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Dr B D Attam Hospital

Multi-speciality Hospital (Pediatrician, Gynaecologist & more)

#10, Pragati Market, Ashok Vihar Phase 2. Landmark: Near Deep Cinema Hall Delhi
8 Doctors · ₹0 - 250
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Dr B D Attam Hospital Multi-speciality Hospital (Pediatrician, Gynaecologist & more) #10, Pragati Market, Ashok Vihar Phase 2. Landmark: Near Deep Cinema Hall Delhi
8 Doctors · ₹0 - 250
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Dr B D Attam Hospital
Dr B D Attam Hospital is known for housing experienced General Surgeons. Dr. Rajesh Attam, a well-reputed General Surgeon, practices in Delhi. Visit this medical health centre for General Surgeons recommended by 42 patients.

Timings

MON-SAT
09:00 AM - 09:00 PM

Location

#10, Pragati Market, Ashok Vihar Phase 2. Landmark: Near Deep Cinema Hall
Ashok Vihar Delhi, Delhi - 110052
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Doctors

Dr. K B Raj

MS - Orthopaedics
Orthopedist
30 Years experience
250 at clinic

Dr. K B Raj

MS - Orthopaedics
Orthopedist
30 Years experience
250 at clinic
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Reasons Why You Should Consult A Gynaecologist!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Reasons Why You Should Consult A Gynaecologist!

Women do not normally visit a gynaecologist, until they are suffering from any problem. Consulting a gynaecologist at regular intervals is important for good health.

Following are the 4 common reasons to visit a gynaecologist:

  1. Itchy vagina - Vaginal itching is very commonly ignored as most women consider it to be embarrassing, and as something that does not require any attention. However vaginal itching may be an indication of something more serious. Usually vaginal itching is a sign of fungal infection or a symptom of a STDs (sexually transmitted diseases). In the worst-case scenario, it can even be a sign of vulvar cancer (a cancer of the vulva, which is the external part of your vagina).
  2. Painful sex - Most women feel that it is normal to feel a little bit of pain in your vagina during sex. However, the truth is that pain during sex is not at all normal. If you feel pain while indulging in sexual activity, there are chances of you suffering from either vaginal dryness or a mild infection, which if left untreated can become worse. Some of these infections can even be STDs such as herpes, gonorrhoea etc.
  3. Lump in your breast - A lump in the breast, whether or not accompanied by a bloody discharge from your nipples, is most likely a warning sign of cancer. You should also watch out for any type of pain in your breasts or even an abnormal growth as all of these indicate the development of cancerous cells in the breasts.
  4. Considerable bleeding during periods - If you bleed heavily during your periods, so much so that you have to change your sanitary napkin 2-3 times in just one to two hours, it's a cause of concern. If this heavy menstrual flow is also accompanied with shortness of breath and rapid heart rate, you may be suffering from anaemia. In extreme cases (which is very rare), this can lead to extreme blood loss, which may require a blood transfusion.
3 people found this helpful

Cataract Surgery

Senior Consultant Surgeon, Specialist In Refractive Lasik Surgery, MS Ophthalmology, Phacoemulsification & Multifocal Implantation, Occuloplasty Surgeon
Ophthalmologist, Delhi
Cataract Surgery

A cataract usually forms in the eyes due to clouding of the naturally clear lens that coats the eyes.This coating is usually a matter of age advancement or any other injury that the eyes may have sustained. It may also be a birth defect that a baby may be born with. There are various ways to deal with this debilitating condition.

One of the methods of treatment includes cataract surgery. Read on to find out more about this form of treatment:

  • Procedure: During this surgery, the ophthalmologist will remove the cloudy lens and clean it before replacing it with a man-made lens.The technique followed for this procedure is known as phacoemulsification which involves a small cut or incision for the cataract surgery. The incision helps the doctor in liquefying and then vacuuming the centre portion of the lens, which is slightly harder than the rest of the lens.
  • Device: The doctor will usually administer anaesthesia first and then make the tiny incision on one side of the cornea. Thereafter, an instrument or device will be inserted through this opening to send out ultrasonic vibrations to the eye. These vibrations will help in breaking the lens into tiny pieces. These fragments will be removed with the help of a suction that will go in through the tiny cut. This cut may also be made with the help of a laser beam.
  • New Lens: Once the fragments of the old lens have been cleared, the doctor will go about the process of inserting the new man made lens which is usually made up of clear plastic, acrylic or even silicon, and is known as IOL or intraocular lens. This process is generally termed as intraocular lens implantation.
  • Improved Vision: With the help of the new lens, the patient will now enjoy better vision and a visible decline in the symptoms of the cataract including problems in night driving.
  • Convenient: This procedure usually takes about an hour and is an outpatient procedure. It is a completely safe procedure where numbing drops are placed on the eye so as to reduce any pain significantly. The doctor will usually give you a novocaine injection around the eye. Also, cataracts from both eyes will not be removed on the same day, and the doctor will schedule you for cataract removal from the second eye for another day.
  • Aftermath: After the surgery is over, it is normal to feel some amount of irritation in the eye. If this irritation is persistent, you must see a doctor about it.

Painkillers like acetaminophen and ibuprofen can be used to recover from the pain after the surgery. Ask an ophthalmologist about other measures.

1 person found this helpful

Sleepwalking - 11 Things You Must Know!

MD - Psychiatry
Psychiatrist, Jodhpur
Sleepwalking - 11 Things You Must Know!

Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

  1. Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
  2. The person who is sleepwalking is usually not aware of it.
  3. Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
  4. Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
  5. The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
  6. They may not respond when they are actually sleepwalking, or respond very slowly
  7. They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
  8. Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
  9. There could be chances of small injury like tripping or fall during the sleepwalking episode
  10. Sleepwalkers may be more restless compared to other children during their waking hours
  11. Bedwetting is also quite common in children who sleepwalk

Causes

  1. Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
  2. Stress
  3. Excessive drinking
  4. Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
  5. Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking

Management

  1. For a parent to see their child walking around in their sleep can be quite disturbing.
  2. Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
  3. Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
  4. Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects. If you wish to discuss about any specific problem, you can consult a psychiatrist.
5 people found this helpful

How Homeopathy Helps To Treat Skin Diseases?

BHMS
Homeopath, Delhi
How Homeopathy Helps To Treat Skin Diseases?

A number of factors, both internal as well as external, contribute to skin ailments.

The dermatological problems, if not treated timely, can leave a person physically, mentally and emotionally drained out. In such cases, a person's self confidence is the worst affected.

A lot of conventional and Allopathic options are available to treat skin diseases. Ointments, antihistamine tablets and antibacterial medications, though effective, often provide temporary relief. In many cases, it has been observed that in due course of time, the problems tend to relapse.

Homeopathy adopts a holistic approach in treating a disease. It lays great emphasis towards identifying and treating the underlying cause.

Homeopathic treatment can be a little time consuming, but the time is worth waiting for. Over the past few decades, homeopathy has been the most sought after and reliable medication to deal with dermatological problems.

Some of the homeopathic medications that have effectively dealt with skin diseases include:

  1. Arsenicum: If psoriasis and chronic urticaria are giving you sleepless nights, Arsenicum is what you need. Arsenicum is equally effective against chronic eczema.
  2. Sepia: Herpes can make life miserable. Sepia is a powerful medication that gives one a lot to cheer about. People with psoriasis and dry skin can greatly benefit from Sepia.
  3. Natrum muriaticum and rhus toxicodendron: Both the medications, Rhus Toxicodendron in particular, are very effective against eczema. Natrum Muriaticum has been found to soothe a person suffering from mental depression greatly.
  4. Thuja occidentalis: Acne problems, warts, freckles, dry and itchy skin, ulcers (anogenital region) can throw life in jeopardy. Embrace the goodness of Thuja Occidentalis and the mentioned skin problems will be a thing of the past.
  5. Cantharis: It provides great relief from blisters, skin eruptions and burns (second and third degree). To enjoy the everlasting benefits, one needs to be a little patient with the treatment. If you wish to discuss about any specific problem, you can consult a homeopath.
7 people found this helpful

Hello, I am a 29 years old male suffering with knee pain (probably joint pain) (left leg) for the last couple of weeks. Unable to sleep/sit or even stand. It is also observed that both my legs didn't have any strength neither in muscles not in the bones. Didn't use any medication so far, however, tried home remedies like soaking legs in salted Luke warm water etc. Please suggest what to do. PS: I've been smoking for almost 10 years now and for the past 5 or 6 years smoking more than a pack/day.

DHMS (Hons.)
Homeopath, Patna
Hello, I am a 29 years old male suffering with knee pain (probably joint pain) (left leg) for the last couple of week...
Hello, Lybrates user, Smoking is a risk factor for osteoporosis, it decreases bone density. You need to quit smoking, first to ease your problem. Tk, plenty if water to eliminate toxins. Go, for meditation to. Nourish your physique & brain. Tk, homoeopathic medicine:@ Nux vom 30-6 pills. You may consult a physiotherapist, please. Tk, care.
2 people found this helpful
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Lifestyle Changes to Manage Asthma Better

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Lifestyle Changes to Manage Asthma Better

Asthma is an inflammatory disease, which affects the airways of your lungs (respiratory tract that pumps oxygen into the lungs). It is long term in nature. It is characterized by shortness of breath, coughing and wheezing. It occurs few times a day or few times a week depending on the person it affects. Sometimes it worsens during the night.

What triggers Asthma?

  1. Airborne particles such as dust mites, mold spores, pollen and cockroach waste.
  2. Infections in the respiratory system such as common cold.
  3. Cold air can also trigger asthma.
  4. Physical or outdoor activities which make you pant such as running, skipping, jogging and jumping can cause shortness of breath, thus triggering asthma.
  5. Pollutants and irritants in air such as smoke.
  6. Some medications can also trigger asthma.
  7. Stress and nervous attacks (panic attacks) also trigger asthma.

How to manage asthma better by changing your lifestyle:

  1. Try to avoid keeping animals in your house such as dogs, cats and rabbits. Many times animal fur, waste, urine and saliva contains particles which can cause allergic reactions and make you cough uncontrollably. This in turn triggers asthma attacks. If you have pets try keeping them away from your bedroom.
  2. Dust mites also cause allergies which trigger asthma. So wash your carpets, rugs, bed-linen and pillowcases in hot water.
  3. Bugs and insects such as cockroaches are not only unhygienic, but can also trigger asthma. Cockroach droppings near your bed, kitchen and food are dangerous and you should call an exterminator to get rid of these bugs.
  4. Sometimes, heavy fragrance also aggravates your respiratory tract and triggers shortness of breath. Avoid using heavy perfumes, deodorants and room fresheners.
  5. Pollution also triggers asthma. Dust particles come out from the vehicles and mix with the air. If this air is inhaled, it might trigger uncontrollable asthma. So try to cover your mouth with a cloth when you step out of your house.

Asthma can be very severe and can bring many hurdles in your day to day activities. Changing your lifestyle and certain habits can reduce asthma to a great extent.

7 people found this helpful

Hi. I had sex with my would be husband during the 1st day of my periods.& without no protection.& he ejaculated inside me. So I take a birth control pill. Is it ok? Is there any chance to get pregnant? please help me.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Navi Mumbai
Hi. I had sex with my would be husband during the 1st day of my periods.& without no protection.& he ejaculated insid...
There is No chance that you would be pregnant, But having Sex during Menses is not advisable, may lead to fertility issues in future called Endometriosis. So 5 Days No Sex.
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Hi. I have sex with my would be husband. He was virgin. I read tht in 1st time sex boys mainly cum after 10 to 20 mins or more. But he cum during his 1st sex after almost 2 hours. We both are shocked. How it is possible? please help me?

BHMS
Homeopath, Sindhudurg
Hi. I have sex with my would be husband. He was virgin. I read tht in 1st time sex boys mainly cum after 10 to 20 min...
Its delayed ejaculation (DE). .Psychological causes for DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. Relationship stress, poor communication, and anger can make DE worse. Disappointment in sexual realities with a partner compared to sexual fantasies can also result in DE. Often, men with this problem can ejaculate during masturbation but not during stimulation with a partner. Certain chemicals can affect the nerves .consult me by clicking on consult option for homoepathic treatment.
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Management of Endometriosis

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Management of Endometriosis

When cells of tissues that are usually found lining the inside cavity of the uterus, start growing outside the organ, for eg over the ovaries/ fallopian tubes/ urinary bladder etc. it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, heavy bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
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Complete Guide for a Healthy Skin

Complete Guide for a Healthy Skin

Do you remember your make up kits?

A walk to your mirror

When it was the time for an outing?

A time to get ready..

Pamper your skin!

And the Last minute preparation?

Here are a few tips on Development of beauty.

The very first step one should do while facial make-up is to wash the face with luke-warm water and then wipe it with a soft cloth, apply some oil softly and then again wash with soap and luke warm water.

Then one need to apply a moisturizing cream and a little of face powder, preferably with a put instead of one’s hands and spread it over to the neck, so as the complexion of the face matches with the neck skin.

Now the lips, be cautious to wash and wipe your lips before applying any shade on it. Then put a little cream over it and then proceed with the application of the preferred shade, which suits your complexion with a lip brush.

It is much better if a out-line is made and after that a final touch by pressing the lips together.

An eye being the most expressive special care is to be taken while doing any make-up over it.

After applying powder to the face make a thin line of kajal in the lower part of the eyes, put a little oil to the lashes and make a thin line in the upper part of the eyes.

The Cheek Bone- Apply very lightly in the mid cheeks and then very lightly massage them while they mix with powder.

Hair- Before any hairdo hairs need to be washed thoroughly with shampoo. After drying the hair, a single plait should be made or a bun or any other hairstyle suiting the attire is preferred.

Body Massage- In order to maintain the softness of the skin body massage is very much essential.

Before taking bath, the body should be well massaged by mustard oil or some other medicated oil. After massage, it is very much important to have a Sun Bath for at-least half an hour. After which the body is to be wiped with a towel, to help good blood circulation.

In spite, of the beauty and perfection which a girl posses it is very essential to have a regular balanced diet.

So, here is your complete guide to the last minute hustle and bustle to all your problems.

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Skin Pigmentation - Easy Ways You Can Get Rid of Them

MBBS, MD - Dermatology
Dermatologist, Ahmedabad
Skin Pigmentation - Easy Ways You Can Get Rid of Them

Hyperpigmentation is a relatively harmless condition, but can affect a person’s self-image and psyche. This skin condition is characterized by dark patches on the skin due to exposure to UV radiation or as a sign of aging. It is caused by an excessive production of melanin in the body. Hyperpigmentation affects people of all ages and with all skin types. However, fair-skinned people are at a higher risk of suffering from this condition than dark skinned people.

This condition can be treated in a number of ways including:

  1. Laser: Laser treatment for hyperpigmentation improves skin tone and boosts collagen production. With advancement in laser technology, scarring is no longer a very big risk with this form of treatment. Depending on the degree of hyperpigmentation argon or carbon dioxide lasers may be used in with short pulses or long pulses. Treatment can take anywhere between 30 to 45 minutes and is relatively pain free. 
  2. Chemical peels: Chemical peels rid the skin of its top most layer and bring new cells to the surface. This gives the skin an even tone and eliminates dark spots and patchiness. A light salicylic acid or glycolic acid peel is ideal for hyperpigmentation treatment. This is often used in cases where the patient’s skin is resistant to over the counter topical treatment. The concentration of active ingredients in the peel depends on the skin tone. Mild skin discolouration and blotchiness can be treated with a superficial peel while age spots and freckles require a medium peel. 
  3. Topical ointments: Topical ointments are usually the first form of treatment for hyperpigmentation. Hydroquinone or retinol are the most commonly prescribed ointments. Broad spectrum sunscreen that offers protection against UVA and UVB rays can also help prevent further sun damage and dark spots. Skin lightening creams with soy or niacinamide as active ingredients also help brighten skin tones. 

Apart from these forms of treatment, there are also a number of home remedies for this condition. Some of these home remedies are:

  1. Rubbing a freshly sliced or the juice of a grated potato on the skin
  2. Applying a combination of cucumber and lemon juice on the skin
  3. A grated papaya face mask
  4. Soak almonds in milk overnight and then skin them and puree with the milk. Apply this mixture on the affected areas. 
  5. A mask of guava and banana pulp 

    If you wish to discuss about any specific problem, you can consult a dermatologist.

4 people found this helpful

Complete Guide for a Healthy Skin

Complete Guide for a Healthy Skin

Do you remember your make up kits?

A walk to your mirror

When it was the time for an outing?

A time to get ready..

Pamper your skin!

And the Last minute preparation?

Here are a few tips on Development of beauty.

The very first step one should do while facial make-up is to wash the face with luke-warm water and then wipe it with a soft cloth, apply some oil softly and then again wash with soap and luke warm water.

Then one need to apply a moisturizing cream and a little of face powder, preferably with a put instead of one’s hands and spread it over to the neck, so as the complexion of the face matches with the neck skin.

Now the lips, be cautious to wash and wipe your lips before applying any shade on it. Then put a little cream over it and then proceed with the application of the preferred shade, which suits your complexion with a lip brush.

1 person found this helpful

Taking Medicines during Pregnancy: Safe and Unsafe Medications

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Taking Medicines during Pregnancy: Safe and Unsafe Medications

Normal pregnancy lasts for 38 to 42 weeks. However, there may be times during these weeks that you may have some physical issues such as vomiting, backache, and loose stools etc which require treatment with medicines.

Therefore, monitoring and managing these physical conditions becomes necessary to ensure a normal delivery. Management consists of both medicines and rehabilitation. Medicines are considered to be the first line of treatment; however, the health care provider needs to take care while prescribing medicines during pregnancy taking into consideration the harmful effects they can have on both – the mother and the foetus.  Medicines pass on via the placenta from the mother to the foetus. Hence, before prescribing any medicine the provider should check the possibilities of the medicine causing any congenital defect. You should avoid medicines from the time of conception till the first 10 weeks, as this is the time when the foetus is most prone to the get permanent congenital deformities. Medicines given in the later stages (after 10 weeks) may cause systemic damage. For example NSAIDs (Non Steroidal Anti-Inflammatory Drugs) may lead to problems during labour or organ defects in the foetus.

Therefore, medicines should always be avoided during pregnancy. Still there are certain medicines, which can be taken but after consulting your physician. Let’s discuss the medicines that are safe during pregnancy.

The following is a list of medicines and their effects during pregnancy:

1. Analgesic Medicines

Paracetamol Safe
NSAIDs, such as aspirin May cause heart abnormalities in the third trimester

2. Opiates 

Codeine Effective in low doses
Hydrocodone Effective in low doses
Hydromorphone Effective in low doses

3. Anaesthetics 

Etomidate Unknown always ask your provider
Ketamine Avoid during the last trimester
Lorazepam Avoid for severe conditions, safe for short periods

4. Thrombolytics - The possible advantages of this class may balance the risk during pregnancy. Common medicines used are: Alteplase, Reteplase, Streptokinase, Urokinase.

5. Antidotes

Hydroxycobalamin antidote: cyanide Safe
Methylene blue antidote: methemoglobinemia Has a potential risk to the mother and foetus

6. Penicillins

First generation: penicillin G, benzathine penicillin, Bicillin, penicillin VK Safe
Second generation: oxacillin, dicloxacillin, nafcillin Safe

7. Cardiac agents

Adenosine Safe
Digoxin Not advised in third trimester
Lidocaine Safe

8. Diabetes: Insulin is safe to use during diabetes.

9. Antacids

Famotidine Low risk
Ranitidine Safe

10. Corticosteroids: Advised for short term use

Cetirizine Almost safe
Chlorpheniramine Safe

Always talk to your physician in case of any complication and before taking any medicine given above.

1 person found this helpful

Safe and Unsafe Medications to Take While Pregnant

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Safe and Unsafe Medications to Take While Pregnant

Which medicines are safe to use during Pregnancy?

Normal pregnancy lasts for 38 to 42 weeks. However, there may be times during these weeks that you may have some physical issues such as vomiting, backache, and loose stools etc which require treatment with medicines.

Therefore, monitoring and managing these physical conditions becomes necessary to ensure a normal delivery.Management consists of both medicines and rehabilitation.Medicines are considered to be the first line of treatment; however, the health care provider needs to take care while prescribing medicines during pregnancy taking into consideration the harmful effects they can have on both – the mother and the foetus.  Medicines pass on via the placenta from the mother to the foetus. Hence, before prescribing any medicine the provider should check the possibilities of the medicine causing any congenital defect. You should avoid medicines from the time of conception till the first 10 weeks, as this is the time when the foetus is most prone to the get permanent congenital deformities. Medicines given in the later stages (after 10 weeks) may cause systemic damage. For example NSAIDs (Non Steroidal Anti-Inflammatory Drugs) may lead to problems during labour or organ defects in the foetus.

Therefore, medicines should always be avoided during pregnancy. Still there are certain medicines, which can be taken but after consulting your physician. Let’s discuss the medicines that are safe during pregnancy.

The following is a list of medicines and their effects during pregnancy:

1. Analgesic Medicines

Paracetamol Safe
NSAIDs, such as aspirin May cause heart abnormalities in the third trimester

2. Opiates

Codeine Effective in low doses
Hydrocodone Effective in low doses
Hydromorphone Effective in low doses

3. Anaesthetics

Etomidate Unknown always ask your provider
Ketamine Avoid during the last trimester
Lorazepam Avoid for severe conditions, safe for short periods

4. Thrombolytics - The possible advantages of this class may balance the risk during pregnancy. Common medicines used are: Alteplase, Reteplase, Streptokinase, Urokinase.

5. Antidotes

Hydroxycobalamin antidote: cyanide Safe
Methylene blue antidote: methemoglobinemia Has a potential risk to the mother and foetus

6. Penicillins

First generation: penicillin G, benzathine penicillin, Bicillin, penicillin VK Safe
Second generation: oxacillin, dicloxacillin, nafcillin Safe

7. Cardiac agents

Adenosine Safe
Digoxin Not advised in third trimester
Lidocaine Safe

8. Diabetes: Insulin is safe to use during diabetes.

9. Antacids

Famotidine Low risk
Ranitidine Safe

10. Corticosteroids: Advised for short term use

Cetirizine Almost safe
Chlorpheniramine Safe

Always talk to your physician in case of any complication and before taking any medicine given above.

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What Causes Chronic Nightmares? How It Can be Treated?

MD - Psychiatry, MBBS
Psychiatrist, Delhi
What Causes Chronic Nightmares? How It Can be Treated?

Chronic nightmares are caused by a lot of internal as well as external factors. It can cause sleep disorders and can affect your overall health. Some of the key reasons that contribute to chronic nightmares are mentioned below:

  1. Stress and anxiety: Anxiety can come in many forms. It can happen due to simplest of reasons such as moving to a new place to joining a new job, suffering from trauma to losing a close one in the family, etc. Stress as a result of these can lead to bad dreams and chronic nightmares.
  2. Media: Suspense shows or scary movies are also known to cause nightmares. Recalling visual imagery from a recently watched horror movie during sleep can appear in the dream without any intervention. The brain can create a sequence and produce imagery based on one’s recent thinking process.
  3. Depression: A Finnish Study showed that more than 28 percent who suffers from depression get nightmares at night. A negative mindset coupled with poor self-confidence can lead to chronic nightmares resulting in sleep disturbances.
  4. Traumatic experience: Any recent experience of surviving a natural disaster, violence in the relationship, major vehicle accident, are frequently linked with nightmares. More than 50 percent of the people with PTSD suffer from nightmares reveals the National Center for PTSD, USA.
  5. Drugs and Medications: People coming out from recent medication such as barbiturates, narcotics and antidepressants often suffer from hyperactive neurotransmitter leading to nightmares. Withdrawal from alcohol and recreational drugs are also known to be responsible for chronic nightmares.
  6. Snacking Before Bedtime: Often eating before sleeping triggers the metabolism and signals are sent to the brain to be more active than usual. Junk foods and spicy meals should be especially avoided to refrain from chronic nightmares.
  7. Inability to Relax: Inability to relax gradually builds up a basic level of underlying arousal process which later contributes more in further reaction towards stress.
  8. Conflicting Material: Any conflicting material which we are not aware of might lay embedded in our subconscious mind, which might contribute to repeated nightmares. 

So basic idea is to learn some relaxation technique and practice those. If the condition persists then it will call for a detailed assessment and may be some medication besides Psychological measures.

How to get rid of nightmares?

  1. Treat the underlying symptoms: It is important to identify the cause of the nightmares. Often stress, PTSD, anxiety and depression can cause nightmares. Once the cause is identified, medical help or self-help techniques can be employed to overcome it.
  2. Exercise: Exercise tires the body and relaxes the brain. From dancing to rock climbing, running to rowing, hitting a gym to brisk walking, one form of exercise should be daily practised to make sure you get sound sleep during the night.
  3. Talk to your doctor: If you are undergoing any medication that involves withdrawal, anxiety, narcotics, you should immediately consult a doctor about the effects of medicine. A doctor can either reduce the dosage of medicine or change the medicine altogether to address the problem
  4. Stress Reduction: Stress can be reduced by practising yoga and meditation. You can also take a hot shower before going to sleep to calm yourself down. A relaxed mind goes a long way in ensuring sound sleep during the night.
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Dislocation - What Can be the Reasons Behind it?

MBBS, MS Ortho, DNB (Orthopedics), Dip SICOT (Belgium), FISOC (USA), MNAMS (Ortho), FASM (Singapore)
Orthopedist, Chennai
Dislocation - What Can be the Reasons Behind it?

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury. 

What can cause a dislocation?
The causes of dislocation are as follows:

  1. A body joint can get dislocated if you have suffered a fall.
  2. If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
  3. Automobile accidents can also cause dislocation of joints.
  4. Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.


Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be: 

  1. You might experience severe pain while moving the dislocated joint.
  2. There will be a lack of sensation near the dislocated portion.
  3. There might be a stinging sensation in the dislocated area.
  4. In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints. If you wish to discuss about any specific problem, you can consult an orthopedist.

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Hello Sir I am 50 years old woman my weight is 50 kg. I was diagnosed with osteoporosis since last one year. As written on prescription OA knee. Doc wrote me rejoint and Vit D3 for three months. Which I had regularly. My knee pain is not very severe though. Kindly advice me If I need to take rejoint and vit D3 regularly or should I stop it after using it for three months? How to prevent further damage to the knee Sir? I do regular walking and quite active. Thank you Sir.

DNHE, BPTh/BPT, weight management specialist
Physiotherapist, Kolkata
Hello Sir
I am 50 years old woman my weight is 50 kg. I was diagnosed with osteoporosis since last one year. As writt...
If your vit D level is within n normal limit then no need to take more supplements, so get the blood test repeated for the same and keep vit D level normal by sitting in sunlight for 10-15 min everyday, take milk, egg yolks, mushrooms. Besides that you should be doing knee strengthening exercise everyday after consulting a physiotherapist. Also omega 3 is good for joints. Can take fish, avocado,nuts for that.
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I am 27 year I have a problem of epididymitis from last 6-7 month I dnt have too mch pain but a swelling or lump in my right testis.

DHMS (Hons.)
Homeopath, Patna
I am 27 year I have a problem of epididymitis from last 6-7 month I dnt have too mch pain but a swelling or lump in m...
Hello, Lybrates user, Epidifymitis is an inflamed condition of epididymis carrying infection. Tk, plenty of water to hydrate your body to eliminate toxins. Your diet be on-irritant, simple, easily digestible. Tk, homoeopathic medicine @ Belladonna 30-6 pills, thrice. Tk, care.
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His left nose is always blocked it seems. Now he is having head ache also. He says his eyes are paining too. What is the reason for this symptoms. What should I do to cure him?

DHMS (Hons.)
Homeopath, Patna
His left nose is always blocked it seems. Now he is having head ache also. He says his eyes are paining too. What is ...
Hello, Lybrates user, He might be suffering from sinusitis causing all the complaints. •you should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Heper sulphur 30-6 pills, thrice. •Report wkly, your feedback matters for further follow up,  please. Tk,  care.
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Hi sir/madam, when I sit in the chair (bench) for even 2 min, my both legs got torpored (numbness). When I stand it is disappearing. But the pain at my legs lasts for 2 to 3 hours. I have been suffering from this problem for 4 months. Please suggest me how to cure that problem. Thank you sir.

DHMS (Hons.)
Homeopath, Patna
Hi sir/madam, when I sit in the chair (bench) for even 2 min, my both legs got torpored (numbness). When I stand it i...
Hello, Lybrate user, your nerves breakes while sitting on chair causing numbness. Go for a walk in the morning/evening. Go for meditation. Tk, plenty of water. Tk, homoeopathic medicine:@.Arnica mont 200-6 pills, thrice. Report wikly. Tk, care..
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