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Dr. Dr.Deepa Agarwal

Gynaecologist, Delhi

300 at clinic
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Dr. Dr.Deepa Agarwal Gynaecologist, Delhi
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Dr.Deepa Agarwal
Dr. Dr.Deepa Agarwal is a popular Gynaecologist in Laxmi Nagar, Delhi. You can consult Dr. Dr.Deepa Agarwal at Dr. S K Gupta Clinic in Laxmi Nagar, Delhi. You can book an instant appointment online with Dr. Dr.Deepa Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 33 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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Dr. S K Gupta Clinic

234, 235, 236, West Guru Angad Nagar, Gurudwara Road, Laxmi NagarDelhi Get Directions
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Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist, Delhi
Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!

If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.

What is Coccydynia?

The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.

Anatomy

The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.

Common Causes:

  1. Sitting for extended periods of time, especially on hard surfaces

  2. Effect of a direct trauma, such as a fall

  3. Giving birth

  4. Bone fracture, tumors or an infection can also cause this condition

How do you know whether it’s Coccydynia?

  1. You will experience pain while sitting, especially on hard surfaces

  2. Localized pain in or around the tailbone that worsens with touch or any pressure applied on it

  3. The pain will become severe when you stand from a seating position after considerable amount of time

  4. The pain might also start during sexual intercourse

  5. The pain increases in women during their menstrual cycles

Diagnosis

  1. Local Coccydynia

    • Traumatic

    • Idiopathic

  2. Radiated or referred Coccydynia
  3. Psychogenic Coccydynia

  4. Chronic proctalgia

Physiotherapy Approach For Treating Coccydynia

Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:

  1. Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.

  2. Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.

  3. Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx.

I am 26 years old and I am suffering from mensuration problem. My mensuration circle is 35 days average. And I have less bleeding and my legs have a great pain during the whole month from back to feet all day have the pain. No pain killer is effective for this pain what can I do please help.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 26 years old and I am suffering from mensuration problem. My mensuration circle is 35 days average. And I have l...
Best is to consider a trial of Oral contraceptive pills like Novelon for 6 months and see if this helps
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I am not getting my periods since one month. My last menses date was 28th july I done pregnancy test using pregnancy toolkit like (preganews, velocity,and I can) 0n 20th august. And all the three kits indicated result negative only. But after two days I am suffering from "tonsils" fever and headache This is second time that I got "tonsils" Can you please say that all this signs indicate that I am pregnant please answer me. How can I get periods plzzz say me I am worried about this.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
I am not getting my periods since one month.
My last menses date was 28th july
I done pregnancy test using pregnancy ...
If the pregnancy test is negative there is no way you can be pregnant. The symptoms of upper respiratory tract infection have nothin to do with the pregnancy. Wait patiently and you should get your periods. Stress itself is a big reason to prolong periods.
1 person found this helpful
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I am pregnent. 8 weeks. In torch test rubella igg 62 cmv129 hsv27. But igm -'ve. Can my baby healthy?

Diploma In Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Dear igg+is a sign of immunity which means you are immune to rubella, cmv and hsv. You have very good chances of a normal pregnancy. Infact these are the tests are not recommended nowadays. Feel free to contact me if you any issues with your pregnancy.
3 people found this helpful
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Hi, I am recently diagnosed with tb because I have lymph nodes in my neck and I am trying for conceiving from last 2 years. My question is that the tuberculosis is affect the conceiving or not? Because one of my friends is doing MBBS told me that it affects the conceiving, please help to clear my doubt.

MD (Physician), MD (Pulmonology)
Pulmonologist, Bareilly
Hi, I am recently diagnosed with tb because I have lymph nodes in my neck and I am trying for conceiving from last 2 ...
Dear Lybrate user, Tuberculosis infection affects Pregnancy at all stages. Proper treatment under Pulmonologist will cure you completely. Wishing you Good Health.
1 person found this helpful
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Can Pelvic Inflammatory Disease Prove to be Fatal?

FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Can Pelvic Inflammatory Disease Prove to be Fatal?

Pelvic Inflammatory disease (PID) is a bacterial infection that affects a woman’s reproductive organs. This disease is not contagious though men can host and transmit the bacteria that triggered the disease through intercourse. Chlamydia (know more about Chlamydia disease) and gonorrhea are the two most common causes of this disease. Apart from being transmitted sexually, this disease can also develop through the insertion of an unsterilized contraception device into the vagina or during a gynecological procedure such as an abortion. In rare cases, normal bacteria from the vagina can also spread into the uterus and fallopian tubes triggering this disease.

PID can be fatal and should not be ignored. Lower abdominal pain is the primary symptom of this disease. This pain can vary from being mild to be seriously debilitating. Other symptoms of this condition are:

  1. Abnormal or foul vaginal discharge.

  2. Painful intercourse that may be accompanied by bleeding.

  3. Irregular periods.

  4. Spotting between periods.

  5. Severe menstrual cramps.

  6. Burning sensation while urinating.

  7. Urge to frequently urinate and an inability to empty the bladder.

  8. Swollen abdomen.

  9. High fever alternating with chills.

  10. Swollen lymph nodes.

  11. Diminished appetite with nausea.

  12. Weakness and depression.

  13. Lowered libido.

PID can often produce a pus-like fluid that scars the reproductive organs. This can result in infertility. This risk is influenced by the duration and severity of the infection along with the number of times it recurs. Women suffering from pelvic inflammatory disease are also at a higher risk of having a tubal pregnancy. This type of pregnancy is fatal for the baby and also threatens the life of the mother.

In cases where the disease is triggered by an STD like gonorrhea or Chlamydia, it can also spread to the liver tissues. This is a complication known as the Fitz Hugh Curtis syndrome and causes a collection of pus in the form of an abscess in the fallopian tubes or ovaries. If this abscess ruptures, the pus would spread into the pelvic cavity causing severe pain, nausea and a fall in blood pressure. If it spreads further into the blood stream, it can be fatal.

Diagnosis of this disease is difficult as its symptoms are usually mild and common to a number of other conditions. However, once diagnosed, it can be easily treated through antibiotic medication. Surgery is required only in cases where there is no response to antibiotics or if an abscess bursts or is at a stage where it may. If you wish to discuss about any specific problem, you can consult a and ask a free question.

3854 people found this helpful

Its 2 years of our marriage I and my wife regularly trying for a child please suggest what to do?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Its 2 years of our marriage I and my wife regularly trying for a child please suggest what to do?
If you’re still concerned about your fertility or you don’t conceive within a year, you and your husband may consider meeting with a health care provider to see if infertility could be the reason. Anything that affects the quality of the egg, sperm, or the ability of the sperm to reach the egg can affect fertility. If you have been trying to conceive for 12 months without success --> knowing your exact ovulation day and having sex prior to and on ovulation day, then we suggest you to seek medical advice, suggestions etc. From infertility specialist.
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I suffer from severe abdominal pain along with heavy bleeding during my menstruation every month. I have polycystic operated.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
I suffer from severe abdominal pain along with heavy bleeding during my menstruation every month. I have polycystic o...
If you are having heavy bleeding every month, it may be because of pid (pelvic inflammatory disease) or some fibroids or some hormonal imbalance. Pain is because of heavy bleeding. You need to be investigated & treated. For treatment you can consult me privately.
1 person found this helpful
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Hi. I am 31 years female. Have hypothyroid from past 10 years. Recently I have not got my periods and checked my tsh level. Its is 0.9.So I reduced the dose from 100 mcg every day to 5 days 100 mcg and 2 days 75 mcg. I used regestrone tablet twice daily for periods. I got my periods but the bleeding is very light and it has been 9th day of my period and still I am having brown colour light discharge. Can I use styptovit E 500 mg tablet morning and evening for 1 day to stop brown discharge?

DHMS (Hons.)
Homeopath, Patna
Hi. I am 31 years female. Have hypothyroid from past 10 years. Recently I have not got my periods and checked my tsh ...
Hello, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, hypo thyroidism, etc. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to ease your problem. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion. * tk, apple, carrots, cheese, milk, banana, papaya, spinach, almonds, walnuts to improve your haemoglobin to release your flow. * tk, homoeo medicne, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 20-6 pills, thrice a day, orally. @ sepia200-6 pills, thrice a day" @ thyroidinum 30-6 polls, thrice, orally. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion. Tk, care.
1 person found this helpful
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