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Dr. Dr.Chitra Agarwal

Gynaecologist, Delhi

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Dr. Dr.Chitra Agarwal Gynaecologist, Delhi
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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. Dr.Chitra Agarwal
Dr. Dr.Chitra Agarwal is one of the best Gynaecologists in Vinod Nagar West, Delhi. You can consult Dr. Dr.Chitra Agarwal at Dr.Chitra Agarwal in Vinod Nagar West, Delhi. You can book an instant appointment online with Dr. Dr.Chitra Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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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Bina condom ke sex karne se aids ho jata hain to aadmi bacche paida kaise Karen. Please answer.

C.S.C, D.C.H, M.B.B.S
General Physician,
Bina condomsex karega toh bacah paida hoi sakte hai . Agar usko Hiv nahi hai toh aapko hiv nahi ayeaga
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What causes abdominal Pain during Pregnancy?

MD, MBBS
Gynaecologist, Rewari
What causes abdominal Pain during Pregnancy?

The problem of abdominal pain is very common in pregnant women. Almost every woman faces this problem at some point during pregnancy. It mostly occurs due to changes in the body for having to accommodate the new baby. While some pains are harmless and go away without much bother, some pains can be a real threat. As an expectant mother, it is important to recognize the symptoms and visit your doctor if you experience persistent discomfort during pregnancy.

Some common causes of abdominal pain:

  1. Round Ligament Pain- This pain is harmless and is commonly witnessed during the sixth to ninth month of pregnancy. This pain occurs due to the stretch of the two large ligaments running from the uterus to groin. This pain is sharp and stabbing. It is often felt while changing sides during sleep.

  2. Constipation and Gas- Gas is a common problem during pregnancy. This is a result of increased production of progesterone. The latter is responsible for slowing down the gastrointestinal tract resulting in the slow movement of food inside the body. Few best ways to refrain from this problem are drinking plenty of water, eating food rich in fiber content and exercising.

  3. Braxton Hicks- Such type of pain feels like contractions but in reality, it is nothing more than mild discomfort. This is a condition where the stomach muscle tightens and gives a hard and firm feeling. Doctors are of the view that Braxton Hicks result from dehydration and hence drinking lots of water is necessary to prevent this kind of pain.

Some serious pain that needs medical attention:

  1. Placental Abruption- It is a condition where the uterus gets detached from the placenta. Common symptoms include abdominal pain and breakage of water. It is a life-threatening condition and needs immediate medical care.

  2. Urinary Tract Infection- UTI is easily treatable. If ignored, it can lead to serious complications. One common symptom is a lower abdomen pain accompanied with fever, sweats, and nausea.

  3. Ectopic Pregnancy- This is a condition in which the egg does fail to get implanted in the uterus. This condition causes intense pain in the abdomen. This pain often surfaces during 6th to 10th week of pregnancy.

  4. Preeclampsia- A Preeclampsia is characterized by the more than normal protein in the urine and abnormal blood pressure. This is experienced from the 20th week of pregnancy. Common symptoms are; pain in the abdomen, nausea and throwing up.

When to visit a Doctor?

If abdominal pain is accompanied by symptoms such as fever, burning sensation while urinating, bleeding from the uterus, vomiting and light-headedness, one should immediately contact a doctor to mitigate the risk of pregnancy complications. If you wish to discuss about any specific problem, you can consult a specilized gynaecologist and ask a free question.

2526 people found this helpful

Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

5 people found this helpful

Hi I got conceived one year back but due to ectopic pregnancy aborted. Still nw trying to get conceive took follicular study 2 times nw my doc is advising to do d lap is it wise and can attain pregnancy after doing this.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Hi I got conceived one year back but due to ectopic pregnancy aborted. Still nw trying to get conceive took follicula...
Dear Lybrate user, Whether to go in for lap or not depends on the follicular study report and certain other parameters. Your age is not mentioned. In absence of detailed information, it is difficult to advise you. One can go in fora test known as Hysterosalpngography, which assesses patency of reproductive tract, before going for lap. The test is slightly painful.
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Child Psychology & Teenager Issues

Post graduate in counselling psychology
Psychologist,
Child Psychology & Teenager Issues
Effective Parent to Child Communication Tips - By Child Psychologist Shivani Misri Sadhoo


An effective parent to child conversation can shape the child’s listening, speaking and understanding capabilities whereas an inefficient communication can lead to numerous issues in later years likes like–not listening to their parents, emotional and psychological distancing from parents, teenage problems etc. The way parents speak to their kids and to the people around them show the kids how they should talk back to their parents.

Psychologist Shivani Misri Sadhoo in her practice has found parents generally use three different ways to communicate with their kids. The first one is in an aggressive way. These parents frequently yell and convey punishments. Their children respond in many different ways, mainly they feel fearful, yell back and ignore their parents’ constant orders. The second form of parent and child communication commonly seen is a passive form. These parents mutter soft, cautious words and tones to their kids. Unfortunately these parents are so passive that sometimes when they are pushed to their limits, they suddenly turn their communication into an aggressive tone.

The third way parents can communicate with their kids is in an assertive way, which is the most effective way to communicate with kids at all levels. An assertive way of communicating is firm, consistent, clear, positive, warm and confident. Communicating with kids in an assertive way is a real skill yet it shows your kids that mum and dad know what they’re going on about and to listen.


Psychologist Shivani shares today some of the tips of how parents can talk assertively with their kids so they listen to them and build a healthy listening and understanding capabilities.

1. Try to use positive language– avoid saying “no” or “don’t” to your child, as much as possible. There is no doubt that if we say “Don’t drop your glass of milk” or “Don’t drop the flower vase, I will slap you” your child has that image and thought imbedded in their mind and more times than not, they will drop the glass!

Instead of telling bad circumstances and their bad consequences, try to use words that you want them to do, like “Hold onto milk glass carefully, your glass is very special”. This requires some thought and practice but it will help your child to become thoughtful and more aware about his surroundings

Also never use words that ridicule the child like “you make me feel so ashamed in front of the relatives”, or “you were a bad boy today”. Such language achieves very little rather they develop a feeling of worthless in the child. Positive and kind words help the children to develop confidence, happy feeling and behave better, encourages them to try hard and achieve success.

2. Raise your volume carefully and appropriately – remember when you use volume of your voice appropriately for the majority of the time, raising your voice in an urgent situation will not be ignored. The child will sit up and take notice of his/her mother or father because it doesn’t happen all of the time. How to use volume of your voice appropriately? Here is the check list:-
a. In situations when your child turns emotionally charged, yell at you, never compete with them. Wait till your child calms down and then talk to him/her clearly and express your points firmly with confidence.

b. Never yell from another room, like telling your child to switch off TV from kitchen. This gives the impression that you’re busy and not too serious. Rather walk into the room, join your child for a minute or two and waiting for the commercial break and then ask them to switch off the TV. This will model respectful behaviour in your child and your child will more likely to listen to you as they will know that you really mean to switch off the TV (without your yelling).

3. Express reasons – generally, children activities that parents perceive dangerous or wrong may be perceived as amazing or innovative by the child. Telling your child not to do this or that may subconsciously raise question in their mind that my mother always say ‘NO’ to things that I enjoy doing. Hence it is advisable to express the importance of following an instruction to the child. Like instead of telling your child, “don’t jump on the sofa” you can tell them, “people fall from sofa if they jump on it and if you fall on the floor you will hurt yourself”. Communicating with kids in an assertive way is a real skill yet it shows your kids that mum and dad know what they’re going on about and to listen
110 people found this helpful

I am 24 year female. Meri shadi ke 4 year ho gya hai mere sare test normal hai but conceive me problem ho rhi hai. Last time mera period 2 month se aaya. Aaj mera 5th Day hai ovulation time konsa hoga. Or muje kiya krna chaye please btaye.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 24 year female. Meri shadi ke 4 year ho gya hai mere sare test normal hai but conceive me problem ho rhi hai. La...
Dimple ovulation 10th day se 20 th day ke beech hota hai agar aap ki period cycle 30 days kee hai, for further advice you may consult me
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Sir, My wifes breasts are ejecting milk. Though she is not pregnant. Its a white liquid from 1 year. Will there be any problem?

BHMS
Homeopath, Raebareli
Sir,
My wifes breasts are ejecting milk. Though she is not pregnant. Its a white liquid from 1 year. Will there be an...
Discharge from your breast (s) could mean that your breast (s) are infected, that a breast duct is dilated (widened), or that you have a hormone imbalance. The discharge may be on just one side or from both breasts. When a milky discharge comes from a young woman’s breast when she is not breast feeding, it’s called galactorrhea. This condition can result from taking certain medications such as birth control pills or anti-depressants, from being pregnant or recently being pregnant, from low thyroid hormone levels, trauma to chest or rarely from a small benign (not cancerous) pituitary tumor. Your body may be making extra amounts of prolactin, which can cause this white discharge from your nipples. Please visit your Gynecologist for a thorough check-up to diagnose the case and get treated.
9 people found this helpful
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5 Ways Men Can Prepare For IVF

Multispecilaity IVF Clinic
IVF Specialist, Gurgaon
5 Ways Men Can Prepare For IVF

Preparing for an IVF cycle physically as well as emotionally is as important for men as it is for women. Additionally, if it's the first time you are opting for an IVF then it will help a lot if you prepare for it in advance. There are many issues to consider like your hormonal balance, sperm count, your general health, physical and emotional issues experienced by you and your partner during the process etc. Read on to find some effective tips that will ensure that you can smoothly complete the procedure and support your partner in doing so.

1. Gather information about the process

If you and your partner are opting for IVF for the first time then it will be beneficial for you both to know about the process first. It always helps if you are familiar with the uncertainties involved and prepare yourself to face any complexities arising during the cycle.

2. Seek emotional support from family and friends or join a support group

You should build a small supportive social circle of family and friends for yourself and your partner to deal with the stress and emotional changes experienced during the process. Alternatively, joining an online infertility support group also proves to be effective.

3. Opt for fertility cleansing

Fertility cleansing for men is as important as it for women as it ensures a healthy hormonal balance. The simplest steps would be to abstain from using plastic containers for eating and drinking, consuming organic food and fertility boosting foods as well as not having soy-based food products or alcohol.

4. Provide proper nourishment to your body

For this ask your doctor to suggest a diet which will boost male fertility and ensure better sperm health. Moreover, you can have multivitamin supplements to get essential minerals, vitamins and antioxidants. Also, keep yourself hydrated by consuming at least 8 glasses of clean water every day.

5. Look after yourself and your partner

Ensure that you and your partner remain fit and healthy during the cycle by consuming a healthy diet. To keep stress at bay try exercising for 30 minutes daily or opt for fertility yoga or regular meditation. You may also think about seeking the help of a counsellor to strategically deal with the process. According to your preferences decide whether you want to have the counselling session with or without your partner. If you wish to discuss about any specific problem, you can consult an IVF Specialist.

3213 people found this helpful

Hi mam im a newly married girl 22 years old.. last month on the fifth day of my period we had unprotected sex he ejaculated inside me. Within 24 hours i took an emergency pill aftr 2 days i had slight bleeding just for a day.. and now my period is delayed by 4 days... Usually i have a 5 days periid which is very regular.. is it likely im pregnant?

Doctor of Medicine, F.C.P.S.(Mid. & Gynae)
Gynaecologist, Mumbai
Since you had taken emergency contraceptive pill you are unlikely to be pregnant. However emergency contraception also has some failure. Therefore buy a Urine Pregnancy Test kit from a chemist and do the test to confirm.
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Which precaution she should follow, she is 37 week pregnant, which type of food to take and can she do work some. She has no problem, when time can we expect to delivery, lmd is 19/09/2015.

MBBS
General Physician, Chandigarh
Which precaution she should follow, she is 37 week pregnant, which type of food to take and can she do work some. She...
She should take easily digestible soft diet not heavy spicy and fried food her due date according to lmp is 26/6/16.
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Egg not realizing time to time. It's realizing on 14 day we meet that day but no result. Thank you.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Egg not realizing time to time. It's realizing on 14 day we meet that day but no result. Thank you.
Actually mam we need much details below is GUIDELINES FOR YOU overall everything is not for all 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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I am 40 year old married lady I had abortion when I was 26 but after tht I never conceived I tried iui also but it failed so please advice me for conception and chances of conceiving.

MBBS, DGO, DNB - Obstetrics and Gynecology
Gynaecologist, Delhi
I am 40 year old married lady I had abortion when I was 26 but after tht I never conceived I tried iui also but it fa...
Hello Lybrate user. It's indeed very stressful to undergo failure. At your age ideal for you would be to go for IVF.
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Aerated or Fizzy Drinks

BDS
Dentist, Mumbai
Aerated or Fizzy Drinks

Aerated or fizzy drinks are generally not only bad for your health but also your teeth. The acidic content of the drink can wear away the enamel of your teeth. Esp don't give them to your children, as their teeth are in the developmental stage.

My periods is not coming in time. I did pregnancy test but its negative. I do not know I am so worried. Please tell me the solution.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My periods is not coming in time. I did pregnancy test but its negative. I do not know I am so worried. Please tell m...
If it is not pregnancy and if you did not have (assuming) any other illness then there should not be a major issue... If you had something then clarify with more details...
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9 Ways To Handle Acute Menstrual Cramps!

MBBS, MS - Obstetrics & Gynaecology, DNB - Obstetrics & Gynecology - Obstetrics & Gynecology
Gynaecologist, Ghaziabad
9 Ways To Handle Acute Menstrual Cramps!

Experiencing menstrual cramps for a few days every month is quite common for every woman. These cramps are commonly accompanied with pain. Menstrual cramps are referred to as dysmenorrhea. This is not a very serious health condition, but still the cramps can cause you pain and distress. You can manage the pain caused by menstrual cramps by making some simple changes and starting some practices. They are as follows:

  1. Dietary Changes: You have to make several dietary modifications to manage menstrual cramps. Reduce fat from your daily diet and consume more vegetables. A low-fat diet helps in reducing the levels of inflammation in your body. These changes will successfully help you to reduce the severity of menstrual cramps. You have to adopt a well-balanced diet.

  2. Medicines: Several painkillers which fall under the non-steroidal and anti-inflammatory groups are prescribed to relieve pain caused by the cramps. These medicines lower the production of prostaglandin that causes menstrual cramps. Inflammation and pain are relieved.

  3. Consume Green Tea: There are certain green teas, which relieve menstrual cramps. Herbal tea has been used since medieval ages for this purpose. Cramp bark is an effective tea used for this reason. Peppermint oil tea is also considered good.

  4. Fish Oil Supplements and Vitamin B1: Fish oil supplements and vitamin B1 help in naturally treating menstrual cramps. You will get quick and long-lasting relief by consuming these.

  5. Acupuncture: Acupuncture can be utilised to treat menstrual cramps. The nervous system gets relaxed, which increases the flow of blood to the internal body organs. Acupuncture assures effective pain relief.

  6. Massage Therapy: You can undergo massage therapy using certain essential oils. This provides great pain relief and is beneficial for menstrual cramps.

  7. Heating Pads: Heating pads provide efficient relief to menstrual cramps. Topically applied heat is also considered to be effective and pain relief is obtained in a short period of time.

  8. Boosting Endorphins: A boost in the endorphins improves your mood and gives relief from menstrual cramps. Endorphins are released when you work out or have an orgasm. Aerobic exercises and stretching techniques should be carried out regularly.

  9. Boosting Magnesium: Boosting the amount of magnesium in your diet helps in relieving pain from menstrual cramps. You can consume food items rich in magnesium or magnesium supplements.

Menstrual cramps usually do not require hospitalisation and you can self-treat it using simple remedies. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4802 people found this helpful

Sugar Intake - 6 Ways You Can Cut It!

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
Sugar Intake - 6 Ways You Can Cut It!

Sugar (cane sugar) is not only a big industry, but has been a part of many of our traditional foods. Somehow, today sugar has been given a tag of being an 'unhealthy' food. What we don't realize before we demonize a food is the reason behind it being called as 'unhealthy'. Sugar in small required amounts does not cause any health issue. What we don't realize is the amount of sugar that we are unknowingly consuming through foods like packaged cereals, juices, health drinks, pastries, burgers and even the so called 'low fat' packaged foods marketed as healthy foods. Excessive sugar in these forms can definitely become harmful. So, rather than banning sugar from your diet, try to make better food choices.

The steps you can take to reduce sugar intake in a week are

  1. Stay hydrated and avoid health drinks and packaged juices: Replace so-called health drinks and packaged juices with fresh drinks like lime water, coconut water, herbal teas and home-made fruit drinks like raw mango juice / aam panah and Water. The natural electrolytes will stop any craving for excessive sugar laden foods.
  2. Limit caffeine intake: Drinking coffee in the morning causes caffeine kick which spikes the energy levels in the body. As soon as this spike wears off, there is an intense sugar craving in the body.
  3. Eat more complex carbohydrates: Increasing consumption of complex carbohydrates such as whole grains and yams helps in stabilizing blood sugar levels in the body. This happens as they are digested slowly and help in controlling sugar cravings.
  4. Restrict salt intake: Excessive salt consumption can increase cravings for sugary foods. Eating too much salt can cause the body to balance out the flavors thus leading to increased sugar cravings.
  5. Exercise: Exercise causes perspiration in the body which helps in flushing out the salt and making the body alkaline thus reducing sugar cravings.
  6. Limit processed food intake: Eating naturally occurring foods such as grains and fruits are healthier than eating packaged foods. Packaged foods generally contain both added sugar and salt which tend to increase sugar cravings and promotes weight gain. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
4078 people found this helpful

I am 27 years female. Today is my 63 days since my last periods. I have took pregnancy test 2 times as per the proper prescription but the same came negative. What could be the reason. I have thyroid problem, but the same is under control and is in normal level since I am getting treatment from a thyroid specialist. What could be the reason behind this or what test shall I conduct to be sure about this? please help.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 27 years female. Today is my 63 days since my last periods. 
I have took pregnancy test 2 times as per the prope...
Pcos can be another reason for irregular menses. Are you overweight? do you have family history of diabetes? is there any increase in facial hairs? get your ultrasonography done for pcos. There are certain hormonal test which might require to be done including insulin fasting, amh, hba1c, lh, fsh, sr testosterone free + total, shbg. Dheas, for further evaluation.
1 person found this helpful
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Hello doctor im suffering hormone imbalance. And im not getting my periods regularly.Nw I got my periods before 2 months still now I did get my periods doctor how to get my periods now? And is there any problem to preganancy? Help me doctor

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Please stop worrying and get your usg lower abdomen done to rule out pcod and also also get your hemoglobin and thyroid profile done. Inform once the reports are done.
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Melon - Water Bells of summer

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
Melon - Water Bells of summer

Melon- Water Bells of summer

Melon is a Category of Fruits with a maximum water content approximately 80-90%.

Melons are gifted by nature into different colours like Musk Melon is golden yellow / orange. Water Melon is red giving ample amount of antioxidant in it making it a very healthy choice as it would protect you from damage caused by free radicals (External agent) in your body, thus improving immunity.

It is the richest source of Iron giving you about 7 mg / 100 grams of watermelon, i.e. 7% of Iron.

Your body needs Vitamin A to produce sebum, which keeps your hair moisturized. You also need Vitamin A for your body tissues (like skin) to grow. Watermelon has Vitamin A, so eat this fruit for attractive skin and hair.

One should also use the outer coat of watermelon which is green as it is very fibrous - can be consumed as a vegetable.
Melon seeds are rich in essential fatty acids like omega-3. Try having the seeds of watermelon with fruits. Musk Melon seeds can be consumed by washing, drying, peeling the outer coat.
These seeds are wonder food for the Brain.

A bowl full of Melon a day in summer keeps Dehydration at Bay.

My wife 7 month pregnant his stomach was painting night only and his back pain also here.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
My wife 7 month pregnant his stomach was painting night only and his back pain also here.
It is common to have some bakache in pregnancy. Please make sure there is no urinary infections. Back massages, calcium and vit d supplements should help. Also make sure she wears good supportive footwear during the day.
2 people found this helpful
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