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Dr. Samarai

Gynaecologist, Chennai

0 - 250 at clinic
Dr. Samarai Gynaecologist, Chennai
0 - 250 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. Samarai
Dr. Samarai is a renowned Gynaecologist in Porur, Chennai. Doctor is currently associated with Kedar Hospital in Porur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Samarai on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 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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No 19 Vinayagapuram, Mugalivakkam Main Road, Porur. Landmark: Opp To S & S Switch Company, ChennaiChennai Get Directions
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#19, Vinayagapuram, Mugalivakkam Main Road, Porur, Chennai, Landmark: Opp. Indian Overseas Bank.Chennai Get Directions
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Esophagectomy - Why Should You Go for it?

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Esophagectomy - Why Should You Go for it?

Esophagectomy is a procedure of removing a part of the esophagus and reconstructing the same using another organ of the body. The esophagus is the tube that connects the stomach and the mouth. This procedure is often performed in an advanced stage of esophageal cancer and Barrett’s esophagus. This procedure removes the cancer cells from the esophagus and gives relief from the symptoms. The organs from where the reconstructing tissues are taken are generally large intestine and stomach.

Many esophagectomy surgeries are performed with minimally invasive techniques. The latter is commonly known as laparoscopic surgery. This is a procedure where numerous small incisions are made in order to perform the surgery. This procedure results in faster recovery and reduced pain as compared to the conventional surgery.

Newer methods such as Robotic surgery are being adopted by many doctors these days. Procedures like these can access the esophagus through places such as the throat, collarbone and abdomen. They make a minute incision to get to the exact location of the cancer and treat them with an improved precision, unlike the conventional surgical methods.

An important aspect of treating this condition is to determine the procedure that is going to be implemented. To determine this, doctors uses imaging techniques such as PET scan, CT scan and an MRI scan. A doctor might also prescribe other tests such as FNAC and endoscopic ultrasound. Heart evaluations are also conducted before the surgery to ensure that there are no complications involved while performing the surgery.

Before Esophagectomy

Unless the cancer is detected at a very early stage, most doctors recommend radiation or chemotherapy or both. These treatments help to shrink the size of the cancer and make for an effective esophagectomy. Both chemotherapy and radiation have their set of side effects, which include loss of appetite, fatigue, hair loss, vomiting and skin discolouration.

After Esophagectomy

Post the procedure, a patient cannot directly consume food. He is required to consume food through a pipe for a duration of four-six weeks. Adequate nutrition is required during this phase to recover quickly. Once the patient is able to resume a normal diet, it should be ensured that he takes food in reduced quantities to make up for the reduced stomach size.

Follow-up

Almost 90% of patients who have gone through this procedure report an improved life quality. While lifestyle related adjustments have to be made, there could be regular follow-ups to ensure the below mentioned complications do not arise:

1. Breathing-related problems

2. Swallowing problem

3. Effectively managing heartburn and ensuring the pain is under control

4. A thorough review of the nutritional diet to be consumed by the patient to counter sudden weight loss. If you wish to discuss about any specific problem, you can consult a oncologist and ask a free question.

1792 people found this helpful

Sir my wife three week pregnant and I am also took advice from doctor. But. She face abdominal pain that she cant bear it. My doc said that a normal thing. But I want to know. Is this abdominal pain is normal or not. And what should I do. To relax her. So that. She dont panic. And also she feel some morning sickness as well.

MS, MBBS
Gynaecologist, Noida
Sir my wife three week pregnant and I am also took advice from doctor. But. She face abdominal pain that she cant bea...
Dear severe pain in pregnancy is not normal so first go for a obstetric ultrasound to rule out any chances of abortion or ectopic pregnancy (abnormal pregnancy outside uterus) if pregnancy by usg comes normal she can take some uterine relaxents. And ask her to take bed rest mornimg sickness is common and will persist till 3-4 months so ask her to take small, bland and frequent diet. Avoid taking spicy oily food anti emetic medicines (which are safe in preg) are helpful to some extent.
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Pcos means doctor told to me I have pcos problem is there next week I have to check ovary but we are trying for 2nd baby please tell me how many months we have to wait for conceive?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Pcos means doctor told to me I have pcos problem is there next week I have to check ovary but we are trying for 2nd b...
It is not that you have to wait if you want to conceive, but with PCOS it may take time in conceiving. So start doing regular exercise and take healthy nutritious diet, will help in conceiving.
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I have severe tennis elbow . What is the ayurvedic cure

Aayurvedacharya
Ayurveda,
Panchakarma's Very effective T /t in Tennis elbow Pindaswedana Nasya Leech Theropy treafment under Expert Panchakarma 's Doctor
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Hi Doctor, What is normal weight of fetus in 6 month pregnancy. Please tell me how to increase weight of my baby? I'm 25 years old and my pregnancy is 6th moth completed today. Please suggest me with good and fast diet which can help me and my baby to gain weight. Thanks.

DGO, MBBS
Gynaecologist, Faridabad
Hi Doctor, What is normal weight of fetus in 6 month pregnancy. Please tell me how to increase weight of my baby? I'm...
If you r not having any disorder in prg as anemia hypoproteineimia diabetes hypertension or thyroid you shdnot worry about your foetal wt because it grows normally. Yes if your gynae is worried then you shud think. Gen it is 600- 800gms in 6th month.
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I am 25 years female, I'm 8 weeks pregnant I took mifty kit in which both tablets misoprostol and mifepristone tablets, before 3 days. But no bleeding start. What I do now?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user please visit gynecologist for examination as 8 weeks pregnancy can not be terminated with tablets. You will need surgical evacuation.
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I am not getting feeling of sex since last one month as earlier to that I is to have almost everyday but suddenly this changes why . If I say no to sex my husband gets sad so for his sake we have sex but when we have I get lot of pain in intercourse and won't get the feeling too . So please suggest me what can I take to get me the feeling of sex and I enjoy it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I am not getting feeling of sex since last one month as earlier to that I is to have almost everyday but suddenly thi...
Hello- these changes might be due to low vitality during recent time. Start consuming shatavari granules with milk twice daily after meals, it will increase your sexual urge and you will be able to enjoy sex at your will.
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I delivered my baby 2. 5 months back with a c section. What homeopathic medicine will help me reduce my weight?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
If u follow my instruction then u require no medicine to reduce your weight. Only my fees required. Do u feed brest to your babby? then not possible come to me when brest feeding is over I can help u to be underweight in just 3 months. Book a bed in hospital before starting the procedure. And a bottle of glucose drib in your room just not making fun. Emaciating with out medicine. No cost only 150 my fees.
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How can I improve my chances of becoming a dad? Its already coming to complete 1 year but my wife have not got any pregnancy. What would be the reason. Please let me know Thank you.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
How can I improve my chances of becoming a dad?
Its already coming to complete 1 year but my wife have not got any pr...
To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. You need to consult a good gynecologist who would start proper treatment for u.
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Doctor mujje ek baat batao pregnant hona ho to sex ka bhi koi din hota hai kya. Or pregnant hone ke liye kitne baar sex karna padta hai. Aur doctor please describe karke mujhe poori information dijiye. Mein bohot pareshan hun meri wife pregnant nahi ho rahi hai.

BHMS PGCGO
Homeopath, Hubli-Dharwad
Doctor mujje ek baat batao pregnant hona ho to sex ka bhi koi din hota hai kya. Or pregnant hone ke liye kitne baar s...
12-16 days of her periods are only there to get pregnant. It's easy to calculate. Just add 12 to her first day of periods example 10 april her first day of periods them 10+12=22, 23, 24, 25, 26 april are her fertile periods to get pregnant.
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Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnant so doctor lowers my bp medicine depin return 20 bt my bp never comes below 140/ 80. My doctor alsi prescribes me duphaston 10 mg. I have searched on net and got that it increases high bp sometimes. I am confused and taking the medicine and feeling worried to ask my doctor also if he will disappoint with my asking. Duphaston medicine is for protection. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnan...
What you are suffering is called hypertension. And it needs medicines because the body's bp needs to be regulated or else it will cause damage to the vital organs like brain, kidneys etc. Now that you are pregnant, the medicines must be continued, as they were. There is no need to reduce medicines unless you have symptoms related to it. As the medicines are reduced, the bp is remaining high, and not coming below 140/80. In a pregnant woman with hypertension usually there are chances of abortion, and intrauterine bleeding etc. Along with seizures (fits). Usually in pregnancy, the woman's blood volume rises and this happens from 5-7 month. During this period there is a chance of developing hypertension which is now called pregnancy induced hypertension. Since you already have high bp, if your bp increases after 20 weeks it will need special care of the fetal nourishment and growth must be monitored. Depin is safe in pregnancy and there are other drugs too which can be given. Talk to your doctor and ask the gynec about the reduced dose. If required take a second opinion. Usually in patients having previous abortions, progesterone is given to protect the pregnancy and prevent abortion. There are many types of progesterone. Natural micronised progesterone, injectable progesterone, and some synthetic progesterone. Duphaston falls in progesterone category. It is not known to cause high blood pressure but it has water retaining properties which may have alerted you. But you can talk about it to your gynec and doctor may change duphaston to other progesterones.
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I am married since Jan 2016 and from that date I tried my best but unfortunately I did't get succeed to get pregnant my wife. Dr. advise me for hsa test and TVS test for my wife. Please suggest me some diet plan to increase semen and what should I eat for fertility of both of us?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am married since Jan 2016 and from that date I tried my best but unfortunately I did't get succeed to get pregnant ...
hi Amardeep, you can have antioxidant rich diet, like avocado, vitamine A and C rich food. please have lemon, gooseberry, spinach, fish.
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I am having pcos and size of right ovary is 45x23 mm (32 cc) and left ovary is 45x25 cc mm (20 cc). I had an ectopic pregnancy in last year november and treated with methotrexate. Diagnosed with tuberculosis (test tb gold positive) since last year December I am on tb medication (ATT). I am having lower abdomen pricking pain on right side which goes off in a few seconds and having lower abdomen pain while bowel movement. Done whole abdomen and tvs ultrasound. Everything is normal except minimal free fluid in POD. I need to urinate frequently (sometimes 3 times in half an hr) and bladder never seem to be empty. What should I do?

MD
Gynaecologist, Mumbai
I am having pcos and size of right ovary is 45x23 mm (32 cc) and left ovary is 45x25 cc mm (20 cc). I had an ectopic ...
Dear lybrate-user, you should complete your akt course for tb. A urine culture report can rule out any possibility of urine infection for frequent urination and if possible consult urologist if frequency is too bad. After akt if you do not conceive in 6-8 months a laparoscopy can be done to assess the tubal status and treatment for fertility will be as per the status of fallopian tubes.
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I want to reduce my weight. I have taken treatment for pcod and taking tablet for thyriod. Also I have irregular period.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Can u stay without food see take 4-5 teaspoonful glucose in lunch and dinner / the rest time drink water in an alternate day, your body will eat all fats. Thus u will lose 10 kgs in a month.
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I am getting blood clots during my periods. what should I do for that? Please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am getting blood clots during my periods. what should I do for that? Please help me.
Homoeopathic medicine sabina 30 (dr reckeweg) drink 5 drops in 1 spoon fresh water 3 times daily for 2 months nd report.
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My tsh level is 8.86. And I am anxious to conceive, doctor suggested me to have eltroxin of 50 mcg a day. My doubt is will my tsh level go down quickly if I use 100 mcg a day? so that I can conceive faster? please suggest me.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My tsh level is 8.86. And I am anxious to conceive, doctor suggested me to have eltroxin of 50 mcg a day. My doubt is...
Thyroid medicines need to be taken as recommended. Overdosing can be catastrophic. It may lead you to more serious effects than the primary disease itself. This treatment is replacement therapy of deficient hormone in your body. Chances are that you would require this medicine on a very long period basis. You will conceive on the right dose and not on a high dose. Be informed about thyroid better. It helps to be convinced better by your self education.
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I am having menstrual problem, my age is 30. Starting cycle onwards I am having irregular periods I am not having thyroid, scan report is normal, when I got meprate only my periods will start. What I can do for my regular periods. Please explain me.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, you need homeopathy. Our medicines r safe, without side effects. Please read carefully below notes for u. You have come here to get well. We are here to select the possible medicine for you. In order to do that, we depend on your co-operation. Homoeopathic medicine is mainly selected on the symptoms you give us. If we are to make a successful prescription, we must know all the details of your sickness. You can take sepia 200 twice a days for 3 days. Inform me after 11 days. Thnks.
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My query is regarding conception. My wife does not want to take I pills due to side effects and I don't want to use condoms. are there other methods to stop pregnancy. I have read that 1 week before n after periods is safe but is it true. please guide me docs I am bit confused. Thank you.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
My query is regarding conception. My wife does not want to take I pills due to side effects and I don't want to use c...
Dear user. You heard it right. One week prior and one week after the first day of period, having sex is safe and cannot cause pregnancy. There are other methods like withdrawal, copper t, female condoms etc. Choose the right one and take the right decision. Take care.
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