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Dr. Mandari

Pediatrician, Mumbai

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Dr. Mandari Pediatrician, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Mandari is one of the best Pediatricians in Andheri East, Mumbai. She is currently associated with Mangala Nursing Home in Andheri East, Mumbai. Book an appointment online with Dr. Mandari and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 30 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai 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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Mangala Nursing Home

Symphony Apts, Azad Road, Andheri East,Landmark: Near Gundalvi, 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

Hello. My son is only two years old with 10 kg weight he doesn't want to eat and he only pee twice in a day. So, please help me.

BHMS
Homeopath, Raebareli
Hello. My son is only two years old with 10 kg weight he doesn't want to eat and he only pee twice in a day. So, plea...
Please look for intestinal worms Do not give him any food supplement/chips/candy etc. Just give him a glass of milk twice in morning and evening. Give him Alfalfa Q - 10 drops once daily mix with little water for next 2 weeks and revert back.
2 people found this helpful
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My baby is of 2 years and feeds his mother but he is very habitual of feeding and does not want to eat anything so how to keep away from feeding.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Its difficult to stop breast feeding so easily, just try to feed him top milk / bottle milk. Give more of solids. It may take time to completely stop breast feeding.
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My son 8 yrs old he had refusing school and refuse to learning and dis obdientence.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
He is only 8 years and you are the parent: is there any choice he has, or was he given this option about attending school? just lead him by his ear to school and whether he likes it or not, he must be made to go. Now if he not a communicative child, then perhaps he has a problem at school that he may find difficult to discuss with you. Talk to his teacher and find out if there is something at school that is troubling him. If he has friends, talk to them too. If he does not have friends, that could be troubling in itself about the nature of the child. You may then want to check whether he has social problems for various reasons and meet with a child counselor, if the school has not got one. Learning has to be made interesting especially if he is an over-intelligent child. The disobedience will be an attempt to wrest back the control he may have lost when he was younger, or he may have lost his importance, if another child was born recently. The counselor will be able to help with all of these possibilities.
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Hello sir 6 month baby have hydronephrosis in brth now d kidney size will increase due to not passing urine I done scan its shown (left pelvic ureteric junction obstruction) wht should I do for it please suggest doctor.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hello sir 6 month baby have hydronephrosis in brth now d kidney size will increase due to not passing urine I done sc...
Consult a urologist to remove any obstructions in urinary tract to prevent any further damage to kidneys at its earliest.
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Hello Doctor, My baby is now 6 months old, he is 6 kg born 1 month pre-term with 1.8 kg. He is taking nanpro1 from past 2 months. Doctor suggested to give rapgrow drop and lactodex hmf sachet, but these medicines are really tough to get in the market and I don't see any review for rapgrow. Will it be safe? Also he is continuing zincovit drop and raricap drop.

MD - Paediatrics
Pediatrician, Bangalore
Hello Doctor,
My baby is now 6 months old, he is 6 kg born 1 month pre-term with 1.8 kg. He is taking nanpro1 from pa...
As the baby growth is good both length and weight and if developmentally normal, you can stop giving rapgrow and lactodex hmf. Continue with zincovit and iron drops. And important is to give vit d3 (ultra d3) drops 1ml once daily till 1 year of age as we see vit d defeciency very commonly. Start on the weaning diet and iron rich foods so that you can slowly stop iron supplementation if haemoglobin is normal.
2 people found this helpful
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Hi doctor, My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this enough or what should I do for her weight gain? She shows very less interest in eating. She often falls sick for cold cough & fever. Please suggest what should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi doctor,
My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this en...
your baby is under wt. Expected wt at this age is 10-11 kg. Give her well nourished diet well cooked in ghee/ oil of her liking/ taste, milk or milk products, fruits vegetables etc. No force feeding please.
4 people found this helpful
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Hi doctor! I have a question regarding pentaxim (dpat) vs pentavac (easy 5 or dpt) vaccine. My baby is 3 month and second dose of this vaccine is due. First vaccine was of the painless version but now I want a normal injection which is painful. Can I switch or will I have to stick with dpat. Also whic one is better? pls advice tia.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor! I have a question regarding pentaxim (dpat) vs pentavac (easy 5 or dpt) vaccine. My baby is 3 month and se...
Pentaxim is banned in India and other countries. The WHO has advised all countries to stop giving this vaccine. Some recent studies proved that the Pertusis vaccine included in the Pentaxim does not work. Pediatricians know about this issue but some continue giving. It is wise though for us mom to be aware of it. I think you should go for the painful ones. Its ok if your baby will suffer fever and pain for couple of days if that means there is no chance of him getting any of those diseases later on in life. But then again, it is your choice. Just choose what is best for your baby. :) You can switch over and there is no problem
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My daughter's age is 3 1/2 years. She is only 11 kgs and her height is also not ideal. Can we give her pediasure for height and weight growth?

MBBS
General Physician, Mumbai
My daughter's age is 3 1/2 years. She is only 11 kgs and her height is also not ideal. Can we give her pediasure for ...
I will suggest you to not concentrate on her height and weight and just remember to make her fit and also be away from illness and I am not in favor of giving pediasure to kids
1 person found this helpful
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My wife is having 21*19 mm cyst in left ovary. Would she be able to conceive. What should we do?

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
My wife is having 21*19 mm cyst in left ovary. Would she be able to conceive. What should we do?
Yes. She can conceive. 2 cm cyst is not a big size but we have to do ultrasound to see for the nature and character of cyst, then she will also require some hormonal investigations. After investigations medicine can be given to dissolve the cyst if required. Treatment can be planned after all investigations.
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Good morning Doctor, My son he is 5 years Old, he hardly sleeps due to leg pain I consulted many doctors, only medication time he will be alright, pls suggest me how to get rid of this problem.

BHMS, Diploma In Naturopathy And Yoga
Homeopath, Thane
Plz check his vit D B12 Hb levels. Tell him to have balanced diet. Consisting of chapati dalrice vegetables consult on Lybrate for detail consult n follow up.
1 person found this helpful
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My daughter in age of 9 month is having fever from last 3 days and yesterday night she becomes silence (behosh ho gayi)(even not crying). What to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter in age of 9 month is having fever from last 3 days and yesterday night she becomes silence (behosh ho gay...
Some children develop fits with loss of consciousness called as febrile convulsions. Better you show to a pediatrician.
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Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Know about childhood obesity and prevent your children and future Adults from becoming obese.
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BDS
Dentist, Cuttack
Replace your missing Teeth to avoid further loss of Oral Motor function
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Common Skin Problems in Newborns

Eczema

This is very common after the baby has turned about 2-3 months of age or even slightly later. This appears as a red area with itching on the cheeks or the chest area. These babies usually have very dry skin, and it is also not uncommon for one of the parents to have eczema. This form is called atopic eczema. The severity of the eczema is very variable, but the vast majority grow out of the eczema by the time they reach 15 years of age. This tends to be a persistent problem and needs to be managed on a regular basis.

The most important factor to keep in mind is to use a gentle soap and a pH neutral moisturiser all over the body. The soap and moisturiser needs to be continued for years and the dermatologist may prescribe a steroid or anti-inflammatory creams for brief periods during a flare up.

When should I start giving my baby solids (weaning? How much exercise should my child do? Are squash and pure fruit juice better for children than fizzy drinks?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
When should I start giving my baby solids (weaning? How much exercise should my child do? Are squash and pure fruit j...
Exclussive Breast feed up to 6 months of age. Weaning starts there after. Live baby free to move his arms & legs freely that exercise is enough. Pure fruit juice is part of weaning. No fizzy drinks.
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My baby is 1 year 10 month. He has slip down the stairs. His head very injured. Doctor can be stitched. My question is in future he has a problem on his head.

M.D.( Pediatrics), DCH
Pediatrician,
My baby is 1 year 10 month. He has slip down the stairs. His head very injured. Doctor can be stitched. My question i...
No, unless there is internal injury. Watch for convulsions, vomiting, change in sensorium for 2-3 days. Report to doc for physical examination to be sure.
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My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?

C.S.C, D.C.H, M.B.B.S
General Physician,
My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?
If she is drinking enough water and is active this is OK . If there is any other symptom she need to be checked up . If she is bottle fed she need to be given additional water unlike breast fed babies
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My son 5.5 year old have problem since 3 year nephrotic syndrome. We are helpless not able to understand how to cure baby. His schooling also miss out most of the time. We consulting doctor but not able understand how long baby have to suffer from nefrotic. We are fully confuse what will be the correct diet to control problem. How long it will take to cure n there is any hope for complete cure. My baby live life like other baby. Medication on going .omnacortil daily consume 50 mg Need a better n safe solution for my baby. Expecting your kind support asap. Regards

MD Pediatrics
Pediatrician, Vadodara
Once a child is diagnosed with nephrotic syndrome the first line of medicines to be started for the child is omnacortil that is a steroid. Nephrotic syndrome may relapse till 15 years of age and sometimes about that. It is very important for the parents to support the child during this phase. As the medicine omnacortil that is going on has got advantages for nephrotic syndrome and disadvantages as side effects. If nephrotic syndrome is not controlled with the help of omnacortil then we have to go for other medicines to control it. But if omnacortil is able to control the disease that is nephrotic syndrome and the side effects are not more then we usually continue omnacortil. You have to visit your pediatrician every 15 to 20 days so as to C for any side effects related to omnacortil which is a steroid. If nephrotic syndrome is controlled then the child can have a normal childhood. It is very important for the parents to encourage the child and at the same time not lose hope as after some years nephrotic syndrome does get cured.
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