Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 years of experience on Lybrate.com. You can find Gynaecologists online in Agra 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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Management of Surrogacy
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Management of Postnatal Care
Adiana System Treatment
Submit a review for Dr. Ruchi GuptaYour feedback matters!
Doctor I am pregnant of two months. My breast size increasing day by day. It's so annoying. Please give me some tips to reduce breast size without affecting my pregnancy.
I get ejaculated early and my boyfriend remains unsatisfied. Is there a safe sex booster pill for girls in indian medical stores?
I'm 18 year old and my bodyfriend ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I had the i pill period after 5-6 days but then from that day till today I have not had my period. It's been more than 1 month. I had some bloating and cramping also. Also I had acne problem but it's all improving also having some back ache. I just want to get my period as soon as possible cause I'm very stressed please help me.
Dear sir, My 3 years old baby always says that itching in her vagina . Please describe for the medicine which one relief them.
I have two children and my wife is pregnant again now I don't want more kids can I have solution for this.
Epigallocathechin gallete (egcg) is a polyphenol, the most abundant form of catechin in green tea. It is known to be the main attributable factor of beneficial effects of green tea. Through a complex biochemical reaction, egcg in green tea helps sensitize cells so they are better able to metabolize sugar, which is beneficial for both type 1 and 2 diabetes.
Green tea consumption is associated with reduced mortality due to all causes and cardiovascular disease. It is effective in decreasing blood pressure, low density lipoprotein cholesterol, oxidative stress, and a marker of chronic inflammation. This acts as a therapeutic tool for obesity also.
Green tea is good for people with diabetes because it helps the metabolic system function better.
Had sex on 5th day of my cycle n took i-pill. After a week had some spotting. Doctor prescribed norethisterone 5mg. After stopping it had bleeding on the 4th day. It was like my normal periods. M I pregnant?
I am having period bleeding for last 14-15 days. Currently eating 3-4 pills (methergin) per day which is not working. Bleeding is increasing day by day. What is the alternative pill I should eat to stop my bleeding as soon as possible. Note*- I am having LRG problem too.
Hii. I am taking yasmin pills but somehow I missed one pill and started spotting after few days. Though I have continued taking rest of the pills. My last periods ended around 24th feb. Today my pills will end. Kindly advice what should I do now. I am married but living separately with my husband since 2 yrs. Should I start taking yasmin again after 7 days? Or wait for my periods to come? As I am spotting do I need to take any precautions or my normal periods will come on its own? I am taking Thyronorm 32.5mg. My thyroid is in control.
I am 30 years, facing irregular mensural problem. I am taking homeopathy treatment from last 7 months but there is no improvement. Could you advice whom should I consult. Before homeopathy I was taking meprate tablet if there was any delay in periods.
Dr. I am 43 year old female. Dr. From last year I had a problem of my pulse rate is very high in the afternoon e. F. 100 to 110. I had taken medicine last year alprazolam with propranolol. That time I feel better. And I stopped the medicine after one month. But from fab 2016 that problem restart in afternoon my pulse rate is very high. Tell me Dr. What is the permanent treatment of this.
Ive been bulimic for 6 years now. And I want to to break this cycle of constant benign and purging. Please suggest me some basic milestones for how can I recover myself.
I have a baby boy of two years. because of pregnancy my weight gained too much. Now it's 90 kgs. Pls tell me how to reduce weight.
We are planning for a baby so I wanna know which is the most appropriate days in her cycle to have sex so that my wife can conceive.
What are some signs or symptoms of swallowing disorders?
Several diseases, conditions, or surgical interventions can result in swallowing problems.
General signs may include:
- Coughing during or right after eating or drinking
- Wet or gurgly sounding voice during or after eating or drinking
- Extra effort or time needed to chew or swallow
- Food or liquid leaking from the mouth or getting stuck in the mouth
- Recurring pneumonia or chest congestion after eating
- Weight loss or dehydration from not being able to eat enough
As a result, adults may have:
- Poor nutrition or dehydration
- Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
- Less enjoyment of eating or drinking
- Embarrassment or isolation in social situations involving eating
Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.
Treatment will depend on whether your swallowing problem&nbsp;is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).
The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.
Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.
High (oropharyngeal) dysphagia
High dysphagia is swallowing difficulties caused by problems with the mouth or throat.
It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.
There are three main treatments for high dysphagia:
- Swallowing therapy
- Dietary changes and
- Feeding tubes
You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.
An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.
Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.
You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.
An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.
Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.
A feeding tube can also make it easier for you to take the medication you may need for other conditions.
There are two types of feeding tubes:
- A nasogastric tube - a tube that is passed down your nose and into your stomach
- A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach
Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.
Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.
Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.
Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.
You should discuss the pros and cons of both types of feeding tubes with your treatment team.
Low (oesophageal) dysphagia
Low dysphagia is swallowing difficulties caused by problems with the oesophagus.
Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat&nbsp;indigestion&nbsp;may improve symptoms caused by narrowing or scarring of the oesophagus.&nbsp;
Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.
It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.
Other cases of low dysphagia can usually be treated with surgery.
Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.
Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.
An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.
Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.
You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.
Find out more about gastroscopy.
Inserting a stent
If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.
A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.
The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.
If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.
Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.
Cleft lip and palate
Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.
Narrowing of the oesophagus
Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)
Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.