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Madras Medical Mission Hospital

Multi-speciality Hospital (Endocrinologist, Gynaecologist & more)

# 4-A, J J Nagar, Mogappair West, Collector Nagar. Chennai
24 Doctors · ₹0 - 550
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Madras Medical Mission Hospital Multi-speciality Hospital (Endocrinologist, Gynaecologist & more) # 4-A, J J Nagar, Mogappair West, Collector Nagar. Chennai
24 Doctors · ₹0 - 550
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Madras Medical Mission Hospital
Madras Medical Mission Hospital is known for housing experienced Gynaecologists. Dr. A Tamilselvi, a well-reputed Gynaecologist, practices in Chennai. Visit this medical health centre for Gynaecologists recommended by 50 patients.

Timings

MON-FRI
07:00 AM - 07:00 PM
SAT
07:00 AM - 04:00 PM

Location

# 4-A, J J Nagar, Mogappair West, Collector Nagar.
Mogappair Chennai, Tamil Nadu - 600037
Get Directions

Doctors

Dr. A Tamilselvi

MBBS, DGO, MRCOG
Gynaecologist
25 Years experience
500 at clinic
Available today
04:30 PM - 07:00 PM

Dr. Manoj Kumar Shah

MBBS, Post Graduate Diploma in Health Sciences (PGDHSc), Master of Health Sciences (MHSc)
General Physician
10 Years experience
300 at clinic
Available today
10:00 AM - 05:00 PM

Dr. N Suresh Anand

MS Breast Surgeon, FRCS Edin, FRCS - General Surgery
General Surgeon
23 Years experience
500 at clinic
Available today
09:00 AM - 05:00 PM

Dr. Latchumanadhas K

MBBS, Doctor of Medicine, DM - Cardiology
Cardiologist
30 Years experience
450 at clinic
Unavailable today

Dr. Abraham Kurien

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist
24 Years experience
550 at clinic
Available today
08:30 AM - 06:00 PM

Dr. Ulhas M.Pandurangi

MBBS, M.D Cardio
Cardiologist
27 Years experience
550 at clinic
Unavailable today

Dr. Jai Shankar

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist
21 Years experience
450 at clinic
Unavailable today

Dr. M.Anbarasu

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
Cardiologist
29 Years experience
400 at clinic
Available today
09:00 AM - 05:30 PM

Dr. Ashok Chakho

MBBS
Gastroenterologist
450 at clinic
Available today
09:00 AM - 04:00 PM

Dr. Jacob Jamesraj

MBBS
Cardiologist
400 at clinic
Unavailable today

Dr. Manju Sivaraj

MBBS
Endocrinologist
Available today
11:00 AM - 04:00 PM
Unavailable today

Dr. Vijaya Kumar.S

MBBS
Cardiologist
Unavailable today
Unavailable today
Unavailable today

Dr. K.Siva Kumar

MBBS
Cardiologist
Unavailable today
Unavailable today

Dr. Jacob Jamesraj

MBBS
Cardiologist
400 at clinic
Unavailable today

Dr. M.Anbarasu

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
Cardiologist
29 Years experience
400 at clinic
Available today
09:00 AM - 05:30 PM

Dr. Vimala.J

MBBS
Cardiologist
Unavailable today
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Healthy Bones - 4 Tips For It!

MBBS, Diploma in Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement
Orthopedist, Bangalore
Healthy Bones - 4 Tips For It!

Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.

As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.

Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.

Here are some tips to keep your bones healthy:

  1. Weight liftingWeight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.

  2. Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones. 

  3. Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.

  4. Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically. If you wish to discuss about any specific problem, you can consult an orthopedist.

Pre-Diabetes - Know The Importance of Portion Control!

Non-invasive Cardiology
Cardiologist, Thane
Pre-Diabetes - Know The Importance of Portion Control!

Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.

Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.

Type 2 Diabetes and Pre-Diabetes

  • What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
  • Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
  • Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
  • If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
  • Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.

Portion size control for pre-diabetics

  • You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
  • Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
  • This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
  • And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
  • Remember, proper serving size is crucial to preventing full-blown diabetes.
  • Let’s take a look at how you can do this as a pre-diabetic-

Essentially, portion control for pre-diabetics is geared towards managing

  • Calorie intake, especially important for those carrying extra body weight
  • Carbohydrate intake

Managing calorie intake

  • Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
  • Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
  • This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
  • Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.

Managing carbohydrate intake

  • Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
  • Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet.

type diabetes

Chewing Paan - 5 Lesser Known Benefits Of It!

MBBS, DNB (General Medicine)
General Physician, Delhi
Chewing Paan - 5 Lesser Known Benefits  Of It!

Paan which is prepared using tender green betel leaf and areca nut is very popular and widely consumed in many countries of South and South East Asia such as India, Bangladesh, Pakistan, Indonesia, and Malaysia. There are many variations to the preparation, some might contain tobacco, slaked lime paste also known as choona and a paste that is known as kattha which is a breath freshener.

The betel leaves used to make paan have a range of healing and curative benefits. The leaves contain vitamins such as niacin, riboflavin, vitamin C and many more. Chewing paan can, therefore, have a good impact on your health.

  1. Digestive Health: The chewing action when consuming paan helps to stimulate the salivary glands. This causes the secretion of saliva which contains the enzymes necessary to ensure that the food is properly broken down. This aids in a good digestion. Betel leaves are also very effective in relieving constipation. The extract of these leaves also have good gastro-protective properties and can, therefore, be used for treating gastric ulcers.
  2. Oral Health: The various variations or ingredients of paan such as the addition of cloves or fennel work as a mouth freshener. The betel leaf too helps to reduce or get rid of bacteria that cause bad breath. Chewing paan maintains ascorbic acid levels in saliva which can prevent and lower the risk of oral cancer. Ascorbic acid is an antioxidant which works to reduce the levels of free radicals in the body, this prevents cancer.
  3. Treatment for warts and boils: In the practice of ayurvedic medicine in India, betel leaves have been used as a cure for warts and boils. Treatments using betel leaves can permanently remove a wart without any scars. Therefore chewing betel leaves can help to cure and prevent boils and warts from forming in the mouth and other parts of the body.
  4. Treatment for common ailments: The analgesic properties of the betel leaf has made it very popular in traditional medicinal remedies in India for various ailments such as cough, headache and in the treatment of small cuts and wounds. The slight bitter taste of the leaf has an anti-diabetic property and can be used to control blood sugar levels.
  5. Treatment for skin disorders: The antimicrobial properties of the betel leaf make it a good natural treatment option for skin disorders such as rashes, acne, itching and body odours.

As with all things chewing paan can be both good but excess of the same can be bad. The health benefits of chewing paan are not widely known and they can be further enhanced by using ingredients that are good for your health.

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Cardiac Problems

MBBS, MS - General Surgery, MCh - Cardio Thoracic and Vascular Surgery
Cardiologist, Meerut
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Causes and Treatments for Cardiac Problems

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What Are The Latest Advancements in Male Contraceptions?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
What Are The Latest Advancements in Male Contraceptions?

What are the latest advancements in male contraceptions?

The drawback of surgical approaches (such as vasectomy), especially patient compliance and the low success rates with condoms has spurred research on hormonal contraceptive dosage forms. There is a dearth of investigations in the development of pharmaceutical preparations. Evolving technology in the 21st century as well as improvement in living standards further underline the need for new male contraception approaches, especially those that entail new drug delivery methods.

Here are few areas where male contraception is being researched and used in some countries

Hormonal contraception for men is possible, and we are at the threshold of an important breakthrough. Combined testosterone plus progestin administration is more effective and safer than testosterone alone. Combination of testosterone plus an anti-androgenic progestin has several advantages over other formulations. In combined therapy, single injection formulation may have better compliance. 

  • Conventional male contraception 
  • Abstinence (doesn't work well)
  • Masturbation
  • Male condom
  • Vasectomy

There are other methods being developed but not sure they are there yet. But for guys? Their options are stuck in a time warp. If a man wants to take pregnancy prevention into his own hands, his choice basically comes down to condoms, a vasectomy, withdrawal, or abstinence. That’s why it's so amazing that scientists are finally developing some real advancements when it comes to male contraception.

Researchers writing in the April issue of the Open Access Journal Contraception published a rundown of the top emerging options. A few hold real promise, particularly a daily or weekly pill that would deliver a dose of artificial hormones to a guy’s bloodstream, which would then act on reproductive hormones to stop sperm from being produced. Like the female hormonal pill, the male hormonal pill would be reversible. But also like the female hormonal pill, there appear to be side effects, among them acne, weight gain, and even trickier to work around, changes in testosterone levels that trigger a plunge in libido.

Non-hormonal techniques are also being developed, particularly a vaccine that immunizes men with antibodies to halt sperm production. This so-called male birth-control shot is encouraging, because it targets sperm directly (rather than targeting other hormones in the body) and doesn’t have the testosterone-lowering side effects of a hormonal pill. Each injection would last for long intervals (experts aren’t yet sure how long), but the pregnancy-preventing effects would be reversible, if and when a guy decides he’s ready to be a dad.

So when can you expect to see men rushing out to the pharmacy counter to pick up their new birth control Rx? “I think we may see a novel male contraceptive within 10-12 years, That may seem far off, but hey at least it’s finally within sight.

How Homeopathy Helps Treat Infections?

BHMS, MD - Homeopathy
Homeopath, Delhi
How Homeopathy Helps Treat Infections?

Infection is generally understood as the invasion into the body tissues of an organism by certain foreign bodies such as bacteria, parasite, and virus. They are transmissible diseases and can be transmitted from one person to the other via sneezing, coughing or physical contact. They can be mild, moderate or severe.

  • They can be acute, that is, can last for a short time, or chronic that lasts for a long time, or a latent infection that may not cause any symptoms at first but reactivates and resurfaces over a period of time.
  • Although each infection has its own distinct symptom. Generally, these symptoms include fever, swelling, redness, inflammation, burning, cough, diarrhea, fatigue, muscular pain, nausea, vomiting, rapid pulse or rapid breathing.
  • If the patient has a severe headache, difficulty in breathing, painful swelling and unexplained prolonged fever or cough, he or she should immediately consult a doctor.

Conventional drugs that are given to treat infections like antibiotics, antiviral, antihistamines and steroids have many side effects on the human body. They on one hand hamper the digestive power of the system and on the other hand lower the immunity power of the body. In the long run, these medicines can have adverse effects on the body. Though conventional drugs suppress the disease for some time, the disease tends to resurface in the future.

However, Homeopathy has been found to be of great success in treating both acute and chronic infections. The best part is that, there is no side effect. Homeopathy also boosts our immune system so that the body naturally develops the strength to fight against infections in future, when foreign bodies invade. Homeopathic medicines have also proved to be effective as preventive measures against infections.

Some of the Homeopathic medicines for the treatment of most common infections are discussed below:

  1. Throat infections: Belladonna, Lachesis, Lycopodium, Phytolacca, and Mercurius are most commonly administered to cure throat infections.
  2. Skin infection: Common homeopathic remedies are Sulphur, Calendula, Hypericum, Silica, and Hepar sulfuris.
  3. Bladder infection: Berberis, Chimaphila, Hydrastis, Apis, Cantharis, and sarsaparilla are commonly prescribed.
  4. Stomach infection: Arsenic album, Nux vomica, Carbo veg, Lycopodium, and Pulsatilla are commonly recommended.
  5. Sinus infection: Kali bichromicum, Pulsatilla, Mercurius, Natrum muriaticum, and Allium cepa work well in cases of sinus infections.

Most of the Homeopathy medicines are prescribed on the basis of symptoms observed. So, Homeopathic medicines are prescribed, even before the definitive diagnosis is made. Thus, the time saved prevents the infection from spreading, and the patient is automatically cured rapidly.

Hello Doctor, I would like to understand Phimosis. What is the normal position of foreskin. Should it fully uncover penis head during sex? In my case it just open the entrance but doesn't uncover the head. Will it have any impact after marriage? Should I do regular stretching of foreskin or apply coconut oil? Please help.

MBBS
Sexologist, Panchkula
Hello Doctor, I would like to understand Phimosis. What is the normal position of foreskin. Should it fully uncover p...
Foreskin should move freely over the penis head in erected and flaccid positions. Yes, it should fully uncover penis head during sex. You can have pain during sex due to tight foreskin. You can do back and forth movement of foreskin during erection. Move the foreskin back till there is pain and then forward after applying coconut oil. Move foreskin more and more back till it is fully back. Do this back and forward movement of foreskin 10 times in morning after bath and 10 times before sleeping at night. Follow this and give feedback.
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Hi I'm 37 years old I hv hypothyroidism for which I tke eltroxin (Mon to Thurs) 100 mcg & (Fri to Sun )125 mcg & my Tsh levels 1.15, T3 1.03, T4 15.90 these days I always fell like spinning in my head so I checked my Bp level it keep fluctuating sometimes 130/90,125/85 120/88 like so on please can you give me any suggestions bcoz we r planning for ivf treatment as we don't hv kids.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm 37 years old I hv hypothyroidism for which I tke eltroxin (Mon to Thurs) 100 mcg & (Fri to Sun )125 mcg & my T...
lybrate-user, Thanks for the query. For IVF your TSH level is quite right. There is no need to worry. Even the BP readings are very much normal.(diastolic should ideally be <80 mm Hg). That is unlikely to cause any symptom. Thanks.
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Symptoms Of Jaundice In Hindi

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Symptoms Of Jaundice In Hindi

पीलिया नाम की बीमारी ऐसी है जो कभी न कभी हर किसीको हुई होती है। पीलिया जिसे हम जॉइंडिस नाम सेभी जानते हैं,यहबीमारीइतनी आम है कि गर्मियों के मौसम में सबसे ज्यादा होने वालीमुख्यबीमारियों में से यह एक है। पीलिया होने की सबसे अहम वजह है भारी गर्मी में बार बार प्यास बुझाने के लिए बाहर का प्रदूषित पानी पीना। मतलब आप समझ ही गए होंगे कि पीलिया होने की वजह है गंदे पानी और दूषित भोजन का सेवन। पीलिया आमतौर पर हेपेटाइटिस ए वायरस की वजह से होता है जो दूषित या संक्रमित खानपान से फैलता है। यही नहीं कई और बीमारियां हैं जिनके होने से लिवर पर असर पड़ता है, जो पीलिया होने की एक और वजह हो सकती है।पीलिया बच्चे बूढ़े किसीको भी हो सकता है। बस इसके होने की वजह और लक्षण के बार उम्र के हिसाब से अलग अलग नजर आते हैं। पीलिया वैसे तो प्राणघातक नहीं है पर अगर ज्यादा देर हो जाए तो खतरा बढ़ जाता है। इसलिए जरूरी है कि समय रहतेपीलिया का जल्द से जल्द  लक्षण जानकर उसका इलाज किया जाए। अब आप लक्षण की पहचान कैसे की जाए इस सोच में ना पढ़ें क्योंकि आज हम आपको पीलिया के बारीक से बारीक सिम्पटम्स बताएंगे जिससे सही समय पर उपचार करके खुदको स्वस्थ और सुरक्षित रख सकेंगे।

पीलिया के सिम्पटम्स

1. नवजात शिशु को पीलिया
नवजात शिशु को होने वाला पीलिया वयस्कों को होने वाले पीलिया से काफी अलग होता है। शिशुओं को पीलिया लीवर की बीमारी की वजह से नहीं होता। बच्चों का लीवर इतना सक्षम नहीं होता कि वो वयस्कों के लीवर की तरह बिलिरुबिन को कम कर सके। इस वजह से रक्त में बिलिरुबिन जमा हो जाता है और पीलिया हो जाता है। बच्चों में होने वाले पीलिया के सामान्य लक्षण आंखों व त्वचा का पीलापन, अनिद्रा, भूख में कमी और बहुत तेज़ रोना आदि हो सकते हैं।

2. शरीर और आंखों का पीला होना
पीलिया शब्द ही पीले रंग से लिया गया है। त्वचा और आंखों के सफेद भाग का पीला हो जाना इस बीमारी का सबसे बड़ा लक्षण है। ऐसा बिलिरुबिन का स्तर गिरने के कारण होता है जो कि एक ऐसा पिगमेंट है जो लीवर में रेड ब्लड सेल्स नष्ट होने से पैदा होता है। इसलिए कोई भी बीमारी जो लीवर के सिस्टम को प्रभावित करती है उसमें भी बिलिरुबिन का स्तर ऊंचा हो सकता है और उसका प्रभाव त्वचा पर दिख सकता है।

3. स्टूल में चेंजेस
जिस इंसान को पीलिया होता है उसके बिलिरुबिन की अत्यधिक मात्रा का अधिकतर हिस्सा यूरीन में निकल जाता है लेकिन जितना हिस्सा बचता है वो पूरे शरीर की कोशिकाओं में फैल जाता है। और इसी वजह से स्टूल का रंग बदल जाता है।

4. पेट में दर्द होना
पीलिया बिले डक्ट में बिलिरूबिन की रूकावट के कारण भी हो सकता है। ये रूकावट आमतौर पर गालस्टोन के रूप में या फिर बाइल डक्ट में सूजन के कारण होती है। इससे पिगमेंट का स्तर बढ़ जाता है। बहुत से लोगों को ऐसे में पेट दर्द होता है। आमतौर पर ये दर्द पेट के दाहिने तरफ होता है। 

5. पेशाब का रंग गहरा होना
आमतौर पर ऐसा होता है कि लाल रक्त कोशिकाएं बिलिरुबिन में और फिर बाइल कहलाने वाले एक पिगमेंट में बदल जाते हैं। बिलिरुबिन के असामान्य स्तर होने पर यूरीन में बाइल पिगमेंट की मात्रा बढ़ जाती है। इससे यूरीन का रंग गहरा हो जाता है।

6. वोमिटिंग होना
पीलिया में उल्टी और मतली की शिकायत भी हो सकती है। अगर इसका इलाज ठीक प्रकार से न किया जाए तो आगे चलकर ये समस्या बहुत बड़ी भी हो सकती है। 

7. शरीर में इचिंग होना
कोलेस्टासिस की वजह से जिन लोगों को पीलिया होता है उनको खुजली की शिकायत भी हो जाती है।शुरुआत में खुजली हाथों में होती है और फिर पैरों में। फिर धीरे धीरे पूरे शरीर में फैल जाती है। रात को खुजली की ये समस्या काफी बढ़ जाती है।

8. नींद में प्रॉब्लम होना
जिन लोगों को पीलिया होता है उनमें नींद से जुड़ी समस्याएं काफी आम है। साथ ही, भावनात्मक कष्ट भी महसूस हो सकता है।

9. ज्यादा थकान लगना
जिन लोगों को पीलिया होता है उनमें सबसे सामान्य लक्षण थकान है। ये आमतौर पर प्राइमरी बाइलिअरी सर्होसिस, प्राइमरी स्केरोसिंग कोलेंजाटाइसऔर बाइल डक्ट सिंड्रोममें होता है।

10. दर्दरहित पीलिया
जब पीलिया में दर्द महसूस नहीं होता तो संभव है कि बालइ डक्ट में रुकावट आ रही हो। इस तरह के मामलों में पीलिया में, त्वचा पीली होने के साथ साथ, वजन घटना या दस्त या कब्ज़ जैसे लक्षण भी सामने आते हैं।
 

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Unconsummated Marriages - A Leading Cause Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Unconsummated Marriages - A Leading Cause Of Infertility!
  • Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
  • Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%. 
  • Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education.  Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
  • Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty. 

 Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis).  While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.

 What causes it?

 

  • "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
  • "To treat it correctly, you need to treat both the physical and psychological aspects."
  • while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
  • "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
  • "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
  • Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant.  While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam. 
  • Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and  physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
  •  Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that  is needed is some basic anatomical information  and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may  be  advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful.  While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms.  In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
  • While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame?  What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition?  Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
    "So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
    "In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
    "Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
  • Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.

How to treat it

  • Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
  • "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
  • "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12 
  • and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
  • As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
  • For the psychological side of things, she recommends seeking out a competent female sexologist.
  • Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
  • "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
  • "It's imperative these women have a gentle introduction and remember they are in control of the situation.
  • "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.

Steps to take

  • If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
  • "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
  • "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
  • "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
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Laparoscopy - How It Is Beneficial In Gallstone Surgery?

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Laparoscopy - How It Is Beneficial In Gallstone Surgery?

Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.

Gallstones are common among women, especially those who are 40 years and more. Obesity, diabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.

Laparoscopy to remove the gallstones

  • While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
  • General anesthesia is given to the patients before the surgery.
  • The surgeon makes 3-4 small incisions in the abdomen.
  • The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
  • In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
  • Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
  • Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
  • With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
  • The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
  • The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
  • In case complications arise during the surgery, the surgeon may have to switch onto an open surgery.

Cervical Smear - Understanding It In Detail!

MBBS, DGO, MRCOG
Gynaecologist, Mumbai
Cervical Smear - Understanding It In Detail!

A cervical smear test is often known as a Pap test and is done to establish the changes that might have occurred in cells of the cervix. A small sample of cells is taken from the surface of the cervix and is tested for any abnormalities. The sample is spread on a slide or in some cases mixed with a liquid fixative and studied under a microscope. It is one of the most popular methods to test the abnormalities in your cells and can pinpoint point cervical cancers.

About the test
A typical cervical smear or Pap test is done to identify the changes that have happened to the cells of the cervix. Diagnosing them early can be beneficial in many ways and can lower your chance of cervical cancer. PAP smear or a cervical smear is a screening test for cervical cancer. For other cases, once the results of the cell growth are identified it is safe to seek other tests and medical options for diagnosis.

The procedure of typical Pap smear
The test is mostly recommended when you do not have the periods as the blood can interfere with the results. Also, before taking the test discuss with your doctor about the medications you are taking and in case you are under any birth control pills. No other special preparations are needed for the Pap test. Feel free to discuss with your doctor about the impact the test will have on you or on the pain levels, etc.The test is done by inserting a speculum into the vagina, which spreads it further. Later, a cotton swab is inserted to get the samples of cells from your cervix. The cells from the vagina are also collected in some cases and tested accordingly.

The risks involved
There no chances of risks when you go for such tests. You might feel a bit of pressure in your vaginal region and may experience a small bleeding after the testing. However, this is extremely normal. Also, there is no pain involved. If you experience heavy period and blood loss, you might experience minor discomfort when the test is being done.

The final result
Once the test is done, the results would be available usually within a week. The results can be categorized into normal and abnormal. If your cells are normal and no abnormality is found then the condition is termed as a normal result. In the case of abnormality in the cell structure, then it requires further evaluation and diagnosis to rule out cancer.

Females - 4 Signs You Must Not Ignore

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Females - 4 Signs You Must Not  Ignore

Women do not normally visit a gynaecologist, until they are suffering from any problem. Visiting a gynaecologist at regular intervals is important for good health.

Following are the 4 common reasons to visit a gynaecologist:

  1. Itchy vagina - Vaginal itching is very commonly ignored as most women consider it to be embarrassing, and as something that does not require any attention. However vaginal itching may be an indication of something more serious. Usually vaginal itching is a sign of fungal infection or a symptom of a sexually transmitted disease. In the worst-case scenario, it can even be a sign of vulvar cancer (a cancer of the vulva, which is the external part of your vagina).
  2. Painful sex - Most women feel that it is normal to feel a little bit of pain in your vagina during sex. However, the truth is that pain during sex is not at all normal. If you feel pain while indulging in sexual activity, there are chances of you suffering from either vaginal dryness or a mild infection, which if left untreated can become worse. Some of these infections can even be STDs such as herpes, gonorrhoea etc.
  3. Lump in your breast - A lump in the breast, whether or not accompanied by a bloody discharge from your nipples, is most likely a warning sign of cancer. You should also watch out for any type of pain in your breasts or even an abnormal growth as all of these indicate the development of cancerous cells in the breasts.
  4. Considerable bleeding during periods - If you bleed heavily during your periods, so much so that you have to change your sanitary napkin 2-3 times in just one to two hours, it's a cause of concern. If this heavy menstrual flow is also accompanied with shortness of breath and rapid heart rate, you may be suffering from anaemia. In extreme cases (which is very rare), this can lead to extreme blood loss, which may require a blood transfusion.
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Sir, what is start and stop method and squeeze method? How to do this 2 methods? Please help me?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Sir, what is start and stop method and squeeze method? How to do this 2 methods? Please help me?
Probably the most common behavioral therapy for premature ejaculation is the start-stop technique. The start-stop technique for PE involves the men learning to identify what is often referred to as "mid-level excitement" The start-stop technique requires the man to stop stimulation (e.g. Intercourse) and allows the excitement level to diminish before starting again. Men are often instructed to begin with self-stimulation. When mid-level excitement is identified and ejaculation is controlled, then the man moves onto partner hand stimulation, then to intercourse with minimal movement, and then to stop/start thrusting. The squeeze technique is often recommended as a therapy for premature ejaculation. Just before ejaculation, the shaft of the penis is firmly squeezed between the thumb and forefinger. The squeezing causes a significant reduction in the erection which prevents ejaculation. Many men claim that the squeeze technique has helped reduce their premature ejaculation. However, most agree that squeeze technique must be practiced in order to learn the proper timing and squeeze location and pressure.
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Erectile Dysfunction

Registerd Medical Practitioner
Sexologist, Hubli-Dharwad
Erectile Dysfunction

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.

  • Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection also can be a sign of an underlying health condition that needs treatment and a risk factor for heart disease down the road.
  • If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed.

Monitoring Your Cholesterol!

MBBS
General Physician, Gonda
Monitoring Your Cholesterol!

Monitor your cholesterol (blood lipids). The lower your ldl and the higher your hdl, the better your prognosis.

Hi jab n hastmuthen krta hu to ling ko hilata hu to mja nhi aata jb virya niklta hh tb mja aata hh kya sex m bhi esa hota hh.

Sexologist, Delhi
Hi jab n hastmuthen krta hu to ling ko hilata hu to mja nhi aata jb virya niklta hh tb mja aata hh kya sex m bhi esa ...
Yes. Sex is 4 stages 1 arousal 2 plateau 3 orgasm 4 Relaxation orgasm main virya nikalta hai peak enjoyment.
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Managing Headache by Self-Acupressure

MBBS
Acupressurist, Delhi
Managing Headache by Self-Acupressure

Headache is a quite common these days. Thanks to fast pace lifestyle of competition, corporate job, heavy on screen work, mobile chatting, late night light exposure.

Keeping right mindset and healthy habits are very much required.
1) Eat, when feeling hungry and, stop when your hypothalamus is saturated.
2) Eat fresh, green, homemade as far as possible. Decrease or, eliminate fast food and animal foods.
3) Sleep early. Put auto-switch off mode in mobile. Don't expose light to your eyes, unless it's very essential.
4) To ensure good sleep, massage 3rd eye area (gv24.5) +- k6, gb43 acupuncture point. Soothing classical music like raag bageshri or, raag darbari can be listened too.
5) Press pc6 acupoint (on inner side of wrist-3 finger from wrist crease. Google to know the exact location) 3-5 times a day for ~1 min.
6) Take shower 2 times.

If pain persist, visit acupuncturist. As acupressure don't administer any medicine in body and, free from all side-effects. So, it's best healing modality.

Know More About Skin Tags!

MBBS, DDV
Dermatologist, Mumbai
  • Skin tags are invariably benign - non cancerous - tumors of the skin which cause no symptoms, unless it is repeatedly rubbed or scratched, as may happen with clothing, jewelry, or when shaving. Very large skin tags may burst under pressure.
  • Skin tags are benign, asymptomatic skin tumors, often raised from the skin on fleshy peduncles.
  • Skin tags are composed of a core of fibers and ducts, nerve cells, fat cells, and a covering or epidermis.
  • Some people inherit an increased susceptibility to skin tags, and being obese or overweight also appears to increase the likelihood of developing this skin anomaly. Skin tags affect people of all genders equally, but are more likely to occur in people who are pregnant and/or who have diabetes.

I have lots of pimples and black heads on my face. They looks big in size. Suggest me natural medications or life style I need to imply. I want to get rid of them permanently. please help.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
I have lots of pimples and black heads on my face. They looks big in size. Suggest me natural medications or life sty...
Wash your face twice daily to remove impurities, dead skin cells, and extra oil from your skin's surface, avoid touching your face or picking up the pimples and blotches as it further spreads the bacteria. A dietary therapy with the right medications for pimples can also help a lot. Drink lots of water. Eat food rich in vitamin A, E, C.Add fruits and vegetables to your diet. Cut off any stress. ExeRcise daily. Consult a dermatologist for proper treatment.
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