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Dr. Angela Manktala

Gynaecologist, New Delhi

Dr. Angela Manktala Gynaecologist, New Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Angela Manktala
Dr. Angela Manktala is a trusted Gynaecologist in Punjabi Bagh, Delhi. You can meet Dr. Angela Manktala personally at Dr Angela Manktala's Clinic in Punjabi Bagh, Delhi. You can book an instant appointment online with Dr. Angela Manktala on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 25 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Cushing's Syndrome - Sign's You Are Suffering From It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Cushing's Syndrome - Sign's You Are Suffering From It!

The adrenal glands are present above the kidneys (hence the name) and produces an important hormone known as cortisol. Cortisol is responsible for regulating multiple body functions, including controlling the blood pressure, protein and carbohydrate metabolism, and anti-inflammatory response, and stress management.

Under natural circumstances, the body produces excessive cortisol in the following situations:
Physically stressing situations like illness, surgery, injury, pregnancy, etc.

  1. Emotionally stressed situations
  2. Alcoholism
  3. Athletic training
  4. Malnutrition
  5. Depression
  6. Panic disorders

Causes: Cushing’s syndrome is a group of symptoms that manifest when there is too much cortisol in the body. It is more common in women than men, in the age group of 25 to 40. Some of the common causes for Cushing’s syndrome are listed below:

  1. Consuming too much of prednisone (and other steroids) or for prolonged periods can cause Cushing’s syndrome. These are strong anti-inflammatory medications and are used in asthma, arthritis, lupus, transplants, etc., to control the body’s inflammation reaction. It is therefore advisable to use topical steroids than oral steroids or injections as their effects are more noticeable and severe.
  2. Adrenal gland tumours can cause excessive production of cortisol.
  3. Pituitary gland tumours or adenomas also can also cause excessive production of cortisol, leading to Cushing’s syndrome.

The first type is known as exogenous Cushing’s disease and the others are known as endogenous Cushing’s disease.
Signs and symptoms: Cushing’s disease produces characteristic features which are referred to as the Cushingoid appearance. These features include the following:

  1. A rounded, plump face with a pinkish hue
  2. A moon face, with fat deposits on the face
  3. A buffalo hump with fat deposits between the shoulders
  4. Stretch marks on the abdomen, thighs, and arms
  5. Weak muscles, especially in the hips and shoulder
  6. Significant weight gain
  7. Skin that gets thin and bruises easily
  8. Extreme tiredness
  9. High blood pressure
  10. High blood sugar
  11. Thin arms and legs
  12. Delayed healing of cuts and injuries
  13. Increased facial hair in women
  14. Menstrual disorders
  15. Reduced libido, infertility, and erectile dysfunction in men
  16. Emotional issues like depression, anxiety, irritability
  17. Increased thirst and urination
  18. Bone loss, and eventually fractures
  19. Affected bone growth in the developing years
  20. Increased susceptibility to infections

Complications: Untreated Cushing’s disease can lead to bone fractures, hypertension, full-blown infections, kidney stones, etc.

Treatment: This would depend on the cause. If you are on long-term steroids, the dose would need to be adjusted. This should always be done under medical supervision, as it requires constant adjustment. Underlying tumours (pituitary or adrenal) need to be diagnosed and treated. There are other hormones too which come into the picture and need to be monitored. If you wish to discuss about any specific problem, you can consult an endocrinologist..

3312 people found this helpful

I drank a lot of alcohol for 3 days continuously. My periods are delayed. Is that a possible reason?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I drank a lot of alcohol for 3 days continuously. My periods are delayed. Is that a possible reason?
Hello, it can very much be the reason for your menstrual delay if pregnancy has been ruled out already.
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Pregnancy and Oral Health

MDS - Pediatric and Preventive Dentistry, BDS
Dentist, Hyderabad
Pregnancy and Oral Health

Pregnancy brings with it a whole lot of body system changes and oral health is no exception. Some simple careful planning, however, can help avoid a lot of oral health complications associated with pregnancy. The hormonal changes during pregnancy have a direct effect on the oral health and has higher incidence of decay, pregnancy gingivitis, and pregnancy tumors. Additionally, morning sickness affects the regular oral care, leading to more plaque and decay.

Before pregnancy: If you are planning to get pregnant, then a dental visit can help you get a thorough check-up ahead of the pregnancy. A routine cleaning and check for cavities should be sufficient to avoid any urgent treatment need during the period of pregnancy.

During pregnancy: If you were not able to do your pre-pregnancy dental visit, inform the dentists about pregnancy as early as possible. All elective procedures can be done after the delivery. Only really essential treatment that cannot wait until the delivery should be undertaken during pregnancy, most safe if done during the 4th to 6th months.

Listed below are some points to consider as far as oral/dental health is considered during pregnancy:

  1. Scaling and polishing can be done as usual
  2. Inform the dentist about all the medications that you are advised by your gynecologist
  3. Periodic check-up once in 3 months to reduce severity of gum disease and decay
  4. Good oral hygiene measures including brushing, flossing, and rinsing
  5. Try a bland toothpaste if morning sickness is very severe
  6. Eat a healthy, balanced diet. Tooth formation happens in the third month and requires diet rich in calcium and minerals
  7. Avoid sweet snacks which can lead to greater plaque formation

The hormone changes combined with oral infection (could be gum disease or tooth decay) can lead to severe effects on the developing baby. It is extremely important to avoid dental infections, as these may necessitate antibiotics, require x-rays and even require treatment like root canal and/or extraction, all of which are best avoided until after the baby is delivered. It is considered safe for dental procedures to be done during the 4th to 6th month. Though now there are safer measures to do x-rays and dental procedures, they are best avoided, unless in case of emergency. This emergency situation can be avoided by better planning and some minimal care. Severe gum disease could also lead to premature or low birth weight of the baby. So plaque buildup should be avoided which leads to both decay and gum disease.

After delivery: After the delivery of the baby, please visit your dentist to ensure that there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.

3278 people found this helpful

If her blood is b- and his husband blood a+ and first baby blood group is also a- then their is problem in second baby birth is any risk.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
If her blood is b- and his husband blood a+ and first baby blood group is also a- then their is problem in second bab...
Not there will be no problem as you and your first baby have the same blood group so there will be no problem with your second conception.
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पानी और स्वास्थ

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
पानी और स्वास्थ
सिर्फ पानी बैठकर धीरे2 पीने से 48 रोग ठीक होते है।
Eg-मोटापा,जोड़ो का दर्द,कब्ज़
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Hello I am 30 years I have 6 years girl. Now I want 2nd baby we r trying from abt 1 year bt no positive result uptil now please give me some suggestions n solution to my problem.

BHMS
Homeopath, Bhadrak
Hello I am 30 years I have 6 years girl. Now I want 2nd baby we r trying from abt 1 year bt no positive result uptil ...
You both have to undergo some routine test and consult a good physician after getting the reports.
2 people found this helpful
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I have low amh 1.02 Dr. Says donor egg go with ivf. But I want own eggs is it possible success with low eggs. If I get donor eggs baby looks like as me or donor mother sms match.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Low AMH can improve with injections and Medicines, we suggest you take that first and see for the natural pregnancy with your own eggs. Yes baby would definitely look like donors mom as the genes play an important role in the looks apart from mental make up.
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My wife is getting breast pain. Her age is 23 weight is 40. If I touch the breast I can feel something hard. And we are planing for baby from 3 months. She didn't get her periods from 11 weeks. Why that pain? And why she didn't get periods? Can someone explain clearly please. Thank you.

MD - Oncology
Oncologist, Pune
My wife is getting breast pain. Her age is 23 weight is 40. If I touch the breast I can feel something hard. And we a...
Breast pain could be due to mastitis or during premenstrual and menstrual period now as there is no periods for close to 3 months, there might be some hormonal problem. You need to visit doctor and get her checked.
3 people found this helpful
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My wife is 17 weeks and 6 days pregnant. Can we travel in train which is almost 14 hours travel. I booked tickets on third AC. She has low lying placenta risk when we took 3 months Ultra sound test. But doctor told that no need to worry as it is common at that time (3 months pregnant) Please advice me can we travel in train?

Diploma in Obstetrics & Gynaecology
Gynaecologist, Junagadh
My wife is 17 weeks and 6 days pregnant. Can we travel in train which is almost 14 hours travel. I booked tickets on ...
Yes you can travel but not journey in jerky / rough road it may be cause bleeding p/v because you have low lying placenta.
2 people found this helpful
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Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever food she was eating she has vomited. After intercourse I gave her a unwanted 72 i-pill. She has even vomited 3 hours after taking i- pill. Now my concern is that the i- pill worked or not.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever f...
It was wrong to have had intercourse when the girl was having vomiting. On top of it you gave unwanted 72 without getting her treated. You are worried about ipill rather than the girl and her vomiting. Don't worry about pregnancy. Take her to the hospital and get her treated.
1 person found this helpful
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Craving for Junk Food in Pregnancy

Panchkula & Delhi
Mother and Child Care, Panchkula
Craving for Junk Food in Pregnancy

Food craving is absolutely normal during pregnancy. Junk food craving is a cause of concern, be it a pizza or a doughnut or any other junk food you can think of.

From the very onset of your pregnancy to delivery, you and your baby are undergoing constant changes. Major ones are:

  • Food cravings
  • Your weight
  • Blood pressure fluctuation
  • Blood sugar levels
  • Mood swings

The following are the Do's and Dont's to ensure that your food cravings are healthy and benefit you and young one!

  1. Absence of Whole Grain: Fibre is a nutrient essential for energy and also helps in smooth bowel movements. The doughnut or pizza base does not have whole fibre even if they claim to, so there are more chances of you having bouts of constipation.
  2. Salt from Mayonnaise and Sauces: Without an extra blob of mayonnaise that Sub sandwich will not taste as good and moreover it has high amount of salt, which is just not friendly to a fluctuating blood pressure, it may also cause swollen feet due to water retention in your body.
  3. Limited Nutrient Quotient: Junk food has very limited meat or vegetables. The major portion of any junk food is the fattening, less nutrient cheese. This will surely affect the nutrient intake of the expecting mother and her baby.
  4. Sugars and Fats: Many expecting mothers have a craving for nibbling chocolates at unearthly hours. Foods high in sugar are known to cause mood swings and irritations. This could shoot up your blood pressure or even include gestational diabetes as a chain reaction.
  5. Expecting Mother to the Baby: By eating all the fast food which is fully loaded with sugar, salt and fat; rest assured it goes directly to the baby. Babies born obese and with other health disorders, tend to develop associated health disorders in their growing years or later on in life.

Tips to Stop Junk Food Cravings?

'You are what you eat' and so is your unborn baby. To make sure both of you get the rightly balanced, healthy, good nutrition, it is very important that you completely avoid fast food during pregnancy. Some tips to tackle junk food cravings:

  1. Clean your Kitchen Stock: Get rid of all junk food in the house and stock it up with healthy snacks – preferably organic. You can opt for baked options, rather than fried. Buying an oven is an excellent idea, so that you can make and eat tasty, healthy and nutritious snacks at home without preservatives and additives.
  2. Snack on Fruits and Nuts: These are so much better than artificially prepared munch bites you get from the local supermarkets. Have fruits and always keep dry fruits handy to fulfil the craving in you. Always eat fruits as soon as you cut them, as they lose their nutrients soon after they are cut.
  3. Photograph Therapy: Put up a nice, huge photograph of a curvy you, prior to pregnancy. The more you eat now, the harder you will have to struggle to get back into shape after delivery hence; this will surely make you strong enough to escape the lure of junk food.

It is important for you to always keep a watch on your pregnancy diet what you eat and want to eat. If you can't, do take the help of a family member or a friend to keep you away from junk food.

4564 people found this helpful

Symptoms And Treatment Of Chronic Obstructive Pulmonary Disease!

DNB (Respiratory disease), Fellowship Bronchoscopy, MBBS
Pulmonologist, Ahmedabad
Symptoms And Treatment Of Chronic Obstructive Pulmonary Disease!

The lungs are made of tubes through, which air passes in and out for exchange of gases, taking in alveoli. It is a disease of alveoli to which finer air conducting tubes are attached. Over a period of time, with age and exposure to various agents, these tubules get obstructed. The amount of air that can pass through these is reduced, leading to reduced oxygen supply to the lungs and thereby the various body organs.

Symptoms
The symptoms of COPD can be easily understood if we realize how COPD is caused. The progressive blockage of the air tubes causes less oxygen to reach the tissues, which is the most essential agent for all tissues and organs to function. Reduced supply produces a generalized limitation in physical activity. There are two main components to COPD - chronic bronchitis and emphysema. The symptoms indicative of COPD are as follows:

  1. Chronic cough: Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
  2. Mucus buildup: There is constant buildup of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
  3. Fatigue associated with limited activity: As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
  4. Shortness of breath: The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
  5. Wheezing: Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.

Rarely, Frequent respiratory infections, more frequent flu attacks, swelling of the feet and ankles, cardiovascular disease, weight loss, and morning headaches.

Treatment
While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:

  1. Bronchodilators: Dilate the air tubes and ease flow of air
  2. Corticosteroids: Help reduce inflammation and thereby improve airflow through the tubes
  3. Flu vaccination: Helps curb the frequent flu attacks
  4. Antibiotics: To contain infections
  5. Pulmonary rehabilitation: A combination of breathing exercise and patient education to improve lung function.
  6. Oxygen therapy: In very severe cases, oxygen may be required.
  7. Lifestyle changes: Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential.
3 people found this helpful

I'm 25 years old, june 2014 I got married, still we don't have a baby, what we should do?

MBBS
General Physician, Faridabad
I'm 25 years old, june 2014 I got married, still we don't have a baby, what we should do?
Try if your cycle is regular then take chance on mid of cycle. Say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. But it may happen at any time. It will. Welcome.
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I am a divorcee nd I am going to marry again in next 5 6 months. I want to tighten up my vaginal hole what medications should I do?

MBBS
General Physician, Mumbai
There are no medication available to tighten your vagina but if you are willing than you can go for cosmetic reconstruction of hymen.
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Hi sir/mam. I am 23 years old. I am unmarried. Muze apse ye puchna tha ki mere bf ke sath week me 4-5 bar sex karti hu. Meri shadi ho jane ke baad muze koi sex prbm to nahi hogi na?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi sir/mam.
I am 23 years old. I am unmarried. Muze apse ye puchna tha ki mere bf ke sath week me 4-5 bar sex karti h...
Hello, no there should not be any problem after marriage, just that your vaginal tone may decrease possibly with increased frequency of intercourse per week.
1 person found this helpful
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Vitamin C Benefits

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Vitamin C Benefits
Of all the nutrients vitamin c is the most familiar owing to its widespread use as a dietary supplement. It is needed for the growth and repair of body tissues. The body does not store vitamin c and so need to consume it on a regular basis, specifically during the winter months
7 people found this helpful

I have crossed 50 when I was 27 I could have sex 3 times a day but now it is once in a fortnight. Please suggest some medicine without any side effects.

Advanced Aesthetics
Ayurveda, Gulbarga
Your sexual stamina is something that is very important for a healthy and happy married life. Hence, a sexual stamina diet is important if you find that your sexual performance is lacking. The fats you consume are very important in how your sexual life is. Since fats affect the way your blood flows, it also affects your ejaculation and your pleasure sensations. Omega-3 fatty acids are good for your physical as well as sexual health. You can consume foods that are high in omega-3 fatty acids like fish oils, olive oil, and primrose oils. Cap- semanto 2cap 2times a day for increase sex time for 2months sure result ou can also consume nutritional supplements that contain magnesium, zinc, and selenium. Also get yourself the recommended allowances of niacin, riboflavin, and thiamine, as all of these help stimulate your brain's pleasure centers. All of these nutrients are contained in breakfast cereals. You can also add some fruits to your sexual stamina diet. These foods should contain antioxidants. Berries and citrus fruits are excellent for relaxing your body. Fresh fruits and vegetables can help you deal with sexual problems and increase male stamina naturally. These are loaded with nutrients and energy and can help you avoid the need for taking any kind of supplements. You can also reduce stress by drinking green teas that are loaded with antioxidants. Apart from the diet to increase stamina, you should also engage in an exercise regime; when it comes to how to increase stamina in men, exercise is critical.
5 people found this helpful
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If a lady has sexual relationship with two men, kya hum isko kisi test se sabit kar sakte H?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
If a lady has sexual relationship with two men, kya hum isko kisi test se sabit kar sakte H?
Hello, no it cannot be tested or proved unless vaginal exam done after simultaneous intercourses reveals two different sperms through dna analysis.
2 people found this helpful
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I get irregular periods. After marriage. Its been two years of marriage. Kindly suggest me what should I do also is there any connection of irregular periods with our sexual life. What are the effects of irregular periods

International Academy of Classical Homeopathy, BHMS
Homeopath,
Dont worry. U need homeopathy. Accordingly our pathy your symptims r very few means we need detail case taking. U can try puls200 single dose. See how much u get relief. If not than we wil discus indetail. Take care mam. Thanks.
6 people found this helpful
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