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Dr. Ashok

Gynaecologist, Delhi

200 at clinic
Dr. Ashok Gynaecologist, Delhi
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Ashok
Dr. Ashok is an experienced Gynaecologist in Najafgarh, Delhi. You can consult Dr. Ashok at Gobhaniya Hospital in Najafgarh, Delhi. Save your time and book an appointment online with Dr. Ashok on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi 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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Hindi

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708/709, Gobhaniya Hospital, Najafgarh. Landmark: Near Goushala Road, DelhiDelhi Get Directions
200 at clinic
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Hi Doctor I had sex with a girl and accidentally she got pregnant and she trapped me now she is not willing to abort how to abort please give me advice.

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist, Mumbai
Hi Doctor
I had sex with a girl and accidentally she got pregnant and she trapped me now she is not willing to abort ...
You have to adress this problem with police or lawyer. In Indian law you can't force a women to abort .her consent is needed.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

Hello sir. I am married women since after 7 month I have no pregnancy. Every tested has been done for both. My menstrual is regular. But bleeding quantity less use two day. Please suggest what can do.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello sir. I am married women since after 7 month I have no pregnancy. Every tested has been done for both. My menstr...
About 10% of cases are unexplained infertility where no ovious cause of infertility can be found after having investigated both husband and wife. The most fertile time of your cycle is from 10 days after your period starts for about a week or so. I would advice you to have intercourse during this time. Also start folic acid supplements. If you fail to conceive naturally by another six months then seek further medical advice.
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My wife is pregnant. Now it is 6th week. Please let me know what are the food to have ?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife is pregnant. Now it is 6th week. Please let me know what are the food to have ?
Eat healthy diet, fresh fruits and vegetables (including dark orange vegetable, dark green leafy vegetables, and citrus fruit) whole-grain breads and cereals. Nonfat or low-fat milk or milk products if you are non vegetarian then extra-lean meats, chicken without the skin, fish, or cooked dried beans and peas. Also take 8-10 glasses of water.
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Diwali Special - Pamper Your Sweet Tooth While Keeping a Tab on Your Weight

M.Sc, Internship From AIIMS - Diploma in Diet and Nutrition, Diploma in Diet and Nutrition
Dietitian/Nutritionist, Delhi
Diwali Special - Pamper Your Sweet Tooth While Keeping a Tab on Your Weight

Festivals without sweets are unheard of in India. Think of Diwali and you’re sure to conjure visions of ‘mithai’, dried fruits and ‘laddus’. These sweetmeats are rich not only in taste, but also in calories. This makes festival food a big problem for weight management. Thankfully, there are ways to have a sweet celebration without putting on excess weight.

Here are a few tips.

  1. Eat in moderation: It is impossible to completely avoid sweets during this festive season. However, you can keep a check on the amount you eat. Limit yourself to one or two pieces of mithai instead of gorging on them. Avoid second helping of sweets at all costs.
  2. Pick your sweets carefully: Not all sweets have the same calorific value. Sweets that are deep fried such as gulab jamuns have a higher calorific value than rasgullas. Similarly homemade sweets are usually much lower in fat content than store bought ones. If you are making sweets at home, try replacing the sugar with jaggery to lower the fat content. Eating dry fruits over sweets can also help minimize your calorie intake.
  3. Do not skip your meals: Eating heavy sweets may make you want to skip your regular meals, but this is a terrible idea. Do not miss out on your regular servings of fruits, vegetables and carbs. Do not replace your normal meals with snacks and dried fruits. If necessary, lower your portion size and have a light soup for dinner instead of your regular meal.
  4. Avoid sweet drinks: Since you cannot avoid eating sugar, skip drinking sugar. Avoid sweetened drinks such as colas and processed juices. Instead, pick light drinks such as buttermilk, lemonade and jaljeera. Green tea is also a good option during Diwali. If possible, avoid alcohol.
  5. Stay hydrated: When eating such rich and heavy food, it is important to drink plenty of water through the day. This keeps the body hydrated and helps flush toxins from the body. Drinking water also reduces the urge to snack and can help keep a control over your food intake.
  6. Eat mindfully: Chew your food and mithai slowly while eating. This will ensure that you thoroughly enjoy it and will keep you satiated for longer. Avoid eating on the go. Mindful eating also reduces the urge to snack excessively and hence controls your food intake.
  7. Exercise: Do not make Diwali an excuse to not exercise. Set aside half an hour at the beginning of the day to exercise and kick start your metabolism. Breathing exercises such as Pranayam and anulom vilom can also help clear your respiratory passages and help prevent problems sue to the pollutants in the air.
3171 people found this helpful

Detox your liver!

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Detox your liver!
Liver is the largest organ of the body which can detoxify and repair itself. However if the toxins increase to an extent that liver is exhausted and shows following signs, then the person should go for detoxification of liver by taking some good food concentrates and improved diet.

1. Acne or pimples (too many)
2. Blotchy (spotted or patches) skin
3. Dark spots on the skin commonly referred to liver spots
4. Overheating of the body & excessive sweating
5. Abdominal bloating pain or discomfort
6. Excessive abdominal fat or pot belly
7. A roll around the upper abdomen trouble digesting fatty foods 8. If your have gallbladder removed / operated
9. Acid reflux / heartburn / gerd
10. Unexplained weight gain & inability to lose weight even with calorie restriction

It can be mostly managed with some supplements.
65 people found this helpful

I had sex with my wife on 13 August in evening and her period date is 18 August. After one day of sex she bleed little and after that no bleeding till date. Is she got pregnant or not if yes then please tell me how can we stop that unwanted pregnancy.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I had sex with my wife on 13 August in evening and her period date is 18 August.
After one day of sex she bleed littl...
unlikely she is pregnant with this episode. As it is 5 days already since the episode she will have to wait patiently to see if her next period comes on time, Also I would suggest she get a PAP smear done as she has had poscoital bleeding i.e bleeding after sex.
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I have been diagnosed with right ovarian cyst,fatty liver and right renal simple cyst. Right ovary cyst measuring 51x24 this is the scan report of today.what to do

DGO, MBBS
Gynaecologist, Bhavnagar
I have been diagnosed with right ovarian cyst,fatty liver and right renal simple cyst. Right ovary cyst measuring 51x...
Complex cyst needs treatment with medicines and if not releived with medicines, you have to go for removal by operation.
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I had unprotected sex with my husband on Nov 17th and I took postpone 72 on 18th. Then I got withdrawal bleeding Nov 24th to 26th. But my last periods date Nov 7th to 13th. Then I got periods on Dec 20th to 23th. This Jan I didn't get periods till now. When will I get my periods? Is any chance of pregnancy?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I had unprotected sex with my husband on Nov 17th and I took postpone 72 on 18th. Then I got withdrawal bleeding Nov ...
just wait for more 3 days if period is not there then do UPT [Urine pregnancy test ] for confirmation of pregnancy . YOU will get UPT-kit from any medical shop so bring it from there and do a test at home all instruction is given on kit
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I have one blockage fallopian tube. Second is normal. My husband is azoospermic. I want issue resolved. I got married 10 yrs ago. I got 3 times iui. But it fail. please help me what I do.

Advanced Aesthetics
Ayurveda, Gulbarga
Goto laproscopic treatment for open the blockage tube and your husband start medicenes of increase sperm count and start herbal medicenes treatment.
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खाली पेट इन चीजों का सेवन हो सकता है खतरनाक

MSc
Dietitian/Nutritionist, Chandigarh
खाली पेट इन चीजों का सेवन हो सकता है खतरनाक

कॉफी :- खाली पेट कॉफी का सेवन करना नुकसानदायक हो सकता है. कॉफी में मौजूद कैफीन पेट के लिए सही नहीं होता है. अगर आपको सुबह के समय कॉफी पीने की आदत है तो आप पहले एक गिलास पानी पी लें. उसके बाद ही कॉफी का कप लें.
बहुत अधिक मसालेदार खाना :- हमारे शरीर में प्राकृतिक रूप से कुछ एसिड मौजूद होते हैं. बहुत अधिक मसालेदार खाना खाने से इस एसिड और मसालों के बीच जो रासायनिक क्रिया होती है, उसका आंतों पर बुरा असर पड़ता है.
अल्कोहल :- कई लोगों को खाली पेट अल्कोहल लेना पसंद होता है. ऐसे में नशा जल्दी होता है, लेकिन खाली पेट अल्कोहल लेने से आंतें बुरी तरह प्रभावित होती हैं.
दवाइयां :- खाली पेट दवा लेने से वह पेट की सबसे अंदरुनी सतह को प्रभावित करती है और पेट में मौजूद एसिड्स के साथ क्रिया करके शरीर के संतुलन को डिस्टर्ब कर देती है
66 people found this helpful

I am in 19th day of my menstrual cycle, (28 days cycle time) since last two day getting red/brownish discharge at the time of cleaning vagina, some spots are visible on panty. Having cramps in lower abdomen plus slight back pain. Could it be a sign of pregnancy. M 39 year female.

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
I am in 19th day of my menstrual cycle, (28 days cycle time) since last two day getting red/brownish discharge at the...
Wait for your normal period date. If you miss do a pregnancy test. If happens on time check for hormonal profile.
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Is there any medicine for treatment of chickengunia. Do s and don't do s may please indicate if the chickengunia level is 2.91 against the normal of 1.8.

BHMS
Homeopath, Faridabad
Is there any medicine for treatment of chickengunia. Do s and don't do s may please indicate if the chickengunia leve...
Hello, medicines are totallly depends upon the symptoms of individual patient so please cosult privately to share your complete symptoms and for proper medication. Instruction:- Try to keep keep moving your joints. Drink plenty of water throughout the day. Take care.
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Sir I am 35 years old, doctor suggested to take NUFORCE - 3KIT for me and my wife becoz of her vagina infection, but after consuming that tablets her infection is cured but my secret area is itching and swelling, please suggest me why this is happening.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi You are also having infection, so you need to take same tablet and avoid intercourse for about 7-10 days.
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I had sex with my boy friend just after the next day from my last period. I also took emergency contraceptives after two days from intercourse. Now I am bleeding in just 11 day from my last period. There is any chance of pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
I had sex with my boy friend just after the next day from my last period. I also took emergency contraceptives after ...
Chance of pregnancy seems unlikely. ... it may be due to the tablets u took. If the bleeding continues longer, consult again
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I missed my last period and I am 19 years old. This has happened for the first time. What could it be? I am very tensed.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I missed my last period and I am 19 years old. This has happened for the first time. What could it be? I am very tensed.
Hello, IF pregnancy is ruled out then the delay is most likely stress induced. Just wait and watch for a week for menses to start naturally.
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I m 30 weeks pregnant. Which particular fruits are important for the growth of the baby?

MBBS; M.S.
Gynaecologist, Sri Ganganagar
I m 30 weeks pregnant. Which particular fruits are important for the growth of the baby?
Every seasonal fruit is good. Otherwise apple, banana, papaya grapes are good energy booster. It is better to take tab iron and calcium also with lot of water and milk.
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My friend have problem of irregular periods and her bleeding is not stop from 4 month. Can you tell me what is the causes of this problem?

BHMS
Homeopath, Faridabad
My friend have problem of irregular periods and her bleeding is not stop from 4 month. Can you tell me what is the ca...
Hi,This is Menorrhagia. Causes of menorrhagia includes the following:- Hormonal (particularly estrogen and progesterone) imbalance (especially seen in adolescents who are experiencing their first menstrual period and in women approaching menopause) Pelvic inflammatory disease. Uterine fibroids. Ultrasound is required to done to find out the particular cause you are suffering from.
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