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Dr. Suhasini Maternity and Surgical Cemtre

Gynaecologist Clinic

# 691, 11th Cross, 1st Main Road, Kengeri Upanagara Bangalore
1 Doctor · ₹100
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Dr. Suhasini Maternity and Surgical Cemtre Gynaecologist Clinic # 691, 11th Cross, 1st Main Road, Kengeri Upanagara Bangalore
1 Doctor · ₹100
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Our medical care facility offers treatments from the best doctors in the field of Gynecologist . Our entire team is dedicated to providing you with the personalized, gentle care that you ......more
Our medical care facility offers treatments from the best doctors in the field of Gynecologist . Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Dr. Suhasini Maternity and Surgical Cemtre
Dr. Suhasini Maternity and Surgical Cemtre is known for housing experienced Gynaecologists. Dr. Suhasini, a well-reputed Gynaecologist, practices in Bangalore. Visit this medical health centre for Gynaecologists recommended by 90 patients.

Timings

MON-SAT
07:00 PM - 10:00 PM 10:30 AM - 04:30 PM

Location

# 691, 11th Cross, 1st Main Road, Kengeri Upanagara
Kengeri Bangalore, Karnataka - 560060
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Dr. Suhasini

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist
22 Years experience
100 at clinic
Available today
07:00 PM - 10:00 PM
10:30 AM - 04:30 PM
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हरड़ के फायदे और नुकसान - Harad Ke Fayde Aur Nuksaan!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
हरड़ के फायदे और नुकसान - Harad Ke Fayde Aur Nuksaan!

हरड़ का उपयोग कई आयुर्वेदिक औषधियों के निर्माण में किया जाता है. विशेष रूप से इसका इस्तेमाल त्रिफला चूर्ण बनाने के लिए किया जाता है. जो है. इसे इसकी विशेषताओं को देखते हुए इसे कायाकल्प जड़ी बूटी के रूप में भी जाना जाता है. भारत में हरित की हिमालय के निचले क्षेत्रों से लेकर, पूर्व बंगाल, असम तक यानी 5000 फीट की ऊंचाई तक पाया जाता है. आयुर्वेद में इसके कोई और नाम जैसे कायस्था प्राणदा अमृता आदि नामों से बुखार आ गया है. यह स्वाद में कसैला होता है. आइए निम्नलिखित लेख के माध्यम से हरड़ के फायदे और नुकसान को विस्तार से समझें.

1. बवासीर के लिए

बवासीर, मल त्याग में आने वाली जत्ता उनसे संबंधित बीमारी है. हरितकी का प्रयोग बवासीर के दौरान होने वाले समस्याओं में किया जाता है. इसके लिए दो बड़े चम्मच हरड़ या फिर त्रिफला चूर्ण पानी आधी बाल्टी पानी में स्नान करने से 10 मिनट पहले डाल कर छोड़ दें इसके बाद इस पानी से स्नान करने से सूजन कम होता है. इससे घाव भी जल्दी भरता है.

2. दस्त में
दस्त में हरड़ का लाभ लेने के लिए आपको इसकी चटनी बनानी होगी. कच्चे हरड़ की कचनार फली फलियों को पीसकर इसकी चटनी बनाकर रोजाना दिन में तीन बार लेने से दस्त की समस्या खत्म होती है. इसके अलावा हरड़ हमारे शरीर और मलाशय में हल्कापन भी लाता है. जिसके कारण रोग जल्दी ही ठीक हो जाते हैं.

3. यौन समस्याओं के निदान में
यौन समस्याओं स्वास्थ्य को ध्यान में रखते हुए भी हरड़ को उपयोग में लाया जा सकता है. हरड़ आपकी यौन ऊर्जा को बढ़ा देता है. इसके लिए आपको रोजाना 1 से 2 ग्राम हरड़ एक महीने तक खाना होता है. लेकिन इसके साथ एक बात का ध्यान रखना आवश्यक है कि लंबी अवधि तक इसका प्रयोग करने से यौन शक्ति में कमी का कारण भी बन सकता है. इसके साथ ही हरड़ शीघ्रपतन की भी उपचार में प्रयुक्त होता है. इसके अलावा इसका प्रयोग विधि की मात्रा कम शुक्राणु और उन्नत शिश्न की समस्याओं के निदान में भी किया जाता है.

4. तिल्ली रोग के उपचार में
तिल्ली रोग के उपचार में भी हरड़ का उपयोग किया जाता है. इसके लिए 3 से 5 ग्राम हरड़ दिन में एक या दो बार दूध से 3 ग्राम गुड़ के साथ मिलाकर किया जाता है. इससे तिल्ली बढ़ने की समस्या से निजात पाई जा सकती है.

5. उल्टी में राहत के लिए
यदि आपको उल्टी आ रही है. तो इस इस परेशानी से निजात पाने के लिए भी आप हरितकी का प्रयोग कर सकते हैं इसके लिए हरड़ पाउडर के साथ शहद मिलाकर लेना होता है. ऐसा करने से विषाक्त पदार्थ बाहर आते हैं और उल्टी बंद हो जाती हैं.

6. पाचन शक्ति में
हरड़ जिसे हरितकी भी कहा जाता है. का उपयोग मुख्य रूप से पाचन शक्ति से संबंधित समस्याओं को दूर करने के लिए किया जाता है. हरड़ का 1 से 3 ग्राम मात्रा एक कप गर्म पानी में मिलाकर पीने से पाचन शक्ति से संबंधित समस्याओं और उपापचय में मदद मिलती है.

7. सूजन से संबंधित विकारों में
सूजन से संबंधित विकारों में भी हरड़ का प्रयोग किया जाता है. इसके लिए गोमूत्र और हरितकी को एक साथ मिलाकर इस्तेमाल किया जाता है. इस से सूजन में राहत मिलती है.

हरड़ के नुकसान-
* गर्भवती महिलाएं और स्तनपान कराने वाली माताओं को इसके इस्तेमाल से बचना चाहिए.
* 5 वर्ष से कम उम्र के बच्चों के लिए भी इसका इस्तेमाल नहीं करना चाहिए.
* कम प्रतिरोधक क्षमता वाले लोग भी इसका इस्तेमाल ना करें.
* लंबे समय तक उपवास करने वाले लोगों को भी इसका इस्तेमाल नहीं करना चाहिए.
* बढ़े हुए पेट और अपच की समस्या से पीड़ित लोग इसका इस्तेमाल न करें.
* शुष्क और दुर्बल महसूस करने वाले लोगों को भी इसका इस्तेमाल नहीं करना चाहिए.
* हरड़ का इस्तेमाल किसी चिकित्सक से परामर्श करना ज्यादा उचित रहता है.

बाईपास सर्जरी - Bypass Surgery!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
बाईपास सर्जरी - Bypass Surgery!

हमारे शरीर से टिश्यू या सेल्स के एक सैंपल को लैब में जाँच करने के लिए निकाले जाने की प्रक्रिया को ही बायोप्सी कहते हैं. बायोप्सी की आवश्यकता तब पड़ती है जब आप में कुछ निश्चित प्रकार के संकेत या लक्षण महसूस हो रहे हैं या जब आपके डॉक्टर को त्वचा के किसी क्षेत्र में किसी प्रकार का संदेह होता है. इस जांच से कैंसर या किसी अन्य समस्या का पता लगाया जाता है. अगर कैंसर की संभावनाएं ज्यादा हैं, तो रोग की निश्चित पहचान के लिए बायोप्सी नमूने की नजदीक से जांच करना एक मात्र तरीका है. यदि आपको निम्न में से कोई समस्या है, तो आमतौर पर आपको बायोप्सी करवाने की सलाह दी जाती है. ठीक ना होने वाले अल्सर, जिसके कारण का पता न चल पाए. स्तन में गांठ बनना. अगर लक्षणों की पहचान अस्पष्ट हो और मरीज को लक्षण महसूस हो रहे हों. अगर एक्स रे या सीटी स्कैन में सिस्ट या ट्यूमर देखा गया हो. ब्लड कैंसर के परीक्षण के लिए अस्थि मज्जा लंबे समय से शराब का अधिक सेवन करने वाले लिवर संबंधी रोगों के मरीज. आइये इस लेख के माध्यम से हम बायोप्सी के विभिन्न पहलुओं को विस्तारपूर्वक जानें.

बायोप्सी क्या है?
बायोप्सी, रोग की जांच और पहचान करने का एक तरीका होता है. इस प्रक्रिया में रोगी के बॉडी में टिश्यू या सेल्स में से एक सैंपल निकाला जाता है, जिसकी आमतौर पर माइक्रोस्कोप के द्वारा चेक की जाती है. सैंपल की जांच अक्सर पैथोलॉजिस्ट द्वारा की जाती है. पैथोलॉजिस्ट नमूनों की जांच कर के रोग के संकेत, उसके फैलाव आदि का पता लगाता है. इसके उद्देश्य के आधार पर, बायोप्सी द्वारा त्वचा में चीरा देकर नमूना निकाला जाता है. इन प्रक्रियाओं को एक्सीजनल और इनसीजनल कहा जाता है.

एक्सीजनल बायोप्सी-
इसकी सहायता से त्वचा के ऊपर उभरी हुई सिस्ट को सर्जरी के माध्यम से पूरी तरह निकाल दिया जाता है.

इनसीजनल बायोप्सी – इसको कोर बायोप्सी भी कहा जाता है. इस प्रक्रिया के दौरान टिश्यू में से सैंपल लिया जाता है.

बायोप्सी के विभिन्न प्रकार होते हैं, जैसे
1. स्क्रैप बायोप्सी-
इस प्रक्रिया में टिश्यू की सतह से कोशिकाओं को निकाल लिया जाता है, इस प्रक्रिया को मुंह के अंदर से या गर्भ की गर्दन आदि के लिए इस्तेमाल किया जाता है.

2. पंच बायोप्सी- पंच बायोप्सी में पंच डिवाइस का इस्तेमाल किया जाता है, पंच एक चाकू जैसा गोल डिवाइस होता है, जो टिश्यू से एक डिस्क के आकार में सैंपल निकाल लेता है. इसका इस्तेमाल त्वचा में सड़न और अन्य समस्याओं आदि की जांच करने के लिए किया जाता है.

3. नीडल बायोप्सी- आमतौर पर नीडल बायोप्सी का इस्तेमाल फ्लूइड सैंपल निकालने के लिए किया जाता है. कोर बायोप्सी के लिए एक ब्रॉड नीडल का उपयोग किया जाता है, जबकि पतली नीडल बायोप्सी का इस्तेमाल फाइन-नीडल एस्पिरेशन बायोप्सी के लिए किया जाता है. सुई बायोप्सी का उपयोग आमतौर पर ब्रेस्ट और थायराइड आदि का सैंपल लेने के लिए किया जाता है.

4. स्टीरियोटेक्टिक बायोप्सी- मस्तिष्क से बायोप्सी के सैंपल लेने के लिए स्टीरियोटैक्टिक बायोप्सी की मदद से सैंपल लेने की उचित जगह खोजी जाती है.

5. एंडोस्कोपिक बायोप्सी- इस प्रक्रिया में सैंपल लेने के लिए एक एंडोस्कोप नाम के डिवाइस का इस्तेमाल किया जाता है. एंडोस्कोप एक पतला, लंबा और ऑप्टिकल डिवाइस होता, इसको शरीर के अंदरूनी अंगों की जांच करने के लिए बॉडी के अंदर भेजा जाता है.

इन बीमारियों में पड़ती है बायोप्सी की आवश्यकता
कुछ ऐसी स्थितियां जिनमें बायोप्सी एक अहम भूमिका निभाती है, जैसे:
1. कैंसर: –
अगर रोगी के बॉडी में कहीं उभरी हुई सिस्ट बन गई है, जिसके कारणों का पता नहीं चल पा रहा, तो सिर्फ बायोप्सी की सहायता से ही पहचान किया जाता है कि यह कैंसर है या कोई और समस्या.

2. पेट में अल्सर: - बायोप्सी, डॉक्टर को यह पता लगाने में सहायता कर सकता है कि क्या नॉन-स्टेरॉयडल एंटी-इंफ्लेमेटरी ड्रग्स ही पेट में अल्सर का कारण हैं. छोटी आंत की बायोप्सी का इस्तेमाल मरीज में कुअवशोषण, एनीमिया या सीलिएक रोग आदि की जांच करने के लिए भी किया जाता है.

3. लिवर रोगों का टेस्ट करने के लिए: – इसकी मदद से लिवर में ट्यूमर और लिवर कैंसर आदि की जांच की जा सकती है. इसका इस्तेमाल सिरोसिस या लिवर फाइब्रोसिस का परीक्षण करने के लिए भी किया जा सकता है. बायोप्सी का इस्तेमाल तब भी किया जाता है, जब लिवर किसी पिछली चोट या बीमारी के कारण पूरी तरह से जख्मी हो गया है, जैसे हैपेटाइटिस या शराब की लत के कारण लिवर का क्षति ग्रस्त होना.

4. संक्रमण: – सुई बायोप्सी की मदद से यह पता लगाया जाता है कि क्या मरीज को संक्रमण हो गया है और अगर है तो यह किस प्रकार के जीव के कारण हुआ है.

5. इन्फ्लमेशन: – कोशिकाओं की अंदर से जांच करना, उदाहरण के लिए जैसे सुई बायोप्सी का इस्तेमाल करना. इसकी मदद से डॉक्टर इन्फ्लामेशन के कारण की पहचान कर पाते हैं.

Tips To Improve Your Hemoglobin Level!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine, DM - Clinical Hematology
Hematologist, Patna
Tips To Improve Your Hemoglobin Level!

Hemoglobin is a protein which transports oxygen to every cell of the body. It is formed by globulin chain molecules, wherein adults have two alpha-globulin chains and two beta-globulin chains and infants or babies have two alpha chains and two gamma chains. The gamma globulin chains transform into beta chains as the development in the baby occurs. 

How can you improve your hemoglobin level?
Following are most the effective measures to improve hemoglobin level:

  1. Iron is necessary for hemoglobin production and red cell production. Thereby, intake of food which contains iron in excess amount needs to be taken, such as shellfish, beef, broccoli, tofu, spinach, green beans, cabbage, dates, beetroot, almonds, oysters, and asparagus etc.
  2. Folate is also very important for hemoglobin production. It produces heme portion of RBC’s. Thereby, intake of foods which are a rich source of folate should be incorporated, such as beef, spinach, black-eyed peas, avocado, lettuce, rice, kidney beans, peanuts etc.
  3. Intake of vitamin C should be increased in cases of vitamin C deficiency as it helps in iron absorption from the stomach. Foods which are rich in vitamin C like papaya, oranges, lemon, strawberries, bell peppers, broccoli, grapefruit, tomatoes, and spinach should be included in your diet. Also, you can take vitamin C supplements as per your doctor’s advice.
  4. Regular intake of some fruits in diet will also help you to increase the hemoglobin. Foods such as pomegranate, apple, watermelon will help in to improve hemoglobin count as they are a rich source of iron.
  5. Doing regular exercise will also help to improve to increases hemoglobin, and red blood cell counts. While exercising your body needs more amount of oxygen, and in order to compensate that body increases production of red blood cells.
  6. Do not take calcium supplements along with iron supplements as calcium hampers absorption of the iron, and also avoid taking calcium-rich food.
  7. All types of Legumes are best to plant foods, enriched with iron. Legumes, such as soy nuts, red kidney beans, chickpeas, black-eyed peas, black beans, lentils, fava beans should be incorporated in the diet.
  8. Avoid intake of drinks which blocks iron absorption, and slow down its absorption like tea, coffee, cola drinks, wine, and beer. Excessive intake of all these drinks ultimately leads to low hemoglobin level.
  9. Drink nettle tea. Nettle is an herb which is a good source of iron, vitamin C and helps in raising hemoglobin level.
  10. Eat pumpkin seeds daily as their intake not only improves iron production, but also provides omega-3 fatty acids, and zinc.
  11. Increase the intake of iron-rich foods during, and after a menstrual period as a large amount of iron is lost during menstruation.
  12. Regular intake of iron and folate supplements only in deficient cases is the best way to improve your hemoglobin level. But it should be taken under doctor’s advice.

The Effects Of Cholesterol On The Body!

MBBS
Gynaecologist, Delhi
The Effects Of Cholesterol On The Body!

Cholesterol is a fatty substance made by the liver and distributed throughout the body. It plays an essential role and is an important ingredient in the various hormones. Most of the cholesterol is made by the liver, and only about 25% is received from the foods that are consumed.

Types:

Based on the density of the cholesterol molecules,

  • High-density lipoprotein (HDL) which is the good cholesterol
  • Low-density lipoprotein (LDL) which is the one to be worried about
  • Very low-density lipoproteins (VLD) which is very bad for health

How it evolves:

Almost all the body systems are affected when there are increased amounts of cholesterol in circulation. Evolution is outlined below.

  • Cholesterol circulates in the body normally, and because of its density, it moves sluggishly compared to the other components in the blood.
  • Gradually, they settle down along the walls of the blood vessels. This is known as atherosclerosis or plaque formation.
  • Over a period of time, this settled plaque accumulates more cholesterol molecules from circulation and continues to grow in size and volume.
  • With time, minerals are also attracted and therefore there is a hardening of this mass. What also happens is these are along the blood vessels and therefore it becomes narrow, limiting the blood supply.
  • When the target organs are vital ones like the brain, kidney, heart, etc., their functioning is affected.
  • There could be reduced blood flow to the brain leading to stroke. There could be paralysis on one or both sides depending on which side and part of the brain is affected
  • Reduced blood flow to the heart can cause a heart attack. They present with severe chest and jaw pain, profuse sweating, and nausea. If left untreated, this can lead to death.

Causes of increased cholesterol: High cholesterol levels can be detected by simple blood tests, which can also identify the type of cholesterol that is increased.

  • Modified dietary patterns with increased amounts of saturated fat and sugars
  • With obesity on the rise, more and more sugar is converted into fat, thereby increasing the cholesterol levels
  • A sedentary lifestyle which has a combination of increased sugar and trans fat consumption with reduced physical activity leads to the accumulation of cholesterol
  • Stress increases cholesterol as it induces poor eating habits
  • Genetic predisposition is another reason for a person to develop high levels of cholesterol. Like obesity, high cholesterol also runs in families.

Treatment: Reducing weight, dietary monitoring, and medications is the way to go. This requires extreme commitment and determination from the individual, as it is not just about reducing it once but to maintain that optimal level going forward.

Fertility - How To Enhance It?

MBBS, Post Doctoral Fellowship in Reproductive Medicine
IVF Specialist, Surat
Fertility - How To Enhance It?

Pregnancy can be easy and smooth, while on the other hand, it might be time-consuming, marred with conception difficulties all along the way. Pregnancy may seem exciting to some, whereas it can be stressful for others. Regardless of whether it is the first child you are planning or have had a successful pregnancy previously; there are some tips you need to keep in mind in order to improve fertility and give birth to a healthy child.

Some fertility boosting factors are:

  1. These fantastic swimmers are at the very root of male fertility. Some important components which need to be taken into consideration are sperm count, sperm motility (the ability of the sperm to swim around the female reproductive tract) and morphology (shape and size of a sperm). In order to have all these parameters in check and working fine, one needs to abstain from smoking and limit alcohol consumption among many other lifestyle modifications.

  2. Having unprotected vaginal intercourse during the woman’s fertile days in a month helps improve chances of conception.

  3. Fertility becomes a challenge when you are either overweight or underweight. The weight of a woman affects ovulation (The release of eggs from the ovaries) and causes hormonal imbalance; factors which make it very difficult to conceive. Keep your weight levels in check and that could prove primarily essential in bettering your fertility.

  4. Staying well-nourished boosts your odds of conceiving! Make sure to include enough protein, iron, zinc, vitamin C, and vitamin D in your diet, because deficiencies in these nutrients have been linked to lengthened menstrual cycles (and therefore less frequent ovulation) and a higher risk of early miscarriage. Ask your gynaecologist if you should take a daily multivitamin supplement. And be sure to eat protein-rich foods, such as meat, fish, low-fat dairy products, eggs, and beans.

  5. Beware of STDs or Sexually Transmitted Diseases. One is the most prone to STDs of any kind if he/she happens to engage in unprotected sexual intercourse; having a number of sexual partners just ups the chances of getting afflicted by STD. Protected vaginal intercourse helps prevent STDs, thus enhancing fertility and subsequently, chances of conception.

  6. According to several studies, the lubricant one chooses surprisingly plays a significant role in determining fertility. Not all lubricants boost fertility and sperm motility (sperm count). Baby oil or egg whites are a few good examples of such lubricants.

  7. While a limited amount of caffeine consumption is good, overdoing it might spoil and hamper fertility. Limit caffeine intake and keep it within a level of 200-250mg a day.

  8. Smoking, besides playing havoc with every organ in the body, affects the reproductive organs and thus fertility. In men, it leads to reduced sperm count and in women, it causes DNA damage. Stub the bud right now and never get back to it.

  9. Certain toxic chemicals can lead to female and male infertility. So it is advisable that you stay away from chemicals such as pesticides, organic solvents and lead, the primary toxins which pose a severe threat to fertility.

  10. Exercising regularly can never go wrong. It gives you the strength and stamina, boosting your overall health. However, vigorous exercises, especially when you are trying to conceive, will do you no good. It might adversely lead to the suppression of certain hormones such as progesterone (pregnancy stimulating hormone) and might affect ovulation, hence affecting fertility. Aim at a regular 20 minutes session of light exercises; mild cardiovascular exercises such as walking can work wonders, especially in such circumstances.

Pregnancy & Working - Know Regime For It!

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Pregnancy & Working - Know Regime For It!

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.

Do: Get Adequate Rest

The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires.  Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep your muscles relaxed.

Do: Be Smart About Your Work

Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.

Do: Take Multivitamins and Necessary Supplements

Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.

Do: Be Super Hygienic

It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagious.

Don't: Go For Long Stretches Without Eating

Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.

Don't: Be stressed

Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.

As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.
 

Polycystic Ovarian Disease - What Should You Be Aware About?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Polycystic Ovarian Disease - What Should You Be Aware About?

It is a common female endocrine disorder occurring in reproductive age group from 15 to 45 years

It affects 1 in every 5 women. Insulin resistance is central  to the pathogenesis of PCOS and Indians are known to have high prevalence of insulin resistence

THREE MAIN FEATURES OF PCOS:

IRREGULAR PERIODS:  

Which means ovaries don’t regularly release eggs (ovulation)

EXCESS ANDROGEN:

High levels of male hormone in your body which may cause physical signs such as excess facial or body hair

POLYCYSTIC OVARIES:

Your ovaries become enlarged and contains many fluid filled sacs which surround the egg (follicle)

If you have atleast two of these features you may be diagnosed of PCOS

SIGNS AND SYMPTOMS:

  1. Irregular or no periods

  2. Difficulty getting pregnant

  3. Excessive hair growth on face ,chest  ,back

  4. Weight gain

  5. Hairloss from the scalp

  6. Oily skin or acne

PCOS is associated with an increased risk of developing metabolic problems like:

  1. Type 2 Diabetes

  2. Hypertension

  3. High cholesterol

  4. Heart disease

  5. High uric acid

WHAT CAUSES PCOS

Exact cause is not known ,it may have a multifactorial cause like insulin resistance , hormonal imbalance ,genetics

RESISTANCE TO INSULIN:

Insulin is a hormone produced by the pancreas to control the amount of sugar in the blood .It helps to move glucose from blood to the cells where it is broken down to produce energy.

Insulin resistance means body’s tissues are resistance to the effects of insulin. The body therefore has to produce extra insulin to compensate.

High levels of insulin cause ovaries to produce too much testosteron , which interferes with the development of the follicles and prevents normal ovulation.

Insulin resistance can also lead to weight gain which can make PCOS symptoms worse, because having excess fat causes the body to produce even more insulin

HORMONE IMBALANCE:

Many women with PCOS are found to have an imbalance in certain hormones that includes increase estrogen, decrease FSH , decrease progesterone , increase LH  ,increase testosterone , low levels of SHBG, raised levels of prolactin

The exact reason is why these hormonal changes occur is not known .It’s been suggested that problem may start in the ovary itself , in other glands that produce these hormones or in the part of the brain that controls their production . The changes may also be caused by the resistance to insulin

GENETICS:

Sometimes PCOS runs in families.

DIAGNOSIS

  1. From symptoms

  2. Hormonal evaluation

  3. Ultrasound scan

  4. Blood test to screen for diabetes and cholesterol

TREATMENT:

PCOS can’t be cured but the symptoms can be managed

LIFE STYLE CHANGES:

In overweight women by losing excess weight by exercise and healthy balanced diet

MEDICATION:

For irregular periods contraceptive pills to induce regular periods or induce period every 3-4 mnths to reduce long term risk of developing endometrial cancer

FERTILITY PROBLEMS:

Short course of ovulation induction medication .If no response then IVF

METFORMIN:

For insulin resistance

Post Surgery Care Tips

MBBS, FIAGES, MS - General Surgery
General Surgeon, Ahmedabad
Post Surgery Care Tips

You probably think many more things can go wrong during a surgery as compared to after a surgery. However, you are wrong. The chances of infection after a surgery are very high and it used to be the highest cause of unsuccessful surgery in the past before it was known just how deadly an infection is.

A doctor, however, cannot monitor everything afterwards. Therefore, it is crucial you know and take care after the surgery. Here are some ways in which you can do so:

1. Keep it dry

It is crucial that you keep the incision dry for whatever period of time the doctor tells you to keep it dry as otherwise the chances of infection increase dramatically. Some of the things you should do to keep it dry is to not take a bath, scrub the incisions or put lotions on it. In fact, you should also not expose it to sunlight.

2. Keep the incisions

You must trust your doctor as the doctor is trained and usually knows better than you. Therefore, if the doctor tells you to keep the incisions then keep them. Do not scrub, rub or put powder on them either.

3. Check for signs of infection

This may be the easiest thing to do as there are many symptoms of an infection. These include a change in the color, size, or odor of the incision, fever, redness, hardening or heating of the surrounding area or in extreme cases more bleeding and pain than usual.

4. Changing a dressing

This is a major cause of infections among surgery patients and the only way to prevent it is to follow the doctor's instructions to a tee. Once again, trust your doctor and remember to wash your hands and put on medical gloves. Do not put alcohol, iodine or hydrogen peroxide either.

Benefits Of Turmeric Consumption!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certificate Course in Panchkarna
Ayurveda, Amritsar
Benefits Of Turmeric Consumption!

Turmeric or Haldi is one of the main spices in an Indian kitchen. Not just India but in the Middle East and Southeast Asia, turmeric has been a favored spice for thousands of years. Ayurveda has long espoused the benefits of turmeric and that is one of the reasons why many Indian home remedies tend to have this spice in them. Some of the reasons why turmeric is considered an ultimate spice are mentioned below:

1. Has very effective anti-inflammatory powers - For any kind of inflammation-related pain, turmeric is known to be very effective. Be it muscle pains or skin related problems, turmeric used with other mixtures have often been applied to the affected areas. Turmeric in the diet also has similar anti-inflammatory effects.

2. Prevention of cancer - Turmeric contains the enzyme curcumin, which blocks the growth of cancer cells, especially head and neck cancer varieties. It stops the spread of malignant cells within the mouth when chewed and if used in a controlled manner within one's diet, prevents the growth of malignant cells in the first place.

3. It has antioxidant properties - Studies have shown that turmeric in the diet as well as curcumin, the primary enzyme within this spice, are very effective in detoxifying the system. It is especially good in cleansing free radicals that may contribute to various cancers such as skin, colon or prostate cancer.

4. Pain relief in arthritis and osteoarthritis - Connected to the anti-inflammatory properties mentioned above, turmeric is known to be very effective in relieving arthritic pain. It is even known to have worked as a pain reliever in the case of osteoarthritis when it was used as an extract.

5. Prevention of plaque buildup and thus lowering chances of heart disease - Plaque is the sediment that may buildup within the arteries and thus results in its clogging. This is the single largest cause of heart attacks. The enzyme within turmeric, curcumin, is an effective agent in cleaning the arteries and thus preventing heart diseases.

6. Aids digestions and resolves many digestive problems - In small amounts, turmeric in the raw form is very good for the digestive system as it stimulates the production of bile. Research has shown that people who suffer from IBS or irritable bowel syndrome may also benefit from the use of this spice. Apart from this, even gas or bloating and an upset stomach can be cured by ingesting small amounts of turmeric.

Dialysis - How Vital Is It?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Dialysis - How Vital Is It?

Located right under the rib cage, kidneys are a very important organ of the body. They are not only responsible for purifying your blood from wastes and excess fluid but are also involved in maintaining electrolyte balance, regulating blood pressure and producing red blood cell in the body.

In many cases, due to some medical condition, one or both kidneys may stop functioning properly. If not treated in time, it may lead to complete kidney failure and if the kidneys fail completely, dialysis or transplant may be the only treatment options available.

Dialysis is a treatment in which the blood is filtered and purified artificially using machines. This process is beneficial for those whose kidneys are not able to do their job properly.

Need for dialysis

A functioning kidney prevents the accumulation of excess water, impurities, and wastes inside the body. They also work to maintain the blood pressure level and control the presence of certain chemicals like sodium and potassium.

When the kidneys fail to perform these critical functions, maybe because of some disease or injury, dialysis helps to keep up the healthy functioning of the body as much as possible. As without dialysis all the wastes and fluids will accumulate and poison the body, resulting even in death. However, it must be kept in mind that dialysis is not a cure for kidney diseases; it is just an alternative to their functions.

Types of dialysis
Dialysis is an artificial process of purifying your blood using machines. There are two types of dialysis:

Hemodialysis
This is one of the most common types of dialysis, where an artificial kidney, known as a hemodialyzer, is used to remove waste and chemicals from the blood. The doctor surgically creates vascular access into the blood vessels allowing the artificial kidney to perform.

Peritoneal Dialysis
This is a surgical procedure, where a catheter is implanted in the belly area. The treatment involves a special fluid called dialysate which is flowed into the abdomen to clean the blood. Once the blood is cleaned, the fluid is drained from the abdomen. The benefit of this treatment is that you can perform it in your home, without going to a hospital.

Risks in Dialysis
Even though either of these two treatment procedures is life-saving and there is hardly any alternative, these two can also come with risks. The risks include peritonitis, abdominal muscle weakening, high blood sugar level, weight gain, low blood pressure anemia, muscle cramping, insomnia, itching, depression, increased potassium level and pericarditis. If you experience any of these symptoms of the risks involved, then immediately consult your doctor and explain in details.

A patient who is going through dialysis for a long time also has a chance of succumbing to the medical condition called amyloidosis. When the amyloid proteins, which are produced in bone marrow, collects in kidneys, hearts, liver and other organs, amyloidosis occurs. This results in joint pain, stiffness and even swelling.

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