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Dr. Pragya Garg

Gynaecologist, Delhi

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Dr. Pragya Garg Gynaecologist, Delhi
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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. Pragya Garg
Dr. Pragya Garg is an experienced Gynaecologist in Dilshad Garden, Delhi. You can visit her at Maxwell Clinic in Dilshad Garden, Delhi. Save your time and book an appointment online with Dr. Pragya Garg on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 25 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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#A-2/G-2, Block-A, Dilshad Garden, DelhiDelhi Get Directions
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Diagnosis and Management For Emphysema

MBBS, MD - Pulmonary Medicine
Pulmonologist, Faridabad
Diagnosis and Management For Emphysema

Emphysema is a breathing disorder that has no cure and worsens with time. The symptoms of emphysema - a feeling of tightness in the chest, persistent cough, wheezing and breathlessness – are caused due to destroyed or impaired functioning of lung tissue.

Diagnosing Emphysema
A thorough physical examination which would include weight and blood pressure checks would be performed. The doctor would also listen to the heartbeat to determine if it sounds strange or different.

In addition to checking for the signs and symptoms of emphysema, a physical examination would also help the doctor in determining the following:

  • Whether the fingertips are rounded. This condition is also known as “clubbing”.
  • Whether you have a rounded or “barrel chest” which is caused by lungs that are larger than normal.
  • If the lips have a blue tinge also known as cyanosis, which is a sign of low levels of oxygen in the blood.
  • Signs of malnutrition as in advanced cases of emphysema the muscles slowly waste away.

Tests For Emphysema
A doctor would recommend additional tests to confirm his diagnosis of this lung condition. Some of the tests are:

  • Pulmonary Function Tests or PFTs and spirometry tests would be advised to measure the volume and capacity of the lungs.
  • A chest X-ray is useful to diagnose advanced emphysema as the lungs appear larger than normal in patients with this condition.
  • A CT scan of the chest will show the air sacs or alveoli have been destroyed.
  • The blood test report of patients with emphysema would show a high amount of red blood cells. The production of red blood cells in the body increases due to the reduced levels of oxygen.
  • A pulse oximetry test also known as an oxygen saturation test could be done to measure the amount of oxygen in the blood. A monitor would be attached to the patient’s forehead, finger or earlobe to carry out this test.
  • An arterial blood gas test is usually performed on patients as their condition worsens. It measures the amount of oxygen and carbon dioxide in the blood.
  • An electrocardiogram or ECG might be advised to rule out condition such as heart disease as a cause of shortness of breath.

Management and Treatment
There is no known cure for emphysema and the condition can worsen with time. Treatment will slow the speed of decline and will depend on the severity of the condition when diagnosed. Some treatment options are:

  1. Quit smoking to protect your lungs.
  2. Bronchodilator medications used to treat asthma are useful in relaxing the muscles around the airways.
  3. Anti-inflammatory medications reduce inflammation around the airways.
  4. Oxygen therapy is recommended to patients when they are not able to breathe enough oxygen from the air.
  5. In some severe cases, lung volume reduction surgery might be advised to relieve pressure on the muscles required for breathing and to improve the elasticity of the lungs.

Keeping your home clean and free of dust and pollutants will help to prevent respiratory infections and disorders such as emphysema.

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

1916 people found this helpful

Its being over 13 days of my date gone but my periods did not came. Well, nothing other reasons. I am unmarried and not engaged. Please tell. What would be the reason. And can I treat this irregularity naturally?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Its being over 13 days of my date gone but my periods did not came. Well, nothing other reasons. I am unmarried and n...
Hello, if you are not sexually active and pregnancy has been ruled out then irregularity can be due to PCOS, hypothyroidism or hyperprolactinemia which needs to be investigated for.
1 person found this helpful
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During the pregnancy when intercourse may safe entire pregnancy period? Need the time.

MBBS
Sexologist, Panchkula
During the pregnancy when intercourse may safe entire pregnancy period? Need the time.
You can do sex during pregnancy if the pregnancy is normal and there are no complications in pregnancy.
1 person found this helpful
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What Are The Most Common Neurological Disorders?

DM - Neurology, MD - General Medicine
Neurologist, Ahmedabad
What Are The Most Common Neurological Disorders?

The brain is like the central processing unit of a computer that controls the entire body’s function. Both structurally and functionally, it is an extremely complex and vital organ and disorders occur due to a variety of reasons – old age, internal injury, accidents/trauma, infections, and malignancy being the most common. The brain has a highly sophisticated network of nerves which arise out of it and the spinal cord and ensures the body works in complete synchrony and coordination. The neurological disorder is a generic term that is used to denote problems in all these – brain, spinal cord, and associated nerves.

The different categories of neurologic disorders include are listed below along with some details on how they affect the individual as a whole.

  1. Developmental defects like spina bifida and hydrocephalus
  2. Genetic disorders like Huntington’s disorder and muscular dystrophy
  3. Infections (bacterial, viral, parasitic) are another major category of neurological disorders, causing symptoms both from the infection per se and aftereffects.
  4. Degenerative disorders like Alzheimer’s, different types of dementias, multiple sclerosis, Parkinson's disease, etc.
  5. Traumatic injuries as a result of sports, accidents, etc.
  6. Functional issues like epilepsy, migraine and other headaches
  7. Vascular issues like stroke and haemorrhages.
  8. Malignancy including benign and malignant brain tumours
  9. Malnutrition related disorders.

Let us look at some of the most common ones

  1. Epilepsy: This happens due to inappropriate firing in the brain, resulting in convulsions. While it is hereditary in some people, the exact cause is not identified in most people. Effective medications are available which can completely cure the condition.
  2. Stroke: When a blood vessel is blocked due to plaque formation, blood supply is cut off to that part of the brain, leading to paralysis and sometimes even death. Timely intervention can, however, lead to the arrest and even reversal of symptoms.
  3. Parkinson’s disease: This is gradual degeneration causing reduced pace of movements (bradykinesia), tremors of the hands and feet, rigidity of movements, and loss of balance. The disease progression happens over a number of years, and it is usually genetic. Medications are available to manage the condition, but a complete cure is still under evaluation.
  4. Headaches: While headache can be a disorder in itself, it is also often the symptom of another neurological disorder. Migraines are very common, especially in women, and are characterised by throbbing, pounding headaches associated with sensitivity to light and noise and vomiting. There are usually triggers like menstruation, chocolates, alcohol, etc., which can be managed. Medications are useful in controlling the pain symptoms.

If detected in the early stages, the progression of most neurological disorders can be arrested and in some cases, symptoms even reversed. 

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

3458 people found this helpful

Hello doctor, My wife got normal delivery in 5th month due to the cause of leaking of amniotic fluid Delivery date 16/03/2016 Do she go to aerobics and exercises now? Can we join physical relationship If not how much time we tale for this Please tell me suggestion doctor Thankyou.

MBBS
General Physician, Chandigarh
Hello doctor,
My wife got normal delivery in 5th month due to the cause of leaking of amniotic fluid
Delivery date 16...
She should wait for steady six weeks after delivery for heavy exercises as well as physical relationship but light exercises she can do.
1 person found this helpful
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I had periods on 12th October and had sex on 18th, had I pill that night, next morning again had unprotected sex. I had bleeding on 1st November which lasted for 4 days but till date periods has not started. Am I pregnant.

BHMS
Homeopath, Noida
I had periods on 12th October and had sex on 18th, had I pill that night, next morning again had unprotected sex. I h...
There is no fixed time in which one bleeds after taking ipill. Sometimes unexpected bleeding occurs more over it is not necessary. Next menstrual cycle can be early or delayed as side effects of the pill. If you have unprotected sex at any time after taking the emergency pill, you can become pregnant.
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Meri bahen pragnent hai usne mujse kaha ki use bachha nahi chahiye to use bachhe ko girana hai konsi tablet dun use.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Meri bahen pragnent hai usne mujse kaha ki use bachha nahi chahiye to use bachhe ko girana hai konsi tablet dun use.
It depends upon the months of pregnancy it's allowed till 2 months only get back here with details or visit a recognized center of family welfare.
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Do you want to boost your fertility naturally?

BHMS
Homeopath, Sindhudurg

With the population boom in full blast, infertility problems in couples may seem like a rare occurrence. Sadly there are many people facing difficulty conceiving due to numerous issues.
The good news is that homeopathy offers an excellent option to couples who wish to boost their fertility naturally. It can help couples who are seeking assistance with becoming pregnant or as a support physically and/or emotionally for those undergoing fertility treatments such as ivf or iui.

Homeopathy takes a holistic approach to health and fertility issues
A large number of women undergo fertility treatments such as ivf or iui, some resort to ovulation drugs, some follow treatments for pcos while many others try to avoid pregnancy mishaps like miscarriage. Nowadays more and more couples are opting for homeopathy as it takes more of a holistic approach in boosting overall health at the same time as tackling fertility issues and any emotional challenges that may also arise.

Clients present with a range of conditions when starting homeopathy
The inability to become pregnant after at least a year of trying to conceive is termed as infertility. Many women face difficulty conceiving due to a number of reasons such as age, uterine, menstrual or ovulation problems, sexually transmitted diseases, endometriosis, pelvic inflammatory disease (PID), polycystic ovarian syndrome (pcos), history of miscarriages, low libido, hormonal disorders or for unexplained reasons. For men infertility may be due to problems related to motility and quality of sperm, complications after sexually transmitted diseases, low libido or genetic or autoimmune dysfunctions.


Other factors which influence fertility

Besides medical reasons, excessive drinking, smoking, drugs, weight issues, nutritional deficiencies, and toxins also affect both men and women's reproductive health. Emotions too have a huge impact on our health and often surround fertility problems.

How can homeopathy help with problems of infertility
Homeopathy offers an excellent option to couples seeking assistance with becoming pregnant or as a support physically and/or emotionally for fertility treatments such as ivf or IUI.

It can help in the following ways:
Deal with the stressful issues surrounding trying to get pregnant or side effects of fertility treatments.
Release and unblock emotional problems, traumas or unresolved thought patterns that may be affecting fertility.
Stimulate the body naturally to regulate and balance hormones, menstrual cycles, sperm count and motility, and enhance ovulation.
Help with conditions such as PCOS, endometriosis, cysts, fibroids, pelvic inflammatory disease etc.

If you wish to discuss any other problem, Consult IVF Specialist

3 people found this helpful

I started my period a week back with two to three drop and it stop after that. So is there anything to worry?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I started my period a week back with two to three drop and it stop after that. So is there anything to worry?
Menses more than a drop is considered as a normal menses. If u r married then u should get pregnancy test done asap. Or if u r not married then there is no need to worry and no treatment is required as it can happen with the stress or hormonal changes which will get auto-corrected next month. If this problem persists in subsequent cycles the u r likely to be benefited by ultrasound and TSH test
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