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Dr. Rupal Mohan

Gynaecologist, Chitrakoot

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Dr. Rupal Mohan Gynaecologist, Chitrakoot
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Urinary Tract Obstruction - What Are The Reasons?

MBBS, MS-Surgery, DNB-Urology, Membership of the Royal College of Surgeons (MRCS)
Urologist, Gurgaon
Urinary Tract Obstruction - What Are The Reasons?

Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.

Few common reasons behind Lower urinary Tract Obstruction:

  1. Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.

  2. Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.

  3. Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.

  4. Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.

  5. BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.

  6. Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.

  7. Phimosis: Phimosis is another major reason behind urinary tract obstructions.

1 person found this helpful

I'm a 16 year old boy and I've noticed that my right breast has enlarged and when I press it some colorless sticky liquid is released. Should I be worried and consult doctor. P. S. It pains when I press it but not usually.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm a 16 year old boy and I've noticed that my right breast has enlarged and when I press it some colorless sticky li...
In boys at 16 some enlargement of breast does occur at time of puberty as boys have some female hormones too, like girls and women have some male hormones but they coexist in hormony without showing any symptoms, wait and watch, you may grow out of it when other symptoms of puberty take over the lead over female hormones, I am not for getting any doubts cleared by plastic surgery, there are health magazines full of ads cashing in on the fear factors.
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Sir my wife is 5 months pregnant. And hm loge daily sex karta h. Isse koi problem to nai hogi. Aur hm loge av koi precaution v nai use karta. Means sperm andar hi jata h. To Isse koi infection ka khata to nai h. Please tell me in detail.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir my wife is 5 months pregnant. And hm loge daily sex karta h. Isse koi problem to nai hogi. Aur hm loge av koi pre...
If you or your wife do not suffer from any medical condition and your wife is comfortable while having sex then there is abolutely no problem--------no any risk of infection if you ejaculate inside---------------
1 person found this helpful
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Hi, Meri gf ka 12 tarikh ko period start hua tha aur hamne 23 ko sex kiya to kya uske pregnant hone k chances h? Please give me answer.

Bachelor of Medicine & Bachelor of Surgery
General Physician, Kolkata
Hi,  Meri gf ka 12 tarikh ko period start hua tha aur hamne 23 ko sex kiya to kya uske pregnant hone k chances h? Ple...
Hello there. Yes there are chances of her being pregnant as you have had sex on the 23 which falls in her fertile period. But it can only be confirmed on a pregnancy test. If she doesn't want to get pregnant there is still time to take 72 hour protection.
3 people found this helpful
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Sir, I am male, 36 yrs, married. After taking alcohol, I vomit. If I stop having sex for 15 days, then I don't vomit after taking alcohol. Please help

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Sir, I am male, 36 yrs, married. After taking alcohol, I vomit. If I stop having sex for 15 days, then I don't vomit ...
Dear Lybrate user. There is no relationship between sex and alcohol. Don't make relations. This will trouble you in future. Just leave alcohol. All of your problems will be solved. Take care.
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I have stomach cramps, breast tenderness and I got bleeding during. My late menstrual cycle but bleeding seems like implantation bleeding. Am I pregnant?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I have stomach cramps, breast tenderness and I got bleeding during. My late menstrual cycle but bleeding seems like i...
Hello, pregnancy test is a very simple test which can be performed at home with the help of a kit available at all chemist stores. It's better to perform it to rule out pregnancy rather than wondering.
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Am having a baby of 4 months. In the 2nd month I got period but it's not happening now. Am 90 kg so what should I do now.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Am having a baby of 4 months. In the 2nd month I got period but it's not happening now. Am 90 kg so what should I do ...
pd become irregular after child birth n lactation. but u may conceive with this irregularities. u can use iucd to avoid pregnancy. control wt by exercise diet control
5 people found this helpful
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Hello, m 19 years old and I have got cysts in my ovaries. I know it is common in teenagers But what scares me is m HV following symptoms from weeks: Continuous chest pain, bloating, pain while pooping, sensational feeling after urine, smelly discharge, back pain, indigestion (in ultrasound report they mentioned I have mild thickening of colon at lower abdomen). I want to know is there something serious cos normally cysts don't pain and these are also the symptoms of ovarian cancer.

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery), NDDY(Naturopathy and Yoga)
Homeopath, Mohali
Hello, m 19 years old and I have got cysts in my ovaries. I know it is common in teenagers But what scares me is m HV...
Hi Lybrate user Your most of the symptoms may be due to ovarian cyst. Discharge from vagina may be due infection. Usually these cysts are benign. You tske treatment for both of these problems.
2 people found this helpful
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Hi doc, I am 30th week pregnant. I had history of laparotomy at 3rd month due to ovarian torsion and low lying placenta till 27th week, in the recent scan found placenta is 4 cm away from cervix. My question is I am heavy Constipated nowadays, so most of the I take more time to pass bowel and it's bit tight also. I am trying to not to force poop. But when it is tight I may put pressure. Does forcing bowel causes any prob or causes to cervical length to decrease? Please advice I am bit scared of cervical length. Currently cervical length is 3.4 cm.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hi doc, I am 30th week pregnant. I had history of laparotomy at 3rd month due to ovarian torsion and low lying placen...
You should drink lots of fluids ,takefibre rich diet ,eat fresh fruits and salad, do not consume things made of refined flour. All these measures will prevent constipation if you still have problem take some laxative like cremafin syp. Bearing down while defecation is not good in pregnancy.
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I have irregular periods because of pcos how can know my ovulation day naturally.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have irregular periods because of pcos how can know my ovulation day naturally.
Hello, you need to start using ovulation kit daily from day 10 of your cycle and the day it comes positive, in next 36 hrs you should be ovulating post that.
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Jasmine Oil Benefits and Side Effects in Hindi - चमेली के तेल के फायदे और नुकसान

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Jasmine Oil Benefits and Side Effects in Hindi - चमेली के तेल के फायदे और नुकसान

चमेली का वैज्ञानिक नाम जैस्मिन ग्रैंडफ्लोरा है. लेकिन तेल जैस्मिनुम आफिसनाल से निकाला जाता है. वैज्ञानिक नाम वाले चमेली के फूलों की लोकप्रियता बहुत ज्यादा है. इसके फूलों का इस्तेमाल हम पूजा-पाठ में करते आए हैं. लेकिन इसका औषधिय इस्तेमाल भी बहुत ज्यादा है. रोमांटिक सुगंध से परिपूर्ण चमेली के फुलों से निकलने वाला तेल कई स्वास्थ्यवर्धक तत्वों से युक्त होता है. चमेली के तेल में मुख्य रूप से बेंजाल्डीहाइड, इन्डोल, गेरानीयनोल, बेनोजिक एसिड, युजिनोल, बेन्जिल अल्कोहल, बेन्जिल बेंजोएट आदि होते हैं. चमेली के फायदे और नुकसान के लिए निम्नलिखित बिन्दुओं के देखें.

1. अनिद्रा में
अनिद्रा में चमेली का तेल सकारत्मक भूमिका निभाता है. ये एक एंटीस्पास्मोडिक के रूप में काम करते हुए नींद की समस्या को ख़त्म करता है. इससे आप एक अच्छी और सुकूनभरी नींद ले पाते हैं जिससे कि अनावश्यक थकान भी मिटती है.
2. शीघ्रपतन में
इसमें कामोत्तेजक गुण भी पाए जाते हैं. इसलिए इसका सुगंध रोमांटिक एहसास देता है. इसके तेल के प्रयोग से शीघ्रपतन, नपुंसकता एवं अन्य कई यौन विकारों को दूर किया जा सकता है. शरीर के भीतर हार्मोन और रासायनिक प्रतिक्रियाओं पर भी इसका प्रभाव पड़ता है.
3. शामक के रूप में
चमेली के तेल की सबसे बड़ी खासियत यही होती है कि ये मन और आत्मा को शान्ति प्रदान करता है. जिससे कि आप तनाव, झुंझलाहट और क्रोध आदि से बच सकते हैं और आपका मूड सही रहता है. इसमें सूजन और गठिया को भी दूर करने का लक्षण होता है.
4. प्रसव में
प्रसव के दौरान महिलाएं भयंकर पीड़ा से गुजरती हैं. चमेली के तेल में मौजूद गुणों की वजह से आप प्रसव के दौरान होने वाले इस दर्द से छुटकारा पा सकते हैं. दरअसल इसमें हार्मोन के स्तर को नियंत्रित करने की क्षमता होती है. ये इस दौरान संकुचन को भी मजबूती प्रदान करता है.
5. घाव भरने के लिए
इसमें एंटीसेप्टिक और कीटाणुनाशक गुण भी मौजूद होते हैं. जिससे कि इसे बाह्य घावों में लगाने से घावों में सेप्टिक के विकास को रोकता है. इसके साथ ही ये टेटनस के संभावना को भी ख़त्म करता है. इसमें एंटीवायरल, फंगल, किटाणुनाशी और जीवाणुनाशी गुण भी पाए जाते हैं. इससे सर्दी-खांसी में भी राहत मिलता है.
6. त्वचा के लिए
चमेली का तेल एक तरह से सीक्रेटेंट का काम करता है और त्वचा को कई तरह के परेशानियों से दूर करता है. चमेली का तेल मुंहासे, घाव और फोड़े आदि को दूर करने के लिए भी चमेली का तेल काफी मददगार होता है.
7. गर्भाशय के लिए
गर्भाशय के सेहत के लिए भी चमेली का तेल काफी उपयोगी साबित होता है. क्योंकि इस दौरान ये कुछ ऐसे हार्मोनों को स्त्रावित कर देता है जो कि गर्भाशय के कार्यों को सुनिश्चित करता है. रजनोवृत्ति के बाद ये एस्ट्रोजेन के प्रवाह को भी सिमित करता है.
8. खांसी के उपचार में
चमेली के तेल की सहायता से आप सर्दी खांसी जैसी समस्याओं से भी निपट सकते हैं. ये खांसी के दौरान होने वाली कफ की समस्या को दूर करता है. इसके आलावा ये खांसी, सांस लेने की समस्या और ऐंठन आदि को भी ख़त्म कर सकता है.
9. अवसाद दूर करने में
चमेली के तेल का सुगंध बेहतरीन होता है. इसकी खुशबु हमारे अंदर रोमांटिक और काव्यात्मक भावनाएं जगाने वाली होती है. दरअसल इसके सुगंध में सेरोटोनिन सहित कई तरह के हार्मोन को उत्तेजित करने की क्षमता होती है. यदि आप इसके सुगंध को महसूस करेंगे तो आप मूड भी अच्छा हो जाएगा और आप सुकून का अनुभव करेंगे.
10. पीरियड्स के दौरान
चमेली के तेल में मौजूद आर्तावजनक गुण पीरियड्स को नियंत्रित करते हैं. इसके अलावा ये पीरियड्स के दौरान महिलाओं को होने वाली समस्याओं जैसे कि मतली, थकान, झुंझलाहट और ख़राब मूड जैसी समस्याओं को भी दूर करने का काम करता है.

चमेली के तेल के नुकसान

  • इससे एलर्जी वाले लोगों को इससे बचना चाहिए.
  • गर्भवती महिलाओं को इसके उपयोग से बचना चाहिए.
  • इसमें उत्तेजक गुण होता है इसलिए इसके  ज्यादा खुराक से बचना चाहिए.
     

Which clinical tests are required during the 5-6 months pregnancy period? Kindly suggest me.

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
after 5 month congential anomaly scan ensure that ur haemoglobin, urine examination and weight is in normal range. u need to visit a gynecologist every 15days ideally and get tetnus immunization.
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About two days ago I saw a red bump developing on the outside of my vagina lip, then within the next day it got much bigger and harder, then this morning I wake up and the bump has gotten semi smaller and softer almost feeling like a blister- then at school it ended up popping I guess and oozing. Please advise.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
it may be a Bartholin's cyst.. That is a small gland which has a small opening which if closed by infection can cause tense rounded enlargement of the gland. But once the blockage goes away the gland discharges itself. Maintain hygiene.
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Heart Health: Ayurveda to Reduce High Cholesterol

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Heart Health: Ayurveda to Reduce High Cholesterol

Ayurveda has remedies that can help you control cholesterol and improve heart health.

Cholesterol is something that the body needs to build and maintain cellular health. Technically it is known as a lipid and is a fatty or wax-like material that circulates in the bloodstream.
There are two kinds of cholesterol, and you have probably already heard about them, but they are:
LDL - this is the "bad" cholesterol that can cling to arterial walls and create blockages that result in strokes and heart attacks.
HDL - this is the good type that is going to actually protect you from heart disease.
We get cholesterol from our foods, but our bodies can also make it too. Hence this leads to high levels of cholesterol in the arteries.
In ayurveda- certain herbs, ayurvedic treatments and remedies can lower high cholesterol. These are:

- Garlic: Garlic is the most common herb that is used in Indian cooking and no dish tastes the same without it. Having two to three garlic cloves a day can break down bad cholesterol and free it from the arterial walls.
- Coriander: This green herb adds freshness, flavour and colour to any meal. Coriander is a diuretic that will flush out waste and even excess cholesterol.
- Tulsi: Tulsi disintegrates cholesterol from the arteries and washes it from the body.
- Guggul : Guggul is a sap from the Mukul myrrh tree. There are several products made from Guggul that helps to reduce high cholesterol.
- Arjuna or Terminalia Arjuna: Arjuna’s white bark has medicinal properties that dissolve cholesterol from the arteries.
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My first week of pregnancy is going on an i am getting light back pain while standing n leg , light left n right side pain lower abdominal sometime left sum time right an gas problem why ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My first week of pregnancy is going on an i am getting light back pain while standing n leg , light left n right side...
Hi Neda, when you are pregnant due to stretching if uterine muscles you can experience pain that is normal. Please rule out constipation that could be cause for pain.
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I am suffering from pcod. I have irregular periods. I am having periods only after the intake of meprate. I am unable to conceive. I have gained weight from 65 to 80 kg. I want to know. How I can get cured and conceived.

PDDM, MHA, MBBS
General Physician, Nashik
I am suffering from pcod. I have irregular periods. I am having periods only after the intake of meprate. I am unable...
Hello, PCOS or pcod s a problem in which a woman's hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn't treated, over time it can lead to serious health problems, such as diabetes and heart disease. The most common symptoms are: Acne.Weight gain and trouble losing weight.Extra hair on the face and body.Thinning hair or even hair loss on scalp.Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.Fertility problems. Many women who have PCOS have trouble getting pregnant(infertility), depression. Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment (hormonal) can reduce unpleasant symptoms and help prevent long-term health problems. Try to fit in moderate activity and/or vigorous activity often. Brisk Walking, jogging, dance or aerobics are great exercise that most people can do.Eat heart-healthy foods. This includes lots of vegetables, fruits, nuts, beans, and whole grains. It limits foods that are high insaturated fat, such as meats, cheeses, and fried foods.Most women who have PCOS can benefit from losing weight. Even losing 5kg may help get your hormones in balance, regulate your menstrual cycle and can make you ovulate.
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I am 30 years unmarried girl, PCOD sufferer kindly suggest me what should i do as i have gained 15 kg weight.

PDDM, MHA, MBBS
General Physician, Nashik
Start tab metformin 250 mg bid.And consult further for diet and exercise regime. Thanks, Dr surbhi agrawal consultant diabetologist
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I'm 32 years old girl, My height 5.4,weight 53 kg, My ESR 51, HB 8.6, Erythema 20 ,Induration 8 after 48 hrs nd Erythema 24 Induration 10 after 72 hrs is this positive or negative or suggestive and should I go another confirmatory test .(which test) .pls advice me. As per my medical history I'm taking depression medicines tryptomer10 my and migraine tablet vasograin nd naxdom 250 .I'm feeling Low grade fever in Mrng nd evng time ,headache, shortness of breath, tiredness,light congestion nd irritation in throat, night sweating but sputum is not bringing. Sometimes feeling heavy weight in chest. All rest blood count report is OK, LFT,RFT etc is ok. Cholesterol is 120. Pls advice I'm waiting for your reply.

DHMS (Hons.)
Homeopath, Patna
I'm 32 years old girl, My height 5.4,weight 53 kg, My ESR 51, HB 8.6, Erythema 20 ,Induration 8 after 48 hrs nd Eryth...
Hello, Lybrate user Depression carries- litharzicity, slippy attitude, loss of appetite, aversion to meet people-tingling in extremities with lack of concentration& suicidal tendency it so happens in d life. You will b victorious after a defeat, of course, continue your effort with full enthusiasm & zeal. * go for meditation to nourish your brain with oxygenated blood to calm your nerve being a strong and confident person inculcating an innovators from within to conquer your goal. This will strengthen your lungs, increasing haemoglobin level, too. * Tk, 5/6 glass of water to hydrate your body and to regulate metabolism ,absorbing nutrients to nourish your entire body & brain to achieve success in life. * your diet be easily digestible, simple on time to avoid gastric disorder to discard negative feelings.    • Tk, apples,carrots ,cheese, spinach,almonds, walnuts ,milk. * meet your friends to share your problem in order to get solution to over come your stress, to inculcate a winner from within. Tk homoeo medicine: @ Ignatia 200-6 pills, thrice. @ Five phos 6x-4 tbs, thrice. • avoid, nicotine, alcohol,junkfood, pizza,burger,  • ensure a sound sleep for 6/7 hrs in d night. > Report wkly, > Your feedback is solicited for further follow up Tk care.
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