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Dr. Prasana

Pediatrician, Navi Mumbai

Dr. Prasana Pediatrician, Navi Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prasana
Dr. Prasana is an experienced Pediatrician in Panvel, Navi Mumbai. You can visit him/her at Sai Child Care Clinic in Panvel, Navi Mumbai. Save your time and book an appointment online with Dr. Prasana on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 28 years of experience on Lybrate.com. Find the best Pediatricians online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Sai Child Care Clinic

Amrut Plot, Plot No 3/5/7, Sector No 19, Vijay Marg,New Panvel. Landmark: Opposite Fire Brigade Station, Navi MumbaiNavi Mumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

My daughter breaths through nose in the night. please suggest some medical precautions n some tips to cure it.

MBBS, MD
Pediatrician, Gurgaon
You mean she snores due to partial obstructions in nostrils. Use saline water and aply vaseline in each nostril, it will give some relief.
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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.

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I am 26 years old female. I got c-section delivery before 8 months I gave breast feeding to my male baby. I got malaria fever I stopped feeding for one month I do not have milk now again I want milk supply what can I do pls.

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Hi lybtrate user, even if you are not getting milk that's ok. You can start the baby with semisolid food and slowly you can give her solid food.
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This is my baby which is 8 month old and his left leg is not fully grown &hi leg is bend below his knee and is small from his right leg I want to know is there is any treatment for his leg.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is my baby which is 8 month old and his left leg is not fully grown &hi leg is bend below his knee and is small ...
This is common in children below 1 year. Need not worry it will settle as the child starts walking and running. Can give calcium and vitamin d supplements.
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My baby 4-1/2 years old suffering from cold but no temperature is recorded but is very weak and not eating nor having milk what is the reason please help me.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Cold without fever is due to allergy. You must avoid possible allergens like dust, pollen etc. Show to a pediatrician.
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My child is having 6 years he is not write alphabets how can I do he is not concentrating to write.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Lack of attention is one of the features of adhd. But its very premature to comment on the basis of data you have given.
1 person found this helpful
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my son age 16 yr last few days stumuck pain ultrasound is ok i am worried please tell me the reason for pain

M.Sc - Dietitics / Nutrition
Integrated Medicine Specialist, Bangalore
If you give me details about digestion and any constipation pl. mail or call bangalore@ svaasa.com or 09980993353
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My daughter is 3 years old. Problem is she is very mischievous not listening to anyone. I now have a younger son who is just born. She sometimes try to hurt son. Also she sleeps very late at night sometimes viewing you tube kids videos. Should I consult a child psychiatrist for any medication? I recently heard a tv program about child psychiatry in which children high in ADHD are very mischievous.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 3 years old. Problem is she is very mischievous not listening to anyone. I now have a younger son who ...
This seems to be a normal sibling reaction after arrival of second child. The child is to be kept prepared for arrival of newborn. Anyway just extend your love & affection to her as usual without any hesitation, talk to her a lot, give her time & make her feel she is equally impotantant to you & newborn has come to give her company.
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I have a headache a lot of time I also have a stomach it a lot of time I do not know why did happens please help me what do I do.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
I have a headache a lot of time I also have a stomach it a lot of time I do not know why did happens please help me w...
You must control fatty+spicy food if recurrent pain in abdomen. Start some good antacids course after advise of your doctor and still if doesn't subside then would be better to undergo tests i. E sono abdomen.
1 person found this helpful
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My 8 months old baby want to be held always and very clingy and fussy most of the time don't show interest in toys more than 10 mins and love to be outdoor got examined with doctors all says he is perfectly normal but I am worried.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 8 months old baby want to be held always and very clingy and fussy most of the time don't show interest in toys mo...
There is no cause of worry as at this age child likes a new events. Please take appropriate care not over care. Remain in touch with your pediatrician.
1 person found this helpful
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Side effect of anaesthesia on infant less than one year old both short term and long term?

Diploma in Paediatrics
Pediatrician, Parbhani
Side effect of anaesthesia on infant less than one year old both short term and long term?
Short term risks are dependent on duration of anaesthesia. Surgical risks depends on procedure about which surgeon can explain. Long term risks should be negligible if hepatotoxic medications not used for prolonged time.
2 people found this helpful
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My 7 month baby boy last 3-4 days, every night crying so much and also having some cough, what can I do for him?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My 7 month baby boy last 3-4 days, every night crying so much and also having some cough, what can I do for him?
Homoeopathic medicine-------- chamomilla 30 (dr reckeweg) pour 10 drops in 1 glass fresh water and start giving 1 spoon from this water every 2-3 hrly till problems subsides----just do not use the remaining med. In bottle for 5 days and after 5 days, if problems still persists, again prepare the med. In 1 glass water nd repeat for 5 days-------------
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My daughter 2.7 yrs having tonsils. She suffers frequently with cough & cold & even sometimes fever. What should I do? homeopathic treatment going on now. Should I go for operation.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
You should consult the ent specialist, get an x-ray of neck for adenoids done, and let him decide the need for surgery. The decision for surgery depends on the size of adenoids and the severity of symptoms.
2 people found this helpful
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My daughter 3 years and 8 months old is having adenoids. She is suffering from breathing problem at night. I am giving her budecort puff daily. But still when she gets cold her problem gets aggravated. There is any ayurvedic treatment for this. Please help me out.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter 3 years and 8 months old is having adenoids. She is suffering from breathing problem at night. I am givin...
Regular use of budecort is harmful in long run. Adenoids are to be operated if they are enough enlarge to create breathing problems. I have no knowledge of Ayurved. Please consult Ayurvedic doctor.
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Is it necessary to get my daughter vaccinated during every pulse polio camp? Can you please reply fast?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Is it necessary to get my daughter vaccinated during every pulse polio camp? Can you please reply fast?
As it's a government program and helps both personally and to the community you have to till 5 years.
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My son 3 years Old have constipation problem can you suggests me any good medicine ?

Pediatrician, Mumbai
It is better to increase fibre in diet , rather than giving any medications. You can give him green leafy vegetables , corn , multigrained rotis , fresh fruits to increase fibre content and increase fluid content per day. Inspite of that , if contipation persists , you may give him Fybogel or Isapgol 1 tsf in 1 glass of water or milk at night . This is natural plant based fibre and is safe . Occasionally , if required you may also use glycerin suppository , however it should not become a practice.
3 people found this helpful

My daughter is becoming arrogant, feeling insecure about me, and very much talkative & naughty. How to control her. Please advise.

MBBS
General Physician, Mumbai
As she is 6 years of age I will suggest you to play with her as per her wishes and to make sure her vital parameters are normal.
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