.
If you do eat sweets, have them with your lunch or dinner, and then brush your teeth right after. When sugar stays on your teeth for a long time it can cause damage, so try not to snack throughout the day when you may not be able to brush. You should also brush your teeth after an ever meal, or at least twice a day. And don't forget to visit your dentist every six months for regular checkups!
What if I think I have a cavity?
A cavity can be painful, so if your child has a toothache, schedule an appointment with your dentist right away. At the appointment, the dentist will look at your child's teeth and take x-rays to see if there is a cavity.
What happens if I get a cavity?
If you have a cavity, your dentist can help. He or she will give you some medicine to numb your mouth and make you comfortable. They'll use a special drill to remove the damaged part of your tooth. Then they'll fill everything in with a special material, and you'll have what's called a filling.
Remember that healthy dental habits are the best way to prevent cavities. The more you can teach your kids about good hygiene and serve as a role model, the better off their dental health will be in the long run!
On the occasion of World Asthma Day (3rd May, 2016), I would like to break a few myths related around Asthma which otherwise people generally believe to be true.
Myth #1 - Asthma is a communicable disease
Fact #1 - Asthma is an allergic disease and is neither contagious (infectious) or communicable (passed on from one person to another)
Myth #2 - Inhalers are addictive
Fact #2 - Absolutely wrong! Inhalers are not addictive but it is a good habit to keep control over asthma and use your inhalers as prescribed by your doctor. Also, contrary to popular belief that using inhalers on a regular basis reduces their effectiveness, inhalers continue to be equally effective on a regular basis.
Myth #3 - Inhalers are expensive
Fact #3 - Again, absolutely incorrect! Inhalers are in fact cheaper when compared to other drugs.
Myth #4 - Inhalers are given to patients who face Chronic Asthma
Fact #4 - Wrong! Inhalers should be used from a very early stage itself to prevent progression of the disease.
I hope this tip helped bust atleast a few notions that most people have about Asthma and that you are now better informed about this condition. In case you would like to ask me anything or discuss your or your loved one's case in detail, feel free to 'Consult' privately with me.
My baby is 6 weeks. She does not look at me. But she looks n follows his dad. I feel like emptynes. Is the reason being I lack something .or being c section I was the last to hold her? Does any other pschyology behind.
SSHL is not like any other normal hear-loss trouble. Rather it is quite a severe condition. Sudden deafness can occur at any time due to several reasons. This trouble does not affect both the ears rather only one specific ear is usually affected, and thus this is one of the prominent signs that can help the doctors to understand that SSHL has occurred.
What are the leading causes of this hearing loss?
- Head injury: If you have faced any severe kind of head injury ever, then it might bring SSHL. This is why you are suggested to get necessary treatment on time so that this kind of hearing loss can be avoided.
- Loud-noise exposure: If your ears are exposed to louder noises or sounds in a consistent manner, then there is a greater possibility of the occurrence of this hearing loss. Thus, you should stay away from unwanted noises.
- Ageing: With the increase in age, hearing power slowly decreases. However, if you take proper precautions from the very beginning, then SSHL can be definitely avoided.
- Blood-circulation troubles: Interrupted blood-circulation creates different physical troubles out of which hearing loos is one of the most prominent one. And if timely treatment is not provided, then it might get converted into SSHL.
- Ototoxic medication: This kind of medication should not be continued for long without doctor's prescription otherwise SSHL might occur.
- Lyme disease: This is a kind of disease, which occurs due to tick bites and this is pretty infectious in nature. Apart from that, this disease is now considered as one of the main sources of SSHL.
How to evaluate this hearing loss?
- History analysis: The history of the patient needs to be known first otherwise SSHL cannot be perfectly treated. If the history shows that the patient already has an existing trouble of ear loss for which SSHL has been proven, then in accordance with the same the treatment can be prescribed.
- Laboratory and imaging: Laboratory analysis is one of the main methods for evaluating SSHL and necessary images of the ears boost the potentiality and importance of this kind of analysis to a great extent.
- Quick evaluation: This kind of medical evaluation is mainly made on the basis of the symptoms. The doctors often follow the signs thoroughly in order to determine as to whether the patients have SSHL or not. This evaluation is highly supported by different medical tests that are prescribed by the doctor.
Kids have a mind of their own when it comes to food. The unhealthier it is, the more they tend to like it. Most taste driven or sweet foods are harmful for your child’s oral hygiene. However not all foods that your children like to eat are as bad for their oral health, some even help strengthen their teeth.
Here are 4 foods that your children can have for healthy teeth and gums.
1) Sugarless Gum - It helps loosen plaque and increase the number of natural antibodies in the mouth. It also keeps the gums hydrated. While too much of anything is not good, these gums are good once in a while.
2) Crispy Vegetables - These might not be popular with children but can be made yummy with interesting dips to go with them. Raw carrots, celery, cauliflower, and green beans are chewing foods which clean the child's teeth and gums.
3) Natural Sugar - Sugar from milk, yoghurt and cheese are rich in vitamin D, phosphate and calcium. When consumed, they raise the pH level of the mouth which lowers the level of acids, hence reducing risk of tooth decay.
4) Vitamin C Rich Foods - Fruits like oranges, kiwis, strawberries, papayas and limes help kill bacteria that can cause gingivitis. They also aid a good supply of collagen in the child's gums. However, parents need to remember that one can eat citrus foods only after thirty minutes from brushing their teeth. This is because the citric acid in these foods can weaken the tooth enamel temporarily.
If you would like to consult with me privately, please click on 'Consult'.
From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
Hi sir , my wife has given birth to a baby by c section surgery after 2 or 4 hours later her weight is increase .so pls answer me why such happen.
My son is 2.5 years old last 8 months his stool is too much hard I give him so medicine in homeopath and english medicine but problem not solved so what can I do.
Hi Doctor My son 1 yr 4 months old, he undergone for a surgery Coarctation of Aorta in his 3rd month. For a past 1 week he had a severe cough and cold, even we undergone for a medication, they prescribed Deriphyllin, Bromisal, Docser which is not responding for his cold & cough. Kindly pls tell me.
My niece who takes normal diet and is of 9 years of age is really very weak physically. Kindly suggest some solution for improving her health.
My baby is 6 month old. Want to know can I give her solid food before half an hour of her bedtime in night. Which food should I give that is easy to digest.
My 2.5 months old daughter has started gaining bumps on her face. Doctor recommended to apply mometasone cream on her face twice a day. But little bit confused as some say they should be applied on skin of kids older than 2 years. Any help will be appreciated.
Is your child getting exhausted after a bout of cough? Does he or she suffer from constant wheezing and tightness of the chest? Does your child feel drained out after climbing a flight of stairs? Do you know a child who always seems to run out of breath and cannot participate in school sports tournaments or play outside for a long time? The child could be suffering from asthma, which is a serious breathing problem. Most children are affected by asthma. Staying in a polluted city just makes the condition worse.
Asthma - Know the disease
- Asthma is a condition that causes inflammation of the airways, known as trachea and bronchioles.
- The muscles around the airways constrict and prevent the smooth flow of air.
- The lining of the bronchioles swell and block the airways.
- Asthma is mostly triggered by an allergic reaction.
- There is a difficulty in breathing out. Exhalation of air is often accompanied by a wheezing, that is, a whistling sound.
- There is a constant shortness of breath, feeling out of breath and gasping for air.
- There is an uncomfortable tightness in the chest, the feeling of not breathing in enough air.
- Coughing bouts in the middle of the night, that leave the child feeling exhausted and completely out of breath.
Causes of Asthma
Asthma is mostly triggered by asthma allergens. These allergens are mostly pollens and animal fur.
- Exposure to pollution, such as dust and smoke
- History of heartburn, GERD and acid reflux
- Inflammation of sinus and airways
- History of bronchial disorders and pneumonia
- Viral infections
- Chronic rhinitis
- Low immunity causing constant cold and blockage of nose
Treatments of asthma
- A nebulizer that turns asthma medicine into a mist can then be inhaled easily
- An inhaler can be used to take in inhaled steroids into the lungs or a bronchodilutor
- Try and avoid asthma triggers and allergens as much as possible
- Avoid physical stress and heat
- Get sufficient rest of about 7-8 hours every day
If you wish to discuss about any specific problem, you can consult a pulmonologist.
I gave birth to girl baby 14days she is now she had jaundiance on 9th day 17.1 we admitted her and now she is having on 13 day 12.1 her wait is 2.840 I am giving her enfamil formula milk twice day 60 ml can I give formula milk it will not effect baby please suggest me baby birth weight was 2.900.
In homeopathy and especially in working with homeopathic single remedies, selection based on an individual's specific symptoms is critical to success. Colds frustrate selection in that symptoms constantly change as the condition matures. One important element to examine is the cough. The character of your cough can make a definable difference in homeopathic remedy comparisons. Does it force you up at night? Is it dry or wet, rattling or wheezing, or constantly changing? Does the mucus stay down, gag you or come up easily? Does heat, cold, motion or lying down aggravate it?
The number of remedies indicated for coughs is seemingly endless. However, some stand out as suitable for common coughs and as good examples for what to look for in defining your cough.
Here are seven. Each one addresses a unique type of cough and set of symptoms that may accompany that cough..
Pulsatilla: Wearying night cough that forces the cougher to sit up and hold the ribcage. The cough tends to be dry, shaky and frustrating in the evening and at night– forcing you to sit up over and over again. In the morning, it starts out dry and very fitful with retching, but as the congestion matures the thick mucus loosens toward morning. The coughing spells worsen the dry sore throat and cause soreness in the chest. Related cold symptoms include sticky eye irritation, nose is stuffy at night and runny in the morning, minor fevers are chilling, mucus is bland thick and greenish and like everything Pulsatilla, symptoms are very changeable. Specific people are most apt to need Pulsatilla. They tend to be ‘soft, gentle, mild, affectionate, as well as clingy, weepy, moody, sometimes childish’ with a deep need for security and ever changing moods and symptoms.
Nux vomica: A suffocating cough highlights a restless cold or flu with extreme chilliness.
The cough is dry, tight and hacking. It oppresses breathing and causes a bruised soreness and often a bursting headache. Cough and other symptoms typically induce Nux's trademark irritability and sensitivity to light, noise, etc. Symptoms feel worse in the morning (possibly starting at 3a.m.) and in cold dry atmosphere. A finished nap and damp weather tend to lessen symptoms a bit. Extreme chilliness makes drafts unbearable. The cold may also have hot irritating mucus that blocks the nose at night and a rough sore throat that sends pain toward the ears on trying to swallow the lump in your throat. On the emotional side, typical adjectives for Nux individuals or states include: competitive, impatient, impulsive, ambitious, aggressive, fastidious, restless. Stress from excess is an important keynote, whether brought on by too much work, food, fun or spirits.
Kali bich: Stubborn, gagging cough. Thick, ropy, yellow to green, sticky, stringy, stubborn, smelly mucus is at the heart of what this remedy can treat. The cough is stubborn, gagging, hacking misery as you try to clear the thick mucus out of your throat. Mucus crusts up in the nose and fills the sinuses causing choking post nasal drip, hoarseness and pain especially at the root of the nose. The cough often starts very dry but over time becomes more productive especially after a walk in fresh air. When mucus accumulates overnight, morning becomes a torment of blocked nasal passages with stubborn hacking, hawking, gagging and coughing. Heat, but not hot weather, can help, but beer and morning are highly aggravating.
Phosphorus: A hard, dry, tight, racking cough set off by a tickle in the aching raw throat. The colds Phosphorus treats best move quickly into the chest. The cough may set the body trembling and cause labored breathing and tightness across the chest. Cold air, talking and physical exertion trigger bouts of coughing. A key trait to its fever is great thirst for cold drinks that are vomited soon after warming in the stomach. Hoarseness usually results from these colds, but it also helps hoarseness from overuse, especially in singers. Phosphorus can do the most for excitable, impressionable often lively individuals who burn the candle at both ends until the energy runs out; then sadness, anger and even indifference can dominate.
Bryonia: A dry, hacking, painful cough with stitching pains– worse for movement. Bryonia relieves ailments that approach slowly, linger too long, are worse for movement and may result from being chilled when overheated or from fast weather changes. Its slow moving flu and colds are marked by dryness and body-aching misery. Dry hacking cough causes pain in the sternum and forces you to sit up especially at night. Hawking will eventually move the mucus. Eating and drinking aggravate cough as will going into a warm room. Other symptoms include a bone-aching, chill-ridden fever, great thirst for cold water, dry throat and a “don’t touch me, leave me alone” irritability.
Hepar Sulph: A dry or rattling cough with chilliness. Chilliness and yellow phlegm also dominate this cold and there may be sinus pressure with splinter-like sore throats. Cold dry wind, walking, even exposure of any body part from under the covers can provoke this changing cough that runs from a barking dry hoarse cough to loose, rattling/choking coughing. The individuals needing Hepar sulph most lack internal heat, are easily offended, and get are sensitive to rudeness or causes. They may become quite sad and highly irritable, especially at night. Though not highly active, they may speak, eat and act out quickly and impulsively. In general, if highly sensitive to cold, pain, and touch, you might want to examine Hepar sulph, especially if cold air feels threatening.
Natrum mur: A dry tickling cough. Dryness underlies many of Nat mur’s applications. Its colds and congestions have a dry rawness with thickening clear to whitish mucus. Coughing is dry with rattling in the chest set off by a tickling the the throat. It can be particularly bad in the morning and very fitful at night in bed. Cough often triggers a frontal headache that feels as if the forehead would burst. On the emotional plane, the dryness becomes idiomatic as Nat mur applies to poorly circulated stress– suppressed grief, humiliation and heartbreaks. Sadness, irritability, anger, occasional sleeplessness and haunting memories tend to dominate. Complaints tend to improve with open air, deep breathing and tight clothing, and worsen with consolation, more emotion, hormonal fluctuations and sunlight (especially headaches). A deep crack in the lower lip and a desire for salty foods further indicate a need for Nat mur.
We hope this helps you get to know your coughs better.