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Dr. Neera Aggarwal

Gynaecologist, Delhi

600 at clinic
Dr. Neera Aggarwal Gynaecologist, Delhi
600 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Neera Aggarwal
Dr. Neera Aggarwal is one of the best Gynaecologists in Patparganj, Delhi. You can visit her at Max Super Speciality Hospital-Patparganj in Patparganj, Delhi. Book an appointment online with Dr. Neera Aggarwal on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 40 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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Hindi

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#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, DelhiDelhi Get Directions
600 at clinic
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I am 37 years become pregnant now. It is 45 days now but my hba1c is 11. 5%. Please tell me any complication will affect my after of before birth ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Risk of complication is higher. Ideally you should have lowered down hba1c before pregnancy. Now, don' t get panic. Get regular check up and detailed scanning to detect abnormalities in baby. Also you need good sugar control.
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Boerhaave Syndrome

md general phisician
General Physician, Hyderabad
Boerhaave Syndrome

Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
 

Pathophysiology
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]

Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide. [3] a 1986 summary by bladergroen et al described 127 cases. [4] of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Mortality/morbidity

Prognosis
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
 

Morbidity/mortality
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
 

Complications
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.

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MD
General Physician, Delhi
Most common infection durning monsoon season.
1. Skin infection, most skin infection flourish inside folds of wet skin.
Symptoms
Itchy skin
Rashes
Redness
Tenderness
White patches
Treatment: antifungal skin ointment, in sever cases oral medication.

Eye and ear infection.
Conjunctivitis: inflammation of the conjuctiva, caused by bacterial infection.
Symptoms
Watery eyes
Red or pink eyes
Yellowish discharge from eyes
Treatment: course of antibiotic and lubricants eye drop.
22 people found this helpful

I had unprotected sex 2days after finish period and took I pill within 24hrs and I got bleeding after around a week (it was like period) and I missed period for 2 months according to my regular cycle and also I took home pregnancy test 3 times but the results are all negative and I am not having any kind of pregnancy syndrome, what might be problem?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
All these problems you are having is because of I pill which makes your menstrual cycle irregular. First of all you must know your fertility period. If you take day 1 as the first day of your period then you can get pregnant between day 10 and day 16. So taking I pill two days after your periods was not needed. Now you have taken it and you got periods after one week, that is the effect of I pill. The effect of I pill stays for about 1-2 months. So be patient and wait and meanwhile do not have sex without condoms.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
The Twelve
Tissue Salts

1. CALC. FLUOR. 7. KALI SULPH.
(Calcium Fluoride) (Potassium Sulphate)

2. CALC. PHOS. 8. MAG. PHOS.
(Calcium Phosphate) (Magnesium Phosphate)

3. CALC. SULPH. 9. NAT. MUR.
(Calcium Sulphate) (Sodium Chloride)

4. FERR. PHOS. 10. NAT. PHOS.
(Iron Phosphate) (Sodium Phosphate)

5 KALI MUR. 11. NAT. SULPH.
(Potassium Chloride) (Sodium Sulphate)

6. KALI PHOS. 12. SILICA
(Potassium Phosphate) (Silica Oxide)
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I am 32 week pregnant. My scan Dr. noted that my uterus status is an unicornuate uterus. So my Dr. suggested take bed rest. They give tablet for this. The tablet is duvadilan 10 mg. Is it ok for this? Is unicornuate uterus serious in my pregnancy state? Bed rest means?

MD - Obstetrtics & Gynaecology, DGO, Diploma in Obstetrics & Gynaecology
Gynaecologist, Jalgaon
I am 32 week pregnant. My scan Dr. noted that my uterus status is an unicornuate uterus. So my Dr. suggested take bed...
Unicornuate dosent per se cause any pain. Bed rest means do your daily routine and rest. Do not work.
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After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.

Pediatrician, Kaithal
Late starting of breastfeeding is the main cause, as baby sucking is best stimulation for better breast milk output. Continue to feed. Also check your medicines, you are taking. If there is Pyridoxine in any drug, please stop it as it also decreases milk output.
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FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
WHO IS AT RISK OF STD

Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. That said, teenagers and young adults acquire STDs more easily than older people. By age 25, half of sexually active adults get an STD. Having multiple sex partners also raises the risk, some STDs are on the rise in men who have sex with men, including syphilis and LGV.
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My wife wish clitoris orgasm before penetration or intercourse. If I give clitoris orgasm before intercourse, she will not enjoy intercourse. Now what should I do that she enjoy intercourse? I am doing this same from 3 years Please help.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
My wife wish clitoris orgasm before penetration or intercourse. If I give clitoris orgasm before intercourse, she wil...
IN MY OPINION SEX MUST BE SATISFACTORY FOR BOTH PARTNERS . IT SHOULD NOT BE ONE SIDED. STIMULATION AND FOREPLAY SHOULD BE FROM BOTH SIDE AND WHEN BOTH THINKS READY TO GO FOR INTERCOURSE THEY SHOULD HAVE IT . BUT AS YOU DO THAT'S INCOMPLETE AND FLAWED PROCEDURE . WISH YOU GOOD HEALTH.
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Hi Me and my boyfriend had some intimate moments last night and we were full clothed. He once fingered me that was not so deep and hand was dry that time. However he ejaculated in his pants. Is it possible to be pregnant without intercourse or by touching vagina.

MBBS
General Physician, Noida
He touched your vagina with a dry hand; and he ejaculated in pants ,so it is not any intercourse-Do not worry no chance of any conception; If you are so scared ;you can take i-pill in future immediately after intercourse, but at least enjoy your intimacy to the fullest-
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Anterior Cruciate Ligament

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Play video

Here are health-related tips of Anterior Cruciate Ligament

3125 people found this helpful

I am not getting my periods on time and I am becoming fat also I dnt have thyroid problem my ovaries are little bit bigger in size so plzz tell me some medicine and some home remedies and guide me what diet should I eat.

B.H.M.S
Homeopath, Patna
Viburnum opu q take five drop in a cup of water for one month. Pulsatilla 1m one drop in a month. Report in one month.
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M 22 years old. I have bad smell in vagina. what should i do to remove that smell from my vagina?

BHMS
Homeopath, Raebareli
Thank you for writing to us. Please note the following for your condition: vaginal odor can be due to a number of reasons, such as bacterial growth, yeast infections, poor hygiene, hormonal changes, and sexually transmitted diseases. If the problem is due to infection, there may be symptoms like redness, itching, burning and irritation in the vaginal area. A fishy odor down there, in particular, is caused by bacterial vaginosis. No matter what the reason, vaginal odor can be very embarrassing. There are many natural remedies to help treat vaginal odor. Due to its antibacterial and antiseptic properties, apple cider vinegar can be used to fight vaginal odor. In fact, taking a bath with apple cider vinegar is one of the simplest ways to get rid of the bad odor. This will help fight off the toxins and bacteria that cause vaginal odor. It will also help restore the acidic quality of the vaginal flora. Mix two cups of apple cider vinegar in warm bath water. Soak in it for about 20 minutes. Follow this remedy several times a week to get quick results. You can continue with the homoeo-medicines parallely. For further queries get back to me. Thanks.
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We had sex. Unprotected for one or two shots. I didn't ejaculated inside her. The next day we had protected sex. Using condoms. The very next day she had periods. Could she be pregnant? I'm worried. We are not ready for a baby now.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
just get confirm dat d day c started bleeding ws her period date. if not wait till her period starts
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Hello sir are there any side effects to use unwanted 72 pill. And do we need to use it daily. How often we can use that tablets. Please suggest.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
If you take it regularly, then your life will be ruined- it will cause hormonal problems, period abnormalities and also problems in having pregnancy later on.
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How to prevent from pregnancy after unprotected intercourse. Is tablets are helpful to prevent. Please advise me. What are the symptoms for pregnancy. When will the symptoms find from the day of intercourse.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
How to prevent from pregnancy after unprotected intercourse. Is tablets are helpful to prevent. Please advise me. Wha...
Ipill or unwanted 72 are available without prescription. Best taken within 12 hours. Failure rate is around 25%. If the periods are delayed more than 7 days, pregnancy can be suspected.
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Have had abortion 5 weeks back, but no periods yet had sex only once with pull out method about 2 weeks back from today, negative pregnancy test, bloaty stomach and cramping from last week but no periods yet, kindly suggest me I can be pregnant.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Have had abortion 5 weeks back, but no periods yet had sex only once with pull out method about 2 weeks back from tod...
Hello after miscarriage, first period may be irregular, heavy or scanty. You may be going to have your period in a shortwhile. If not, go for a pregnancy test again archana gupta.
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