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Dr. Thanuja Tiwari

Gynaecologist, Chennai

Dr. Thanuja Tiwari Gynaecologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Thanuja Tiwari
Dr. Thanuja Tiwari is a trusted Gynaecologist in Vepery, Chennai. She is currently practising at C U Shah Diagnostic Centre in Vepery, Chennai. You can book an instant appointment online with Dr. Thanuja Tiwari 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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No 78/79, Ritherdon Road, Vepery,Landmark:Near Bank Of Baroda, ChennaiChennai Get Directions
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My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most fertile days? Kindly suggest.

MD-Dermatology, MBBS
Sexologist, Pune
My wife and I planning for baby, we want to know what's the best time when she can conceive. How do we identify most ...
If menses are regular than starting from 1 day of menses usually ovulation occurs on 14 day. So leaving first and last 8 days that is from 9 th to 21st day are considered most fertile.
11 people found this helpful
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I am unmarried and I have cut in nipple in future can I feed a baby. please advice.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am unmarried and I have cut in nipple in future can I feed a baby. please advice.
It is best to withhold temporarily from the affected breast as it will be painful . Express the milk though to prevent congestion. You can use a nipple shield and apply lanolin based ointment like boroline to allow it to heal
8 people found this helpful
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Let Your Liver Live: 6 Habits Harming Your Liver

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Let Your Liver Live: 6 Habits Harming Your Liver

The liver is a vital organ which means a person cannot survive without it. The liver works with other organs in the digestive tract to digest, absorb, and process food. The main function of the liver is to filter the blood that it receives from the digestive tract before passing it to the rest of the body. The liver detoxifies and metabolizes the medicines that you take. It also secretes bile and important blood clotting proteins.

Being such an important organ, it becomes imperative for you to stay away from habits that can damage it.

Here are some common habits that are damaging your liver:

1. Too much sugar

Having excess amounts of sugar is not harmful to just the teeth but the liver as well. Liver converts fructose ( a type of sugar) into fat. If you consume foods with refined sugar, it can build up as fat in the liver leading to liver diseases. Experts suggest that consuming too much sugar can be as harmful to the liver as having excessive alcohol. Avoid foods that contain refined sugars and corn syrup that has high fructose content. Limit foods with added sugars, such as soda, pastries, and candy.

2. Self-medication

The painkillers that you pop frequently for a sore back, that annoying headache or a toothache can damage your liver in the long run. It is okay to take over the counter pain medications like paracetamol once in a while but make sure that you do not resort to taking them on a regular basis. Always consult your doctor for chronic painful conditions and advice on pain medications.

3. Excessive alcohol

Consuming alcohol in large quantity can cause irreversible damage to the liver. When alcohol is consumed in excessive amounts it interferes with the ability of the liver to get rid of toxins from the body. Studies suggest that having three glasses of alcohol every day is a direct risk for liver cancer.

4. Too many supplements

Taking supplements instead of obtaining those nutrients from your food is a habit that can damage your liver. Unless recommend by your doctor, avoid taking supplements indiscriminately. Eat a well-balanced diet rich in green leafy vegetables, fruits, dairy products, and protein. Always consult a doctor before you start taking a supplement even if it is an herbal supplement. Remember that all medicines are processed by the liver.

5. Sleep deprivation

You may not know but not getting a regular sleep can damage your liver. Studies show that when people are sleep-deprived their livers cannot process the fat efficiently leading to fat accumulation which eventually leads to liver damage. Getting a good sleep also acts as a repair process for the whole body including liver. Make sure you get a good 7- 8 hours of sleep regularly.

6. Soft drinks

Studies have shown that people who drink too much soft drinks have higher chances of developing the non-alcoholic fatty liver disease (NAFLD). Since these drinks are packed with sugar, so it is best to avoid them for improving your overall health.

So, go ahead and change these habits that are harming your liver and embrace a healthy and active lifestyle for a healthier you. Stay healthy, stay happy!

Hi, which is the best time to intercourse, after the periods finishes. Please suggest

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi, which is the best time to intercourse, after the periods finishes. Please suggest
Midcycle if you want to get pregnant. Otherwise its probably safe during your periods and a few days before provided you have regular cyscles. But it is always better to use contraception regularly to prevent an unwanted pregnancy.
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I am 27 year old girl. At the time of menstruation cycle I have small small piece with the flow of blood. So I want to know is it happening with me or with all the women or is it some type of problem from which I am suffering.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 27 year old girl. At the time of menstruation cycle I have small small piece with the flow of blood.
So I want t...
The pieces which you described are blood clots. If this has happened for the first time there is no reason to worry. Temporary hormonal changes can cause this kind of bleeding. If this is repeating for many months leading to drop in hb%, then definitely you need treatment.
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I am 3&1/2 month pregnant. But weight is 68kg from 1st month of pregnancy till now. So I am worried is there any wrong with me. Generally people are gain during pregnancy but me not. Why? Is it normal?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Ghaziabad
I am 3&1/2 month pregnant. But weight is 68kg from 1st month of pregnancy till now. So I am worried is there any wron...
Weight gain usually start after four months so don't worry. Take good diet with more of protein and vitamin. And milk. Max weight gain occur in last 2_3 months.
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International Academy of Classical Homeopathy, BHMS
Homeopath,

? Production of hormones like estrogen and progesterone trigger the development of a woman's body
? Menstruation is a natural process and women experience various problems before and during
menstruation

Symptoms to look for:

? Abdominal cramps
? Pain
? Excessive flow
? Sudden stoppage
? Development of clots

Natural home remedy using papaya:

1. Papaya helps to reduce the pain and regulates the flow
2. Take pulp of an unripe papaya
3. Blend it with 1 glass water
4. Drink it twice a day

Natural home remedy using sesame seeds:

1. Sesame seeds have pain relieving properties and also cure vomiting
2. Crush 4 tsp of sesame seeds into powder
3. Add 1 glass of water
4. Mix well
5. Drink 2 times a day

Tips:

? Avoid caffeine
? Drink 8 glasses of water everyday to keep the body hydrated


HOMEOPATHIC APPROACH-

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.
Homeopathic medicine is mainly selected on the symptoms you give us. If we are to a successful prescription, we must know all the details of your sickness. It is
also said that a case well taken is a case
half cured.


HOMEOPATHIC REMEDIES-
SEPIA , BELLA ,CIMIC ,SABINA ,MAG.PHOS ,MILLI ,ETC


Please consult your physician or homeopath in person before starting or discontinuing any form of medical treatment.
THIS IS NOT D TREATMENT IS ONLY INFORMAL

TAKE CARE ,

Respected doc. I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bleeds on 10 may to 15 may. Now, I do jogging, walking, running squatting regularly about 30 mins. I avoid junk food, soft drinks, sugars, chips, I eat only home food. I studied about thyroid effects on menses. Pls prescribe me way how to keep healthy thyroid. Do I avoid rice and potato too. Thankyou.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Respected doc.
I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bl...
Firstly get urself checked for thyroid. Get t4 and tsh. It s blood test. If it deranged then medicine is started. If it is already normal you can relax. But there is nothing one could do to prevent it from not having in future.
2 people found this helpful
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Hello I have my gf I so sex after it my gf havnt there period last 1 month 12 days I ask you what to do now?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello I have my gf I so sex after it my gf havnt there period last 1 month 12 days I ask you what to do now?
Hello, please get a urine pregnancy test done first to rule out pregnancy. If negative then she can opt for a withdrawal bleed with progesterones.
1 person found this helpful
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From which day after my periods should I have sex so as there is no chance of being pregnant. And also tell me that when should I do not have sex. according to my periods cycle. I am not sure about this topic that on which day after my periods I am eligible to have sex which is not unsafe for me. Please help .

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
3-4 days +- 14th day of cycle is supposed to be unsafe period for unprotected sex. Rest of the days are safe provided your cycle is regular. Sex during period is unhealthy.
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Dear sir/ madam I'm Rohinigarg from Bangalore. My problem is that I don't get my period on time sometime exceptions that it come on timely, I concerned with many gynecologist but they never told me something seriously. This time again my periods are not come on timely so I concerned with my relative doctor they prescribe me misoprost-200 but by taking this medicine I got my periods only one day (11 November) and now again period cramps are started. What I can do. please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Dear sir/ madam
I'm Rohinigarg from Bangalore. My problem is that I don't get my period on time sometime exceptions t...
Hello you simply improve your diet take iron supplements, fresh fruits, milk twice a day n take ayurvedic medicines which will really help you in regularizing your periods. U can ask for further information.
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I am five months pregnant and I have to go bathroom frequently. I take 10 glasses of water i.e. 2 and half ltr. Is it ok or it may be a problem?

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
I am five months pregnant and I have to go bathroom frequently. I take 10 glasses of water i.e. 2 and half ltr. Is it...
In pregnency frequency of urine increases, you can take 2-3lit of water. But get a urine test done to rule out urine infection once.
1 person found this helpful
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I have a fibrodenema in my right breast and when the doctor's suggested me to leave as it is as there no harm. But I am confused if you should operate it or leave as it is. Please advise me on this.

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Dear your doctor has given you right advice. Follow his/ her instructions. There is no surity of nonrecurrence once you are operated. Mostly these fibroadenomata are harmless.
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I m Girish, 22 yrs, sir after how many days we can be sure day a women is pregnant or not after having inter course. What is the most recent date to get sure abt pregnancy. Pls reply soon.

BHMS
Homeopath, Faridabad
I m Girish, 22 yrs, sir after how many days we can be sure day a women is pregnant or not after having inter course. ...
Hello. The pregnancy test is positive after over 1 week of the expected menstrual date in a female with regular menstrual cycle. Test can be done at home with a pregnancy kit.
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Boy blood group is AB and girls blood group is A are this ok for conceiving a baby?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Boy blood group is AB and girls blood group is A are this ok for conceiving a baby?
blood group no problem .You should know the rh typing if mother is negative and father is positive than the problem is there.
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How to overcome irregular periods problem. Please help to get periods in a regular way.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
How to overcome irregular periods problem. Please help to get periods in a regular way.
Hello, Please get a usg pelvis and hormonal profile done to rule out PCOS, hyperprolactinemia or hypothyroidism.
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What happen with continuous mest urination what its effects and please teel me in what time period a person has to do or not to do. What will be the appropriate size of penis plzz I'm not I'll but I just wanted to know that please Sr/ mmam.

MBBS
General Physician, Mumbai
What happen with continuous mest urination what its effects and please teel me in what time period a person has to do...
Concentrate only on maintaining erectness of penis and stop mastubation because it will lead to psychatric disturbance in near future.
3 people found this helpful
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

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