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Dr. Nandhini Balaji

MBBS, D.Ch, DNB (Pediatrics)

Pediatrician, Chennai

25 Years Experience
Dr. Nandhini Balaji MBBS, D.Ch, DNB (Pediatrics) Pediatrician, Chennai
25 Years Experience
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nandhini Balaji
Dr. Nandhini Balaji is a trusted Pediatrician in Purasaivakkam, Chennai. She has over 25 years of experience as a Pediatrician. She studied and completed MBBS, D.Ch, DNB (Pediatrics) . She is currently associated with Dr. Nandhini Balaji's Clinic in Purasaivakkam, Chennai. Save your time and book an appointment online with Dr. Nandhini Balaji on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. You can find Pediatricians online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Dr. MGR University - 1992
D.Ch - Dr. MGR University - 1996
DNB (Pediatrics) - National board of examinations - 2000
Languages spoken
English

Location

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No 30, Next To CSI Church, Tana Street, Purasawakkam.Landmark:Near Karur Vysya Bank Chennai Get Directions
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Hi My son is 2 months and 10 days old. We are using Dexolac formula milk due to lack of low supply breast milk. He is passing stool in green color and he is struggling hard while passing the stool. Can i switch to another formula milk. What is nan pro 1 with probiotics? can i use this to my baby

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Essentially all formulas are same with minor differences in composition and taste. Why do you want to change formula?
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Hello. I have a daughter of 3 month. Im breast feeding her but my milk supply is not adequate for her. She keeps crying even after feeding. Nd feels as if still hungry. Im giving her dexolac formula milk twice in the day. Can I drink lactare powder to increase milk supply or does it has any side effects. Nd if safe how mch quantity shud I take in a day.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello. I have a daughter of 3 month. Im breast feeding her but my milk supply is not adequate for her. She keeps cryi...
I can't say if lactare has any role to increase milk. Keep the baby on breast one after other till either breast is emptied or baby is satisfied. If baby is still hungry, only then give complementary dairy milk already kept ready. This is the way to increase milk.
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My son is going to be 6 months and I want to know what semi solids I should start first.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is going to be 6 months and I want to know what semi solids I should start first.
You can give raggi pse and cooked with milk, banana powder in cooked semisolid state , you can give mashed cooked rice with daal . and all homemade foods mashed well
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My daughter is 4 years old & her stomach pains since 3-4 months. Doctor prescribed Carmicide, Cyclopam and Junior Lancet. ultrasound shows mesenteric lymphadenitis, 5 mm. Is this enough?

Diploma in Child Health (DCH), MBBS
Pediatrician, Jamnagar
Test for ionic calcium (bone calcium not serum calcium), h. Pylori test in blood & stool test for routine & micro.
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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

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My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections were given in right thigh & one in left thigh. I observed that the place where injections had been given in right thigh, got hardened. Please advise us what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections...
Pentavalent vaccine causes local reactions like pain and swelling at the site of injection which usually lasts for 48 hours. You can show to your doctor if doesn't reduce.
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My daughter is 10 months old usko kabhi kuch din tk gardan (neck), bend krney lagti hai nichey dekhti it happens usually usko sardi lite fever hota hai fir aachi hojati hai. Actually ek Dr. Ne mujhe prescribe kiya tha z and d zing powder woh pilayi hun toh normal upar dekhney lgti hai. Usko vitamin calcium ki wajeh se hoga kya? Is it necessary to give vitamin syrup regularly agar dun toh kitnwy years tk dun. please reply me answer I am very much wrried usko pain NY hota neck mey kuch NY bs thoda bend hoti hai.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
My daughter is 10 months old usko kabhi kuch din tk gardan (neck), bend krney lagti hai nichey dekhti it happens usua...
Only vitamin d3 is required as it is less in mother's milk, so other vitamins you can get from food itself, instead of medications I would suggest proper diet. Look for diet which contains which vitamins on my facebook page - pediatric department at qury nagadia.
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My daughter is 3 months, she is active in all manner like a normal baby but she sleep less comparatively to other children. I am worried since she have less weight otherwise no health issues. Kindly suggest.

Diploma in Child Health (DCH)
Pediatrician, Amritsar
My daughter is 3 months,  she is active in all manner like a normal baby but she sleep less comparatively to other ch...
Every baby has his own sleep pattern so nothing to worry. Please give him exclusive breast feeding with vit. B and vit. D and calcium.
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I have a daughter one year she suffered from diarrhae how to escape children with diarrhae Loose motion.

MD PEDIATRICS
Pediatrician, Bangalore
I have a daughter one year she suffered from diarrhae  how to escape children with diarrhae 
Loose motion.
Take care of hygiene, hand washing, see what she eats, lot of probiotcs vitamin c can help to build up gut immuniiy.
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MBBS, MS, MCh
Pediatrician, Navi Mumbai
Mothers milk is the best for babys growth and brain development.
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My 10 years old twins daughters having plum body. They are not very overweight and they are very active too But still looks plum. Their height is around 4.5" and weight around 42 KG

Pediatrician,
Their BMI is around 24..it's quite high..indulge them in games and physical activities.. you can do a thyroid function test to rule out hypothyroidism too.
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Good evening doctor. My baby is turning 4 months on this Sunday, the 22nd. All vaccines have been given as per schedule viz. Rotavirus, IPV etc. However, kindly advise on the pneumococcal vaccine. Doctor informed us that its a dose of 3 injections and an optional one and not a mandatory one. Please guide us and oblige. Will there be any adverse effects if not taken? Regards.

MD - Paediatrics
Pediatrician, Kendujhar
Good evening doctor. My baby is turning 4 months on this Sunday, the 22nd. All vaccines have been given as per schedu...
This is a very pertinent question and many parents in india would have the same questions in their mind. Let us get down to the basics first. Vaccine is something which gives your baby extra protection against a particular disease. The human body is equipped with an immune system, which normally protects from disease causing germs. Vaccines only strengthens the immune system. Taking a vaccines does not guarantee that your baby would not get the infection, but it decreases the risk markedly. Similarly not taking the vaccine, does not mean your baby is certainly going to have the disease, but it definitely reduces the risk significantly. So giving the vaccine is surely an advantage. The disadvantage is the price, as the pneumococcal vaccine is quite costly compared to other vaccines. The government can not bear the cost for all the eligible children in india, so as for now parents have to pay if they wish to give this advantage to their baby.
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I have gone through the symptoms of inattention n I found that all the symptom of inattention is present in my brother who is 12 years old. Is it important to get tested for ADHD? Is there any home treatment or I can do any thing for him.

MBBS
General Physician,
I have gone through the symptoms of inattention n I found that all the symptom of inattention is present in my brothe...
My dear boy you need good counseling session. Whatever the symptoms you are speaking about are very vague and nonspecific. Some medicines also can be prescribed to you but after your personality analysis. Will be able to get rid of these things and will be able to concentrate on studies and remember the things easily and for long lasting period. We together will be able to strengthen your memory and recalling power. Regards.
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I become mother of 6 months baby. But still m suffering from breast pain. As I dont have sufficient milk for the child during breast feeding. Pls suggest me something effective?

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
BETTER U SHOULD TRY WEANING FOR BABAY NOT ONLY DEPENDENT ON MOTHER MILK AMOUNT OF MILK CANT BE IMPROVED FOR PAIN U CAN DO HOT FOAMENETATION 3-4 TIME FOR 4 DAYS
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My daughter is 12 months old, last ten days she is suffering from cold with running nose. She dont have fever. Kindly suggest me is this serious or normal condition. Also kindly suggest some medicines or home treatment method. Am staying in saudi arabia. Waiting for your kind response.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 12 months old, last ten days she is suffering from cold with running nose. She dont have fever. Kindly...
Running nose without fever is usually due to some allergy. Better to put only saline nasal drops 2 to 3 drops frequently into each nostril as other drugs may cause side effects in small babies.
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My kid is 14 months old and snoring is the problem. Respire with a slight sound and some times feel difficulty in breathing (Weariness). Just want to know better to contact pediatric Pulmonology or ENT department?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My kid is 14 months old and snoring is the problem. Respire with a slight sound and some times feel difficulty in bre...
Ensure child breaths per nose only, may put local nasal drops with decongestants given by mouth for short period.
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My daughter is 5 years old. She was hospitalised last 15 days ao with a digonose of UTI with mild fever. Now the fever is back again with vomiting. In fever only head got rise thw temp. Legs and hands get cold. When fever comes it is coming with bone severing cold.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear parent the child may have uti again but it canbe some other infection too so along with urine test get her cbc also if it's ito get sonogram also kub.
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My son age is 7 month, during morning time we feed Lactodex2 for feeding but he not taking interest to eat, please suggest me another option.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son age is 7 month, during morning time we feed Lactodex2 for feeding but he not taking interest to eat, please su...
From 4 month onwards you have to give all homemade foods and change food every day to keep interest to take.
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