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Dr. Sharmila O Bist

Gynaecologist, Delhi

Dr. Sharmila O Bist Gynaecologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sharmila O Bist
Dr. Sharmila O Bist is a renowned Gynaecologist in Mandawali, Delhi. She is currently associated with Mother, Child & Chest Clinic in Mandawali, Delhi. Book an appointment online with Dr. Sharmila O Bist on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 38 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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Indian Medical Association (IMA)

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Mother, Child & Chest Clinic

Main Road Fazalpur, Mandawali, DelhiDelhi Get Directions
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I am 42 years and I had undergone hysterectomy last year in april. I have been taking premarin 0.625 since april 2014 and would like to know when I can completely stop the medication.

MD, DGO, MBBS
Gynaecologist, Chennai
Good afternoon . Ideally you should undergo medical check up after one year including blood sugar. Lipid profile, bp, swelling over legs and mammography. If results are normal you can continue maximum for 5 years, if symptomatic. The guideline is smallest dose for minimal duration. Continue your calcium and vit. D.
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There are no lumps on my breasts but they are sagging with wrinkles and tiny pores ,there is pain in my left chest since 1 week, is it breast cancer.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not breast cancer. Doing pushups may not improve the appearance of the actual breasts, but by strengthening the muscles behind the breasts, it can give your bust a slight lift. (And will be great for your back and shoulders too, of course.)
1 person found this helpful
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Pulmonary Hypertension: How to Treat It?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Pulmonary Hypertension: How to Treat It?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
3615 people found this helpful

Dear sir I had start period from 13 march and last day of period was 19 march and I have sex with my partner on 20 March due to this I have take unwanted 72 tab for non pregnancy but today start bleeding how it is done please provide the medicine and how the problem create.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Dear sir I had start period from 13 march and last day of period was 19 march and I have sex with my partner on 20 Ma...
Hello, What you had was a withdrawal bleed post unwanted 72 and was as expected , excluding pregnancy completely.
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Gudmrng doc. This is Sameera as I'm 20 years old, I'm not getting my periods regularly, I have done my thyroid test also but its negative can you tell me what the problem is. Thank you.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Gudmrng doc. This is Sameera as I'm 20 years old, I'm not getting my periods regularly, I have done my thyroid test a...
Hi lybrate-user. Welcome to lybrate. Most likely cause of irregular periods in this age group is hormonal disturbance. Please do get an ultrasound scan of pelvis done and let me know the reports. I can then guide you on further medication. All the best.
1 person found this helpful
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My wife 35 weeks 2 days pregnant but kal sonography karwayi juice report kucj is tarah he SINGLE live intrauterine fetus of mga 33wks 2 days with cephalic presentation at the time of scanning (delayed conception)

MBBS, DGO, FGO
Gynaecologist, Jalandhar
My wife 35 weeks 2 days pregnant but kal sonography karwayi juice report kucj is tarah he
SINGLE live intrauterine fe...
For 2 weeks discrepancy, better get a colour doppler study done to confirm that the baby is getting proper nourishment through proper blood supply, is all is ok then be relieved that is is due to late conception
2 people found this helpful
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Basic health tips that can help big time.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
Basic health tips that can help big time.
The context in which an individual lives is of great importance on health status and quality of life. Health is maintained and improved not only through the advancement and application of health science, but also through the efforts and intelligent lifestyle choices of the individual and society. Here are some basic tips for maintaining a good health.

Exercise - You don't have to belong to a gym club. Thirty minutes walk every day will to prevent weight gain and encourage moderate weight loss.
Eat healthy

Reduce fat intake - Cut down on sugar and opt for fruits and vegetables. This helps reduce cholesterol and blood pressure. Healthy food will also lead to better blood sugar control.

Reduce stress - Not everything we want we get. We have to accept that there are things that we cannot control. Managing time is also of great importance too. We must allow ourselves enough time to get things done. Set a time during the day for relaxation.

Improve sleep - Avoid caffeine, alcohol, nicotine, and other chemicals that interfere with sleep. Equip your bedroom with a comfortable mattress and pillows. Sleep in a dark clean and quiet environment.

Meditation - Meditation has been linked to a variety of health benefits. It has been linked to changes in metabolism, blood pressure, brain activation, and other bodily processes.

Positive thinking - People who think positively have an optimistic view of life that affects their health and well-being. Optimism has been shown to explain between 5–10% of the variation in the likelihood of developing some health conditions, notably including cardiovascular disease,stroke, depression, and cancer.

There are many more things you can know and boost your health. Searching for ssohm on internet will help.
86 people found this helpful

I am 22 years old. I am having irregular menstrual flow my weight is 95? What should I do for getting regular menstruation? Does it affect hair loss and skin problems.

DGO, FRM
Gynaecologist, Salem
I am 22 years old. I am having irregular menstrual flow my weight is 95? What should I do for getting regular menstru...
You must reduce your weight at least 10%of your body weight. It can have effect on your skin and hair.
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My gf is having elestra tab and she had 21 days + 9 days extra now she stopped elestra tab and after 7 days she got period but bleeding is very less is she pregnant please guide me I am worried reply soon.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
My gf is having elestra tab and she had 21 days + 9 days extra now she stopped elestra tab and after 7 days she got p...
Hello, if she had bleeding after stopping the medicine, the chances of pregnancy are very negligible. However, get a pregnancy test done with a morning sample of urine.
1 person found this helpful
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Hello Madam/Sir, Greetings. My age is 31. I am married since three years and now trying to conceive from the last two months. we have sex during the 13th and 14th day after my periods. But failed to conceive. My periods are regular and my hormone levels are normal. My Gynaec gave me ovulation induction medicines for 3 months. I was unable to go for TVS for the first two months of medication and the third time I went for regular trans vaginal scan. My follicle was ready but she diagnosed polypoid endocervical thickening of 1.0 X 0.4 cm thickness and she stressed to do IUI and told that there is no chance of conceiving until the polyp is removed. Suggest me to get conceive. Thanking You.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Before jumping into IUI, your detailed work up must be done as well as your husband's semen analysis. Now, ''polypoid endocervical thickening'' is misnomer. We should exactly detect the problem. If there is big polyp or bleeding polyp, it should be removed. Otherwise, we can go for simple IUI. Wish you all the best.
2 people found this helpful
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Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult doctor and what can be reasons for missed periods.

MBBS
Sexologist, Panchkula
Is missed periods are always a sign of pregnancy even if test is negative. In such a case should we wait or consult d...
Missed periods are not always the sign of pregnancy. You can wait for the periods. Reasons for missed periods could be stress, faulty dietary habits or hormonal imbalance or pregnancy.
3 people found this helpful
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Pls guide about calender system. My wife has regular period on 23rd every month. So when we go for safe sex without taking any protection. Pls tell elaborately. We are confuse .pls. We just got married. Regards.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Pls guide about calender system. My wife has regular period on 23rd every month. So when we go for safe sex without t...
Hello, In a 28-30 days cycle, day 2 to 12 and then day 22 till menses is the safe period to have sex to avoid pregnancy. Ovulation can occur between day 12-18 of the cycle and hence sex during this time can get her pregnant.
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I am a 25 year old female. I had an unprotected sex at about 4 am in the morning and had taken ipill at about 12: 30 pm. I am still worried. Is there anything which would ensure that do not get pregnant.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
I am a 25 year old female. I had an unprotected sex at about 4 am in the morning and had taken ipill at about 12: 30 ...
Dear Lybrate user, Since you have taken I Pill in time, chances of pregnancy are remote. There is nothing else which would ensure prevention of pregnancy.
2 people found this helpful
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What is vaginal infection? My gf have this problem, can we sex during vaginal infection?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
The infection may spread to you too. It will be better for both of you to take treatment and get cured first.
2 people found this helpful
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I got married before 8 months. I used unwanted kit completely (5 tablets. After 2-3 days I got my periods on dec 7. Asusually it continued for 5 days. After 3 days it again started bleeding but in little. It's been 6 days. Can you help me?

DHMS (Hons.)
Homeopath, Patna
I got married before 8 months. I used unwanted kit completely (5 tablets. After 2-3 days I got my periods on dec 7. A...
Hello, Lybrate user, menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results, in,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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अजवाइन के फायदे और नुकसान - Benefits and Side Effects of Ajwain in Hindi

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
अजवाइन के फायदे और नुकसान - Benefits and Side Effects of Ajwain in Hindi

अजवाइन, जिसका वैज्ञानिक नाम है ट्रैक्स्स्पर्मम कॉप्टिकम, अपियासी (उंबेलिफेरे) परिवार की एक झाड़ीनुमा वनस्पति है। यह बिशप की घास या कैरम के बीज के रूप में भी जाना जाता है। भारत में औषधीय और खाना पकाने के प्रयोजनों के लिए इसके बीज और पत्ते का उपयोग किया जाता है। यह पेट के दर्द का इलाज करने के लिए भारतीय परिवारों में एक लोकप्रिय उपाय है।
इसके बीजों में आहार फाइबर (11.9%), कार्बोहाइड्रेट (38.6%), टैनिन, ग्लाइकोसाइड, नमी (8.9%), प्रोटीन (15.4%), वसा (18.1%), सैपोनिन, फ्लावेन और फास्फोरस, कैल्शियम, लोहा और निकोटीनिक एसिड युक्त खनिज पदार्थ (7.1%) शामिल हैं। पेट के दर्द, ऐंठन, आंत्र गैस, अपच, उल्टी, उदर विस्तार, दस्त, ढीली मल, श्वास कष्ट और पेट में भारीपन जैसे विभिन्न स्वास्थ्य स्थितियों के लिए यह एक सामान्य घरेलू उपाय है।
 

अजवाइन के लाभ:
इसके कुछ महत्वपूर्ण पोषण और औषधीय स्वास्थ्य लाभों का उल्लेख नीचे दिया गया है:
1. सर्दी का इलाज: 
चिरकारी और आवर्तक ठंड के लिए, अजवाइन के तले हुए बीज 1-2 ग्राम की खुराक में 15-20 दिन के लिए लेने की सलाह दी जाती है। गुनगुने पानी के साथ अजवाइन के बीज चबाना खांसी के लिए भी एक अच्छा इलाज है।
2. अम्लता के लिए: अजवाइन के बीज में एंटी- हाइपरएसिडिटी गुण होते हैं। अम्लता के रोगी सुबह- सुबह या भोजन के बाद गुनगुने पानी और नमक के साथ अजवाइन का उपभोग कर सकते हैं। 10-15 दिन लिए जाने पर, यह अच्छे परिणाम दिखाते हैं।
3. अस्थमा के लिए:  गर्म पानी के साथ अजवाइन के बीज का उपभोग करने से शरीर को ठंड से तुरंत राहत मिलती है और खांसी और बलगम का निष्कासन होता है। यह ब्रोन्काइटिस और अस्थमा के उपचार के लिए भी उपयोगी है। अस्थमा से पीड़ित व्यक्ति अजवाइन और गुड़ का पेस्ट, 1 बड़ा चमचा दिन में दो बार ले सकता है।
4. पेट के दर्द के लिए: अजवाइन और छोटी मात्रा में नमक , गर्म पानी के साथ पीने पर अपच और पेट के दर्द के लिए काफी फायदेमंद है।
5. गुर्दा संबंधी विकारों के लिए: अजवाइन के बीज गुर्दे की पथरी के इलाज के लिए बहुत प्रभावी हैं। वे गुर्दा संबंधी विकारों के कारण दर्द का इलाज और कम करने में भी उपयोगी हो सकते हैं। 
6. मुंह की समस्याओं के लिए: अजवाइन बीजों को दांत दर्द का इलाज करने के लिए सिद्ध हैं। दाँत दर्द, खराब गंध और क्षय के उपचार के लिए, अपने मुंह को लौंग तेल, अजेवन तेल और पानी से रोजाना सॉफ करें।
7. एक्जिमा के लिए: एक पेस्ट बनाने के लिए गुनगुने पानी के साथ अजवाइन के बीज को पीस लें। इस पेस्ट को चेहरे या शरीर के किसी भी प्रभावित हिस्से पर लागू करें। इसके अलावा, अच्छे परिणाम के लिए कोशिश करें कि एजवेन पानी के साथ प्रभावित हिस्से को धोएँ।
8. गठिया के लिए: अजवाइन के बीज का तेल गठिया दर्द का इलाज करने के लिए एक बहुत ही उपयोगी तरीका है। गठिया दर्द से राहत पाने के लिए अजवाइन बीज के तेल के साथ नियमित रूप से प्रभावित जोड़ों पर मालिश करें।
9. वायरल संक्रमण और फ्लू के लिए: पानी में दालचीनी के साथ अजवाइन बीज उबाल लें। फ्लू का इलाज करने के लिए एक दिन में 4 बार पी लें।
10. शराब की लत के लिए: यह जड़ी बूटी उन लोगों के लिए भी फायदेमंद है जो शराब से छुटकारा चाहते हैं। रोजाना अजवाइन के बीज को चबाने से शराब की लालसा से छुटकारा मिल सकता है।
11. शुक्राणुओं की संख्या बढ़ाने के लिए: यह शुक्राणुओं की संख्या में सुधार करने और समय से पहले स्खलन का इलाज करने के लिए एक सिद्ध विधि है।
12. पिंपल मुक्त चेहरे के लिए: मुहासों के कारण होने वाले निशान को हल्का करने में अजवाइन के बीज बहुत उपयोगी हो सकते हैं। आप निशान को हटाने के लिए अपने चेहरे पर दही के साथ इसे लागू कर सकते हैं।
 

अजवाइन के दुष्प्रभाव
अजवाइन खाद्य मात्रा में सुरक्षित हैं। अजवाइन के बीज चिकित्सकीय खुराक में भी सुरक्षित हैं। हालांकि, अतिरिक्त राशि (प्रति दिन 10 ग्राम से अधिक) निम्नलिखित दुष्प्रभावों का कारण हो सकता है:
1. अम्लता
2. जलन का अहसास
3. मुंह के छालें

यदि आप निम्नलिखित स्थितियों में से किसी से पीड़ित हैं, तो आपको अजवाइन नहीं खाना चाहिए:
1. पेट में अल्सर
2. मुंह के छालें
3. सव्रण बृहदांत्रशोथ
4. आंतरिक रक्तस्राव
अजवाइन इन स्थितियों को बढ़ा सकते हैं और इन बीमारियों के लक्षणों में वृद्धि कर सकते हैं।

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