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Dr. C.S Nanda

MBBS

Gynaecologist, Delhi

40 Years Experience
Dr. C.S Nanda MBBS Gynaecologist, Delhi
40 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. C.S Nanda
Dr. C.S Nanda is a trusted Gynaecologist in Munirka, Delhi. He has over 40 years of experience as a Gynaecologist. He is a qualified MBBS . He is currently practising at Dr Ranjana Nanda Clinic in Munirka, Delhi. Book an appointment online with Dr. C.S Nanda and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 37 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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Specialty
Education
MBBS - Maulana Azad Medical College, New Delhi - 1977
Languages spoken
English
Hindi

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Shop No-1 Dda Market PH 2 Munirka Delhi - 110067Delhi Get Directions
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I am female, student 22 years old, with slight pcod, height 5.4ft, wt 60 kg from Mumbai, with heavy breast, left breast much bigger than right one, how to reduce size, mammogram shows fat.

M Ch. Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Durg
I am female, student 22 years old, with slight pcod, height 5.4ft, wt 60 kg from Mumbai, with heavy breast, left brea...
Breast reduction is the surgical procedure done for breast hypertrophy. It is mainly recommended for heavy breasts or symptoms due to hypertrophy mainly back and shoulder pain, excessive heaviness and difficulty in playing sports. However, it is not a scarless procedure, but the relief obtained is tremendous and the results are excellent. Consult a plastic surgeon for this problem.
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Hi doctors please help me I'm 32+5 weeks pregnant from yesterday loose motion with no pain please help me out.

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Hi doctors please help me I'm 32+5 weeks pregnant from yesterday loose motion with no pain please help me out.
take derolac sachet twice a day with water, lots of fluid, good diet, and tablet metrogyl 400mg twice a day for five days..keep a check on ur baby movement..u sud not b dehydrated..and get one USG for baby after two days..
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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
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I am pregnant of 1 month please suggest me diet and what do and don't during pregnancy?

BAMS
General Physician, Gurgaon
I am pregnant of 1 month please suggest me diet and what do and don't during pregnancy?
Hello dear avoid weight lifting aviod stairs avoid heavy foods avoid oily and junk foods eat less but more frequently drink daily cocount water stress free life drink plenty of fluids eat something every two hourly.
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Know your mouthwashes.

BDS, Certification In Oral Implantology
Dentist, Ghaziabad
Know your mouthwashes.
Know your mouthwashes.
Here are few myths and common queries that our patients ask us regarding mouthwashes:

1. All mouthwashes are equal:
Mouthwashes can be classified as cosmetic and therapeutic. Rinsing with cosmetic mouthwash will loosen bits of food from your teeth, lessen bacteria in mouth, temporarily reduce bad breath and leave a refreshing taste in your mouth. These products can't make a greater claim than that. Therapeutic mouthwashes contains active ingredients like chlorhexidine, fluorides, cetylperidinium etc, which have proven active against fighting plaque and bacteria (s) in mouth for longer duration.

2. Mouthwash is harmless:
Many mouthwashes contains high amount of alcohol which may cause dry mouth and ironically in turn causing bad breath. Alcohol free mouthwashes are also available. Active ingredients like chlorhexidine causes temproary altered taste in mouth and is not recommended to be used for longer duration.

3. Mouthwash cures bad breath:
Mouthwashes temporarily curtains bad breath. Causes of bad breath are variable and should be accessed before unjustified use of mouthwashes.

4. Mouthwash can replace brushing:
Mouthwash acts as an add-on, not replacement for brushing and flossing. Use of mouthwash in conjunction with brushing and flossing will improve overall personal oral hygiene.

5. A little swish will do:
Generally we swish mouthwash in a few seconds because of its bitter taste or lack of knowledge. Mouthwash should be diluted as per the instructions given by the manufacturer and should be swished vigorously for 30 seconds.
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I am facing irregular menstrual cycle. Its the third mnth and I had no periods. I was having pcod but after the treatment everything was normal but after one yrr I am again facing all these problems. With the absence of menstrual cycle I have stomach pain nd headache on almost everyday frm one mnth.

BHMS
Homeopath,
I am facing irregular menstrual cycle. Its the third mnth and I had no periods. I was having pcod but after the treat...
I think you been treated with hormonal therapy. It supresses the symptoms actually. After withdrawing your facing same problem. Soo you need check it again. your thyroid level, your prolactin level, this has to evaluate. Also you need usg for detection of any other cause in ovary and uterus. And alsoo you need proper homeopathic treatment for permanent solution of this condition. Soo you can contact me through Lybrate.
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Can you please tell me how exactly a condom is used and what is to be applied on our penis or condom before using it? Please give some useful facts about it. Like necessary information. N my gf complains about the taste wad do I do? And my dick feels different in feeling wise after I remove the condom. Wad do I do?

MBBS
General Physician, Mumbai
Can you please tell me how exactly a condom is used and what is to be applied on our penis or condom before using it?...
Condom to be applied and rolled upwards only over the erected penis and quality is for you to decide and wash your penis after the sexual act is over
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Hello Dr. My wife use to suffer from unbearable pain in periods fr first two days. What all home remedies can be taken to give her some relief. Please note that she is a working women n has to go to office during these days which worsen the situation. Her information: Age: 24 Weight: 68 Height: 5 feet 11 inch Thanks you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello Dr. My wife use to suffer from unbearable pain in periods fr first two days.
What all home remedies can be take...
Hello- Pain during menses is due to improper tone of uterus muscles. Use Dashmoolaristha 2 tsp twice daily for 10 days before menses and increase cows ghee consumption in your wife's meal, and make sure that her bowels are clear. The pain will subside completely.
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My cousin sister is 8 weeks 2 days pregnant. In a vaginal ultrasound there is no cardiac activity. One week before a vaginal ultrasound has done growth was good, cardiac activity was recorded. But now as I mentioned above after a week in a vaginal ultrasound there no cardiac activity and size is same as last week doctor said.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My cousin sister is 8 weeks 2 days pregnant. In a vaginal ultrasound there is no cardiac activity. One week before a ...
Wait for a week before taking a decision, it can / cannot be a blighted ovum syndrome, where natures prepares a nest in uterus but baby does not grow, but once heart beat was noticed -reason I am suggesting get another test done to make sure of presence of heart beat.
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I HAVE got my CAROTID DOPPLER REPORT Both common carotid arteries are normal in course and caliber with normal age related internal thickening. Colour doppler imaging reveals normal colour filling. Spectral traces show normal wave form and flow velocities Right CCA 0.62M/SEC LEFT cca 0.67n/sec Opinion right carotid bulb showing soft hypoechoic plaque in the medial wall causing 33% luminal narrowing. The plaque is going into proximal part of ICA PLEASE ADVISE I AM SO DEPRESSED.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I HAVE got my CAROTID DOPPLER REPORT Both common carotid arteries are normal in course and caliber with normal age re...
You have to be careful about progress of plaque, it should not increase. Reduce bad fats, keep good lipids on higher side, get total lipid profile done, if cholesterol is high, try to bring it down through diet and exercise. Do send the reports here on the forum. Spoon of honey with lemon juice in warm water everyday does reduce blood sugar and cholesterol (responsible for plaque, some people have tried pomegranate juice to reduce blockages, others vouch for apple cider vinegar benefits, if these can reduce plaque, without any harm to body, you can also try. Go for long walks as a simple exercise and meditation, reduce stress as internal steroids are generated due to stress and all steroids lead to increase in plaque.
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Kya Ek baar sex karne se bachha ho jata hai lady ke period ke 12to 16 ke beech mai sex karne se plzzz sir tell me aisa ho sakta hai yaa nhi.

Doctor of Medicine
General Physician, Surat
Kya Ek baar sex karne se bachha ho jata hai lady ke period ke 12to 16 ke beech mai sex karne se plzzz sir tell me ais...
conception is only happens at the time of ovulation and it begins after the 14 day of menses which long last up to 5 to 6 days may less than this, if coitus is not happens during this time period then pregnancy may not be possible
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Hello doctor. Sometimes I am having pain in my lower stomach during periods. And I took medicine. But my friend told me that in period its harmful to take medicine even I will not able to get pregnant after marriage. Is this true Dr. Please help.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Hello doctor. Sometimes I am having pain in my lower stomach during periods. And I took medicine. But my friend told ...
Your troubles become a bit complex. I need some details from you. Come privately in lybrate. If not possible take pulsatilla 200 2 doses / in morning in difference of 15 mins. Before 7 days of app period date.
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What are the early symptoms of pregnancy. Is liquid flow harmful during first month of pregnancy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
What are the early symptoms of pregnancy. Is liquid flow harmful during first month of pregnancy?
Hello, PREGNANCY CAN be confirmed by a urine pregnancy test post 8 days past missed periods. The signs could be nausea, vomiting, headache, lower abdominal ache, increased frequency of urine.
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Im 19 years old . I had sex before 2 months and after that im getting into periods 2 times . But in this month im already 10 days late and the yellow discharge comes from vagina . Im really scared . please help to out of this . Answer as soon as possible.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Im 19 years old . I had sex before 2 months and after that im getting into periods 2 times . But in this month im alr...
Hi lybrate user, if no period and no intercourse in last cycle then chances of getting pregnant will be very low. Still to be on safer side please get urine pregnancy test. Regards to yellow discharge please get internal examination done with gynaecologist to rule out infection.
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Is it normal to have a period cycle of 22 days. Thyroid is ok. What else can be reason? also having this period cycle can have any adverse affect on health?

MD, MCH, BHMS
Homeopath, Pune
If your period is of 22 days since menarche(first start) then it is normal, then it will not effect your health in anyways. But if it was irregular in between then there can be menstrual abnormality.
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My frnd is facing irregular menses mostly getting 2 tyms per year. Age is 27. Why she is facing these problems. And will can she be pregnant in future if she is facing these sort of problems. Plzzz suggest me the answers. Main question is can she be pregnant?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My frnd is facing irregular menses mostly getting 2 tyms per year. Age is 27. Why she is facing these problems. And w...
She have hormonal imbalance problem. She need treatment for that irregular menses. Get ultrasound of lower abdomen and thyroid profile test done. Visit to doctor for treatment for irregular menses.
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I am suffering from breast pain for last few days. The pain is not stable some time its pain in one place some time another. I am taking tablet well woman for 5 days but can't relief. Pls suggest what can I do.?

BHMS
Homeopath, Raebareli
I am suffering from breast pain for last few days. The pain is not stable some time its pain in one place some time a...
Please take Belladonna 30 - thrice daily 4 pills for next 3-4 days DO avoid cold/AC/direct exposure to fan. Take warm foods only. If you are having abdominal gas/constipation that needs to be corrected.
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Hello doctor. My wife is 6 months of pregnancy. I can I do safe sex with her. Please help me.

BHMS
Homeopath, Chennai
You must not have any infection in groin and penis and if you are oral the mouth should be very very clean during this time.
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I am 7 months pregnant. Sometimes in sleep I am lying in my back. Is lying straight will be a serious issue?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 7 months pregnant. Sometimes in sleep I am lying in my back. Is lying straight will be a serious issue?
Its better to lie on a side, preferably left, this helps blood flow to the foetus and decreases giddiness.
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