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Dr. N Hephzibah Kirubamani

Gynaecologist, Chennai

150 at clinic
Dr. N Hephzibah Kirubamani Gynaecologist, Chennai
150 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. N Hephzibah Kirubamani
Dr. N Hephzibah Kirubamani is a renowned Gynaecologist in Cantonment, Chennai. You can consult Dr. N Hephzibah Kirubamani at St Thomas Hospital in Cantonment, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. N Hephzibah Kirubamani on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 43 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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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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I am 21 weeks pregnant now. My Dr. had told me to start naturogest sr 400 from the day I conceived. Now after my anomaly scan my Dr. has told me to stop naturogest now. I wanted to ask that should I stop the medicine or no. It will be safe because I am scared that everything should be fine even if I stop the medicine. Please suggest.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, you can stop cap naturogest provided that no high risk factors, and sonography report is normal. As you have crossed risk period for abortion, you can stop naturogest if everything is alright.
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My friend is 24 years old had unprotected sex with his partner .She consulted doctor doctor gave ipill .he took that after 5 days she got periods. Is there any chance of getting pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, chances of getting pregnant are very less. Exactly chances can be told if ovulation period is known
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I apply body lotion to every where in the body is it safe to apply near abdominal parts like penis! And while having sex with my partner can I apply body lotion near penis!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, It is not recommended to use body lotion over penis while having sex as it can cause allergic reactions or vaginitis in your partner.
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Adolescent Behaviour Problems

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
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Problems faced by Adolescents and their treatment

3706 people found this helpful

TENNIS ELBOW

MBBS, MS - Orthopaedics
Orthopedist, Delhi
TENNIS ELBOW
(Syn. Lateral, Epicondylitis)
Technically Tennis Elbow is a misnomer, since most often it occurs in non tennis players. Less than 5% of patients of tennis elbow play tennis (Ludwig Ombregt et al)
Tennis elbow is a clinical condition where patient feels pain on the outer side of elbow while attempting to lift any object with palm facing downwards but the same act can be done with the palm facing upwards. Pain is also produced in any rotatory movement at the wrist e.g. opening a tap or wringing the clothes.
This is due to the internal swelling (inflammation) on the outside (Lateral Side) of the lower end of arm bone (Humerus, Lateral Epicondyle). It is at this place that all the muscles of the fore arm that lift the wrist upwards (Common Extensors) are attached. Any attempt to move these muscles cause pain.
Tennis Elbow is usually caused by a direct hit on the lateral epicondyle. Other diseases like Koch’s or metastatic deposits should be ruled out. Sometimes Cervical Spondylosis may present as tennis elbow. It is more common in diabetic and obese people.
Treatment is simple.
Diabetes must be ruled out and controlled.
Avoid painful acts and activities.
Fomentation with warm water or paraffin wax bath helps.
Pressure bandage during the day gives relief; it should be avoided at night as it can cause swelling of the fore arm.
Non steroid, anti inflammatory drugs (NSAIDS) have a definite role to play in the management of tennis elbow they take away pain and swelling at the common extensor origin. There is effect is potentiated by anti oxidants like omega three fatty acids, methyl, cobalamine and other vitamin supplements.

Drinking Bad for Sexual Health

Graduate in Ayurvedic Medicine and Surgery ( GAMS )
Sexologist, Delhi
Drinking Bad for Sexual Health

Alcohol is a major resource of erection problems. A number of people who are addicted on alcohol undergo from brewer`s droop which is a state of male limpness that unable people to get erection.

Apart from impairing your erection countless studies have shown that alcohol utilization is the major cause of risky sex which leads to catching infections and STDs. It is true that alcohol can impair judgment and this revenue that a lot of young people gaffe it as something that improve horniness but as is general knowledge you are less likely to enjoy alcohol induced sex as compared to sex while fully moderate.

Researchers have originate that too much alcohol affects in cooperation your brain and your penis. In a study conducted by University of Washington it was found that men who didn’t consume alcohol were able to achieve an erection more quickly than men who did. While some men were unable to have an erection altogether after consuming alcohol.

That`s because boozing before sex can lead to decreased flow to the penis and also reduces the intensity of your orgasm. It means that even if you are able to have sex after having alcohol you are unlikely to enjoy it as much.

25 people found this helpful

For starters I have not had a period for about 8 months. Then lately I've been beginning to see a change in my body bedtime. Not only have my breasts filled out immensely but my stomach has also swollen up. My whole body looks like that of a 5 month pregnant woman, the only problem is that i'm not pregnant. I'm starting to worry about whats really going on within my body. One thing I do know is that whatever is happening is not normal and in my opinion is all wrong. Can you please give me some insight as to what might be possible reasons as to why this is happening & what might be going on with my body?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user, please get a pelvic ultrasound done and hormonal profile done to understand what is happening to you. Sometimes due to hormonal imbalance, obesity, pcod periods become irregular delayed or scanty period is expected. Sometimes ovarian cyst present like this.
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An Ayurvedic Approach to Seasonal Allergies

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
An Ayurvedic Approach to Seasonal Allergies

An Ayurvedic Approach to Seasonal Allergies

Our immune system is a complex and wonderful system. When in balance, it does a seamless job of identifying and eliminating potential threats to our health, such as toxins, bacteria, viruses, and cancer cells. However, sometimes our immune system responds too vigorously to a substance in the environment that is usually harmless, such as pollen, animal dander, or mold. As the body acts to eradicate the perceived threat, we can experience the uncomfortable symptoms of an allergy reaction, including a runny nose, nasal congestion, coughing, and itchy, watery eyes. In addition, an exaggerated immune response can lead to symptoms in the lungs (asthma) and skin (hives, eczema). Allergies affect a large percentage of the population at one time or another and can significantly limit activity. Although the body can mount allergic responses to many things, including food, medicines, and other foreign material, in this article we will discuss the common phenomenon of environmental or seasonal allergies.

The Underlying Causes of Allergies

You may wonder why one person can spend an afternoon walking through blossoming fields without any symptoms, while someone else can't step out the front door without experiencing severe allergic symptoms. Heredity is one of the major distinguishing factors. As scientific research has found, your risk of developing allergies increases by approximately 30% if one of your parents is allergic. If both of your parents have allergies, your risk is greater than 60%.

From an Ayurvedic perspective, in addition to inherited tendencies, several other key factors determine whether a person experiences an allergic reaction and how severe that reaction will be. These include the strength of the individual's digestive fire, or inner resilience (known as agni), the quantity of allergen that enters the body, and a person's current state of balance/imbalance in the doshas. Fortunately, there are techniques to strengthen our agni, avoid allergen exposure, and improve our state of doshic balance. By addressing all of these factors, we can help prevent allergies as well as keep them under control.

Strengthening Agni

Ayurveda considers a strong agni, or digestive fire, one of the most important factors for our health. When our agni is strong, we can take in energy and information from our environment, extract whatever is beneficial to us, and eliminate everything we don't need. In addition, when agni is burning brightly, our body won't mount an aggressive response to foreign material such as pollen, but will instead remove it in a healthy, beneficial way. In other words, our body is more resilient to the changes in the environment.

One way to keep our agni strong is to develop a regular meditation practice. When we calm the mind and body, we are less likely to respond to foreign 'invaders' aggressively. We increase our ability to take in nourishment from our environment, as opposed to seeing them as threats. Other mindfulness practices, such as yoga and conscious breathing also strengthen agni.

One breathing technique that is useful for strengthening agni is ujjayi, or ocean's breath. Ujjayi (pronounced oo-jai) is an ancient yogic breathing technique that helps calm the mind and body. Ujjayi has a balancing influence on the entire cardiorespiratory system and releases feelings of irritation and frustration.

Here is how to perform ujjayi breath:

Take an inhalation that is slightly deeper than normal. With your mouth closed, exhale through your nose while constricting your throat muscles. If you are doing this correctly, you should sound like Darth Vader from Star Wars.
You can also get the hang of this practice by practicing exhaling the sound haaaaah with your mouth open. Now make a similar sound with your mouth closed, feeling the outflow of air through your nasal passages. Once you have mastered this on the outflow, use the same method for the inflow breath, gently constricting your throat as you inhale.
Another important way to strengthen agni is to eliminate ama, which is a Sanskrit word for toxicity. Ama includes both physical and emotional toxicity that accumulates in our physiology and can interfere with our natural healing. One herb that is helpful in treating allergies by cleansing ama is triphala. The recommended dosage is 500-1000mg, taken at bedtime.

Reducing the Quantity of Allergens That Enter the Body

Another step to controlling and preventing allergy symptoms is to be mindful of how much of the aggravating allergen is in our environment and making conscious choices to eliminate them as much as possible. According to Ayurveda, we are in constant dynamic exchange with our external environment. When we put ourselves in an environment where we have high levels of exposure to an allergen, it becomes difficult to control symptoms, despite our best efforts.

While it is sometimes difficult to completely avoid an allergen, you can protect yourself from direct contact with it by using a few Ayurvedic healing practices. One effective practice for prevention and treatment of allergy symptoms is using a neti pot to perform a gentle saline rinse. A neti pot is a small container with a spout that is placed in your nostril as you tip your head sideways, allowing warm salt water to flow in one nostril and out the other. By performing this saline rinse once or twice daily, you can flush out any foreign material that has come into your body through the nasal passages.

After using the neti pot, it is very helpful to follow up with an Ayurvedic technique known as nasya, which consists of applying a few drops of oil to the nasal passages. The oil forms a protective layer on the nasal tissues and prevents allergens from directly attaching themselves to nasal membranes.

Balancing the Doshas

A person's primary dosha, or mind-body constitution, can often predict which allergy symptoms will manifest, so it's important to understand your dosha type as well as your current imbalances.

In addition to understanding our primary dosha and individual tendencies, it is important to understand that each of us has all of the doshas within us and can therefore experience imbalances in of any of the doshas. Different types of allergy symptoms represent imbalances in different doshas. By recognizing this, we can more specifically guide the treatments.

Kapha Allergy Symptoms

In Ayurveda, the typical allergy symptoms in the spring season - congestion, runny nose, watery eyes, and sneezing - are described as an accumulation of the Kapha dosha, which is made up of earth and water elements. This leads to the feeling of 'heaviness' and excessive mucus in the head and sinuses. Other symptoms are sluggishness and feeling tired. For the classic Kapha-type allergy symptoms, there are several simple and effective therapies that will relieve acute symptoms.

Nasal Cleansing

As mentioned above, the neti pot is a useful tool in treating allergies. In addition to the benefits of removing allergens, from a doshic perspective, it is especially effective in decreasing Kapha in the head and sinuses. The use of nasya oil with invigorating scents, such as eucalyptus, camphor or juniper, can act as a natural decongestant, thus reducing the symptoms of heaviness.

Other treatments that help relieve acute Kapha allergy symptoms include the use of pungent and bitter (astringent) herbs and spices to reduce Kapha, including ginger, cayenne, pepper, basil, cumin, cardamom, sage, turmeric, and cinnamon. An easy remedy is drinking hot honey water, or ginger lemon tea. A classical Ayurvedic herbal treatment to reduce Kapha is trikatu, which can be taken daily. In addition, treatment should be geared toward lightening the body in other ways, such as daily exercise and use of a dry sauna.

Pitta Allergy Symptoms

When allergy symptoms occur in the summertime, the underlying source is often an out-of-balance Pitta dosha. Pitta is governed by the elements of water and fire, and in the summer, excess heat can produce inflammation in the respiratory tract or skin. These symptoms are usually rash, headache, burning or red eyes, and inflammation in the sinuses and airway (sinusitis, bronchitis).

To pacify Pitta and the resulting allergy symptoms, Ayurveda recommends ingesting cooling herbs, such as coriander and cilantro. In addition, herbs such as shatavari, guduchi, amalaki, and neem may be helpful. Ingestion of clarified butter, or ghee, as well as aloe, can calm the inflammatory reaction that is typical of Pitta imbalance. From a biochemical perspective, these herbs contain healthy anti-inflammatory and antioxidant properties that support our immune system.

Vata Allergy Symptoms

When Vata is out of balance, the allergic symptoms include headache, wheezing, sneezing, and generalized muscle aches. These may be seen more typically in the fall as the air becomes cold and dry. This is due to the accumulation of the lighter elements of space and air in the mind-body physiology. Other manifestations of this Vata imbalance include dry cough, restlessness, and dry eyes.

To balance the excess space and air elements, it is important to stay hydrated and drink warm liquids, such ginger tea with honey. To bring Vata back into balance, use calming herbs such as ashwagandha, which is also an immune modulator that calms the immune system's response to allergens. Another useful tool in calming Vata is performing a self-massage, or abhyhanga.The most nourishing and warming oil for balancing Vata is sesame.

When our agni is restored, we avoid aggravating allergens and ama (toxicity) by making conscious choices, and we maintain balance of our internal energies, or doshas, we are less likely to experience ill health, such as allergies. Instead of seeing our environment as a threat, we can begin to calm the excitability of the immune system and, instead, experience our connection to the external world as nourishing. Ayurveda provides us with the tools to experience this connection and move closer to our natural state of health and balance.

I had an unprotected intercourse 4 days back so now I did not take any pills yet so how should I stop the pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Emergency contraception can work to prevent pregnancy if taken within 72 hrs of unprotected sex. Since 4 days have passed, ec can not be used. But you may seek help of a local gynecologist to see if copper t can be inserted. This may stop pregnancy and can be done within 7 days of unprotectef sex. If you are not intetested in copper t. Just wait and see. Every unprotected sex doesnot result in pregnancy. So relax and wait till next period. If periods do not come by expected date, do a urine pregnancy test using early morning cycle, and if positive you may take pills for abortion.
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Hi madam/sir mai pregnent thi two month ki aur ek din pesab karne par bleeding ho raha tha maine Dr. ko dikhaya unhone blood test karwaya fir unhone dawa diya uske teen din bad fir usg karwaya jisme wo bata rahi hai ki abhi bhi kuch tukre utress me hai so abortion karwana parega so pls advice me.

DGO, MBBS
Gynaecologist, Bhavnagar
Kai baar aisa hota hai ki apne aap abortion ho jata hai jaise aap ko bleeding hua. Lekin thoda andar reh jata hai jisko agar nikala nahi gaya, to bleeding chalu rehta hai jisase bad me kafi dikkat ho sakti hai. Aur agar bachedani saf nahi kiya, to wo jo thoda andar rahe gaya hai, usme infection hone ki sambhavna hai jisase age jake aapko pareshani hogi. So better hai aap jaiye vaha.
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Is there any chance of getting pregnant even after having occurrence of regular period? Want to know about this because all of a sudden I'm feeling so weak a bit rise in body temperature, and vomited in the morning, also from past one week I'm getting frequent headaches.

BHMS
Homeopath, Barabanki
Vomiting after sex does not mean you are pregnant, infact vomiting is late sign of pregnancy after uterine enlargement. Weakness headaches and fever means there is infection in body ; not baby in body.
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Me 2 months pregnant hu. Mujhe bahut jayda vomit hoti h, aur lower abdominal pain bhi. Do baar spot bhi aa chuke hai. Please tell me what should I do? Please advise.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Noida
Take meal at every 2 hrs. Keep biscuit at bedside when you get up in the morning eat 2 biscuit before getting up from bed sit for 10 minutes on bed after that you can come out morning tea with biscuit or rusk after that take small meal at frequent interval for spooting do ultrasound obstetrics.
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I am 35f, not married, from last 3 months I get my periods normally but there is hardly any bleeding. Its so less that don't have to use sanitary pads. Please suggest.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
If you are sexually active and are not using any regular contraception I would advice you to do a urine pregnancy test first. If negative then get a thyroid function and Hb done. If these are normal and your cycles continue to be regular but scanty then it is important to exclude pelvic infection including tuberculosis.
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Must Know Facts About Homoeopathy

BHMS
Homeopath, Chennai
Must Know Facts About Homoeopathy

Must know about homoeopathy
* homoeopathic medicines cure the man in disease, disease name does not matter
*homoeopathy is a holistic system of treatment so each and every medicine has been proved on healthy human beings and acts on each and every cell of body irrespective of the diseased part thus curing the diseased man as a whole.
*homoeopathic medicines have no side effects but the higher potencies should be taken under the guidance of a trained homoeopath
*case taking is must for homoeopathic prescribing, details in regard to physical and mental generals are taken
*homoeopathy has not only curative power but preventive aspect too, not only for acute seasonal infections but for most inveterate diseases too
*homoeopathic medicines act like a vaccine, if given as a constitutional medicine, they are more competent then in subduing the chronic diseases
*homoeopathic medicines are also taken before and after surgical procedures to reduce pain, healing time and antidoting the bad effects of anaesthesia
*homoeopathic medicines help in the quick and healthy union of fracture too
*it's action is also in promoting normal delivery, ante, and postnatal care also
*many so-called surgical diseases as piles, fistulas, kidney stones, gallstones, sinusitis, polyps, tumours, warts, ingrowing toenails, have been very well cured by homoeopathy.

18 people found this helpful

Am 37th week pregnant suffering from tight motion and pain while defecation my due date is 1st may am unable to Sit comfortably am using milky of magnesium but no use kindly suggest what to use and get relief from pain.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Drink lot of water, take fibre rich diet, and softovac powder two spoons with warm water, to soften your stools.
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Hello doctors, I am trying to conceive. Goin thru the treatment of clomid and injectable as I am having PCOS and Thyroid. Having 2 failed cycles and now I am on 3rd cycle and ovulated naturally too. I am 10 dpo. I want to reduce my weight but nothing help me alot. I am 83kg and 5'3 tall. I am having two questions- 1) can I take 3-4 cups of green and ginger tea (mixed together) after ovulation has occurred? 2) can I use herbalife products like shakes for reducing weight? These products do help in loosing weight but I want to know if taking herbalife can cause some problems with conceiving?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, the ideal of weight reduction is to allow ovulation on time, if you have been undergoing ovulation induction protocol with clomid then I feel natural methods of weight reduction like healthy foods, exercise, plenty of water and avoidance of fast foods is the key rather than herbal life products or fancy teas.
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I am feeling pain in my back and stomach from last 1 day. The pain is similar to backache we feel during periods although I had my last period 15 days back. Also, I got small bleeding once yesterday evening which is now ok. The pain is severe while walking. Can you please suggest some medication.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take Hot and cold water fomentation for Thrice a day for alternative times for 3 days and still pain persists do consult physio and take a Therapy Best wishes
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I got married since 10 months back, As my weight is increasing. Will that effect in getting pregnant? I wanna get pregnant as early as possible. Please suggest me something.

MSc
Dietitian/Nutritionist, Chandigarh
Hi - incorporate more fruits, vegetables, and whole grains into your diet while eliminating unhealthy foods. - if you are working or studying away from home, try to pack healthy lunch and snacks for yourself to avoid eating unhealthy food daily. - don't eat straight from the packet - use a plate or bowl to control how much you eat. - don't delay or skip meals. - cut down your consumption of aerated drinks and sodas. - drink at least 8 glasses of water every day. Drink water after waking up and before sleeping. Being dehydrated may make you feel like you're hungry, so it is important to stay hydrated. - have homemade fruit and vegetable juices - eat 5-6 small healthy meals every 2-3 hours, every day, instead of having a few big ones. This regulates your blood sugar level and your metabolism. - don't skip breakfast, instead, make it rich with complex carbohydrates and proteins, so it can provide you with energy to get through the day. Try to include the following as your morning breakfast, oats porridge, eggs on multigrain toast or daliya with sprouts. - avoid artificial sweeteners in processed foods. - eat slowly as it takes about 20 minutes for your brain to register if you're full or not. Eating too fast leads to overeating, so chew slowly to digest your food better and control how much you eat. - use a smaller plate to control your portion sizes and avoid overeating. - know your cravings and do not snack when you're emotional. It is said that you crave crunchy and savory food when you're stressed, frustrated or lonely. Figure out what you crave and replace them with healthier alternatives. - do not eat mindlessly; concentrate on your food instead of watching tv or playing with your phone to avoid overeating.
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