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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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My fiancee is suffering from Endometriosis and is currently under taking ayurvedic medicines. I want a clear understanding of her health, how can she improve. Docs from chennai city preferred.
I am 27 years old married woman. After my last month's menstruation I feel an itchiness and pricking sensation in the start of clitoris. I stay at Amsterdam and the weather is v dry over here n skin too becomes dry. During periods I feel v itchy around my genitals feel like scratching also. I recently found 2 cut marks near clitoris and m scared what's the reason and how it happened? Please help me or advise me the medication.
In the current season, dengue is not the only cause of decrease in platelet counts. Other causes like malaria, other viral infections, Vitamin B12 and folate defiiency etc can also cause reduction in platelet counts. That said, dengue patients may also clinically present without any decrease in platelet counts.
It is well-known that thrombocytopenia ( reduction in platelet counts) is one of the critical parameters in patient management. Therefore, it is very important that laboratories assess platelet counts with utmost accuracy. The normal range of platelet count in a healthy adult individual is 150000 - 400000/μL. Babies and children have different reference ranges.compared to adults Therefore please check on the lab report for normal age wize reference range. A count of 1.5 lacs would be considered as normal in adults but would qualify as decreased count in a child.
Platelets can be counted either on automated machines( automated method) or on manual blood smear by pathologist.(manual method).
Generally hospitals and laboratories measure platelet counts on automated hematology analyzers- as .these are simple to use and give fast results.However, they suffer from a very big disadvantage. This disadvantage is based on the principle on which these machines work.The machines are programmed in such a manner that any blood particle falling within a predermined size range is counted as platelet and above this range is counted as red cell(RBC – which contains hemoglobin and is responsible for red colour of blood).Although this concept works well in majority of cases, but machine readings are seldom reliable , especially when platelet counts are below 30,000/ cmm. Giant platelets will be counted as RBCs and the machine will give a factitiously low reading of platelets. - Again , if the sample has not been properly mixed at the time of collection, platelets will stick and form clumps. Again the size of these clumps will be more than that of individual platelets and machine will count these as RBCs , thus give a falsely low platelet count. Also, if the sample is collected in a periphery and takes a lot of time to reach the main lab , by this time the platelets would have swelled up due to presence of additives in the blood tube, and not be counted in platelets.but as RBCs instead. (due to size factor)
So what is the solution, ?
All such cases, where platelets are reported low on analyzers, must be screened on peripheral smear by pathologist. Only on looking at the peripheral smear , will the pathologist be able to confirm whether the platelet counts are actually low or not.
Summary : The analyzer is reliable in majority of cases . However, for all cases with low platelets, manual screening by a pathologist is must for confirmation and to avoid unnecessary panic and unrequired platelet transfusions.
I am 20 and I had sex on my first day of my periods last month, the guy had a flow inside me. So I had an Ipill (contraceptive pill). I have not yet got my periods this month. Is it because of that or what would it be?
Hello Doctor, I have a doubt, I am planning for a baby but my periods delay for ten days every month but I am getting physical every alternate day just want to know my periods date are coming near so should I avoid sex will it be a problem to conceive one of my friend was telling after 25 days we should avoid sex near periods day becoz the egg will get disturbed and uterus is it true pleas let me know the propped planning because I am planning for a baby very badly.
After masturbation, a blister or tumor arises around the outer vaginal part, is there any home remedy for this? What is the reason for such prblm?
A breast examination is a way of detecting early changes that may find lumps of other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.
- Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
- Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
- Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
- Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
- Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.
But mam aisa bhi to hoskta hai ki jis month hum sex kre us month sex krne k baad periods aajaye aur fr next month se na aaye means sex krne k kitne month baad periods aane bnd hote hain pregnancy mei.
I had encounter std before, but treated, now I am planning to have baby, does it affect baby health, if yes, what I have to do before making baby.
My periods are not getting stopped from 2 months. All test are normal? Please advice me what to doo?
What is failure to thrive?
Children are diagnosed with failure to thrive when their weight or rate of weight gain is significantly below that of other children of similar age and sex. Infants or children that fail to thrive seem to be dramatically smaller or shorter than other children the same age. Teenagers may have short stature or appear to lack the usual changes that occur at puberty. However, there is a wide variation in what is considered normal growth and development.
In general, the rate of change in weight and height may be more important than the actual measurements.
Infants or children who fail to thrive have a height, weight and head circumference that do not match standard growth charts. The person's weight falls lower than the third percentile (as outlined in standard growth charts) or 20 percent below the ideal weight for their height. Growing may have slowed or stopped after a previously established growth curve.
The following are delayed or slow to develop:
- Physical skills, such as rolling over, sitting, standing and walking
- Mental and social skills
- Secondary sexual characteristics (delayed in adolescents)
It is important to determine whether failure to thrive results from medical problems or factors in the environment, such as abuse or neglect.
There are multiple medical causes of failure to thrive. These include:
- Chromosome abnormalities, such as Down syndrome and Turner syndrome
- Defects in major organ systems
- Problems with the endocrine system, such as thyroid hormone deficiency, growth hormone deficiency or other hormone deficiencies
- Damage to the brain or central nervous system, which may cause feeding difficulties in an infant
- Heart or lung problems, which can affect how oxygen and nutrients move through the body
- Anemia or other blood disorders
- Gastrointestinal problems that result in malabsorption or a lack of digestive enzymes
- Long-term gastroenteritis and gastroesophageal reflux (usually temporary)
Long-term (chronic) infections
Complications of pregnancy and low birth weight
Other factors that may lead to failure to thrive:
- Emotional deprivation as a result of parental withdrawal, rejection or hostility
- Economic problems that affect nutrition, living conditions and parental attitudes
- Exposure to infections, parasites or toxins
- Poor eating habits, such as eating in front of the television and not having formal meal times
- Many times the cause cannot be determined.
The treatment depends on the cause of the delayed growth and development. Delayed growth due to nutritional factors can be resolved by educating the parents to provide a well-balanced diet.
If psychosocial factors are involved, treatment should include improving the family dynamics and living conditions. Parental attitudes and behavior may contribute to a child's problems and need to be examined. In many cases, a child may need to be hospitalized initially to focus on implementation of a comprehensive medical, behavioral and psychosocial treatment plan.
Do not give your child dietary supplements without consulting your physician first.