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Dr. Nitin Kumar Dhende

MBBS, MS, Mch

Pediatrician, Mumbai

25 Years Experience
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Dr. Nitin Kumar Dhende MBBS, MS, Mch Pediatrician, Mumbai
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. Nitin Kumar Dhende
Dr. Nitin Kumar Dhende is one of the best Pediatricians in Umerkhadi, Mumbai. He has been a successful Pediatrician for the last 25 years. He is a MBBS, MS, Mch . You can consult Dr. Nitin Kumar Dhende at J.J Hospital in Umerkhadi, Mumbai. You can book an instant appointment online with Dr. Nitin Kumar Dhende on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 43 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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Education
MBBS - Govt.Medical College - 1992
MS - Gen Surgery) Govt.Medical College - 1997
Mch - Paed Surgeon) BYL Nair Hospital,Mumbai - 1999
Languages spoken
English
Hindi

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I'm suffering from bronchial asthma since two years But it occurs only in winter. Cough submit in the cold weather. In summer I don't have problems What is the affect of lung and bronculle It becomes respiratory problems. Prescribe me good medicines for permanent relief.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
May be you suffering from seasonal allergic asthma. You should try to identify the allergens causing symptoms in winters and avoid them and also take asthma inhalers during problem months.
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Hi doctor. My daughter is 4 year's old. She didn't eat properly. While Eating food she used to cry. She dont want have any food. So, What should I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Give for worms. Give cypon syrup 5ml twice daily before meals. If she is taking plenty of junk foods you must avoid.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
4 people found this helpful

My 5yr old complains of pain in the leg often while sleeping in the night, what could be the reason? There is no specific leg or specific place on the leg. Who should be consulted, a paediatrician or orthopedist ?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Check out vit D3 levels. Or supplement with calcirol sachet once a week in milk for 6 weeks. Also start calcium tabs 250 mg bd for 6 weeks.
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Hi! My daughter is 12 year old she is suffering from cold from last one week. I gave her febrex plus but she is still complaining of blocked nose. Pls suggest some good medicine. She does not have other health problems nor she is having fever now.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Bidar
Hi! My daughter is 12 year old she is suffering from cold from last one week. I gave her febrex plus but she is still...
U may give her nasoclear nasal drops. Two drops in both nostrils two times daily for five days.(2) start syp. Zinc 5 ml two times dialy. Consult local doctor if fever.
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Having dry cough from 1 month..have taken evry medicine antibiotics, syrup, gargle, honey ginger ,lozenges bt nothing is curing it...i get tears in eyes while coughing n mah breathe stops n i feel vomiting at end...what to do?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Need xray chest, spirometry and CBC and physical examination to guide you as you have already taken routine treatment
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Hi I am 24 yrs and I have a 2 years infant. After stopping breast feeding. My breasts hv completely sagged. Massaged 4 3 months. .bt don't find any result. Suggest me .hw 2 enhance my breast.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hi I am 24 yrs and I have a 2 years infant. After stopping breast feeding. My breasts hv completely sagged. Massaged ...
this is absolutely normal you can achieve mild enhancement by doing pectoral muscle exercises. Other wise surgery for breast enhancement is the answer. You can use different types of padding in bra so that the appearance above the cloth is back
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My 10 days son whose weight is 3.7 kg have blood creatinine level is 1.17 mg/dl and blood urea level is 64 mg/dl. Is it kidney disease? If yes please send me treatment advice?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 10 days son whose weight is 3.7 kg have blood creatinine level is 1.17 mg/dl and blood urea level is 64 mg/dl. Is ...
There must be some reason for getting these tested done. To suggest line of management, further details like other investigations, symptoms and signs( personal examination) are nacessary. It shall be best for you to consult a neonatologist.
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Need a diet list for 15 year old boy. The list should be of north indian food and it should be routine Monday -friday.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Need a diet list for 15 year old boy. The list should be of north indian food and it should be routine Monday -friday.
I n acute phase nothing by mouth advised, after surfery start with sips of water gradually can resume all foods in normal diet.
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My daughter 8 yrs old complains of stomach pain more oftenly.However with the intake of ginger,aajwain the symptoms are suppressed.Pl help for the permanent solutions.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Chronic abdominal pain should always be evaluated by a competent Pediatrician , preferably a gastroenterologist. These children should be dewormed, frequent handwashing should be instituted and an ultrasound of abdomen is often usefull in making a diagnosis.
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Child born on 15yh july at 850 pm have small 2 holes in her heart there is there any problem at present and future there is any remedy for holes please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Child born on 15yh july at 850 pm have small 2 holes in her heart there is there any problem at present and future th...
Remedy depends on type and size of holes. Some time it closes by passage of time but some time it requires surgery depending on type and symptoms. It is better to consult pediatric cardiologist also.
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Hello sir I have child of 8 month old (7.5 kg) she don't eat properly. She want smthing new evry day please can you suggest me food chart for my baby?

MBBS DCH
Pediatrician, Gandhinagar
Hello sir I have child of 8 month old (7.5 kg) she don't eat properly. She want smthing new evry day please can you s...
Your child's weight is normal for age. At this agency child love to taste different kinds of food. Offer him different homemade food.
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My 3 years old sister suffering from Diarrhea doctor said to avoid rice and milk she is hungry what we should give her to eat please tell me soon and also tell me up to what stage we should avoid rice and milk please tell me soon.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 3 years old sister suffering from Diarrhea doctor said to avoid rice and milk she is hungry what we should give he...
I do not see a reason for avoiding rice. Please tell me her weight, age and nature of diarrhoea so that I can advise medicines.
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When I can do my baby's massage after born? Which oil is best for baby massage? Can I use home made butter for baby massage?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
When I can do my baby's massage after born? Which oil is best for baby massage? Can I use home made butter for baby m...
A baby can br massaged lightly after about two weeks of birth. Homemade butter or ghee can be used for massage, also coconut oil. But make not to smear too much oil and to massage with light hands.
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My baby is 1month old. He's just crying. What cud b the reason. Hez nt hungry, his diapers r also clean.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My baby is 1month old. He's just crying. What cud b the reason. Hez nt hungry, his diapers r also clean.
One month old baby crying means most likely due to hunger only. Growing children require more milk day by day. In case of mother milk check whether mother milk is sufficient or not. If the baby is crying inspite of taking breast feeds, mother milk may not be sufficient, can try top feeds. Some babies will have colic pain (pain abdomen. You can try colimex drops to get relief from colic pain.
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My daughter had got some rashes all over the body what can I do to overcome her problems?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Generalised rash may be drug rash viral infections likemeasels, chickenpox if accompnying with fever or allergy. Antihistaminics, antibiotics may be needed but most rases are self limiting.
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We have 3 months baby to used the Johnson's product soap to the baby. But, few weeks ago using that soap to affect ovarian cancer to the human. So, please clear me which soup is best to the baby?

DNB, MBBS
Oncologist, Faridabad
We have 3 months baby to used the Johnson's product soap to the baby. But, few weeks ago using that soap to affect ov...
Mostly products with least chemical contents would be ideal. We were also shocked with verdict for j&j as it has been brand we most often use. You can try baby care range by himalya or pigeon.
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My baby boy is of five months, since four days he didnt pass motion, is that normal or shall I consult doctor ?

Pediatrician, Pune
What was his stool frequency earlier, how are the stools? if the baby is ok than no harm, can wait, but if uncomfortable, better to show to your pediatrician
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