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Dr. Bora

Gynaecologist, Delhi

500 at clinic
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Dr. Bora Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Dr. Bora is a renowned Gynaecologist in Saket, Delhi. Doctor is currently associated with Dr. Bora@Chikitsa Hospital in Saket, Delhi. Save your time and book an appointment online with Dr. Bora on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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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Chikitsa Hospital

B/4, Saket, Opposite Gyanbharathi School, Near Malviya Nagar Metro Station, DelhiDelhi Get Directions
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How To Prevent Chronic Kidney Disease When You Have Diabetes?

DM - Nephrology, DNB (Nephrology), MBBS , MD - Medicine
Nephrologist, Mumbai
How To Prevent Chronic Kidney Disease When You Have Diabetes?

According to the cleveland clinic foundation, diabetes is the cause of approximately 44% of all new cases of diabetic nephropathy. Nephropathy is a medical term for kidney disease. Diabetes can cause damage to the filters in your kidneys over time. As more damage occurs, chronic kidney disease (ckd) can develop. Ckd is a serious complication of diabetes. It cannot be cured, only managed. Getting an early diagnosis of nephropathy and treating your diabetes can help limit the kidney damage and may prevent kidney failure where dialysis becomes necessary.

An early diagnosis

An early diagnosis of diabetes can help your doctor treat the condition before it does more damage to your body. Type 1 diabetes (also known as juvenile or insulin dependent diabetes) is easily diagnosed in its early stages, before kidney damage occurs. However, type 2 diabetes (also known as adult-onset or non-insulin dependent diabetes) often goes undiagnosed for years. Many people who have type 2 diabetes do not realize it. 

Because type 2 diabetes may have been present for many years before it is diagnosed, this means the high glucose (sugar) content in the blood has had time to damage the tiny blood vessels in the kidneys. When these blood vessels are damaged, protein that is meant to remain in the body can leak into the urine. This is a condition called microalbuminuria, and it is an early symptom of kidney disease.

If you have been diagnosed with type 1 or type 2 diabetes, you should have a microalbumin test done annually. This will help your doctor detect any kidney damage. If your urine tests positive for albumin (a protein), steps can be taken to help prevent more damage to your kidneys.

Control your blood glucose levels

Because the high glucose content in your bloodstream can damage the kidneys, controlling the level of glucose is an important step in keeping the kidneys healthy. This means following the plan your doctor recommends for treating your diabetes. For type 1 diabetics, getting regular insulin is crucial in keeping glucose levels in check. For type 2 diabetics, diet and exercise may be the primary treatments for lowering blood sugar levels.

Your doctor may have you test your glucose levels throughout the day. You may be referred to a dietitian, who can help you make healthier food choices. Lowering your intake of sugar is important, especially if you are insulin resistant. Your doctor may also want you to lose excess weight. Follow your doctor’s instructions regarding medicines and testing your glucose levels. If the levels are still too high, tell your doctor so adjustments can be made to your treatment program.

Control your blood pressure levels

If you are diabetic and have been diagnosed with high blood pressure (also known as hypertension), your kidneys have a greater chance of becoming damaged. Patients with high blood pressure and diabetes are more likely to develop nephropathy. This is because high blood pressure places added strain on the tiny blood vessels of the kidneys. Your doctor may prescribe a medicine called an ace inhibitor to bring down your blood pressure.

Even in diabetic patients who do not have high blood pressure, studies have shown that ace inhibitors are an effective treatment for kidney stone. Even though you may not have high blood pressure, your doctor may prescribe this medicine for you in order to prevent further strain to your kidneys. If you have any questions or concerns about any medicine that has been prescribed to you, talk with your doctor. Do not stop taking any medicine prescribed to you without talking to your doctor first.

Keep healthy habits

If you have been diagnosed with diabetes, your doctor may ask that you stop certain activities that could worsen your diabetes or lead to high blood pressure. Activities such as smoking and drinking alcohol should be avoided.

Exercise is an excellent habit. Your doctor may recommend exercise as part of your treatment. But before you start a program, ask your doctor if the activity may be right for you. 

Summary

Diabetes does not necessarily have to lead to chronic kidney disease. An early diagnosis of kidney disease may help you and your health care team to prevent further damage. Keeping your diabetes in check may help keep your kidneys healthy for a long time.

 

5 people found this helpful

I am married before 10 months. I try to make my wife pregnant but every time it fails. What should I do. I try this since last 6 months.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
I am married before 10 months. I try to make my wife pregnant but every time it fails. What should I do. I try this s...
Do your semen analysis. During the sex you should be up. Try to keep the semen inside the vagina. Keeping the pillow behind the buttock.
1 person found this helpful
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I am noticing white discharge often and often from 3 months. Its not continuous but from my last date its continuous every day. Suggest me treatment please I am married 4 yr back. Having 3yr kid.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Can be uti or leucorrhoea. Empty your bladder frequently as soon as you feel the need to go; don't rush, and be sure you've emptied your bladder completely. Wipe from front to back. Drink lots of water. Cleanse your genital area before sex. Urinate after sex to flush away any bacteria that may have entered your urethra. Keep your genital area dry by wearing cotton underwear and loose-fitting clothes. Avoid tight jeans and nylon underwear -- they can trap moisture, creating the perfect environment for bacteria growth. Try using (homeo) r 87. And bio combination number 13, consult me in private for detailed treatment in biochemic system of medicine without any side effects.
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I had protective sex with my girlfriend and I use condom. But doubt fully I gave her unwanted 72 within half an hour. But now her period is delayed now 12 days extra but her periods not come. Any chance of pregnancy of my case please suggest me.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I had protective sex with my girlfriend and I use condom. But doubt fully I gave her unwanted 72 within half an hour....
Emergency contraceptive causes hormonal imbalance leading to menstrual irregularities, delay in periods could be due to that. But you should get her urine pregnancy test done for confirmation.
2 people found this helpful
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I am having irregular periods since 2 months last month took crime ncr to get my periods. What is tge reason.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
I am having irregular periods since 2 months last month took crime ncr to get my periods. What is tge reason.
Irregular period is usually defined as any type of bleeding that's abnormal when compared to your last few menstrual cycles. It can include everything from a late period to early bleeding, and scant bleeding to extremely heaving bleeding. For many women, this can even mean an absent period (amenorrhea) or two periods in one month (metrorrhagia). It's actually a way of your body telling you something is not right and probably your hormones (especially estrogen and progesterone) are imbalanced. Although, in most cases, they are not dangerous, but it is important to figure out what is causing the irregularity (which may require a trip to the doctor). RESAONS/ CAUSES: Some common reasons for irregular periods: STRESS: Stress is the most common cause of irregular periods. Cortisol, the stress hormone, has a direct impact on how much estrogen and progesterone, two sex hormones, gets produced by the body. POOR DIET: Unhealthy eating and being overweight or underweight can cause irregular periods. In order for a woman to maintain a regular cycle, her body fat percentage needs to be at least 17-22 percent. EXCESSIVE EXERCISE: Excessive exercising (or even lack of it) and drastic weight changes can decrease the body fat, being underweight can offset your hormone levels, thus contributing to irregular periods. BIRTH CONTROL PILLS: When some women stop taking the pill, their periods may take one to three months to return to normal. And this can also reveal an underlying hormonal problem that was masked by taking the birth control pills. PCOS: Polycystic ovary syndrome causes cysts to form on the ovaries, interfering with regular ovulation. In fact, PCOS is far more complicated than a missed period. Talk to your doctor about this condition. THYROID: Thyroid disorders, including hypothyroidism or hyperthyroidism, can cause widespread symptoms like changes in estrogen and cortisol hormones and missed periods. OTHER REASONS: Some other reasons include perimenopause, menopause, pregnancy, certain medications you might be taking due to other health issues, and breastfeeding. To treat irregular periods, Hormone-balancing herbs may be used for restoring the balance to your upset Endocrine system. A good choice is chaste tree berry (VITEX) in the majority of cases as it helps to regulate the female gynecological system. It is most frequently used for menstrual complaints in women. It works by normalizing the secretions of the pituitary gland, hypothalamus, and ovaries, which then appropriately signal to balance the endocrine system. In addtiton, follow these tips to keep a healthy menstruating body: Take 1 tablespoon of Shatavari and Ashwagandha mixture (mixed in equal parts) powder with warm milk daily at nighttime before going to bed. It is also a hormone balancing herb and restores healthy menstruation. Gamma linoleic acid (GLA) helps balance the female system. Take one capsule of black currant seed oil or evening primrose oil a day. GLA can also help aching eyes, fuzzy head, bloating, fatigue, and other premenstrual symptoms. Keep your circulatory system healthy; exercise and breathe deeply. Avoid tea, coffee, and alcohol. They are all known to disturb hormonal balance, increase sugar imbalances, and congest the liver. If you have sugar cravings, eat fruit or choose bitter and sour foods, which will offset the craving for sweetness. You must increase calcium and magnesium intake to ensure that your physical and nutritional needs in general are met. Also, make sure that your intake of iron and folic acid is adequate. Hope this helps.
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I have irregular periods. Nearby 2 month periods take place and remain for 7 days maximum .this time when periods came, after 2 days it stopped and started next day again. The bleeding was very less also and there was no other problem at that time. So please help me and I have irritation on vagina hairs.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have irregular periods. Nearby 2 month periods take place and remain for 7 days maximum .this time when periods cam...
Hello Pushpanjali... Your periods were already delayed... And now the reason has increased and showing more derangement... Better take proper Homoeopathic treatment.. You can consult me through lybrate... Till then take Pulsatilla 30 one dose..
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Health Tips for Gymming

BHMS
Homeopath, Kolkata
Health Tips for Gymming

Proper diet and nutrition is very important specially when you are working out. Without proper diet you will not gain muscles and all your exercise will ends in cramps and lean body.

I am giving you a schedule which if followed can be very benificial for new gym goers.whcih are as follows:

Breakfast

7:30 a.m.

1 cup plain cooked oatmeal, 4 large whole eggs, large sliced banana, 1-3 g of HMB (Beta-hydroxy-beta-methylbutyrate -- is a naturally produced substance in humans that is used as dietary supplement and as an ingredient in some medical food products)

Mid morning Snack

10:00 a.m.

3-4 slices turkey breast, 2-3 slices whole bread, mustard, lettuce, 2 low fat cheese, A fruit

Lunch

1:00 p.m.

2 cups pasta, 1 cup broccoli, 6 oz. lean ground beef

Midday Snack

3:00 p.m.

2 slices whole wheat bread, ½ avocado, ½ can albacore tuna

Pre- workout

5:00 p.m.

2 slices whole wheat bread, 20 g protein shake (whey or whey/casein) with 3-5 g creatine,  1-3 g HMB, 3-5 g creatine

Post- workout

5:30 p.m.

20-40 g of protein shake(whey or whey/casein) with 3-5 g of creatine, 32 oz. sports drink, 1-3 g HMB, 3-5 g creatine

Dinner

7:30 p.m.

8 oz. chicken breast, 1 cup broccoli, baked sweet potato(large)

Bedtime

10:30 p.m.

1 cup low fat cottage cheese, 2-3 tbsp. peanut butter, 1-3 g HMB

Also note the following -- In case you are not gymming, cut out the calories mentioned here as you probably will never burn them off.

  • Drink a full glass each of water after waking up in the morning, about 15 minutes before each meal, and before and after workouts. DO NOT drink water DURING meals. Try to drink more than 1.5 litres of water every day.
  • Break up your meals into five or more mini meals. For those wanting to shed some pounds, limit each meal to 300 calories for women and 400 calories for men. Breakfast within 30 min after waking up. Plan your meals in such a way that your routine life is not compromised, you stay fresh and energetic throughout the day and you don’t rush for fast food.
  • The key is to increase the intake of protein and complex carbohydrates without increasing fat. Forget the pastries, cakes, burgers, pizza and fries. For an intense workout with weights, try a high protein diet. Whey powder, meat, chicken, eggs, skimmed toned milk, cheese, yogurt, soy milk are rich in protein. These help build muscle mass. Starch rich foods like bread, rice, chapattis, parathas etc. are best before exercise. Post workout, it is best to stick to fruit juices, smoothies and other simple sugar containing food like fruits, bananas etc. All carbohydrates are converted to glucose in the body before any energy can be derived from them. Save your body some effort by eliminating this tiresome process after a grueling gym routine.
  • Write down in your diary any new tips you learnt, any new exercises that you tried and whatever resolutions you want to make for your fitness routine. Track what you eat and the amount of calories it is likely to contain. Put it on paper. This will help you to burn off what you took in.

I think this will help you all..

5 people found this helpful

Which One Should You Use Between Tampons And Sanitary Napkins?

MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist, Mumbai
Which One Should You Use Between Tampons And Sanitary Napkins?

During the menstrual days, it is necessary to use some kind of padding or easily absorbent material to remain clean and hygienic throughout the day. This material is available in form of tampons or sanitary napkins.

What is the difference between tampons and sanitary napkin

  1. The tampon is a mass of retentive material shaped in a cylinder, which needs to be inserted into the vagina. Most tampons have a cord or string to aid manual removal. Tampons are used especially when you have to wear tight fitting clothes.
  2. The sanitary napkins are disposable flat pads that are worn externally to collect menstrual blood and prevent staining. These are mostly made of rayon or cotton. They are available in a variety of sizes, with added benefits of extra absorption and fragrance in some cases. They are easier to carry.

Benefits of using a tampon

  1. Tampons are easy to use provided you are very well informed and well practiced about its usage and methods of insertion
  2. Tampons can absorb menstrual blood, depending on your flow, for up to six hours.
  3. Tampons are more hygienic as the entire material does not get soaked. This helps in preventing the menstrual blood from coming in contact with underwear, skin and staining other clothing.

Disadvantages of using a tampoon

  1. Tampons, if not changed within 4-6 hours, may cause leakage and staining.
  2. The insertion of a tampon is extremely inconvenient and uncomfortable if not used by practiced hands.
  3. Incorrect insertion can be painful and lead to injuries and infection
  4. Leaving a tampon on for too long can cause a Toxic Shock Syndrome. It is a fatal disease caused by toxins and bacterial infection.
  5. Tampons may increase menstrual cramps in some cases.

Benefits of using sanitaary napkins

  1. Sanitary napkins are easy to use. They come in flat, rectangular shapes of absorbent material that are stuck on the underwear and absorb menstrual blood externally.
  2. Can be worn overnight.
  3. Easier to use and convenient to carry around.
  4. Helps to monitor the flow of blood
  5. Lessens the risk of infections, and there are fewer health risks

Disadvantages of sanitary napkins

  1. Cannot prevent menstrual odours
  2. The absorption rate is lower than tampons
  3. They show through clothing and tight fitted clothes cannot be worn

It is difficult to say which one is a better or healthier option. Both kinds have their own advantages and disadvantages and are a matter of individual preference. No matter what you use, it is important for you to keep in mind that it is necessary to change it after a few hours, and regular washing helps keeping the menstrual odour in check. It also keeps the pubic region clean and free from the risks of bacterial infections. It is necessary to remain active and maintain a healthy diet to have a regular smooth flow without blood clots. In case of uncontrolled bleeding, you must seek medical attention without delay.

4143 people found this helpful

Hai Sir, Now my wife is in pregnancy. Now 3 months completed.This time what are the exercise to do in the morning. Please suggest me sir ?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Simple morning walk would do great changes. For particular exercise u need to consult gynecologist so that they can arrange u antenatal exercises classes.
1 person found this helpful
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Meri wife ko 2 june ko periods khtm hue the. Mene 4,12 aur 16 june ko sex kiya. Kya meri wife pregnent ho sakti hai.

BAMS, PG Diploma (Sexual Therapy), PG Certificate (Cosmetology & Laser Therapy), PG Diploma in sexology, psychosexual medicine, infertility, Fellowship in Sexology, Fellowship in Medical Trichology, Fellowship in Clinical Cosmetology, Advance Medical Skin Aesthetics and Laser, PG Diploma in clinical Cosmetology, PG Diploma in Medical Trichology, Hair Transplant Assistant, OZONE THERAPY, MD-BIO CHEMIC MEDICINE
Sexologist, Kolhapur
Meri wife ko 2 june ko periods khtm hue the. Mene 4,12 aur 16 june ko sex kiya. Kya meri wife pregnent ho sakti hai.
Female me ovulation day menstrual cycle ke 9 th day se lekar 17 th day tak ka hota hai. Es calculations ke nusar aap ki wife pregnant ho sakate hai.
2 people found this helpful
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