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Dr. Suryanarayana

Pediatrician, Hyderabad

250 at clinic
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Dr. Suryanarayana Pediatrician, Hyderabad
250 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Suryanarayana
Dr. Suryanarayana is one of the best Pediatricians in Jeedimetla, Hyderabad. Doctor is currently associated with R R Multispeciality Hospital in Jeedimetla, Hyderabad. Book an appointment online with Dr. Suryanarayana on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 43 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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R R Multispeciality Hospital

C 4, Ganga Enclave,Petbasheerabad, Jeedimetla Village,Landmark:Opposite Excellency Gardens, HyderabadHyderabad Get Directions
250 at clinic
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

My baby is 14 months old. He is suffering from loose motion .as he feed milk jst poop. It's poop is like milk has spoiled. He is not taking external food .always refuse to eat any other thing like dalia khichdi etc. He is underweight. Always try to eat from dustbin and things on floor. What should I do.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
My baby is 14 months old. He is suffering from loose motion .as he feed milk jst poop. It's poop is like milk has spo...
Unless your baby’s doctor says that you really have to work to increase your SON’s weight, I would stop focusing on his weight and appearance and instead focus on his energy levels and overall development. Some people simply are more skinny than others and being skinny (if healthy) is far better than being obese from a health perspective in the long run. Give him plenty of healthy foods often and try to make eating enjoyable for him. No nagging or forcing, simply offering foods to try and also lots of opportunities for him to feed himself either while you are eating or while he is playing. Learning to enjoy a nice meal and the taste of different healthy foods are the main key for his future development.
2 people found this helpful
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Hi my baby girl is 5 month old since last 4 days was doing very loose potty but in general intervals mostly 3 to 4 times a day. Yesterday frequency increased to 5 times and we visited doctor be.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hi my baby girl is 5 month old since last 4 days was doing very loose potty but in general intervals mostly 3 to 4 ti...
In a 5 month old infant frequent loose stools is normal if she takes feed and is active. But if you bottle feed you atop bottle and feed from spoon and also breast milk.
1 person found this helpful
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MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
If your adolescent boy or girl spends too much time alone, talk to him/her as a friend.
1 person found this helpful

Benefits of garlic

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Home Remedy: Garlic

Generally known as Lasoon. To maintain normal health there is no any other substitute except Garlic.
It?s a great n effective natural antibiotic.

How to use:

Skin Problem: with neem for best result

Whooping cough: 1- Tab 2 times in day

Asthma: 3 pcs of Garlic boiled in Milk & drink every day night

Low BP: 1 Tab 2 times in a day

Earache: Boil well in oil and filter, use as ear drops

Phlegm: To Filtered as above & rub on chest and throat

Gas / Indigestion: 2- tab at Night

Its also useful in Fungal Infection, Acne, Obesity,Pimples, Tuberculosis, Ring Worms Etc ?
68 people found this helpful

How will I come to know whether my two months old daughter had her stomach full just after feeding. As she use to cry even after feeding. Please tell me what to do if the milk is not enough for her.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
How will I come to know whether my two months old daughter had her stomach full just after feeding. As she use to cry...
Babies sry for different reasons and it is not always due to hunger . For removing as you burp well after feed and put in left position and check if diaper is wet . YOu give only breast milk
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Sir, I have twins (Girl & Boy) born on 02.05. 2015 (6 months + age). Whether it is good to feed them Oat meal to them? In what way it is better to prepare OAT meal? Only Boiling & after softening the OAT with water, adding milk product (Pro Nan 2), meal ready for baby. Is it safe method? Is OAT healthy to 6 month + age baby?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ludhiana
Sir, I have twins (Girl & Boy) born on 02.05. 2015 (6 months + age). Whether it is good to feed them Oat meal to them...
After six months of age, babies need complementary food along with breastmilk. Soft, home cooked meals are the best to start with. I am not sure why you are inclined towards oatmeal, but you can give it to the baby if it has been prepared to the right consistency. Try introducing soft fruits like bananas, pureed apple, etc.
1 person found this helpful
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Hi Doctor, Why febrile seizure not happens in every children when they have fever. His mother and his family are diabetic. Is this a reason for that. Please reply.

BAMS
Ayurveda, Bangalore
Hi Doctor,
Why febrile seizure not happens in every children when they have fever.
His mother and his family are diab...
Hi, Febrile seizures grade in children when they have high grade fever of 104 or 105 degrees. That is why tepid sponging is advised so that the forehead temperature comes down quickly. Children who are well taken care of, Do not land up with seizures. Family history of diabetes is not the cause of Febrile seizures.
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I blessed with a baby boy 1 month back now he is 35 days old. Normally I went to child specialist doctor for normal check up. Doctor suggested me to don't massage with any oil to body. But our grandma said massage for child babies will improve baby body bit stronger. Can we massage baby body with oil. Please let me know whether can we do it or not.

M.Sc - Dietetics & Food Service Management, National Certified Diabetes Educator, M. so. in Dietetics and Food service Management, Certified Neutrogenomics Counseller
Dietitian/Nutritionist, Nagpur
I blessed with a baby boy 1 month back now he is 35 days old. Normally I went to child specialist doctor for normal c...
No all doc say same thing. But you can use Figaro olive oil. It's good for baby's growth. N muscles also. No side effects.
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