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Dr. Rekha Singh

Gynaecologist, Delhi

Dr. Rekha Singh Gynaecologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rekha Singh
Dr. Rekha Singh is a popular Gynaecologist in Vivek Vihar, Delhi. You can consult Dr. Rekha Singh at Singh nursing home in Vivek Vihar, Delhi. You can book an instant appointment online with Dr. Rekha Singh on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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I enjoyed my sex life with my boyfriend without precaution and I got period date after a day. Am worrying that i'll get pregnant? Please help me to avoid pregnant.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I enjoyed my sex life with my boyfriend without precaution and I got period date after a day. Am worrying that i'll g...
Getting your periods confirm that you are not pregnant -my suggestion for you for future is that always use protection while having sex as it is the female who is to suffer all the time and accidents can happen anytime and you are inviting such accidents to occur in your life by doing unprotected sex. Till now you are safe but be careful about your future.
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Hi doctor it's for my sister. She is pregnant since last two months and now she gets too much of vomit. How to. Control it.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Pune
Hi doctor it's for my sister. She is pregnant since last two months and now she gets too much of vomit. How to. Contr...
Ask her to eat dry food like toast or khakra early in the morning in bed. Drink water sip by sip. Dont eat spicy oily food.
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I had posted a question two days back and this is in continuation History is LMP 9th April, usual cycle 26 days, last and only sex this moth 22 April with condom but as I felt condom leaked took I pill ECP on 23 (in 26 or 27 hrs after the episode), HPT negative and I got Beta HCG yesterday and the level is less than one But I have not started my menses even today, please guide can I be pregnant.

master of surgery
Gynaecologist, Kanpur
I had posted a question two days back and this is in continuation History is LMP 9th April, usual cycle 26 days, last...
These pills are very effective if taken within 24 hrs. There are highly remote chances of you being pregnant. Period might get delayed due to I pill itself, so there is no need to worry. Also, pregnancy test comes positive after overdue, usually after 28 days. I would say go for a repeat pregnancy test after 1 week if you don't get your menses.
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I ws pregnant but in 12 th week ie 1april ultrasound got to knw baby had no heartbeat n growth so I had my d&c on 2 april 2016. I want to what all precautions I need to take nw nd fr how long. Nd aftr d&c how many days bed rest is required?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I ws pregnant but in 12 th week ie 1april ultrasound got to knw baby had no heartbeat n growth so I had my d&c on 2 a...
A-around 15% of pregnancies gets miscarried, that is nature's rule. You should avoid next pregnancy for 6 months from the last abortion. Chances of repeat abortion or pretem delivery increases if one becomes pregnant within 6 months of miscarriage. Also if abortion/ miscarriage was caused by any viral infection, then it will get cured automatically within 3 months time. Use contraception for 6 months. Best one to use are oral contraceptive pills. No special treatment or tests are needed if you had only one miscarriage or spontaneous abortion. No bed rest needed for the miscarriage for more than a week.
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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
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What Are the 3 Primary Causes Why Under Eating Won't Help You Lose Weight?

PG Dip Diet, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Kolkata
What Are the 3 Primary Causes Why Under Eating Won't Help You Lose Weight?

Losing weight is very difficult and for that you don't have to eat less or exercise more as it will not work. The quantity of calories is not taken into account, but it is only the quality of the calories that make a huge difference without the need of you going hungry. It is very necessary that your body is able to burn the calories you eat and in this way, you can lose weight. Eating few calories on a regular basis can result in malnutrition, nutrient deficiencies and in unhealthy weight loss.

Conditions That Occur due to under eating: By intake of few calories on day to day basis, our body system learns to live with smaller amount, and it slows down the metabolism of your body. The worst thing is that you even stop losing weight and feel irritated as well as sluggish on the diet you intake. The practice can be reversed, and it will not take much time for your body to recover and its metabolism to become better.

Long term intake of low diet can also put you at a higher risk of nutritional deficiency. As by eating less, the body does not get the necessary vitamins and minerals required for daily functioning.
To keep alive it is very important that a minimum blood-glucose level is maintained. If the blood glucose is less than required, a lot of stress can be created on your organs, and it would damage vital organs of your body.
It is very important that we develop positive food thoughts, and constant restriction can result in eating disorders like orthorexia and anorexia.

Opt For Healthy Eating:

  • The simple and healthy way which you can start with to lose weight would be at first to make small changes like eliminating beverages that are sugary as well as replacing your diet with healthier choices.
  • It is best to avoid unhealthier choices like eating muffins and donuts for breakfast. Instead, you should eat whole foods, oatmeal, eggs and fruit for breakfast.
  • The basic rules that should be followed are that men should not eat above 1500 calories in a day, and women should not eat above 1200 calories in a day.
  • It is best to focus on eating healthy food instead of calorie counting. The weight loss may be slow, but it would be stable and long-lasting.

The most important step that needs to be followed to lose weight effectively is to have a proper mindset and follow a healthy diet to achieve your goal.

4475 people found this helpful

She has bad stomach pain and back pain just before 5 to 10 days of periods. Its very bad pain . After periods she is normal. What is the issue ? Can any one help.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
She has bad stomach pain and back pain just before 5 to 10 days of periods. Its very bad pain . After periods she is ...
Generally such pain disappears after a childbirth. However an ultrasoind may be helpful to locate any abnormality. A condition called endometriosis also causes premenstrual pain. The treatmnt can be discussed over s private consultation.
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Hi doctor I have married 5 days ago. When I had sex with my wife, she had very severe pain in her abdomen and she is crying. Now 5 days has over and still have pain. What happened to her.

B.Sc, Bachelor of Unani Medicine and Surgery (B.U.M.S), M.D General Medicine
Unani Specialist, Hyderabad
Take another BHANGIMA like From Backside Sex with Vagina. She donot feel abdominal pain from this Bhangima Sex. Usually Females like this Sex.
1 person found this helpful
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After using unwanted 72 I am suffering from bleeding like one drop or half drop of blood inside my vagina is these are periods.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
After using unwanted 72 I am suffering from bleeding like one drop or half drop of blood inside my vagina is these ar...
it is because hormonal changes because unwanted 72 is a hormonal medicine which help to avoid pregnancy after unprotected sexual intercourse.
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Hello Doc, Mai last 3 times se hcg treatment le rahi hu but mai conceive hi nahi ho rahi hu asa kiyo?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Doc, Mai last 3 times se hcg treatment le rahi hu but mai conceive hi nahi ho rahi hu asa kiyo?
Hello, the chances of pregnancy during each assisted cycle is only 30-35% universally, so you have to bear with it.
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Hi doctor my gynecology gave me for metformin 500 mg twice a day and normal tablets 15 days twice a day So how many months after I will get pregnant? Doctor told to took for yamini 21 tablets for 2 months for hormones balance Please tell me.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi doctor my gynecology gave me for metformin 500 mg twice a day and normal tablets 15 days twice a day
So how many m...
Since you will be on yamini nxt 2 months you cannot conceive. Following that as soon as your hormone levels are stabilised conception will be possible. I suggest a thyroid profile test too.
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My 28 days missed period. And 58 days from first day of my last period yet negative home pregnancy test? am I not pregnant?? please suggest.. Totally confused.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
My 28 days missed period. And 58 days from first day of my last period  yet negative home pregnancy test? am I not pr...
Its been a long time. Now you must have a blood test-hb% and thyroid profile. Also get a u. S. G. Of lower abdomen for uterus and adenexae. Once we'll find the problem, u'll get the correct solution. You may start taking 5gm ajwain with some gur (jaggery) twice daily.
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my wife didn't come in periods for last 2 months. last to last month we consult the dr and he gave us medicines and dimpal comes in periods. but now once again it happens. so whats the problem for that.?

BHMS
Homeopath, Faridabad
my wife didn't come in periods for last 2 months. last to last month we consult the dr and he gave us medicines and d...
You should go for some tests like Thyroud and Ultrasound lower abdomen. Revert with reports so that medication can be given.
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All About Bariatric Surgery

FNB, MS - General Surgery, MBBS
Bariatrician, Delhi
All About Bariatric Surgery

Bariatric surgery is a procedure that involves modifications to the digestive system so that the food intake can be restricted or the nutrients absorbed by the body is reduced. This surgery is recommended when exercise and diet may not cause the desired results with weight loss. Bariatric surgery is a group of surgeries that are procedure to reduce weight in the body.
The various types of surgeries that come under this category are:

  1. Gastric bypass: The most common bariatric surgery, gastric bypass is a procedure used to reduce the size of the stomach pouch in the body. Once the size is reduced, it leads to reduced consumption of calories. This procedure also causes alterations in the behavior of the gut hormones resulting in appetite reduction.
  2. Adjustable gastric band: This procedure involves placing an inflatable band around the upper stomach to make a small stomach area above the band. This causes one to feel full just after eating a small amount of food.
  3. Sleeve gastrectomy: In this procedure, almost 80% of the stomach area is removed surgically, resulting in a small stomach pouch being left. It reduces the stomach size, which cause an overall reduction in the amount of calories. Modifications also occur in the behavior of the gut bacteria linked with reduced appetite.
  4. Biliopancreatic diversion with duodenal switch: This procedure involves surgical removal of a large area of the stomach along with bypassing a major portion of the smaller intestine. This procedure may reduce fat absorption of up to 70%. The behavior of the gut hormones change resulting in a decrease in appetite and improved satiety.

Complications
Various complications may result from this surgery such as -

  1. May cause infections in the body
  2. Clots may form in the blood
  3. It can result in bowel problems
  4. Ulcers can form in the stomach

 

1909 people found this helpful

I had sex with my gf and she took a ipill and her age is 21 Is there any chance to get pregnancy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had sex with my gf and she took a ipill and her age is 21
Is there any chance to get pregnancy?
Hello, if she has taken ipill with in 72 hrs then success rates of avoiding pregnancy are 99.5%. She should wait for her withdrawal bleed in next 5-7 days.
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Recurrent Miscarriage - How to Deal With It?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Recurrent Miscarriage - How to Deal With It?

What is recurrent miscarriage?

If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.

Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being. 

If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.

Treatment of Recurrent Pregnancy Loss

Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.

A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.

Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.

Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.

Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.

Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid

Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased level of Natural Killer Cell Activation (NKa). Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.

Role of IVF

Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.

In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.

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Hi doctor. I have one doubt. HSG is rare cause for Endometriosis? Is any relationship between HSG and Endometriosis. Can you explain me about Endometriosis.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi doctor. I have one doubt. HSG is rare cause for Endometriosis? Is any relationship between HSG and Endometriosis. ...
No hsg has no connection with endometriosis, unless some doctor does the tube test during periods and throws cells out of uterus within abdominal cavity! endometriosis is presence of lining of uterus at other places, besides the inside of uterus, places like outer lining of uterus, tubes, on ovaries or anywhere in abdominal cavity, when there is stimulation for period to start, wherever the tissue of lining is present, area starts bleeding/ shedding. Infertility rate is high / impossible unless treated.
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All About Nipple Discharge

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
All About Nipple Discharge

Nipple discharge is a common part of breast functioning, which normally occurs during breast-feeding or pregnancy. It is often associated with the changes of menstrual hormone. The milky discharge post breast-feeding usually continues for up to two years after stopping nursing. The condition normally gets resolved on its own but if the situation persists for a long time resort to medical assistance.

The following are some of the causes of normal nipple discharge:

  • Stimulation: Normal nipple discharge can arise due to stimulation; chafing of your breast skin due to tight bras or vigorous exercises.
  • Pregnancy: Most women tend to witness clear nipple discharge in the early stages of their pregnancy. Towards the later stages, this discharge usually turns watery and becomes milky in color
  • Stopped Breast-feeding: In some cases, nipple discharge continues for some time after the mother has stopped breast-feeding her newborn
  • Hormonal Imbalance: Some women notice tenderness in breasts and nipple discharge during their menstrual cycle

What is an abnormal nipple discharge: An abnormal nipple discharge is usually bloody in color and is accompanied with tenderness of the breast. Papilloma is a non-cancerous tumor that is often responsible for bloody nipple discharge. Continuous nipple discharge from one of the breasts or nipple discharge that arises without any stimulation or external irritation is abnormal in nature.

The possible causes of abnormal nipple discharge include:

  1. Abscess: It is an assortment of pus that get accumulated within the tissues of your body. It is usually accompanied by redness, pain and swelling. Boils and carbuncles are types of abscess. Formation of abscess in breasts may result in nipple discharge.
  2. Breast cancer: Breast cancer often results in bloody nipple discharge and is often found with a presence of lump in one of the breasts.
  3. Mastitis: It is a breast infection that affects the tissues of the breast and is usually prominent during breastfeeding. Fatigue, fever and body aches are common in this situation.
  4. Ductal carcinoma in situ (DCIS): Normally characterized by the growth of cancerous cells in the milk ducts of your breasts, it is generally identified through mammography screening.
  5. Fibroadenoma: In this situation most young women witness an appearance of solid, tumor like structure
  6. Galactorrhea: Galactorrhea is nipple discharge of milk when not pregnant or breastfeeding. The discharge can vary in color and can be expressed from either or both breasts.

What Causes Galactorrhea: Galactorrhea is commonly caused by hyperprolactinemia, especially when it is associated with amenorrhea. Hyperprolactinemia is most often induced by medication or associated with pituitary adenomas or other sellar or suprasellar lesions.

The release of prolactin from the pituitary is held in check by dopamine from the hypothalamus. Prolactin release is encouraged by serotonin and thyrotropin-releasing hormone. This balance can be disrupted by medication (ie. antipsychotics), underactive thyroid function, pituitary tumors, hypothalamic tumors, damage to the pituitary stalk, nipple stimulation, chest trauma, herpes zoster, and emotional stress as well as a variety of other factors.

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I have been married for 2 years and now planning for a baby. I have a burning sensation, pinning sensation while urinating for 7-8 days now. sometimes d pain is severe. What can b d reason? Dis has happened for d 1st tym.Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have been married for 2 years and now planning for a baby. I have a burning sensation, pinning sensation while urin...
This is suggesting urine infection. Some tips 1) drink sugar-cane juice without ice empty stomach or as possible. 2) take 4 crushed elaichi (cardamom) add 2 cup of water boiled to become half filter it, add 2 spoons of cow ghee take on empty stomach.
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She is 69 years old. And she always concern about her diet what will be healthy and energetic for her. She don't work during a day.

MBBS
General Physician, Chandigarh
She is 69 years old. And she always concern about her diet what will be healthy and energetic for her. She don't work...
If she is not having any physical ailments then she should take good nutrious diet including fresh vegetables fruits cereals pulses milk nuts and light non veg if she is non-vegetarian.
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