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Dr. Deepti Gautam

Gynaecologist, Chandigarh

Dr. Deepti Gautam Gynaecologist, Chandigarh
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Deepti Gautam
Dr. Deepti Gautam is one of the best Gynaecologists in Sector 19, Chandigarh. You can visit her at Dr Deepti Gautam's Clinic in Sector 19, Chandigarh. Don’t wait in a queue, book an instant appointment online with Dr. Deepti Gautam on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. Find the best Gynaecologists online in Chandigarh. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

5 people found this helpful

Pls help me, I'm 8months pregnant. From 2days I noticed that I have blackish stool. What is this! Is this normal? Pls help!

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Pls help me, I'm 8months pregnant. From 2days I noticed that I have blackish stool. What is this! Is this normal?
Pls...
If you have just started iron tablets or increased your dose of iron, you can have black stool. If this is not the case do stool examination to check for rbcs.
1 person found this helpful

Last month around 40-50 days ago I had unprotected sex with my girlfriend n now she is missing her periods. How do I now confirm she is pregnant or not.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Last month around 40-50 days ago I had unprotected sex with my girlfriend n now she is missing her periods. How do I ...
Do urine pregnancy test by using kit available in market. It will confirm that the pregnancy is positive or either negative.
3 people found this helpful
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I am 31 year married women. My fsh level 64. I tried 2 times ivf. First time sac was there no fetus. Second time negative. Should I take another chance or not. What you suggest pls guide waiting for reply eagerly.

MBBS
Sexologist, Panchkula
If you have tried two times then chances of pregnancy are negligible or no in the third time by ivf.
16 people found this helpful
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I have been married since 3 months. Now we are planning for a baby. My periods started on 25th Nov 2015. Normal cycle lasts for 28 days. Since my hus is working far away from me, could you please tell my ovulation date & the best time to do sex? What all things can we do to make sure that the sperm reach the egg?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I have been married since 3 months. Now we are planning for a baby. My periods started on 25th Nov 2015. Normal cycle...
If it is 28 days cycle and it is regular, between 12-16 days are most fertile period because that is the time when usually you ovulate (ovum/egg is released). Have sex on those days. You will conceive.
5 people found this helpful
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Super Fact of the Day: It takes longer to lose a muscle, than it takes to gain.

MBBS
General Physician, Faridabad
Super Fact of the Day: It takes longer to lose a muscle, than it takes to gain.
To lose new muscles it takes twice as long if you stop working out as opposed to gaining it. It’s comparatively easier to build new muscle tissues and get your muscles in shape which in fact should be motivation to get started in the gym.

Would you like to share this interesting fact with family or friends? Go ahead and Share!
486 people found this helpful

I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a doppler along with usg. The usg today shows 33 weeks 1 day growth of the baby. But the fetal renal pelvis is mildly prominent and also there's an absence of diastolic blood flow in MCA. Can I please know how this affects the baby. Thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 32 weeks 4 days pregnant. There has been a 2 days lag in the growth of the baby and my gynecologist suggested a ...
Hi lybrate-user, your baby is having growth retardation, dilated renal pelvic is not measure issue it can be managed after delivery. Absent diastolic flow is indicative towards early delivery, please visit gynaecologist for internal examination and plan delivery as per finding also make sure that you will receive steroid injection for baby's lung maturation. Wish you good luck!
1 person found this helpful
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My sister is 25 years old. And her weight is 40 kg. She want to gain her weight. Can you give me some solution for her problem.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
My sister is 25 years old. And  her weight is 40 kg. She want to gain her weight. Can you give me some solution for h...
Dear Amol , good & adequate sleep , exercise, cheese , ghee, lassi , jalebis daily . She will certainly gain weight
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I am a 25 years old women. I have a 3 months old baby girls. I have a problem with irregular menstruation. Two times in a month it is seen.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, during lactation period u r having this complaints so I strongly recommend u phos30 3 hrly. For 8 days. Also diet for iron as follow-apple, spinach. Etc.
2 people found this helpful
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Amazing Health Benefits Of Bael Fruit

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, Mumbai
Amazing Health Benefits Of Bael Fruit

1. Bael fruit for constipation:

Fast foods that is very low in fiber is the main cause of constipation. Eating a traditional diet rich in fiber will treat constipation very effectively and if combined with home remedies will give the best results. Though fruits like bananas, mangoes helps people who suffer from constipation, bael fruit gives amazing results. Consume bael fruit regularly to get rid of constipation. The fruit is so full of fiber that it treats constipation very quickly. To eat, cut the fruit in half, sprinkle some brown sugar and enjoy it.

2. Bael fruit for ulcerative colitis:

A male about 35 years was diagnosed with ulcerative colitis and doctors started steroid medications for him as his condition was worse. However despite taking steroids for weeks he kept having the flare ups. Finally the patient started looking up for alternate therapy and he found bael fruit. After taking bael fruit two times a day for a few weeks he could reduce the dosage and finally he was steroid free. After reading the incident, I was amazed at how a small fruit had saved the patient from so much pain. If you suffer from ulcerative colitis, please give bael fruit a try, as it does not have side effects.

3. Bael fruit for diabetes:

Bael fruit is good even for diabetics because bael fruit keeps the insulin level stable and even many doctors and nutritionist recommend bael fruit for diabetics. Bael fruit has an soothing effect on the stomach due to it's high fiber content. Try to include bael fruit in the diet in moderation. Too much of bael fruit will result in an upset stomach. If you are a dibetic try to eat it as a whole fruit, instead of juicing it.

4. Bael fruit juice for hair and skin:

Bael juice is one of the best way to keep our skin and hair healthy. Try making and drinking bael juice whenever you get fresh bael fruit. When buying bael fruit make sure to buy ripe bael fruit which smells ripe and sweet. To make the juice, first cut open the fruit like you do a coconut and scoop out the flesh. Add little water to the scooped out pulp and let it soak for a few hours. Boil the required jaggery with little water and strain using a fine strainer to remove impurities and let it cool. Now squish the fruit and water mixture with your fingers and then strain using a large holed strainer, as we don't want to strain out all the fiber from the juice. Now in a blender, take the strained juice, prepared jaggery syrup, a pinch of rock salt, a pinch of roasted cumin seed powder and a pinch of fresh black pepper. Blend everything together and serve it chilled in tall glasses. This juice apart from keeping the digestion in good order also keeps the skin and hair healthy and shiny.

5. Bael fruit for diarrhea:

In many parts of india, using bael to cure diarrhea is very common. The best thing about bael fruit is it is used to cure both dysentery and constipation. Treating both constipation and dysentery depends on the ripeness of the fruit. Ripe bael fruit is used to treat constipation and unripe bael fruit is used to treat diarrhea. To make the remedy, cut a unripe fruit and scoop out the pulp of a fruit. Boil a cup of water and add the scooped out unripened pulp and boil for a few minutes till it softens, strain and drink it warm. This decoction is very good for treating diarrhea. When selecting unripened fruit for using it in the remedy, make sure not to pick very unripe fruit.

6. Bael fruit for weight loss:

Bael fruit is also ideal for including in weight loss plan as it keeps the blood sugar stable and keeps us satiated for a long time due it's high fiber content. Try taking a bael fruit as an evening or a mid morning snack and it will tide us over till lunch or dinner without snacking. Bael fruit also is amazing for digestion related problems and keeps the digestion in keep order. The main key to natural weight loss is peak digestion which can be easily attained with these amazing natural foods. But please don't over consume bael fruit, especially if you are just starting to eat it, as you might get an upset stomach.

2 people found this helpful

A homeopathic wonder: alfalfa

PG Diploma In Clinical Cosmetology (PGDCC), BHMS
Homeopath, Indore
A homeopathic wonder: alfalfa
A homeopathic wonder: alfalfa

In homeopathy we use the mother tincture of alfalfa.

Alfalfa as a powerful tonic for all

Nerve:

Alfalfa is popularly use as a nerve tonic. It makes our nerve strong and gives instant energy to all of our body parts making them work properly.

Kidney


Alfalfa works wonderfully to cut inflammation of bladder, it makes kidneys work normally.


Stomach disorders:

It refreshes the appetite and makes a nice morning drink. You can take it as juice also.


For heart problem:

Homeopathic mother tincture of this remedy helps you to keep safe from several heart diseases.


Respiratory disorders:

This remedy is a rich source of chlorophyll which is very useful in respiratory discomforts. It makes your lungs free of diseases.


High blood pressure:

High blood pressure is very common these days but alfalfa helps in softening of the hardened arteries to keep your blood pressure in check.


Hair disorders:

Hair problems are increasing day by day but here is the solution for all your hair problems. Alfalfa not only protect your hair from falling or getting damaged but also relives stress level which is the biggest cause of hair problem these days.



101 people found this helpful

How Can Nasal Obstruction Cause Clogged Ears

DNB (ENT), Diploma - Diploma - DLO - Rhino-Laryngology, MBBS
ENT Specialist, Delhi
How Can Nasal Obstruction Cause Clogged Ears

There is a strong connection between the ears, nose and throat, as any ENT or Ear Nose Throat specialist will be able to tell you. When there is any kind of congestion or obstruction in the nasal passages, one can also feel some effect in the ears with the symptoms going from mild to severe.

So how can nasal obstruction cause clogged ears? Here is our explanation!

  1. The Connection: To begin with, let us understand the connection between the ears and the nose. There is an opening that can be found in the back of the nose, which leads into a tunnel called the Eustachian Tube. This tube goes into the ears and creates some amount of pressure when the nasal passages get blocked. This pressure can be felt as clogging of the ears and can usually be eradicated with the help of a pop in the ears. This pop can be brought about by pinching your nose and trying to breathe, or even yawning hard or indulging in some gulping or swallowing motion as well. 
  2. Mucosal Swelling: The swelling within the patient's nose usually points at the buildup of mucus, which can make the nasal lining thicker, thus making the act of breathing that much more laboured and difficult. This obstructs the nasal tract, in plain and simple terms. This swelling usually spreads to the tunnel or the Eustachian Tube, which can become swollen and even shut, consequently leading to a feeling of having clogged ears. 
  3. Negative Nasal Pressure: When the pressure inside the nose is built up in a negative way due to the obstruction that makes the patient breathe even harder, then the ears end up taking the pressure. This makes them clogged. This negative pressure usually manifests in the back of the nose where the Eustachian Tube is located, which creates a build up in the ears as well. This can also lead to a ringing pain when a patient tries to suck in air too hard due to the obstruction. 
  4. Bernoulli's Principle: If we are to incorporate air in place of fluid and liken the action of breathing with an obstructed nose, with the action of sucking fluid in through an obstructed straw, then the fluid dynamics would apply to this case. As per these fluid dynamics, more rapid flow of fluid can lead to decreased pressure on the surrounding areas. This can be applied to the blocked nose where air must pass through faster and with more fluidity so as to ensure that there is less pressure on the ears, which will keep them from getting clogged. 

Persistent clogged ears and nasal congestion can also point towards an infection and should be checked by a doctor immediately.

4605 people found this helpful

My wife is six month pregnant. I want to know some caring tips. Please advise me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife is six month pregnant. 
I want to know some caring tips. Please advise me.
Do exercise if their is no contra indications. Eat healthy diet, fresh fruits and vegetables (including dark orange vegetable, dark green leafy vegetables, and citrus fruit) whole-grain breads and cereals. Nonfat or low-fat milk or milk products if you are non vegetarian then extra-lean meats, chicken without the skin, fish, or cooked dried beans and peas. Also take 8-10 glasses of water.
2 people found this helpful
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I have PCOS Irregular periods I want to conceive but my weight is very high Bmi is 34 I want to lose weight and develop my menstrual cycle regular.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Msc.Applied Psychology
Ayurveda, Bangalore
I have PCOS
Irregular periods
I want to conceive but my weight is very high
Bmi is 34 I want to lose weight and devel...
Hi The reason of your weight gain is pcos. U take medicines for PCOS first, then automatically your weight will get down. Regards
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I am 29 years old male. 10 months have been passed after marriage. After making many times relations, pregnancy has not yet been adopted to her. She has noticed every time that discharge comes out after intercourse. Is it the reason of not adopting the pregnancy? What should we do now at this stage?

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am 29 years old male. 10 months have been passed after marriage. After making many times relations, pregnancy has n...
Before doing intercourse if it's not coming then it's normal. Try to have sex during 12-16 days of periods. If she has regular cycle. And if you don't get pregnant by this time management then need to gel both of you check for fertility.
1 person found this helpful
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I am 49 years and going through menopause. I got my period on january 30 this year but only slight colour (not even spot) was there and then on june 13 2015, for nearly three days but the flow was minimum. Now I would like to know is there any chances of pregnancy?

BHMS
Homeopath, Bahadurgarh
I am 49 years and going through menopause. I got my period on january 30 this year but only slight colour (not even s...
You need to check for prpegnancy, sometimes ovulations in positive and may end in pregnancy a test will clearly tell.
2 people found this helpful
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I am 22 years old, I have very irregular periods, also have PCOS. I had unprotected sex with my friend and after that my periods were 1 month late. When they started I got very light brown spotting in 1st week 2 days and then normal periods started after that one week. But its been a month periods have not stopped. I have heavy flow now. I was on pause mf for 8 days 16 tablets but no effect. Ultrasound showed polycystic ovaries and endometrial thickness of 5mm, 10 days before. I have still heavy flow. Is this due to hormonal imbalance? Is there possibility of me being pregnant?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 22 years old, I have very irregular periods, also have PCOS. I had unprotected sex with my friend and after that...
As this kind of heavy bleeding u never experienced before, it is better get ur pregnancy test done at home. Even if u were pregnant, it looks like it has beed aborted on its own as ultrasound does not show anything. Such kind of bleeding can happen with hormonal imbalance which can not stop with pause tablets. It needs hormonal treatment to stop such kind of bleeding in the form of oral contraceptive pills for 3 months period
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Food and Your Bone

M.sc - Nutrition Science
Dietitian/Nutritionist, Delhi
Food and Your Bone

Healthy bones are like banks, the more deposits you make, and the more withdrawals you can count on. Diet plays a major role in ensuring healthy bones. In particular, Calcium and Vitamin D need to be taken in the right amounts through life to build bone and slow down bone loss. Eating a healthy balanced diet, containing adequate calories, can help to improve your overall bone health not to mention your overall health.

The easiest way to obtain this is through the regular consumption of milk, cheese, and yogurt i.e. 3 servings each day from the milk group of foods. Teenagers and pregnant women need five servings each day.

A serving is equal to:

A glass of milk
An ounce {matchbox size} of cheese
A carton of yogurt

Tips to boost calcium intake
Dairy products are extremely versatile and can be included in the diet in many ways. Cooking does not destroy calcium, so it could not be easier to get your recommended number of servings each day. Serving suggestions include

A bowl of breakfast cereal with milk
Cheese on crackers or toasted cheese sandwich
Fruit salad with yogurt
A slice of pizza or lasagne
A fruit smoothie or milkshake
A frothy cappuccino or mug of hot chocolate
Baked potato with grated cheese

I don't like milk! What can I do?
If you do not like milk try the following to boost Calcium intake

Pancakes
Skimmed milk powder added to soups/smoothies/sauces
Porridge made with milk

14 people found this helpful

I have missed my periods for 2 months now I've done a pregnancy test which was negative. What do I do to make my menstrual cycle alright?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have missed my periods for 2 months now I've done a pregnancy test which was negative. What do I do to make my mens...
Hello, If pregnancy test is negative then you may opt for a withdrawal bleed with progesterone to resume your menses.
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I am asking this question on behalf of my wife. We got married about a month ago. Recently, we flew to couple of place in India and then to US on a long flight. She got her periods on flight like 10 days earlier. Recently, 3 days after end of the period, she noticed white discharge after intercourse. What do these indicate?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
I am asking this question on behalf of my wife. We got married about a month ago. Recently, we flew to couple of plac...
Dear, disturbances in the menstrual cycle post marriage are commonly seen due to emotional stress or taking medications to delay or prepone menses due to religious reasons in india. So do not bother. White discharge (secretion) post intercourse is a normal. It should not be confused with white discharge which is seen in infections. Ask her to observe if she is having white discharge regularly and if there is any pain, fever or related symptoms. Do not worry and both of you relax. God bless!
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