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Dr. Rajalakshmi V.rao

Gynaecologist, Bangalore

250 at clinic
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Dr. Rajalakshmi V.rao Gynaecologist, Bangalore
250 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Rajalakshmi V.rao
Dr. Rajalakshmi V.rao is an experienced Gynaecologist in Banashankari, Bangalore. She is currently associated with Radhakrishna Multispeciality Hospital(Gastroenterologist) in Banashankari, Bangalore. Book an appointment online with Dr. Rajalakshmi V.rao on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 28 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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Radhakrishna Multispeciality Hospital(Gastroenterologist)

#3\4, Sunrise Towers, JP Road, Giri Nagar, Banashankari 3rd Stage. Landmark: Opp. Canara BankBangalore Get Directions
250 at clinic
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How much months or years should I breastfeed my baby, he is now 1. 5 yrs. Till now he takes my milk only twice in 24 hrs. Or thrice. I want to loose my weight, tab garcinia is given to me, so in such a little amount of breastfeeding to my baby, am I passing side-effects to baby. Or no need to take garcinia for weight loss.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
How much months or years should I breastfeed my baby, he is now 1. 5 yrs.
Till now he takes my milk only twice in 24 ...
Only 6 months of exclusive breast feeding is advised. Beyond that it's not mandatory. As it's already been 18 months you may stop feeding the baby gradually.
3 people found this helpful
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I am 30yrs old.My H.PYLORI TEST IS +VE, for which i took pylori kit for ten days.Still im feeling giddiness,trembling in body,headache n sometimes mild stomach ache.Please advice what should i do next?

Bachelor of Ayurveda, Medicine & Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra For Piles, Pilonidal, Sinus & Fistula Management, Post Graduate Diploma In Hospital Administration (PGDHA), Certificate In Diabetes Update
Ayurveda, Navi Mumbai
Hi, Gud morning, Great n really amazing very few females do complete the HP kit, i know well how it takes. Well, i can guess when stomach is such upset how ur heart would be fine as u might also know way to heart is from stomach, now have Lot of warm Buttermilk, Pine apple juice, Pomegranate juice, Apply couple of drops coco oil at ur chest, (Centre part) of palms, Foot,Talu, (Upper most part of Head) n Umbilicus
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My sister's age is 34 years and she is pregnant (45 days) for the First time. Please suggest the diet to be taken I. E what kind of food should she eat and how much?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
My sister's age is 34 years and she is pregnant (45 days) for the First time. Please suggest the diet to be taken I. ...
At 45 days, no extra diet is necessary. She should continue as before, consume home food of her choice and keep the content balanced. The requirement at this stage is very minimal. Take milk, curd, eggs, fresh fruits, mixed dals, salads and fresh juices.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

Please provide the answer in brief. I am very scared. This was happened on January 10th. I haven't inserted my penis in the vagina but my girlfriend is saying that It had just touched. As per my sense I haven't released any liquid from my penis. Will sperm go inside if it is just touched as I haven't inserted my penis inside? 1.is there any chance of pregnancy? 2. Will the sperm travel inside to vagina. Is there any chance? 3. Her period date was in December 23rd. Is there any risk of pregnancy 4.i am very scared and how to check whether she is pregnant or not. In which hospitals pregnancy test will be done as I don't want to test in home. 5.what is cost of pregnancy test in hospital? 6. Do we need any permission for the pregnancy test? She is unmarried and we can't tell this in home. Please help us. I am very scared and I am unable to sleep due to the tension? Please kindly answer all my questions as I am very much scared and waiting for your response. Kindly please respond.

MBBS, DGO, DNB, CIMP, Fellowship In Minimal Access Surgery, Diploma In Minimal Access Surgery, Fellowship In ART
Gynaecologist, Chennai
Please provide the answer in brief. I am very scared. This was happened on January 10th. I haven't inserted my penis ...
Hi! The chance of pregnancy is almost nil in this scenario. I don't think you need to worry about it. Wait for her regular cycle to come. Ony if she misses her period we need to do the pregnancy test which can be done at home or at at any hospital. Though I really feel it will not be required.
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Am depressed as because my weight is 64. And am pregnant so doctor advised me to less weight how could I please send an immediate tip.

MBBS DGO PGDCC
Gynaecologist, Belgaum
Am depressed as because my weight is 64. And am pregnant so doctor advised me to less weight how could I please send ...
Even depression increases weight gain. You can't do anything during pregnancy. After delivery can plan accordingly. Now enjoy your parenthood.
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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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I am 26 year old suffering from pcos. My periods are irregular. Its being one year i'm taking medicine to get my periods. I am scared that it will effect my sex life.

BHMS
Homeopath,
I am 26 year old suffering from pcos. My periods are irregular. Its being one year i'm taking medicine to get my peri...
You can take homoeopathic medicines. You will get satisfied with these medicines without any side effects. Please send me all the details of your complaint.
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Medication In Fistula In Ano

B.A.M.S
Ayurveda, Gorakhpur
Medication In Fistula In Ano

I want to discuss on anal fistula medication. If there is a patient of fistula asks you to recommend some medication please tell him clearly that there is no any medication needed other than Kshar Sutra ligation in fistulous tract. No need of any medicine after ligation before or after because if you give any medicine like antibiotics or even homoeopathic medicine if not consulted properly it will bock the track of fistula and it will cause worsening of fistula because it will make more tracs in fistula.

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