Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 41 years of experience on Lybrate.com. You can find Pediatricians online in Pune 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. Prakash R. ShahYour feedback matters!
My son who is 3 months old has a reflux immediately after a feed every time. Is this a matter of concern?
My baby is 4 month old and he had red rashes around the neck so one pediatrician suggest me cluster-gm tube. I applied and redness is absolutely clear but skin gets white which is looking very bad. Then I consult one of my friend dermatologist and she suggest me topisone m cream. Now please suggest should I apply this cream on my baby's skin or not. This time I don't want take a chance. Its very urgent please advice me.
My Daughter is 21 months old. Sometimes she gets fits (convulsions or epilepsy or any other kind don't know). She got her first fit (by hitting her head accidentally) when she was about 9 months old. We have done MRI and ECG but doctor said that reports are normal. Till then fits repeated 4-5 times. We are taking homeopathic treatment but not getting satisfactory results. On 17/11/15 she got fits three times (of duration about 2-3 minutes each). Please help and suggest, whether homeopathic is good choice in her case.
Does baby who have top up milk has less immunity than baby who drink mother milk? Since their mother do not get enough milk to brest feed.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Sir/madam my child is 3 months old and has taken following vaccination. Birth- bcg, opv-0, hep-b1 6 week - imovax polio, pentavac, rotarix1 10 week- imovax polio, quadrovax only. Now my concern is whether the vaccination quadrovax be given in place of pentavac as changed in 6 and 10 week. And also the doctor is saying to give rotatek in place of rotarix due to its unavailability, should it possible?
My Child is of 3 years old He is having no hair at some portion of his head from the day he is born i.e. No hair growth from the scalp of the head What lotion or cream you suggest for it. Pls keep in mind that he is just 3 years Old.
Sir my son is 13 years old. He have obesity. His weight is about 70 Kg. Let me know the simplest way to loose weight of my son. Due to nature of my job I can't spare more time for my family. I will be thankful if you solve this problem. Thanks Umesh Khinvasara.
Our 6 yrs. Old son never chews any food. He swallows soft food but can't (or doesn't want to) chew solid food. He is otherwise normal. We have consulted local doctors and child psychologists but without any result. We fear he will be an object of fun at school as he can't eat his tiffen! Please help us.
Hi, my two years baby girl some tym holds her breath at the tym when she fell down or crying literally. What we need to do in this situation? Pl suggest. She doesn't response. Her face become pale and she become faint totally.
Hallo, doctor my son age 5 month 15 days, weight:- 5. 3kg, he had suffered the whole of heart (size-6mm). So what I can do?
ADHD or attention deficit hyperactivity disorder is a condition characterized by an inability to concentrate and sustain attention. It is a biological problem of the brain.
Due to poor concentration the child feels bored easily and may become impulsive and appear to be mischievous
He may answer out of turn and will talk even when not spoken to.
He may have difficulty sitting at one place.
He maybe restless, fidgety and jumping about.
This will hamper his ability to remember things and may become forgetful and lose things.
This is something the child does not do on purpose and feels guilty and unhappy about, making the child feel low on self-esteem which may manifest as aggressive and rebellious behavior.
Tips for the teacher and parents
1. Keep the child close to her in the classroom
2. Keep the child away from the windows
3. Shower praise when he behaves appropriately.
4. Write important information down where the child can easily read and reference it
5.Divide big assignments into smaller ones, and allow children frequent breaks.
6. Incorporate Physical movement into classroom teaching.
7. Working with interruptions:
Reducing the interruptions of children with ADD/ADHD should be done carefully so that the child’s self-esteem is maintained, especially in front of others. Develop a “secret language” with the child with ADD/ADHD. You can use discreet gestures or words you have previously agreed upon to let the child know they are interrupting. Praise the child for interruption-free conversations.
8. Dealing with Impulsivity:
Give consequences immediately following misbehavior. Be specific in your explanation, making sure the child knows how they misbehaved.
Recognize good behavior out loud. Be specific in your praise, making sure the child knows what they did right.
Write the schedule for the day on the board or on a piece of paper and cross off each item as it is completed. Children with impulse problems may gain a sense of control and feel calmer when they know what to expect.
9. Dealing with Hyperactivity:
Ask children with ADD/ADHD to run an errand or do a task for you, even if it just means walking across the room to sharpen pencils or put books away.
Encourage the child to play a sport—or at least run around before and after school.
Provide a stress ball, small toy, or other object for the child to squeeze or play with discreetly at his or her seat.
Limit screen time in favor of time for movement. Your child will enjoy fast games like Subway Surfer and Temple Run.
Make sure a child with ADD/ADHD never misses recess or PT period.
My child, 3 years has got pediatric nephrotic syndrome. How to avoid relapse for this syndrome. I read in one article there is substantial reduction in relapse with usage of zinc supplement along with the steroid. Will that help?
If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.
ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.
The most common symptoms, which are almost diagnostic of ADHD are:
- Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
- These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.
While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.
This will help identify areas that need support from an Occupational Therapy, which are the following:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- Teaching strategies to participate in various social and academic activities
So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a Pediatrician.