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Dr. Neelima Agrawal  - Gynaecologist, Bhopal

Dr. Neelima Agrawal

MBBS, DGO

Gynaecologist, Bhopal

29 Years Experience  ·  200 at clinic
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Dr. Neelima Agrawal MBBS, DGO Gynaecologist, Bhopal
29 Years Experience  ·  200 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Neelima Agrawal
Dr. Neelima Agrawal is a popular Gynaecologist in Arera Colony, Bhopal. She has been a practicing Gynaecologist for 27 years. She is a qualified MBBS, DGO. You can meet Dr. Neelima Agrawal personally at Agarwal Hospital in Arera Colony, Bhopal. Save your time and book an appointment online with Dr. Neelima Agrawal on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. You can find Gynaecologists online in Bhopal and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Bhopal University - 1989
DGO - Bhopal University - 1991
Languages spoken
English
Hindi

Location

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Agarwal Hospital

E-3/34, Arera Colony, Bhopal Get Directions
200 at clinic
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Spondyloarthritis

MD(Am)
General Physician, Secunderabad
Spondyloarthritis

Spondyloarthritis (also known as spondyloarthropathy) is the term which describes the connective tissue diseases. It is the group of inflammatory diseases, including arthritis of the peripheral joints and spine (sacroiliitis or spondylitis); including the area where ligaments and tendons attach to bones (enthesitis or enthesopathy). These diseases cause pain or stiffness in the leg or arm joints, spine, ligaments and tendons become inflamed. Skin rashes, eye, and intestinal problems may also be able to occur.

Epidemiology

  • Spondyloarthritis is a pathology that specifically strikes young people. The symptoms most frequently start before the age of 45. It affects more males than females.
  • Predisposition to spondyloarthritis, especially spa, is determined largely by genetic factors.
  • The incidence rate is higher in populations with a higher prevalence of hla-b27.
  • Psoriatic skin lesions and colitis due to inflammatory bowel disease (ibd) have been considered as both basic, subtype-defining entities with their own genetic background (distinct from hla-b27 genotype), and as manifestations of spondyloarthritis.
  • There is a strong need to diagnose patients with spa in an earlier stage; currently, there is a delay of 5–10 years between onset of the first symptoms and diagnosis.

Types

There are five types of spondyloarthritis

Ankylosing spondylitis or bechterew disease: it is the type of arthritis that affects the spine. Symptoms include pain and stiffness in the lower back and in the neck. Spine bones fuse together and it will become rigid spine and it leads to stoope over posture.

Psoriatic arthritis: psoriatic arthritis is the form of arthritis that affects the people who have psoriasis. Most people diagnosed with psoriasis and later diagnosed with psoriatic arthritis. It may affect any part of the body such as fingertips and spine. The main symptoms are joint pain, stiffness, and swelling.

Psoriatic arthritis

Reactive arthritis: it occurs due to the infection by certain bacteria. Often the bacteria’s from genitals (chlamydia trachomatis) or bowel (campylobacter, salmonella, shigella, and yersinia). It usually targets your knees and joints of ankles or feet.

Reactive arthritis

Undifferentiated arthritis: undifferentiated inflammatory arthritis does not conform to any of the recognized inflammatory arthritis types. It may include monoarthritis of a single joint; oligoarthritis, which is usually when four or fewer joints are involved; or polyarthritis, which usually involves many small joints.

Risk factors

Risk factors may be higher due to following reasons:

  • Family member having the gene which causes spondyloarthritis
  • Positive results for the hla-b27 gene
  • Recurring bacterial infection in your gut
  • Have other inflammatory conditions such as psoriasis or inflammatory bowel disease

Causes

  • The main cause is not known, but researchers pointed out that the hereditary genetics playing an important role in this disease. Since this disease occurs often in family members of patients who have spondyloarthritis.
  • Many genes cause it. Up to 30 genes have been found. But the major gene that causes spondyloarthritis is hla-b27.
  • Bacterial infections can also cause reactive spondyloarthritis known to be triggered by a bacteria chlamydia or food borne infections.

Symptoms and complications of spondyloarthritis

The first and major symptoms of all types of spondyloarthritis are severe low back pain, swelling of arms, stiffness, and fatigue. The different types of spondyloarthritis can be manifested by the following signs and symptoms.

  • Alternative or unilateral buttock pain
  • Arthritis in small joints
  • Arthritis in large joints such as knee joint, ankle joint and elbow joint (peripheral arthritis)
  • Numbness and tingling sensation in arms and legs
  • Spinal fusion may occur in ankylosing spondylitis
  • Inflammation at the interfaces between bone and tendon or ligament of limbs (enthesitis)
  • Inflammation of intestine, urinary tract and aortic heart valves. These can lead to spinal joints inflammation.
  • Inflammation of joints in pelvis and spine (sacroiliitis)
  • Enteropathic arthritis shows symptoms such as diarrhea and abdominal pain
  • Digestive problems
  • Skin disease like psoriasis
  • Osteoporosis
  • Redness of eye (iritis)
  • Swollen fingers and
  • Pain in the heels cause difficult to walk, stand even for small duration

Diagnosis and testing

First a doctor may ask for patient’s medical history, physical exam and may suspects for symptoms of spondyloarthritis. To confirm doctor may perform the following diagnosis and tests.

  • X-rays: x-ray images shows the change of the sacroiliac joints in the pelvis and fusion of spine. If these changes not observed, but symptoms shows spondyloarthritis doctor will suggest mri scan. Mri shows these changes more promptly than the x-ray.
  • Mri scans: it can show a very clear image of enthesitis and also the changes of sacroiliac joints.
  • Ct scans: ct also used for the imaging of bone joints.
  • Hla-b27: most patients with spondyloarthritis have hla-b27 gene, but some people don’t have this gene. So it is necessary to go for a hla-b27 test if the symptoms suspects spondyloarthritis.
  • Complete blood count (cbc): cbc can be useful to find the inflammation.
  • Musculoskeletal ultrasound scanning: ultrasound imaging uses sound waves to produce the images of inflammatory conditions of muscles, ligaments, and tendons.
  • Dual-energy x-ray absorptiometry (dexa) scans: used for measuring the bone mineral density usually the bones of the lower spine and hips. Bone loss is measured through this technique.

Treatment of spondyloarthritis.

  • There is no way to cure this disease condition, but there are treatments to counterparts the symptoms.
  • Nonsteroidal anti-inflammatory drugs: certain nsaid’s like naproxen, ibuprofen, meloxicam, or indomethacin are prescribed by doctors to relief from the pain due to symptoms.
  • Corticosteroid medication: inflammation around the tendons and in the joints can be overcome by taking some corticosteroid drugs. This helps to reduce the swelling in the joints.
  • Antibiotics: antibiotics can be used in the case of reactive spondyloarthritis in which bacteria cause the major problems.
  • Disease-modifying antirheumatic drugs (dmard’s): sulfasalazine (azulfidine) and methotrexate are the best dmard’s to be used for the joint damages in limbs affected by arthritis.
  • Tumor necrosis alpha (tnf-alpha) blockers: fda approved tnab are adalimumab (humira), adalimumab-atto (amjevita), a biosimilar to humira, certolizumab pegol (cimzia), etanercept (enbrel), etanercept-szzs (ereizi), a biosimilar to enbrel, golimumab (simponi), infliximab (remicade), infliximab-dyyb (inflectra), a biosimilar to remicade, and secukinimab (cosentyx). These are biosimilars used to treat arthritis in spine joints.
  • Surgery: patients with over inflammation of pelvis joints needs hip replacement. In the case of heavy damage in the cartilage of joints needs surgery to repair. In some rare cases, spinal surgery also needed.

Prevention and control measures

  • Prevention from spondyloarthritis needed some lifestyle changes as follows.
  • Quit smoking: smoking speeds up the spinal fusion in addition to other bad health effects.
  • Follow good posture: practicing a proper sitting and posture makes your spine to escape from growing into slumped-over position and strain.
  • Daily physical exercise: frequent home exercise and physiotherapy is essential to reduce the stiffening of spine and other joint problems. It also helps to have your heart healthy.
  • Good diet: follow the diets that are rich in calcium. Dairy products are preferred foe calcium rich foods.
Psoriatic arthritis

Me n my wife are trying to hav a baby. So I have question that is. Can I hav sex with my partner while she is being periods?

BHMS
Homeopath, Mumbai
Me n my wife are trying to hav a baby. So I have question that is. Can I hav sex with my partner while she is being p...
Do intercourse from 4,5 day of menses to 14 day of period regularly or alt day will help to conceive! U avoid all typ of addiction n sauna bath! Tell your wife to start folvite TC.
2 people found this helpful
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I am having sex with my husband from my marriage on 30 April and taking sperms continuously. And having periods started from today will there any problem to remains pregnant? Please inform.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am having sex with my husband from my marriage on 30 April and taking sperms continuously. And having periods start...
If you get your cycle on time, then its sure you are not pregnant. Normally it may take time in conceiving, so do not worry and keep on trying for atleast 6-8 months, during your fertile days, if you wish to conceive soon.
1 person found this helpful
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I am a 19 year old female. My sexual partner was manually stimulating my clitoris and vagina, a little too rough and long. After that I experienced minor bleeding, pain, soreness and extreme swelling of the left labia minora. Is this normal? I have been applying a cold compress on the swollen area. What should I do?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- You partner might be unaware of the fact that too much physical stimulation in the genital area without active involvement of the host can result in small muscle fatigue and abrasion. Pain and swelling are definitely due to the same. Apply Cows ghee and gently massage the area, consume few drops of almond oil with milk at bed time. Your condition will be normal within three days time.
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Alovera Juice

BSc-Diet & Nutrition, M.Sc-Diet & Nutrition
Dietitian/Nutritionist, Delhi
Alovera Juice

Alovera juice is very good for health.

1 person found this helpful

My periods hasn't done this month till. My due date is 18th but today is 21 and a month before it was done at 21 so should I wait for 1-2 days more or do checkup with doctor?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My periods hasn't done this month till. My due date is 18th but today is 21 and a month before it was done at 21 so s...
Hello, Please wait for few days and then if no menses then rule out pregnancy if you are sexually active.
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Sir my wife's periods starts from 10th of April in night and her menstrual cycle is about 28 days. So may I know her ovulation period. And which date have very high chance for conceiving the baby.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Sir my wife's periods starts from 10th of April in night and her menstrual cycle is about 28 days. So may I know her ...
The ovulation period will be from 22nd april to 26th april on these days chances for conceiving is high you can use ovulation strips available in the market for more accuracy.
5 people found this helpful
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My wife pregnant in now 3 months and last 2-3 days she feel pain in left side of lower abandonment, pain is like pin staple, whtat is solution?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
Dear , it may be because of urinal infection or gas problem. Need not to worry much for pregnancy. Drink plenty of water. You can go for ultrasound for lower abandonment to get the latest status of baby health.
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MD - Microbiology
General Physician, Bangalore
Annual health check up will help in early detection of any health problems.

Will 5 gm of ashvagandha powder taken every day by a woman in 50s already passed menopause will add to her weight and that's too substantially. Gudica Mahesh.

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Will 5 gm of ashvagandha powder taken every day by a woman in 50s already passed menopause will add to her weight and...
I will suggest not to take as you are having high BP, ashvagandha is no your reason of weight gain, its insulin resistance which is increasing your weight
2 people found this helpful
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