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Dr. B Shakuntala Baliga

Gynaecologist, Banglore

Dr. B Shakuntala Baliga Gynaecologist, Banglore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Know More About Osteoporosis!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Know More About Osteoporosis!

Are you at high risk of developing a fracture in your spine or hip? read on to know more about osteoporosis.

There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.

Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.

Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.

Osteoporosis can be detected easily by a screening test called the dexa scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a dexa scan. If the dexa scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin d and supplementary calcium and vitamin d medications are also an essential part of treatment.

Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.

Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin d and adequate exercise from young age is very important to prevent osteoporosis.

Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.

2 people found this helpful

A Quick Guide for Your Pregnancy Diet

MD - Obstetrtics & Gynaecology
Gynaecologist, Thane
A Quick Guide for Your Pregnancy Diet

One’s pregnancy is a time when one must be extremely vigilant about a proper diet and good exercise regime that will benefit the child and mother in equal measure. A balanced diet during pregnancy and enough of it is essential for your child to develop and grow in a healthy manner. You need to up your daily intake by 300 to 350 calories per day. Women carrying twins require 500 calories extra each day. Despite the fact that nausea during the initial months of pregnancy can make this troublesome, try to eat a properly balanced diet and take prenatal vitamins.

Here is a guide to a healthy diet during pregnancy:

  1. Eat a variety of food items to get a good amount of the nutrients, which your body requires. 3 main meals and 3 small meals should be taken each day.
  2. Pick fruits and ingredients that are high in fiber like whole grain breads, oats, beans, pasta and rice. In case you take a fiber supplement, increase the dose you take, slowly. This can get rid of gas and cramping. It is just as essential to drink enough fluids when you increase your fiber consumption.
  3. Ensure you are getting enough vitamins and minerals daily. Your specialist can suggest an over-the-counter supplement or recommend a prenatal vitamin for you.
  4. Eat and drink no less than four servings of dairy items and calcium-rich food products a day to guarantee that you are getting at least 1,000 milligrams of calcium on a daily basis.
  5. Eat at least three servings of iron-rich foods such as spinach, beans, lean meat and breakfast cereals every day to ensure that you are getting 27 milligrams of iron each day.
  6. While you are pregnant, you will require 220 micrograms of iodine a day to guarantee for your child's brain and sensory system growth. Look for dairy items like milk, cheese, and yogurt. In addition, baked potatoes, cooked beans, limited portions of fish like cod, salmon, and shrimp can be very healthy.
  7. Consume at least one good source of vitamin C consistently. For instance, oranges, grapefruits, strawberries, papaya, broccoli, cauliflower, brussel sprouts, green peppers, tomatoes and mustard greens. Pregnant women require 80 to 85 milligrams of vitamin C a day.
  8. Every pregnant woman needs one milligram of folate each day to counteract neural tube defects like spina bifida. Folic acid is an essential choice when you are pregnant.
  9. Consume at least one source of vitamin A each day. Sources of vitamin A are carrots, pumpkins, sweet potatoes, spinach, water squash, turnip greens, beet greens, apricots, and melon. If you wish to discuss any specific problem, you can consult a gynaecologist.
4 people found this helpful

I've had vaginal itching for around two years now, as with most posts I've read I've been told it's just thrush but then I've been tested for that twice now and both tests came back negative. The GUM clinic said it could just be an allergy or thrush of the vulva (if that is even possible?). I have.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It is possible that you r suffering from recurrent trush problem because you r overweight and may be you r suffering from diabetes. You should get your sugar tested. If you r diabetic, then unless blood sugar is controlled, you r likely to have trush again and again.
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I am 18 weeks pregnant. Every day vomiting sensation increases. I used to take 6 doxinate tablets every day. Is vomiting bad. How to get rid of. What should I do.

DGO, MBBS
Gynaecologist, Bhavnagar
I am 18 weeks pregnant. Every day vomiting sensation increases. I used to take 6 doxinate tablets every day. Is vomit...
Actually for 1st 3 months, vomiting is common. But till 18th week, vomiting is to be investigated. You should have your ultrasonography done.
1 person found this helpful
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Hi doctor I had regular unprotected sex with my gf at least one weak and I am so worried about pregnancy of her what I do. One month has cross to all of this I am very worried please tell me what is solution for it.

MBBS
General Physician, Mumbai
Hi doctor I had regular unprotected sex with my gf at least one weak and I am so worried about pregnancy of her what ...
You will have to wait and see whether she misses her period or has very scanty periods. In that case you will have to get her urine tested with home pregnancy kit after one week of missing her period. That will confirm whether she has conceived or not. Home pregnancy kits are freely available with chemists.
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I am 31 years old women having PCOD & right side blockage in fallopian tube. We are planning since last 3 years for pregnancy but couldn't get any positive result. So please suggest some valuable advice at your end.

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
I am 31 years old women having PCOD & right side blockage in fallopian tube. We are planning since last 3 years for p...
U need some newer drugs for pcos. For ovulation and ovulation inducing drugs follicular monitoring. And if not achieved then go for laproscopic ovarian drilling.
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I am try for baby bt my period is irregular .all reports are normal .wht should I do. Now I am taking normoz, ovares Sr and fol tab.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am try for baby bt my period is irregular .all reports are normal .wht should I do. Now I am taking normoz, ovares ...
hi Puja, I need to understand case completely, please share details of clinical history like last few periods dates, any past history of infection, surgery. hormonal profile. in order to conceive you should have good quality egg and sperms and good Fallopian tubes and good uterus.
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Yesterday had a condom leak and I am doubtful if there had a sperm leak too. Can you suggest any emergency contraceptive pill like ipil. When I checked, heard that ipill is banned.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Yesterday had a condom leak and I am doubtful if there had a sperm leak too. Can you suggest any emergency contracept...
Hi lybrate-user. Welcome to lybrate. Condoms leakage can definitely make you pregnant. Please do take an emergency contraceptive. You can take I pill. Its definitely not banned. Hope this information helps you. All the best.
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My periods not came month to. Month and bleeding cannot properly. clotting come. So can. U suggest me anything. But without medicine.

MD - Alternate Medicine, BHMS
Homeopath, Surat
My periods not came month to. Month and bleeding cannot properly. clotting come. So can. U suggest me anything. But w...
Take Ashoka Q 10 drops in a cup of water once daily for 1 week. It will be alright. Still if you have any queries, please let me know. Take care. :)
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Health Benefits Of Kidney Beans!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Health Benefits Of Kidney Beans!

Health benefits of kidney beans

1. Kidney beans are a phenomenal source of protein.
One cup of kidney beans contains 16 grams of protein, making it an excellent protein source for vegetarians. Kidney beans contain all the essential amino acids that are needed for proper muscle-building.

2. Kidney beans will improve your digestive system’s health.
Kidney beans are an excellent source of fiber. A one-cup serving of kidney beans contains 16 grams of dietary fiber. The daily recommended dietary fiber intake for men and women are 38 grams and 25 grams, respectively. Fiber may help prevent constipation, making one’s bowel movement easier to control.

3. Kidney beans can help maintain a healthy blood pressure.
Kidney beans have a very high content of potassium and a low content of sodium. One cup of kidney beans contains a whopping 742 milligrams of potassium, compared to 7.1 milligrams of sodium. Folate can also contribute to the reduction of hypertension and relaxation of blood vessels while maintaining proper blood flow.

4. Kidney beans are helpful for pregnant women and their babies.
Kidney beans are a good source of b-vitamins, such as folate or folic acid. One cup of kidney beans contains 33 percent of the recommended daily value of folate. Folate has shown to help in neural tube formation and red blood cell formation in prenatal babies. A deficiency of folic acid in pregnant women can lead to the birth of underweight infants and may also result in neural tube defects in newborns.

5. Kidney beans can help you detoxify.
Sulfites are acidic compounds found in wines, dried fruits, and some vegetables, which can cause side effects, such as headaches and disorientation. Studies have shown that kidney beans are extremely high in molybdenum, a rare mineral not frequently found in foods. This mineral counteracts these side effects.

6. Kidney beans can also improve your nervous system.
Molybdenum also helps in cell energy production and development of the nervous system. Kidney beans also provide the brain the necessary amino acids, vitamins, and minerals. Some vitamins, including folate or folic acid, play a significant role in the regulation of specific amino acids that the nervous system requires. Studies have shown that a deficient amount of dietary folate can increase the homocysteine levels, which can be a dangerous precursor to neurodegenerative diseases like alzheimer’s disease and parkinson’s disease.

7. Kidney beans can help with blood formation.
Copper and iron are essential for the new blood cell formation. One cup of kidney beans contains 26 percent and 29 percent of the daily recommended value of iron and copper, respectively. A deficiency of iron can lead to anemia.

1 person found this helpful

She had her periods last on 13th Feb. After that she had unprotected sex with her bf on 2nd March. Is there any chances of her getting pregnant. If yes, please suggest something to avoid this pregnancy.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
She had her periods last on 13th Feb. After that she had unprotected sex with her bf on 2nd March. Is there any chanc...
Dear there are chances of her getting pregnant. Its too late for any emergency contraceptive so the best option is to wait for next periods and if it gets delayed then you have to consult a gynae.
1 person found this helpful
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Hi, I am 26 married boy, from delhi. This month my wife's period didn't come it mean she is pregnant or not. And tell me solution about it because we didn't want child at least one year. If she is pregnant than what I do we both don't want any child.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi,
I am 26 married boy, from delhi. This month my wife's period didn't come it mean she is pregnant or not. And tell...
Dear user. ABORTIONS can be performed as early as an intra-uterine pregnancy can be identified by ultrasound, which is usually about 3-4 weeks after your Last Menstrual Period (LMP). In the first trimester, two options are available: Aspiration is done by a physician in the clinic or the Abortion Pill which you take at home. Do not take any decisions before consulting your gynecologist. Take care.
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I want to know the reasons for irregular menstruation cycle. I want to know the healthy diet for increasing my hemoglobin and blood purification.

DGO, MBBS
Gynaecologist, Bhavnagar
I want to know the reasons for irregular menstruation cycle. I want to know the healthy diet for increasing my hemogl...
Menstrual cycle may be irregular due to psychological reason, sudden change of atmosphere, disturbance in hormonal levels. Hemoglobin level also affect menses. Thyroid dysfunction may be the cause.
3 people found this helpful
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I had miscarriage this month. And I want to conceive again. Now I want to know when I can plan to conceive next? And what precautions I should take to have a successful pregnancy?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I had miscarriage this month. And I want to conceive again. Now I want to know when I can plan to conceive next? And ...
You should know about the cause of miscarriage if you are not anemic, plan next baby anytime be careful about getting tested for 5 types of infections responsible for miscarriages. It's called torch test if any infections is positive, get treatment, wait for 6 months if tests are negative, plan next baby at earliest.
1 person found this helpful
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Banana Health Benefits

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Banana Health Benefits

Bananas are one of nature’s great snack foods –

Potassium -

Potassium is an essential mineral which maintains proper heart function and regulates your blood pressure. Potassium-rich foods such as bananas actually offset the effect of sodium (salt) in raising your blood pressure. This, along with a healthy diet and lifestyle, lowers your risk of heart attack and stroke.

Increased Energy -

Bananas make a great work snack to combat that mid-afternoon slump. They’re a good choice for weight loss too - a small banana contains about 100 calories and will satisfy your sweet cravings.

If you can replace candy bars and other junk foods with bananas, it’s a helpful step towards losing weight. Not only will your body thank you for the vitamin and mineral boost but the energy release will be much more consistent.

Vitamin B6

Bananas are particularly high in vitamin B6. This vitamin is important for creating hemoglobin for healthy blood.

B6 is also involved in maintaining proper blood sugar levels, synthesizing and breaking down amino acids and producing antibodies for a stronger immune response in your body.

3 people found this helpful

As I am pregnant from last 3.5 month and I m not aware about it now I don't want to carry this child please suggest me the best solution to avoid the child from yesterday I had taken one medicine name emptkop kit to avoid the child so please suggest me is this right or not as soon as possible

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
The kit does not work beyond 9 weeks of pregnancy. Now, you have taken it. So, you should consult your gynaecologist to undergo MTP, if you want.
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Me and my girlfriend had unprotected sex and then after 3 hours she took an I-pill for 1st time for safety. After 5-6 days we again had an unprotected intercourse. After few hours of it her periods started. Is there any chance of pregnancy to her?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Me and my girlfriend had unprotected sex and then after 3 hours she took an I-pill for 1st time for safety. After 5-6...
hi Rahul, it depends upon day of her period and period pattern like cycle length, please share details in order to understand case and chances, the bleeding she is experiencing it could be withdrawal bleeding.
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Symptoms and Causes of Stomach Cancer

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Symptoms and Causes of Stomach Cancer

Cancer is one of the most fatal diseases in the world. Stomach cancer is also known as 'Gastric cancer'. Like other diseases, it is crucial that it gets identified in the early stages and gets treated before it reaches the incurable stage. Like other forms of cancer, the exact cause of stomach cancer is still not yet known. However, certain things make stomach cancer more likely to happen.

The possible causes of stomach cancer are given below:

Some of these causes apply to nearly all forms of cancer. However, some of them only apply to stomach cancer.

  1. Smoking
  2. Obesity
  3. Bad diet
  4. Stomach surgery for an ulcer
  5. Type-A blood
  6. Epstein-Barr virus infection
  7. Genetics
  8. Asbestos
  9. Exposure to certain materials in certain industries
  10. Helicobacter pylori bacteria
  11. Gastritis
  12. Anemia
  13. Polyps 

Some of the symptoms of stomach cancer are:

Stomach cancer like all other forms of cancer has various stages and it is crucial that it is diagnosed in the early stages so that the progression of it is stymied. At first, the symptoms of stomach cancer include indigestion, loss of appetite, slight nausea, heartburn and the feeling of being bloated after a meal.

However, indigestion and heartburn, doesn't always mean that you have stomach cancer, but if these conditions persist, you should visit a doctor to rule out the possibility of stomach cancer.

The growth of the tumor in your stomach can lead to various serious symptoms too, such as:

  1. Stomach pain
  2. Heartburn
  3. Blood in your stool
  4. Weakness or exhaustion
  5. Vomiting
  6. Diarrhea and constipation
  7. Weight loss for no apparent reason
  8. Swelling in your stomach
  9. Trouble in swallowing
  10. Eyes and skin turn yellowish
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Post-Menopausal Bleeding

MD - Obstetrtics & Gynaecology
Gynaecologist, Bangalore
Post-Menopausal Bleeding

Postmenopausal bleeding
Post menopausal bleeding is vaginal bleeding that happens at least 12 months after your periods have stopped.
About 4 % of women suffer with the above problem.It is not normal to bleed after menopause and it has to be investigated.

Causes of post menopausal bleeding
Most common cause of post menopausal bleeding is atrophic vaginitis and atrophic endometritis.After menopause due to decrease in the level of harmones in the body there can be thinning and inflammation of the inner lining of the uterus.
Other causes of post menopausal bleeding are 
polyps they refer to the extra growths of the inner lining of the uterus as well as the neck of the uterus(cervix).
PMB can also be because of thickening of the inner lining of the uterus, also called as hyperplasia.it can be because of extraneous harmones or obesity.
Less than 10% of the woman who suffer from PMB may have cancer of endometrium ,cervix and vagina.

Diagnosis
1)Pelvic examination
your doctor will do an internal examination to examine the cervix and do a papsmear if it is due.
2)USG scan is done to note down the size of uterus and the thickness of the endometrium.based on these reports the doctor might decide about the further tests.
3)Endometrial biopsy a small tube will be inserted into the uterus and cells are collected and sent to lab to note if there is any thing abnormal .This is an office procedure.and ususlly does not require admission
4)Hysteroscopy it is a procedure where a small camera is put inside the uterus and a targetted biopsy taken from the suspicious area.

Treatment
The treatment of PMB depends upon the cause.
If endometrial atrophy was the reason it can usually be traeated with estrogen creams and pessaries
Cervical and endometrial polyps require surgery to remove them.Hysteroscopic polypectomy refers to the surgery where in the polyp is removed under the guidance of the camera which is inserted into the uterus.
Endometrial hyperplasia can be treated with progesterone tablets or progesterone impregnated intrauterine devices.
Endometrial cancer will have to be treated with surgery for the removal of uterus and ovaries.Some patients may require chemo or radiotherapy as the stage of cancer may demand.
All in all postmenopusal bleeding doesnt mean the patient has cancer 90 percent of the time it is because of the benign causes but it should not be ignored but investigated.Its betTer to be safe than sorry.

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