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Dr. Anil Kumar

Pediatrician, Saharsa

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Dr. Anil Kumar Pediatrician, Saharsa
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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.
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Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 42 years of experience on Lybrate.com. You can find Pediatricians online in Saharsa 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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Hindi
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American Society of Cataract and Refractive Surgery (ASCRS)

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Attention Deficit Hyperactivity Disorder (ADHD)

DPM
Psychiatrist, Mumbai
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Symptoms and Treatment for Attention Deficit Hyperactivity Disorder (ADHD)

I’m Dr. Prashant Shah, a psychiatrist from Ghatkopar, Mumbai. Today I am going to speak about Attention Deficit Hyperactivity Disorder also known as ADHD. ADHD as the name suggests the full form is Attention Deficit Hyperactivity Disorder. This is a common disorder seen in children and adolescence and at times may extend also into adult life. The common features of this problem are diminished attention, hyperactivity, and impulsivity. As I said earlier, it is most commonly seen in children and adolescents, the usual complaints will be from the parents and teachers. The parents and teachers will complain that these children have difficulty sustaining attention, they are hyperactive and they are impulsive in their day to day activities.

Sustaining attention means that these children cannot sustain or carry out any particular task to the end. They get bored very easily, they will lose interest, they may want to start many activities; they will say that they want to join this activity, they want to do this thing but then halfway down the line they will get bored, and they will stop doing that activity. They would have difficulty in focusing which will result in making careless mistakes in their works, in their calculations, in their day to day works, in their homework. They will be making careless mistakes because they cannot just focus on what they are doing. They get distracted very easily. The teachers will complain that in the school when the teacher is teaching they are looking out of the window or they are speaking with other children. They will drop down their pencil, eraser, and maybe make mischief with other children. Many times there are younger children; they are always on the go. They cannot sit in one place. They are not in their seat; they are roaming around in the class; they talk excessively; they will blurt out answers; they are forgetful; they will not mention about homework or assignment which has been given to them or the project work which has been given. They will inform their parents just at the last minute and then everything will have to be rushed. They will forget or they will misplace their books. Their clothes will be in disarray at home if you visit their room. Everything will be like it is not in its place. They cannot wait for their turn. Now all these are problems which the children-parents pick up.

What is the effect of this on the children? Because of this kind of behavior they are labeled as mischievous. They are the ones who get pointed out whenever something goes wrong in the class. They will be the first ones to be signaled out and given punishment. And at times maybe it is not their fault also but because they show this kind of behavior they are labeled as mischievous and it is they who get the punishment. Everyone ridicules them for this kind of behavior. Even the parents punish them. This will lead to many times frustration, decreased confidence which in turn affects their school performance. Many times this results in deviantju8 behavior. In adolescence if we go on to see this may result in risk-taking behavior, seeking novelties and at times in drug-addiction also.

Now, what can be done about this?
As I said earlier it is a neuro-developmental disorder, we do not know as psychiatry illnesses, we don’t know what the causes are of this illness or why does this illness occur. It may range from genetic to neurological to psychopharmic or neuro-developmental problems in the brain. But what is good is that treatment options are available. So what treatment options are there for ADHD? They are both pharmacological and non-pharmacological treatments available. Usually for children less than five years initially we advise non-pharmacological treatment. This non-pharmacological treatment is occupation therapy and sensory integration where depending upon the severity of the problem, children are called for occupation therapy sessions, parents maybe also given some home programme which they can carry out at home and this results in improvement. The improvement is slow but carried out religiously, diligently by the parents for a period of 1 year to two years this definitely is going to show improvement.

In other children or if the problems are severe enough, we do start medicines. In children parents are hesitant to start medicines and that too from a psychiatrist. But believe me there are good medicines available for ADHD, they do show response, there are no major side effects. The groups of medicines that are available are stimulants or non-stimulants. Stimulants are the first choice of drugs, usually we start with a low dose, so that the child can tolerate the dose, there is no side effect and then we gradually build up the dose so that the improvement is seen. Even if there is some side effect there is minor side effect which can be always taken care of. It is not that there is only one drug available, the child is not responding, we can definitely shift to some other. But the thing to understand is that treatment is required. This ADHD can be controlled and if the signs and symptoms of ADHD are controlled then the child’s performance is definitely going to improve. It will not only reflect in the child’s studies but also overall development of the child. So it is for the parents and teachers working in this field to find out these kinds of children who maybe having this problem and refer them for treatment.

Thank you. For any further enquiries you can always get me to me through Lybrate

3121 people found this helpful

My baby is not gaining weight he 1.5 years old now still he is only 9 kg can you suggest me good food for him and good milk powder for him?

BHMS, MSc - Dietitics / Nutrition, Diploma In Naturopathy & Yogic Science (DNYS)
Dietitian/Nutritionist, Vadodara
My baby is not gaining weight he 1.5 years old now still he is only 9 kg can you suggest me good food for him and goo...
Just give him/her your regular food at intervals of 3-4 hours as 5 times a day. 5 different color fruits a day / vegetables a day and have complimentary breast feeding as needed.
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I want to know my baby is 7months and she had more n more urine n after it she cry for milk. Is their any problem.

BHMS
Homeopath, Bangalore
I want to know my baby is 7months and she had more n more urine n after it she cry for milk. Is their any problem.
There's nothing to worry frequency of urine could b due to cold weather,n moreover kids easily get hungry,take care.. if baby is crying during urination or soon after urination then there might b issue.. this cry is due to hunger so u don't have to wry..
1 person found this helpful
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Sir/madam, I have a baby girl 6 months, due to my job reasons am not given breast milk in 5th month. Now am going back to my baby so what can I do to increase production of milk for breastfeeding.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Sir/madam,
I have a baby girl 6 months, due to my job reasons am not given breast milk in 5th month. Now am going bac...
Milk production increases on it own eventually. As you start feeding her and as her demands will increase, the body will start producing more milk on its own to fulfill your child's need.
2 people found this helpful
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My baby is 7 months old. Which type of fruits can be given. Can you plzzz list out the names.

MD-Pediatrics, MBBS
Pediatrician, Pune
My baby is 7 months old. Which type of fruits can be given. Can you plzzz list out the names.
Hello lybrate-user, you can give your baby homemade fresh fruit juice daily. All seasonal fruits can b given with wati spoon. Start with 1 fruit, let the baby get used to it, then try another one.
7 people found this helpful
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My baby boy is 2 months old. Now a days he is not sleeping well. And his weight is 5 kg now. 3.4 kg is his birth weight. I'm in doubt that is my milk is sufficient for him. Please let me know.

MD Pediatrics
Pediatrician, Vadodara
My baby boy is 2 months old. Now a days he is not sleeping well. And his weight is 5 kg now. 3.4 kg is his birth weig...
The weight should be around 5.6 kg. But 5 kg is not bad. Do not worry mothers milk is never insufficient. Peoples wrong advice makes it insufficient and that too in mothers mind. If the child gains atleast 15gms/day than do not worry. Also if the child passes 6-7 times urine and goes back to sleep after feeding than he is fine and geting enough milk. Always feed and empty one breast fully before going to another breast as the breast foremilk is rich in water and the hind milk is rich in protein and fat. Happy Feeding.
2 people found this helpful
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My daughter 2.5 months old is taking out milk almost after every feed and also cries and feels uneasy until she takes out the milk. Daily in evening she cries a lot Please suggest the possible reasons behind it.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My daughter 2.5 months old is taking out milk almost after every feed and also cries and feels uneasy until she takes...
All babies bring out milk and it is not vomiting or disease and is called posseting and you ahve to give only breastmilk and no bottle feeding and burp well after each feed
1 person found this helpful
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My 3 year old is sick with a temperature of 100 degrees she can't keep anything down including liquids. What should I do?

DNB
Pediatrician, Mumbai
My 3 year old is sick with a temperature of 100 degrees she can't keep anything down including liquids. What should I...
Give her syrup calpol (250) 5ml three times a day syrup emeset 6 ml three times a day try n give her as much liquids as possible. If fever not better over next two days get in touch with doctor again.
1 person found this helpful
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