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Dr. Sreenavas

Pediatrician, Hyderabad

250 at clinic
Dr. Sreenavas Pediatrician, Hyderabad
250 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sreenavas
Dr. Sreenavas is one of the best Pediatricians in Chanda Nagar, Hyderabad. Doctor is currently practising at KIRAN SWETHA CHILDREN HOSPITAL in Chanda Nagar, Hyderabad. You can book an instant appointment online with Dr. Sreenavas on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 32 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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4-1307/A, Near Chandanagar Bus Stop, Beside Gandhi Statue, Opp- KFC , Chanda Nagar, HyderabadHyderabad Get Directions
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My 2 year child is suffering from rickets and his right leg is slightly tent Can his legs become normal like other child.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My 2 year child is suffering from rickets and his right leg is slightly tent Can his legs become normal like other ch...
If it is not refractory rickets, legs may become normal. Give him vitamin D 60000 units once in a week for 4 weeks n calcium rich diet supplement with calcium 300 mg daily. Sun light between 10 to 2 for about 1 hour to bare body is useful.

HI, My baby is 3 months old, we have appointed 1 lady person for her daily males (exercise) of body, please confirm for how many months I have continue for goods development of her body.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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HI,
My baby is 3 months old, we have appointed 1 lady person for her daily males (exercise) of body, please confirm f...
You may continue maalish waalee (massager) as long as you wish. Mother is best massager. For good development, proper adequate feeding is enough at this age.
1 person found this helpful

Hi mam or sir. My 9 months old son is suffering from past 4 days with vomit and loose motion. I have consulted doctor it is little bit decreased but be on crying. please tell me how to stop him crying and why he is crying?

Diploma in Child Health (DCH), MBBS
Pediatrician
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Hi mam or sir. My 9 months old son is suffering from past 4 days with vomit and loose motion. I have consulted doctor...
Child may get rashes on buttocks due to loose motion. If there is rash you can use diaper rash cream like Klinoderm DPR or Rashfree cream.

RICKETS [RICKETS]

MD - Homeopathy, Certificate in Gynaecology & Obestric, BHMS
Homeopath
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It is the characteristic result of vitamin D deficiency in children.


CAUSES:

• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Malabsorption.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
• Hereditary.


SIGN AND SYMPTOMS:

• Head:
– 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.
• Thorax:
– 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).
• Extremities:
– 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.
– Rhinitis.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Bronchitis.
– Bronchopneumonia.
• Spasmophilia:
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.


DIETARY MANAGEMENT:

Avoid:
• Avoid bony injuries, to prevent factures.


CONSUME:

• 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:

• 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.

I had my normal delivery using tools. And My newborn baby had its jaundice test when she was 5 days old and the bilirubin levels were high, so she was in phototherapy for 4 days. And as the doctor said it came to normal level, we was discharged. But now as she is 15 days old. I could still see her eyes are pale Yellow sometimes. Some said it is normal and will fade as she grows. But then am panicked. Is it normal? What should be concerned?

MBBS, MD, DM - Neonatology
Pediatrician
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I had my normal delivery using tools. And My newborn baby had its jaundice test when she was 5 days old and the bilir...
Eye clearance would take about 1 month, last site of clearance. Just recheked her Total serum bilirubin with blood or Transcutaneous bilirubinometer (a non prick techneque), If it is below phototherapy level, no need to worry.
1 person found this helpful

My newborn child doesn't have center piece of bone in his head, there is space around 3centimeter radius between another piece​ of bone.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My newborn child doesn't have center piece of bone in his head, there is space around 3centimeter radius between anot...
This bone less space in head is normal called Ant and Post Fontenelle which shall close by up to 18 months of age.
1 person found this helpful

My grandson 3 years old attack in haemophilia, how can his treatment?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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The mainstay of treatment is replacement of the blood clotting factors. Clotting factor concentrates can be purified from human donor blood or made in the laboratory using methods that do not use donor blood. This type of therapy is known as replacement therapy

My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.

DNB - Pediatrician
Pediatrician
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My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result e...
Hi, Most of the times during particular season children are prone to get fever frequently. Unless there is no major issue / any other symptoms during each time nothing to worry. Child's weight is ok now. Better give Vitamin D syrup (D3 MUST) 5 ml once a day & Zinc syrup (MINTONIA) 5 ml once a day for one month to improve the immunity. These are supportive measures. Prevention is best. Maintain good personal hygiene.
1 person found this helpful

My child is 11 months old. He getting rashes on his face on skin & dandruff like on his scalp mostly on winter time or on air conditioned room. What should I do?

DNB Paediatrics, DCH, MBBS
Pediatrician
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My child is 11 months old. He getting rashes on his face on skin & dandruff like on his scalp mostly on winter time o...
Hello , dandruff is basically a fungal infection of the scalp . To avoid getting dandruff , stop oiling especially when you feel the scalp is itchy and flaky as that will aggravate the condition . For now you could apply an anti dandruff shampoo like scalpe etc on the baby's head and leave it for about a minute and then wash it off backwards so it does not go into the eyes of the baby .Use the shampoo twice a week for 4 weeks . Also never tie the hair when wet. Hope that helps !
3 people found this helpful

My son is 3 years old. His hb is 7. 7. Last 6 months ago there was d same problem. and most important thing is that whatever we eat means green veg. and pulses. We give him. We don' t take fast food. What should I do

M.D.( Pediatrics), DCH
Pediatrician
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He needs clinical evaluation to determine the cause of anaemia. Visit pediatrician, get required investigations done.
1 person found this helpful

My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting after feeding is another issue with her. In a day she is fed 8 to 10 times and she vomits the same time. It will be a great help if you give a good help.

C.S.C, D.C.H, M.B.B.S
General Physician
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My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting afte...
The nasal block in newborns is a common finding and you may not have put the decongestant drops and simply saline drops may have been used, similarly the vomiting as you say is possetting and most babies do this and you have to burp properly after each feed and never give anything in bottle.
4 people found this helpful

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Merits of extended breast feeding

Breastfeeding up to two years of age or beyond is based on the fact that breast milk is a [key organic source of DHA (Omega fatty acids), vitamin A, calcium and proteins and provides protection against infectious agents][1].

In 2008 the American Academy of Family Physicians said this in their [position paper][2]:


> It has been estimated that a natural weaning age for humans is between
> two and seven years. Family physicians should be knowledgeable
> regarding the ongoing benefits to the child of extended breastfeeding,
> including continued immune protection, better social adjustment and
> having a sustainable food source in times of emergency. The longer
> women breastfeed, the greater the decrease in their risk of breast
> cancer. There is no evidence that extended breastfeeding is harmful to
> mother or child.


[Many scientific studies prove][3] the point that longer breastfeeding [enhances the
neurodevelopment of infants][4] and their intellectual and scholastic ability in later life. **from one of these studies increase in the IQ by breastfeeding is directly related to the duration of breastfeeding**. These benefits are strongest for the infants of low birth weight on breastmilk feeding. It is found that Poor who are more likely to
enter into child malnutrition are more likely to benefit from enhanced optimal breastfeeding
practices.

longer breastfeeding promotes suppression of [following Diseases and benefits to the infant][5] :

- Enhanced stereoscopic vision
- Neuromotor development
- Lower chances of obesity in Adult life
- [Increase in height][6]
- suppression of gastrointestinal and respiratory infectious morbidity
- suppression of atopic eczema
- suppression of asthma

[Benefits for the Mother][7]:

- [Weight loss][8]
- lower chances of breast cancer
- lower chances of premenopausal ovarian cancer
- suppression of hypertension
- suppression of type 2 diabetes
- suppression of myocardial infarction (heart attack).

**WHO recommends that breastfeeding should continue for two years or more without accurately establishing a maximum duration for breastfeeding.In addition, there is insufficient evidence on the advantages and disadvantages of continuing breastfeeding after two years.**


[It is unfortunate that about many mothers are unable to breast feed even upto 1 year][9]. This may be because We’ve sexualized the breast so much that people have forgotten breasts are for breast-feeding. There is A [Harvard Study which looks at both health AND cost outcomes for U.S. mothers][10] if they were to breastfeed for 1 year.The study found that if 90% of mothers breastfed, U.S. women would significantly lower their risk of heart attack, breast cancer, and hypertension. On a macro level, further investment in lactation support for moms could prevent $17.4 billion in maternal health costs.

Many mothers have shared [positive Experiences of extended breastfeeding in this article][11]


[1]: http://www.bpni.org/information_sheets/IS-9.pdf
[2]: http://www.aafp.org/online/en/home/policy/policies/b/breastfeedingpositionpaper.html
[3]: http://europepmc.org/articles/PMC1721196/pdf/v084p00F23.pdf%E2%80%8E
[4]: http://europepmc.org/articles/PMC1721196/pdf/v084p00F23.pdf%E2%80%8E
[5]: http://www.ncbi.nlm.nih.gov/pubmed/15384567
[6]: http://ajcn.nutrition.org/content/73/5/959.short
[7]: http://journals.lww.com/greenjournal/Fulltext/2013/07000/Cost_Analysis_of_Maternal_Disease_Associated_With.17.aspx
[8]: http://www.ncbi.nlm.nih.gov/pubmed/15384567
[9]: http://healthland.time.com/2012/06/04/why-most-moms-cant-reach-their-own-breast-feeding-goals/
[10]: http://www.upmc.com/media/NewsReleases/2013/Pages/study-shows-breastfeeding-reduces-maternal-health-disease.aspx
[11]: http://healthland.time.com/2012/05/10/extended-breast-feeding-is-it-more-common-than-we-think/
6 people found this helpful

Hi I have a 10 month baby girl. Her teeth not come yet. Please suggest and weight not increasing. Her weight is 8 kg

MBBS DCH
Pediatrician
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Teeth eruption occurs between 6 and 18 months. Weight is less according to age. Give nutritious home made food in edition to breastfeeding.

Hi I have a baby of 2 years. She recently left the mother feed. My wife breast has became loose. Is there any cream or oil or any solution to get it in better shape with proper tight Ness. She is 26 years only. Kindly suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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Hi I have a baby of 2 years. She recently left the mother feed. My wife breast has became loose. Is there any cream o...
Gentle massage with any oil will help, plus stretching exercises to tone up the muscles, weights, rowing, swimming & yoga exercises. But she will never have previous shape, keep weight under check and make exercise a routine.

I feel very scared after my father sudden death 4 months before. I was very happy and joyful person but it seems that in a day everything change. I am scared that what will happen if again anything happen to anyone in my family whenever my husband go out for work after every hour I call him, when my baby cry in illness I become panic that something will happen. I am trying to overcome this situation by keeping myself busy in household works but I am tired of my negative thoughts. I want to be like what I was.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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I feel very scared after my father sudden death 4 months before. I was very happy and joyful person but it seems that...
Its tragic to lose someone close to you. The vacuum left behind takes time to fill up and time to heal. It is all right to feel grief and feel sad. We are all humans. Just accept it instead of trying to fight it. Try different types of meditation. On YouTube you will find videos of Mindah Lee Kumar. Try them they are very useful. Try to connect with friends. and meet them. Life is a journey with ups and downs... Everything is in Gods hands. I am sure your father would always like you to stay positive and be a fighter. Be strong and be patient. Be hopeful.
1 person found this helpful

My 14months daughter was born with low birth weight (1.75kgs). She doubled her birth weight by 5 months, but since then her weight has not increased much. Started solids after six months. Before that she was exclusively breastfed. She has got a mild pulmonary valvular stenosis but docs told it has got nothing to do with her weight gain. She is only 4kgs now. Twice during winter she has to be hospitalised with respiratory distress with upper respiratory tract infection (viral). Since than she was on nebulizer for 5 months. Done many blood tests there to find out the reason behind her poor growth as well but all test gave normal report. Only she has very high eosinophil level and high WBC count. Mentally she is alert and very active. Kindly advise what to do to improve her condition of FTT. Right now I am giving her high calorie foods like banana, sweet potato, egg yolks daily. She does not like milk at all. So I am making porridges n pudding with it and feeding her. Also she is suffering from chronic constipation since she started solids. From past two months she has to be given milk of magnesia twice daily.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My 14months daughter was born with low birth weight (1.75kgs). She doubled her birth weight by 5 months, but since th...
Your baby is premature born now weighing 4kg only at 14 months of age which is definitely very low. Height has not been mentioned. All investigations reveal nothing abnormal. Get her checked for developmental/ Hormonal problem. Increase fat in her diet.

I have 4 month baby having multiple disorder & low birth weight & still not gain weight.Please do help.

M.D.( Pediatrics), DCH
Pediatrician
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Taking care of disorders will help you gain her weight, follow up with your doctor regularly. It's difficult a task but we have to do it.
1 person found this helpful

My one years baby cries a lot do not know the reason she was in mumbai now shifted to kolkata for 2 mths.

MBBS
General Physician
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My one years baby cries a lot do not know the reason she was in mumbai now shifted to kolkata for 2 mths.
Few reasons - check abdomen for intestinal colic - any inflammation in the tip of urinary / anal opening - any pathology in the ears - excessive hunger - incomplete feeding And after pinpointing the cause we can plan treatment accordingly.

On nights I am face difficulties on respiration while sleeping through my nose. What to do.

MRCPCH, MBBS
Pediatrician
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Take steam before sleep n you can use nasoclear drop to put in nose if blocked. Also try to keep some gap in last meal of day n sleep time to avoid possible reflux which might be bothering you. If still bother then see your doctor for the same.
8 people found this helpful

My boy is 2.6 years weight is 11.0 kg last 8 months fever coming blood test and xray normal t.b also tested no result hot water taken every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician
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My boy is 2.6 years weight is 11.0 kg last 8 months fever coming blood test and xray normal t.b also tested no result...
Hi lybrate-user, Your child needs further testing to know the cause for the fever which is coming since the last 8 months. In initial phase common tests like CBP, Malaria, Typhoid, urine infection tests, etc done. If they are normal, then other tests like TB tests, tests to rule out chronic infections and inflammatory diseases are being done by Children Doctors. In some children in spite of extensive tests, the cause of fever is very difficult to find out, but it is not possible. First it is better to know whether the child is suffering from common repeated infections which are causing fever since 8 months or a uncommon condition. So be in regular follow up with the Pediatrician for further evaluation of the problem with appropriate tests and his clinical examination. Hope I have answered your query.
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