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Dr. Chandra

Gynaecologist, Delhi

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Dr. Chandra Gynaecologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Chandra
Dr. Chandra is a popular Gynaecologist in Patel Nagar, Delhi. You can visit him/her at The Westside Clinic in Patel Nagar, Delhi. Save your time and book an appointment online with Dr. Chandra on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 42 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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The Westside Clinic

#33/1, East Patel Nagar. Landmark : Near Patel Nagar Market, DelhiDelhi Get Directions
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Minimal Invasive Procedure For Haemorrhoids!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Minimal Invasive Procedure For Haemorrhoids!

In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.

Description:

Stapled Hemorrhoidopexy

What are the indications PPH or MIPH?

Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.

How it work and what are the benefits of Stapled Hemorrhoidopexy?

Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.

What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?

Complication of this surgery include:

  1. Active sepsis,
  2. Anal stenosis, and
  3. Full-thickness rectal prolapse

Because these conditions are not adequately treated by PPH.

What are the complications of Stapled Hemorrhoidectomy?

Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.

Most common complication are:

  1. Hemorrhage
  2. Incontinence
  3. Anal stenosis
  4. Fistula, and
  5. Septic complications

Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.

Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.

1 person found this helpful

I am closely moving with my boy friend like tightly hug and I got tempt and white bleed came out I am not moving fully sexually only I got tempt bcz tightly hug and smoochs time from its any problem in future tell me and suggest me god thing.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am closely moving with my boy friend like tightly hug and I got tempt and white bleed came out I am not moving full...
This is happening because of bartholin gland secretion (white blood), which is normal reaction to the sex. Hugs and kisses is not going to harm you in any way.
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I am experiencing blisters on my lips and some other symptoms which are similar to Herpes. It all started with a fever that happened 2 years ago. Since then I have been experiencing these blisters and other such symptoms on a regular basis. Want to know how should I get sure that I have herpes or not? Which test is required? And what is the cure/treatment that I can take for herpes?

MD, MBBS
General Physician, Noida
I am experiencing blisters on my lips and some other symptoms which are similar to Herpes. It all started with a feve...
It is herpes simplex labialis. It is recurrent, it means, it keeps on occuring agai and again. It is also known as cold sores. What Is Recurrent Herpes Simplex Labialis? Recurrent herpes simplex labialis, also known as oral herpes, is an infection of the mouth area caused by the herpes simplex virus. It’s a common and contagious infection that spreads easily. The infection causes blisters and sores on the lips, mouth, tongue or gums. After an initial infection, the virus stays dormant inside the nerve cells of the face. Later on in life, the virus can reactivate and result in more sores. The herpes is recurrent when this happens. These are commonly known as cold sores or fever blisters. Recurrent herpes simplex labialis is usually not serious, but relapses are common. Many people choose to treat the recurrent episodes with over-the-counter creams. The symptoms will usually go away without treatment in a few weeks. A doctor may prescribe medications if relapses occur often. Herpes simplex labialis is the result of a virus called herpes simplex virus type 1 (HSV-1). The initial infection usually occurs before age 20. It typically affects the lips and areas around the mouth. You can get the virus from close personal contact with someone who has the virus. You can also get oral herpes from touching objects where the virus may be present. These include towels, utensils, razors for shaving, and other shared items. After the first infection, the virus lays dormant inside the nerve cells of the face for the rest of a person’s life. This means that symptoms aren’t always present. However, certain events can make the virus reawaken and lead to a recurrent herpes infection. Events that trigger a recurrent infection of oral herpes might include: fever menstruation a high-stress event fatigue hormonal changes upper respiratory infection extreme temperature a weakened immune system recent dental work or surgery Simplex Labialis Treatment You can’t get rid of the virus itself. Once infected, HSV-1 will remain in your body forever, even if you don’t have recurrent episodes. Symptoms of a recurrent episode usually go away within one to two weeks without any treatment. The blisters will usually scab and crust over before they disappear. At-Home Care Applying ice or a warm cloth to the face or taking a pain reliever like acetaminophen might help to reduce any pain. Some people choose to use over-the-counter skin creams. However, these creams usually only shorten an oral herpes relapse by one or two days. Medication You may take oral antiviral medicines such as acyclovir, famciclovir, or valacyclovir under medical supervision to fight the virus. These medicines work better if you take them when you experience the first signs of a mouth sore, such as tingling on the lips, and before the blisters appear. These medications don’t cure herpes and may not stop you from spreading the virus to other people. For cases of recurrent herpes simplex labialis that result in frequent mouth sores, your doctor may advise you to use the medication all the time. Preventing the Spread of Herpes The following tips may help prevent the infection from reactivating or spreading. Wash any items that may have had contact with the infected sores, like towels, in boiling water after use. Don’t share food utensils or other personal items with people who have oral herpes. Don’t share cold sore creams with anyone. Don’t kiss or participate in oral sex with someone who has cold sores. To keep the virus from spreading to other parts of the body, don’t touch the blisters or sores. If you do, wash your hands with soap and water immediately. Long-Term Outlook Symptoms usually go away within one to two weeks. However, the cold sore episodes can frequently return. The rate and severity of the sores usually diminish as you get older. Infections near the eye or in immune-compromised individuals can be serious. You should see your doctor in these cases.
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Hello, mujhe already 2,3 days se kavi kavi period ka pain ho raha ha but bleeding nahi ho rahi ha me chhti hun kal tak me bleeding start ho jaye kon si medicine lu.

DHMS (Hons.)
Homeopath, Patna
Hello, mujhe already 2,3 days se kavi kavi period ka pain ho raha ha but bleeding nahi ho rahi ha me chhti hun kal ta...
Hello, Lybrate user, tk, Homoeo medicine:@ Pulsatilla 30-6 pills, thrice. Tk, plenty of water to hydrate your body & to dilute your blood to restore ,flow. Avoid, junk food, caffeine, please. Report, after 3 days. Your feedback matters for further follow up, please. Tk, care.
2 people found this helpful
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Irregular periods problems. And what are the precautions taken. And to maintain health and hygiene during periods time. Thank you.

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Irregular periods problems. And what are the precautions taken. And to maintain health and hygiene during periods tim...
Are you married or unmarried? in early years mc may be irregular. In your case get and ultrasound done along with blood test in form of abo rh, cbc esr, tsh, and hormonal profile (for pco)
3 people found this helpful
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I have pcod then metformin is useful in pcod. How much of power tablet should be taken. Tell me the effects of metformin tablet.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I have pcod then metformin is useful in pcod. How much of power tablet should be taken. Tell me the effects of metfor...
In pt of pcod there is increased insulin resistance ,metformin being a insulin sensitizer drug decreases the insulin resistance, it also helps in reducing wt and in ovulation. Total dose is 1500 mg taken in 2 or 3 divided doses. Lifestyle changes for wt reduction should also be adopted.
1 person found this helpful
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I am suffering with PCOD. How can I overcome this problem without using pills? 1997.

MD - Homeopathy, BHMS
Homeopath, Palakkad
I am suffering with PCOD. How can I overcome this problem without using pills? 1997.
Avoid chicken especially those chicken injected with hormones. While consuming these chicken the hormones will cause polycystic ovaries. Drink plenty of water. Include leafy vegetables and fruits in diet in every day. Do exercises/ walk for minimum 45 mins daily. Reduce the weight. Avoid bakery items and soft drinks. Do daily some breathing exercises or yoga to keep the mind calm or stress free. Homoeopathic medicine like sepia, natrum mur, cal phos, apis, thuja, etc are very good to cure cysts in ovaries completely if taken for a period of 1 to 3 months.
1 person found this helpful
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I am pregnant and 8th month is running. I am feeling extreme back pain now a days. I have tried "move" pain relief but it is continuous. How to get rid of this. I generally sleep taking pillow in between my legs and sleep in side pose. Please suggest some ointment / cream ot anything for this pain relief.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I am pregnant and 8th month is running. I am feeling extreme back pain now a days. I have tried "move" pain relief bu...
Low back pain is common during the 2nd half of pregnancy .main causes of pain are increasing wt, due to increase in size of uterus body posture changes and lastly during pregnancy a hormone relaxing OS released which loosens ligaments and joinls leading to pain you should avoid lifting heavy objects and bending and pronged standing do regular walking and relaxation exercises use a hot water bottle or heating pad.
2 people found this helpful
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Hello, im married 32 years of age with 2 kids. Last 2 years im facing financial constraints due to loss in business. I know im in a serious depression state which has created a gap between me.

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
Hello, im married 32 years of age with 2 kids. Last 2 years im facing financial constraints due to loss in business. ...
Dear we can understand that your problem, financial loss or difficulty is inevitable. Depression due to that is also inevitable. Think how to solve that financial issue logically. Try some relaxation techies. Speak to some psychologist for better relief. Be positive and believe that you get better soon. Regards,
2 people found this helpful
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The cyst which I have is 3 mm I think so and it causes pain during my menstruation.

International Academy of Classical Homeopathy, BHMS
Homeopath,
The cyst which I have is 3 mm I think so and it causes pain during my menstruation.
take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
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Is fibroadenoma will change to breast cancer? Is fibroadenoma gives back & shoulder pain? Please answer me.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Is fibroadenoma will change to breast cancer? Is fibroadenoma gives back & shoulder pain? Please answer me.
Hi lybrate-user, I appreciate you seeking help. Well, if its a simple fibroadenoma, the risk of breast cancer is slightly higher than those of women with no breast changes. For complex fibroadenoma, however, the risk of breast cancer is slightly more than that in case of simple fibroadenoma. Fibroadenoma would not cause any back/ shoulder pain. Hope this clarifies. Sincerely
1 person found this helpful
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Metabolic training

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Metabolic training
Metabolic training

Metabolic training is basically about giving people fitness that is time effective which helps them burn fat get lean muscle and improve cardio vascular health. The key about metabolic is taking multiple pieces of fitness techniques combining them together in a way that is fast.
53 people found this helpful

Hot and cold therapy has a tendency to reduce pain, assist with tissue healing

BPTh/BPT
Physiotherapist, Delhi
Hot and cold therapy has a tendency to reduce pain, assist with tissue healing
Hot and cold therapy has a tendency to reduce pain, assist with tissue healing, control swelling and increase flexibility if used appropriately after an injury.
84 people found this helpful

My periods not come in this month I will waiting for this for last 15 days So what should I do? Please advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
My periods  not come in this month 
I will waiting for this for last 15 days 
So what should I do? Please advice.
Hi, please share if your periods were regular otherwise. What was your lmp. What is your age. Have you conducted a pregnancy test.
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Upper lateral portion of my breast is paining. I can feel it While walking fast, climbing down steps etc. There are two more days for ma exact period date. This pain started three days back. Please help.

MBBS
General Physician, Chandigarh
Sometimes there's premenstrual engorgment of the breast which can be painful wait till you finish your periods and if it doesn't subside by then it will be advisable to consult a gynaecologist and get it clinically examined also use a well fitted bra they will help you to decrease pain.
1 person found this helpful
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In a day how many times we can do sex ? How can we avoid the pregnancy without protection sex ?

MBBS
Sexologist, Panchkula
In a day how many times we can do sex ?
How can we avoid the pregnancy without protection sex ?
You can do sex for any number of times depending upon your desire. You can avoid by withdrawal method where you can take the penis out at time of ejaculation.
3 people found this helpful
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Hello Dr. Um 33 years old women with 5.2 ht nd 67 kgs wt. We r trying for our second baby but my periods becomes irregular from last few months so my gynecologist suggested me siphene 50 mg which I took from 3 to 7 day starting from 28th sep but along dis I got severe tooth pain nd for dat the dentist gave me antibiotics of 5 days nd suggested for tooth extraction. Please help me wat sud I do.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello Dr. Um 33 years old women with 5.2 ht nd 67 kgs wt. We r trying for our second baby but my periods becomes irre...
Both ok, go ahead with tooth extraction unless you decide Siphene treatment in next cycle and not this cycle.
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Me and my wife want sex without using any protections (condoms). We don't want baby now. So I request can you suggest me best medicine should I give her, that should not make her any health problem in future.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Me and my wife want sex without using any protections (condoms). We don't want baby now. So I request can you suggest...
You may give her OCPs for three months, give a gap of three months where in you can use safe days method, and again give her OCPs, and so on, as continue usage of OCPs is harmful as they are harmonals which have side effects eventually and affects her health if used for a long time. Other alternative route will be IUCD insertion.
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I am 28 yrs old got married 6mths before. Trying to conceive but unable to. My cycle date for this mth was 2nd july. Please let me know the best time to conceive after the cycle. And how frequently we should try for it.

BHMS
Homeopath, Bahadurgarh
I am 28 yrs old got married 6mths before. Trying to conceive but unable to. My cycle date for this mth was 2nd july. ...
The best date to conceive is 12th to 14th day of pregnancy, assuming the 1 day as date of first date of menses.
1 person found this helpful
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Do You Know Why We Fall ill?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
Do You Know Why We Fall ill?

Do u know why we fall ill ?

  • Nowadays whenever we go to doctor doctor tells us that u r having itis, like pharyngitis-inflammation of pharynx
  • Meningitis-inflammation of meningis 
  • Bronchitis- inflammation of lungs 
  • Arthritis- inflammation of joints 
  • And so on.
  • Have u ever thought of how does this itis or illness occurs in our body.
  • Inflammation is due to free radicals in our body .
  • Free radicals are by product of oxidation, which is very important part of our metabolism.
  • These free radicals make our cells weaker by taking electrons from them. 
  • Now how to treat or get rid of this condition 
  • For this our body needs ANTIOXIDANTS.
  • These antioxidants reduce free radicals in body and thus deacrease inflammation.

How to get ANTIOXIDANTS?
Antioxidants are available in variety of food like fresh fruits and vegetables 
And certain Ayurvedic herbs like

  • HALDI
  • AMLA
  • POMEGRANATES 
  • MULETHI

But due to lifestyle changes -

we can't get required ANTIOXIDANTS in our food .Hence , MAXORAC -a complete antioxidants formula to stay healthy and avoid illness.

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