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Dr. Neelam Sethi

Gynaecologist, New Delhi

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Dr. Neelam Sethi Gynaecologist, New Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Neelam Sethi
Dr. Neelam Sethi is a popular Gynaecologist in New Delhi, Delhi. She is currently practising at Dr Neelam Sethi's Clinic in New Delhi, Delhi. You can book an instant appointment online with Dr. Neelam Sethi 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 Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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41 Uday Park, August Kranti Marg , Khel Gaon MargNew Delhi Get Directions
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Seasonal Wheezing - Best Ways It Can Be Controlled!

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Seasonal Wheezing - Best Ways It Can Be Controlled!

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

  1. Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
  2. Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
  3. Attacks of cold or flu can lead to an asthma attack.
  4. Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
  5. Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
  6. Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.

Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

  1. The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide.
  2. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast.
  3. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.

A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).

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

5664 people found this helpful
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Hello Sir I am have had sex with my wife without using condom 2 weeks before and I gave her pills to have also but she not get her period yet. She always have a period on 12th of every month but this time she did not get yet. Can you explain me with this.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hello Sir I am have had sex with my wife without using condom 2 weeks before and I gave her pills to have also but sh...
Hi delayed period could be because of stress or hormonal imbalance too. Better to do urine pregnancy test to rule out pregnancy first.
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Can Food Allergies Be the Likely Cause of Your Infertility?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Can Food Allergies Be the Likely Cause of Your Infertility?

Infertility in a woman refers to the inability to conceive after having regular unprotected sex. Cases of unexplained infertility have been on the rise recently. Though obstructed fallopian tubes and ovulation disorders are some of the common causes of infertility, reasons pertaining to dietary changes can also be responsible. Food allergies and dietary changes affect infertility to a great extent; and if you're struggling with conception or infertility, reviewing your diet can help.

Gluten is a basic food constituent that is likely to cause infertility. Gluten is a protein found in grains like wheat, rye, and barley. Among the general population, women suffering from unexplained infertility have a higher incidence of gluten intolerance. Gluten intolerance is also related to miscarriages, and if left undiagnosed can lead to malabsorption of micronutrients like iron and zinc. Following and maintaining a gluten-free diet may relieve a sufferer from the symptoms. Try and include gluten free cereals like rice, corn and gluten free oats to manage the situation.

Inflammation - Another connection of food allergies and infertility would be inflammation. Inflammation occurs when the food allergens reach the stomach. This inflammation, if heightened, can cause damage to the fallopian tubes and the ovary. The body responds to the food allergens by treating it like a foreign substance that needs to be eradicated, and when your immune system is subjected to chronic inflammation, it can lead to infertility.

Additionally, apart from food allergies, even the consumption of certain foods and beverages can be a reason behind infertility, with those being rich in caffeine being a major cause. Increased consumption of caffeine can augment the risk of infertility and delayed conception. However, avoiding caffeine and eliminating problematic foods along with a careful scrutiny of your diet can increase your chances of getting pregnant.

'Consult'.

Related Tip: How Stress and a Sedentary Lifestyle Make You Infertile

4884 people found this helpful

Hello Dr. sir my wife is 31 weeks pregnet having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnant having b negative blood and my is A postive .is any complections in my wife pregency she is ist tym pregnet. thanks complications positive .is any complections in my wife pregnancy she is ist tym pregnet. Thnks.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Dr. sir my wife is 31 weeks pregnet having b negative blood and my is A postive .is any complections in my wife...
Hello, There should not be any complications but she should receive ANTI-D injection at 28 weeks and also with 72 hrs after delivery, to prevent isoimmunization.
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Actually this is about vaginal discharge. I feel uncomfortable talking about this to anybody else. So the discharge color varies. And sometimes it even stinks a bit. My vaginal area feels itchy sometimes. I don't what to do. Is it something serious. Please let me know.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi lybrate-user White discharge is normal in women. It changes during the cycle, from dry to sticky. If the is no itching, bad odour, or green/brown in colour, or thick and curd like, you do not have to worry. Occasional itching happens due to dryness, not infection. If you are bothered by it, please see a gynaecologist.
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Hi doctor, I want to sex with my wife to anal for long time without paining her. Is there's any risk while doing anal sex how to do it safely?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
There is no safeway of doing annual sex as it is an unnatural way of inter course, rather a perversion. Anal sex can cause trauma to the anal canal, fissures and infections to your partner. It's best to avoid it.
1 person found this helpful
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We had IVF first cycle. But embryo develop up to Morula stage on Day 5 All embryo freeze So can we transfer these embryo?

MBBS
General Physician, Mumbai
In my view, There is no harm in transferring the morula stage embryo which is done as a usual procedure
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Renal Biopsy - When Should You Go For It?

MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Renal Biopsy - When Should You Go For It?

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. 

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

2941 people found this helpful
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