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Dr. Pulkit Nandwani

Gynaecologist, Delhi

400 at clinic
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Dr. Pulkit Nandwani Gynaecologist, Delhi
400 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Pulkit Nandwani
Dr. Pulkit Nandwani is an experienced Gynaecologist in Rohini, Delhi. He is currently associated with synergy clinic in Rohini, Delhi. Save your time and book an appointment online with Dr. Pulkit Nandwani 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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synergy clinic

E-15 / 123 & 124, Ground Floor, Near Sai Baba Chowk, Sector - 8, Rohini. Delhi- 85, DelhiDelhi Get Directions
400 at clinic
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Hi Doctor, Greeting for the day! My LMP was on 09October 17 I have been consulted doctor they told im pregnant my concern is I haven't felt any sickness usually a pregnant woman gets morning sickness but I do not feel any sicknesses is it right sign or should I consult a doctor.

BHMS, PGDCBM, MD(AM)
Homeopath, Gurgaon
Hi Doctor,
Greeting for the day!
My LMP was on 09October 17 I have been consulted doctor they told im pregnant my con...
Though most women experience a certain degree of nausea, morning sickness etc but it is OK to not have any sickness. Just eat well at regular intervals, drink plenty of fluids and take appropriate rest.
1 person found this helpful
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My wife is an breastfeeding mother. Having daughter of 2 months old. Can she eat crab, lobsters, or other sea food. Kindly suggest which sea food she can eat.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Yes she can eat ... But if in case found any allergic reaction in mother or baby after feeding then stop it..
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I am 37 year and mere period last month kam huye thay or is month nahi huye. Kya mere periods stop ho gaye hai or mujhe abhi bhi baby ho sakta hai ya nahi. F

Vaidya Visharad
Sexologist, Narnaul
Hello Dear,Periods occur when the egg formed during each menstrual cycle in the female body is not fertilized and hence ejected out of the reproductive system along with blood and several other tissue cells. The duration of each menstrual cycle is about 28 days Most women will experience their monthly period right from the time they are 13 to the time they are 50. For many women, their monthly period is nothing more than an annoyance; but other women may suffer some problems. Visit us at www.Malhotraayurveda.Com

My girlfriend is terrified by the ejection of some yellow thick liquid from her sexual part once in a week like periods. Is this cause some problem in future or it is normal. And what to do if it will cause problem?

MBBS
General Physician, Chandigarh
My girlfriend is terrified by the ejection of some yellow thick liquid from her sexual part once in a week like perio...
Normally there was s a whitish vaginal discharge which is good for vaginal health but yellow colour and excess of it will need to be clinically checked and treated so consult a gynaecologist and get yourself checked for that.
2 people found this helpful
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I am 26 year old female, I had my first delivery 6 months ago and I got my periods after 36 th day of delivery. But now I missed my periods for two months. Is there any problem please help me.

Bams
Ayurveda, Noida
I am 26 year old female, I had my first delivery 6 months ago and I got my periods after 36 th day of delivery. But n...
Do urine pregnancy test otherwise hormonal imbalance or nutritional deficiencies causes missed period.
2 people found this helpful
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Exocrine Pancreatic Insufficiency: What You Need To Know

Fellowship In Colorectal Surgery, DNB - Surgical Gastroenterology, Fellowship In Minimal Access Surgery, Fellowship In HPB Surgery, Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
Gastroenterologist, Bangalore
Exocrine Pancreatic Insufficiency: What You Need To Know

Exocrine Pancreatic Insufficiency (EPI), also called pancreatic deficiency, is a disorder where the pancreas is unable to produce the sufficient amount of enzymes that are required to digest food. The pancreatic enzymes help to break down and absorb nutrients from the food in the small intestine. So, this disease causes nutritional deficiencies.

Causes of Exocrine Pancreatic Insufficiency
This condition is generally caused as a complication of other diseases because EPI develops only as a result of severe damage to the pancreas. The following reasons can cause EPI:

  1. Inflammation of the pancreas: After surgery in the pancreas, stomach or the intestines, there may be inflammation in the pancreas as a post-surgical complication. A high content of triglyceride fat in the blood can also cause pancreatic inflammation and hinder the secretion of the enzymes.
  2. Chronic Pancreatitis: In this disease, the pancreatic ducts are swollen and blocked and so the digestive enzymes cannot be passed into the small intestine. This condition is often caused by a heavy consumption of alcohol.
  3. Cystic FibrosisThe digestive fluids and enzymes become thick and sticky and block the passageways of the pancreas and other organs like the lungs and the kidneys. This can obstruct secretion and passage of enzymes afterwards.
  4. Shwachman-Bodian-Diamond syndrome: This is an autosomal recessive genetic condition where enzyme-producing pancreatic cells are not formed properly. This rare disorder causes a number of associated disorders like bone marrow diseases, skeletal defects and exocrine pancreatic insufficiency.

Symptoms of Exocrine Pancreatic Insufficiency
The symptoms appear in the middle stages of the disease when the process of absorption of nutrients has already been affected. The common warning signs are:

  1. Digestive problems like gas, diarrhea and indigestion because the food remains mostly undigested.
  2. Severe and frequent stomach pain in the lower abdominal region
  3. Greasy stools due to the excretion of undigested fat
  4. Rapid loss of weight and body mass due to mal-absorption of nutrients
  5. Constantly feeling bloated and full even if you have not eaten anything
  6. A general sense of fatigue and exhaustion
  7. Excessive bleeding from small wounds because protein deficiencies hamper blood clotting
  8. Pain in the muscles and bones
  9. Increased susceptibility to infections of the body systems
  10. Anemia
  11. Joint pains
  12. Abnormal swelling of the limbs or edema

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

 

3367 people found this helpful

I'm 19 years old n my fiance is 24 years old we both intimate but when it come to my breast part its pain a lot while he sucking it and touching when he sucks it he bite my nipple also its feel like i'm feeding my baby so is there any side effect of this.

MS - General Surgery
General Surgeon, Vijayawada
No side effect as such. But you can get breast infection n abscess by human bites, so tell him be gentle n not to bite.
1 person found this helpful
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Suturing Techniques - Things You Need To Know About It!

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Suturing Techniques - Things You Need To Know About It!

Any surgical procedure requires the creation of a wound and then a subsequent closure by the repositioning and securing the surgical flaps by suturing to allow optimum healing. A suture is a strand or thread used for the approximation of tissues and also for ligation off blood vessels. Suturing is the act of sewing or bringing tissues or the flap edges together and holding them in apposition until normal tissue healing takes place. Placement of sutures helps the wound to withstand normal functional stresses and to resist opening of the wounds.

Suturing techniques:

  1. Interrupted Suture-Sling Suture - The suture is passed through both the edges at an equal depth and distance from the incision, needle penetration should be 3mm from wound edges and the knot is tied. It is the most commonly used suture. Advantages of this technique are as follow
    • It is strong and can be used in areas of stress.
    • Successive sutures can be placed according to individual requirement
    • Each suture is placed independently and the loosening of one suture will not produce any loosening of the other.
    • A degree of eversion can be controlled.
    • If the wound becomes contaminated, infected or if there is a formation of hematoma, removal of a few sutures is possible that and provides a satisfactory treatment.
  2. Continuous over and over suture - A simple interrupted suture is placed first and the needle is then reinserted in a continuous manner in such a way that the suture passes perpendicular to the incision line below and obliquely below. The suture is ended by passing a knot over the untightened end of the suture. It provides a rapid technique for closure and distributes the tension equally over the suture line.
  3. Continuous locking suture - In this technique, locking is provided by withdrawing the suture through its own loop. The suture passes perpendicular to the incision line. The locking prevents excessive tightening of the suture as the wound closure progresses.
  4. Mattress suture - These sutures can be horizontal or vertical. These are used for resisting a muscle pull, evert the wound edges and to adapt the tissue flaps tightly to the underlying structures.
    • The horizontal mattress suture gives a broad contact of the wound margins. In this suture, the needle is passed from one edge of the incision to another and then again from the latter edge to the first edge in a horizontal manner, after which a knot is tied. The distance of the needle penetration from incision line and the depth of needle penetration is the same for each entry point, but the horizontal distance of the points of penetration on the same side of the flap differs.
    • The vertical mattress suture is similar to the horizontal mattress, except that, all the factors remaining constant, the penetration depth varies. It is used for the closure of deep wounds.
  5. Figure of eight suture - The figure of eight suture can be used for the closure of small gaping wounds like an extraction suture closure after removal of a tooth.
  6. Subcuticular suture - The subcuticular layer of the tough connective tissue if sutured will aid in holding together skin edges in a close approximation when better cosmetic results are desired. Continuous short lateral stitches are taken beneath the epithelial layer of the skin. The ends of the suture come out at each end of the incision and are knotted together. This type of suturing leaves back a cosmetic scar.

Some common types of surgical knot tying used during a surgical procedure are

  1. Square knot - It is also known as the standard knot or the Reef knot method. It is a special knotting technique in which the knots are securely tied. Four throws of the suture material are placed in position and the ends are cut long.

  2. Surgeon’s knot - It is formed by two throws of the suture around the needle holder on the first tie and one throw in the opposite direction in the second tie.

  3. Granny’s knot - It is also called as the slip knot technique. It is used when using silk, chromic catgut or the plain catgut suture material. It involves a tie in one direction followed by a second tie in the same direction and a third tie in the opposite direction to square the knot and hold it securely.

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

1969 people found this helpful

Brain Aneurysms: Take The Treatment Before It's Too Late!

MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Brain Aneurysms: Take The Treatment Before It's Too Late!

Even though brain aneurysms are becoming common these days, not all of them are required to be treated. In some cases, the physician may choose to observe an aneurysm closely before adopting any treatment measure. But in patients in whom an aneurysm has progressed to a severe level, there are two treatment options:

  1. Open surgical clipping
  2. Endovascular therapy or coiling

Open surgical clipping for brain aneurysms:
This procedure is typically performed by a neurosurgeon who makes an incision in the head. An opening in the bone is made, and then a clip is positioned by dissecting through the spaces of the brain. This aids in preventing the flow of blood into an aneurysm. In this procedure, the patient is required to stay in the hospital for two to three nights after which he or she is discharged.

Considerable modifications have been made in the open surgery techniques in the recent years. Neurosurgeons are now able to perform eye brow incisions or mini craniotomies for clipping an aneurysm. In these procedures, a small incision is cut out in the skin above the eyebrow for making a window. A tiny clip is placed across the mouth of an aneurysm to help it heal. But it is worthy of mention here that these are all invasive procedures and take relatively longer time to recover compared to the coiling process.

Endovascular coiling:

  • This treatment is also performed by a neurosurgeon, and it has been proved that this process is exceptionally suitable for patients with a ruptured aneurysm. Endovascular coiling is often done in coalesce with an angiogram, where a catheter is inserted into the vessel over the hip, which is then gradually carried to the vessels of the brain and finally to an aneurysm.
  • Then the coils are packed to the point where it rises from the blood vessel, which prevents the blood from flowing intothe blood vessel. Most patients undergoing this minimally invasive procedure can go home the day following the surgery. The success rate of this process is very high, and over 125,000 patients have been treated all across the globe with the help of detachable platinum coils.
  • Over the last few years, a substantial amount of advancements have taken place in the endovascular techniques. Recent developments show the use of flow diverting embolization devices, which are similar to a stent and are placed in the primary vessel, adjacent to an aneurysm. It diverts the flow away from an aneurysm and therefore, allows the neurosurgeons to treat the brain aneurysms, which were previously considered inaccessible and untreatable.

Both the procedures are quite efficient in treating a brain aneurysm. The most suitable option is dependent on a host of factors such as size, shape, location and overall health condition of the patient.

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

2332 people found this helpful

Hi sir, I had a anal sex with my wife. After that I feel very pain while am going to urinate. What may the causes for it. Please give me the correct answer.

MD, MBBS
General Physician, Bangalore
If you had not used condom there are chances of urinary tract infection so you are facing this problem.
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