Doctors in Siddhi Vinayak Clinic
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I found the answers provided by the Dr. Neeraj Gupta to be sensible. Sir,Bina likhe check up krne wale mna kr denge
I found the answers provided by the Dr. Neeraj Gupta to be very helpful. Thank you very much.
Most women stay confused with the time of their ovulation. Couples who are sexually healthy and are in their 20s and 30s and are not using any birth control measures have 20% chances of getting pregnant. It is interesting to know that you have a high chance of getting pregnant at the time of ovulation. It is a small window period that comes each month. It is the time when your ovary produces ovum or egg and the egg is open for fertilisation. Even if you are having sex two or three days before ovulation, there is a high possibility of fertilisation. After ovulation is over, the window period gets shut for the next cycle. It is the safe period. Though doctors say that it cannot be considered 100% safe to have unprotected sex during this period, the chances of getting pregnant are considerably lower.
When does ovulation actually start?
It should be remembered that ovulation takes place at the middle of your menstrual cycle. It usually occurs halfway through the cycle. Commonly, the average time period of a cycle is 28 days. But, in some cases, women may have cycles as long as 23 to 35 days.
How will you know that you are ovulating?
- Check your calendar: It is a healthy habit to keep a menstrual calendar. You must maintain the dates for a few months. This will give you an idea as to when you actually ovulate.It is difficult to know the actual time of ovulation if you are having irregular periods.
- Carefully listen to your body: It is a common thing that your body spontaneously sends a memo to you before ovulation starts. You get cramps or feel pain in the lower abdomen before ovulation starts. This pain is called mittelschmerz. It is a reminder of the coming periods.
- Chart your body temperature: Well, you will need to keep a record of your basal body temperature. You can measure it after three to five hours of sleep. Your basal body temperature changes throughout the monthly ovulation cycle. Progesterone hormone is responsible for the increase in body temperature. In the first half of the month, the progesterone levels are low and hence the temperature remains low as compared to the second half of ovulation.
- You can go for saliva test: Your saliva contains the estrogen hormone. Its level changes throughout the cycle. You can also use an ovulation detector kit to know the dates.
- One can also track the timing when there is increase in vaginal discharge which starts just before the ovulation and is there for 24 to 48 hours. We can easily notice this as it is intermenstrual.
In case you have a concern or query you can always consult an expert & get answers to your questions!
It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems.
Know the causes
Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately.
What are the symptoms?
Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including:
- Fullness in the abdomen
- Low back pain
- Irregular menstruation
- Cramping with menstruation
- Painful sex
- Increased urgency to urinate
- Anemia, leading to tiredness and weakness
- Infertility Diagnosing the fibroids
When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.
Management of fibroids can range from doing nothing to periodic monitoring to surgical removal.
- If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation.
- Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply.
- The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation.
- In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant.
- Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.
In case you have a concern or query you can always consult an expert & get answers to your questions! In case you have a concern or query you can always consult an expert & get answers to your questions!
After carrying the baby for nine months and delivering it, the next big step for the mother is to learn to breastfeed. For a woman who has had her first delivery, this could be a thing that can scare her and put her at discomfort. In addition, some mothers can also experience physical pain, which is even more worrisome.
In the initial stages of breastfeeding, it is normal to have pain as the baby and the mother have not yet identified the correct method i.e. the mother in terms of holding the baby, while the baby in terms of latch correctly to get milk. However, in most cases, the mother detaches and repositions the baby. This often helps in relieving the pain and after some repetition of this exercise, both the mother and the baby would know the correct position.
Let down reflex, also called milk ejection reflex, is set off by hormone oxitocin which is released whenever your baby feeds, it stimulates muscle cells in your breast to squeeze milk and may cause pain. Oral thrush, which is a yeast infection, in baby's mouth, can cause sore nipples and pain. The baby’s oral features like a short mouth, short tongue, small chin, high palate, etc., can lead to improper suction and cause pain. However, this pain from suctioning will disappear within a couple of days. Another cause for breast pain could be engorgement. When the breasts are engorged, due to feeding after a long break, there is too much milk, which can cause pain as soon as the baby latches on. Pressing out some milk before the baby latches on can help reduce the pain. lmproper size of bra, too tight or too loose, can be a cause of breast pain.
Nipple pain, when exposed to cold weather, is another condition. This occurs due to constricted blood vessels and is known as Raynaud’s phenomenon. If required, pain medication can be taken, but this type of pain usually subsides.
Allergies such as poison ivy and eczema can also lead to nipple soreness. Even topical issues like use of creams, soaps and deodorants can cause soreness. These require no intervention and minute changes would usually suffice. It is important to remember that any medication taken can reach the baby during the breastfeeding and unless absolutely essential, it is best to avoid any medication for the mother. If a baby is being fed well after the 6th month of life, teething begins and this can be a cause for pain during breastfeeding.
In most cases, proper breastfeeding techniques usually take care of the issue. However, if there are other issues, for instance, the child’s oral features, they may require correction as they not only need to be addressed because of this problem, but also otherwise.
Using warm moist compresses is useful in soothing the pain. Empty the breast properly after feeding the baby. Try to avoid chemicals like Linolin, hydrogel, as far as possible, if applied to cracked nipples, clean it properly before feeding the baby. Applying freshly squeezed milk from the breast is another wonderful option, given its antibacterial properties. The warmth of wet tea bags may also give a soothing effect. Remember to avoid chemicals like lanolin or hydrogel, as this pain is a temporary issue and usually disappears over a period of time. In case you have a concern or query you can always consult an expert & get answers to your questions!
Sir I am having stone in ureter 7 mm .4 mm left kidney 5 mm right kidney. I went from lithotripsy 2 times over still not dissolve. Dr. has given tamsulin 0.4 mg with deflazacort 30 mg. How long I can take this and what is the solution?
The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.
The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.
- Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.
- Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.
- Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.
Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.
- A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina
- A small lump that can be felt and/or seen at the vaginal opening
- Feeling of incomplete emptying of the bladder and/or bowel
- Pain or bleeding from the vagina or the rectum
- Recurrent pelvic and/or urinary tract infections
- Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.
- In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences.
Sir I am suffering from frequent urine last week not pain even after drinking water. But CUE REPORT is normal. I am taking twice a daily CITAL UTI SYP also and NORLET 400 but still same problem is there.
I was told that my prostate gland was enlarged and pressing the urinary bladder. What's the cause of prostate gland enlargement. I am 59 year old and completing 60 by September. Please help me for conventional treatment. My weight is 80 kg And height 5.7.
The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.
With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.
Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.
What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.
Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain
What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.
- Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
- Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
- Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
- Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
- Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hard, crystalline deposits in the kidney which cause pain in the stomach are known as a kidney stones. The condition is common among people between the ages of 30 to 60. Made of various minerals and salts present in the urine, they stick conjunctly to form small pebbles which circulate in the kidney. Medically known as nephrolithiasis, kidney stones are also referred to as renal colic, in advanced stages, when they tend to cause severe pain.
Causes of kidney stones:
Kidney stones are essentially made of calcium, ammonia, uric acid and cysteine. Such superfluous products when present in the blood, occasionally form crystals that accumulate inside the kidneys. With time, those crystals form a hard pebble-like chunk which eventually lead to kidney stones.
Not drinking sufficient fluids is often attributed as a common cause for kidney stones. Yet oftentimes, certain medications that you may use also tend to increase the levels of unwanted substance in the urine. Once formed, the kidney stones pass through the urinary system (namely the bladder, kidneys and their tubules) where sometime they get stuck, consequently leading to the condition.
Some tiny stones go unsuspected and pass out painlessly during urination. But quite fairly, kidney stones obstruct a part of the urinary system which include:
Ureter: the tube which connects the kidney to the bladder
Urethra: the final tube from which the urine passes
Such obstructions can cause grievous pain in the groin and abdomen and at times, lead to UTI (urinary tract infection). Urinary tract infections affect the kidneys, tubes and the bladder and cause discomfort and pain. Also, a grievous data estimates that around half the people who experience kidney stones are likelier to face them again within the subsequent 5 years.
Most kidney stones are miniscule and they smoothly pass through your urine. Yet some become large and require medications at home. Even larger stones require ultrasound or laser energy to be shattered. Keyhole surgery (a minimally invasive surgery that is carried out with the help of an incision, very small in size and with the help of special techniques and instruments such as fibre optics) may be also opted for as an alternative treatment.