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Dr. Ritoo Bhalla

Gynaecologist, Bangalore

Dr. Ritoo Bhalla Gynaecologist, Bangalore
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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. Ritoo Bhalla
Dr. Ritoo Bhalla is a renowned Gynaecologist in Cambridge Layout, Bangalore. You can meet Dr. Ritoo Bhalla personally at Ritoo's clinic in Cambridge Layout, Bangalore. Book an appointment online with Dr. Ritoo Bhalla on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 27 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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No.129/7,Golden Jubilee, AgaramBangalore Get Directions
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Palliative Care for Cancer Patients

MD - Ayurveda
Ayurveda
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With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.

The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.

Aspects of palliative care: once the disease is identified to be in terminal stages, then the following become considerations-
1. Stay at home or hospital
2. Withdraw chemotherapy and radiation?
3. Withdraw feeding tube
4. Spiritual discussions
5. Reduce anxiety
6. Good quality time with the family
7. Reduce pain and suffering
As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering.

Physical: pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.

Social: depression, anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.

Legal: there could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.

Spiritual: looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better" why did this happen to me" is a question most people keep asking and while there is no answer, some solace can be provided through talks.

It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.
Palliative Care for Cancer Patients
3283 people found this helpful

Health Benefits Of Ragi

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist
Ask Free Question
Health benefits of Ragi:

Maintains bone health:

Ragi is the richest source of calcium among plant foods. Calcium along with vitamin d help strengthen bones. It is an excellent source of natural calcium for children and aging people. It helps in the development of bones in growing children and in the maintenance of bone health in adults. Thus, ragi helps keep bone problems at bay and could reduce the risk of fractures as well.

Aids weight loss:

Ragi contains an amino acid, tryptophan which reduces appetite. It has a much higher amount of dietary fiber compared to white rice and other grains. It is also a low-fat cereal and most of the fats are in the unsaturated form. This makes it the best choice in grains for people trying to lose weight. The bulkiness of the fibers and the slower digestion rate makes one feel fuller on fewer calories and therefore helps prevent excess caloric consumption.

Lowers high cholesterol levels:

Ragi contains amino acids lecithin and methionine which help bring down cholesterol levels by eliminating excess fat from the liver. Finger millet also contains the amino acid threonine which hinders fat formation in the liver and helps bring down the cholesterol levels. The high fiber content of ragi also helps manage cholesterol problems.

Help in anemia:

Ragi is an excellent plant source of natural iron. Its consumption helps in anemia. Vitamin c increases iron absorption. Sprouted ragi develops vitamin c in the process of sprouting, therefore, the iron in ragi becomes more bioavailable when consumed as sprouted ragi flour or ragi malt.

Reduces diabetes risk:

Due to the high polyphenol and dietary fiber content in finger millet, regular consumption is known to reduce the risk of diabetes mellitus and gastrointestinal tract disorders. According to a research finger millet based diets help diabetics as they contain higher amounts of fiber over other cereals and millets. Diets based on whole finger millet have a lower glycemic response i. E. Lower ability to increase blood sugar level. This has been attributed to the presence of certain factors in ragi flour which lower digestibility and absorption of starch.

Ragi - best food for diabetic

Helps in relaxation: one amazing benefit of ragi is that it helps in relaxing the body naturally. It is found to be beneficial in conditions of anxiety, depression, migraine and insomnia.

Source of essential amino acids:

Ragi is rich in amino acids vital for the body. Finger millet contains amino acids namely tryptophan, threonine, valine, isoleucine, and methionoine. Isoleucine helps in muscle repair, blood formation, bone formation and improves skin health. Valine is an essential amino acid which facilitates metabolism and repair of body tissues. Another essential amino acid, not found in most cereals, is methionine. It is found in ragi and therefore makes it a complete protein food, unlike other cereals and millets. The amino acid methionine is useful in various body processes, helps in eliminating fat from the body, and is the main provider of sulfur in the body. Sulfur is essential for the production of glutathione which is the body's natural and most important antioxidant.

Ragi food preparations

Finger millet is normally consumed in the form of flour-based foods such as roti (unleavened pancake), mudde (stiff porridge/dumpling) and ambli (thin porridge). Ragi can be used to make porridge, upma, cakes, and biscuits. Ragi flour is used to make various Indian preparations like dosas, idlis, and ladoos.

'puttu' is a traditional breakfast of Kerala, usually made with rice powder together with coconut and steamed in a cylindrical steamer. The same preparation is also made with ragi powder, which makes it more nutritious

Multigrain flour preparation by combining wheat and finger millet in the ratio of 7: 3 (wheat: finger millet) is one of the simplest ways of incorporating ragi in the daily diet as no Indian meal is complete without the Indian style bread or roti. In the proposed blend, though the gluten content is reduced significantly, the making of chapatti is not much affected. However, the color turns a little dark. Fortification of finger millet in chapattis is very helpful in controlling glucose levels in diabetic patients efficiently.

Malted ragi grains are ground and consumed, mixed with milk, boiled water or yogurt. In southern parts of India, it is the recommended food, by doctors, for infants of six months and above because of its high nutritional content. Homemade ragi malt is one of the most popular infant foods till date.

Delicious ragi malt

Malting characteristics of finger millet are superior to other millets. On malting, the vitamin cis elaborated, phosphorus availability is increased, digestion is easier and amino acids are synthesized. In south India, the malted ragi flour is extensively used in the preparation of weaning foods, instant mixes and beverages.
Health Benefits Of Ragi
2 people found this helpful

Health Quote of the Week

Post Graduate Diploma In Nutrition And Dietetics, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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For good health's sake - run, jump and shake.
Health Quote of the Week

Hello Doctor, what are the symptoms of pregnancy? Please suggest.

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist
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Hello Doctor, what are the symptoms of pregnancy? Please suggest.
You miss your periods. There may be morning sickness/ vomiting/ reflux. Also feeling tired is common. In your first pregnancy you may notice breast discomfort and enlargement. Constipation and increased frequency of micturition are also common.
1 person found this helpful

We are couple, we had regular intercourse and not missed middle 6-10 days. My wife has to expect her period on march 23, 2016 because her last period was on Feb 23, 2016 and her period was not started and all of sudden on 7th day after missed period she had a bleeding and we are confused is it a period or other. We had hopes and almost confirmed that she is pregnant. Please answer.

MD - Obstetrtics & Gynaecology
Gynaecologist
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We are couple, we had regular intercourse and not missed middle 6-10 days. My wife has to expect her period on march ...
If the bleeding is like usual menstrual flow then it can not be pregnancy. If bleeding is less and in the form of spotting, it can be implantation bleeding of pregnancy. So as she missed her date by 7 days, please get urine pregnancy test done asap.
3 people found this helpful

I'm trying for the pregnancy. My cycle is about 32 to 36 days. I was really very hard to find the fertility period or ovulation period. Anyone reply me the evaluation days for me to have sex for getting pregnant?

DNB, DGO, MBBS
Gynaecologist
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I'm trying for the pregnancy. My cycle is about 32 to 36 days. I was really very hard to find the fertility period or...
Please have intercourse from day 16 to day 25 of your cycle. Count the first day of your period as day one and then calculate. Ovulation roughly occurs 14 days before the next period is due. Accordingly, these should your fertile days. You can also use ovulation kits that are available in the market.
1 person found this helpful

Ask Free Question
1) Early to bed (up to 10.30 pm) & early to get up (before 5.45 am).
2) You should get motion (natural call) immediately after you wake up.
3) You should get optimum evacuation of your bowel - once, in early morning. This is the proper period for motion.
5 people found this helpful

I'm Asu. Iam 21tears old and my weight is 50kgs height is 155cms. I don't have regular periods and miss periods 3months. How to get regular periods.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
Ask Free Question
I'm Asu. Iam 21tears old and my weight is 50kgs height is 155cms. I don't have regular periods and miss periods 3mont...
Check hormone levels by blood tests and get USG done. Then consult gynecologist to detect the cause and treat that cause

I'm having first periods after my medical abortion I'm feeling pain in knees and legs after abortion I also gained weight can you tell why this happening or it is due to calcium deficiency please tell me.

BPTh/BPT, BPT
Physiotherapist
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I'm having first periods after my medical abortion I'm feeling pain in knees and legs after abortion I also gained we...
Due to weight gain Stress on you both Knee and legs, Lack of stability on legs you got pain, Can go to the Gynecologist any abnormal changes or normal charge, she will check you Then go to the orthopaedic doctor, he will check your knee and legs, pain were is coming, how IT HAPPENED, THEN ONLY WE WILL GUIDE GOOD WAY

Mommy Makeover

MBBS, MS - General Surgery, M.Ch - Plastic Surgery, Fellowship in Aesthetic Surgery, MRCS
Cosmetic/Plastic Surgeon
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Bringing a child into this world is one of the most wonderful phases of a woman's life. At the same time, this involves a lot of body changes - physiologically, physically, chemically, and emotionally.
Mommy makeover refers to one or a combination of procedures that are done to alter the appearance after delivery, especially relating to one or more of the following:

  1. Tummy that is sagging (no fat, just loose skin) with stretch marks
  2. Breasts that are altered in size and shape, sometimes the enlargement could be completely disproportionate with the body and cause back pain
  3. Undefined thick waistline with irregular fat accumulation
  4. Fat deposits on the abdomen, thighs, hips, and trunk that do not reduce with dietary changes and exercise
  5. Skin changes on the face and around the eyes, giving an aged appearance
  6. Post cesarean, there is excessive skin around the surgical scar

Pros:

  1. Reduces tummy size
  2. Gives a more youthful appearance
  3. Alters breasts to the desired shape and size

Cons:

  1. Weight loss, if happens, could affect the results
  2. Subsequent pregnancies don't have any complications with tummy tuck but with another pregnancy the effects may be lessened or reversed.
  3. Since surgery is involved, the risk of unforeseen complications always exists (for instance, in breast implants, there is capsule formation or capsulitis, in rare cases rupture may require removal.)

Mommy makeover is not a single step procedure, but a combination of plastic surgical procedures that are done depending on the problem you present with.

  • Tummy tuck - If there is abdominal sagging, the tummy is tucked back into position by removing the fat and excessive skin and reworking on the belly button.
  • Liposuction - Excessive fat deposits in the hips, thighs, trunk area can be removed by sucking out the fat deposits. Most commonly done in the hips and trunk area.
  • Breast lift - Sagging uneven breasts, drooping nipples, reduced volume are all indications for a breast lift. During the surgery, the breast tissue is repositioned to reproduce a better shape and size and reposition the nipples if required.
  • Breast reduction - Large breasts are a common problem, and breast reduction is one of the most requested for procedures.
  • Breast augmentation - Either saline implants or silicone are used to restore breast size and shape to the desired results. Usually, breast lift is combined with breast augmentation.
  • Facial corrections - From dark circles to sagging skin to wrinkles, facial appearance can be changed based on the presenting symptoms.

These are very brief descriptions of the various procedures that are done as part of mummy makeover. A detailed consultation with your plastic surgeon regarding costs, subsequent pregnancies, aftercare, recovery, healing, and limitations and risks is to be had ahead of the surgery.

Mommy Makeover
1082 people found this helpful

Hi, I am 26 year old got married we are in planning of baby from last month I got bartholin cyst last friday its pain but not severe.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Hi, I am 26 year old got married we are in planning of baby from last month I got bartholin cyst last friday its pain...
You should take medicine for the cyst as it is infective, recurres again. Try conceiving during your fertile days of cycle regularly.

I am having burning and itching in vagina last few days. It increased after intercourse. Please advice.

MBBS
Sexologist
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You have burning and itching in vagina. I advise you to do urine routine test of first urine in the morning and watch for pus cells and send the report for diagnosis and treatment.
5 people found this helpful

Hello mujhe aisi tablet ka naam bata de jis se period time se phale ho jaye meri shadi h or usi din period ki date h please mujhe aisi medicine ka name bata de jis se mujhe period time se phale ho jaye plz.

MBBS
General Physician
Ask Free Question
Hello mujhe aisi tablet ka naam bata de jis se period time se phale ho jaye meri shadi h or usi din period ki date h ...
It's difficult to have withdrawal bleeding before the actual date and hence I will suggest you to take medicine oral contraceptives for few days for postponing the dates and to be given after clinical examination.
1 person found this helpful

I am 33 year old and I have a big and flappy tummy which is due to pregnancy. As my baby is 1 year old I want to reduce my tummy fat. So please help me with it.

Diploma in Nutrition
Dietitian/Nutritionist
Ask Free Question
Hello, hope you had a normal delivery of the baby. No problem it can be reduced eventually. Pls do exercise daily. Yoga, meditation also works. Don; t sit for long time. After eating go for a 10 mins walk, which helps you to maintain flat tummy. And eat before 2 hours of the sleep. Drink more water in a day. If you are a feeding mother still, I suggest take a good food at this moment then I will recommend some food supplements which full fill your diet. Add omega-3 and protein at the moment which is good for baby too
1 person found this helpful

Can we massage body with castor oil or mustard oil. If not which oil is good to massage.

DGO, MBBS
General Physician
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Can we massage body with castor oil or mustard oil. If not which oil is good to massage.
these oils are good if they suit your body. but olive oil and almond oil are better than any other oil

My wife delivered a male baby by surgery two months ago please suggest food habits for her what to not eat and what to eat .

cc USG, MBBS
General Physician
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My wife delivered a male baby by surgery two months ago please suggest food habits for her what to not eat and what t...
She can take normal home made food I am giving you a brief diet chart breakfast: never skip breakfast, I am giving you few option of food items you can take 2-3 toast + 1 bowl of milk with cereal or a bowl oats/porridge or parathas/upma/poha mid morning / snack: 1 fruit + yoghurt, you can make fruit raita + nuts or fruit juice lunch: 2-3 rotis + vegetables + 1 bowl pulses (dal) +add a bowl of yoghurt or paneer + 1 bowl of rice / paneer sandwich + salad evening snack: vegetable /sandwich can add cheese / night dinner: same as lunch can avoid rice.
1 person found this helpful

Reasons That Make IVF a Popular Procedure

Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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IVF or In Vitro Fertilization is a process wherein an egg is fertilized by a sperm in a laboratory dish to form the embryo (baby's first cell) which after growth in artificial medium in the lab is transferred into the uterus of women.

Reasons that make IVF a popular procedure:

1. Harvests multiple eggs: If you are planning to have more than one child, via IVF you can freeze multiple eggs for future use. Unused or spare embryos can be donated to medical organisations for research purposes or to another couple willing to have a child.IVF has proven successful in giving couples a wholesome and happy life.

2. High success rates: Women who underwent in vitro fertilisation using fresh embryos of their own fresh eggs, the projected live birth percentage was 32.2% for those under 35 years, 27.7% for women aged between 35 and 37 years, lowering to 5.0% in 43 to 44 year olds and 1.9% for ages above 45. It has been proved that a female's ability to conceive decreases with age. If infertility is detected at a younger age, the process of IVF is highly advantageous and successfully results in childbirth.

3. Proven track record: Technology has come a long way since the first baby via IVF Louise Brown was born in 1978 using a natural IVF. Medical techniques have advanced to create safer and successful treatment. The usage of the safest forms of IVF with low drug regimens today, have prevented side effects such as ovarian hyperstimulation syndrome (OHSS).
Reasons That Make IVF a Popular Procedure
4632 people found this helpful

Did You Know: Frozen Lemons Can Be This GOOD for Your health?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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The Many Benefits of Frozen Lemons
Apart from being a tasty drink, lemon has got countless health benefits too. Lemon is considered to be a great liver detoxifier. It helps in cleaning bowels and has the capability of destroying intestinal worms too. However, compared to the lemon juice, frozen lemons are much more beneficial for your body!

1. Lemon peel has 10 times more vitamins than the juice: Normally, we extract juice from lemon and take it with water and honey or as lemon juice by putting salt, sugar and black pepper. But taking the whole lemon including the peel is much more beneficial as it has 10 times more vitamins than the juice. The only way to eat the peel of the lemon is to freeze it, grate it and then sprinkle it on things like ice-cream, noodles, salad or soup. The peel also helps in getting rid of toxins.

2. It helps in removing cysts and cancer cells: Intake of frozen lemon helps in removing cancer cells too. Lemon extract is considered to be 10,000 times stronger than chemotherapeutic drug which slows down the growth of cancer. Likewise, it is of great help in treating cysts and tumors. The effect of lemon extract is remarkable in its treatment.

3. No bad effect on healthy cells: Although, lemon extract removes cells that cause cancer but the good thing is that it doesn’t affect healthy cells in any way. It is beneficial in treatment of 12 types of cancer including breast, prostate, pancreas, lung etc.

4. Intake of frozen lemon is a health rejuvenator: Eating peel of lemon is a great health rejuvenator as it helps in eradicating toxic elements in the body.

5. Lemon extract fights microbial infections: Lemon peel has the capability of treating urinary tract infections along with providing great help in respiratory problems and fighting bacterial infections and fungi in the body.

If you would like to consult with me privately, please click on 'Consult'.
Did You Know: Frozen Lemons Can Be This GOOD for Your health?
6521 people found this helpful

8 Foods that Restricts Your Libido

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist
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Your libido or is very important for having a passionate intimate life with your partner. An enhanced drive is required to have the ultimate experience in bed improving your overall physical experience. There are foods that boost your libido, enhancing your sexual urge. However, some foods are also responsible for restricting your libido, which may result in poor sexual drive and loss of longing to have sex.

Here some common food items from your everyday consumption list, which are responsible for restricting your libido.

1. Beans: Beans are usually praised as they are high in fiber and contain antioxidants. However, beans are not considered good for a sexual drive because of being glassy. Beans contain indigestible sugar, which causes gastric issues and lowers your libido.

2. Chocolate: Chocolate contains methylxanthines, which makes your skin more sensitive and aroused. However, in spite of acting as an enhancer, chocolate results in fatigue and causes tiredness. Due to fatigue, sexual performance is lowered.

3. Fried Food: Enjoying greasy fried foods like burgers and fries should be restricted if you want to have healthy sex. The trans-fat found in fried foods is known to cause a decrease in the male and female libido. The impact of devouring these trans, unsaturated fats results in irregular sperm production in men and meddles with gestation in women. French fries should be avoided before having sex.

4. Microwaved popcorn: Microwave popcorn can have severe effects on your libido. The chemicals present in the inner lining of the bags which contain these popcorns is said to cause a lowering of sex drive in men. The acids present such as perfluoroalkyl acids- PFOA and PFOS cause lowering of sperm count.

5. Red meat: Regular consumption of red meat makes you consume excessive growth hormone, fats and antibiotics. These decrease natural sperm production and production of testosterone. Loss of sexual drive is caused.

6. Potato chips: Potato chips contain trans-fats, which may cause oxidative body damage and disrupt normal hormone secretion. You are likely to gain weight, get tired easily and thus your overall libido will go down.

7. Cheese: Cheese is processed with antibiotics and growth hormones. This causes disorder in the natural production of estrogen, progesterone and testosterone. These are the primary sexual hormones, which are related to sex drive. Hence, consuming a lot of cheese is bad for your libido.

8. Soya bean: Soya beans can cause disruption and disorder in hormone levels because of the presence of phytoestrogen compounds in it. These compounds try to mimic estrogen and cause lessened energy and sex drive.

A decrease in your libido and sexual drive can be caused from the most common everyday foods that you consume. You should know which foods to avoid, if you want to have a healthy sexual life.
8 Foods that Restricts Your Libido
3574 people found this helpful

It has not been 20 weeks its just 18 weeks, please tell me how can I abort with medical pills. Please don't advice me to continue.

PGDMCH, MBA( CHA) , MBBS
General Physician
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Dear Lybrateuser, The time for Medical abortion has passed. Pl do not delay any further and consult Gynaecologist for Surgical intervention.
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