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Dr. Pankaj Paul

Gynaecologist, Delhi

300 at clinic
Dr. Pankaj Paul Gynaecologist, Delhi
300 at clinic  ·  ₹ online
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Personal Statement

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. Pankaj Paul
Dr. Pankaj Paul is a renowned Gynaecologist in Hari Nagar, Delhi. You can consult Dr. Pankaj Paul at Paul Nursing Home & Child Care Centre in Hari Nagar, Delhi. Save your time and book an appointment online with Dr. Pankaj Paul on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 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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B-E217, Lane-5,Hari Nagar, DelhiDelhi Get Directions
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My pregnency test is positive.But am suffering bleeding still 10 Days (per day 2pads)i consult doctor she said only gestation sac in your utrus

DNB, MBBS
Gynaecologist
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Pregnancy test positive with bleeding may not necessarily ends with abortion .Presence of gestational sac says atleast a pregnancy is growing inside the uterus,may be an early pregnancy thats why fetal pole or the small baby is not visible .I want share the storyof a lady with history of two consecutive 2ndmonth spontaneous abortions came to my clinic with another pregnancy with bleeding .Similar to your cas she had nothing in her 1st USG,after one week gestationa sac came,thereafter fetal pole also was visible after 1week and she was bleeding like you through out,she was given only progesterone (hormone0 support,recently she delivered a live healthy baby .I wish you luck .

My periods are irregular. I had to get my periods on 27 th july. Still I didn't get my periods. I did 2 pregnancy test. Both of them came back negative. I have sore breast and milky white discharge from vagina. I have PCOS also. What shall I do?

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist
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My periods are irregular. I had to get my periods on 27 th july. Still I didn't get my periods. I did 2 pregnancy tes...
PCOS IS NOT A DISEASE BUT A CHANGE IN TEH BODY. UNLESS YOU ARE MARRIED YOU DONT NEED ACTIVE TREATMENT. BECAUSE EVEN IF YOU TAKE TABLETS NOW THE PERIODS WOULD BE REGULAR TILL YOU ARE ON THE TABS. ONCE YOU STOP THE TREATEMENT PERIODS WOULD GO BACK TO THE STATE THEY WERE IN. KEEP A TRACK ON YOUR WEIGHT

I am 26 year old. Trying to conceiving. I do yoga or surya namaskar? Did these exercise can effect for conceiving?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 26 year old. Trying to conceiving. I do yoga or surya namaskar? Did these exercise can effect for conceiving?
Yes it will effect on conception it give strength to uterus bu you should consult yoga teacher personally and learn yoga properlly.

I'm 19 year old female I'm having pain on my left breast. I had sex on July 4. Can you help me out. What this pain points?

BHMS
Homeopath
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I'm 19 year old female I'm having pain on my left breast. I had sex on July 4. Can you help me out. What this pain po...
It could be due to man handling of the breasts. Please take belladonna 30 - thrice daily for next 4 days. Continue treatment.

Hi dis s sreevani. Iam 28 years old, recently married just 2 months. I have a problem irregular periods after married.

BHMS
Homeopath
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Hi dis s sreevani. Iam 28 years old, recently married just 2 months. I have a problem irregular periods after married.
Hello take agnus pentarken , 2 tabs twice daily. take puls. 200, 5 drops once in a week. Revert me after 15 days.

My last menses day is jan 4.and am pregnant how many weeks it will be till today and wen will be my delivery day.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist
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My last menses day is jan 4.and am pregnant how many weeks it will be till today and wen will be my delivery day.
As per your LMP your EDD will be October 11 th provided your cycles were regular atleast for three months before conceiving.And not every one will deliver on EDD.You will deliver by September end or October first week.Now you are I your 34 th week completing.

Recently have a urine test results show as no bacteria and have a hiv test result show as negative and they took a blood test and it shows normotic normochromic blood picture! still possible to get STD.

Doctor of Medicine
General Physician
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Recently have a urine test results show as no bacteria and have a hiv test result show as negative and they took a bl...
Sexually transmitted disease can only be possibly when exposure is there, if the test is negative then it is nothing to worry but this does not ruled out the possibility of any infection if exposure is there, if you want to save from infection then be safe as long as coitus is concern.

I am getting itching in my whole body and pain during periods and have headache and losing of my hair and weight also.

Vaidya Visharad
Ayurveda
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I am getting itching in my whole body and pain during periods and have headache and losing of my hair and weight also.
To stop or control hair loss, increase your intake of green leafy vegetables, salad, fruits and sprouts. Include yeast, wheatgerm, soybean, whole grains and nuts in your meals. Massage the scalp gently with coconut or almond oil daily for 10 to 15 minutes.

I am in pregnancy period sixth month is going but every time I feel pain in my stomach and some water is coming too. What is the solution? pls help me.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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I am in pregnancy  period sixth month is going but every time I feel pain in my stomach and some water is coming too....
If water is coming through mouth, then avoid spicy food. Avoid taking water in empty stomach. If excessive, consult doctor. Do not take drugs without consulting gynecologist. Remember some of this problem is normal in pregnancy.

MD PULMONARY, DTCD
Pulmonologist
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Smoking in pregnant mother can cause preterm delivery,low birth wt baby and chances of asthma are more in new born.Even passive smoking have same effect.

Best Diet For A Healthy Gut

Diploma in dietetics, PG certificate in Diabetes Education, BPTh/BPT, Verified Certificate in Nutrition for health promotion and disease prevention
Dietitian/Nutritionist
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Contrary to popular belief, not all bacteria are harmful to us. Within our body, each 'human' cell is complemented by 10 microbial cells. These range from bacteria in the gut to viruses and fungi in other parts of the body. Gut bacteria help us to digest food, produce vitamins, communicate with the immune system and create small molecules that help the brain to function.

Thus, it is essential to have a healthy gut, by which we mean a gut with plenty of friendly bacteria. There are many different types of bacteria living in the gut. Each of these thrive on different foods. Thus to have a healthy gut, your diet should include a variety of cereals, fruits, and vegetables, etc. Here are a few tips to keep your gut bacteria healthy.

Increase your fiber intake
A diet that is rich in fiber is the best way to promote the growth of diverse microbes in the gut. This includes fruits, vegetables, beans, lentils, cereals and nuts. Fiber also helps prevent constipation and has been linked to lowering the risk of cancer. To prevent the buildup of gas and bloating it is advisable to increase intake of fiber and drink plenty of water with all your meals.

Include probiotic foods in your diet
Probiotics need not only be taken in the form of supplements. This can easily be incorporated into your daily diet. These can be defined as live bacteria and yeasts that help the digestive system. Yogurt is one of the most common sources of probiotics. Kimchi or fermented vegetables, miso, cheese, buttermilk, fermented condiments and lentil sprouts are other examples of probiotic foods you should include in your diet.

Try having some carminatives in your meals.
Carminative foods soothe the digestive system of the body. Some common carminatives are cumin, ginger, oatmeal, cardamom, cinnamon and fennel. While cumin helps with the digestion of black beans, cooked oatmeal lines the stomach and soothes it.

Eat weight loss friendly food
Being overweight not only affects how you look, but also affects the digestion process. When you lose weight one of the first things you would notice is a lowered amount of abdominal discomfort as your gut begins to feel healthier.

This is because weight loss lowers the pressure on the lower esophageal sphincter. This does not allow the valve to open more than necessary and hence prevents food and stomach acid flowing back into the esophagus. Along with increasing your intake of fruits and vegetables, switch your cooking oil to olive oil and notice the difference.
Best Diet For A Healthy Gut

I need to increase hemoglobin level as I lost most of the blood in menses my age is 20 I need diet chart of 15 Days.

PDDM, MHA, MBBS
General Physician
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I need to increase hemoglobin level as I lost most of the blood in menses my age is 20 I need diet chart of 15 Days.
You can take green leafy vegeatables, beetroot, brown rice, beans, dates, egg yolks, nuts, soyabeans and lentils.

DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist
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What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:


Coughing during or right after eating or drinking
Wet or gurgly sounding voice during or after eating or drinking
Extra effort or time needed to chew or swallow
Food or liquid leaking from the mouth or getting stuck in the mouth
Recurring pneumonia or chest congestion after eating
Weight loss or dehydration from not being able to eat enough


As a result, adults may have:


Poor nutrition or dehydration
Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
Less enjoyment of eating or drinking
Embarrassment or isolation in social situations involving eating


Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:


Swallowing therapy
Dietary changes and
Feeding tubes


Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:


A nasogastric tube - a tube that is passed down your nose and into your stomach
A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach


Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

I'm 19 years old female. My husband just touched his with mine. Not inserted. This happened approx 15 days ago. I'm missing my periods now. As I was to have at about date-10. Can I use the tablets. mifepristone n Misoprostol. Plzs help. M scared.

BHMS
Homeopath
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I'm 19 years old female. My husband just touched his with mine. Not inserted. This happened approx 15 days ago. I'm m...
If he has not inserted and ejaculated in you, then there is hardly a chance that you are pregnant. But if you still have a doubt, you may check it by pregnancy kit available in chemist stores. It will almost confirm that if you are pregnant or not.

Food supplements

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist
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Dietary supplements in the form of natural food items are better and effective without side effects in comparison to drugs. So always look for vegetables and fruits that r organic in nature. Also there r some food companies that provide these food supplements like amway and supple.
Food supplements

I am 45 years old female Every month after my periods ie after 3 rd day I am getting pain in my lower abdomen left side. The will continue for 10 days please suggest remedy for this.

BAMS
Ayurveda
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I am 45 years old female Every month after my periods ie after 3 rd day I am getting pain in my lower abdomen left si...
Dear, stomach pain occurs during periods is due to contraction of muscles of uterus. For take relief follow these methods: * take i/3 rd piece of ginger boil it in one glass of water, when half glass water remain then take it with one teaspoon of ajwayin. * use warm water bottle put it on your stomach area with wrap in the towel. * take rest properly do not do hard work. *do running and jogging daily for 5 to 10 minutes. Do not do running and jogging before 7days from periods coming date. * do massage with lukewarm mustard oil around area below stomach and back.

I am 23 year old girl and I am Having irregular periods and has cyst in the right ovary plus gaining weight also. How to overcome from this situation?

BHMS
Homeopath
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Hi, due to hormonal imbalance your periods are irregular and gaining weight. Homoeopathy is the permanent solution for these problems. With these medicines symptoms donot appear in future also. Please provide more details.

What happens if the male drink a girls vaginal discharge like white water or a male drink a girls periods blood or discharge.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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HELLO, Such practice is not recommended at all if either has an infection, but menstrual blood drinking is an absolute no.

I am pregnant second time. First baby was with c section. Pls advise for normal delivery thid time.

BHMS
Homeopath
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I am pregnant second time. First baby was with c section. Pls advise for normal delivery thid time.
There is nothing one can advice because it depends upon what are the circumstances. In the scenario, when labour stops, or baby's heart rate is affected or oxygen supply have been disturbed by the prolapsed cord. You need to visit gynaecologist, although gynaecologist may advise you to go for c-section as it is the safest method and moreover you have undergone c-section earlier too.

My friend a 27 years old female experiencing all day long sleepiness for some time. This condition is noticeable for 1 week. She yawns for all day long and feel tired though she is not involved any kind of physical activity. A little excessive urine problem. And she experience a little abdomen pain before periods and timing varies. Bp is little low.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist
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My friend a 27 years old female experiencing all day long sleepiness for some time. This condition is noticeable for ...
Ask her to check her serum vitamin d3 and vitamin b 12 levels. She may also have iron deficiency. If so then it needs to be corrected immediately. She also needs to eat a nutrient dense food. Her diet should comprise of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. She need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, white rice and products, bread. Drink a lot of water. Exercise atleast 5 times a week. Do not overeat. Eat 3 proper meals and 2 snack in between. Stop when your stomach is 80% full. Eat slowly.
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