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Dr. Sivakami Gopinath  - Gynaecologist, Chennai

Dr. Sivakami Gopinath

MBBS

Gynaecologist, Chennai

31 Years Experience  ·  500 at clinic
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Dr. Sivakami Gopinath MBBS Gynaecologist, Chennai
31 Years Experience  ·  500 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sivakami Gopinath
Dr. Sivakami Gopinath is a renowned Gynaecologist in Vadapalani, Chennai. He has had many happy patients in his 28 years of journey as a Gynaecologist. He is a qualified MBBS. He is currently associated with SIMS Hospital in Vadapalani, Chennai. Book an appointment online with Dr. Sivakami Gopinath and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 26 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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Education
MBBS - Chennai University - 1988
Languages spoken
English
Professional Memberships
Indian Federation of Ultrasound in Medicine and Biology

Location

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SIMS Hospital

SIMS Hospital - Vadapalani, Chennai (Near Vadapalani Metro Station) No.1, Jawaharlal Nehru Salai (100 Feet Road), Vadapalani Chennai ? 600 026Chennai Get Directions
500 at clinic
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I am 13 years old and when I press my left nipple deeply I feel something hard and smooth I have some breast lumps but it doesn't feel like the lumps Is this okay I am very scared.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Ghaziabad
This can be developing breast glands. Don't press them hard otherwise they will become painful. Don't worry this is normal in adolescent age.
1 person found this helpful

Nephrotic Syndrome Causes, Symptoms And Treatment In Hindi - नेफ्रोटिक सिंड्रोम के लक्षण, कारण और उपचार

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Nephrotic Syndrome Causes, Symptoms And Treatment In Hindi - नेफ्रोटिक सिंड्रोम के लक्षण, कारण और उपचार

नेफ्रोटिक सिंड्रोम आम किडनी रोगों में से एक या रोगों का समूह कहा जा सकता है, इसमें किसी भी आयु समूह के शरीर पर सूजन होना इसके लक्षणों में से एक है. साथ ही इसमें पेशाब के दौरान प्रोटीन मात्रा का अधिक निकलना, रक्त में प्रोटीन की कमी, कोलेस्ट्रॉल का उच्च स्तर और शरीर में सूजन इस बीमारी के लक्षणों में से एक हैं. लेकिन अधिकत्तर मामलों में देखा जाता है कि यह रोग बच्चों को अपनी पकड़ में ले लेता है. हालांकि, उचित उपचार से इस रोग पर नियंत्रण पाया जा सकता है. 

नेफ्रोटिक रोग के दुष्प्रभाव 
अगर आसान भाषा में समझने की कोशिश करें, तो यह कहा जा सकता है कि किडनी शरीर में छलनी का काम करती है. इसके द्वारा शरीर की अनावश्यक पदार्थ अतिरिक्त पानी पेशाब द्वारा बाहर निकल जाता है.
नेफ्रोटिक रोग में किडनी की छलनी जैसे छेद बड़े हो जाने के कारण अतिरिक्त पानी और उत्सर्जी पदार्थों के साथ-साथ शरीर के लिए आवश्यक प्रोटीन भी पेशाब के साथ निकल जाता है. जिससे शरीर में प्रोटीन की मात्रा कम हो जाती है और शरीर में सूजन आने लगती है.

नेफ्रोटिक सिंड्रोम के कारण
इस रोग को प्राथमिक या इडीयोपैथिक नेफ्रोटिक सिंड्रोम भी कहा जाता हैं. इस रोग के होने का कोई ठोस कारण नहीं होता है. लेकिन विशेषज्ञों का मानना है कि श्वेतकणों में लिम्फोसाइट्स के कार्य की खामी के कारण यह रोग होता है. आहार में परिवर्तन या दवाइँ को इस रोग के लिए जिम्मेदार मानना बिल्कुल गलत है. इस बीमारी के 90% मरीज बच्चे होते हैं जिनमें नेफ्रोटिक रोग का कोई निश्चित कारण नहीं मिल पाता है. 

वयस्कों की बात करें, तो नेफ्रोटिक सिंड्रोम के 10% से भी कम मामलों में इसकी वजह अलग-अलग बीमारियां या कारण हो सकता है. जैसे संक्रमण, किसी दवाई से हुआ नुकसान कैंसर, वंशानुगत रोग, मधुमेह, एस. एल. ई. और एमाइलॉयडोसिस आदि में यह सिंड्रोम उपरोक्त बीमारियों के कारण हो सकता है.

नेफ्रोटिक रोग के मुख्य लक्षण :

  • दो से छः वर्ष के बच्चों में यह रोग मुख्यत दिखाई देता है. अन्य उम्र के व्यक्तियों में इस रोग की संख्या बच्चों की तुलना में बहुत कम दिखाई देती है.
  • आमतौर पर इस रोग की शुरुआत बुखार और खाँसी के बाद होती है.
  • शुरुआती लक्षणों में आँखों के नीचे एवं चेहरे पर सूजन दिखाई देती है. 
  • आँखों पर सूजन होने के कारण कई बार मरीज सबसे पहले आँख के डॉक्टर के पास जाँच के लिए जाते हैं.
  • जब रोगी नींद से सुबह उठते है, तब सूजन ज्यादा दिखाई देती है. यह इस रोग की पहचान है. 
  • हालांकि यह सूजन दिन के बढ़ने के साथ धीरे-धीरे कम होने लगती है और शाम तक बिलकुल कम हो जाती है.
  • रोग के बढ़ने पर पेट फूल जाता है, पेशाब कम होता है, पुरे शरीर में सूजन आने लगती है और वजन बड़ जाता है.
  • कई बार पेशाब में झाग आने और जिस जगह पर पेशाब किया हो, वहाँ सफेद दाग दिखाई देने की शिकायत होती है.

नेफ्रोटिक रोग का इलाज :

  • सबसे पहले जरूरी है कि नेफ्रोटिक सिंड्रोम का निदान करना और प्रयोगशाला जांच से इसकी पुष्टि करना है.
  • इलाज के दौरान सामान्य और स्वस्थ आहार लेने की सलाह दी जाती है.
  • डाइट में रोगी को पर्याप्त मात्रा में प्रोटीन दें.
  • अगर कोई किडनी रोग है, तो प्रोटीन की मात्रा को सीमित रखें. रक्त कोलेस्ट्रॉल के स्तर को नियंत्रित करने के लिए डाइट में फैट का सेवन कम करें.
  • उपचार शुरू करने से पहले बच्चे सुनिश्चित करें कि कही बच्चे को पहले से कोई इन्फेक्शन या तकलीफ न हो, ऐसे संक्रमण पर नियंत्रण स्थापित करना बहुत ही आवश्यक है.
  • नेफ्रोटिक सिंड्रोम से पीड़ित बच्चों को सर्दी, बुखार एवं अन्य प्रकार के संक्रमण होने की संभावना अधिक रहती है.
  • इलाज के दौरान इन्फेक्शन होने से रोग बढ़ सकता है. इसलिए उपचार के दौरान संक्रमण न हो इसके लिए पूरी सावधानी रखना जरूरी होता है.

4 people found this helpful

Glycemic Index - Factors That Influence It!

MBBS, MD - General Medicine, DNB - Endocrinology, Diabetes, Metabolism, DCH
Endocrinologist, Delhi
Glycemic Index - Factors That Influence It!

The glycemic index is a measure of food containing carbohydrates and how it can raise the level of glucose in blood. This is essentially a process where every food is ranked based on a reference food such as white bread. A food with a high GI value increases the level of glucose in the blood compared to a food with a GI that is medium or low. Some of the common examples of food with a low GI include legumes and dried beans. Fats and meats are not included in the index due to the non-availability of carbohydrate in them.

Some common foods with a GI of 55 or less include bread made up of pumpernickel and whole wheat, muesli, oatmeal, bulgur, barley, pasta, yam, lentils, sweet potato, converted rice, corn, non-starchy fruits, and vegetables. A food set with medium GI in the range of 56 to 69 includes quick oats, basmati rice, pita bread and couscous. Some example of foods with high GI value in the range of 70 includes pineapple, russet potato, white bread, macaroni, puffed rice, corn flakes, rice cakes and melons.

What influences GI?

Since GI has nothing to do with fibre and fat, some general findings of the GI count are as follows:

  1. When a food is processed or cooked, the GI tends to increase

  2. More the storage time of the food, the higher is the GI. It is applicable for ready to cook food and frozen food as well.

  3. The higher is the GI count, more the ripeness of a fruit or vegetable.

  4. Converted food items tend to have a lower GI as compared to the original version of the food

What are the other considerations?

While the GI value gives first-hand knowledge about the type of carbohydrate a person is consuming, it is hard of any help when it comes to the amount of carbohydrate intake. Portion size, therefore, still plays an important role for patients suffering from diabetes. The GI count of a food item greatly varies when combined with a food which has higher GI or lower GI for that matter. Nutritious food that is extremely beneficial for the body, tends to have a higher GI count. For instance, the GI count of oatmeal is greater than that of a chocolate.

Which one is more effective?

While there is no hard and fast rule for maintaining the carbohydrate count, an approach that is equally balanced between a GI count and carbohydrate count works best for a patient. Both the type of carbohydrate as well as the count of carbohydrate plays a crucial role in keeping the blood sugar level under control.

2878 people found this helpful

I'm 23 years old and newly married women about 4 months but I get problem in my sex life I feel very pain in my vagina one of doctor told me that my hymen seal is not break yet. And I wanted to be pregnant as soon as possible.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Dear user if your hymen is still intact it needs to get rupture for proper penetration and pregnancy. For more details consult me thnx.
2 people found this helpful

I hv pcod and the egg size is not increase it become 11 Dr. says that it happened because of hormone imbalance in that situation what can I do.

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
I hv pcod and the egg size is not increase it become 11 Dr. says that it happened because of hormone imbalance in tha...
Dear lybrate-user. Provided that your weight is appropriate for your height (I.e. BMI is normal) and you have regular cycles, if your egg cycle is not increasing beyond 11 mm, in the next cycle you need to have additional injectable drugs (called gonadotropins) to hep in follicle development. Kindly get a baseline day 2/3 FSH and LH investigation as a baseline as well. Regards.
4 people found this helpful

I am 22 year old female. From past few years this is the first time when I get periods twice a month. Even after second time after 2 days gap, bleeding again started and it is causing pain in whole legs and lower areas. M not able to understand the reason for this. Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 22 year old female. From past few years this is the first time when I get periods twice a month. Even after seco...
Hello, This irregular shedding is likely due to progesterone deficiency in teh second half of cycle and hence get your serum progesterone levels done. You may require cyclical progesterone therapy for 3 months.

Hello, My sister who is 28 years old got married two months back. After two weeks of marriage she wasn't well n suffering pain in her back n wasn't able to getup from her bed. Doctors done her blood n urine tests which showed dat her right ovary is enlarged. She had problem with her periods which usually came after every 2-3 months time. Secondly doctor also suggested her MRI scanning which showed dat she is having axial ankylosing spondylitis. Can you suggest dat what is it actually and how is it going to affect her in future n will she cure from these? Will she have children n what is risk for her children? Kindly suggest d causes, treatments n care to be taken for her kids.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hello, My sister who is 28 years old got married two months back. After two weeks of marriage she wasn't well n suffe...
Hi Ms. Lybrate-user, ankylosis spondylisis is autoimmune condition can affect fertility, high risk of abortion, will next extra care while planning for pregnancy. Regarding baby it can be genetically transmitted to baby but having chances 30-40%. Option will be either go for ivf with pgd or natural pregnancy followed by early pregnancy test to see baby is normal or not.
1 person found this helpful

I didn't got my periods till now and it was last came by September 10th I did a pregnancy test at home bt it's showing negative what does this mean?

MD - Alternate Medicine, BHMS
Homeopath, Surat
I didn't got my periods till now and it was last came by September 10th I did a pregnancy test at home bt it's showin...
It means that your period might be late for any other reason but not pregnancy. And negative result shows that you are not pregnant.

Hi I am mother of 5 month old baby girl. Initially after delivery I was able to breastfeed my baby with 2-3 times top feed till 3 rd month. But now 4 month onwards breast milk automatically reduced to nil n my periods also started. Now baby is totally in top feed n looks very thin. Can I Regan my breast milk supply n how to make my baby little fatty also need some food chart for her.

Diploma In Paediatric
Pediatrician, Patna
You should have exclusive breast feed baby for atleast 6 months. But if you have started top feeding before 6 month child developed nipple confusion and prefer effortless top feed over breastfeeding and avoid breast feeding leads to milk suppression and beginning of menstrual cycle. Contact a Pediatrician he will help you.
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