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Dr. Bhuvaneswari

Gynaecologist, Chennai

300 at clinic
Dr. Bhuvaneswari Gynaecologist, Chennai
300 at clinic  ·  ₹ online
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Bhuvaneswari
Dr. Bhuvaneswari is a trusted Gynaecologist in Pallavaram, Chennai. You can visit him/her at R V I Hospital in Pallavaram, Chennai. You can book an instant appointment online with Dr. Bhuvaneswari on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 29 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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Period hua hai. To kya pcod ki problem khatam ho gayi .maine apna weight 5 kg km kiya hai.

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist
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Period hua hai. To kya pcod ki problem khatam ho gayi .maine apna weight 5 kg km kiya hai.
PCOS does not cured with one cycle, you can keep it under control with regular diet and exercise and medicine.
1 person found this helpful

We want to plan for baby but my wife have very low weight like 37 kg , and she have also a problem that her leg nerve are stretching and paining on night . And her sugar levels are also high last year . So I want concerned it's right time for baby planing, if not then suggest me which type of test required for checkup, And last please suggest me we will going for treatment, with physician or ladies specialist doctor (gayno) Please Sir suggest me for this problem.

MBBS DGO PGDCC
Gynaecologist
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We want to plan for baby but my wife have very low weight like 37 kg , and she have also a problem that her leg nerve...
If you are trying for pregnancy, consult infertility specialist. You both get infertility evaluation done first. Depending on the reports your doctor will advise & even regarding underweight & blood sugar levels.
1 person found this helpful

Hello Urgent help My 13 days old baby is on breast feed n my left breast nipple is becoming hard n it's paining during feed n baby is unable to feed please suggest some help.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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Apply cold compress after feeding. Use nipcare cream 3-4 times daily on the affected nipple. If it is a retracted nipple try feeding with a nipple shield.
1 person found this helpful

Sir or Madam I am getting pain on side of the breast that means down side of the neck while I am laughing I am getting pain some times I will not get but sometime I am getting pain why I don't no please tell me any. Medicine what to use for this pain tell me the name of the medicine I will use please tell me I can't bare the pain will I am laughing I am getting pain.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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Sir or Madam I am getting pain on side of the breast that means down side of the neck while I am laughing I am gettin...
This seems like a muscle cramp. Take muscle relaxant and painkiller preferably after food for a few days.

My wife is having a problem in her left side breast we found a hard a ball like thing in it. Is it a sign of breast cancer or is this harm her life please help me. When whe try to press on it she z getting pain please help my wife.

MD - Radiothrapy, MBBS
Oncologist
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She needs to some tests like mammography and fnac or biopsy and clinical examination to rule out any possibility of breast cancer. Please consult radiation oncologist from your city.

Mari shadi ko 4 saal ho gye h par abhi tak bacha nhi h muje dono ovary m pcod h Dr. ne obimet lene ko bola h mare husband Ka sperm count 25 se 6 hi reh gya h mare husband bhi tablet kha rhe h per fayda nhi hua kya me kabhi pregnant ho paogi please help me.

DGO, MBBS
Gynaecologist
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Mari shadi ko 4 saal ho gye h par abhi tak bacha nhi h muje dono ovary m pcod h Dr. ne obimet lene ko bola h mare hus...
Aap pcod ke liye jitna course Dr. Ne lene ke liye kaha hai wo le kar pura kare. Uske baad ultrasonography karvaye or check kare k pcod treat ho gaya ki nahi. Aapke hus ki bhi sab medicine pehle khatam kare. Usually woh 3 months tak lene ki hoti he. Uske baad fir se unka sperm count karvaye. Nirash mat hoiye. Kafi raste hai. Aap kisi na kisi raste se conceive ho hi jayegi.

I had unprotected sex on aug 29. Not exactly sex its more like just touching our private parts. I had my periods on 10 sept on time bt now in oct I m 12 days late. Its really freaking me out. Mam please help me?

MBBS
General Physician
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There is nothing to worry. Some times periods can be irregular.However if it is irregular every month you can consult gynsecologist
1 person found this helpful

Can you please tell me doctor ki january 2017 mai mara mensuration date kya hona chahiye jis sai baby diwali 2017 mai born ho sake. Because doctor mensuration date to phir bhi hum tablet k threw aage piece adjust kar sakti hai so I am asking u.now my mensuration date is 27 sep .and abhi three month hai agar mensuration adjust karna ho to. Diwali k din hi baby born karna chahta hai bahut jaruri hai. Can you please tell me. How it is possible.

MBBS
General Physician
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Can you please tell me doctor ki january 2017 mai mara mensuration date kya hona chahiye jis sai baby diwali 2017 mai...
Calculations Lmp - is the first day of last menstrual cycle And Approximate date of delivery is 9 months and 9 days from lmp and Now you can plan your pregnancy.
1 person found this helpful

How to get rid of fibroids in uterus. Is there permanent cure? Is there any future problems during pregnancy?

DGO, MBBS
Gynaecologist
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How to get rid of fibroids in uterus. Is there permanent cure? Is there any future problems during pregnancy?
There is no medicinal permanent cure. Of course if you get them surgically removed, you have permanent solution. Regarding future problems during pregnancy, it depends on the size and site of the fibroid. Better consult a gynaecologist and ask all queries please.

What is a Hysterectomy and Why Do You Need Uterus Surgery?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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What is a hysterectomy and why do you need it?

A hysterectomy is a surgical procedure to remove the uterus, which is a muscular organ that carries and nourishes the baby during pregnancy. This surgery may be done to remove all or parts of the uterus; if there are any associated problems in fallopian tubes/ ovaries, they may also be removed simultaneously, during hysterectomy.

Types of hysterectomy procedures

Hysterectomy may be done through surgical cuts in the belly, known as abdominal hysterectomy or through vaginal hysterectomy where the uterus is removed through the vagina. A Majority of the hysterectomy surgeries are done with a laparoscope, due to the advantage of a faster recovery. Which procedure is chosen will depend on why the hysterectomy is being performed along with the medical history of the patient.

Depending on the reason for the surgery, removal of the whole uterus or just parts of it may be required. The types of surgery are:

- Partial hysterectomy is the removal of just the uterus while keeping the cervix in place

- Total hysterectomy is the removal of the uterus and cervix

- Radical hysterectomy is the removal of the uterus, ovaries, fallopian tubes, lymph nodes, cervix and the upper part of the vagina, and is generally only advised in cases of cancer

- Oophorectomy is the removal of ovaries and it may be done with a hysterectomy


Why is it needed?

There may be many reasons to have a hysterectomy and some of them include:

Heavy periods
These may be very uncomfortable and painful, sometimes caused by other diseases. A hysterectomy may be opted for when all other treatments have failed to treat this condition.

Fibroids
They are non-malignant tumors in the uterus that cause constant bleeding, anemia and pelvic pain along with bladder pressure. They may also cause very heavy periods.

Endometriosis
It is a condition where the tissue lining the uterus also grows on the ovaries, fallopian tubes, or pelvic or abdominal organs. It causes severe abdominal pain, heavy periods and sometimes even infertility.

Uterine prolapse
When the tissues and ligaments supporting the uterus become weak, the uterus may slip down from its normal position and descend into the vagina. It can result in urinary incontinence (leakage of urine), pressure in the pelvis and problems in bowel movements.

Cancer of the uterus, ovaries, fallopian tube, cervix or the lining of the uterus (endometrium)
A hysterectomy may be recommended for these types of cancers.



What is a Hysterectomy and Why Do You Need Uterus Surgery?
3458 people found this helpful

My gf and I had sex on 31st of October which her period ended two days before that. We used protection but the condom tore. Having tge fear of pregnancy I gave her an ipill on 1st of November. On 9th of November she was having heavy bleeding which continued till 10th and now shes having a fever nd throat pain. Wat is wrong is it withdrawal bleeding or implantation bleeding. Please help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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My gf and I had sex on 31st of October which her period ended two days before that. We used protection but the condom...
hi throat pain is not related to ipill, she had withdrawal bleeding which should stop by 2-3 days.
1 person found this helpful

I am 23 years old n my menses are not regular and it has not came since two months. What should I do.

BHMS
Homeopath
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I am 23 years old n my menses are not regular and it has not came since two months. What should I do.
Hello, irregular periods may because of:- uncontrolled diabetes eating disorders hyperthyroidism or hypothyroidism hyperprolactinemia (an abnormally high concentration in the blood of prolactin, a protein hormone) medications, such as antiepileptics or antipsychotics perimenopause polycystic ovary syndrome (pcos) initially we start by giving you pulsatilla 200 ch, 5 drops, once daily in the morning for 7 days. If menses start in between 7 days then please stop pulsatilla. If menses do not start even after taking this medicine then we will go for investigations.

I am 2 years I had sex with my husband on 24th march and eat ipill within 24 hours and after 6 days I bleeded very lightly for one day. Now its 7 may I didn't received my periods and I did three pregnancy test all negative. Can I be pregnant? why my periods are late.

MD - Maternity & Child Health
Gynaecologist
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Ur periods may be delayed due to the effect of ipill. If you had not had any inetrcourse after ipill then its highly unlikely tht you r pregnant.
1 person found this helpful

My mother has hb of 7. She has problem of menorrhagia. She has started on cycloreg. What should I do next?

MD - Homeopathy, MS - Counselling and Psychotherapy, BHMS
Homeopath
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My mother has hb of 7. She has problem of menorrhagia. She has started on cycloreg. What should I do next?
Stop consuming all medicines and google once to know its side effects cause of low hb severe bleeding through vg severe bleeding through reectum less iron rich diet improper assimilation of food take homoeo medicines china 200-3doses per day with ferr phos 3x-tds 4tabs for 1month revert me after 2wks.
1 person found this helpful

AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist
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In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
AntiBiotic Resistance on the rise very fast
1 person found this helpful

My friend has been diagnosed with ovarian torsion in left ovary .What is the treatment for it? She has been advised by some doc to remove her left ovary. Please help.

MD - Obstetrtics & Gynaecology, Advanced Infertility
Gynaecologist
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My friend has been diagnosed with ovarian torsion in left ovary .What is the treatment for it? She has been advised b...
Ovarian torsion does not necessarily need removal of the ovary. A diagnostic laparoscopy is first done, the ovary is untwisted and then we check to see if the ovary is still healthy or has it already lost its blood supply. Only if the ovary is completely damaged, do we think of removing it, otherwise as I said, the ovary can be untwisted and it can be stitched to the side wall so that it doesn't twist again.

My wife is 23 years and got married with me last 16 oct-2016 Sunday. We had unprotected sex and she took unwanted 72 pill within 72 hrs. She is not getting her menstruation which usually take on 20oct. Now she is having urine burn. Can you pls suggest any medicine to use after 6-7 days pregnancy, if she is getting pregnant.

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My wife is 23 years and got married with me last 16 oct-2016 Sunday. We had unprotected sex and she took unwanted 72 ...
Hi, Chances of pregnancy is very less in this case. Anyway get her urine tested for pregnancy. 2 tsf of Alka 5 Syrup can be taken 3 ties a day for burning micturition.
1 person found this helpful

BHMS
Homeopath
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When you are on a diet and crave for desserts, the most important part is to trick your own mind.
Stick to fruit sugars. Do not add any sugar or butter to your desserts. 
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