Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 43 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.
Book Clinic Appointment
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
I am trying for a baby but it's not working. And I also have a problem in time period. Can you please help?
Good morning doctor I am 26 yr old working girl wt 47 ht 5'2" my periods are regular but the amount of blood is so little have only 2 day please suggests me. My thyroid test is normal.
Recently my mother has witnessed, near her thigh & knees area, thin pink veins, very prominent. Kindly suggest something, if it's a reason to worry?
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:
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
Malformation of nose
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
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
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
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 firstname.lastname@example.org or comment below to let me know how your ears fared this time.
One of my inner labia is noticeably bigger than the other. I am a virgin. I am not sexually active. I have noticed it when I was 13 years old. Doctor Please tell me its normal or not? I am so worried. Please help.
25 yr old lady p1 l1developed DVT while on low dose OCpills to regularise cycles&for contraception.She is a case of PCOD , conceived first child with CC.She is on ecospirin150mg od now.She has continuous bleeding now since one month after 3 month amenorreoa.Her cyccles before 1st childbirth were also like this.She also 1 iud with severe PIH in 1st pregnancy.She could be acase of APLAB syn.Suggest investigation& drugs/methods to control bleed&also for contraception
What are the side effects of a birth control pill? And what if it is taken in confusion while the women is not pregnant?
I am suffering from hypothyroidism and my menstrual cycle is becoming weak every month it gets over in 2 days please help me.
I am 32 years old unmarried girl. I am worried about my pregnancy life. I have read that giving birth after 30 age can be difficult for mother and child. Is it true?
My Friend had sex in May after which she got her period's regularly in june july august but in September she got her periods with very less blood almost null after some days she got her periods again in sept. Now frm last 2,3 days she's having pain in stomach whats the reason is she pregnant or any other thing.
Hi, I am 5 weeks pregnant from the last two days I have lite bleeding which is continuous and dark brown in colours with lite clots I didn't have any severe pain is this a bad sign of miscarriage? r any problem need advice.
Hello Doctor, I am married for six month. After marriage all of sudden my periods started coming late like 2 or more then 2 months later. I consulted with a doctor now my periods are on time and my period date is 26 but last month I had intercourse on these dates 5,6,7,8,9,10 and I was expecting to be get pregnant but result was negative. I just want to know is there any problem in me. I'm so scared and one more thing that me and my husband doesn't live together due to our job.
I 38m my wife 33 we had 2 baby 14&5 we lost our 14 years son by an accident. My wife already Lydgated 5 years ago. Can she pregnant again?
What you eat has a direct effect on your skin; eat healthy and your skin looks healthy, eat unhealthy food and your skin looks dull. Eating right can even fight signs of aging thus, negating the need for procedures like Botox. Not only does it cost less, but healthy food boosts your overall health as well.
Here are 6 such foods that can help you fight signs of aging and give you a flawless complexion.
Turmeric: Turmeric is well known for its yellow colour and anti-inflammatory properties. Many home remedies suggest the use of turmeric for a number of health ailments including skin conditions. Turmeric can fight signs of aging by reducing inflammation and oxidation. This, in turn, helps the skin heal faster. This spice can be added to your food or mixed with warm milk to benefit from it.
Tomatoes: Tomatoes are rich sources of vitamin C and lycopene. Vitamin C helps stimulate the production of collagen and hence keeps the skin firm while lycopene protects the skin against harmful UV radiation. As a general rule of thumb, the deeper red the tomato is, the better it is.
Berries: Berries such as blueberries and raspberries are excellent sources of Vitamin E and antioxidants that fight against the effects of pollution and rids the body of free radicals and other toxins that cause premature aging. These berries also have anthocyanins that boost the effects of vitamin C
Honey: Honey can be eaten or applied topically on the skin to benefit from it. Honey helps keep the body hydrated by absorbing moisture and preventing the skin from drying out. It also has antibacterial properties that prevent acne and other breakouts. Ideally, honey should be used and consumed in its raw, unprocessed form.
Nuts: Nuts are a great snack that keeps your skin looking young and fresh. Almonds are excellent sources of vitamin E that help fight acne, psoriasis and eczema among other skin ailments. Walnuts are rich in Omega-3 fatty acids that keep the skin soft and supple. Brazil nuts are also rich sources of vitamin E. However, keep in mind the high calorific value of these nuts and do not overindulge in them.
Avocados: Avocados are filled with essential fatty acids that moisturize and nourish skin. They are also rich in Vitamin B, C and E. While vitamin C boosts collagen production, vitamin E maintains the elasticity of skin and prevents sagging. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Is it normal to have a period cycle of 22 days. Thyroid is ok. What else can be reason? also having this period cycle can have any adverse affect on health?
We all know that the homeopathic system of medicine is side effect free, so apparently there is no harm if these medicines are not consumed in an appropriate manner. But the only issue of concern here is that the medicines would be less effective if you are not consuming them in the right manner. So here are a few tips that you necessarily need to keep in mind while following a homeopathic medicine course.
1. Never touch the medicines
Ideally you should never touch the homeopathic medicines with your bare hands, fingers or palm. This is because touching them reduces their potency, thereby declining their efficiency. Additionally, never use printed papers which contain ink like pages torn from a book, newspapers, etc. For handling homeopathic medicine. This is because the ink may react with the medicines, thereby hampering its efficiency. Always use bottle caps or plain papers provided along with the medicines.
2. Follow the thirty minute rule
This particular rule states that you should not ideally consume any food half an hour before and half an hour after consuming the homeopathic medicine dosage. This is done so that any other elements present inside the food do not react with the medicines, hence making them less effective.
3. Stay away from addictive substances
Addictive behaviors such as smoking or chewing tobacco, drinking alcohol and doing drugs are considered to have a nullifying effect on the homeopathic medications that you are exposed to. Thus it is desirable not to engage in such acts, till the time your homeopathic medications continues.
4. Strong smelling edibles
You can have garlic and onion with homeopathic medicine, but make sure there is a gap of one hour before you consume them, either before or after. The strong smelling edibles will not hamper the medicinal effect, if taken 1 hour before or after the medicine.
Hi doctor, I am currently 15 weeks pregnant. We had scan at 13 weeks and things are normal. I have 3 issues now, 1. Since night I'm having severe knee and leg pain, have applied pain relief gels but no use. 2. From this weeks start I'm facing severe constipation that the skin in anal passage is paining much while trying to poop. 3. For the last 2 days I caught cold and my nose is blocked all the time which disturbs sleep. It would be better if some simple home remedies given. In another 2 weeks my next scan is scheduled. Also I am not feeling any baby movements quite frustrated.
Ginger lemon honey tea is the best homemade recipe to burn belly fat.
To make it you will need:
-4 cups of water
-1 peeled and sliced ginger
-1 tablespoon of honey
Start by boiling the 4 cups of water with the ginger for 10 minutes. After it is done, remove it from the heat and add the lemon juice. Mix them and add 1 tablespoon of honey. And you have your ginger lemon honey tea. Drinking one cup of this tea in the morning is enough but if you want to have faster and better results have 2-3 cups a day.
Ginger has the thermogenic capacity so it will raise your body temperature and as a result of that, it will stimulate the fat burning process in your body. Also, ginger is very good for cortisol production. Cortisol is a steroid hormone which is very important to the maintenance of homeostasis. And because it is regulating many of the changes that occur in the body in response to stress people are calling it 'the stress hormone'