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Dr. Parash

Gynaecologist, Delhi

400 at clinic
Dr. Parash Gynaecologist, Delhi
400 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Parash
Dr. Parash is a renowned Gynaecologist in Shahdara, Delhi. Doctor is currently practising at East Delhi Medical Center in Shahdara, Delhi. Book an appointment online with Dr. Parash and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 35 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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East Delhi Medical Center

1/550, Gt. Rd, Masarover Park,Shahdara, DelhiDelhi Get Directions
400 at clinic
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A dog bite my wife on 2nd august and she received all the 5 vaccines except booster. The last vaccine was given on 19th august. The problem is that that we were physical on 20th and also we had oral sex. I have heard that vaginal secretions still contain rabies virus. Is it so? Am I safe? Do I need to take antirabies vaccine? Please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Yes rabies virus can be seen in vaginal fluids if she is symptomatic , however if vaccination has been taken then she should not be shedding virus. You should nevertheless take vaccination to be on a preventive side.
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I am 35, I am trying for my first baby. I have 17 days late period but still negative test what is the region behind this?

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
For starters, 35 is leaving it a bit late for your first baby - it not only becomes more difficult, but can cause complications. However, you can bolster your system with selected vitamins, minerals and essential elements.
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My menstrual cycle was on Dec 5th but it came on Dec 13. So when the egg will be from the ovary and how should I know I'm ovulating.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My menstrual cycle was on Dec 5th but it came on Dec 13. So when the egg will be from the ovary and how should I know...
Hello, As your menses have been irregular so you have to opt for ovulation kits to check for your ovulation period, starting from day 1 of your cycle and daily till the result shows positive.
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After pregnancy, my wife had put on a lot of fat around my stomach, what diet/exercise should I follow to shed it of my body?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Sir pls check thyroid levels of yours wife n send me proper details about your wife like any medicine habbits n diets routine
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Respected Doctors I have pcos. Nd I am taking metformin and folic acid. My LMP is 24-11-16. Today ultrasound is done and two sac of 9 mm nd 5 mm is found. But no yolk sac or fetal node is found. My concern is that I am not feeling pregnancy symptoms at all. Some days ago, I was feeling nausea. But from last two days all gone. please guide.

BHMS, PhD Arthritis
Homeopath, Chennai
Respected Doctors
I have pcos. Nd I am taking metformin and folic acid. My LMP is 24-11-16. Today ultrasound is done ...
Dear Lybrate user, Nausea not only for Pregnancy, due to some other disturbance. Try to reduce the weight, drink plenty of water. Should avoid Junk food. Do not wry.
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I am 7th month pregnant and I want to know about the gender of my baby through ultrasound. Please help me as it's my first baby.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 7th month pregnant and I want to know about the gender of my baby through ultrasound. Please help me as it's my ...
wait for two more months,you would do know ,anyways ,you should be more bothered about your health and baby rather than the gender,so will expect you now onwards to stop this attitude.Girl child is an amazing gift given by God,and so is the boy child, girl is a creator of new life and boy is a runner of flagging the family name,but without a girl boy has no value,so request you nurture your mind towards the new member going to be added to your family and enjoy the impending motherhood.
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I am 19 years old female. I have lump on my left breast and also right breast. Sized 2.5cm. After doing fnac needle test it shows its fibroadenoma? is it safe? can I leave as it is? or should I operate it? if so when can I operate it? after operated will I get any problem?

MS - General Surgery
Oncologist, Ludhiana
Fibroadenoma is benign condition and it is safe. If you leave it, it will increase in size. Treatment of fibroadenoma is surgery. One fibroadenoma is removed there will be no problem related to it.
1 person found this helpful
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Super fact of the day - 23rd October, 2015

Clinical Exercise Specialist, Certificate in Population Health, Certificate in Diabetology and Prevention, Nutritionist, MHSc (Public Health), MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Super fact of the day - 23rd October, 2015
Super Fact of the Day: Building New Muscle is Quicker Than Losing It!

This is a good news. It takes twice the time to lose new muscle if you stop working out than what it took to gain it. That's because it’s easier and quicker to build new muscle tissue. But that's no reason to skip your workout!

Would you like to share this interesting fact with family or friends? Go ahead and click on 'Share'.
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Sir, my wife is 22 yr old. We have a female baby of 2.5 year old.* she has inserted by copper t before 6 months .At present we are going for family planning by tubectomy. The people say after few years these ladies will suffer by by many diseases related to uterus etc. What may be the safety measure .please suggest.

MBBS, DGO, Master of Population Studies (MPS), FICOG
Gynaecologist, Ghaziabad
Sir, my wife is 22 yr old. We have a female baby of 2.5 year old.* she has inserted by copper t before 6 months .At p...
If your does not have any problems with Copper T, then continue with it. She should not get Tubectomy done before 30 year. My advice.
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Doctor has prescribed 2 medicine 1) siphene 100 mg for 5 days and 2) hyponid for 1 month. Today being 3rd day of her period. We are planning for the baby. Is this medicine are good?

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist, Mumbai
Doctor has prescribed 2 medicine 1) siphene 100 mg for 5 days and 2) hyponid for 1 month. Today being 3rd day of her ...
Hi, usually ovulation occurs on day 14 if cycles are regular of 28 days. Siphene helps in egg formation and rupture. If intercurrent occurs around that time, then chances of having pregnancy are really good. Considering all reports are normal. All the best!
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Is there any permanent way of curing pcod which doesn't increase the weight. I am not getting bleeding in periods just one day. My age is 26. Kindly reply I am taking ovacare myo glyciphage SR 500 mg n ginette 35.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
Is there any permanent way of curing pcod which doesn't increase the weight. I am not getting bleeding in periods jus...
Stop junk food and exercise everyday and have small and frequent meals. This is the permanent solution of pcos.
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I had sex on 2nd April, got my periods on 16th. Took 6 pregnancy test, all negative, again had my periods on 8th May, but I feel nausea and my stomach is beating, am I pregnant?

BHMS PGCGO
Homeopath, Hubli-Dharwad
I had sex on 2nd April, got my periods on 16th. Took 6 pregnancy test, all negative, again had my periods on 8th May,...
if pregnancy test are negative then you are not pregnant. it may be due to acidity or any other reason
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Can placenta previa cure after 30 week of pregnancy. Is it necessary to bleed in this condition?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Can placenta previa cure after 30 week of pregnancy. Is it necessary to bleed in this condition?
Yes as placental migration can occur as late as 36-37 weeks. No you wont always bleed specially with the minor types. However the risk is always to be borne in mind.
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I am 19 weeks pregnant. Can I watch movie in cinema hall? Is it safe? Dose it cause any harm to my baby? Please suggest me.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
I am 19 weeks pregnant. Can I watch movie in cinema hall? Is it safe? Dose it cause any harm to my baby? Please sugge...
Dear lybrate-user until and unless you are not over exerting or commuting too long distances and getting in to a good cinema hall with proper hygiene with very good washrooms you are absolutely free to go and enjoy yourself. God bless.
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Hi dr. I gave birth to a girl child on 11 dec, however got my periods for 40 days. Later after a weeks time I got it again for a week and for another week I was free, then it startef again and is still continues. Can you please advise the reason for the same?

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
This may happen if there is subinvolution of the uterus (uterus has not returned to its pre-pregnancy size) due to any cause like retained products of conception or fibroid uterus. It may also happen because the hormones in your body have not fully settled yet. It is better to see your Gynaecologist for the evaluation of the causes in your case and treatment of the same. Meanwhile, make sure that you are taking your iron supplements without fail.
1 person found this helpful

Homeopathic Remedies For Vaginal Candidiasis!

MD (Hom)
Homeopath, Bangalore
Homeopathic Remedies For Vaginal Candidiasis!

The vagina is a home to number of different types of fungi that under normal conditions are harmless. However, if the immune system is weakened, the Candida fungus can multiply and lead to a yeast infection or vaginal thrush. This condition is marked by the inflammation of the vagina and vulva along with itchiness in the vagina, discharge and a burning sensation while urinating.

Vaginal Candidiasis can be very well controlled with Homeopathic remedies. The recurrence of Vaginal Candidiasis can also be prevented with suitable Homeopathic remedies. Homeopathic medicines, which are made from natural substances, help to extract the disease from its root by raising the body’s immunity. When the immune system gets strongly empowered with Homeopathic remedies, the flourishing of fungus in vagina gets halted. As the fungus growth gradually declines, the symptoms also disappear along with it.

Homeopathy is an excellent way of treating this infection. As it has negligible side effects it is safe to use for both children and adults. Homeopathic treatment of this condition also prevents it from recurring by extracting the root cause of the infection and boosting the body’s immunity. Some popular homeopathic remedies for Vaginal Candidiasis are:

  1. Sepia and Calcarea Carb: These are often prescribed in cases where there is a white vaginal discharge. Sepia is prescribed in cases where women also complain of itchiness that is not resolved by scratching, soreness and swelling of the labia minora, vulva and vagina, heat in the genital area and excoriation of the vulva. In cases where the discharge worsens after passing urine or where the discharge is accompanied by burning and itchiness is the genitals, calcarea carb is prescribed. Here, a woman may find her symptoms worsening before and after periods and may notice swelling and redness of the vulva and vagina.

  2. Pulsatilla: Vaginal candidiasis that is characterised by a creamy vaginal discharge can be treated with pulsatilla. The discharge is usually also accompanied by burning and itchiness in the genital area and experienced throughout the month. Some women also complain of a backache and may experience an absence of thirst along with the desire for cool air.

  3. Thuja and Nitric Acid: This is used to treat cases of Vaginal Candidiasis accompanied by excessive soreness and ulcers in the vulva and vagina. Thuja is prescribed especially in cases where there is excessive discomfort in the form of burning sensations in the vulva and vagina. Nitric acid is helpful in cases where a stitching pain is prominent and there is a complain of irritation in the genital area. A white vaginal discharge may also leave behind a yellow stain in such cases.

  4. Monilia Albicans: This is used when there is a presence of cracks or fissures in the vagina or vulva accompanied by itchiness. Some women may also notice the presence of vesicular eruptions that contain fluid on the vulva or vagina.

  5. Helonias: This is used to treat cases marked by a curd-like the deposit in the vulva. The patient may also complain of inflammation and redness of the genital area along with sensations of heat and burning. A backache, weakness and prostration are other common symptoms that can be addressed by this homeopathic remedy. If you wish to discuss any specific problem, you can consult a homeopath.

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Is sex safe during periods? And to get pregnancy at what time we should do sex I mean after ending of period date or before period? please advice me.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Is sex safe during periods?
And to get pregnancy at what time we should do sex I mean after ending of period date or ...
Leave four days of periods and four days after periods and leave 10 days before period and you get the period when pregnancy can happen. Other period is unsafe.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
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