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Dr. Sunanda Kalra

MBBS, DGO

Gynaecologist, Dehradun

32 Years Experience  ·  100 at clinic
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Dr. Sunanda Kalra MBBS, DGO Gynaecologist, Dehradun
32 Years Experience  ·  100 at clinic
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To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sunanda Kalra
Dr. Sunanda Kalra is a renowned Gynaecologist in Ajit Prasad Nagar, Dehradun. She has helped numerous patients in her 31 years of experience as a Gynaecologist. She studied and completed MBBS, DGO. You can meet Dr. Sunanda Kalra personally at Dr. Sunanda Kalra's Clinic in Ajit Prasad Nagar, Dehradun. Book an appointment online with Dr. Sunanda Kalra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists online in Dehradun 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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Specialty
Education
MBBS - Armed Forces Medical College, Pune - 1986
DGO - College Of Physicians & Surgeons Of Mumbai - 1991
Languages spoken
English
Hindi

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Shop No-47, Near Hanuman Mandir, Kalika Marg, Ansari Marg, Bindaal TirahyaDehradun Get Directions
100 at clinic
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Snoring - 3 Best And Simple Exercises For It!

MBBS, MS - ENT
ENT Specialist, Chennai
Snoring - 3 Best And Simple Exercises For It!

Snoring is becoming an increasingly relevant condition as more and more lifestyle diseases are attributed to it. It is found to be associated with high blood pressure, diabetes, heart attacks, strokes, depression, obesity and many more conditions. As obesity becomes more prevalent, the incidence of snoring and sleep apnoea are also increasing. Exercises to lose weight, and tone u the muscles can help to reduce your snoring. Snoring is a common condition and it generally takes place more in men than women. It mostly affects individuals who are overweight and the condition gets worsened with age. Though it is not a serious condition at first, it has to be dealt with as it can lead to other major health conditions and affects the sleep of your sleeping partner. The main cause of snoring is an improper flow of air through the mouth or nose.

The airflow to the nose is obstructed by factors like:

  1. Obesity

  2. Nasal congestion/ sinusitis

  3. Pregnancy

  4. Genetic factors

  5. Enlarged adenoids and tonsils

  6. Large tongue, small jaw.

How to prevent snoring:

It is essential that prior attention is given to this condition before it turns out to be a serious problem. Treating nose block and mouth breathing in childhood can prevent this from developing in adult life. The self-help tips that can be used by individuals to stop snoring include proper exercising, losing weight, quitting smoking and not drinking alcohol as well as setting up an ideal sleeping pattern. There are devices available in the pharmaceutical stores like the mouth guard device which are specially designed to help stop snoring. There are medications also available that help to stop snoring and have good quality sleep.

Amazing and Simple Exercises to Stop Snoring:

You can cure your snoring problem easily by practicing vocal exercises without the need of even going through a painful and expensive surgery.

  1. Singing: Singing is an excellent exercise that is very good for your vocal passage and that can cure the snoring problem. It is best that you start singing in a warm shower and the moist steam of the warm water would soothe your throat. The benefit of singing is that it tightens the muscles and it is an excellent and natural way that would cure your sleeping problem. You can practice singing at least 20 minutes in a day, and you would surely experience the difference.

  2. Yawning: The second simple exercise that can be done to stop snoring is yawning, which involves opening and closing of your mouth. The exercise done in a yawning motion would strengthen both the inner and outer neck muscles. It is very necessary that the mouth is opened widely, and this activity can be done anytime of the day.

  3. Tongue exercises by pushing the tongue against the cheeks, stretching out to touch the nose tip and chin. These work very well in childhood.

Though snoring is not a serious condition, over a period of time it could lead to the development of diabetes and hypertension, heart attack and stroke. It also has a big role to play in weight gain, and road traffic accidents.

2 people found this helpful

I have taken urgent contraceptive pills two times, will it cause any problem and after taking first pill, the period after dat came 3 days late.

MS, MBBS
Gynaecologist, Delhi
I have taken urgent contraceptive pills two times, will it cause any problem and after taking first pill, the period ...
No problem but you should not take emergency contraceptive very regularly it will make your periods irregular.
1 person found this helpful
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Medical Conditions And Pregnancy!

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Medical Conditions And Pregnancy!

Diabetes and Pregnancy

Diabetes is a condition in which the body does not make enough insulin or the body is unable to use the insulin that is made. Insulin is the hormone that allows glucose to enter the cells of the body to make fuel. When glucose cannot enter the cells, it builds up in the blood and the body’s cells starve to death. If not managed properly, diabetes can have serious consequences for you and your growing baby.

Pre-Gestational Diabetes

If you already have diabetes and become pregnant, your condition is known as pre-gestational diabetes. The severity of your symptoms and complications often depends on the progression of your diabetes, especially if you have vascular (blood vessel) complications and poor blood glucose control.

Gestational Diabetes

Gestational diabetes is a condition in which the glucose level is elevated and other diabetic symptoms appear during pregnancy. Unlike other types of diabetes, gestational diabetes is not caused by a lack of insulin but by other hormones that block the insulin that is made. This condition is known as insulin resistance. If you have gestational diabetes, you may or may not be dependent on insulin.

In most cases, all diabetic symptoms disappear following delivery. However, if you experience gestational diabetes, you will have an increased risk of developing diabetes later in life. This is especially true if you were overweight before pregnancy.

Causes of Gestational Diabetes

Although the specific cause of gestational diabetes is unknown, there are several theories about the origin of this condition. For example, the placenta supplies the growing fetus with nutrients and water. It also makes a variety of hormones to maintain the pregnancy. Some of these hormones (estrogen, cortisol and human placental lactogen) can have a blocking effect on the mother’s insulin, which usually begins about 20 to 24 weeks into pregnancy.

As the placenta grows, it produces more of these hormones, increasing the level of insulin resistance in the mother. Normally, the mother’s pancreas is able to make additional insulin to overcome insulin resistance. However, if the mother’s production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results.

Risk Factors of Gestational Diabetes

The following factors increase your risk of developing gestational diabetes:

  • Age (over 25 years old)

  • A family history of diabetes

  • Previous delivery of a very large infant, a stillborn or a child with certain birth defects

  • Obesity

Although increased glucose in the urine is often included in the list of risk factors, it is not believed to be a reliable indicator for gestational diabetes.

Diagnosing Gestational Diabetes

A glucose screening test is usually done between 24 and 28 weeks of pregnancy. To complete this test, you will be asked to drink a special glucose beverage. Then, your doctor will measure your blood sugar level one hour later.

If the test shows an increased blood sugar level, a three-hour glucose tolerance test may be done. If the results of the second test are in the abnormal range, you will be diagnosed with gestational diabetes.

Treatment Options for Gestational Diabetes

Your health care provider or midwife will determine your specific treatment plan for gestational diabetes based on:

  • Age, overall health and medical history

  • Condition and the severity of the disease

  • Long-term expectations for the course of the disease

  • Personal preference

  • Tolerance for specific medicines, procedures or therapies

Treatment for gestational diabetes focuses on keeping blood glucose levels in the normal range. Your specific treatment plan may include:

  • A special diet

  • Daily blood glucose monitoring

  • Exercise

  • Insulin injections or oral medications

Possible Fetal Complications from Gestational Diabetes

Unlike other types of diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester of pregnancy. They are more likely if you have pre-gestational diabetes, as you may have changes in blood glucose during that time. If you have gestational diabetes, you most likely had normal blood sugar levels during your critical first trimester.

The complications of gestational diabetes are usually manageable and preventable. The key to prevention is careful control of blood sugar levels as soon as the diagnosis of gestational diabetes is made.

Infants of mothers with gestational diabetes are vulnerable to several imbalances, such as low-serum calcium and low-serum magnesium levels. In addition, gestational diabetes may cause the following:

  • Fetal macrosomia. This condition describes a baby that is considerably larger than normal. All of the nutrients your baby receives come directly from your blood. If your blood has too much glucose, your baby’s pancreas senses the high glucose levels and makes more insulin in an attempt to use this glucose. The extra glucose is then converted to fat. Even when you have gestational diabetes, your fetus is able to make all the insulin it needs. The combination of your high blood glucose levels and your baby’s high insulin levels may result in large deposits of fat that cause your baby to grow excessively large.

  • Birth injury. If your baby is large in size, it may be difficult to deliver and become injured in the process.

  • Hypoglycemia . This refers to low blood sugar in your baby right after delivery. This problem happens if your blood sugar levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. After delivery, your baby continues to have a high insulin level, but it no longer has the high level of sugar from you. This results in the newborn’s blood sugar level becoming very low. Following delivery, your baby’s blood sugar level will be tested. If the level is too low, it may be necessary to administer glucose intravenously until your baby’s blood sugar stabilizes.

  • Respiratory distress (difficulty breathing). Too much insulin or too much glucose in a baby’s system may delay lung maturation and cause respiratory problems. This is more likely if it is born before 37 weeks of pregnancy.

High Blood Pressure and Pregnancy

High blood pressure during pregnancy can lead to placental complications and slowed fetal growth. If left untreated, severe hypertension may cause dangerous seizuresstroke and even death in the mother and fetus.

If you have high blood pressure, your doctor will perform kidney function tests, ultrasounds for growth and testing of your baby more frequently to monitor your health and fetal development.

Chronic Hypertension

If you have high blood pressure before pregnancy, you will likely need to continue taking your antihypertensive medicine. Your health care provider may switch you to a safer antihypertensive medicine during pregnancy to help manage your condition.

Gestational Hypertension

Gestational hypertension occurs most often during a young woman’s first pregnancy. You are more likely to develop gestational hypertension during a twin pregnancy or if you had blood pressure problems during a previous pregnancy.

Pre-eclampsia (formerly called toxemia) is characterized by pregnancy-induced high blood pressure. This condition is usually accompanied by protein in the urine and may cause swelling due to fluid retention. If you have pre-eclampsia, you may need bed rest. Eclampsia, the most severe form of this condition, is diagnosed when you have a seizure caused by pre-eclampsia. Your doctor may recommend hospitalization, medications and often delivery to treat pre-eclampsia or eclampsia.

 

High-Risk Pregnancy: What You Need to Know

Pregnant woman

Many conditions affecting a mother or her baby before, during or after pregnancy can designate a pregnancy as high risk. Learn what causes a high-risk pregnancy and how maternal-fetal medicine specialists can help.

Infectious Diseases and Pregnancy

Infections during pregnancy can pose a threat to your baby. Even a simple urinary tract infection, which is common during pregnancy, should be treated right away. An infection that goes untreated can lead to preterm labor and a rupturing of the membranes surrounding the fetus.

Toxoplasmosis

Toxoplasmosis is an infection caused by a single-celled parasite called Toxoplasma gondii (T. gondii). Although many people may have toxoplasma infection, very few exhibit symptoms because the immune system usually keeps the parasite from causing illness. Babies who became infected with toxoplasmosis before birth can be born with serious mental or physical problems.

Toxoplasmosis often causes flulike symptoms, including swollen lymph glands or muscle aches and pains, which last for a few days to several weeks. You can be tested to see if you have developed an antibody to the illness. Fetal testing may include ultrasound and/or testing of the amniotic fluid or cord blood. Treatment may include antibiotics.

The following measures can help prevent toxoplasmosis infection:

  • Have someone who is healthy and not pregnant change your cat’s litter box, since cat feces can carry T. gondii. If this is not possible, wear gloves and clean the litter box daily. (The parasite found in cat feces can only infect you a few days after being passed.) Wash your hands well with soap and warm water afterward.

  • Wear gloves when you garden or do anything outdoors that involves handling soil. Since cats may use gardens and sandboxes as litter boxes, be cautious when handling soil/sand that could contain the parasite. Thoroughly wash your hands with soap and warm water after outdoor activities, especially before you eat or prepare any food.

  • Have someone who is healthy and not pregnant handle raw meat for you. If this is not possible, wear clean latex gloves when you touch raw meat. Wash any surfaces and utensils that may have touched the raw meat. After handling the meat, wash your hands with soap and warm water.

  • Cook all meat thoroughly. It should be cooked until it is no longer pink in the center or until the juices run clear. Do not sample meat before it is fully cooked.

Food Poisoning

If you are pregnant, you should avoid eating undercooked or raw foods because of the risk of food poisoning. Food poisoning can dehydrate a mother and deprive the fetus of nourishment. In addition, food poisoning can cause meningitis and pneumonia in a fetus, resulting in possible death.

Follow these tips to prevent food poisoning:

  • Thoroughly cook raw food from animal sources, such as beef, pork or poultry.

  • Wash raw vegetables before eating them.

  • Store uncooked meats in an area of the refrigerator that’s separate from vegetables, cooked foods and ready-to-eat foods.

  • Avoid raw (unpasteurized) milk or foods made from raw milk.

  • Wash hands, knives and cutting boards after handling uncooked foods.

Sexually Transmitted Disease

Chlamydia

Chlamydia may be associated with premature labor and rupture of the membranes.

Hepatitis

Patients with hepatitis experience inflammation of the liver, resulting in liver cell damage and destruction. Hepatitis B virus (HBV) is the most common type that occurs during pregnancy in the United States.

HBV spreads mainly through contaminated blood and blood products, sexual contact, and contaminated intravenous needles. The later in pregnancy you get the virus, the greater the risk of infecting your baby.

HBV Symptoms and Related Conditions

Signs and symptoms of HBV include jaundice (yellowing of skin, eyes and mucous membranes), fatigue, stomach pain, loss of appetite, intermittent nausea and vomiting.

Although HBV resolves in most people, about 10 percent will develop chronic HBV. HBV can lead to chronic hepatitis, cirrhosisliver cancer, liver failure and death. Infected pregnant women can pass the virus to their fetus during pregnancy and at delivery.

HBV Screening and Vaccination

A blood test for HBV is part of routine prenatal testing. If a risk of HBV is present, the following should occur:

  • Infants of HBV-positive mothers should receive hepatitis B immune globulin and the hepatitis B vaccine during the first 12 hours of birth.

  • Babies of mothers with unknown HBV status should receive the hepatitis B vaccine in the first 12 hours of birth.

  • Babies of mothers with negative HBV status should be vaccinated before leaving the hospital.

  • Premature infants weighing less than 4.5 pounds who are born to mothers with negative HBV status should have their first vaccine dose delayed until one month after birth or leaving the hospital.

All babies should complete the hepatitis B vaccine series to be fully protected from HBV infection.

HIV/AIDS

If you have HIV, you have a one in four chance of infecting your fetus with the virus if you are not on medication. AIDS is caused by HIV. This virus kills or impairs cells of the immune system and progressively destroys the body’s ability to fight infections and certain cancers. The term AIDS applies to the most advanced stages of an HIV infection.

HIV Transmission

HIV is most commonly transmitted by sexual contact with an infected partner. HIV may also be spread through contact with infected blood. This happens mostly by sharing needles, syringes or drug use equipment with someone who is infected with the virus.

According to the National Institutes of Health, HIV transmission from mother to child during pregnancy, labor/delivery or breast-feeding has accounted for nearly all AIDS cases reported among children in the United States.

HIV Symptoms

Some people may develop a flulike illness within a month or two of exposure to the HIV virus, although many people do not develop any symptoms at all when they first become infected. In adults, it may take 10 years or more for persistent or severe symptoms to surface. Symptoms may appear within two years in children born with an HIV infection.

HIV Testing and Treatment

Prenatal care that includes HIV counseling, testing and treatment for infected mothers and their children saves lives and resources. Since the Centers for Disease Control and Prevention began recommending routine HIV screening for all pregnant women in 1995, the estimated incidence of mother-to-child transmission has dropped by approximately 85 percent.

If you have tested positive for HIV while pregnant, your doctor may recommend:

  • Having blood tests to check the amount of virus present.

  • Taking a number of drugs during pregnancy, labor and delivery.

  • Delivering via Cesarean section if you have a high viral load.

  • Administering medicine to your newborn baby. Studies have found that giving a mother antiretroviral medicines during pregnancy, labor and delivery, and then to the baby for six weeks after delivery can reduce the chance of a mother’s transmission of HIV to her baby. This reduction is from 25 percent to less than 2 percent.

  • Refraining from breast-feeding. Studies show that breast-feeding increases the risk of HIV transmission.

Genital Herpes

Herpes is a chronic, sexually transmitted disease caused by the herpes simplex virus (HSV). Herpes infections can cause blisters and ulcers on the mouth or face (oral herpes), or in the genital area (genital herpes). 

A first episode of genital herpes during pregnancy creates a greater risk of transmission of the virus to the newborn. Because of this risk, it is important that you avoid contracting herpes during pregnancy. Protection from genital herpes includes abstaining from sex when symptoms are present and using latex condoms between outbreaks.

For severe cases of genital herpes during pregnancy, your doctor may administer an antiviral medicine.  If you have active genital herpes (shedding the virus) at the time of delivery, your doctor will likely recommend a Cesarean delivery to prevent a potentially fatal infection in your baby. Fortunately, infection of an infant is rare among women with genital herpes infection.

 

Tips for a Healthy and Safe Holi

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Tips for a Healthy and Safe Holi

The festival of colours is here. Along with fond memories of Gulal, rain dancing, pichkaris and bhang, if you have repeated nightmares of skin and eye allergies or other serious problems due to the colours, this article’s for you.

Why you need to avoid synthetic colours

Recent studies have found safety issues with all three forms in which the Holi colors are produced: pastes, dry colours and water colours. The various ingredients found in synthetic colours like lead oxide (black), mercury sulphide (red), aluminium bromide (silver), copper sulphate (green), Prussian blue have been known to cause various health problems ranging from dermatitis (skin becoming red and blotchy), eye allergies, skin problems and even temporary blindness.

What kind of colours should you use?

Natural is best! Make the colours at home, like they used to in the good old days. Mix the following natural colour producing ingredients by making a paste and mixing with besan or gramflour:

  • henna, palak (green)
  • turmeric, marigold flowers (yellow)
  • red hibiscus flowers, tomatoes, beetroot, kumkum (red)
  • tea leaves (brown)
  • You can also buy organic/herbal colours to play safe this Holi.

Tips to protect your hair and skin from synthetic colours:

Hair: After playing Holi, you might have noticed that your hair becomes very dry, frizzy and brittle. To avoid this, Massage your hair well from scalp to hair tips with coconut, olive or castor oil. This oil gives your hair a protective covering and shields it from harmful chemicals, dust and dirt. This will help the colours come off easily later, Try and cover your hair with a bandana or cap to decrease contact with colours.

Skin: Wear clothes that cover a lot of your skin, Cover the skin on your face, arms, legs etc with copious amounts of olive oil, coconut oil, almond oil or mustard oil, Use a waterproof sunscreen (SPF 30 and above), Cover your lips with a thick coat of Vaseline or lip balm.

Other potential dangers of Holi:

  • If you are a known asthmatic or suffer from severe dust allergy, it is advisable not to venture out to play Holi with colours, especially the dry variety.
  • If you wear contact lenses, do remove them before going out to play holi. If someone is spraying coloured water on your face, close your eyes.
  • Bhang, the official drink for Holi, when consumed in large quantities can lead to effects like increased blood pressure and heart rate, psychosis. Never consume it on an empty stomach and do not mix it with alcohol.
11 people found this helpful

Stammering and Homeopathy

Diploma in Diet and Nutrition, M.Sc - Psychology, BHMS
Homeopath, Delhi
Stammering and Homeopathy

Stammering or stuttering is a type of speech impairment where sounds or syllables are repeated involuntarily or there are unintended gaps in between words when the person is unable to make the desired sound.

People develop stutters due to genetic flaws, motor functioning defects, coordination problems or due to psychological stressors. The condition can result in anxiety, depression and withdrawal from verbal communication.

How does homeopathy help?

A stutter can be practiced away or corrected by speech therapy but there is no specific medicine that can be used to cure stammering. Homeopathic medicines can provide relief from the symptoms by fixing flawed nervous functions, improve motor coordination and modify the vocal apparatus. Different homeopathic treatments can be used depending on the nature of the condition.

The following is a list of homeopathic remedies and lifestyle changes that can be used to address the problem:

  1. Foods rich in vitamin B6 like nuts, fish, bananas and chicken should be consumed regularly by children who have a stutter to help with motor functions.
  2. Adults should avoid caffeine, tobacco and other recreational drugs as they cause hyper-stimulation of the nervous system.
  3. Stramonium (jimsonweed) can be used when the stammering is violent and the person distorts the facial muscles heavily in order to be able to speak.
  4. Lychopodium (clubmoss) can be useful for stammering as well as depression, memory weakness and sleep problems. This is especially helpful if the patient struggles with the last few words of a sentence.
  5. Spigelia is beneficial for a mild stutter at the beginning of a sentence, often followed by undisturbed speech.
  6. Causticum is prescribed when emotional excitability causes stammering, twitching of the facial muscles or problems in the vocal chords.
  7. Staphysagria can aid in reducing social anxiety which often causes stammering i.e. the stammer only happens while interacting with strangers or authority figures.
  8. Nux vomica (strychnine) is the medicine to use when stammering is a result of extreme stress or over work.
  9. Fright or shock often causes speechlessness or stammering. Aconite can provide immediate relief in such cases.
  10. Lachesis is an effective homeopathic medicine when the patient stutters over specific letters or syllables.
  11. Gelsemium is used to treat stuttering after severe viral infections when the patient complains of a heavy tongue and lack of general coordination.
4455 people found this helpful

I haven't come on my period but been having sex for while now 2 weeks unprotected feel sick sometimes go WEE quite bit breasts swollen hurt and always hungry now so am I pregnant that's what trying find out as I thought when a bloke comes in a girl they become pregnant what fertile period got back ache as well.

MBBS MD
Psychiatrist, Chandigarh
I haven't come on my period but been having sex for while now 2 weeks unprotected feel sick sometimes go WEE quite bi...
If your menstrual cycle is delayed, definitely do get a urine for pregnancy test done. If you do not want to become pregnant do use contraceptives. The safe period is usually the first week of your cycle Nd the last but if the cycle is irregular, it is not necessarily safe so should not be used as contraception.
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I am 27 years female. I am pregnant and plan to take flight in my 33rd week. Baby growth and all other reports are normal till date. How safe is it to fly in 33rd week. Or is train a better solution? I read that at higher altitude radiations increase so can there be as threat to baby in womb or any other problem? Flight is of 2 hours. Please suggest.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I am 27 years female. I am pregnant and plan to take flight in my 33rd week. Baby growth and all other reports are no...
Hello, Firstly you will have to check with the airlines if you can fly at 33 weeks as some airlines do not allow it secondly you will need a certificate of fitness from ur doc before the travel. Since it is a short duration flight as long as it is a low risk pregnancy it is not a problem for most women. However train journeys are recommended in terms of comfort and ability to rest well and stretch your feet etc.! Do check with your gynaec and keep yourself well hydrated..!
1 person found this helpful
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