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Dr. Chandan Ray

Pediatrician, Kolkata

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Dr. Chandan Ray Pediatrician, Kolkata
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Chandan Ray
Dr. Chandan Ray is a renowned Pediatrician in Mukundapur, Kolkata. He is currently associated with Vision Care Hospital-Mukundapur in Mukundapur, Kolkata. Book an appointment online with Dr. Chandan Ray and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 39 years of experience on Lybrate.com. You can find Pediatricians online in Kolkata and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Vision Care Hospital-Mukundapur

E.M. Bypass, mukundapur. Landmark:Behind Metro Cash & Carry Near Medica Hospital, KolkataKolkata Get Directions
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Is it safe to feed horlicks and fruit juice to an infant other than formula milk?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is it safe to feed horlicks and fruit juice to an infant other than formula milk?
It is better to avoid formula and give only breast milk. You tell the age of the infant. Fruit juice can be given and horlicks also. Always give more natural vitamins in food form. Ask me in case of doubts.
3 people found this helpful
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My 2.5 month old baby feed with bottle. Bec I cant produce enough breastmilk for him. He did not feed with spoon. If I sterilize bottle before and after use properly and use bpa free glass bottle then is it ok to use bottle.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 2.5 month old baby feed with bottle. Bec I cant produce enough breastmilk for him. He did not feed with spoon. If ...
As far as possible you should try to breastfeed. If not at all possible you can give top feeds with cup and spoon. Bottle feeding has got many side effects. If you want to stick on to bottle feeding you must boil bottle at least for 15 minutes before each feed.
4 people found this helpful
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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

Hi, my baby is 2 month 23 days old. His birth wt. Was 2.6 kg and currently he is 5 kgs. I have following queries 1. My kid has recently started eating his hand and sucking his thumb. Is it normal? Shall I stop him from doing so? 2.he is normally breast fed. But sometimes I need to go out. What formula can I give him and in how much quantity? 3. He feeds after 3 or 4 hours is it normal? Sometimes he sleeps for 6 hours at night. Alsohe does not burps during night feedings? Is it fine?

BHMS
Homeopath, Secunderabad
Hi, my baby is 2 month 23 days old.
His birth wt. Was 2.6 kg and currently he is 5 kgs.
I have following queries
1. M...
It would be preferable to breast feed the baby as long as possible (first 6 months is important .) Many babies play with their hands and legs which is normal. Babies can sleep more than 14 to 16 hrs in a 24 hrs. They sleep, play and need feeding every 2 - 4 hrs (varies slightly in different children.)
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My son is 3 months old. He is not having milk properly. For every 4 hrs he is feeling hungry ,but feeding time he takes is just 5 mins. Compared to before, now the time gap is increased and feeding time is decreased. Is this normal among infants? Please suggest.

B.Sc. - Dietitics / Nutrition, PG Diploma in Sports Science and Nutrition, MD - Alternate Medicine
Dietitian/Nutritionist, Mumbai
My son is 3 months old. He is not having milk properly. For every 4 hrs he is feeling hungry ,but feeding time he tak...
As long as his weight gain is as per expectations & he is not crying / cranky all the time you may not have anything to worry about. Babies do go through their phases. Also as he grows he may be taking in more milk at a time.
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My son gets frequent cold and cough, running nose? He is 2 years 9 months. What medicine do you prescribe? We don't give him cold water, or cold drinks/ice cream etc. Please advise.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My son gets frequent cold and cough, running nose?
He is 2 years 9 months. 
What medicine do you prescribe? 
We don't...
Give him syp relent4ml bd for 3 days. Syp zand d 5ml od for 3 week. Give vit c rich fruits. Balanced diet.
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M.D.( Pediatrics), DCH
Pediatrician,
It is very important to teach your child that nobody should be touching his/her private parts except the doctor or nurse for health-ups.

When my nephew reading something he is feeling headache and feeling dark in front of my eyes mean to says fainting something age is 10 year.

BHMS
Homeopath, Ludhiana
When my nephew reading something he is feeling headache and feeling dark in front of my eyes mean to says fainting so...
Its because of weakness. Give natrum muraticum 200 one dose in morning. Consult a doctor in person for proper treatment. He needs medicine for few months.
7 people found this helpful
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My baby is 11 months old I am giving bf n also buffalo milk I want to add some protein powder which I shud give?

DHMS (Hons.)
Homeopath, Patna
My baby is 11 months old I am giving bf n also buffalo milk I want to add some protein powder which I shud give?
hello lybrate user, before 1 yr, babies should not be allowed cow or buffalo milk being high in fats sodium &,phosphates. please, tk care.
1 person found this helpful
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4 Excellent Ways to Break Your Child's Addiction to Sweets

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
4 Excellent Ways to Break Your Child's Addiction to Sweets

If your child has become increasingly addicted to sweets and other sugary items, this addiction can lead to certain behavioral problems (like mood swings, irritability, anger, etc) in children. Moreover, a high sugar intake can lead to your child falling prey to serious diseases and conditions, including diabetes, obesity and cardiovascular diseases. 

Here's what you can do to break your child's indulgent habits and wean him from ill-health causing culprits like cakes, ice creams, candies, chocolates and rich and creamy desserts etc.

1. Practice what you preach -
In order to develop healthy eating habits in your child, it is imperative for you as a parent to lead by example. When it comes to weaning your child from sugary foods and sweets, you yourself should limit your intake. So, if you tell your child to avoid sweets but love sweets yourself, you'd be setting a bad example by eating them yourself and not letting your child have them. The best thing to do is to be a role model to your child as children learn everything from their parents. 

2. Curb consumption of sugar by deferring intake to a later date -
Instead of depriving your child completely, it would prove to be more useful to tell them that they could have sweets on some other day. This is because if you deny him his indulgence, your child would invariably go on an eating spree the moment an opportunity arises. A study on a group of restrained eaters and non-diet individuals revealed that restrained eaters were found to consume more food than the non-dieting individuals. Not knowing when they could have their favourite foods again, they went on an eating spree.
Make frequent yet small offerings of sweets while explaining to him the importance of moderation and why he/she shouldn't overindulge but space out sugar intake.

3. Try the 90/10 rule - 
Teaching older children the 90/10 principle is another sure-shot way of breaking your child?'s addiction to sweets. The rule calls for 90% of the diet to be made up of healthy food with the remaining 10% being devoted to foods your child wants to indulge in such as junk food, sweets or foods with high sugar content. The total calorie intake that arises from consumption of about 10% or 1-2 fun foods is only about 100-200 calories everyday. 

4. Present your child with healthy alternatives to sugary items -
The next time your child wants to indulge in his sugar craving, instead of giving a processed sugary food, give healthier sweet foods like dates, honey or a fresh sweet fruit. 

'Consult'.

3145 people found this helpful

My 5.5 years old daughter often wets her beds while sleeping. Sometimes she is unable to hold her urine while sleeping in day time. What are effective ways to overcome from this? Thanks.

BHMS, NDDY
Homeopath, Delhi
Because of weaknesses it happen I am a homoeo path two med. Are very effective china Q Equisetum 200.
1 person found this helpful
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I am not sure about giving my 9 months old vegetables at night. She eats fruits in the morning. During day she eats khichdi but in the evening or night time I give her vegetable soup. Is that ok? Will she catch cold by consuming root vegetables. Please help.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am not sure about giving my 9 months old vegetables at night. She eats fruits in the morning. During day she eats k...
Answer to your both queries is that wt 8 kg of your baby at this age is normal. U started weaning at right age of 6 months and by now you have rightly started veg soup and khichadi. Have variety of items for change and developing taste, cooked at home, like suji kheer/ halwa, dal, mashed vegetables, fruits etc once or twice in a day with no binding of time any item in morning and other in evening. Continue breast feeding and complementary dairy milk. Any specific food chart is usually not effective since at time baby may not like same food at same time. I always prefer variation of item and time. Appropriate quantity of food is to increase wt. No root vegetable or any other veg causes cold.
2 people found this helpful
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My son will turn 2 years old next month. Since his birth, we are noticing that his head, hands & feet are always hot (Both in summers as well as in winters). Sometimes they are too hot that it feels like he is having a fever. We consulted 2 child specialist but they said its normal. Is this thing normal? My son's weight is 10 Kgs. His diet is good & he is very active also. Thanks.

DHMS (Hons.)
Homeopath, Patna
My son will turn 2 years old next month. Since his birth, we are noticing that his head, hands & feet are always hot ...
Hello, There are certain children having the same physical condition without any sort of ailment, at all. Intake of water be enhanced. Non -vag item be avoided. Give him homoeopathic medicine: @ Calcarea carb 30-1 drop with 1tsfl of water or milk. Avoid, junkfood. Tk, care.
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Hi doctor I have 13 months baby. I went to doctor for baby 12 months vaccination and next day my baby got cold and cough. I have given her Relent syrup for 7 days but still her nose is running. Doctor told to me to give steam to baby but which nebulizer medicine should I used to get rid off this cold. Should I use in warm water or normal also any other medicine which should I use to get rid off.

M.D.( Pediatrics), DCH
Pediatrician,
Hi doctor
I have 13 months baby. I went to doctor for baby 12 months vaccination and next day my baby got cold and co...
Vaccination has nothing to do with current illness. Only running nose does not need any treatment. If associated with wheezing then only nebulsation may be needed. It should be under supervision of pediatrician.
1 person found this helpful
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My son age 1 year, +5 day, but till date he is not able to walk, please give suggestions, how he able to walk quickly.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
My son age 1 year, +5 day, but till date he is not able to walk, please give suggestions, how he able to walk quickly.
Turn balancing into a game. Sit with Baby on the floor and help her stand up. Then count how long he can stay up before he tumbles. Give him praise after each attempt. It may take a few stumbles and series of steps before he is on the move. Continue to praise Baby as he starts to explore walking.
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Hello, last four month my daughter (Gagri) not feeling well & healthy every month she need a hospitalized and for your information delivery time my wife suffering from dengue, before two days my daughter again hospitalized due to dengue kindly suggest me. Doctor please help me I am waiting for your reply.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hello,

last four month my daughter (Gagri) not feeling well & healthy every month she need a hospitalized

and for y...
Mother's dengue is not related to child's ill health. You have not mentioned the age of the child. Children less than 5 years usually have less immunity and some children fall sick frequently. Dengue most of the time is a mild illness. Rarely it goes for complications.
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Baby is having fever since 4day. Will increase at night. Local hospital 1blood test shows dengue NsAg +ve other 2 -ve. We go to another hospital blood test shows negative for dengue. Given iv saline. admitted still he is having fever.what to do

MBBS, MD
Pediatrician, Gurgaon
It is good to hospitalise for few days. It will subsidise in few days. Serious cases are hemorragic dengue. Your case will not be same. So donot worry. Thanks.
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Hello doctors. Practine jo syrup hai kya vo 4 years ke baby ku dose daisaktai hain kya becouse my child sleeping nahi karti uski age 4 year runnig hai moring 9: 30 ku othti hai night ku one o clock ku soti hai doctor please help me aur growth b kam hai 10 kg ki hai meri beby.

MBBS, MD
Pediatrician, Gurgaon
child at young age should not be given appetite stimulants.main region for improvement of appetite is live him independent.if he just don't eat let him play.but he should be tamed to eat himself.
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My son is 2 year 10 months old he going to school he is getting frequently cold cough and fever every fortnight we are visiting to pediatrician please suggest something to strong his immunity.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My son is 2 year 10 months old he going to school he is getting frequently cold cough and fever every fortnight we ar...
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily if possible 5 no cold water / cold drinks / ice creams and so on 6. No exposure to smoke 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids for medicine contact on private chat Good luck.
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My new born baby of 15 days has got watery eyes. Water keeps coming out of her eyes. What needs to be done in this case and is this normal for new born or I need to be worried about it.

MS - Ophthalmology
Ophthalmologist, Ujjain
My new born baby of 15 days has got watery eyes. Water keeps coming out of her eyes. What needs to be done in this ca...
No it is a condition called congenital dacrocystitis and it needs to be treated as soon a s possible ccause if not treated in first 6 months, the child myt need operation later on.
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