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Dr. Bala Kumari

Gynaecologist, Chennai

300 at clinic
Dr. Bala Kumari Gynaecologist, Chennai
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Bala Kumari
Dr. Bala Kumari is a renowned Gynaecologist in Velachery, Chennai. He is currently practising at K S Hospital in Velachery, Chennai. Book an appointment online with Dr. Bala Kumari on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai 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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K S Hospital

No 14, 10th Cross Street,A G S Colony,Velachery,Landmark:Near Radha Super Market, ChennaiChennai Get Directions
300 at clinic
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On the 8 th day my right follicle size s 10*0.9, 0.9*0.9, 0.9*0.9, 0.9*0.7. Is. Ther possible fr pregnancy ET is 7mm.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
On the 8 th day my right follicle size s 10*0.9, 0.9*0.9, 0.9*0.9, 0.9*0.7. Is. Ther possible fr pregnancy ET is 7mm.
The follicles develop as days pass growing approximately 2-3 mm per day. So it is still time before you ovulate and why not wait and watch? even in many ladies who have regular ovulation, each cycle differs in the time and day of ovulation, so one can not predict on basis of one follicle and et findings.
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Doctor I have check taken pregnancy test twice with kit. I got negative result. Is it confirm that I am nt pregnant? I hve missed my period since 5 days.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Doctor I have check taken pregnancy test twice with kit. I got negative result. Is it confirm that I am nt pregnant? ...
Hi lybrate-user delayed period could be because of stress or hormonal imbalance. You can confirm with blood test that you are not pregnant. Which is most accurate way to diagnose pregnancy.
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Hello Doctor. I am married and have a 1.5 year old kid. I have got an unexpected pregnancy for which I am not prepared. I am out of station and will not b able to attend a doctor at least for 15 days. Can you pls suggest me a pill for abortion as I do not want to delay.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hello Doctor. I am married and have a 1.5 year old kid. I have got an unexpected pregnancy for which I am not prepare...
Hi lybrate-user. Welcome to lybrate. Termination of pregnancy is safely possible these days upto 9 weeks. Its a safe and effective method provided the medicines are taken in the correct dosage and technique. I would suggest you take them under proper medical supervision to avoid serious complications and risk an incomplete abortion. All the best.
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Am 25 yrs old, I want to get pregnant, I did all the test whatever required for pregnancy- Everything is normal. Scan, HSG etc. Also for my husband. But still I didn't get pregnant. My height- 5.2' weight- 62 BP-70/120- Please advice.

MBBS
General Physician, Faridabad
Am 25 yrs old, I want to get pregnant, I did all the test whatever required for pregnancy- Everything is normal. Scan...
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome.
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I have a periods problem. Its not for now, from starting till now. Can you please help me, that what I do.

BHMS
Homeopath, Faridabad
I have a periods problem. Its not for now, from starting till now. Can you please help me, that what I do.
Hello, take pulsatilla 200 ch, 5 drops once in a week. Bc no. 15, 5 tabs twice daily. Please share your more symptoms.
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symptoms of starting days of pregnancy? And how can be sure they are pregnant or not?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
symptoms of starting days of pregnancy? And how can be sure they are pregnant or not?
The most important symptom of pregnancy is a missed period. This is the classic sign. But there are other symptoms too like feeling weakness, sleepiness, feeling depressed, nausea, vomitting, giddiness, increased frequency of urination, some breast tenderness. Etc. But these symptoms happen in other diseases too like acidity etc. So the best way to detect pregnancy is to do urine pregnancy test after a missed period. Kindly do this test in a lab and not on kits available in medical stores, as many of these kits give false results.
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My periods date are late. Now 42 days. Today I checked UTP its positive. Doctor said its weakly positive. why its weekly positive. What should I do now?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My periods date are late. Now 42 days. Today I checked UTP its positive. Doctor said its weakly positive. why its wee...
Hello, weakly positive indicates low hcg levels but you can confirm it for sure with serum beta hcg test.
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My periods started yesterday after 2 months. Last my periods begin on 15th april. The flow is very less and there is a lot of pain. What should I do?

BHMS
Homeopath, Ludhiana
My periods started yesterday after 2 months. Last my periods begin on 15th april. The flow is very less and there is ...
Hello. 1. Do hot water bottle treatment. It will relief pain. 2. Take ajwain with warm water. 3. Eat simple diet. 4. Avoid spices and citric things. Take homoeopathic medicine magnesium phosphoricum 6x (5 tablets four times a day in one cup warm water.) dissolve 5 tablets in warm water and drink it like tea. It will help you. For any other help you can consult me.
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I am 41 year old female have fibroid in my uterus, in every monthly circle I face a terrible pain. Doctors suggest to remove uterus, but I am not able to go through with surgery. Kindly suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Dear patient, homeopathic can treat fibroid problem without any side effects and long lasting stage, if fibroids are of certain type and in certain stage. After looking at your reports proper suggestion can be given. You can consult privately with your recent report, after which I can guide you accordingly.
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Hello my periods started on 11th of may and on 22nd of may I have sex with my husband will I get pregnant? I am having 40 days of Cycle period.

BAMS
Ayurveda, Ambala
Hello my periods started on 11th of may and on 22nd of may I have sex with my husband will I get pregnant? I am havin...
Dear, as per your lmp means the date when periods come your ovulation day (the day when ovum released and pregnancy occurs) is 24 may. So there is no chance or very less chance of pregnancy. But you should check your cycle regularity. For confirmation of pregnancy you can check through urine pregnancy test.
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I have menstrual problem. I want to conceive now but due to irregular periods I am not able to conceive. I also have multiple folicules problem. Please suggest the best option so that I can recover early from this.

Advanced Aesthetics
Ayurveda, Gulbarga
I have menstrual problem. I want to conceive now but due to irregular periods I am not able to conceive. I also have ...
U start ayurvedic medicines for irregular periods and for follicles if you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You? re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Any queries consult privately.
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Health Benefits of Masturbation

Vaidya Visharad
Sexologist, Narnaul
Health Benefits of Masturbation

Health benefits of masturbation

1. It helps you love yourself more. Knowledge of your own body can be incredibly empowering - and the more you tune into your mind and body, the happier you'll be in your relationships. Dr. Suggests that you first get a mirror and try looking at your own genitals. If you're shy, begin in a slow, nonsexual manner and work your way up as you become more comfortable.

2. It can make sex with others better. Some people think that women who use vibrators or other toys will have a hard time orgasming with someone else, but experts say that masturbation is one of the best ways to figure out what you like in bed, and subsequently, how to guide your sexual partners. Do yourself and your partner a favor by carving out some 'me' time.

3. It can boost your confidence and body image. It's like the saying goes: masturbation is sex with a person you love, right? bust out your gadgets, videos, or do it the old-fashioned way to build up your self-esteem, because, believe it or not, pleasing yourself is an easy way to improve your outlook on life.

4. It's good for your vagina. While many women already know the benefits of Kegels, some don't know that they can get similar benefits from masturbation. Orgasms help keep your pelvic floor strong and healthy, which can prevent urinary incontinence and promote your overall sexual health. Contracting your muscles can also help relieve cramps during your period.

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C.S.C, D.C.H, M.B.B.S
General Physician,
The Science of Hygiene

All of us are taught about hygienic living and this subject should be included as a chapter in the curriculum of every school. There are many different kinds of hygiene.

Respiratory hygiene: This is important to prevent cross infection, specifically, from flu and related respiratory illness. One should keep a distance of minimum 3 ft, from a person who is coughing, sneezing or singing. Most respiratory particles are more than 5 microns in size and do not travel a distance of more than 3 ft. This respiratory hygiene, however, will not prevent transmission of the tuberculosis bacteria, which are less than 5 microns and keep circulating in the area.

Hand hygiene: This is the fundamental principle for any disease prevention and the catch phrase is ?before and after?, i.E. One should wash hands before and after eating food, touching any infected material, seeing a patient or after normal evacuation of stool in the morning.

Food hygiene: This means maintaining hygiene at home while cutting, serving and eating food. While cutting a vegetable, the surface or the cutting board should be clean and hygienic including the knife, hands, water, utensils etc. If that hygiene is not possible, follow the formula of ?boil it, heat it, peel it, cook it or forget it?. This means that any food which has been boiled, heated or peeled is safe for eating. Peeling means removing the skin of a fruit such as banana or oranges.

Water hygiene: This involves drinking safe water, safe drinking glass, proper washing of glass, not washing multiple glasses in the same utensil and picking up glasses properly. People often try to pick up four glasses of water at the same time with one finger in each glass.

Sexual hygiene: This involves washing local areas before and after sexual contact.

Body hygiene: This involves 16 upchars, as mentioned in mythology. Out of these 16 basic steps, some are related to body hygiene and they involve washing feet first and then hands followed by mouth and finally the body. Washing of the feet is the most important as they are the ones which carry infections into one?s house.

Cleaning of mouth is cleaning the teeth with one finger, gums with two fingers, tongue with three fingers and palate with thumb.

Abhishekam or the snana of the body involves multiple steps. Ancient steps have been washing the body with milk water (rose water etc.) followed by rubbing with curd (soap), honey (moisturizers), ghee (oil), sugar (the drying agent) and finally with milk water again. This facilitates natural bathing and not dependent on soap.

Nail hygiene: This is also a very important hygiene, especially for food handlers, because they are responsible for causation of water and food disease. It is important that they be given typhoid vaccines and deworming tablets every three months.

Another important hygiene to be observed at our homes is that of the servants or the help. They are often provided soap at the start of the month and they are supposed to use that bar of soap for a month. If by any chance, they lose that soap in 2-3 weeks? time, they are apprehensive in asking the owners for soap. As a result, they may wash their hands without soap for the next 2-3 weeks, which includes washing of hands in morning.

Diabetic Nephropathy!

md general phisician
General Physician, Hyderabad
Diabetic Nephropathy!

Diabetic nephropathy refers to diabetic kidney disease (nehpro=kidneys, pathy=disease). In 2011, diabetes caused nearly 44% of kidney failure cases. This makes diabetic kidney disease the number one complication of diabetes; one that is likely to affect almost every diabetic to some extent. In nearly half the cases of kidney disease, it could lead to kidney failure as well.

Diabetes and kidneys:

The kidneys filter nearly 200 quarts of our blood every day. Diabetes is a disease of excess sugar in our blood. Read these two sentences together and the link between diabetes and kidneys becomes obvious!

Every single day of our lives, the kidneys perform these functions:

Remove waste from our body (in the form of urine) retain whatever proteins, vitamins and other nutrients we can still usebalance the fluids in the bodyhelp maintain proper blood pressure by managing potassium and calcium levelskeep bones healthyhelp make red blood cells.

Diabetes damages the kidneys and the urinary system in three main ways:

Damage to blood vessels in the kidneys: too much sugar damages the filters in the kidneysdamage to nerves: fine nerves in the hands, feet, etc. Are corroded by the extra sugar in the blooddamage to the urinary tract: nerves run from our bladder to our brain and let us know when the bladder is full and we need to go. Damage to these nerves could mean we don’t react when our bladder is full. Result: extra pressure on the kidneys. Retained urine can also allow urinary tract infections to grow and migrate back to the kidneys.

Diabetes damage to blood vessels inside kidneys: The filtering units of the kidneys are called glomerules. They have tiny blood vessels that are easily clogged and damaged by excess sugar in our blood. Damage to these vessels also causes albumin, a kind of protein to leak via the urine. Ideally, albumin should be retained in the body. It is a condition called microalbuminuria in the early stages and albuminuria in the later stages.

Diabetes damage to nerves: Diabetes can also damage nerves everywhere in the body, a condition that is called diabetic neuropathy. When this happens in our hands and feet, we lose sensation there or begin to feel ‘pins and needles’. Nerves also convey messages from the brain to the urinary bladder and back. They inform the brain when our bladder is full. However, when these nerves are damaged by excess blood sugar, the brain does not realize when the bladder is full. The pressure from a full bladder can damage our kidneys over time.

Diabetes damage to urinary tract damage: When urine is retained in the bladder for long, the risk of bacterial infections increases. Bacteria also thrive on sugar, so diabetes increases infection risk. These infections usually stay limited to the urinary bladder. However, if they last for long, they may migrate to the kidneys and damage them too.

Consider all this in an organ that is working 24×7. Now you see why diabetic kidney failure is such a real danger for diabetics over the long term.

Diabetic kidney failure: early stages and symptoms

Diabetic kidney failure is a very real threat. It is a slow but relentless process that is divided into five stages of deterioration. The last stage called diabetic kidney failure or end stage renal disease (esrd)

The 5 stages leading to diabetic kidney failure are:

Stage 1: Kidney damage with normal gfr (90 or more). Gfr or glomuler filtration rate is the most widely accepted measure of kidney function. There are often no symptoms at this stage.
Stage 2: Kidney damage with mild decrease in gfr (60 to 89). Again, most patients feel no specific symptoms till this point.
Stage 3: Moderate decrease in gfr (30 to 59). At this stage, you may be losing too much protein, calcium and other nutrients. Some patients may feel breathless (due to loss of iron and anemia). Some puffiness and water retention could also be visible in the body. Urine may turn brown in colour. Some patients feel back pain too.
Stage 4: Severe reduction in gfr (15 to 29). All of the symptoms of stage 3 will are felt even more acutely now. Some blood may be seen in the urine. Breathlessness and swelling are usually quite severe. The stage at which you will need to finalize dialysis or kidney transplant options
Stage 5: Kidney failure (gfr less than 15). The kidneys give up at this stage. You will need dialysis or a kidney transplant.

Symptoms of kidney disease in diabetic patients

• Frequent urination, especially at night
• Blood or other dark discharge in the urine
• Swelling in the ankles
• Cramps in the calf muscles of the legs
• Feeling sick, feeling like throwing up, first thing in the morning
• Feeling weak, tired, breathless, looking pale
• Unexplained and consistent high blood pressure
• Unexplained urge to itch
• Lab tests: protein or albumin in the urine
• Lab tests: higher than normal levels of creatinine or bun in the blood

Diabetes and kidneys: how to protect yourself

First, you doctor needs to be sure that the underlying diabetes is the main cause of the kidney damage. Once this is done, the standard approach is to keep the kidneys working well for as long as possible. You doctor will likely add the hypertension-reducing medications called angiotensin converting enzyme (ace) inhibitors to your regimen. This is because ace inhibitors have been shown to help slow the loss of kidney function.

Here’s what diabetics can do to protect themselves from kidney damage:

• Control your blood sugar better. Don’t rely only on medications, but make changes to diet and lifestyle too. Many doctors endorse intermittent fasting to reverse diabetes today.
• Control high blood pressure. Take prescribed medicines on time. Daily moderate exercise and stress management techniques like meditation can help too.
• Watch out for and get timely treatment for urinary tract infections
• Don’t take medications like over-the-counter pain medications without telling your doctor. These may damage the kidneys, especially if you’re already at risk.
• Watch out for and take steps to prevent diabetic neuropathy. Damaged urinary tract nerves can lead to urinary retention and kidney damage. Some drugs like& metformin can contribute to diabetic nerve damage and supplements like vitamin b12 (as part of a good vitamin b complex) and alpha lipoic acid can help prevent this. Be aware and act soon.
• For people with diabetes, kidney screening once a year is mandatory. This can help to detect any protein or other substances that shouldn’t normally be in the urine.
• Use the right dietary supplements to protect your kidneys from diabetes damage.

Diabetic nephropathy: dietary supplements that help

Vitamin c (200mg- 1250mg per day)

Vitamin c is known to reduce excretion of urinary albumin. This suggests it may slow progression of diabetic nephropathy.

In a study published in the scientific journal nephron, researchers found that supplementation with vitamin c (also known as ascorbic acid or aa) reduced micro albumin loss in diabetic patients. The researchers concluded that “dietary supplementation of aa in diabetic subjects may have long-term benefits in attenuating the progression of diabetic complications”

Vitamin e (100iu-680iu per day)

Studies have found that vitamin e, when administered along with vitamin c, has the ability to reduce urinary albumin excretion. In the first study, published in the journal diabetes care, one groups was given just vitamin e and vitamin c. A second group received these and also the minerals magnesium and zinc. Both groups showed improved kidney function on lab parameters. In the second study, published in the diabetic medicine journal, type 2 diabetics took 1250mg of vitamin c plus 680 iu of vitamin e daily. In four weeks, their albumin excretion rate or aer was 19% lower compared to the placebo group.

Alpha lipoic acid (600mg per day).

Alpha lipoic acid (ala) is found in spinach, broccoli and potatoes and is a known anti-oxidant. A research study in 2001 set out to see if ala could help patients with diabetic kidney damage. The study group received 600 mg of alpha lipoic acid as a supplement. Another group received no supplement. The first group was able to maintain the same rate of urinary albumin loss, while the control group, saw their albumin loss worsen during the same period. Since alpha lipoic acid helps diabetics fight diabetic nerve damage too, it may well be a useful addition to all diabetics.

Conclusion

Everything we eat, including dietary supplements, has to be processed by the kidneys at some point of time. So do involve your doctor in your choice of dietary supplements if you have diabetic kidney disease.

Just remember: diabetic nephropathy or kidney damage is a result of the underlying diabetes. M. D. S are today saying that type 2 diabetes is reversible, through dietary and lifestyle changes. The better your control over the underlying blood sugar levels, the fewer the complications of diabetes. There are dietary supplements that are proven to help you improve blood sugar control, often without the side effects of prescription medications.

Bachelor of Physiotherapy, Matrix Rhythemic Therepy, Athlete Biomechanics and sports analysis
Physiotherapist, Mumbai

Lower Back Stretches – Basic Exercises
Rotation in Lying
Lie on your back, knees bent, feet flat and together. Gently take both knees from side to side as far as possible pain-free . Repeat 10 - 20 times.
Lower Back Stretches - Rotation in Lying

Prone on Elbows
Begin lying on your stomach, then gently prop yourself up onto your forearms, keeping your back relaxed . Hold for 2 seconds, then slowly lower yourself down flat. Repeat 10 times provided the exercise is pain-free.

Knees to Chest
Lie on your back, knees bent. Take both knees towards your chest using your hands until you feel a mild to moderate stretch, pain-free . Hold for 5 seconds and repeat 10 times.

Side Flexion in Standing
Begin standing tall, back straight, hands by your sides. Gently lean to one side, sliding your hand down the outside of your thigh as far as possible pain-free . Repeat 10 times to each side.
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M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Health tip: don't skip your breakfast. Breakfast skippers tend to gain weight. A balanced breakfast includes fresh fruit or fruit juice, a high-fibre breakfast cereal, low-fat milk or yoghurt, whole-wheat toast, and a boiled egg.

Is taken I pills are safe for future. Is there any harm to take it. Will it harm at the tym of pregnancy in future.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Is taken I pills are safe for future. Is there any harm to take it. Will it harm at the tym of pregnancy in future.
Surely these pills can pose some serious health hazard and can be problematic in future pregnancies also but the serious threat is that its frequent usage can sometimes cause infertility------------------
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Hesitating to ask this question. Being a bit immodest person I go ahead with this question. How frequently can a women take i-pill? In a month or in a year? Just provide me a quantum?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Hesitating to ask this question.
Being a bit immodest person I go ahead with this question.
How frequently can a wome...
Hi i-pill is meant for emergency contraception. It should not be used as a regular contraceptive method. Once a month- a big no no. It should be used only in emergency when the other method is likely to fail.
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