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Dr. Durander

Pediatrician, Mumbai

200 at clinic
Dr. Durander Pediatrician, Mumbai
200 at clinic
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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.
More about Dr. Durander
Dr. Durander is an experienced Pediatrician in Andheri East, Mumbai. You can consult Dr. Durander at Jeevan Vikas Kendra in Andheri East, Mumbai. Book an appointment online with Dr. Durander and consult privately on Lybrate.com.

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Jeevan Vikas Kendra

Jeevan Vikas Kendra Marg, Off Swamy Nityanand Rd, Andheri East, MumbaiMumbai Get Directions
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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.

1 person found this helpful

My daughter's age 3 years completed but her weight is 10.5 kgs and height is 87 CMS. My height is 5'3 and my wife's height is 5'2. Our concern is how to increase her height and weight. Is her weight and height is ideal or not? Please give us some suggestions to grow her height and weight.

BHMS
Homeopath, Delhi
My daughter's age 3 years completed but her weight is 10.5 kgs and height is 87 CMS. My height is 5'3 and my wife's h...
Indulge her in sports activity and give her high nutritious diet. More she will run and do physical activity. Rest it's all genetic. You may try homoeopathic treatment too...
1 person found this helpful
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Myth- Infant formula is basically the same as breast milk

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Myth- Infant formula is basically the same as breast milk
Fact-infant formula isn't the same as breast milk. It' s not a living product, so it doesn't have the antibodies, living cells, enzymes or hormones that protect your baby from infections & diseases in childhood & also later in life.
12 people found this helpful

I am blessed with a girl baby on 26.10.2016. While going to pediatrician on 2.11.2016 for general check up. He found that the baby eyes appears yellow. He advised us to take jaundice test. Test result exhibits that the baby has jaundice and the reading is 18 mg/dl. Baby is kept under blue ray light and she has no fever. Please give some suggestions. We are worrying about our baby health condition.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am blessed with a girl baby on 26.10.2016. While going to pediatrician on 2.11.2016 for general check up. He found ...
Usually physiological jaundice appear on 3 to 4 days n last for about a week n require no tt. your pediatrician is best person to assess n the advice. Trust your doctor.
1 person found this helpful
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Raising your Children with High Self Esteem

Post Graduate Diploma in Pyschology
Psychologist, Noida
Raising your Children with High Self Esteem

Building your child’s confidence and self image is an important part of raising a child. Self image can be defined as a child’s view of himself and his strengths. If a child is comfortable with his self image, he will have confidence in himself. A foundation of self confidence is key to a child’s success in his adult life. In their childhood years, a parent is the main source of building a child’s self worth or self confidence. Here are a few ways you can develop your child’s self confidence.

1. Avoid negative self talk: Children learn by watching their parents. Hearing parents berate themselves will make children do the same. Talking badly about yourself can reinforce a low self esteem. Hence avoid talking negatively about yourself and stop your child from doing it as well. If your child talks negatively about himself, give him evidence to prove the opposite or give them meaningful compliments. Also avoid calling your child names to shame him as these are likely to stay ingrained in his mind.

2. Celebrate uniqueness: Don’t make your child feel like he has to live up to the standards set by siblings or peers. Further, do not pressurize them to fulfill your dreams. Recognize your child’s strengths and celebrate his unique abilities. Help them develop their talents and set their own standards for themselves.

3. Let your child make decisions: Empower your child by allowing them to make decisions about simple things like what game to play or what to eat for dinner. Make them feel that their views are valued and thus teach them to be an active member of the family.

4. Let them work things out for themselves: Spoon feeding your child makes things easier at the time, but in the long run can have a negative effect on their self confidence. Be patient and let your child try and do things for himself. As he meets and overcomes new challenges, his confidence will grow. Give your child age appropriate chores to do around the house. This helps build responsibility and a feeling of competency.

5. Be genuine about your praise: Children are highly intuitive and can tell the difference between sincere praise and something being said merely for the sake of it. For example, if your child has made a drawing, instead of simply telling your child that he is an artist in the making be more specific and praise his choice or colours or ability of colouring within the lines.

4418 people found this helpful

Can you please help me out for feeding pattern for my son who is now 15 month old. What should be best for feeding to make him healthy or what should be avoided?

PALS, MD, MBBS
Pediatrician, Delhi
Can you please help me out for feeding pattern for my son who is now 15 month old. What should be best for feeding to...
Hi, give him milk 2-3 times a day along with that give dal, cooked vegetables with roti, khichadi, dalia, fruits, if non vegetarian than 1 egg daily.
1 person found this helpful
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A baby with down syndrome can be cured permanantly. Child is unable to hold his head.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
A baby with down's syndrome also has IQ impairment and other congenital problems heart and blood abnormalities. They mood is pleasant and they are the happiest children. They like music and some children learn music as well.
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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 son present age is 1 year 3 month year old, suffering from loose motion how to cure sir please help me ?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Need not worry its due to dentition, try giving Dentone (homeo) 1 pill three times a day in acute conditions 4- 5 times. God bless
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Gap between vaccination of 10 week baby. As pcv and Rotavirus and other vaccination.

MBBS, MD
Pediatrician, Gurgaon
Gap between vaccination of 10 week baby. As pcv and Rotavirus and other vaccination.
Ideally gap should be at least 4--8 weeks between two doses of same vaccine. Duration between two vaccines even works even if doses are forgotten.
1 person found this helpful
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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.
1 person found this helpful
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My 2 years old son eats only crispy things. He doesnt likes rice, suji or chapati, vegetables. He eats junk food like chips, biscuits etc. Please guide?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 2 years old son eats only crispy things. He doesnt likes rice, suji or chapati, vegetables. He eats junk food like...
Junk foods are unhealthy and may lead to various health problems. Food habits depend on how we cultivate. Slowly you must divert towards other foods with love and affection.
2 people found this helpful
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How to overcome sibling jealousy in children. My daughter of 5.8 years is behaving weird. I guessed she doesn't like her little brother clinging to me always. She forces me to put him in daycare.

PGPN, MD
Pediatrician, Vizianagaram
How to overcome sibling jealousy in children. My daughter of 5.8 years is behaving weird. I guessed she doesn't like ...
This is called sibling rivalry. This is common in most families. Engage your girl child and involve her in taking care of brother. Explain to your daughter that brother is small and he needs more attention and care. Most of the times they will understand.
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My one year child was suffering from cold and khasi which medicine should I give him.

Fellowship in Pediatric Critical Care (IAP), MD - Paediatrics, MBBS
Pediatrician, Jalandhar
My one year child was suffering from cold and khasi which medicine should I give him.
If no fever then give steam with adequate precaution and soothing diet if worsening then pediatric review.
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We need to Feed my 3wks old baby lactozen 1 whenever we are travelling or I am not around. We usually give 30ml water n 1scoop lactozen. Is it sufficient or we need to increase the amount?

MD, MBBS
Pediatrician, Cuttack
Avoid tin food which has multiple adverse effects on baby. Exclusive breastfeeding for first 6 months is ideal. Breasrfeeding during travel is not in issue for the greater interest of your baby's good health in future.
2 people found this helpful
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I am 19 years old. I gave a birth to a girl baby 3 months ago. I feed breast milk for sometimes. After sometime I feed powder milk. What kind of food that increase the lactation. And what are the other steps for it?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I am 19 years old. I gave a birth to a girl baby 3 months ago. I feed breast milk for sometimes. After sometime I fee...
No special food or medicine will increase lactation. Only your positive attitude towards breastfeeding, nutritious foods, adequate water and suckling by the baby.
2 people found this helpful
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My 2 years baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromphophob and also ice pack for reduction of swelling. He s having little temperature. What can I do immediately.?

MBBS
General Physician, Allahabad
My 2 years baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromp...
Give her Omnacrtil syrup 1/2 Tsf and Syrup Combiflam 1 Tsf twice daily after for 7 Days. Also give Cefadrox syrup 1 Tsf twice daily for7 days.
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Hi doctor I want to ask that my baby is just 13 month old. And lots of mosquitoes bites my baby whenever I used to go out ,although I am using odomos spray but still no use. What other thing should I use on mosquito bites.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hi doctor I want to ask that my baby is just 13 month old. And lots of mosquitoes bites my baby whenever I used to go...
Hello, Keep baby covered and avoid taking her out in the evening. You can keep camphor near your window, as it will present mosquitoes entry.
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5 Healthy Snacks for Your Children

DNB (Pediatrics), MBBS
Pediatrician, Ghaziabad
5 Healthy Snacks for Your Children

Children have a more active life than adults which means they need to be fed every few hours for ensuring the intake of sufficient nutrients. It is advisable to avoid giving them sugary snacks like chips, biscuits or chocolates as they are high in saturated fats and low in nutrients. It is essential to give healthy snacks to your children that are rich in nutrients and keep them healthy.

Here are five healthy snacks that you can include in your children's diet:

1. Whole grain cereal
Whole grain cereal along with milk and fruits can be one of the healthiest snacks for your children as a bowl full of these contain vitamins and calcium. Whole grains also contain fiber which helps regulate the digestive system. In order to make it a tasty snack, you can add strawberries or sliced bananas to it, which will also add more flavors to it. You can also make oatmeal cakes which are delicious as well as healthy.

2. Smoothies
Children are fond of smoothies and milkshakes and you can make it healthier too. Use low fat yoghurt and blend it with frozen fruits like mangoes, pineapple or blueberries for a delicious treat. You can also make a milkshake with peanut butter and fruits which are packed with nutrients and fiber and experiment accordingly. Avoid making the smoothies sugary as they can be harmful for your child's health if they are consumed on a regular basis.

3. Cheese
Low-fat cheese is a healthy snack for children as it is rich in calcium and nutrients. Make it an interesting snack by but cutting cheese in fun shapes and making kabobs with fruits. You can also make healthy pizzas with vegetables like tomatoes, broccoli or bell peppers topped on whole grain pita bread. You can also make snacks out of salt-free pretzels which your child can have with low-fat cheese.

4. Healthy baked food
Sneak in the fruits and vegetables in the baked foods your kids love. You can make muffins with sweet potatoes which are rich in beta-carotene. You can also make banana bread which is a delicious treat for your kids. Moreover, crispy baked snacks out of oats and apples tossed together served with low-fat yoghurt on top can also be a good snack time idea.

5. Dry fruits
Dry fruits and unsalted nuts are really a great snack for your kids. You can serve raisin toasts to your children as they are rich in fiber and vitamins and more effective than other sugary snacks. You can make a creamy raisin mix and serve it with carrot sticks or sliced apples.

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