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Dr. Karthick Gunasekaran

Gynaecologist, Chennai

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Dr. Karthick Gunasekaran Gynaecologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Karthick Gunasekaran
Dr. Karthick Gunasekaran is one of the best Gynaecologists in T.Nagar, Chennai. You can visit him at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Book an appointment online with Dr. Karthick Gunasekaran on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 28 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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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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AV FISTULA Surgery And Alternate Access Options For Dialysis Patients

DNB (Vascular & Endovascular Surgery), MS - General Surgery, MBBS
Vascular Surgeon, Delhi
AV FISTULA Surgery And Alternate Access Options For Dialysis Patients

An AV Fistula  is the term used for a surgically created connection between an artery and a vein, usually on the arm or forearm.

Vascular Surgeon is the specialist for creating an AV Fistula, which serves as a lifeline for patients with end-stage disease of the kidneys requiring dialysis.

     A surgically created AV Fistula for dialysis

There are many options of the combination of artery and vein to be used for AV fistula on both arms. A good ultrasound doppler of the arm veins helps us to decide which is the best site for an AV Fistula surgery.

After an AV fistula is surgically created,  it needs a maturation time of about 4 - 6 weeks, after which it may be used for dialysis access.

  A fully matured AV Fistula, ready for dialysis access

The biggest advantage of an AV fistula is that it is a permanent solution for Dialysis throughout the lifetime of a patient, and carries minimal chances of failure and infection as it does not involve any artificial tube or graft to be placed inside the body.

If an AV fistula surgery is not possible due to unsuitable veins on the arms, a synthetic tube graft known as an AV graft may be surgically placed on the arm.

A surgically placed AV Graft for dialysis access

If an AV Fistula is failing, does not mature or gets blocked, there are many options for salvage of the fistula both surgically (thrombus removal) and endovascularly (Balloon angioplasty), to make it functional again.

A temporary venous access using different types of catheters may also be attained for dialysis, and involves placement of simple (Temporary) as well as complex (Permanent) catheters such as the PERMACATH for dialysis patients.

3 people found this helpful

I am 27 years old unmarried. I had my first period when I was 15. I have irregular period cycle. I have one or two month gap in my periods and also have lower abdomen pain on first day of period. Will it be a problem in my pregnancy after marriage?

BHMS, PG(hom) London, MBA (Healthcare)
Homeopath, Visakhapatnam
I am 27 years old unmarried. I had my first period when I was 15. I have irregular period cycle. I have one or two mo...
Hi The reasons for the irregular period are one of the following: Low functioning Thyroid, PCOD- polycystic ovarian disease, hormonal imbalance, obesity, depression or anxiety or any kind of mental stress. However, as long as you are ovulating you can still get pregnant so to regularise your period you need to undergo tests to clear these diagnoses and then start a specific treatment. If you have already been through all these tests and taken treatment without any success I would suggest that you take Jonosia Asoka mother tincture ten drops in 15 ml water three times on empty stomach for three days before the expected period date and also Senecio aureus 30 five pills weekly once for regularising your period Take Plenty of water and do exercise that makes you sweat for at least half an hour for five days a week minimum, take a diet rich in iron and vitamin D like dry fruits especially almonds, dates and figs, green leafy vegetables and fruits like papaya and pineapple.
8 people found this helpful
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Hy doctor, m 20 year girl having vaginal infection again and again tell me plzz what to do.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
recurrent vaginal infection may be due to poor hygienic condition of vagina,by taking unhealthy,spicy or junk food.so,first you need to keep dry and clean vaginal portion,change under wear thrice a day.apply anti fungal ointment whenever you feeling itching on vaginal portion.
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I'm 3 months pregnant still blood investigations not done. Actually at which month they have to be prescribe? Now when they ll check?

Bachelor of Medicine & Bachelor of Surgery, M.S Obstetrics & Gynecology
IVF Specialist, Chandigarh
I'm 3 months pregnant still blood investigations not done. Actually at which month they have to be prescribe? Now whe...
Hello Blood investigations are recommended on the very first visit unless you have got it done just before pregnancy. Visits are generally once in a month but much depends upon the course of pregnancy and any complications Hope this helps.
1 person found this helpful
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I am addicted for eating raw rice how will recover from that can you suggest a valuable answer for me.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am addicted for eating raw rice how will recover from that can you suggest a valuable answer for me.
Just start diverting your mind when you want to eat raw rice. Just go for a walk or talk to some good friends, or else when you want to have urge of eating raw rice just at sauf in substitute of it.
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The 4 Stages Of Endometriosis

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
The 4 Stages Of Endometriosis

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time. 

Here is everything you need to know about this ailment.

Symptoms:

Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

  1. Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
  2. Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
  3. Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
  4. Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

Treatment:

Non-Medical Treatments

  1. Eliminate nonorganic dairy products, beef, and chicken – because organic foods contain no added growth hormones. Increase nutrient-rich foods, especially cruciferous vegetables (broccoli cauliflower, Brussels sprouts, kale, cabbage, and bok choy), soy, cold-water fish (small fish when possible) and fiber.
  2. Limit alcohol intake. Remember to eat protein at each meal and at each snack to keep the hormones more stable.
  3. Maintain healthy levels of body fat to limit endogenous estrogen production.
  4. Supplement with vitamins and minerals (especially calcium and magnesium) to make up for what is lacking in your daily food intake – pharmaceutical grade is the best.
  5. Supplement with omega–3 essential fatty acids as a natural anti-inflammatory.

Medical Treatments

There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, 

Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4504 people found this helpful

I ve done follicular study scan on 12th day my endometrium thickness is 8.3 mm right ovary approximately measures 1.8*1.4*1.2 cm volume 1.7 cc and shows few follicles within left ovary app measures 2.6*1.8*2.2 cm volume 5.8 cc and shows few follicles within largest measure 17*12*14 mm no free fluid seen in pod. Wat s that means can I be pregnant note: i am already having one child I am trying for second baby. Pls advise.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
I ve done follicular study scan on 12th day my endometrium thickness is 8.3 mm right ovary approximately measures 1.8...
It shows rapid growth of follicles so forming a cyst. Pregnancy happens after ovulation at day 14. And ultrasound at this stage cannot detect pregnancy. For this you need to do urine for pregnancy test or do beta hcg.
1 person found this helpful
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High Blood Pressure and Kidney Disease - Causes and Symptoms!

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
High Blood Pressure and Kidney Disease - Causes and Symptoms!

Causes and Symptoms of Renal Hypertension

High blood pressure is characterized by an increased force that the blood exerts on the blood vessels when it moves through the body. Renal hypertension is a blood pressure disorder where the arteries that carry blood to the kidneys become narrow, as a result of which the blood pressure through these vessels increases.

Causes

It is caused when the arteries that supply blood to the kidney get narrow or get blocked. This can cause the kidney to release specific hormones that signal the body to retain water and sodium. This can put additional pressure on the blood vessels which leads to increased blood pressure. It can also be caused by atherosclerosis which is characterized by hardening of the arteries. Improper development of the arteries can also lead to renal hypertension.

Symptoms

The symptoms of renal hypertension are:

  • Feeling confused
  • Blurred vision
  • Regular headaches
  • Bleeding from the nose
  • Gradual decline in kidney function
  • Possible long-term damage to the kidney
  • Feeling lethargic and drowsy
  • Loss of appetite
  • Dryness in skin
  • Muscle cramps
  • Breathing difficulties

Treatments

The diagnostic procedure for this disorder consists of blood, urine, doppler ultrasound and CT angiography or MR angiography tests. Treatments for this disorder usually include medications to ease blood pressure. Preventive measures include modifications in lifestyle such as following a proper diet, limiting smoking, restricting sodium or salt in the diet and following an exercise regimen. Steps should also be taken to reduce stress. Yoga and meditation are highly beneficial to control the condition. Sometimes intervention is needed in the form of PTRA and stenting.

Related Tip: Kidney Stones and Homeopathy

4204 people found this helpful

I have done a open heart surgery mitral valve replacement on Feburary 2012 and my operation is success full but I have to take medicine life long like penis400mg, Aldactone25mg, warf and have to do Blood test called PTINR monthly life time so during my pregnancy this all medicines may harmful my baby or not and should I continue my medicine during conceive or not please suggest me thoroughly?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have done a open heart surgery mitral valve replacement on Feburary 2012 and my operation is success full but I hav...
Hello, all the medications which you are using are not pregnancy safe. You must discuss with your cardiologist in detail prior to planning a conception to either switch you on pregnancy safe medication or if you can opt out of medication during pregnancy. Regards.
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