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Dr. Surash Kattera

Gynaecologist, Chennai

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Dr. Surash Kattera Gynaecologist, Chennai
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Personal Statement

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. Surash Kattera
Dr. Surash Kattera is a popular Gynaecologist in Medavakkam, Chennai. He is currently practising at Pearl Singapore Fertility Centre And Research Institue in Medavakkam, Chennai. You can book an instant appointment online with Dr. Surash Kattera on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 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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English

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Pearl Singapore Fertility Centre And Research Institue

Plot No 1, Bharat Avenue, Medavakkam Main Road, ChennaiChennai Get Directions
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Sir/mami have noticed some bleeding from bottom while in toilet. Some drops of red blood comes along with stool. I don't know what it is, it happens some times and some times it doesn't happens for days. I thought it would heal automatically but it hasn't. It has been some months now. Please advice me what should I do and what has happened to me. I am a boy of 22 years age. Thank you.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello , you may be suffering from internal haemorrhoids and constipation which is causing the bleed. Prevent constipation and increase your water intake and you should be benefitted.
1 person found this helpful
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I have done a sexual relation ship and I get pregnant now last one month and I don't want child so what I have to do?

Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Consult a gynaecologist. She will examine you and if needed an ultrasound to be done. If it is less than 7 wks pregnancy then only abortion by pills otherwise surgical termination.
1 person found this helpful
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My wife (43 yrs) keeps experiencing a tingling sensation in her fingers and toes (right hand and foot) after working or walking for 20 mins. She feels heaviness in her hand and numbness. After some rest she feels okay. Would appreciate some advice. Thanks.

M.D. homoeopathy, BHMS
Homeopath, Noida
My wife (43 yrs) keeps experiencing a tingling sensation in her fingers and toes (right hand and foot) after working ...
Please get an x- ray done for cervical region and lumbar region, blood test for haemoglobin and review with reports.
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Boerhaave Syndrome

md general phisician
General Physician, Hyderabad
Boerhaave Syndrome

Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
 

Pathophysiology
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]

Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide. [3] a 1986 summary by bladergroen et al described 127 cases. [4] of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Mortality/morbidity

Prognosis
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
 

Morbidity/mortality
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
 

Complications
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.

Make sure that water and salt level of body is maintained

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sultanpur
Make sure that water and salt level of body is maintained. Avoid taking fruit and juice in open public places . Try to protect your body from sun and heat exposure try to eat freshly prepared food.
94 people found this helpful

Tell me name of oral contraceptive pill which needs to be taken daily for unprotected.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Tell me name of oral contraceptive pill which needs to be taken daily for unprotected.
Oral l has got minimum hormones, do take it for 3 cycles, give a break of a month, restart for next 3 cycles. Remember taking too much of hormones does have repurcussions on future fertility.
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I am 28 years female. Recently I got to know that i am having thyroid. T3 and t4 are normal but tsh is 8.06. Please suggest me is there any effect to get pregnancy.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 28 years female. Recently I got to know that  i am having thyroid.
T3 and t4 are normal but tsh is 8.06. Please ...
yes it affect in pregnancy...pl. do all tests for pre-pregnancy. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Hello doctor, I have a cyst in my left Overy that size is 62.5mm. Please tell me how should it remove.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Most ovarian cyst are functional and r related to hormonal changes in the body. If it is not causing severe pain then there is no need to remove it now. You should repeat the scan after 3rd menses are completed. If size remains the same then it can be removed with laparoscopy.
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Hello madam/sir we are recently got married we are trying for pregnancy from 3 months but it's not working and mainly I'm having white discharge from 6 months is their any problem to me? Can you please clarify me, White discharge is a problem to not get pregnancy?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Hello madam/sir we are recently got married we are trying for pregnancy from 3 months but it's not working and mainly...
No, white discharge doesn't cause any problem in getting pregnant. But it can be treated, to enjoy your married life completely and be disease free. White discharge in long run cause general weakness, backache, loss of calcium from body.
10 people found this helpful
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My follicular study report says right overy 18*18Mm 24*18mm 20*17Mm On 16th day those three are ruptured I had intercourse with my husband on 16th and 18th day will it possible to get pregnant.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My follicular study report says right overy 18*18Mm
24*18mm
20*17Mm
On 16th day those three are ruptured
I had interc...
Yes you have good chances of getting pregnant. Just take care of your diet, take healthy nutritious diet, including fruits.
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I have 1 months pregnancy. I don't want it, so what should I do? abortion or any pills for unwanted pregnancy. Please help me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I have 1 months pregnancy. I don't want it, so what should I do? abortion or any pills for unwanted pregnancy. Please...
Technically and legally it is possible to have abortion by the way of medicine. But these need to be taken with medical supervision and prescription. All self medications are dangerous. Doctor -gynaecologist is the best person to help you in this situation. Please go and talk to a good gynaecologist. Doctor has surely got the solution to your problem.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Slip disc/lumbar disc herniation the lumbar spine has a soft cartilaginous material which lies between two adjacent spinal bones and has a jelly like material in its center called lumbar disc.

This soft disc can degenerate leading to a rupture of the disc and leakage of the jelly like material. This is one of the common causes of compression of the nerve the patient will suffer from significant pain in lower back that radiates down to the leg - sciatica

What is the cost for these std card test cost Chlamydia Gonorrhea Hepatitis A Hepatitis B Hepatitis C Herpes 1 Herpes 2 HIV 1 & 2 Syphilis What tests should I do to know my status.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, hello, the cost for the tests are as follows: chlamydia - 1500 rupees gonorrhea - 2000 rupees hepatitis a - 3000 rupees hepatitis b - 3000 rupees hepatitis c - 3000 rupees herpes 1 - 4000 rupees herpes 2 - 4000 rupees hiv 1 - 400 rupees 2 syphilis - 200 rupees.
1 person found this helpful
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I am 42 years old female. Got pregnant a few months back. Now afraid of sex. What should I do or tell my husband to do so that I do not get pregnant again. I want to have 100% safe sex, how is it possible?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 42 years old female. Got pregnant a few months back. Now afraid of sex. What should I do or tell my husband to d...
Use copper t or condom and oral pills your menstruation is regularly or not? any queries ask privately.
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I am having thyroid. I am taking 75 mg dose for thyroid. I am going to conceive, but unable to do so. please suggest what should I do?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
I am having thyroid. I am taking 75 mg dose for thyroid. I am going to conceive, but unable to do so. please suggest ...
It is important to keep TSH<2.5mIU/L before attempting for conceiving. Continue your 75mcg/day thyroxine replacement empty stomach first thing in the morning, 45 min before any food/drinks
1 person found this helpful
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Ragi - Many names, many benefits

MSc
Dietitian/Nutritionist, Chandigarh
Ragi - Many names, many benefits
Ragi - many names, many benefits

Ragi has always been known as a highly nutritious foodgrain, rich in calcium. You might notice the power of ragi when you visit the maharashtrian countryside. Known colloquially as'nachni, a staple diet of these'naachni bhaakris' and'pitla' has been the main reason behind generations of lean yet robust kids.

Finger millet is the english equivalent of ragi. Also, predominantly, used in south india, it is also a rich source of protein, fiber, iron and other minerals.
It is more nutritious than other cereals and has a host of health benefits.

1. Weight loss
Ragi is very high on fiber. Hence, it digests slowly, keeping you full for a longer time and helps you avoid excessive food consumption. This helps you shed kilos and keeps you fit.

2. Laxative
The high fiber in ragi helps to clear bowels smoothly everyday and prevents constipation.

3. Diabetes
Due to its slow digestion rate, ragi helps lower blood sugar levels. Hence, diabetics can enjoy ragi rotis/pancakes without the fear of affecting their sugar levels.

3. Bone strength
Ragi is very rich in calcium. It can be easily substituted for milk (in case of lactose intolerance) to get your daily calcium dose. You can also have ragi flour kanji as a great source of calcium. Ragi porridge can be given to growing children for bone development and to elders to avoid osteoporosis.

4. Gluten free
Ragi is free of gluten which is found in wheat and its products. Hence ragi can be easily taken by gluten sensitive people.

5. Cholesterol control
Highly fibrous, ragi helps control and lower bad cholesterol levels.

6. Anemia
Ragi is also rich in iron and hence can be beneficial for people with anemia.

Ragi mixed with milk works wonders for infants. For the elder kids, naachni khakrashighlight the health-conscious man's snack section during tea breaks. There is a huge list of south indian dishes which feature several ragi permutations and combinations (eg. Ragi idlis, ragi dosas, ragi rasam, etc.)

All in all, in the company of ragi, you have no choice but to stay healthy!
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I am 26 years old and my wife is 18 years old .I am newly married about 2 months ago and I intercourse properly all signs of pregnancy shows but urine pregnancy test negative after 15 days of intercourse and now periods starts.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 26 years old and my wife is 18 years old .I am newly married about 2 months ago and I intercourse properly all s...
At 18, I will suggest you to give her some time to get physical and emotional security to get a baby. Parenting is a big responsibility and there's time for you two to plan. If it's a gift from God, do visit your doctor. For help to get antenatal check ups done regularly.
1 person found this helpful
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10 Effective Home Remedies For Veins!

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
10 Effective Home Remedies For Veins!

Some of the most effective home remedies for varicose veins include the use of olive oil, garlic, cayenne pepper, apple cider vinegar, witch hazel, parsley, horse chestnut, grapeseed oil, pine bark, marigold, and various lifestyle changes.

Varicose veins

Varicose veins are the unsightly and uncomfortable veins, most often occurring in the leg, that have become twisted or enlarged, preventing proper blood flow to extremities and forcing your cardiovascular system to work harder to achieve proper unidirectional blood flow. As people age, or if they have professions that make them stand for long periods of time, the veins can often become tangled in this way, preventing the normal leaflets of our veins from directing blood in one direction. When blood begins flowing in opposite directions, it can become extremely painful, whether one is standing or not. While varicose veins rarely result in life-threatening complications, it can still manifest in the form of leg swelling, edema, venous eczema, skin thickening, and visible vein knots in the legs or affected area. While this affliction most commonly affects the legs, as that is where the body must work hardest to overcome gravity and pump the blood back to the chest, it can also occur on other parts of the body.

´┐╝Symptoms of varicose veins include aching legs, swollen ankles or knees, unexplained fatigue in the legs, slow healing time on small wounds or cuts on the legs, cramps, and skin discoloration or irritation on the calves or feet. If you believe that you are suffering from varicose veins, there are some in-hospital treatments that can alleviate some of the symptoms, but these are often temporary, expensive, and, as with all surgeries, carry a degree of risk. Instead, there are dozens of herbal remedies that have been developed, tested, and relied on for years to eliminate varicose veins, treat its symptoms, or keep them under control in a healthy, effective way. Let’s take a closer look at some of these treatments below.

10 effective home remedies for varicose veins

1. Horse chestnut: the extract from horse chestnut seeds is considered extremely effective against varicose veins, as horse chestnuts are astringent in nature and contain a powerful compound called aescin, which inhibits the destructive enzymes that damage capillary walls. Patients suffering from varicose veins can experience a reduction in swelling and pain when the extract is consumed. However, only the extract can be consumed, as raw horse chestnuts contain other compounds that are actually toxic.

2. Grapeseed oil: grapeseed is a very powerful type of natural oil that has long been used to relieve inflammation and muscle pain when applied in a topical manner. Grapeseedextract can also be consumed, but the unpleasant taste often makes people prefer the topical application of the oil. The proanthocyanids contained in the oil can strengthen the capillary walls and resist degradation, while also reducing inflammation and even promoting healthy blood flow to the extremities.

3. Marigold: marigold is rich in antioxidant compounds and vitamin c, both of which are essential for protecting the skin and maintaining the health and strength of veins and capillaries. You can eat marigold petalsdirectly, but that isn’t considered as effective as boiling the petals and then dipping a hot cloth in the boiled water, which should be infused with the beneficial compounds and chemicals. Apply that cloth to the affected area of your leg to experience reduced swelling, an elimination of pain, and and important collagen transfer that can help your body rebuild damaged capillaries and veins to prevent varicose veins from spreading.

4. Pine bark: the proanthocyanid compoundsfound in grapeseed are also present in the bark of pine trees, in addition to other unique compounds in the extracts that strengthen capillary walls, bind collagen to veins, promote elasticity of the veins, improves blood circulation, and even lowers blood pressure. Pine bark extract is widely available and can be used safely for long periods of time if the problem persists.

5. Parsley: this common herb is another popular home remedy for varicose veins, as its high level of vitamin c promotes the creation of collage and subsequent repair of damaged blood vessels. Rutin is the powerful organic compound in parsley that directly affects capillary strength, making it a key herb to add to your diet if you’re suffering from unsightly varicose veins.

6. Apple cider vinegar: as always, it seems like almost any condition can be improved somehow by this magical cure-all. In terms of varicose veins, consuming apple cider vinegar has been shown to detoxify the blood, while also promoting circulation and reduce inflammation. These three factors together make it an ideal tonic for varicose vein conditions. The easiest remedy is mixing two teaspoons of apple cider vinegar in a glass of water and drinking it two times a day. You can also get undiluted apple cider vinegar and combine it with your normal lotion and apply it to the affected areas. Both remedies are highly effective.

7. Cayenne pepper: the bioflavonoids and vitamin c found in cayenne pepper are able to promote healthy blood flow to the extremities and ease the pain of swollen or aching joints and leg muscles. The pain of varicose veins is often worse than the appearance, and consuming or topically applying a paste of cayenne pepper can definitely help alleviate those uncomfortable situations.

8. Olive oil: as with grapeseed oil, olive oil is able to significantly improve your health. You can rub olive oil on the affected area and allow the rich mixture of organic compounds so the inflammation and pain, and also stimulate repair on injured or degraded capillaries and blood vessels.

9. Garlic: as another apparent cure-all, garlic can break up toxins in the body and stimulate their release, in addition to reducing inflammation and increasing healthy circulation throughout the body. Adding garlic to your diet or regularly applying a garlic paste to the varicose veins can quickly reduce their appearance and discomfort.

10. Lifestyle changes: a number of lifestyle habits can exacerbate varicose veins, including standing for long periods of time, impact exercises or sports, being overweight, wearing high heels, sedentary lifestyle where you don’t walk or move your legs for periods of 30 minutes or longer, excessive alcohol intake, and smoking, which slows down circulation throughout your body. Eliminate or change some of these lifestyle factors and you will see a definite improvements in your varicose vein symptoms.

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