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Dr. Anil Khetarpal

Gynaecologist, New Delhi

Dr. Anil Khetarpal Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Anil Khetarpal
Dr. Anil Khetarpal is a trusted Gynaecologist in Bali Nagar, Delhi. You can consult Dr. Anil Khetarpal at Dr Anil Khetarpal's Clinic in Bali Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Anil Khetarpal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 42 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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I am 21 year girl and I am 2 weeks late for my period. I tested myself and the result Came positive. I am not ready to have the baby what can I do?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, you may rule out ectopic pregnancy first and then can opt for a medical termination of pregnancy.
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MILK Tea Vs BLACK Tea Vs GREEN Tea - Is Your Choice the Best?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ghaziabad
MILK Tea Vs BLACK Tea Vs GREEN Tea - Is Your Choice the Best?

Milk tea vs black tea vs green tea: which is better for your health?

Let's start with an interesting fact: all types of tea, be it green or black, comes from the same plant, camellia sinensis. The difference only lies in processing and oxidation. So how can one be better than the other you ask? let's find out.

1. Fluoride content
When it comes to fluoride content both green and black teas score high, while milk tea sadly loses out. Green and black teas are good for your teeth and bones, although black tea has higher fluoride content (0.2-0.5mg as compared to 0.3-0.4mg in green tea). Its best to have your black tea with tap water as it increases the fluoride content up to 0.9mg.

2. Antioxidant content
Yet again green tea and black both have high antioxidant content that helps in preventing cancer, but green is the clear winner over. Milk tea loses again as the milk in it effects the absorption of these antioxidants by your body. Green tea is enriched with a particular type of catechin (flavonoid) called egcg, which regulates gene activity in cancer cells, and may even prevent cancer growth.

3. Caffeine content
Both black and green teas have different amounts of caffeine in them. Green tea has lesser caffeine content than black tea- 9-41mg/cup in comparison to 14-61mg/cup. So if you want to have an energetic morning then black tea is the one for you, but if you want to relax your blood vessels and just enjoy a soothing drink, choose green tea. Milk tea unfortunately does not have a calming or an energising effect.

Benefits for your heart:
Black tea is probably the healthier option if you want to derive cardiovascular benefits from your daily cuppa. While green tea has abundant egcg which creates a lining along your blood vessels to reduce stress, black tea offers more benefits. Black tea can improve the function of your blood vessels if you suffer from coronary artery disease. Apart from that, both can lower the levels of harmful cholesterol. There's no evidence that supports that milk tea can be beneficial for your heart.

So in the end it's your call to choose black or green tea, whichever works best for you. Try avoiding milk tea as the milk steals away the essential health benefits of tea. Just remember to have no more than 10 cups of green tea a day, and no more than 4 cups of black.

If you would like to consult with me privately, please go ahead.

4 people found this helpful

Hello sir. I got recently married I am doing oral sex with my partner sir please I want to know any chances for HIV I don't use condom reason we are plan for child also.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
If both the partners are HIV negative.......there are no chances of HIV even though you perform oral sex....... BUT MY ADVICE IS not to do oral sex as it is not adviceable and hygenic......... any thing which is against the nature is not good....... so my kind advice is to perform vaginal sex and if u want to get pleasure try to be intimate with partner ......... and perform foreplay and try to do it in different angles........ for more details please consult privately............
1 person found this helpful
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I am 27 years old, my lmp was 8 aug 2016 had an abortion through contrakit on 19 oct 2016 as there was no heart beat, only 2 sac was available of 10 mm and 14 mm. Want to plan a pregnancy again. What precautions should I take so it doesn't happen to me again. please help.

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Helo lybrate-user. After having abortion do not attempt pregnancy for 6 mths. In this time you should be investigated and take treatment for the same. Meet your gynaec for the same some test include torch test, tb gold etc. If you have the ultrsound report and its photo of your twin pregnany then send it to me
1 person found this helpful
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Hi I am married since 8 years. Me and my wife are sexual satisfied and no problem in sex. But have major problem for me since couple of years to discharge sperms into my wife vagina during sex. Me and my wife are very disappointed as she is unable to conceive pregnancy till now. Please advise what to do and which medicines are useful for me.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, you may change position during sex or keep a small pillow under back of your wife. It will solve your problem.
1 person found this helpful
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

Stay Alert Stay Alive

M.Ch, MBBS
Neurosurgeon, Hanumangarh
Stay Alert Stay Alive

Head injuries may happen because of fall, accidents, while playing sports or physical assault. It may be serious or minor. 
Minor one can be attended at home but serious injuries require immediate hospitalisation.
The crucial part is how to provide a person with serious head injury first aid or an aid which a person requires before reaching hospital.
First for all practical reason treat the injury as a spinal one and keep the body and head straight, if the person is unconscious check his pulse, if necessary provide cpr, tie the wounded portion with clean piece of cloth. If it gets filled with blood, don't remove it. Tie another one. If possible apply ice to swollen area.
Remain in touch with emergency rescue team stationed at the hospital.

1 person found this helpful

Helping Couples Improve Sexual Intimacy

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Noida
Helping Couples Improve Sexual Intimacy

A sexless marriage is one where the couple does not get to have intercourse. This can happen due to many reasons including lack of interest in sex, lack of libido or sexual drive, lack of arousal, erectile dysfunction, vaginal issues like pain and dryness as well as premature ejaculation and various others. In a marriage or any long term relationship, sex is like a glue that holds the couple together and gives them an intimate basis to understand, support and respect each other through thick and thin. So it is important to fix this problem of a sexless marriage where the relationship has fallen prey to complete lack of sex or has not been consummated at all. Here are a few ways to do so.

  1. Honesty: Getting an honest opinion from your partner regarding the utter lack of sex or non-consummated status of your relationship can actually make a world of difference. Stick to an honest approach yourself and tell your partner everything there is to know. That can goad your partner into sharing the truth, too. In such a case, trust comes into play and respect also enters the relationship.

  2. Physical Ailments: If there are physical ailments like penile and erectile dysfunctions, premature ejaculation and other vaginal disorders, then this must first all be discussed by the couple. It is important for both parties to admit and become aware of the presence of a problem before visiting a doctor or a sexologist together so as to find out the cause and treatment for the condition.

  3. Share Experiences: In many cases, the stress of past sexual trauma or handling the performance with a new love interest can lead to problems as far as sex goes. So, in such cases it is important for both partners to invest time in getting to know each other outside the bedroom and having a good time with each other without bringing sex into the picture. With this, one can slowly forge a connection on the basis of which, sex will also naturally follow. Cultivating hobbies, making mutual friends, visiting places and other such activities can help a couple bond better.

  4. Find out Each Other's Preferences: A major part of intimacy comes from being able to openly discuss each other's sexual preferences in terms of likes, dislikes, toys, pornography viewing and other such things. So it is important to open up and be open so as to facilitate greater pleasure and culmination of the act.

Learn your way around each other with trust, honesty and respect in order to create a relationship where a caring touch is rendered even to the most intimate acts.

3187 people found this helpful

I have two child 8 years old and 4 years old. My husband is wants sex but I have no mood for that. Please suggest me.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Low sex stamina- which is a disease that should be treated properly. All you need is to consult doctor in person to find out the exact cause of low stamina, so that you can be given treatment. If the cause is not treated, no treatment will help. Avoid taking drugs shown in tv/ newspaper as they can harm you.
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I had breast pain and some swelling with hardness in my breasts earlier this month, so I went to doctor and she gave me tablets Estranor and mobile. Now I do not have pain but my breasts have become somewhat harder and bigger. Why is it so?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Breast pain during the teenage is due to hormonal disturbances associated with the body physiology. These tips can help you to balance your hormones and reduce you pair- 1.Eat a healthy Indian diet, avoid fast food and junk diet. 2.Maintain a proper sleep schedule. 3.Use Shatavari powder with milk daily in the morning. Shatavari is the best known Indian herb for females which cures hormonal disturbances. 4.Practice some yoga exercises in the morning. (esp. paschimottanasana and bhujangasana will benefit you) 5.Massage the painful area daily with luke warm castor oil.
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Reflexology and Developmental Disabilities

M.Phil - Psychology, Ph. D - Psychology
Psychologist, Delhi
Reflexology and Developmental Disabilities

Developmental disabilities include autism, attention-deficit hyperactivity disorder, mental retardation, learning difficulties and other developmenatl delays. Children with these disabilities indicate difficulties in the form of writing, reading, speaking, playing, understanding instructions, hitting, kicking, screaming, swearing, repetitive, rocking, and others. These challenging behaviors requires appropriate psychological assessment and management. With assessment requires numerous behavioral, intelligence and developmental tools. Following assessment appropriate techniques utilized to manage challenging behavior using psychological techniques. Recently new technique came into effect ie., Reflexology which work in other form and with limited sessions. It is one of the alternative therapy which is simple, safe and efective also. Therapist works with reflex area on the feets, hands and head. This techniques proves to be effective in reducing stress, emotional, agressive and behavioral problems of children effectively.

2 people found this helpful

Sir/Mam I am having a little ball like something in my left breast, when I press it I feel pain, I noticed it almost 2 years ago, I have not consulted any Dr. Yet, I want to know that, is it a serious matter or will it be fine itself?

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
I don't know how old you are, certainly serious problem for elderly, may not be problem for younger. But can't be said anything without seeing it. My opinion would be to consult good surgeon, do mammogram, and biopsy whenever if on mammogram it is above BIRADS CAT 4.
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My wife is 29 years old, she has stomach pain / ache problem from past couple of weeks, which last for couple of hours and gets cured automatically. She has to go for stool after pain sometimes. She is denying to visit doctor. Please suggest. Thank you for your response in advance.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
If she does not want to go to doctor, give her a mix of saunf, jeera & ajwain to chew after every meal. Boil 1 tsf dhaniya in 1 ltr water & give her to drink throughout whole day. Start these & consult privately for medication & further guidance.
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I am 30 years old female blessed with a 4 years old baby. I am suffering with irregular periods from past 2 years. I don't have thyroid problem, my consultant said that its due to hormonal imbalance. But I am not happy with my medication, as its not letting me to expect the second child, due to which I already lost 1 year.

Advanced Aesthetics
Ayurveda, Gulbarga
What is your usg report. Send me and for regular periods medicenes are dashamoolarista and m2tone syrup and these for 3mnths pushyanaga churna all are 3 times a day.
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Want to conceive, Very bad odor from vaginal discharge, Regularly pain around abdomen, Please suggest some medicine.

MD- Ayurveda
Ayurveda, Ujjain
Dear lybrate-user ji, Bad odour from vagina indicate some infection or may be due to white discharge also. This ailment should eradicate on priority to conceive ,otherwise there may be some trouble during pregnancy or delivery. Use Tab Lukol (Himalya) 2-2-2 three times a day, SUPARI PAK 5-5 gms twice a day, PATRAGASHWA 30-30 ml ,with equal quantity of water ,twice a day after meals. Use this treatment at least 3 months and then try to get about pregnancy. The most prone or susceptible period to get about pregnancy is 7 th to 21 st days from starting the cycle, during this period there may be more chances to get about pregnancy, Please consult me privately for about to get early & safe pregnancy and healthy baby also.
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I do not want child right now, but also do not want to use condoms, please suggest me safe period for sex.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Raghu you should avoid sex from day 8-18of the period if cycle is 30days. Or other option is birth control pills.
1 person found this helpful
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Hi doc first up all I have irregular period problem I asked to you. After your suggestion was very help. I'm also married but I don t have any sex feeling in physical relationship so what I should do? please help me doctor.

DGO, MBBS
Sexologist,
For irregular periods and low sex desire you need to do blood sugar level, tsh, prolactin, hb, tc, dc levels, ultrasound of pelvis. With these reports your problem will be solved.
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My wife and I are planning for a baby. Right now she is not pregnant. She does swimming. Will swimming to be stopped or it has problem. She swims everyday and because we have decided to go for baby we would like to take precautions. Please educate us what else can be avoided and is there anyway without waiting for periods we should know that pregnancy has arrived.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
swimming is good she can continue even in pregnancy. blood test - beta hcg. 1) Sexual intercourse - from day 10 to day 18 of your period. 2) Do not use any lubricants. 3) Sexual intercourse should be in supine position only. 4) Take pillow below buttocks keep that for min.30 minutes after sexual intercourse. 5) Do not eat heavy food in that day 6) Male partner should have milk after intercourse to regain energy.
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I am 19 years old and I'm pregnant. My doctor says that I have a low amniotic fluid. What should I do to have enough amniotic fluid until I get birth?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, if amniotic fluid in low please get colour doppler done to know babies status and well being. Hope you have done congenital anamoly scan. Drink coconut water daily, plenty of oral fluid, sleep in left lateral position, start antioxidants in diet, please keep watch on babies movement. Start tablet aspirin, alaminfort, she will need alamin drip also please visit obstetrician for that needs monitoring.
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