Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Ashadeep Chandrareddy
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Ashadeep ChandrareddyYour feedback matters!
2 weeks ago I had unprotected oral sex with a girl. I need to have test for Gonorrhoea. Can someone please suggest me what test should I go for. I checked with Lal path lab and they have PCR test and other Gonococcus Test. Please also advice which doctor should I consult.
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 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.
I married recently I want to put my penis into my wife mouth but she is not accepting it what to do now till she accept.
Me and my wife had sex. But we don't want child now. We should sex twice in a week. But we don't want pregnancy. When should we have to sex. And which day is better to sex to avoid pregnancy.
Hi Doctor, Me and my girl friend had protected sex on Nov 4th midnight. We did for 5 times and I used condoms all the times. Her last menstrual start date was Oct 12th. Now she didn't get her periods yet. We are scared about this. We did a home pregnancy test and it came as negative. Also her period cycle was proper till last month and it never got delayed. Pls suggest what to do. We are really scared to meet a doctor in person. Not sure how they will treat us.
My GF is very offensive during her periods. She irritates and argue with me for no reason in those days. please helps me.
I'm 4th month pregnant. I didn't sleep well. All the time I usually get lot of thinking's about others. How can I get well sleep. Is this effect to my baby also. please Give suggestions.
My wife is pregnant so we want to watch a movie so, Is it safe to watch movie in theatre in 7 th week, means to say 18 days ago we come to know that she is pregnant. So is it safe sitting continuously for 3 hours.
PCOS or polycystic ovarian syndrome is a hormonal disorder that is very common among women, in their reproductive age. It is the condition in which cysts are formed in the ovary of the affected woman and/or the levels of the male hormone called androgen increases in her body.
- As a result of these, she faces a variety of symptoms like late or no periods, heavy menstrual bleeding, the growth of facial hair, unintended weight gain, acne and pain in the pelvic region. It is also associated with problems related to conception and pregnancy in more complex conditions.
- While the complete cure of PCOS is a time-consuming process since it demands thorough observation regarding the change of symptoms in the patient over a period of time; and the course of treatment follows these observations.
- Although PCOS and its symptoms can be treated using conventional drugs, use of homeopathic medications is better to treat this condition for the following reasons.
Treatment addressing the root-cause
Using homeopathy for PCOS is a good idea because it offers permanent treatment for the condition. Homeopathy treats and cures the root cause of the condition rather than focussing on the external factors that cause the disease. Therefore, the treatment offered by homeopathy is more reliable. For example, the medicines prescribed for an interrupted period is different from the medicines prescribed for profuse bleeding.
No side effects
Homeopathic treatment is based on the belief that the human body was meant to remain disease free always. So it never tries to make use of drugs that can disturb the body's ability to function naturally. All that homeopathic medications do is to restore the vitality of the body so that it can find its way out of the disease all by itself. This kind of a treatment ensures that there are no side-effects whatsoever of homeopathic medicines.
In case you have a concern or query you can always consult an expert & get answers to your questions!