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Dr. Kusha Puri

MBBS

Gynaecologist, New Delhi

2 Years Experience
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Dr. Kusha Puri MBBS Gynaecologist, New Delhi
2 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Kusha Puri
Dr. Kusha Puri is a renowned Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. Kusha Puri at Dr Kusha Puri's Clinic in Bapa Nagar, Delhi. Don?t wait in a queue, book an instant appointment online with Dr. Kusha Puri on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. Find the best Gynaecologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - . - 2016
Languages spoken
English
Hindi

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715, Technology Apartments, 24, I.P>ExtensionNew Delhi Get Directions
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I am 24 years old female and I have a lump in my left breast 'fibredenoma' of size 2.5*2.5*1.5 and it pains a lot even if I am not having my periods. According to some doctors, fibroadenoma are painless. Is this possible that fibroadenoma are painful? What should I do?

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
I am 24 years old female and I have a lump in my left breast 'fibredenoma' of size 2.5*2.5*1.5 and it pains a lot eve...
Hi lybrate-user, I appreciate you seeking help. In fact, fibroadenoma of the breast, as has been diagnosed in your case, is a benign condition. Though fibroadenomas are usually not painful, they could be sensitive to touch. Often women find it tender couple of days before the menstruation begins. For pain, you may apply an alternating heat and cold treatment for couple of minutes that may alleviate the same. Gently massaging the breast (s) with little bit of a mixture of frankincense, sandalwood and lavender oils can help too. You may as well consider applying 'phytolacca decandra' oil topically for easing off breast pain. However, you need to exercise caution and stop further application should your skin be allergic to the same or you get any burning sensation. Simultaneously, do follow a streamlined and balanced diet (preferably Mediterranean) & regular lifestyle with due emphasis on regular exercise, stress reduction aFor any query if you wish you can take appointment. Dr. Saksena.nd relaxation. You can take 'Amla Churna' (Patanjali) & 'Bael Churna (Patanjali- 1/2 tsp each with warm water, preferably before lunch daily for next 1 month. You can also take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once daily. Consume plenty of fresh fruits and vegetables on a daily basis. Especially, vegetables & fruits rich in carotenoids, vitamin C & vitamin B12 are known to help in this condition. Also, apples, broccoli, and cabbage contain glucaric acid which is closely similar to calcium D-glucarate that helps clearing out toxins and excess hormones out of the body that is likely to increase the risk of hormone dependent growths like fibroadenomas and also cancers of the breast. Try avoiding tea, coffee, carbonated soft drinks, dairy products including chocolates, alcohol, greasy, sugary and other high calorie food stuff including fast foods etc all. Green tea is an exception though. Stay well hydrated and have at least 8 - 10 glasses of clear fluids through out the day. Again, its very important that the fibroadenomatoid changes be monitored regularly for increase in size/ shape/ hardness, if any, and the OB/ GYN consulted apropos and follow his/ her advise without fail. The cause for fibroadenoma may have a genetic link or it may be also due to hormonal imbalance. If, its owing to an estrogen imbalance, your OB/ GYN is the right person to advise further diagnostics and treat this condition suitably. Hope this helps. Do take care and all the very best.
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Types of Hemorrhage

FACS, FAIS, FICS, FRSM, AWS, Diploma in Laproscopic Surgery, MS - General Surgery, MBBS
General Surgeon, Chennai
Types of Hemorrhage

In simple language, Hemorrhage is when the blood escapes from veins or blood vessels. This escape may happen because of various reasons like, for example, injury, low platelet count, threatened abortion, piles (Hemorrhoids), cancer, surgery, liver disease, brain trauma, acute bronchitis, menstrual problem and so on.  

Types of Hemorrhage: 

As a matter of fact, Hemorrhage is grouped into several categories. Hemorrhage can occur post surgery, and such a Hemorrhage is called as postoperative Hemorrhage. Similarly, for various reasons Hemorrhage can occur from the artery (Arterial Hemorrhage), vein (Venous Hemorrhage) or capillary (Capillary Hemorrhage). If Hemorrhage happens because of an injury, it is called primary Hemorrhage.  

Other types of Hemorrhage are delayed bleeding post injury (Reactionary Hemorrhage), bleeding following childbirth (Postpartum Hemorrhage), delay in bleeding following Sepsis popularly called as septic (Secondary Hemorrhage), bleeding from urine (Haematuria), bleeding while coughing (Hemoptysis) and bleeding caused in the stomach (Hematemesis). 

Further, Hemorrhage can be broadly classified into two namely internal and external:

  1. It would be needless to mention that excessive bleeding may lead to several complications. It can result in organ failure and there are instances that excessive bleeding can be fatal. On the other hand, blood loss can be external or visible Hemorrhage like those caused during an injury. There are also instances of blood loss occurring internally in which case the patient may notice blood either in the urine or stools, vagina or while coughing or through the nostrils or even from the mouth. In such cases, the patient should be rushed to a doctor who after careful examination, and tests would be able to identify the causes of the internal bleeding. 
  2. In case of external bleeding or external Hemorrhage like those caused due to an injury, you may provide the necessary first aid. When the bleeding is noticed, do not get alarmed and also try to keep the patient calm. Hemorrhage caused due to external injury would normally stop within one or two minutes. However, if the bleeding persists even after two or three minutes, such cases would require medical attention, and therefore, you should rush the patient to the doctor at the earliest. 

Remedies

There are several remedies to tackle the problem of Hemorrhage. Some of the normal procedures followed are IV fluid, oxygen, administering medicines like vitamin B12 and so on. In complicated cases, the physician may suggest bone marrow surgical procedure, Endogenous EPO or such other procedures. If Hemorrhage is left unattended, it can result in several complications. Therefore, you should rush the patient to the physician urgently.

3388 people found this helpful

She is having some chest pain like for a period of time. It occurs time to time. I don't know whats happening. Is she having a gastric problem or what? I can't figure it out.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
She is having some chest pain like for a period of time. It occurs time to time. I don't know whats happening. Is she...
If the pain is in the breasts, then it is related to hormonal changes and is called as pms, which can be cured with 3 months course of medicines. If the pain is deep inside in between two breasts, then it has to be acidity or heartburn, which can be treated with rantac tablet twice a day. If both conditions doesn't fit your description then it is better if you get chest xray done.
3 people found this helpful
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I am 25 years old female, I have headache during my menstrual cycle time, what can I do for this?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi mam, take bell12c half hourly alternate with chamo 12c during pain sos take care inform me progress thanks.
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Hi, I'm 37 years old and I'm 9 weeks pregnant, I do not feel like eating anything, just due to this I'm feeling like gas and due to this sometime drink ENO, is it safe to drink this, what is the best best things to eat during pregnancy. Kindly help me.

BHMS
Homeopath, Lucknow
Hi, I'm 37 years old and I'm 9 weeks pregnant, I do not feel like eating anything, just due to this I'm feeling like ...
During first 3 months you will feel such kind of symptoms. You should take ors. Don't take eno frequently. You can take ferrum phos 6x/tds. Ipecac 200 /od.
1 person found this helpful
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Nutritional Deficiency - Can it Cause Depression?

MBBS, Post graduate in diabetology, fellowship in pain medicine
Diabetologist, Howrah
Nutritional Deficiency - Can it Cause Depression?

Depression can be caused because of many reasons. However, it can get worse or be triggered due to nutritional deficiency. However nutritional deficiencies and depression act in a vicious cycle. Depressed people often receive less or improper food which leads to malnutrition which again aggravate depression. Thus, both conditions should be treated simultaneously. Read further to know how:

  1. Omega-3 fatty acids: An Omega-3 unsaturated fat deficiency can cause depression. That shows exactly how much fish, salmon, halibut or flaxseeds and walnuts we have to expend to be at an ideal level. These basic minerals lessen aggravation and take up a basic part in our mental health, particularly memory and disposition.
  2. Vitamin D: Vitamin D deficiency is a noteworthy problem that specialists and general physicians perceive to be dangerous. This lack has been connected to depression, dementia and mental imbalance. The majority of our Vitamin D levels drop off during the fall and winter months, since daylight is the best source of vitamin D.
  3. Magnesium: Odds are great that you are magnesium inadequate since a lot of people are. Sugar, phosphoric acid, perpetual anxiety, anti-infection agents and diuretics contain magnesium. Magnesium is infrequently alluded to as the anxiety counteracting agent.
  4. Vitamin B complex: B vitamins like vitamin B6 and vitamin B12 have some great medical advantages, including decreased heart diseases and healthy skin and nails. Again, a vitamin B deficiency may affect your emotional wellness. Every one in four depressed or stressed woman suffers from vitamin B12 deficiency.
  5. Folate: Individuals with a low folate level have just a seven percent reaction to treatment with antidepressants. Those with high folate levels have a reaction of 44 percent. That is the reason a lot of specialists are currently endorsing a folate called Deplin to treat dejection.
  6. Amino acids: Amino acids are the building blocks of protein that help your mind work efficiently. An amino acid deficiency may make you feel slow, foggy, unfocused, and discouraged. Great sources of amino acids include meat, eggs, beans, seeds, and nuts.
  7. Iron: Iron deficiency is truly common in women. Around 20 percent of the women and 50 percent of pregnant women are iron deficient. Just 3 percent of men are iron deficient. The most widely recognized type of side effect is the decreasing number of red platelets brought on by the lack of iron. The side effects include weakness, concentration issues and a foggy mind.
  8. Zinc: Zinc is used by more proteins (a person has more than 300) than some other minerals. It is important to most of the body’s systems. It also helps our stomach to determine what food items or nutrients to keep and what to dispose off.

Therefore, it is very important for a person to consume the right amount of nutrients that a human needs. Their deficiency not only causes depression, but also many other diseases and illnesses. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.

3116 people found this helpful

Hi, I again took the same tablet after 3 days. But now it's been 13 days of consumption of my first tablet, I haven't received withdrawal bleeding. Are there any chances of mine being pregnant? What are the side effects of consuming these tablets?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, I again took the same tablet after 3 days. But now it's been 13 days of consumption of my first tablet, I haven't...
Hi lybrate-user. Whether you are pregnant or not that can be confirmed by urine pregnancy test. And the side effects are many. Better use condoms next time.
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Sir, I have a one question regarding pregnancy, actually I had sex with my fiancee on 24 march-2015. Then she's period time is coming on 8 april, but not come in period. Then I check pregnancy test of her. I shocked that time. I gives a table of abortion on 18 april. She took the tablet and after that running bleeding, but I have a big tension that she yet or still not come in period. Please please suggest me right way! thanking you.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
1. Do a pregnancy test again. 2. If no pregnancy no worry 3. Periods is delayed due to the tablets she has taken 4. To confirm do a ultrasound scan.
3 people found this helpful
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Hirsutism - 4 Ways it Can be Treated!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
Hirsutism - 4 Ways it Can be Treated!

There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.

What is Hirsutism?

Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.

Why do some women develop Hirsutism?

In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.

Causes of Hirsutism

The common causes of hirsutism include:

1. Endocrine causes

  • Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS (polycystic ovarian syndrome).
  • Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
  • Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.

2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens

3. Medications

  • Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
  • Performance enhancing drugs (often used by athletes)

4. Idiopathic - The woman may be having hirsutism despite normal hormone levels

Treatments

There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.

Medical treatments for hirsutism -

1. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.

2. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.

- Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.

- Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.

- Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.

However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.

3. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.

4. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.

Cosmetic treatment for hirsutism -

One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.

Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA. If you wish to discuss about any specific problem, you can consult a dermatologist.

4029 people found this helpful

Hi I have itching in my vagina, and it staying continuously, its not happened sometime, And not only itching I have bad smell white solid material and small rash as well. I consult with the doctor also bt no profit at all. Please suggest me medicine or something which can be helpful for me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
this can be fungal infection so apply antifungal oint. twice a day. see a doctor and also get blood sugar done
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