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Dr. Kirti Gupta

MBBS, DGO

Gynaecologist, Ghaziabad

19 Years Experience  ·  200 at clinic
Dr. Kirti Gupta MBBS, DGO Gynaecologist, Ghaziabad
19 Years Experience  ·  200 at clinic  ·  ₹ online
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Kirti Gupta
Dr. Kirti Gupta is a renowned Gynaecologist in Pratap Vihar, Ghaziabad. She has had many happy patients in her 19 years of journey as a Gynaecologist. She has completed MBBS, DGO. She is currently practising at Kriti Nursing Home in Pratap Vihar, Ghaziabad. Book an appointment online with Dr. Kirti Gupta and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. You can find Gynaecologists online in Ghaziabad 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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Specialty
Education
MBBS - Burdwan Dental College, West Bengal - 1997
DGO - Agra University - 2003
Languages spoken
English
Hindi

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R-29 Railway Encl Sec-12 Pratap Vihar Ghaziabad Ghaziabad - 201001Ghaziabad Get Directions
200 at clinic
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MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist
Ask Free Question
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

Hye. I am 28 yrs old married woman. We are trying for a baby from last 2 years. Our all reports are normal. I need to ask about ivf treatment. What is this and how much it will cost if we want to go for it.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist
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Cost of ivf varies from doctor to doctor and the center from where you want ivf. Ivf cost can vary from 1 to 2 lac per cycle. Some centers gives a package based on number of tries.

Hello sir, I had unprotected sex with my partner on Monday morning ie Dec 5 th 2016, I just wanted to know can I get her I pill now? And any other natural methods to avoid pregnancy? Please help me .thank you.

MD - General Medicine
General Physician
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Hi lybrate-user, you can give her i-pill 24-36 hours after intercourse. Earlier the better. Make sure, get pregtest done if see misses her periods.
1 person found this helpful

I am new married couple so when I got a safe sex in after my partner period time in a month pls give me a right suggestion or a lady period time then I m free of pregnancy.

PGD IN MEDICAL LAWS ÐICS, DHA, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, MBBS
General Physician
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I am new married couple so when I got a safe sex in after my partner period time in a month pls give me a right sugge...
! 4 th day of cycle, counting onset of period as day 1,+-2-3 days is unsafe period because this is the timing for ovulation. Rest of the days are safe in general, if periods are regular.
10 people found this helpful

I am 29 years old and married on 2009 and get conceived but ectopic. I have pcos. One tube is removed and one tube is good by the test of hsg. I want to conceive. And also I am eating raw rice very frequently and I am addicted to it. I don't know to how to overcome this. I want to conceive.

MD - Homeopathy
Homeopath
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Hello, as you have described your one tube is removed due to ectopic, now you got pcos too. From my point of view inspite of pcos there are chances of conception but for that menses needed to be regular. How is status of your periods? how many days they remain? scanty or profuse? in how many days interval periods comes? answer to all above questions are needed. How is your status of exercise? as you seems to be overweight as per your height. Homoeopathy offers solution to the pcos, for that you need to consult homoeopath who will guide you time to time. 1. Start exercise daily, 4-5 km brisk walk 2. Reduce rice, carbohydrate rich diet tend to increase weight. Question is how urgent you want to have perfect weight or conceive. 3. Start homoeopathic medicines. Thanks.
1 person found this helpful

Hi doctor I have one month old baby boy and am gaining weight constantly tummy is becoming fat. There is no menstrual discharge also. Kindly suggest me some solution.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist
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Hi doctor
I have one month old baby boy and am gaining weight constantly tummy is becoming fat. There is no menstrual...
Hi, you have delivered just one month ago. Your menstruation may at art after a while if you are breast feeding. Also after six weeks if normal delivery and after 3 months if delivery is by c section you can start post natal exercises which will help you to get back in to your shape. Consult your obstetrician who did your delivery or a physiotherapist and learn the exercises.
3 people found this helpful

I'm married but still I'm virgin I'm too much scared from sex. Plz tell me something and medicine and something else treatment to relive sex pain?

MBBS
General Physician
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I'm married but still I'm virgin I'm too much scared from sex.
Plz tell me something and medicine and something else ...
There is nothing to get scared of in sex it is a very natural thing which happens between the two persons when they are in love get closer to your partner and learn to understand each other more with affectionate and sympathetic manner the whole thing will lead you to sexual acts slowly.
3 people found this helpful

I am in live-in relationship from last one month, and from last month my bf do intercourse all days, but whenever he do I am in severe pain, in my vagina, in abdomen and stomach. Can anybody suggest me some medicine for this.

MBBS, PG Diploma (HIV Medicines)
General Physician
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I am in live-in relationship from last one month, and from last month my bf do intercourse all days, but whenever he ...
Use lubrication but unprotected sex without using condom is associated risk of HIV and other 29 Sexually transmitted infection so come on private chat to discuss in detail online.
1 person found this helpful

2 Years Before I was Suffering from PID (Pelvic inflammatory Disease), I Under went an Operation now I am Well. I got Married Last Year, I was Pregnant During 8th Month Completion I Got to no that I am Suffering From Placenta Prev Doctors Advised me to be careful, End of 8tn month I got severe Stomach Pain and start to bleed. Next Day I went To Hospital Doctors took Scan and said Baby is so Week and It will die. Same thing happen, I delivered Boy Baby with Dead Born. Finally If I have next Baby It will Happen The same.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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2 Years Before I was Suffering from PID (Pelvic inflammatory Disease), I Under went an Operation now I am Well. I got...
Placenta is like an umbrella on top of the fetus, it is full of blood and nutrients taken from mother to be sent to growing baby through unblical cord. Normal position is posterior, means behind the baby so as not to obstruct growth of the baby or its delivery through the passage for normal delivery of baby. In your case, it was detected lying low & may be baby was not developed to deliver it through operation. There is no rule that you will suffer again from same condition. No body knows about why it happens, so no prevention can be suggested to you. Feel normal & pray for a normal pregnancy, keep getting ultrasounds. A word of caution - placenta does appear low lying at 5 months but miraculously it moves upwards. Total bed rest during next pregnancy till 7 months when reports show normal placenta position.
1 person found this helpful

Hii.I am 24 yrs old girl.Got married before 2 months.I got my last period on 18 January.As I have done pregnancy test on 16 February.It was positive.Then I had surgical abortion on 23 Feb.After that again I have tested it by home pregnancy test.It was again positive.It was totally shocking to me.As it is a unplanned pregnancy.Although it is very difficult decision but due to many personal reasons I want to terminate it in any Condition.What to do now.Pls tell .M very much tensed.Pls help me out.

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist
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If u had surgical abortion done on 23 feb. Then why did u do urinary preganacy test on 26th.Feb. Preganacy harmones can take up to 7 to 10 days to fall and up to 3 wks to completely vanish. Chose a contraception that could relive u of such stress
1 person found this helpful

Hi mam I am female 22 years old actually my vaginal hole is not opening to insert penis please suggest me some yoga tips or any solution please mam.

MBBS
General Physician
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First time insertion is difficult and painful you can use some lubricant like coconut oil etc and go about it very gently.

Common Problems in Day-2 Day life

Diploma Diabetes, MBBS
General Physician
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Hair fall: hair should fall at periodic intervals so that new ones grow up (abt handful every month). If it's more than usual den arises d probs.

Many young adults chief complaint. Main reasons are a) normally b) dandruff c) stressful life d) lack personal hygiene e) salty water f) lack of nutrition g) others like chemotherapy, local infection.

I would advise first with a) personal hygiene like taken head bath every 2 days, applying oil b) leading a stress less life like doing meditations, workouts c) dandruff: home remedies - buying from market plain aloe vera shampoo n bhringraj oil (google n see wat it is). Apply oil n wait for 15-30 mins n take a head bath with shampoo on alternate days. Use for 2-3 wks if no outcome consult a physician d) nutrition: take protein rich foods e) local infection: consult physician to rule out any
Common Problems in Day-2 Day life

Dr. I m 3 month pregnant but for few days I have bleeding. Is everything ok or something serious?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Dr. I m 3 month pregnant but for few days I have bleeding. Is everything ok or something serious?
Everything is not ok.Immediately consult a gynaecologit for physical examination.It is really something serious going on.
1 person found this helpful

I am 18 year old and I was suffering from PCOS but I have taken proper medical advice but its not cured may be a continuous white vaginal discharge is there. Is it normal?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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Hi lybrate-user, pcod is not curable. Your periods will be irregular without medication. The only concern will be fertility issues. White discharge is not due to pcod it could be because of infection.

Hi I have a problem that I given my girlfriend unwanted 72 tablets. I am confused that she is pregnant or not . Help me sir.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hi I have a problem that I given my girlfriend unwanted 72 tablets. I am  confused that she is  pregnant or not  . He...
Hello, you need to wait for next 7-10 days to allow withdrawal bleeding to start which all confirm that she is pregnancy safe.

I get itching in my vaginal area sometimes. Also I have got to see some rashes in there.What does this denote? How can I get rid of this.Also because of this sometimes I don't get urged to have sex with my husband when he is interested. Please suggest a remedy for this

Ask Free Question
Take thuja 30 three times. A day very soon you'll find result. Note: you must not take onion direct or cooked in any form
1 person found this helpful

I am 42 yrs old lady very much fit and fine. I want to conceive because I dont have child. My problem is my spouse cannot release sperm in quantity. It is very low. What is the way to increase sperm count and I can conceive.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Pregnancy is still possible, especially with modern treatment. I think, you should not waste time, just consult doctor with your husband and find out the cause of the problem. Then solution would be easier. All the best.
3 people found this helpful

My wife had normal delivery, but my baby was expired after 3 days some infection and sepsis problem and how to start planing for best timing new baby, so baby and mother no effect for body, and how to start sex after normal delivery,

DGO, MBBS, DNB Gynecology)
Gynaecologist
Ask Free Question
My wife had normal delivery, but my baby was expired after 3 days some infection and sepsis problem and how to start ...
6 months after the delivery u can plan. fertile period is middle 10 days of menstrual cycle. ur wife should have nutritious diet and mulvitamins
1 person found this helpful

How does a women get pregnant, only entering sperm in her vagina is ok or some thing more have to do.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda
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How does a women get pregnant, only entering sperm in her vagina is ok or some thing more have to do.
Yes that's it. But the sperm should enter the uterus when the lady is ovulating (egg released from ovary time) this is day 14th from 1 st day of menses. Means if she gets menstrual bleeding on 1st june, then the most suitable time for pregnancy is from june 10 to june 16 as ovulation will occur on 14 june. This is in case of a women with a regular cycle.
3 people found this helpful

Hi , going to have intercourse with my girlfriend after two days, ie, on 12th or 13th of August , want to know which pill can she take after intercourse to avoid pregnancy and within which time window, please explain in detail a bit. Also for my self, want to know if I want to enjoy full night with her which pill like viagra, can take to maintain my erection and strength so that we can enjoy all moments. Pill that can be safe and have no side effects, not for regular use. Please help.

MS - General Surgery, MBBS
General Surgeon
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Hi , going to have intercourse with my girlfriend after two days, ie, on 12th or 13th of August , want to know which ...
My sincere advice is avoid intercourse before marriage. All over d world intercourse time is 3to 7 minutes. You can have. Intercourse 2to 3 times depending. On stamina of both. If. You but there r no tablets which can give. You strength to hv intercourse whole night to avoid. Pregnancy she can take i-pill after. D act. But again pl avoid pre marital intercourse.
2 people found this helpful
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