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Dr. Tulika Agarwal

Gynaecologist, Kurukchetra

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Dr. Tulika Agarwal Gynaecologist, Kurukchetra
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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C/o, Dr. K.C. Agarwal, Agarwal Nursing Home, Salarpur Road, KurukchetraKurukchetra Get Directions
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Health Benefits of Laughing

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Health Benefits of Laughing

Health Benefits of LAUGHING

1. Reduce Heart Disease

2. Natural pain killer

3. Improve breathing

4. Help in weight loss

5. Give good sleep

6. Decrease stress

7. Make you young

Ager ladki or ladke dono ne kapde pehen kar sex ki tareh act kiya ho, sex nhi. Ldke ka sperm panty par lg gya ho, to kya pregnant ho jati hai ladki? Apne ander nhi jata bs yoni pr lg jata hai. Please advise.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Ager ladki or ladke dono ne kapde pehen kar sex ki tareh act kiya ho, sex nhi. Ldke ka sperm panty par lg gya ho, to ...
Yes it's possible to get pregnant motility of sperms is a lot quicker than presumed go to a reputed family welfare center for counseling and advice for avoiding unwanted pregnancy.
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Dear Respected Dr. Dr. I am pregnant of 14 week, last two days coming too much, loose motion can I use isabgol. Can you suggest me any home remedies please, Dr. Thanking in advance

MBBS, DGO
Gynaecologist, Gurgaon
Dear Respected Dr. Dr. I am pregnant of 14 week, last two days coming too much, loose motion can I use isabgol. Can y...
Since you are in early second trimester initially start ORS -powder Electral have it at least 10 times a day (glass full -200 ml. Wait today from tomorrow if the frequency is same then we will start an anti diarrhoeal tablet. Take soft diet -Khichdi and Dalia and curd.
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Hi am 22 years I got admitted once cx of urine infection cx I couldn't bare the pain in ma lower back. They told me was cx of unprotected sex but me and my fiance we normal don't use protection . Its that gonna be a problem again because of unprotected sex.

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
Hi am 22 years I got admitted once cx of urine infection cx I couldn't bare the pain in ma lower back. They told me w...
If this is the first episode of urine infection, then you don't need to worry much, in the form of protection, etc. If its happening repeatedly, you need evaluation in the form of partner evaluation (whether he is the source), presence of constipation, diabetes, etc. In that case you need to take care of what is called" post-coital prophylaxis" that is care after sexual intercourse, like local wash, urination, and antibiotics in severe cases.
18 people found this helpful
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Minimal Invasive Procedure For Haemorrhoids!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Minimal Invasive Procedure For Haemorrhoids!

In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.

Description:

Stapled Hemorrhoidopexy

What are the indications PPH or MIPH?

Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.

How it work and what are the benefits of Stapled Hemorrhoidopexy?

Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.

What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?

Complication of this surgery include:

  1. Active sepsis,
  2. Anal stenosis, and
  3. Full-thickness rectal prolapse

Because these conditions are not adequately treated by PPH.

What are the complications of Stapled Hemorrhoidectomy?

Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.

Most common complication are:

  1. Hemorrhage
  2. Incontinence
  3. Anal stenosis
  4. Fistula, and
  5. Septic complications

Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.

Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.

1 person found this helpful

My wife is first month pregnant, can we have sex during pregnancy, is there any chance of miscarriage. Please advice

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
My wife is first month pregnant, can we have sex during pregnancy, is there any chance of miscarriage.
Please advice
If your doctor has advised for some reason not to have sex, if there is any complication in your wife's ultrasound like a low placenta, or a previous miscarriage, or threatened abortion history or previous preterm labour, then avoid it. If there is no such complication then it is ok but be gentle.
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Diabetes - How it Affects Your Pregnancy?

MD - Obstetrics & Gynaecolog, MBBS
Gynaecologist, Hyderabad
Diabetes - How it Affects Your Pregnancy?

The transition from being a woman to motherhood is a beautiful journey that remains memorable for a lifetime, for the mother as well as those around her who care for her and love her. There may be times when the health conditions and the pregnancy related discomfort may leave a bad taste, but it is also taken with a pinch of salt and forgotten as soon as the baby arrives. Whatever, may happen to the mother, but she would always try to make sure that the baby is safe and healthy when he arrives in this world. She always wishes that her child grows into a healthy toddler and a well developed adult.

While we may practice all sorts of care and caution in the course of a pregnancy, there are times when the body systems fail to function regularly, which is when the real problems arise. One of the most common, yet risky problems that usually appears or aggravates during pregnancy is the problem of glucose. A lot of women experience the problem of diabetes during pregnancy because their blood sugar goes extremely high with the changes in the lifestyle, dietary and hormonal conditions. In cases of women who may be patients of diabetes before pregnancy, they may experience increased blood sugar levels and may need to go on extra medication to keep their condition under control.

The types and effects of diabetes:
There are majorly two types of diabetes which is pre-existing and gestation induced. In the case of the pre-existing condition, the woman may already be suffering from diabetes before she conceived and in the gestational diabetes, the woman may have developed the condition after getting pregnant and may be able to go back to normal after the pregnancy is over. While it may be common in pregnant woman to develop high blood sugar, there are a number of things that could go wrong:

  1. Pregnant women with diabetes may find it difficult to go in for a natural labour and may have to opt for induced labour or even a caesarean delivery.
  2. It is also possible that women who already suffer from diabetes before pregnancy are more likely to carry a baby that is larger than regular babies.
  3. Developing diabetes may open up the doors for a lot of other disorders and diseases in the women such as problem with vision or disorders of the body organs such as kidneys.
  4. The foetus that develops in the womb may also be exposed to health issues and lack of development in the organs.
  5. If the baby is born fairly healthy, it may end up developing diseases after birth or even in adult life, which may be due to the diabetes in the mother at the time of the pregnancy.
  6. In extreme cases, the woman may undergo a miscarriage or the baby may be a still born.

In order to, be able to ensure a healthy and safe pregnancy, it may be essential to make sure that the best gynaecologist is chosen for regular checks and the meeting schedules with the doctor are followed religiously to rule out the possibility of unhealthy consequences.

3359 people found this helpful

Milk secretion coming out on squeezing serum prolactin test done shows level more than 200 is mammography needed to be done or not? Please advice

MBBS
General Physician, Mumbai
Milk is coming out because of high prolactin levels and so we should find the cause for it and if there is any kind of lumps found on the breast than we can go for mammogram after clinical examination
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When we try to conceive, my period pains is severe and period also comes late. But when we don't try that month my period is regular and not much painful. Generally my period is always regular and not much painful.

Advanced Aesthetics
Ayurveda, Gulbarga
When we try to conceive, my period pains is severe and period also comes late. But when we don't try that month my pe...
in periods time pain is normal and more pain use any pain killer tab and u try for concieve so try these days 11th to 15th day...
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