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Dr. Nagendra

Pediatrician, Bangalore

250 at clinic
Dr. Nagendra Pediatrician, Bangalore
250 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nagendra
Dr. Nagendra is a popular Pediatrician in Koramangala, Bangalore. You can consult Dr. Nagendra at Akshatha Child Care Centre in Koramangala, Bangalore. Book an appointment online with Dr. Nagendra and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 44 years of experience on Lybrate.com. You can find Pediatricians online in Bangalore 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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English

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4th Block, Koramangala. Landmark: Near Maharaj HotelBangalore Get Directions
250 at clinic
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Hello doctor, my 22 months old daughter is not ready to eat food, like DAL-BHAT or ROTI SABJI, I am very much worried about it because of this problem, she only like to eat biscuits.

Senior Residency, MD - Paediatrics, MBBS
Pediatrician, Gurgaon
Hello, babies as this age r very fusy for food. What is the the weight, n activity. Of your child, if both r normal. Don't worry much. Try fruits, stuff paratha. Bread jam. Babies like attractive foods. N main is give time to your child.
1 person found this helpful
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My son 10yr old he is suffering from fever since yesterday, is it heat stroke or viral, today his fever rise up to 103? f what should I do for his fever he is also felling glidness when fever.

MBBS DCH
Pediatrician, Gandhinagar
Give tablet paracetamol every six hourly for two days. Give plenty of fluids. Consult your pediatrician if fever does not subside after 2 days.
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Thumb Sucking

MDS, BDS
Dentist, Gurgaon
Thumb Sucking

Most children stop sucking on thumbs, pacifiers or other objects on their own between 2 and 4 years of age. No harm is done to their teeth or jaws until permanent teeth start to erupt. The only time it might cause concern is if it goes on beyond 6 to 8 years of age. At this time, it may affect the shape of the oral cavity or dentition.
Thumbsucking leads to Open bite, a high arched palate because of the pressure created in the mouth . This habit can also cause the maxillary central incisors to tip labially and the mandibilar incisors to tip lingually as the thumb rests on them during the course of sucking. Aside from the damaging physical aspects of thumb sucking, there are also additional risks, which unfortunately, are present at all ages. These include increased risk of infection from communicable diseases, due to the simple fact that non-sterile thumbs are covered with infectious agents, as well as many social implications. Some children experience social difficulties, as often children are taunted by their peers for engaging in what they can consider to be an “immature” habit. This taunting often results the child being rejected by the group or being subjected to ridicule by their peers, which can cause understandable psychological stress.

To prevent their children from sucking their thumbs some parents use bitterants or piquant substances on their child's hands.Parents could get a series of sharp prongs known as "hay-rakes" cemented to a child's teeth to discourage sucking

Praise children for not sucking, instead of scolding them when they do.
If a child is sucking its thumb when feeling insecure or needing comfort, focus instead on correcting the cause of the anxiety and provide comfort to your child.
If a child is sucking on its thumb because of boredom, try getting the child's attention with a fun activity.
Involve older children in the selection of a means to cease thumb sucking.
The pediatric dentist can offer encouragement to a child and explain what could happen to its teeth if it does not stop sucking.
Only if these tips are ineffective, remind the child of its habit by bandaging the thumb or putting a sock/glove on the hand at night.
1 person 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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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
4 people found this helpful

How to potty training for 2 years 9 months baby she not going to toilet She doing at underwear only I scolded and I told softly no use Please tell me any ideas December onwards I want to put her playschool.

C.S.C, D.C.H, M.B.B.S
General Physician,
How to potty training for 2 years 9 months baby she not going to toilet
She doing at underwear only
I scolded and I t...
You never scold her and make it a habit to put her on toilet at sames time on everyday and habit forming will be possible. I t is not a serious issue for a 2 year old and as he grows up he can be easily trained.
2 people found this helpful
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My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it serious for my baby frequent cough? Tell me as soon as possible.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it...
That is Ok but always ask your doctor before its usage, also most of the times cough is self limiting and use of antihistaminics can be avoided. Steam inhalation, saline drops can relieve symptoms. Also be cautious if baby develop increased breathing rate or not feeding well and also if the child has high grade fever. Try to keep child warm during winter-use protective cap, gloves and socks.
2 people found this helpful
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My baby is 2 month 9 days n has not passed stool since 2 days. He is on breast feed but I need to give diluted cows milk once in day that to 60 ml only. He is not taking formula feed. Is it ok or any problem is there. He is passing gas.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 2 month 9 days n has not passed stool since 2 days. He is on breast feed but I need to give diluted cows m...
Give exclusive breastfeeding only up to 6 months of age. If stool is normal n passing once in 3 to 4 days, there is no cause of worry.
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My niece is getting fever frequently and then fever goes out within every 20 seconds approx. Suddenly her body goes up and then does down immediately. She is 5 months old. Please suggest

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My niece is getting fever frequently and then fever goes out within every 20 seconds approx.
Suddenly her body goes u...
U have not mentioned range of temp. It appears that you r assessing her temp by touching body. Maintain her temp chart 4 times in a day for 4 days and get back. In the mean time she develops fever and not comfortable, consult pediatrician.
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My son is 3 years old. He speaks only words. He will ask for water or food. Toys. He knows alphabet, colors and numbers. He can tell few objects. He is good in physical activities. He has does not form sentences yet. Is it normal for 3 years old kid? What can I do to enhance his speech.

Pediatrician, Kaithal
My son is 3 years old. He speaks only words. He will ask for water or food. Toys. He knows alphabet, colors and numbe...
If child is mentally normal and having normal hearing, then you should wait for some more time. Be careful and do not over stress your child regarding speech
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Please List the specific iron rich foods that I can give to my 17 month boy baby. What are the foods other than normal name like leafy vegetables, pulses, cereals. What are the iron foods?(give names).

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Please List the specific iron rich foods that I can give to my 17 month boy baby. What are the foods other than norma...
To be easier for understanding. Any diet which is green yellow or red in colour has lot of iron. Rich sources are jaggery. Beet, carrot, tomatoes. All green vegetables, pista ragi and sprout at some extent.
1 person found this helpful
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M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Treat Wet Cough Naturally-

Cough is a natural reflex of body in order to avoid any foreign particle from entering lungs, throat or even airway however continuous coughing will cause discomfort to the body.

Some of the symptoms which have to be looked out to identify wet cold are:
? Fatigue
? Pain in chest and throat
? Exhaustion
? Cough along with mucus or phlegm
? Weaker immunity system opening body for other diseases
? Irritation

Reasons which may force common cold into body are:
? Common cold
? Infections
? Climatic change


Remedies which can be easily prepared at home to treat wet cold include:

1). Pepper, Sugar Candy and liquorice powder:

Ingredients to be used:
? 1 tsp black peppercorns
? 2 tsp sugar candy
? 3 tsp liquorice powder

Make powder of all the ingredients, ½ tsp of this powder has to be consumed 4 times every day.

2). Ginger and honey:

Ingredients:
? Raw ginger
? Honey

Extract 1 tsp of ginger juice from ginger paste to which 1 tsp of honey has to be added and heated till it is lukewarm. 1 tsp of this mixture has to be consumed thrice every day.
22 people found this helpful

I am having stomach ache from last one week. Also feeling feverish and vomiting. What to do? pleasea dvise.

MBBS
General Physician, Mumbai
I am having stomach ache from last one week. Also feeling feverish and vomiting. What to do? pleasea dvise.
For stomach pain take tablet meftalspas-ds and you seemed to have an episode of enteritis which should have been treated with an antibiotic.
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Hi, I have a 19 month old daughter. She is always throwing tantrums and gets upset over small things. She cries a lot when we don't give her whatever she desires and eventually has her way. I don't want to spoil her and need help to understand her psychology and control her behavior.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
This is the terrible twos. The child was once the center of the world and has to now adjust to the fact that you are going to have to meet some of your own needs before hers. She will not be able to take it for some time. You need to set boundaries and let the child know that she will not be neglected but she must develop a little patience. She will throw tantrums to force the attention from you and she will try to control you too. Help her tide over this phase without rejecting her. For example, you can tell her to stop crying when she wants something until you are available or finished doing whatever you are doing. She can cry a little but do not allow her to whine or holler for too long. She will also learn anger management at a child level with these types of behaviors. Don?t ever deprive her of love. As this process unfolds, she will develop good self-control and will be a fabulous child as time flies by. Later on you will also find it easy with her for this worthwhile investment. It may last for a year maximum, if handled well.
1 person found this helpful
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My son's age is 11 years and what is online educational counseling from where we can do it?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. Educational counseling is understanding the students ability, skills and problems and providing suitable and long standing solutions to those problems. This target is achieved through counseling and educational therapy sessions. These can be done through online means like video chatting, audio chatting etc. I can provide such services through Lybrate itself. Please consider your son's problem as genuine and go ahead for online educational counseling. Take care.
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I am a student and my age is17 but my body doesn't look like as 17 .I am so weak what can I have to do for a healthy body please suggest me.

MBBS, MD
Pediatrician, Gurgaon
Take home made food chapati, dal rice and green veg. Ihope you are not diabetic. Oars in food snacks is good food.
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Is influenza vaccine mandatory for an infant? He is 7 months old and already got the first dose in the 6th month. Now my doc. Is saying to give him the 2nd dose in the 7th month. I am just worried that it should not be an extra vaccine which is just good to have.

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Is influenza vaccine mandatory for an infant? He is 7 months old and already got the first dose in the 6th month. Now...
Children below 2 years need 2 doses 1 month apart of flu vaccine when taking it for the first time, subsequently he will need 1 dose yearly.
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