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Dr. Shashikala

Gynaecologist, Bangalore

Dr. Shashikala Gynaecologist, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Shashikala
Dr. Shashikala is one of the best Gynaecologists in Nagarbhavi, Bangalore. She is currently practising at Star Ortho & Shashi Fertility Center in Nagarbhavi, Bangalore. Save your time and book an appointment online with Dr. Shashikala on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 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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Chronic Obstructive Pulmonary Disease - Symptoms and Treatment

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Chronic Obstructive Pulmonary Disease - Symptoms and Treatment

The lungs are made of tubes through, which air passes in and out for exchange of gases, taking in alveoli. It is a disease of alveoli to which finer air conducting tubes are attached. Over a period of time, with age and exposure to various agents, these tubules get obstructed. The amount of air that can pass through these is reduced, leading to reduced oxygen supply to the lungs and thereby the various body organs.

Symptoms
The symptoms of COPD can be easily understood if we realize how COPD is caused. The progressive blockage of the air tubes causes less oxygen to reach the tissues, which is the most essential agent for all tissues and organs to function. Reduced supply produces a generalized limitation in physical activity. There are two main components to COPD - chronic bronchitis and emphysema. The symptoms indicative of COPD are as follows:

  1. Chronic cough: Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
  2. Mucus buildup: There is constant buildup of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
  3. Fatigue associated with limited activity: As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
  4. Shortness of breath: The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
  5. Wheezing: Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.

Rarely, Frequent respiratory infections, more frequent flu attacks, swelling of the feet and ankles, cardiovascular disease, weight loss, and morning headaches.

Treatment
While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:

  1. Bronchodilators: Dilate the air tubes and ease flow of air
  2. Corticosteroids: Help reduce inflammation and thereby improve airflow through the tubes
  3. Flu vaccination: Helps curb the frequent flu attacks
  4. Antibiotics: To contain infections
  5. Pulmonary rehabilitation: A combination of breathing exercise and patient education to improve lung function.
  6. Oxygen therapy: In very severe cases, oxygen may be required.
  7. Lifestyle changes: Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential.

Knowing that you have COPD is the first step towards managing COPD, which can be managed effectively.

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My wife is pregnant for one month as she missed her first period and as indicated by prega news kit but we do not want a baby right now .we want it to be aborted at home by the most easy and safe method.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Please visit gynaecologist. Abortion can be done on opd basis but your wife needs to be examined by doctor.
2 people found this helpful
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I am 34 9 week pregnant but I have some vaginal discharge brown. Now I am in total best rest. Can you please suggest what I have to do during this week to avoid this discharge.

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Hi Lybrate user, you need to consult your doctor immediately for examination becoz discharge n can be due to cervical dilatation, there will be risk of preterm delivery.
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Last period mere 21 Dec ko aaye the n uske baad no period abi tak,vaise b. Koi bhi date fix nai hai kabhi bhi ajte hain pregnancy test kiya to neg. Hai plus kuch din pehle vagina me see smell or pani bahut ata tha uski med li thi or med ka name tha forcan 150 mg but fir se start ho gaya hai please koi med suggest kardo period ki coz mere cramp bahut padte hai period ke time and yes last year se notice kar rahi mere period ke days kam hote ja rahe hai.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Last period mere 21 Dec ko aaye the n uske baad no period abi tak,vaise b. Koi bhi date fix nai hai kabhi bhi ajte ha...
Hello lybrate-user aap ko properly ayurvedic treatment lena padega for your problem. There are many medicines in ayurveda like prataplankeshwar ras. Pradari ras. Raktsrav rodhak. Punarnavadi mandoor.
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We all know that pregnancy woman does not get periods during pregnancy? But some woman have all nine periods during their pregnancy, why?whats the reason of having al 9 periods in pregnancy? Its common or rare?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
We all know that pregnancy woman does not get periods during pregnancy? But some woman have all nine periods during t...
Hello, She may have a low lying placenta or placenta previa which may bleed whenever post intercourse, there may be injury or placental separation. Or there may be cervical erosions and untreated cervicitis which can cause darkish brown bleed throughout pregnancy unrelated to pregnancy.
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Kis samay sex karne per wife pregnant hogi? period k pahle, period k samay ya period k baad aur kitne din ka samay rahta hai?

MBBS
General Physician, Faridabad
Kis samay sex karne per wife pregnant hogi? period k pahle, period k samay ya period k baad aur kitne din ka samay ra...
Fourteenth day, start of period, maximum chance, but it can be any time, it depends on ovulation time period.
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Hi Doctor I have a problem that my Breast is sagging it may be because of exercise or wrong sleeping position or not taking proper nutrition. Would you advice me what should I do my age is 26 years .advice me something naturally helpful I don't Wana go for surgery?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi Doctor I have a problem that my Breast is sagging it may be because of exercise or wrong sleeping position or not ...
Hello, Please breast firming exercises like push-ups, shoulder presses, pullovers and bench presses.
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I did workouts for my weight loss for about a month and a half and lost 5 kg and saw a slight change in my body but now this month and the coming month I will not be able to any workout as I'm starting with my examination period but then also I fear that I'll gain all the weight back that I had lost so please suggest me some tips to lose weight without workout.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
I did workouts for my weight loss for about a month and a half and lost 5 kg and saw a slight change in my body but n...
Just drink warm water continuosly as it will take away unwanted hunger or thirst and as well maintain BMI.
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Dear doctor, In first time sex really blood flows? Is it compulsory of flowing of blood. And if the blood flows then for how many days it will stay?

BHMS, MD - Homeopathy, MD Homoeopathic
Homeopath, Pune
Yes it is because of rupture of hymen. Spotting of blood pass during first time of sexual intercourse in case of virgin women. It only present during intercourse a small amount of blood loss due to rupture.
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I'm 36 year old mai 2nd baby chahti hu hum 5 saal se try kar rahe hai par conceive nhi ho rha doctor saare test karva chuke hai bus unhone last test h s g karne ko bola hai kya us test k baad mai conceive kar paogi please btaye.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I'm 36 year old mai 2nd baby chahti hu hum 5 saal se try kar rahe hai par conceive nhi ho rha doctor saare test karva...
Hsg is a diagnostic procedure, is an important test of female fertility potential. This test shows whether the fallopian tubes are open or blocked and whether a blockage is at the junction of the tube and uterus (proximal) or at the other end of the tube (distal). Also the uterine cavity is evaluated for the presence of congenital uterine anomalies, polyps, fibroid tumors or uterine scar tissue.
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Hello doc. In 28 year unmarried girl. Nd pcod ki problem h. Muje 3 mnth se periods nhi aa rhe please koi mdcn suggest kro. Periods k liye.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
Hello doc.
In 28 year unmarried girl.
Nd pcod ki problem h.
Muje 3 mnth se periods nhi aa rhe please koi mdcn suggest...
Need further information for suggesting better options. As of now for regulation of your periods, best is to take oral pills used for contraception for regulation of your periods, fulfuling the hormonal needs of the body and gives withdrawal bleeding after 25 - 27 days. Repeat the cycles for 3 months and allow the uterus to go into natural cycles so wait for some time and see. Basing onthe out come further advise is given. Good luck.
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I am 19. My vagina is itching a lot. Especially during night times. Sometimes Burning sensation is also there. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello, you can start following ayurvrdic treatment. Tab chandra prabha vati 1 tab thrice a day before meals, tab. Gandhak rasayana 1 tab thrice a day, for vajinal wash use trifla powder and make a decoction with two cups of water and one spoon of trifala and boil to make it one cup, than after sometime wash the vagina with lukewarm trifla decoction. You will get relief within few days.
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Hello doctor im 8 months pregnant. I have genital diabetic. Suggest some diet plan for diabetes. Can I eat sabudana khichadi at breakfast? Which fruit and vegetables good for diabetes?

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Hello doctor im 8 months pregnant. I have genital diabetic. Suggest some diet plan for diabetes. Can I eat sabudana k...
Here is a sample Indian Diet Plan for Gestational Diabetes. Please note that the plan was made keeping an average Indian pregnant lady in mind. If you have any additional medical issues, it will be best to consult your personal dietitian or doctor before starting to follow our Indian Diet Plan for Gestational Diabetes. FOOD ITEMCALORIE (KCAL)PROTEIN (GMS) NUTRIFACT Early Morning:(7.00 Am) Kesar and cardamom + cinnamon flavored Milk (1 glass)1504Milk Is the best way to start your day, It will cool the acid rush down, and the nutrients in milk will be are absorbed better on empty stomach.(add 1-2 threads of kesar, and 1 pinch cardamom + cinnamon powder) Whole Wheat Rusks (2 pieces)502Dry Carbs in the Morning helps in relieving Morning Sickness Soaked Almonds (6 pieces)504It is a good souce of protein and omega 3 acids Breakfast (9.00 Am) Besan/ Mung dal chilla with chopped Palak and grated carrots – (2 medium sized)20012This low carb, high protein dish helps you control sugar rush in the mornings. Carrots and spinach help in providing fiber, keeps you away from skin and digestion problem during pregnancy, and cuts on the risk of baby developing jaundice at birth. Curd1 Soup Bowl (1 Soup Bowl)754curd Provides calcium, protein, Vit A and D very beneficial during pregnancy, And helps you enhance your mood during downs. OREgg Omlette (2 No.)16010Eggs are easy to make and best sources of proteins that helps in baby’s growth. Toasted Brown Bread (2 slices)1003Dry carbs Helps in relieving Morning sickness ORVegetable oats upama (1 soup bowl)2503Multi nutrients from veggies and good fiber to tackle constipation 11.00 Am Apple /Guava / Pomegranate (1 medium size)40–These fruits help in maintaining hydration and Ph balance in increasing blood volume. 12.00 Pm Coconut water / Lemonade (1 glass)30–It Benefits in constipation, sluggish digestion, heart burn and urinary tract infections during pregnancy LUNCH (1.30 Pm) Quinoa / Brown rice pulav with veggies (carrots, beans, capsicum, onions etc )- 1.5 soup bowl3506– Dal tadka / Fish curry (1 soup bowl)1506Fish helps in obtaining nutrients like pufa and mufa and good quality protein for development of the baby. Sliced cucumber (1 medium)40–Benefits of cucumber sliced tomatoes (2 medium size)40–Anti oxidant lycopene helps in taking care of metabolic wastes. (2.15 pm )Post Lunch walk (15 mins) This will help in better digestion and the pp sugar levels will decrease. 2.30 Pm Buttermilk (1 glass)401Helps in hydration and heart burn 4.30 Pm Tea (1 cup) / Milk502(use the masala mentioned below this diet plan, to make it healthy) Wheat and methi Khakara (2 medium) 1203Methi will help you with slow rise in sugar levels while whole wheat will ensure complex carb availability. 6.00 Pm 2 Table spoon – Museli / wheat flakes / oats bite (avoid the sugar coated cereals) 1205Museli is a wholesome food in itself and provides with all vital nutrients. It satisfies hunger and raises your sugar levels slowly, avoiding the sugar spikes in the blood. 1 bowl milk752Its iron content helps in increasing heamoglobin with increasing blood volume. 1 /2 apple with the peel20–Peel will help in keeping the fiber intact. Evening walks (15 mins) This helps in over all control in the blood sugar levels. 7.30 Pm Vegetable soup / Chicken soup (1 soup bowl)1252—– DINNER (8.00 Pm) Multi-grain roti with ghee (1 tsp )(2 medium size)2004These are easy to digest and do not burden the system. Helps in maintaining the BSL Palak paneer veg (1 bowl, home made)1504Good combination of protein and iron for baby’s growth. Spinach is rich in folic acid and iron and helps in maintaining healthy pregnancy. Koshimbir / salad (1 bowl)502Fiber helps in better digestion (9.15 pm )Post dinner walk (15 mins) This will help in better digestion and will lower the fasting blood sugar levels. 10.00 Pm Milk (1 glass)1504Along with good nutrition, a glass of warm milk at bedtime helps in getting a good night sleep. Soaked Almonds (6 pieces)504It is a good source of protein and omega 3 acids TOTAL232571.
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My gf want to have sex with me without protection it is safe or not please help mee.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
My gf want to have sex with me without protection it is safe or not please help mee.
Hello, It is not recommended if she is not on regular oc pills or is not planning to use emergency contraception post sex as there are high chances of pregnancy if she would be in her fertile period.
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Hi I'm 25 years old married having pcod n trying to conceive. I had period 2 months ago n I had 2 preg tests are negative. Doc suggest me deviry tablet 5 days to get period but after 8 days no period. Can this tablet cause pregnancy? Im I pregnant? What's the reason.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Hi I'm 25 years old married having pcod n trying to conceive. I had period 2 months ago n I had 2 preg tests are nega...
Hi lybrate-user. It can take up to 14 days to get periods after Deviry. So don't worry, and wait for some time. Deviry does not cause pregnancy.
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Is there anal sex is safe? We both enjoy to do it It should be done with condom? Should I use coconut oil?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
It's not harmful. If you enjoying then it's good. You can also do with condom. For relaxation you can use some lubricant oil.
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When I went for sonography on 22nd dec, doctor said the expected date for delivery id 16th jan. On 12th of jan I felt pain in lower back & vagina and frequent urination was there. When I went for checkup Dr. said cervix in only 1 cm dilated. Since then I just have a severe backache. I dnt feel any severe pain near vagina as of earlier. How will I come to know that I am in active stage of labour? Is every thing normal? This is my first time to become mom.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
When I went for sonography on 22nd dec, doctor said the expected date for delivery id 16th jan. On 12th of jan I felt...
The labour pains are very typical. They start from the back and come into lower part of abdomen and vagina. You may have leaking of fluid or bleeding per vaginum associated with pain. This means that you are in labour. The pains tend to increase in frequency and intensity with passage of time. Your time can come anytime. All the best.
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Eating fruit and veg can boost your FERTILITY

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Eating fruit and veg can boost your FERTILITY

The study found couples struggling to conceive eat less fruit and vegetables than people who have just become parents.
Men who want to become fathers should eat their greens
Fruit and vegetables are good for male fertility because they contain compounds that could protect sperm from damage.
The minerals zinc, found in beans and pulses, and selenium, found in eggs, help keep testosterone levels high.
The antioxidants found in fruits help protect sperm from cellular damage and keep them strong and speedy - just what they need to race through the fallopian tubes and fertilize the egg.

Zinc deficiency can actually reduce testosterone levels; for men with low testosterone - zinc was shown to raise testosterone and increase fertility. Zinc deficiencies are some of the most common deficiencies found in both men and women. Sources of zinc are sesame seeds, raw pumpkin seeds, and green peas. Find vitamin a - which is important in preventing sluggish sperm - infertility foods such as leafy greens, carrots, red peppers, and apricots, to name a few. Get vitamin c - which is critical to sperms motility and viability - in papaya, Brussels sprouts, strawberries, oranges, kiwifruit, tomatoes, grapefruit, and broccoli, among other foods. And get vitamin e - which helps keep sperm vital - from vegetable oils. Fruits and veggies such as leafy greens, beans, and most fruits contain folic acid - a b vitamin with antioxidant properties that's crucial for keeping sperm free of chromosomal abnormalities. Pomegranate juice: another powerful player in antioxidant. Foods rich in l-carnitine are nuts, seeds, and many vegetables, including artichokes, asparagus, beet greens, broccoli, brussels sprouts, collard greens, garlic, mustard greens, okra, and parsley. This amino acid is a necessary nutrient for sperm cells to function normally.

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Hello, it's been 40 days but still there's no sign of periods. I din have sex as I am still a virgin but my boyfriends penis touched my vagina but it was just for pleasure he dint insert it inside the vagina and even he is a virgin what might be the reason behind it? He wasn't using a condom. Can someone help me? I am in deep trouble and very much tensed.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello, it's been 40 days but still there's no sign of periods. I din have sex as I am still a virgin but my boyfriend...
Hello- There is nothing to worry. It needs a proper vaginal insertion and ejaculation to make a girl pregnant. Certain factors like stress, physical exertion, constipation, previous illness or fever can delay menses in a virgin female, so wait for some time, take figs with milk at bed time, your periods will commence within seven days time.
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