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Dr. Govinda Prakash A

Gynaecologist, Bangalore

300 at clinic
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Dr. Govinda Prakash A Gynaecologist, Bangalore
300 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Govinda Prakash A
Dr. Govinda Prakash A is an experienced Gynaecologist in Vijayanagar, Bangalore. He is currently practising at Shamala Clinic in Vijayanagar, Bangalore. Book an appointment online with Dr. Govinda Prakash A and consult privately on Lybrate.com.

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Shamala Clinic

# 3331, 3rd Cross, 6th Main, Hampi Nagar, VijayanagarBangalore Get Directions
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Growth Hormone Deficiency - How Best to Treat it?

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Growth Hormone Deficiency - How Best to Treat it?

The body produces a number of chemicals called hormones which are essential for the regulation of various functions including growth and metabolism. These hormones are produced by endocrine glands which are located in various parts of the body. One such important gland is the pituitary gland which produces the important growth hormone. This is essential for regulating optimal growth during the growing years and for maintaining proper amounts of body fat, muscles, and bones in the later years of life.

Causes: Deficiency of the growth hormones can occur due to a number of causes, some of which are listed below. It can be congenital (present at birth) or acquired later in life.
The congenital issue could be due to problem in the pituitary gland structure, leading to complete absence or reduced secretion of the hormone.
With age, there is a decrease in the amount of secretion. However, infections, injuries, brain tumors, surgery and radiation can also lead to altered amounts of secretion.

Symptoms: While growth hormone deficiency can occur at any age, symptoms differ depending on the age when the deficiency sets in.
In the early ages:

  • Lower rate of growth for a given age
  • Delayed developmental milestones
  • Delayed onset of puberty
  • Short stature/reduced height
  • Younger looking compared to other children their age
  • Fat deposition around the waist
  • Delayed dental development

When the deficiency sets in during the later years, there is

  • Low energy levels, constant tiredness
  • Decreased strength
  • Decreased exercise tolerance
  • Decreased overall muscle mass
  • Thin and dry skin
  • Increased fat deposition and weight gain around the waist
  • Changes in social behavior including alternate cycles of anxiety and depression
  • Lack of motivation
  • History of pituitary tumors
  • High levels of fat and cholesterol

 

The diagnosis depends on the age of the person

  • Blood tests are carried out to check the hormone levels in circulation
  • In children, in addition to the hormone levels, x-rays to see the status of growth plates is very helpful.
  • An insulin hypoglycemia test where insulin is given intravenously to see the levels of the growth hormone after 30 minutes.
  • Total cholesterol levels, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglyceride levels can be used to supplement the above tests.
  • CT scan and/or MRI of the brain may be needed if tumors are suspected.

Treatment: Once diagnosed, replacement therapy is given as shots a few times a week under the skin. This restores normal growth and helps in controlling the symptoms in adults too.
In cases of tumor, radiation or surgery may be required, but most cases are managed with hormone replacement.
Watch out for the symptoms if your child has delayed developmental milestones and early intervention can help restore growth and function to normal levels.

 

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

2846 people found this helpful

I was 4 weeks n five days pregnant wen I discovered that it ws ectopic pregnancy. I had 2 undergo laparotomy 2 remove the foetus, n there ws sum mass tissues in left ovaries wch have been send 4 testing. It's been 19 days nw after the surgery, I had taken rest 4 abt a week. Nw I have lower bak pain in left side. It's nt v severe BT feel uncomfortable due 2 pain. Cn you time the reason 4 the pain. Cn you give advise.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
I was 4 weeks n five days pregnant wen I discovered that it ws ectopic pregnancy. I had 2 undergo laparotomy 2 remove...
After an operation, people often get aches and pains in places they did not expect to. The back, neck, hips and legs can all be very sore. The staff in the operating theatre take great care of you when you are asleep and try to move you in to the positions they need you to be in very gently. However, because your muscles are very relaxed as a result of the anaesthetic, sometimes muscles can ache for several days after your surgery. Take it easy, take the pain relief you were given in hospital (or over the counter pain relief according to correct dosages) and your aches should resolve over a few days. You might also find it helpful to keep a pain diary over the next few days recording the intensity of any discomfort you are feeling on a scale of 1-10. You could note down particular times that you are in pain (such as after being out or in the evenings) and whether any pain relief helps. If after a week or so, you are still in pain, I would suggest speaking with your doctor with the pain diary and as much information you could provide him/her. I hope that this helps and look after yourself.
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On which days I can have sex without condoms or pills. My periods came after 30 days and past was on 5 jan.

MBBS, D.P.H
General Physician, Gurgaon
Madam lybrate-user good evening safe period is that when no ovulation takes place. This period is 5 days after period and 7 days before the next period provided you have 3 regular cycle of 26 to 31 days.
2 people found this helpful
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Will eating many oranges leads to pregnancy miscarriage or bleeding? Please advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Will eating many oranges leads to pregnancy miscarriage or bleeding? Please advise.
Oranges are healthy natural fruit, has no side effect on the pregnancy. You can eat as many oranges, it can not cause bleeding or miscarriage.
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I'm 5mnth pregnant. Now a days my excretion is not well. 7 days may occur to go excretion. What can I will do. Pls help me.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I'm 5mnth pregnant. Now a days my excretion is not well. 7 days may occur to go excretion. What can I will do. Pls he...
Drink lots of water, take fibre rich diet and stay physically active. Get your self examined and go for necessary antinatal blood tests and Ultrasound for the foetal well being and your own status on Haemoglobin etc.
1 person found this helpful
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IGot my period last month on 19th but it didn't come in the flow it was more like blood spots showed it to the doctor she asked for a pregnancy test which I iget it done and report was negative she suggested me to wait. Now m worried as I haven't started chumming yet. What should iIdo o.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
IGot my period last month on 19th but it didn't come in the flow it was more like blood spots showed it to the doctor...
Hello, If pregnancy test is negative then you can wait for at least 2 weeks post missed periods to allow your menses to return. If they still don't, then you may opt for a progesterone withdrawal.
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I am 24 yrs old female and pregnant my legs are gets swelling how to reduce them.

D.G.O
Gynaecologist, Faridabad
I am 24 yrs old female and pregnant my legs are gets swelling how to reduce them.
In pregnancy because of gravid uterus there is lot of selling in lower lib. To avoid swelling lying down in left lateral position, leg elevation, avoid prolonged standing and walking.
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Kegel Exercise or Pelvic Floor Muscle Strengthening Exercises

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Kegel Exercise or Pelvic Floor Muscle Strengthening Exercises

Rehabilitation of the pelvic floor:
Muscles: rehabilitation was done using the Tanzberger exercises, given by german Physical therapist, renate tanzberger. The Participant was made to sit on a swiss ball (approx. 68-70cm in diameter), with the hip And the knee flexed to 90o and the feet Properly placed on the ground. The Participants were explained in detail about The pfm. The landmarks were explained by Making them sit on a firm surface (chair) And by making them feel for the contraction And relaxation of the gluteal, anal and the Vaginal muscles. 

1. Exercise: Rolling the ball Forward: The participant was asked To roll the ball forward towards the Knee without lifting off the feet and Keeping the lumbar spine erect. While rolling, contraction of the Pfm was to be done and while Returning, relaxation.
2. Exercise 2-back to back sitting: The Participant and the therapist sat on The swiss ball back to back. The Participant was asked to pull the ball Towards the knees which do not Move and this activity was restricted Or slowed down by the therapist who Tried to pull the ball in opposite Direction. This brings about the Isometric contraction of the pelvic Floor muscles.  The participant was asked to contract the Pelvic floor muscles (50 contractions for Each exercise) while exhaling and relax While inhaling. Treatment was given for 4 Weeks, 3 sessions per week. Each session Continued for about 20-30 minutes Depending upon the fatigue level of each Individual subject with sufficient rest break In between each exercise.

4 people found this helpful

Hello Sir/madam, I want to do sex with my girlfriend without condom. So How can I prevent pregnancy? Her last menstrual periods date is 8, August.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Patna
Hello Sir/madam, I want to do sex with my girlfriend without condom. So How can I prevent pregnancy? Her last menstru...
You can do sex safely only for 2-3 days before menses or just after menses. But for prevention of sexually transmitted disease, you should use condom.
11 people found this helpful
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I am 30 weeks pregnant. My uein test shows pus cel 25-30. No fever or burning sensation though. Please advice wat to do next and will this have any effect of baby.

MBBS
Sexologist, Panchkula
I am 30 weeks pregnant. My uein test shows pus cel 25-30. No fever or burning sensation though. Please advice wat to ...
Take 8 to 10 glasses of water daily to flush out the infection. It has no effect on baby if there is no burning or fever.
1 person found this helpful
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I'm new married and don't want child for a year so mujhey kya karna chahiye ki 1 saal tak me pregnant na ho jaon. Mein medicine bhi nahi lena chahti.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm new married and don't want child for a year so mujhey kya karna chahiye ki 1 saal tak me pregnant na ho jaon. Mei...
Hello, in that case you should practice barrier contraception for prevention or can opt for an implant.
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My spouse age is 41 years. She is healthy non-diabetic and non-bp. From past 4 months she is getting her periods 5 to 6 days later. Unfortunately this month even after 12 days she is not getting her periods. She does not have stomach pain or any other problem. Kindly suggest the medicine.

BHMS
Homeopath, Ludhiana
My spouse age is 41 years. She is healthy non-diabetic and non-bp. From past 4 months she is getting her periods 5 to...
Hello.... She is moving towards menopause.. May be because of this her periods affect.... Do not worry...... Wait for few days...... If still no periods then consult a doctor or you can consult me also........ Tell her to take calcium supplements....... Good luck......
2 people found this helpful
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I took pills twice in a week last month after 2 days of my period. I have not got my periods this month. Is there a chance I can be pregnant?

D.N.B, D.G.O, M.B.B.S
Gynaecologist, Delhi
I took pills twice in a week last month after 2 days of my period. I have not got my periods this month. Is there a c...
In an event of missed periods chances of pregnancy are always there. Please do a urine pregnancy test done.
3 people found this helpful
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HELLO DOctor one of friend have a problem like she having sex with their boyfriend many times , he forget to use condom sometimes. That time she's eating medicine to stop medicine and she eat more then 5 times. I just want to ask its harmful or not for her.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
HELLO DOctor one of friend have a problem like she having sex with their boyfriend many times  , he forget to use con...
If your friend is taking I pill many times, it is very wrong because I pill is a strong hormone and has side effects. It is a medicine to provide emergency contraceptive and is not to be used as a routine contraceptive. It has to be taken only once within 72 hours of unprotected intercourse (and not many times). Tell her to be careful and not misuse it. Good luck.
4 people found this helpful
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Hii, I have sex with my girlfriend without condom on 19 th april 2017 then in 48 hours I have given ipill to her. And on that day she started her period. After 10 days I again had sex on 01 may 2017 then also I had given her ipill in 2 days but till now its 5 june she did not have period. I am worried what could be the reason for this is she pregnant or what. I have given ipill on time then its about 1 month she did not have period kindly help me.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Hii, I have sex with my girlfriend without condom on 19 th april 2017 then in 48 hours I have given ipill to her. And...
Kindly use condom for regular use as contraceptive. Ipill has high failure rate and it may be harmful for body if taken in large amounts. Kindly get urine pregnancy test if she misses her periods.
1 person found this helpful
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When me n my husband do sex After intercourse completed all the cum (white liquid) automatically came out from my vagina We are trying for a baby from last 3 month but not able to conceive pregnancy We following 10 to 22 day pregnancy period But not getting pregnancy.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
When me n my husband do sex After intercourse completed all the cum (white liquid) automatically came out from my vag...
Please stop trying for pregnancy that makes sexual relationships mechanical. At this stage the age is on your side, why are you not enjoying sexual relationship's pleasure and joy with your husband. I suggest you to calm down and enjoy the most beautiful period of life 'preconception' for a couple to understand each other and bring harmony in relationship and enjoy sexual joy and orgasms. When a couple is in relationship and sexual harmony, it leads to increased release in beautiful cocktail of hormones which increase the likelihood of Conception for pregnancy. Quality relationship is basic foundation for quality childbirth. So stop counting and start enjoying the sexual relationships and let the pregnancy come on its on. If you still have any issues then connect an expert either me or anyone, online or in person. All the best.
2 people found this helpful
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Facts on lymphoma
Lymphomas are tumours that grow in lymph system which is part of immune system.
Lymphoma is the most common type of blood cancer diagnosed in adults and third among common diagnosed in children it can be treated with chemotherapy and lymphoma involving the brain may be treated with radiation therapy.
30 people found this helpful

I was with a guy and the condom was left inside and I didn't release until later. There's no contraception pills available in Poland without prescription and tomorrow's Sunday so I can't get any. How to make sure I don't get pregnant?

MBBS
General Physician,
I was with a guy and the condom was left inside and I didn't release until later. There's no contraception pills avai...
though a condom is left inside if the condom is intact there are less chances of seamen has entered in. but if you are not sure emergency contraceptive pills are the only cure. but if you are in the safe period of your cycle you will not need any tablets
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I am 18 years old I had my periods on 15 jan and last month I had sex with my boyfriend and now I m felling like vomiting headache dizziness am I pregnant m really worried.

MD. DGO.DSP
Gynaecologist, Mumbai
I am 18 years old I had my periods on 15 jan and last month I had sex with my boyfriend and now I m felling like vomi...
You will know only if you have missed your period please do pregnancy test if you don't get period till 18 feb.
1 person found this helpful
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