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Dr. Rashmi

Gynaecologist, Delhi

100 at clinic
Dr. Rashmi Gynaecologist, Delhi
100 at clinic
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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. Rashmi
Dr. Rashmi is a trusted Gynaecologist in Rohini, Delhi. You can visit him/her at Sunrise Hospital - Rohini in Rohini, Delhi. Book an appointment online with Dr. Rashmi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 41 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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Sunrise Hospital - Rohini

#1, Pkt. 8b, Sector-15, Rohini. Landmark: Near PNB Bank Sector 15, DelhiDelhi Get Directions
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Hi im 33 weeks 7 days pregnant. I just want to ask my stomach is tightening a lot these days is it a serious issue. The movement of the baby is very slow it usually moves at night when I lie down. And the heartburn is also in a play these days. Can you please help me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
this can be due to indigestion or gastritis ,just take antacid daily and do walk after meals. if still pain then see your doctor.
1 person found this helpful
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Can PCOD can be cured easily with regular exercise and diet? And can decrease the weight easily?

BHMS
Homeopath,
Weight reduction with hypothyroidism and pcod combined is difficult without any medication though you can try intermittent fasting method to improve your endocrine axis.
1 person found this helpful

13 Signs You May Be Pregnant

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
13 Signs You May Be Pregnant

Early indications of pregnancy are not generally perceived, but the modest changes in your body capacity might be telling you something. Here are some signs, which mean, perhaps you are pregnant.

  1. Missed Period or Late Period: The clearest indication of pregnancy is a missed period. However, a missed period doesn't always mean you are pregnant. If your period is late when your menstrual cycle is quite regular, it might be an indication of pregnancy.
  2. Swollen breasts: Soreness or shivering in your breasts is one of pregnancy's most basic symptoms. Right on time in pregnancy, the breasts will round out and change shape as they get ready to deliver milk.
  3. Nausea: Nausea is among one of the most well known symptoms of pregnancy. It's brought about by an increase in the hormone levels. Almost 80 percent of women experience "morning sickness" during the initial three months of pregnancy. For some, this sickness is not just confined to the mornings and may take place throughout the entire day.
  4. Spotting: After 5 to 10 days of conceiving, light spotting might be found when the embryo implants itself in t"he uterus.
  5. Enhanced Urine Frequency: If you're pregnant, your uterus puts pressure directly on the bladder prompting more urination. The additional weight and intestinal changes may bring about a blockage.
  6. Fatigue: Women feel exceptionally tired and drained during pregnancy. Fatigue is one of the primary indications of pregnancy.
  7. Mood Swings: Avid emotional mood swings occur in women during pregnancy. If your temper is always fluctuating or going up and down, it may be an indication that you might be pregnant.
  8. Enhanced Sensitivity to Smell: Women during pregnancy develop an enhanced smell sensitivity. Any common or normal smell may seem to be intense and long lasting. This is a genuine signal.
  9. Darkening of the areolas: Areolas are the circles around your nipples. During pregnancy, due to increased hormone secretion, the areolas become dark and wide. This is a common indication.
  10. Enhanced Craving For Food: Pregnancy increases the drive for food craving in women. Pregnant women find themselves consuming a huge amount of food, which is abnormal.
  11. Headache: Headaches due to migraine increase during pregnancy. This is more common during early pregnancy.
  12. Strange Metallic Taste In The Mouth: Some women may feel an odd metallic taste in their mouth, which may signify pregnancy.
  13. Constipation: Added pressure on the kidneys and bladder may lead to constipation in pregnant women. This is another indication.

These are some common signs, which may imply that you are pregnant, and should take a pregnancy test soon. For more information, visit your doctor.

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My wife's period was stop in 14 may. I had sex with my wife on 20 may in morning without protection. I ejaculate my sperm outside of vagina. She check his plenty at 20 may night there is some blood spot on her plenty. Is she is pregnant?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi lybrate-user. Its unlikely that the blood spot is because of pregnancy. Though there is a chance that she might get pregnant, but unfortunately it cannot be detected this soon. I suggest you wait for her next periods, and if they delayed by a week, do a pregnancy test and check.
1 person found this helpful
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I had done sex after 6 days of my periods get over. Is I will get pregnant or not? please give me brief answer about when we get pregnant.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Small chance can not be denied. One gets pregnancy on day of ovulation which occurs 14 days prior to next expected period, ovulation days may be one day plus or minus, sperms can survive for 48 hours & ovum for 24 hours, so in one with regular 28 days cycle pregnancy likely day 11-16.
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I got married 2 months ago suggest me best condom and till now i had unprotected sex with my wife are there any chances to her to get pregnant as i have emasculated outside.

MD-Dermatology, MBBS
Sexologist, Pune
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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Hi. I had unprotected sex with my husband on 8th feb after that I took ipill within 24 hours. Then I got period on 16th feb. Now its 26th march. I do not get periods till now. I am not ready for this pregnancy. I want to know that I am pregnant or not?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Do a Urine pregnancy test to confirm for pregnancy, and if it is positive get back to us for further advice.
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I am married in 3 month, my previous period date is 06/02/2016. But till the date I have no period, so please help me, I couldn't give a baby in this time,

PG Hom, London, BHMS
Homeopath, Mumbai
Hello lybrate-user, some irregularities in periods are normal after getting married and it happens because of sudden hormonal changes that your body undergoes. However, just to be sure, you can undergo a urine pregnancy test at your home.
2 people found this helpful
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Hi I am about to plan for a baby and I have thyroid since I got married fr 2 years now. My age is27. Will there be any problem due to thyroid?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
If your thyroid is controlled then there is not problem, just keep a check on your thyroid regularly.
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I am 20 Weeks pregnant I have gone through TIFFA Scan twice an came to know that my baby is having Levocardia with Abdominal Situs Inversus and dilated bubble the is perfectly normal in both the scans and as per some doctors advice I have gone for 2D fetal echo test that too shows that my baby is not having any problem in heart can my baby live a normal healthy life with no heart defect.

C.S.C, D.C.H, M.B.B.S
General Physician,
Situs solitus is the normal arrangement of abdominal organs with levocardia and is associated with a less than 1% incidence of congenital heart disease.(1,2) Situs inversus is a congenital condition in which the heart and abdominal organs are either reversed or mirrored from their normal positions.If the organs are functioning normally he will be a normal child
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From the last two months I hd irregular periods. So I hd blood test nd my reports are--(T3) 1.02, T4 (6.0), TSH (3.25). So, I wanted to knw dat do I have THYROID. If yes then what I should do nw. Plzzzz help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Nazimaji, The results of thyroid assay are quite normal. Hence, you are not having hypothyroidism. The reason for irregular periods could be different. Better to consult a gynaecologist regarding menstrual disturbances.
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I am 43 year old diabetic patient from last 15 years. We have one child. Trying second child from last 5-6 years but not conceive because I have semen very low quantity and quality. hormones are normal. Please give best advise to me.

BHMS
Homeopath, Raebareli
Maca root of the black variety can help improve sperm production and motility. It is a popular fertility herb that helps balance the hormones. Take 1 to 3 teaspoons of maca root in 2 divided doses for a few months daily. You can add it to a glass of water, a healthy smoothie or protein shake, or just sprinkle it on cereal. As maca root is high in fiber, start by taking ½ teaspoon and gradually increase the dosage over a few weeks.
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Hi there, I had unprotected sex where only he rubbed his penis on my vagina. There was no penetration at all but pre ejaculation liquid came out from his penis on my vagina, I took the Emergency Contraceptive Pills also within 40 hours. Is there any chance to get pregnant? I am so worried about my pregnancy. Please help me out. Thanks.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
Dear, you need not to worry, you will not get pregnant until he penetrates his cum into vagina. So no need to take any pill, you r completely safe.
1 person found this helpful
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I am 21 years female I had a sex with my boyfriend on may 13 I got period on may 13. But now I am feeling very bad feeling stomach pain. I'm getting too much sleep. I am not able to eat food properly also as before. Is it pregnancy? How can I avoid that.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
No chane of pregnancy at all. It is hyperacidity. Cap. Ocid dsr daily empty stomach and to be 100 % sure urine pregnancy test.(although no need.)
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My wife is 23 years old. Her period is delay by 2 weeks this month. We shared bed for a night in March but after that she had period in march just a week later after that. But in april its not happening to her. Could it be the case of pregnancy? Ankit Agrawal Gurgaon.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Menses can be missed either because of hormonal changes or even stress or illness or even if you have put on some weight in recent times then also menses can be missed. All these problems are temporary and menses will come on its own. You can wait for another 15 days before you can take tablet deviry to get menses. In the meantime, please do urine pregnancy test if her last menses were just spotting.
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Does the time of the Day matter when it comes to Calories

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Does the time of the Day matter when it comes to Calories

A calorie is a calorie, regardless of when you eat it, and that what causes weight gain is simply eating more calories than you burn. This is the calorie in/calorie out theory of weight control.

Actually, it does not matter what time of day you eat. It is what and how much you eat and how much physical activity you do during the whole day that determines whether you gain, lose, or maintain your weight.

Still, there are good reasons to be cautious about eating at night. Try not eating after dinner (other than a small, calorie controlled snack) because it's just so easy to overdo it. People eat at night for a variety of reasons that often have little to do with hunger, from satisfying cravings to coping with boredom or stress. And after-dinner snacks tend not to be controlled. They often consist of large portions of high-calorie foods (like chips, cookies, chocolates), eaten while sitting in front of the television or computer. In this situation, it's all too easy to consume the entire bowl full, bag, carton, or container before you realize it. Besides those unnecessary extra calories, eating too close to bedtime can cause indigestion and sleeping problems.

There's nothing wrong with eating a light, healthy snack after dinner as long as you plan for it as part of your daily calories. To keep from overeating, pay attention to your food while eating, avoid eating in front of the TV or when using your mobile phone or computer and choose a portion-controlled snack. Some good options include milk, nuts, low-fat yogurt or fruit.

When you're trying to lose weight, eat regular meals and consume 90% of your calories before 8 p.m. The benefit of eating meals every three to four hours is it helps regulate your blood sugar and thus control hunger and cravings.

5 people found this helpful

Sir I am 37 years working lady I have luekeria problem and it gives continuous white discharge all the time what should be done to get rid off this problem.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
Hello lybrate-user There are multiple cause of excessive vaginal discharge. It could be just normal or some infection, anaemia, or some medical issue. Advise to consult a Gynecologist.
1 person found this helpful
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Skipped my periods this month. Last month date was 10feb but still not came. M worried about it.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You have to take puls. 200 / 5 drops in little water four times a day for one week. Revert back after one week with feedback.
3 people found this helpful
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I was getting normal periods till I started getting involved sexually. Later when I took ipill a few times I started getting irregular periods. Since 6 months I haven't got any period. I am taking homeopathic medicine and had a drop in January. 3 years ago got tests done had hormonal imbalance. Please suggest medicine remedies or tests.

MBBS
General Physician, Chandigarh
You are playing with your body I pill is not a regular contraceptive it is for emergency only as it is a hormone tablet it adds to your existing imbalance problem please stop everything and consult a gynaecologist and get clinically examined and investigated to put back your body in normal routine and if you have to then use proper contraceptives like condoms oral pills or cu t etc.
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Boerhaave Syndrome

md general phisician
General Physician, Hyderabad
Boerhaave Syndrome

Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
 

Pathophysiology
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]

Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide. [3] a 1986 summary by bladergroen et al described 127 cases. [4] of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Mortality/morbidity

Prognosis
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
 

Morbidity/mortality
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
 

Complications
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.

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