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Dr. Deepti Sachan

MBBS, MD - Transfusion Medicine

Hematologist, Chennai

13 Years Experience  ·  0 at clinic
Dr. Deepti Sachan MBBS, MD - Transfusion Medicine Hematologist, Chennai
13 Years Experience  ·  0 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Deepti Sachan
Dr. Deepti Sachan is an experienced Hematologist in sholinganallur, Chennai. She has helped numerous patients in her 13 years of experience as a Hematologist. She has completed MBBS, MD - Transfusion Medicine . She is currently practising at Global Hospital And Health City in sholinganallur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Deepti Sachan on Lybrate.com.

Lybrate.com has an excellent community of Hematologists in India. You will find Hematologists with more than 36 years of experience on Lybrate.com. You can find Hematologists 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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Education
MBBS - KGMC LUCKNOW - 2004
MD - Transfusion Medicine - SGPGI Lucknow - 2009

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#439, Medavakkam Road, Cheran Nagar, Sholinganallur, Perumbakkam. Landmark: Near HCl & Near Shollinznumur Junction, ChennaiChennai Get Directions
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I have insomnia and can sleep for only 2 hours. What to do? I have done all the blood test and sugar test and all reports are normal.

PDDM, MHA, MBBS
General Physician, Nashik
I have insomnia and can sleep for only 2 hours. What to do? I have done all the blood test and sugar test and all rep...
1. avoid caffeine found in coffee,tea , chocolate,cola,and some pain relievers.[four to six hours before bedtime.] 2. quiet, dark, and cool environment can help promote sound sleep. . [Use heavy curtains, or an eye mask to block light, and also keeping computers, TVs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness.
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I get leg cramps and pain mainly in night and due to which I am getting restless sleep.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I get leg cramps and pain mainly in night and due to which I am getting restless sleep.
Exhaustion due to overwork and stress, Deficiency in Vitamins or Calcium and depletion of salt in the body due to Excessive sweating are common causes for your age. Take more rest in bed, Consume Lemon juice with extra salt and sugar and tender coconut. Try Vitamin capsules and Calcium tablets for about two weeks If no satisfactory relief see a consultant physician for investigations
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I am 17 years and I have sleep walk problem. is there any solution for that?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 17 years and I have sleep walk problem. is there any solution for that?
Sleep walk is mostly due to inherent stress leading to shortened sleep. So you need to sleep well without stress. Have milk with sugar, jaiphal & ghee before sleeping. If you want medicine then consult me privately.
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My Father (age-75yrs) fell down on the road on his left shoulder while walking in the colony. After X-ray, found out that there are two fractures in his left shoulder. Please review the X-ray ( I will email it) and advise. Thanks

MPT - Orthopedic Physiotherapy
Alternative Medicine Specialist, Chennai
Please send the xrays in private consultation. [Automatically added by Lybrate] Click "Consult Dr. Alpana Dongre" below to consult privately with the doctor.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MBBS, cc USG
General Physician, Noida
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) I am giving you some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga, i can give you address of rajyoga meditation center near your house (this is free of cost) One thing i want to tell you that if you can relax your mind by Rajyoga meditation than you can reduce your sleep upto 5-6 hour and you will feel fresh and active 4. Avoid tea coffee after 7 pm 5. You can wash your face and feet at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes Consult me if symptom persist
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Pain in hips and thai.Please help me in this regard

BPTh/BPT
Physiotherapist,
1.Take Physiotherapy sessions and learn exercise for spine. 2.Use lumber spine belt also.3.Don't sit on floors. 4 take calcium and methylcobalamine supplement also
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For last 3 days, I am having a serious headache. I did some home remedies for cure. But it don't take any effects. I am helpless. I am feeling very bad too. I can't sleep properly. Please help me. Waiting for your answer.:)

MBBS
General Physician, Cuttack
For last 3 days, I am having a serious headache. I did some home remedies for cure. But it don't take any effects. I ...
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest 4. Avoid anxiety and stress.
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Daily I have taken two tabs of Ativan 2mg because I can not sleep. Is it harmful or not? Please trll me.

MD - PHYSCIAN
General Physician, Delhi
Daily I have taken two tabs of Ativan 2mg because I can not sleep. Is it harmful or not? Please trll me.
Lorazepam is the generic form of the brand-name drug ativan, used to treat anxiety disorders and to relieve anxiety that's associated with depression. Lorazepam'high' and abuse lorazepam is intended to be taken only for a short period of time. Do not take this medication for longer than 4 months without your doctor's advice. Talk to your doctor about using alcohol while on lorazepam. Alcohol can worsen the side effects of lorazepam, such as drowsiness, confusion, and unsteadiness. The most common side effects of lorazepam oral tablets and concentrate solution are: drowsiness dizziness weakness unsteadiness the most common side effects of lorazepam injection also include: low blood pressure excessive sleepiness shortness of breath, rapid breathing, and feeling like you can't breathe in enough air.
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I am feeling feverish and bodyache since morning. What should I do? Please suggest.

MBBS
General Physician, Cuttack
I am feeling feverish and bodyache since morning. What should I do? Please suggest.
Take one tablet of crocin 500mg sos after food, drink plenty of water and take rest. If no relief, consult
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I am 29 years old I am suffring from sleepdisk, I don, t know what to do ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Slip disc is a layman term which should not concern you, please send me relevant investigations by which you actually came to know that you are suffering from this problem. Also you will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.
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I am 24 years old single boy. I do not get silent and deep sleep regularly. Due to that I feel tired and I do not feel fresh through the day. Suggest medicines without side effects. Thank you.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 24 years old single boy.
I do not get silent and deep sleep regularly.
Due to that I feel tired and I do not fee...
Homoeopathic medicine ALPHA TS (Wilmar Schwabe India) Drink 20 drops in 20 ml fresh water 3 times daily PASSIFLORA 1X ( BAKSON) Chew 2 tabs daily night Report after 15 days
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My wife (40 years) sneezes very frequently from the early morning until she sleeps in the night. Please let us know how to rectify the problem.

MBBS, cc USG
General Physician, Noida
My wife (40 years) sneezes very frequently from the early morning until she sleeps in the night. Please let us know h...
If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis 2. Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management.
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Hi, I am 35 years old since last 1 month My left shoulder continuously pain, & Its Moving from shoulder to Left Hand & Some time Chest, My Wok profile as sales & Mostly in field with my Laptop.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hi, I am 35 years old since last 1 month My left shoulder continuously pain, & Its Moving from shoulder to Left Hand ...
Adv. You take acupressure treatment. You take biochemic calc phos 12x.+ mag phos 12x 4tab each thrice a day with warm water.
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I'm having cramps in both my ankles and wrists. Also I'm feeling kind of feverish. It's been so since last night. I had first thought that I caught cold but now the pain in the joints is increasing. What can it be? I could not visit a doctor cuz it's an off day due to some festival.

BPTh/BPT
Physiotherapist, Delhi
I'm having cramps in both my ankles and wrists. Also I'm feeling kind of feverish. It's been so since last night. I h...
1. Start with Physiotherapy treatment if you have pain and swelling. 2. Drink plenty of water. 3. Don't sit on floor. 4. Start with multivitamin and vitamin E for one month.
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Hi . I have a leg pain since 2 years. I try many treatment but all fall. So please sir help me as soon as possible.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi . I have a leg pain since 2 years. I try many treatment but all fall. So please sir help me as soon as possible.
Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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My whole body pains too much specially legs.what can i do?

MS - Orthopaedics, MBBS
Orthopedist,
My whole body pains too much specially legs.what can i do?
Requires examination and investigation in detail. Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

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I am 20 years old I cannot sleep properly at night pls give me suggestion how to sleep properly and also I want to gain my body weight please tell me how to gain my body weight.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Panchkula
I am 20 years old I cannot sleep properly at night pls give me suggestion how to sleep properly and also I want to ga...
Sound sleep and happiness are the two basic lifestyle parameters for the body growth. These increse the level of the good hormones in the body. What makes your sleep disturbed? the use of mobile, television, etc. Before trying to sleep, use of tea/ coffee, stress, excessive gas or some other body ailment like blocked nose, low bp, frequent urination, etc? 1. Play some light music when you sleep. 2. Stay away from all the activities that stimulate the mind before you go to bed. 3. Refrain from too many electronic items in the room 4. The direction of your head when you sleep should be towards south or the west. 5. Do meditation for stress and lots of exercise/ sporting in the daytime. 6. Proper diet and roughage is a must. 7. Do possible feet massage with lukewarm sesame (til) oil and head massage with badam rogan will help you.
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Sir, Five years back i met with an accident and suffred upper femur and medial femur fracture. Then nail inserted . From one year back i was suffreing from pain in my pelvis region. Doctor advised to remove nail. It was removed seven month back. But i am suffering from pain. Now doctor telling me to joint replace ment of my upper femur bone. What should i do. Advice me

DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
What you have is a complication of fracture of the upper end of the thigh bone. The blood supply to head of femur (upper end) is affected and as a result you have AVN of the hip. For an active person like you, the best option would be a Delta Motion Ceramic on ceramic hip replacement. This will give unrestricted mobility and will last long.
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Meri legs me pain hota h chlne me problem hoti ager me rest kru to problem nahi hoti but continue chlne se kuch dino bhad problem fir se hoti please kuch suggestion di jiye.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Meri legs me pain hota h chlne me problem hoti ager me rest kru to problem nahi hoti but continue chlne se kuch dino ...
Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day. Avoid junk food. Spicy food. Fermented food. Tea. Alcohol. Avoid alcohol consumption. Do pranayama early morning.
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