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Dr. Kiran Raman Goyal

MBBS, DNB - Obstetrics and Gynecology

Gynaecologist, Delhi

15 Years Experience  ·  200 - 300 at clinic
Dr. Kiran Raman Goyal MBBS, DNB - Obstetrics and Gynecology Gynaecologist, Delhi
15 Years Experience  ·  200 - 300 at clinic
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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. Kiran Raman Goyal
Dr. Kiran Raman Goyal is a trusted Gynaecologist in New Delhi, Delhi. He has had many happy patients in his 15 years of journey as a Gynaecologist. He is a qualified MBBS, DNB - Obstetrics and Gynecology . He is currently associated with Rishi Medical Centre Mother and Child Care in New Delhi, Delhi. Book an appointment online with Dr. Kiran Raman Goyal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 25 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.

Info

Education
MBBS - JIWAJI University Gwalior - 2002
DNB - Obstetrics and Gynecology - National Board of Examinations, New Delhi - 2008
Awards and Recognitions
Gold Medalist
Professional Memberships
Federation of Obstetric and Gynaecological Societies of India (FOGSI)

Location

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Flat Number 813, Gate No. 06, GH 5 & 7, Paschim Vihar, New Delhi 110087. Landmark: Near St. Marks Senior School, DelhiDelhi Get Directions
300 at clinic
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Flat Number 813, Gate No. 06, GH 5 & 7, Paschim Vihar, New Delhi 110087. Landmark: Near St. Marks Senior School, DelhiDelhi Get Directions
200 at clinic
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A5/238, Ground Floor, Jwalaheri Road, Landmark : Near DDA Market, DelhiDelhi Get Directions
250 at clinic
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Rohtak Road, Punjabi Bagh West Landmark : Agresen HospitalDelhi Get Directions
200 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I discovered I have an ovarian cyst of a huge size, 8.7*13.7*14.8. All gynecologist have recommended a laparoscopy to get this removed. I will be going in for the surgery this week. Just wanted to take your advice on dietary and any other precautions, do's and don'ts before and after the surgery.

MBBS
General Physician, Faridabad
I discovered I have an ovarian cyst of a huge size, 8.7*13.7*14.8. All gynecologist have recommended a laparoscopy to...
take protein diet, green vegetable diet, dal, paneer, cheese, fruits, eggs etc, drink 3-4 litre of water daily, take cap autrin 1 cap od 1 hr walk daily, it will help you,thanks.avoid cough to avoid abd pressure
1 person found this helpful
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Myths And Facts About Turmeric

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Myths And Facts About Turmeric

Let's be clear about what turmeric can not do:

Turmeric usually does not cause significant side effects -- ( The truth is that some people can experience stomach upset, nausea, dizziness, or diarrhea)
You can use turmeric if you have gallbladder problems -- (The truth is that turmeric can make gallbladder problems worse)
Turmeric is not helpful for diabetes -- (The truth is that early research suggests that taking turmeric daily for 9 months can reduce the number of people with prediabetes who develop diabetes.)

Now that we have cleared up what Turmeric cannot do, let's talk about what it Can do for you.

Turmeric has been used for roughly 4000 years as a medicine for a wide variety of medical conditions. Turmeric was mainly for digestive issues, but can be used to treat everything from indigestion to cancer.

The main active ingredient in turmeric is curcumin, and according to UMMC, 'Curcumin is also a powerful antioxidant. Antioxidants scavenge molecules in the body known as free radicals, which damage cell membranes, tamper with DNA, and even cause cell death.

Antioxidants can fight free radicals and may reduce or even help prevent some of the damage they cause. In addition, curcumin lowers the levels of two enzymes in the body that cause inflammation. It also stops platelets from clumping together to form blood clots.'

Turmeric has been shown to treat:

Indigestion
Dyspepsia
Ulcerative Colitis
Stomach Ulcers
Osteoarthritis
Heart Disease
Cancer
Bacterial Infections
Viral Infections
Uveitis
The research that back up these claim is extensive to say the least. For instance, a publication from The International Journal of Biochemistry and Cell
'Although safe in most cases, ancient treatments are ignored because neither their active component nor their molecular targets are well defined. This is not the case, however, with curcumin, a yellow pigment substance and component of turmeric (Curcuma longa), which was identified more than a century ago. For centuries it has been known that turmeric exhibits anti-inflammatory activity, but extensive research performed within the past two decades has shown that the activity of turmeric is due to curcumin, a diferuloylmethane. This agent has been shown to regulate numerous transcription factors, cytokines, protein kinases, adhesion molecules, redox status and enzymes that have been linked to inflammation. The process of inflammation has been shown to play a major role in most chronic illnesses, including neurodegenerative, cardiovascular, pulmonary, metabolic, autoimmune and neoplastic diseases.'

The publications concludes:'The wisdom and scientific credentials of curcumin in the Ayurvedic and Chinese systems of medicine have been corroborated by numerous studies conducted over the past 30 years. These observations are also supported by epidemiological data suggesting lower incidence of chronic diseases in people from countries where curcumin is consumed. The various effects of curcumin have been widely studied in Western systems of medicine for decades, and has been found to possess antioxidant and anti-inflammatory activities. Considering that inflammation plays a major role in most chronic illnesses, anti-inflammatory agents are needed for prevention purposes. Although several different steroids and NSAIDS (such as celecoxib, aspirin, ibuprofen, phenylbutazole, etc.) have been approved for treatment of inflammatory conditions, most of them have side effects, especially when consumed over long periods of time. Because curcumin inhibits multiple proinflammatory pathways and is affordable, this phytochemical should be further explored for prevention and treatment of various chronic diseases. Further clinical trials are needed to fully develop the potential of this 'age-old NSAID'.

37 people found this helpful

BSAM
Acupressurist, Chennai
Irregular Cycle and treating method

Regulate Irregular Menstrual Cycle ( for all age female)
One of the prevalent problems among women is the irregular periods or menstrual cycle. Delayed menstruation can lead to a lot of issues for women and can also affect their overall health. Since menstrual cycle is a natural process that happens after every 28 days, irregularities might affect the functioning of the body.
A Balanced Diet
To keep the body functions normal especially menstruation where women are concerned, a balanced diet is very imperative. Green leafy vegetables, seasonal fruits, juices and nuts plays a very significant role here. Along with this it is important to maintain the intake of three large meals every day that are full of nutrients and provide you with the required quantity of the same. Make sure you also adhere to small quantities of food in between the larger ones to fill in the gap. This will make sure that you do not lack any nutrients

Drink Abundant Water
Water is one magical potion that is a remedy for most of the health ailments. 10-15 glasses of water everyday keeps the body clean from toxins and impurities as well as regulate the functioning of the body and improve blood circulation. This in turn will help you in regularizing periods in case you are suffering from this issue. So make sure you drink plenty of water on a consistent basis!

Avoid Alcohol and Smoke
Smoking and consuming alcohol are two of those habits that can really trigger the problem and might escalate to a serious level. It also hinders the menstruation cycle according to many researches. A lot of professionals also believe that excessive smoking and alcohol can also have a bad impact on fertility of a woman. Therefore, try and keep away from both of these especially if you are suffering from irregularity of periods. This will not only prevent but also treat the issue to a great extent.
Limit Caffeine Intake
Caffeine is another form of drink that can really heighten the problem of irregularities in periods. Try and avoid tea and coffee as well as energy drinks as much as possible. This will only help you in maintaining good health and normal body functioning.
Along with this refined foods like refined sugar, refined flour and rice should be kept away from. Salt intake should be totally limited during the time of the cycle.
Meditation and Exercise
These healthy habits will make you stress free and relax your senses which in turn will trigger the proper secretion of the hormones in the body. Consistent meditation for at least 45-60 minutes everyday will get you freedom from the problem of irregular periods. Walking, jogging and light exercises are some of the other ways to achieve your goal without much hassle.

Benefit of Asafetida
All you have to do in fry a dash of asafetida in a little of clarified butter and use a teaspoon of the same to mix in with a glass of buttermilk. Now have this liquid once everyday until the problem totally subsides. Remember, that a home remedy can only be effective if followed regularly without skipping.
Acupuncture or Acupressure Treatment for Menstrual cycle
I have treated many cases of Acupuncture method , what I mentioned above if facing problem in initial stage if this Menstrual problem sustaining for long time need to be treat, that too young age female need to get treatment as soon as possible for their normal cyclic life ? taking medicine most of the time become addict to the medicine some time prescribe dosage may not give preferring result and be aware of side effect of this medicines , My treatment method 100% drugless and effective method can contact me for more clarification or treatment ?live with healthy menstrual cycle ? Acupuncture Healer Nazir Sheriff- +91 9789908903- www.Acuheal.In
5 people found this helpful

Hi I want to know that how can doctor treated me online for medical abortion. If it is done on online consultation. I will definitely go with it.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Hi I want to know that how can doctor treated me online for medical abortion. If it is done on online consultation. I...
Yes it can be done online. There are 95%chances of being successful if you are less than 8 wks pregnant.
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My wife is pregnant for 5 months. What are do's and don't's for a healthy baby she should follow.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife is pregnant for 5 months. What are do's and don't's for a healthy baby she should follow.
Exercise/yoga during pregnancy exercise 1: walking is a safe exercise but wear non-slippery shoes with padded soles. 1. Exercise 2: do some'light' exercises as that will help your body and mind. Avoid postures that involve heavy use of abdominal muscles and backward bend. Exercise strengthens your abdominal and pelvic muscles which promotes an easy delivery. 2. While exercising, change your position slowly to avoid sudden jerks. Do not exercise if you are not feeling well or feel any pain. 3. Light yoga, meditation and breathing exercises like pranayam help immensely 4. Consult your doctor before you start exercising and especially if you have diabetes, heart disease or asthma. Folic acid during pregnancy 1. Folic acid vitamin is highly recommended as it reduces risk of brain/spinal cord defects. 2. Also helps in blood and protein production. It also helps in development of nervous system. 3. Extremely beneficial during early weeks of pregnancy- especially first three months. 4. Green leafy vegetables, peas, beans, nuts, orange juice, strawberry, banana, nuts, pulses. 5. Recommended dose of folic acid is about 0.4 mg (400 microgram) every day until you are 12 weeks pregnant. Essential vitamins during pregnancy: 1. Vitamin a: essential during 2nd trimester (4th to 6th months of pregnancy). Do not take supplements containing more than 3000 iu of vitamin a. Sources of vitamin a: (a) vegetables: carrot (gajar), potato (aaloo), tomato (tamaatar), cabbage (patta gobhi). (b) fruits: mango (aam), banana (kela), guava (amrood), papaya (papita). (c) food: whole wheat products, peanuts, yogurt (dahi), milk, butter and cheese. 2. Vitamin b6: especially essential during 2nd trimester (4th to 6th months of pregnancy). Sources (a) vegetables: carrot (gajar), peas (matar), potato (aaloo), spinach (palak), cabbage (patta gobhi), green leafy vegetables. (b) fruits: banana (kela), dry fruits/nuts, apricot (khubani), apple. (c) food: eggs, fish, beans, whole grains, milk, whole wheat bread and pulses (daal). 3. Vitamin c: especially essential during 2nd trimester (4th to 6th months of pregnancy). Sources of vitamin c: (a) vegetables: broccoli (hari phoolgobhi), cucumber, tomato, spinach (palak), lemon (nimbu), onion (pyaaz), peas (matar), green vegetables. (b) fruits: orange (santra), pineapple, mango, apple, grapes, banana, kiwi, lychee, papaya (papita), peach (adau), pear, plum (aloo bukhara), strawberry, lime juice. 4. Vitamin d:). Especially essential during 2nd trimester (4th to 6th months of pregnancy). Sources of vitamin d: (a) vegetables: sweet potato (shakkar kandi). One may take'cod liver oil' capsules or vit-d supplements. (b) food: fish, milk, soyabean powder, yogurt (dahi), butter, egg yolk (yellow portion of egg) and direct sunlight. 5. Vitamin b12 especially essential during 2nd and 3rd trimesters (4th to 9th months of pregnancy sources of vitamin b12: (a) vegetables: none. (b) fruits: none. (c) food: eggs, brown rice, fish, yogurt (dahi), milk and milk products like cheese, cow and soy milk food and essential minerals during pregnancy 1. Many woman feel that they need to eat for two as they are carrying a baby inside. This should not be the case and usually leads to weight gain after baby is delivered. You only need to increase your intake of iron, calcium, folic acid and essential vitamins. Avoid spicy and deep fried food. 2. Pregnancy is not the time for dieting as the pregnant mother and the baby may not get enough nutrients. 3. Emphasis should not be on over-feeding, but on having nutritious food. A normal woman needs about 1600-2200 calories a day and experts recommend not more than 300 calories extra for pregnant women. Special precautions from 4th month of pregnancy: 1. Proteins: especially essential during 3rd trimester (7th to 9th months of pregnancy). For growth, repair of muscle, skin, hair and body tissues. Protein deficiency leads to low immunity, hairfall, feeling of tiredness. Proteins are not stored in our body as any excess protein is converted to energy or fat. (a) major protein sources: egg white (white portion), milk, soybeans/soymilk, fish, cheese, tofu. (b) other protein sources: beans with wheat, nuts, curd, yogurt (dahi) 2. Carbohydrates our main source of energy. Stored in liver and muscles. Carbohydrates are used the most by our body duringexercise. Hence, it is important during pregnancy to consume a diet rich in carbohydrates. (a) instant/rapid carbohydrates energy sources: banana, milk, sweets, sugarcane juice. (b) slow carbohydrates energy sources: beans, bread, cereals, potato, pulses, rice. 3. Iron: especially essential during 2nd trimester (4th to 6th months of pregnancy). Helps in production of haemoglobin and transportation of oxygen to blood cells. 1. Largest mineral found in our blood which also helps in producing energy. 2. If taking iron and vitamin c supplements, do not take them at the same time but after a gap of about 3 hours. Taking vitamin c tablet helps in absorbing iron. Sources of iron: 1. Vegetables: spinach, dark green leafy vegetables, lentils (daal). 2. Fruits: avocados (makhanphal), peach (adau), pear (nashpati), pumpkin (kaddu), raisin (kishmish), pomegranate (anaar). 3. Food: eggs, fish, meat, cereals, almonds (badam), whole wheat bread, soybean. 4. Calcium 1. Helps form strong bones, teeth, healthy gums, muscle growth and prevents muscle cramps. 2. Taking a small dose an hour before bedtime helps achieve sound sleep. Sources of calcium: 1. Vegetables: cabbage, dark green leafy vegetables, broccoli, figs (anjeer), flax seeds (san beej). Food: eggs, milk, dairy products, yogurt (dahi), almonds (badam), soybeans/soymilk. Dietary risks 1. Stay hydrated: dehydration increases risk of miscarriage. So drink at least 2 litres of fluids every day. Water, fresh fruit juices, soups that are low in salt, milk (low or no fat) and soy milk are best fluid options. 2. Do not have excessive papaya as it sometimes may trigger a miscarriage. 3. Must wash all fruits and vegetables before eating to reduce chances of infection. 4. Avoid more than 2 cups of non-herbal tea/coffee in a day as caffeine may lead to miscarriage. 5. Avoid excess spices, frozen or high mercury sea food like oysters. Non dietary rissks 1. Avoid viral vaccines (measles, mumps, mmr), explosure to x-rays or close contact with microwave. 2. Visit your doctor at least thrice and prefer not to have more than 2 sonographies done over 9 months. 3. Avoid cigarette, junk food, alcohol till delivery as they may result in low birth weight or restrict development. 4. Gradually decrease your intake of caffeine/coffee. Avoid having too much oil or ghee. 5. Don't take very hot water baths or hot tub/sauna baths as they may alter your body temperature.
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I have done unprotected sex with my gf on 28/10/16 just after her periods ended and gave her unwanted 72 pill but now after one week she is having small amount of regular bleeding. Three days have been passed but the bleeding is still going on. I do not want her to be pregnant.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I have done unprotected sex with my gf on 28/10/16 just after her periods ended and gave her unwanted 72 pill but now...
If intercourse was done right after menses there s no chance of pregnancy. Also you hv given her I pill so there s nothing to worry. I pill contains hormones which can lead to some bleeding sometimes. Donot worry. This bleeding will stop on its own.
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I have 2 kids. Now I don't want any new kid. What precautions my wife has to take to avoid pregnancy. Already 2 times she got abortion.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have 2 kids. Now I don't want any new kid. What precautions my wife has to take to avoid pregnancy. Already 2 times...
Best option is female sterilzation or family planning operation. Second best option is copper t which is most effective and no pills are needed. Next best option is oc pills like novelon or femilon to be taken from d2 for 21 days in a month.
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We are trying for past two months to get pregnant but still didn't get pregnant already we had two abortions. Very tensioned what can we do?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
We are trying for past two months to get pregnant but still didn't get pregnant already we had two abortions. Very te...
I Think there is no need to be tensed about. Its not that she has problems in conceiving . But make sure you get all the the investigations done before trying. She will conceive . Problem is not about getting pregnant but about maintaining pregnancy.
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Hello sir my age is 21 now Iam pregnant with diamniotic diachronic twins now Iam 11 weeks pregnant may I know my two baby are same gender or opposite I want opposite gender is it possible.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Hello sir my age is 21 now Iam pregnant with diamniotic diachronic twins now Iam 11 weeks pregnant may I know my two ...
gender testing is criminal offence.in India. no one can change sex of baby .so don't expect which is not in ur hands
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I am 3 days late t my period. And m getting slight pain at lower abdomen, legs r lightly paining and also slight white discharge. What may b d reason? M I pregnant? I took 1 pregnancy test day before yesterday it was negative. M not getting what is happening please suggest me something.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 3 days late t my period. And m getting slight pain at lower abdomen, legs r lightly paining and also slight whit...
Hello, yOu may get a serum beta hcg test done now as its more sensitive than urine pregnancy test. If negative, then these symptoms are those of PMS indicating that you should be menstruating soon.
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I am suffering from irregular period since the 1st period I got. Recently came to know that I am suffering from pcod. I am married and doctor had suggested me ovulation medicine which I had already taken on my 3rd day of period. After taking medicine my body start generating heat. Now. Sometimes can feel too much heat inside my stomach. This are the common symptoms or I need to consult my doctor. I had my period on 2nd March.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I am suffering from irregular period since the 1st period I got. Recently came to know that I am suffering from pcod....
In majority of the cases irregular menses are accredited to hormonal imbalance, but in some cases it may be pathological and secondary to some pathology of ovaries mostly. Now if you want to regularized the menses then you must establish permanent balanced first and this can be achieved only with homoeopathy, because in modern medicine we get only a hormonal support with a very temporary relief. But with homoeopathy you can strike the hormonal balance permanently which later on also give you regular menses even if you stop the medicine.
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20 week pregnant now currently suffering severe cold and sneezing problem since last three days. What to do as antibiotics cud be harmful for baby As of only iron, calcium and folic acid supplements are taking.

PGDHHM, MBBS
General Physician, Delhi
20 week pregnant now currently suffering severe cold and sneezing problem since last three days.
What to do as antibi...
It needs symptomatic treatment,in some cases antibiotics are required (some are safe for use in pregnancy). Take steam inhalation twice a day. Keep warm.
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Creative Arts can boost Mental Health

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Creative Arts can boost Mental Health
A team of australian researchers have found that participating in the arts for just two hours a day for about a week can improve mental health and well being
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I have face vaginal bleeding with some tissue. I have done sex 1week ago and I take an ipill for precaution. What m I going through?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
It depends on when was your last mp, what was expected period date and when you started getting this. So best is to meet gynaecologist.
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What r the causes of less flow during menstrual cycle, does it because of less endometrium thickness. If yes then how it can be cured.

DRCH, BHMS
Homeopath, Bareilly
What r the causes of less flow during menstrual cycle, does it because of less endometrium thickness. If yes then how...
Most common causes of scanty menses are anemia and hormonal which in turn leads to less thickened endometrium and causes less bleeding. Try to find the cause and treat accordingly. Eat balanced and iron rich diet.
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What is the symptoms for Breast cancer? And what is there precautions to be taken by us?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Mass in breast, depression of nipple, swelling of skin on breasts, swelling in armpit, inequality of both sides of breast. Any unusal changes observed. Precautions- self breast examination every month. Learn that from doctor or if you can get from internet.
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I am a 35 years old male .want to know the safe period for sex to avoid the child.

MBBS, MS - Obstetrics and Gynaecology
Obstetrician, Warangal
I am a 35 years old male .want to know the safe period for sex to avoid the child.
lybrate-user 1-7 days of her periods and 21st day of the period to next cycle is safe when her menstrual cycle is 26-31 days cycle.
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Hi. I had normal delivery 13 days ago and my vagina look awful. Can something be done to make it as before.

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
It is due to vaginal canal inflammation because of delivery strain, it will improve in 2 weeks time.
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

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