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Dr. Manjula

Gynaecologist, Bangalore

Dr. Manjula Gynaecologist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Manjula
Dr. Manjula is a trusted Gynaecologist in Chamarajpet, Bangalore. You can visit her at St mary Hospital in Chamarajpet, Bangalore. Book an appointment online with Dr. Manjula and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 25 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.

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Treatment of Treatment of Breast Cancer

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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

Prescription for years of vaginal yeast infection, and no medicine taken before this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Take vanga bhasma 20gms, Shatavar 50gms, Kukutandatatwak bhasma 20gms mix all and make 60 pudia, take one in morning and another in evening after meal with rice rinsed water.
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My periods is not coming in this month, every month on 25th date come but this time not please suggest me what can I do?

MD - Alternate Medicine, BHMS
Homeopath, Surat
My periods is not coming in this month, every month on 25th date come but this time not please suggest me what can I do?
Take Ashoka Q 10 drops in one glass water daily for 1 week. It will be alright. Still if you have any queries, please let me know. Take care. :)
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Cough Hygiene

C.S.C, D.C.H, M.B.B.S
General Physician,
Cough Hygiene
When you cough or sneeze, you tend to expel out respiratory waste, which can be droplets (larger than 5 microns) or airborne droplets less than 5 microns; both have different implications.
Droplets remain suspended in the air only for a limited period and exposure of less than 3 feet is usually required for human to human transmission of droplet–borne respiratory organisms. In flu, this can be upto 6 feet. The examples of droplet infections are patients with meningitis, influenza, rubella (German measles) etc.
No precautions need to be taken by a person, who is at a distance of 6–10 feet away from the patient. But, if a person is sitting or working even at a distance of 3–6 feet, the non–coughing person should wear simple mask.
In contrast, airborne droplet nuclei, which carry respiratory secretions smaller than 5 microns can remain suspended in the air for extended period and can cause infections to people who are standing even more than 10 feet away. The example of airborne droplet nuclei infections are TB, measles, chickenpox and SARS.
Patients with these diseases need to be placed in an isolation room. And, all those people who are looking after these patients must use a safe N95 mask.
In normal house with open windows, there is a constant exchange of air, which prevents spread of infections but in rooms with air conditioners (ACs) with no air exchange, infections can spread from one person to another.
When sitting in an air conditioned atmosphere, the setting of the AC should be such that the same air is not circulated and fresh air is allowed to exchange. Split ACs, therefore, are more dangerous than the window ACs.
In an office with split AC, if one employee is suffering from any of the droplet nuclei disease, he/she can transmit infection to others. Therefore, patients with confirmed TB, measles, chickenpox and SARS should not be allowed to work in offices with split ACs.
1 person found this helpful

Hi sir/ madam, my name is sagar my blood group is AB+ and my wife blood is B- any issues during the pregnant.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi sir/ madam, my name is sagar my blood group is AB+ and my wife blood is B- any issues during the pregnant.
There will not be any issue in first pregnancy. Immediately after delivery you have to check the baby's blood type and if it is positive then your wife should get Anti D injection so that in next pregnancy if the baby is again positive it will not affected. In case first baby is negative type then no issue for the second one and no need for injection.
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I am 24 years old female married 2 years back, checked with gynae she have done all the tests (blood, ssg sonogram, folicular study). I have no problem even my husband also having no problem (sperm analysis, duplex scan). But I didn't conceive yet. Please advice.

Advanced Aesthetics
Ayurveda, Gulbarga
I am 24 years old female married 2 years back, checked with gynae she have done all the tests (blood, ssg sonogram, f...
If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You? re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Any querries consult privetly.
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Hello Sir Myself Nadeem. My Age Is Eighteen. At my Face Many Pimples And Black Spots. How can I Remove It. I am taking Barbarious Aquarium Homoeopathic Tonic as Doctors Decision. Help me.

BHMS PGCGO
Homeopath, Hubli-Dharwad
Hello Sir Myself Nadeem. My Age Is Eighteen. At my Face Many Pimples And Black Spots. How can I Remove It. I am takin...
first don't take much tension about your pimples it's age related hormonal affect and any pimple treatment will take sex month to get treated. so have patience. wash face apply neem face pack daily. avoid picking
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I have elergie from steel when I wear steel strip bra what should I do please tell me.

DHMS (Hons.)
Homeopath, Patna
I have elergie from steel when I wear steel strip bra what should I do please tell me.
Take, homoeo medicine. @ ferrum met 30-6 pills, thrice a day. @ five phos 6x-4 tabs, thrice a day take, plenty of water, avoid, junk food, dust, smoke scorching sun. Take, apples, carrots, milk, cheese, almonds, spinach, take, care.
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After mensuration how many days person have sex with his wife with out any without using any pills or condom so that wife could not be pregnant.

DGO, MBBS
Gynaecologist, Meerut
That depend on her menstural history her cycle regular or irregular, how many days it last. It is 28 days cycle or more or less.
10 people found this helpful
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Health Benefits of Drinking water Early Morning

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Health Benefits of Drinking water Early Morning

1.Water purifies Colon making it easy to absorb nutrients from food that we eat during the day
2.Water acts as a good Antioxidant ,thus helping in Glowing,soft and supple skin by removing toxins from blood
3.Water helps in weight reduction by boosting metabolism by almost 25 %
4.Water helps in balancing body fluids by balancing your Lymphatic system

7 people found this helpful

After unprotected sex after period on 15.10.2016 she no pill take and test is negative and next period date is 11.11.2016 and again unprotected sex on 12.11.2016 ,she no pill take and test is again negative but not come period. What are medicine take for normal period.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
After unprotected sex after period on 15.10.2016 she no pill take and test is negative and next period date is 11.11....
Hello, Get a serum beta hcg test to rule out pregnancy and then if negative then you may opt for a withdrawal bleed with progesterones.
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I am 32 yr. My period cycle was 4th March. I had unprotected sex in evening of 24 March. I have taken i-pill on 26 March in evening. Again I had unprotected sex on 28 March evening. Can I get pregnant in that case? If yes than how I can avoid that as my son is very small so wanted to avoid. Pl reply.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am 32 yr. My period cycle was 4th March. I had unprotected sex in evening of 24 March. I have taken i-pill on 26 Ma...
You had first exposure on 20th day. In normal 28 days cycle, the egg ruptures on 14th day and can result in pregnancy till the 17th day. So if you were in a regular cycle your chance for pregnancy would be low. But quite often egg ruptures can get delayed, and this usually results in accidental pregnancy. The i-pill best works if taken within 12 hours and effect lasts for next 4-5 days. You were very much covered by safety period provided by i-pill, but unfortunately the drug has 20-30% failure rate. If pregnancy happens in spite of i-pill, you have to wait at least 7 days delayed period before you can test for pregnancy. In future it would be safer to use a regular pill.
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I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 31, married for 5 years. Planning for kids from next month. My question - Can I take HPV vaccine after having kids.
Yes you can take, only that it is of less use in late age and more advantageous to young even before they become sexually active. If you are taking vaccination then plan next pregnancy after you finish second dose.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

My period mistake some times. I am worried about it. Any kind of information about it.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
My period mistake some times. I am worried about it. Any kind of information about it.
Medicine German reckeweg natrum mur 200, single dose (4-5 drops in mouth) morning. buy medicine from good homoeopathic shop. food mixed fruit juice daily evening. please continue treatment.
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Lump discovered please help Hi, I have never had a lump in my breast before I'm 24 years old and I'm worried. The lump is on the same side as where I had an abscess removed recently. It's red and inflamed on the outside and tender to touch. Wondering what it could be, thanks x.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If the lump is red and tender it is most likely breast abscess. Abscess needs to be immediately drained. If they r occurring again and again, means you need to get sugar tested.
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Hi doctor ,Actually my wife is pregnant now. And she want abort it. So it's there is pills to abortion.

MBBS, MD - Obstetrics & Gynaecology -
Gynaecologist, Gurgaon
U hv to get ultrasound done before pills. Go to a gynae for prescription. If ure in delhi ncr , u cn consult me
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