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Dr. Ranjoo Duggal

Gynaecologist, Delhi

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Dr. Ranjoo Duggal Gynaecologist, Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ranjoo Duggal
Dr. Ranjoo Duggal is an experienced Gynaecologist in Malka Ganj, Delhi. You can meet Dr. Ranjoo Duggal personally at Gauri Hospital in Malka Ganj, Delhi. Save your time and book an appointment online with Dr. Ranjoo Duggal on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 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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#30, Malka Ganj Road, Kamla Nagar. Landmark: Near Jawahar Nagar, DelhiDelhi Get Directions
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I am 17 years girl. I have some problems. The time period is changing continuously. Sometimes it will happen middle of month, sometimes last, and it sometimes 2 days then one day later, and blood is empty for bleeding, I am very nervous. I feel so weak. What can I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 17 years girl. I have some problems. The time period is changing continuously. Sometimes it will happen middle o...
There are manny reasons of irregular menses...get an ultrasound done...take M2 tone syrup 2tsf twice daily for 1 week....consult a gynaecologist clinically...

Addiction: Signs and Symptoms

MD-Homeopathy, PGPC - Preventive Cardiology, BHMS
Homeopath
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Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.
Addiction: Signs and Symptoms

I'm 32 years old married for 4 years. In November 2012 I had laparoscpy surgery for chocolate cyst in both ovaries but it has formed again. I was prescribed danazol many times but side effects include severe gastritis and join pain that I had to discontinue. I wished to have a child what should I do ?

MD - Maternity & Child Health
Gynaecologist
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Kindly consult gynecologist about pregnancy i guess your would be changing danazol and prescribe other medicines. Stree women health care centre bangalore

Doctors suggested to take folic acid and vita-D3 tables for conceive fast. But please suggest from how many days after period it should start and how many times a day? Is it correct to take the tablets whole 30 days?

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist
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Doctors suggested to take folic acid and vita-D3 tables for conceive fast. But please suggest from how many days afte...
As advised before they are vitamins and should be taken once a day. The tablets should be taken peri-conceptionally ie anybody who is trying to conceive should take it till she conceives and for the first three months after conception.

Can i do exercise during pregnancy?

MD, MBBS
Gynaecologist
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You can do aerobics and light exercises. Not body building exercises. You can do brisk walk instead of jogging in later months, but not beyond 7 months.Till 5 months u can do jogging.

Sir I was asked question. Iam 35 years my blood group b.Negative.I have no children's I have two oboration sstill I have no childrens.I have testing all hormones test s.But no reasons all reports are normal.Docter hcg test.And antibodies test.Hormones tests also but all tests are normal. Ofter secand aboration docter giving anti d injection. Now I take to treatment in two years but no.Conceive.Still two months back docter giving iui treatment. But no conceive.Please sir I to I get pregnant.

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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With IUI, chance of pregnancy per cycle is only 20-25%. So, for any infertility treatment, you must keep patience.

My wife got a first daughter then 2year passed but till now baby not formed how to solve this.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My wife got a first daughter then 2year passed but till now baby not formed how to solve this.
Hello, Please get a hormonal profile done for your wife with ultrasound pelvis and also a repeat semen analysis test for yourself.

I am 20 female I have a lot of problem in removing my vagina hair my skin is so sensitive in dat part so I can not shave and even wax it every time I take my mom help to do it but now I am in hostel how to do it without getting pain I am in my period now and it is irritating me can I remove my vagina hair now.

BHMS
Homeopath
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U can use Venus shaver,,its safe n reliable but u need to b careful abt using it as its little sharp as other shavers but its very good...

I am carrying 7th month, and had thyroid disease which doesn't have before. After delivery thyroid continues or will go ? Thanks in advance.

MS - ENT
Ear-Nose-Throat (ENT) Specialist
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I am carrying 7th month, and had thyroid disease which doesn't have before. After delivery thyroid continues or will ...
Your physiological need increases during pregnancy. Most of the times mild hypothyroidism will revert back to normal.

My wife is 26 years old with no medical issues. We were just wondering what would be the ideal age for trying to have a baby. We don't want to rush, but don't want to go to a critical age too (that increases complications). Please tell.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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My wife is 26 years old with no medical issues. We were just wondering what would be the ideal age for trying to have...
25 is ideal but few years before or after is okay 25-30 is also not bad but after 35 there is a raid decline ti functions of ovaries which generate less eggs. After 35, for 1st pregnancy every mother to be has to undergo a genetic test on fetus to rule out down syndrome.

I started to go gym. Need to know maximum time period I can walk on treadmill to avoid any bad medical condition now or in future.. Does 40 min daily walk on average speed of 4 cn harm my knees or something else?

MD - Anaesthesiology
Anesthesiologist
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I started to go gym. Need to know maximum time period I can walk on treadmill to avoid any bad medical condition now ...
Gud quation lybrate-user ji. See gym can have some adverse effect if you do not follow it properly. Wht I think you do not need to walk daily. 20 mins walk ulternate day at a speed of 5 to 6 km/ hr wil not harm your knees. And help your heart. You wil not get diabetes or bp. Bt see that you do not use inclination mode. If you want to use inclination you can reduce the speed to 4 to 5 km/ hr and duration 10 min. On other days you can do cycling for 20 mins.

Hi, I am 8 week pregnant according to my last LMP. 27 April 2016. My doc did a sonography on 13 june and told me that pregnancy is confirmed and it is of 5 week. As I got faint line on UPT 30 may. From 18 of june I had spotting and with my doc consultation I did an another sono on 23 june and doctor say it is not clear from normal obst sonography go for an internal one. We did it and I got baby and cardiac movement also but he told us it is only of 5 week 3 days. I am tensed that is it possible. Please tell.

MBBS DGO PGDCC
Gynaecologist
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Hi, I am 8 week pregnant according to my last LMP. 27 April 2016. My doc did a sonography on 13 june and told me that...
It is true. According to your history it is very early pregnancy. Tvs scan showed both fetus with cardiac activity. So no need to worry. Keep abstinence up to 12wks avoid lifting heavy weights, traveling for long distance, climbing upstairs etc.

Health Benefit Of Almonds

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Good for your brain: Almonds are a source of many nutrients which help in the development and health of the human brain. Almonds have been connected to a higher intellectual level and they have long been considered an essential food item for growing children. Almonds also contain two vital brain nutrients, riboflavin, and L-carnitine, which have been shown to increase brain activity, resulting in new neural pathways and a decreased occurrence of Alzheimer's disease.
Regulation of cholesterol: Regular consumption of almonds helps to increase the level of high-density lipoproteins (HDL) and they reduce the level of low-density lipoproteins (LDL). This balance is vital to a healthy cholesterol level, and a reduction of LDL (bad cholesterol) is always a good thing.

Bone Health: Almonds are a fantastic source of many vitamins and minerals, and phosphorous is definitely counted among them! Phosphorous can have a considerable impact on the strength and durability of bones and teeth while also preventing the onset of age-related conditions like osteoporosis.
Health Benefit Of Almonds

My wife is feeling the pain for regular menstrual cycle and her dates have passed by 2-3 days but still she has not menstruated? We had sexual intercourse two weeks back. What could be the reason? Shall we wait for sometime or should go for a pregnancy test?

D.N.B, D.G.O, M.B.B.S
Gynaecologist
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My wife is feeling the pain for regular menstrual cycle and her dates have passed by 2-3 days but still she has not m...
Dear sir, in any female who has regular cycles, missed periods should always be first checked for pregnancy. Go ahead with the urine test either yourself or in the lab and do accordingly.

5 Ways to Look Younger & Radiant

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist
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1. Eat healthy: no two ways about it. Your appearance is a direct reflection of your food habits. It could be sipping green tea, eating a lot of omega 3 fatty acids via walnuts and salmon, biting into fruits like pomegranates and berries, or having red wine regularly. Each has its own benefits from reducing fat deposition to hydrating your skin to improving circulation. All these tell on the quality of your skin and the radiance will be there for all.

2. Reduce stress: the first place that your stress will show is your skin. Wrinkles and dry and sagging skin are some of the first symptoms of stress. As we all know, there is only so much stress that we can control. Don't stress about stress, and the results of this difference in attitude will become very obvious.

3. Passion: whether it is a new hobby like painting or a language or a new found love life, passion brings energy to life like nothing else can. It gives a new reason to wake up every day and energizes not just the person but everything and everybody around. Find something new to do that you completely enjoy and the glow will just radiate, not just externally but also internally.

4. Work out: take a break every single day to do whatever excites you, such as yoga, meditation, walking, jogging, swimming, or cycling. Spend about 30 minutes to an hour and the inner peace that you find will help you stay young and radiant. The benefits of a workout are manifold and those who know it get addicted to it. A day without exercise would feel incomplete for these people. On days when they have had a good workout, the radiance and energy will be greater than normal and will be palpable.

5. Pamper your skin: in addition to all these, whether it is the sunscreen when going out in the sun or the almond oil, give your skin some supplemental treatments once a while.

One word of caution is not to trust these supplements to do the magic without doing the above. The supplements can definitely do what they are called, supplement what the rest do. Try these simple techniques and see a radiant and glowing you.
5 Ways to Look Younger & Radiant

My wife is 7th month pregnant. Daily she is suffering from back pain. What care to be taken to recover from pain.

DNHE, BPTh/BPT
Physiotherapist
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My wife is 7th month pregnant. Daily she is suffering from back pain. What care to be taken to recover from pain.
Its normal to have back pain during pregnancy or after delivery,she can do hot fomentation,take rest and take precautions like sitting with a back support (pillow behind the back) And avoid using very soft mattress,she can visit physiotherapy centre for ante natal care and learn proper postures and exercises,precautions that can be taken after the delivery which will regain the lost muscle strength of the back.

Do You Know What's SO Dangerous about the Regular Metabolic Syndrome?

MBBS, MD - Medicine, POST GRADUATE CLINICAL COURSE IN DIABETES MANAGEMENT
General Physician
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Metabolic syndrome: Causes and symptoms

Metabolic syndrome refers to a group of conditions that occur together and increase your chances of developing stroke, diabetes, and heart problems. This set of conditions includes high blood sugar, abnormal levels of cholesterol, abdominal fat, and high blood pressure. More importantly, having just any one of these conditions doesn't mean that you suffer from this problem.

What really brings about this condition?

Experts are still not sure as to what causes the development of this condition; the causes and risk factors can be manifold.

Some of the causes can be,

1. Insulin resistance - A hormone produced by the pancreas in your body, insulin plays the vital role of helping your body to use the glucose as fuel. The problem of insulin resistance causes your body to produce more of this hormone so as to tackle the rising glucose levels in your body. Closely connected to excess belly fat, it causes the development of diabetes.

2. Overweight or obesity - Instances of obesity can also cause you to develop metabolic syndrome. More specifically, abdominal obesity can see your prospect increasingly significantly. It can bring about problems like insulin resistance and other associated conditions.

3. Abnormal hormone levels - Even the behavior of hormones can affect your chances of developing this health condition. For example, the hormonal disorder like PCOS can cause metabolic syndrome.

4. Unhealthy lifestyle - Having too much of processed foods without an adequate amount of physical activity can increase your prospects of developing metabolic syndrome. Eating a heart-healthy diet, which is rich in fruits, vegetables, whole grains, and fish can help to curb this problem.

How to identify this health condition?

When it comes to symptoms, this group of disorders doesn't reveal any specific signs but symptoms associated with individual health conditions that make up this group. You can come across signs like an increased waistline, or symptoms associated with diabetes like increased urination, a thirsty feeling, blurred vision, and fatigue.

Nonetheless, you're said to suffer from this problem if you exhibit these characteristics:

- Abdominal obesity marked by waist size of over 40 inches in men and 35 inches in women
- Triglyceride levels of 150 and above
- Blood pressure levels of 130/85 and above
- Fasting blood sugar measuring 110 and above
- Good cholesterol levels less than 50 in women and 40 in men

Do You Know What's SO Dangerous about the Regular Metabolic Syndrome?

Meri gf 18 years ki hai aur usne sex se phle unwanted 72 tab. Li thi usse koi prob to nhi hogi, and pregnant to nhi hogi wo please answer.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Meri gf 18 years ki hai  aur usne sex se phle unwanted 72 tab. Li thi usse koi prob to nhi hogi, and pregnant to nhi ...
Hello, its fine if she has taken unwanted 72 prior to sex as it would still be effective and should be protective till 72 hrs of pill intake.

Hi I married in 2011, same year i had abortion for 8weeks, again conceived in 2014 jan, but in july 2014 again miscarriage, due to watering,, now again am pregnent, 18th week, how do i take care? am taking gardinal 60mg will there be any side effects for baby?

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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Gardenal definitely has some side effects in baby. But if you stop it, you may get epileptic attack, that is detrimental to you as well as your baby. Hope, your gynaecologist has advised you the number of tests (blood and USG) to detect the defects in the baby (which are very easily detected at this stage)... Now, regarding your previous miscarriage, I don't know if you had undergone investigations to find out the cause of miscarriages (ideally to be done before pregnancy). Now, you don't have much to do except taking rest, avoiding strenuous works and depending on the cause of the miscarriage (if the cause was known) some drugs and even some operation (cerclage) can be done. All the best
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