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Dr. Seema Sudame

MBBS, MD - Paediatrics

Pediatrician, Pune

37 Years Experience  ·  0 at clinic
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Dr. Seema Sudame MBBS, MD - Paediatrics Pediatrician, Pune
37 Years Experience  ·  0 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Seema Sudame
Dr. Seema Sudame is a popular Pediatrician in Tilak Road, Pune. She has over 37 years of experience as a Pediatrician. She has completed MBBS, MD - Paediatrics . You can consult Dr. Seema Sudame at Dr. Seema Sudame@Dhanwantari Hospital in Tilak Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Seema Sudame on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 32 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.

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Education
MBBS - B J Medical College, Ahmedabad - 1980
MD - Paediatrics - B J Medical College, Ahmedabad - 1983

Location

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Dhanwantari Hospital

Sector 27, Tilak Road, Pradhikaran, Nigdi. Landmark: Near Lokmanya Hospital & Near Spencer Daily & Bell Chowk.Pune Get Directions
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Now my baby is 5month old. I want to know the best contraceptive method which I can use for next 3yrs.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Now my baby is 5month old. I want to know the best contraceptive method which I can use for next 3yrs.
Best contraceptive is that which suits you and you like. New Copper T is quite good and safe, low oestrogen OCP can be used. Before adopting any contraceptive method, consult Family planing Counselor.
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I have baby on Jan 1, his age is 2 & half months. After delivery I have my periods on Feb 14. In this month till I don't have periods. Am also having thyroid and pcod. Now am also feeding my baby. How I can regulate my periods.

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
I have baby on Jan 1, his age is 2 & half months. After delivery I have my periods on Feb 14. In this month till I do...
For a while forget about regular periods during breast feeding. Take thyroid pills regularly and get thyroid profile checked every6 weeks. You can go for contraception with depo provera injection in lactation but regular periods will still not happen.
2 people found this helpful
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Appendicitis in Children

MD - Paediatrics, MBBS
Pediatrician, Delhi
Appendicitis in Children

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.

  1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
  2. Fever, nausea, and vomiting
  3. Abdominal fullness or bloating
  4. Elevated white blood count (as with most infections)

Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.

Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

4859 people found this helpful

My son is 4 months old having dandruff I am using aveeno baby shampoo but no use. It was like a layer and round patch. Please suggest.

MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Mumbai
My son is 4 months old having dandruff I am using aveeno baby shampoo but no use. It was like a layer and round patch...
Dandruf or seborrhic dermatitis is common in small babies. Often it needs no treatment. You can leave it alone and it will disappear with time. You just need to wash the baby's hair daily and keep it clean. Any baby shampoo is fine.
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My baby girl is of 16 days old. Her weight is 2. 3 kg. And same is during her birth time. How can improve her body weight?

MBBS DCH
Pediatrician, Gandhinagar
Normally 10% weight reduces upto 15 days, then gradually increases 25-30 gm per day. So your baby will start gaining weight now.
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My son 5.5 yrs old. He sometimes having immense pain in his legs that he cant even walk properly. I am fearing by this. Please guide me anybody.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
If it occurs in the evening time it may be growing pain which needs only symptomatic treatment with analgesics.
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My son is 6 months old. I have started giving him cerelac. Just wanted to know if it is okay for the baby. If yes, How many times a day can it be given? When and how much?

BHMS
Homeopath, Thane
My son is 6 months old. I have started giving him cerelac. Just wanted to know if it is okay for the baby. If yes, Ho...
Hi, Its good to start with cerelac.You can give your baby this twice or thrice a day.Also you can start giving your baby dal water ,soft rice and boiled vegetables ,Ragi fluor and wheat fluor preparings.
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Hi, My child, is around 9 months old. He was exclusively breast mild for first 6 months. Now weaning. I do breast feed and give homemade cerelac and other homemade food. Do any formula milk is required in additional? If yes, please suggest what is good.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Hi, My child, is around 9 months old. He was exclusively breast mild for first 6 months. Now weaning. I do breast fee...
yes. u can give dexolac 2 powder..by katori-spoon . cow's milk should be avoided till 1 yr age. donn give formula by Bottle.
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My daughter is 8 year old but she is very week she eat every thing but health is not good please give me advised.

MD, MBBS
Pediatrician, Bangalore
If she is active not remaining sick frequently don't worry much. Mostly height and weight are constitutional, runs according to parents and other family members. Can increase any time when height stops increasing.
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My baby is ten months old .someone suggest me to give him almond with milk .is it safe to give him.

Diploma in Child Health (DCH)
Pediatrician, Amritsar
My baby is ten months old .someone suggest me to give him almond with milk .is it safe to give him.
Yes it is safe. It is important on the way you give so that it is assimilated well in by the baby. One soaked and peeled almond should be given by rubbing on clean stone (like sandalwood paste). At this age nutrious food is necessary as his demands are very high for growth and development.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
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My son is 16 month old now. He had 2 surgery when he was 6 month and another when 8 month. Pu valve at 6 month and circumcision at 8 month as he was having urine infection. And due to which his left kidney is working 10%. So my question is can his kidney be work more better. Now he is okay.

DNB (Urology), MS, MBBS
Urologist, Delhi
My son is 16 month old now. He had 2 surgery when he was 6 month and another when 8 month. Pu valve at 6 month and ci...
Dear lybrate-user. It would be very difficult to explain the things to you in few lines. All that I can say is that there is no medicine to improve kidney function. The aim of all the treatment is to preserve what ever kidney function is left so please keep a proper follow up with your doctor. Thanks.
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My baby is 4.5 moths old. She is having lots of cough. We went to a Doctor and he gave me medicine and said put a warm cloth on the chest of the baby i'm doing that from 2 days. But today in her poo I found some blood. Like when the girls are having mensuration that sticky blood. I'm quit worried for this.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 4.5 moths old. She is having lots of cough. We went to a Doctor and he gave me medicine and said put a war...
Warm cloth is useful particularly in this hot weather. Excessive cough may be due to chest infection which require thorough examination. Pls take another opinion from pediatrician. Blood in poo (stool) may not be associated with cough. Pediatrician shall take care of both ailment.
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my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating egg for two times for one day. Its good or bay for her health?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating...
Basic principles of feeding are no baby can remain hungry until critically ill. Please don't give them choice of food, move on to next feed if they refuse one. Eggs are good proteins with high biological value means maximum absorption and utilisation of proteins. Milk in a day for her age 500ml is upper limit. Offer her home made food which your family eats regularly even if she doesn't eat every time.
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My daughter 15 months old ,she could not eat a food only drink a mother milk. Previous months taking food is good but now not eat ,fruits not to taken now she weight 9.2 kg.daily hungry tonic drink. What happen not eat food please suggest on this.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My daughter 15 months old ,she could not eat a food only drink a mother milk. Previous months taking food is good but...
Hello, You have to keep trying making new foods for her,as kids get bored of eating same food. There is no need of any tonic,things will gradually improve.
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What all can be included in a 4 years old boy's diet to keep him healthy n hearty. He gets angry very easily n cries very often otherwise my son is very nice n naughty. Due to household stress I also at times scold him n slap him may b this is the reason?

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Give him small frequent attractive healthy & tasty meals at regular intervals. Never force feed. Fruit custard, French toast, egg curry, egg/ chicken/ paneer roll, soybean cutlet/ roll, suji/ besan dhokla, besan/ moong dal/ suji/ oats chila, dates oats laddoo, dates nuts laddoo, mango lassi/ milkshake, badam kheer/ barfi, til chikki, atta halwa, paneer/ sag paratha with chutney, fresh fruit juice
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My two month old daughter is suffering from constipation. She is feeding well and passing urine properly, but due to not passing motion, she cries whole night.

BHMS
Homeopath, Pune
My two month old daughter is suffering from constipation. She is feeding well and passing urine properly, but due to ...
you should take ghee in your diet for her you are giving nutritious food sometimes it's baby reaction to tell she is doing motion
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Hi my baby is 2.5 months Will making him sleep on sides misshapen his head as said by the elders at home? Is breastfeeding while lying down safe?

MD - Homeopathy, BHMS
Homeopath, Hyderabad
Hi my baby is 2.5 months
Will making him sleep on sides misshapen his head as said by the elders at home?
Is breastfe...
You have to breastfeed by sitting position, even in midnight . Sleeping position is not good for kid.
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