Dr Mohana Rajakulendran

Dr Mohana Rajakulendran By appointment

This week, a few parents returned with their little ones — worried because things were not settling as quickly as they h...
22/08/2026

This week, a few parents returned with their little ones — worried because things were not settling as quickly as they had hoped.

One child was unable to sleep because of uncomfortable hives, despite already being on treatment.

Another had influenza A, with high fevers that had persisted through the day, despite treatment.

In these moments, the question is not simply,
“What is the diagnosis?”

It is also:

How is this child really doing?
Are they safe to be cared for at home?
What does this family need right now?

With careful assessment, close attention to the child in front of me, and clear guidance on what to watch for, we were able to keep them at home where it was appropriate and safe— rather than sending them to the hospital.

And sometimes, that is the most important thing I can offer. Not just another medication. But a calm assessment. A clear plan. A listening ear.

And the confidence to say,
“I am comfortable with you going home. Here is what we will watch for, and here is when I want you to come back.”

Some of my regular families know that I also do admissions and inpatient care at Parkway East, Mount Alvernia and Thomson Medical Centre when hospital care is needed.

But medicine is not always about doing more.

Sometimes, it is about knowing when enough is enough — and when to step in.

To treat, when needed.
To reassure, always. 🤍

Earlier this year, I made the call to pull the plug on Lulla, our clinic’s first AI chatbot.She was, frankly, a poor emp...
16/08/2026

Earlier this year, I made the call to pull the plug on Lulla, our clinic’s first AI chatbot.

She was, frankly, a poor employee. Some patients loved her. Appointment bookings were seamless, and for straightforward requests, she did exactly what she was supposed to do.

But for me? She was a nightmare.

She didn’t have enough context to understand the nuances of appointment bookings or what kind of care a patient might actually need. Sometimes, instead of calming an already-irate patient down, she’d somehow make things worse.

And she had one particularly annoying habit: constantly repeating questions patients had already answered. And some never even realized it wasn’t a real person responding.

It made me realise something important: in healthcare, “getting the task done” just wasn’t going to cut it. The experience matters. Context matters. Knowing when not to automate matters.

So, I pulled the plug on Lulla.

Not because AI doesn’t belong in healthcare — but because I learnt an important lesson that the automation here wasn’t helping the patient experience I was aiming for.

Well, here’s a take on how else I see AI changing paediatric care.

How has it impacted you so far?

🫶🏻, Dr Mohana

Thank you  for this month’s medical feature.A common question that parents come to me with: Should you AVOID or INTRODUC...
18/01/2026

Thank you for this month’s medical feature.

A common question that parents come to me with: Should you AVOID or INTRODUCE an allergen after a reaction?

If your child has a reaction after eating a food, it’s tempting to:
❌ cut it out forever
❌ or keep giving it “to build tolerance”

However, both can be risky without guidance.

Here is why avoiding till they are much older isn’t always the answer:

Avoiding a food without confirmation can:
• increase anxiety in the family and child
• limit childhood nutrition unnecessarily
• sometimes increase the risk of developing a true allergy later

As an allergist, I often see reactions which can be most convincing are allergies which we may end up disproving or clearing with guidance.

Why re-introducing without guidance can also be dangerous:

If the reaction was a true allergy, continued exposure could lead to:
• more severe reactions
• delayed diagnosis and safety planning

What parents should do instead:

• Stop the suspected food temporarily
• Get a proper evaluation (history + testing if needed)
• Follow a personalized plan for avoidance or reintroduction
• Learn when and how to introduce safely (sometimes supervised!)

Bottom line

🚫 Don’t guess
🚫 Don’t Google-diagnose
✅ Get evaluated before avoiding or introducing

Your safest next step is expert guidance.

Save • Share • Ask questions below.👇🏻

Please note that all discussions are for education only and strictly not tailored medical advice.

When it comes to distinguishing normal breathlessness from asthma-related symptoms during activity, normal exercise fati...
13/11/2025

When it comes to distinguishing normal breathlessness from asthma-related symptoms during activity, normal exercise fatigue tends to come on gradually and usually resolves within minutes of rest. In such cases, the child can still speak in short sentences and shows no signs of distress.

Asthma-related symptoms, on the other hand, are signalled by wheezing or whistling sounds, persistent coughing during or after exercise, chest tightness, and difficulty speaking due to breathlessness. If symptoms don’t improve with rest, or if the child appears unusually tired or develops pale or bluish colouring around the lips, it’s a sign that immediate attention is needed.

When these warning signs appear, stop the activity right away and help the child rest in an upright position. Administer their Ventolin (reliever) inhaler using a spacer if available. Caregivers, teachers, and coaches should be familiar with the child’s asthma action plan and how to give the medication so that such situations can be managed calmly and effectively.

For more tips on managing your child with asthma, read my contributions to this article with

https://healthfulforu.com/fitness/asthma-kids-safe-exercise-tips/

Do bear with me, as I continue to expand my team to serve many many more families in the East. 💫
12/11/2025

Do bear with me, as I continue to expand my team to serve many many more families in the East. 💫

03/11/2025

Worried about food allergies—what’s an intolerance vs. anaphylaxis, and when to seek help?

Join me tomorrow 9:30pm on Pesuvom on Mediacorp Vasantham for a practical chat and tips you can use right away.

It’s taken me years to realize what kind of doctor I truly want to be.Over the years, I’ve learnt that medicine isn’t ju...
06/10/2025

It’s taken me years to realize what kind of doctor I truly want to be.

Over the years, I’ve learnt that medicine isn’t just about science.

It’s about relationships — the quiet, steady kind that allows a parent to exhale and say,
“I know my child is in good hands.”

I started a doctor-led practice so I could be my true, authentic self — to guide families through allergies with empathy...
06/10/2025

I started a doctor-led practice so I could be my true, authentic self — to guide families through allergies with empathy, time, and trust. To help you understand the why behind every reaction, every flare, every food challenge.

At Petite Practice, you’ll always get care that’s thoughtful, dependable, and grounded — where your child’s safety, progress, and confidence come first.

💕, Dr Mohana

It’s been an eventful Children’s Day here at Petite Practice — the clinic was bustling with little ones, even as many vi...
03/10/2025

It’s been an eventful Children’s Day here at Petite Practice — the clinic was bustling with little ones, even as many viruses continue to make their rounds this season.

We’re so thankful for the chance to still bring smiles, joy, and cheer to our patients this month. Here are some moments between our nurses and patients in the afternoon as we got some breathing space.✨

A special congratulations to one brave little one who passed their egg challenge — just three months after an anaphylaxis episode. 🥚

And to another whose severe eczema is healing slowly but surely this week — we’ll continue to walk this journey alongside you. 💪🏻

A heartfelt thank you to our sponsors this year — Mead Johnson Nutrition and Hyphens Pharma — for supporting us in celebrating children, their resilience, and the families who care for them. 🌟

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467C Joo Chiat Road
Singapore
427678

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