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Dr. Sana Tiwari

Gynaecologist, Ghaziabad

Dr. Sana Tiwari Gynaecologist, Ghaziabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sana Tiwari
Dr. Sana Tiwari is one of the best Gynaecologists in Nehru Nagar, Ghaziabad. She is currently practising at Dr Sana Tiwari's Clinic in Nehru Nagar, Ghaziabad. Don’t wait in a queue, book an instant appointment online with Dr. Sana Tiwari on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 years of experience on Lybrate.com. Find the best Gynaecologists online in Ghaziabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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What You Need to Know About Cesarean Section?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
What You Need to Know About Cesarean Section?

Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Caesarean section, but the ultimate goal is to safely give birth to a healthy baby.

A C-section, or Caesarean section is a surgical procedure to remove baby through an incision in the mother’s abdomen and then a second incision in the uterus.

Sometimes the decision by an obstetrician to perform a C-section is unplanned, and it is done for emergency reasons because the health of the mother, the baby, or both of them is in jeopardy. This may occur because of a problem during pregnancy or after a woman has gone into labor, such as if labor is happening too slowly or if the baby is not getting enough oxygen.

Some C-sections are considered elective, meaning they are requested by the mother for non-medical reasons before she goes into labor. A woman may choose to have a C-section if she wants to plan when she delivers or if she previously had a complicated vaginal delivery.

Reasons for a C-section may include

  • Health problems in the mother
  • The mother carrying more than one baby
  • The size or position of the baby
  • The baby’s health is in danger
  • Labor is not moving along as it should

The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

How You Might Feel

You won’t feel any pain during the C-section, although you may feel sensations like pulling and pressure. Most women are awake and simply numbed from the waist down using regional anesthesia during a C-section.

However, women who need to have an emergency C-section occasionally require general anesthesia, so they’re unconscious during the delivery and won’t remember anything or feel any pain.

Recovering from a C-section

After a C-section, a woman may spend two to four days in the hospital, but it may take her up to six weeks to feel more like herself again.

Her abdomen will feel sore from the surgery and the skin and nerves in this area will need time to heal. Women will be given pain medications to take the edge off any post-surgery pain, and most women use them for about two weeks afterward.

A woman may also experience bleeding for about four to six weeks after a surgical birth. She is also advised to not have sex for a few weeks after her C-section and to also avoid strenuous activities, such as lifting heavy objects.

Foods to gain muscle mass

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Foods to gain muscle mass

Foods to gain muscle mass

1. Lean beef

2. Eggs

3. Whole grains

4. Whey protein

5. Beet

6. Fish

7. Cottage cheese

8. Skinless chicken

9. Healthy fat

10. Oatmeal

11. Brown rice

12. Beans

13. Spinach

14. Mixed nuts

15. Chocolate milk
 

I am 35 year old. I have two daughters aged 11 & 4. Last november I had a terminated pregnancy of 4 months. Before the birth of my 2nd daughter also twice I had abortion due to heart beat missing in the foetus after 6 weeks & 8 weeks of pregnancy. Both the times I had to undergo dnc. Please advice as I need to go for 3rd baby.

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
what advice exactly do you need ? is there any problem in conception ? your previous deliveries were normal or caesarean ?
1 person found this helpful
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I am 20 years old, I am having pcos from 10 months, now my. Periods are 40 days late what medicine should I take?

BHMS
Alternative Medicine Specialist, Vadodara
Hello its bcz of pcos. You can take pulsatilla 200 5 pills 3 times a day. You will get period earlier this time but you have to treat pcos with constitutional homoeopathic treatment with detail case history this will give you permanent result. Consult privately.

Dear sir actually I had sex with my husband on very last day of mp than again period was start for 1 days only but now my mc is not coming accordingly Please help me I am not want child r8 now. What to do.

MBBS, PG Diploma in HIV Medicine
General Physician,
Dear sir actually I had sex with my husband on very last day of mp than again period was start for 1 days only but no...
It's the 10th to 18th day from the first day of menstruation is usually considered as unsafe period in a regular cycle and there is more chance to get pregnancy. As per the information provided by you, on last day of the menstrual period ovum is not available for fertilization so you don't need to worry about pregnancy. And the reason for irregular period is multifactorial, maybe due to stress, anxiety of pregnancy, anemia and some medication like I pill or unwanted 72 etc. So if you are positive that the unprotected sexual intercourse has taken place in unsafe period, you need to do pregnancy test. Stay relaxed and take food rich in iron. Consult physician if the problem still persists. Contact if need further assistance.
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M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthy Weight Gain Tips:

1.Eat More Calories Than You Burn:

The most important thing you can do to gain weight is to eat more calories than your body burns. You need to eat more calories than your body burns in order to gain weight. Aim for 300-500 calories per day above your maintenance level, or 700-1000 calories if you want to gain weight fast.

2.Eat Lots of Protein:

Protein forms the building blocks of your muscles. Eating sufficient protein is required to gain muscle weight instead of just fat.High-protein foods include meats, fish, eggs, many dairy products, legumes, nuts and others. Protein supplements like whey protein can also be useful if you struggle to get enough protein in your diet.

3.Eat Lots of Carbs and Fat, and Eat at Least 3 Times Per Day:
In order to gain weight, eat at least 3 meals per day and make sure to eat plenty of fat, carbs and protein.

4.Eat a Lot of Energy-Dense Foods and use Sauces, condiments:

Here are some energy-dense foods that are perfect for gaining weight:

Nuts: Almonds, walnuts, macadamia nuts, peanuts, etc.
Dried fruit: Raisins, dates, prunes and others.
High-fat dairy: Whole milk, full-fat yogurt, cheese, cream.
Fats and Oils: Extra virgin olive oil and avocado oil.
Grains: Whole grains like oats and brown rice.
Meat: Chicken, beef, pork, lamb, etc. Choose fattier cuts.
Tubers: Potatoes, sweet potatoes and yams.
Dark chocolate, avocados, peanut butter, coconut milk, granola, trail.

5.Lift Heavy Weights and Improve Your Strength:
It is very important to lift heavy weights and improve your strength. This will help you gain muscle mass instead of just fat.

6.Don’t drink water before meals. This can fill your stomach.

7.Eat more often. Squeeze in an additional meal or snack whenever you can, such as before bed.

8.Drink milk. Drinking whole milk to quench thirst is a simple way to get in more high-quality protein and calories.
Try weight gainer shakes. If you are really struggling then you can try weight gainer shakes. These are very high in protein, carbs and calories.

9.Use bigger plates. Definitely use large plates if you are trying to get in more calories, as smaller plates cause people to automatically eat less.

10.Add cream to your coffee. This is a simple way to add in more calories.

11 Take creatine. The muscle building supplement creatine monohydrate can help you gain a few pounds in muscle weight.

12Get quality sleep. Sleeping properly is very important for muscle growth.


5 people found this helpful

I have white discharge from past 10 days, before and after my periods also white discharge is happening, its becoming day by day same, is it normal? Can I get any suggestions or any solution to cure my problem, for what reason it is happening?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have white discharge from past 10 days, before and after my periods also white discharge is happening, its becoming...
Hello, IF the discharge is thin homogenous, without foul smell or itching then you are experiencing normal cervical mucous discharge.
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My beta HCG level was less than 1.2 which I tested approx 1 week post my expected period date. Could I still be pregnant? Thnku.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My beta HCG level was less than 1.2 which I tested approx 1 week post my expected period date. Could I still be pregn...
No you are not pregnant. Menses can get delayed naturally by hormonal imbalance of because of stress. You can wait for another 1 month before you take medical help to get menses.
1 person found this helpful
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If a poison reaches its expiry date, would it be more poisonous or less poisonous?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
If a poison reaches its expiry date, would it be more poisonous or less poisonous?
Hello, its difficult to say though the efficacy would diminish but it will not be lost so a poison would still remain a prison even after expiry.
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I am 7 months pregnant and I feel as I am ignored by my husband he doesn't like to talk to me. He doesn't care for me. He doesn't make me feel special or pampers me. He doesn't have the time for me. He always give preference to others over me. He always love to talk to his sister and father and all this makes me feel ignored and bit depressed and in consequence I daily cry at night All alone. Will all this effect my unborn baby.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 7 months pregnant and I feel as I am ignored by my husband he doesn't like to talk to me. He doesn't care for me...
All of us come in this world alone and leave it alone. Pregnancy is a blessing, enjoy your baby. There are people who don't have a husband or are unable to get pregnant. Do not have too many expectations from your husband just because he married you. Let him be happy. It will not affect your baby, don't worry.
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Pelvic Inflammatory Disease - Can STDs be the Reason Behind it?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Pelvic Inflammatory Disease - Can STDs be the Reason Behind it?

Pelvic Inflammatory Disease, also known as PID, is characterized by an infection that occurs in a lady's reproductive organs. Usually this occurs as a result of a complications arising from a STD. The disease causes severe damage to the ovaries, fallopian tubes and the uterus. It is one of the bigger causes of infertility in women. 

Causes-

The cervix which is the entry to the uterus has the function of stopping bacteria that are present in the vagina from spreading to the other organs. Once infected by a STD, the cervix can no longer perform its function of preventing the bacteria from spreading to other organs. PID develops when the infection spreads from the cervix to the upper areas of the genital tract. 

There are certain factors which increase the chances of being affected by PID: 

  1. Being sexually active 
  2. Already affected by STDs such as gonorrhea 
  3. Past history of PID 
  4. Having multiple sexual partners 

Symptoms-

Women may experience pain while urinating and engaging in sexual intercourse, coupled with sore feeling in the stomach along with nausea. Abnormal vaginal discharge and a rise in body temperature are common symptoms as well. 

Treatment-
Once the disease has been diagnosed by a doctor, a treatment plan is devised. The treatment options that you can avail of are: 

  1. Medications: If the symptoms are mild, then the doctor will prescribe antibiotic medications. Usually the antibiotics are administered by mouth unless the symptoms are severe, when the drugs are administered intravenously. Your partner would also require medications if you happen to be diagnosed with PID, so that he/she does not catch it. 
  2. Surgery: Surgery is recommended by the doctor in case of tissue inflammation and the presence of pus (abscess). The aim of surgery is to get rid of the abscess to prevent any further infection. 

In addition to the treatment methods, there are certain precautionary measures that you can adopt to be safe: 

  1. Have protected sex.
  2. Try and stick to one sexual partner.
  3. Visit your gynecologist for regular checkups.
2648 people found this helpful

In how much time maximum urethral stricture can occur after cystoscopy (like within 1 or 2 or 3 months), so that I can feel safe after that period of time, as I have done cystoscopy? Thanks.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
In how much time maximum urethral stricture can occur after cystoscopy (like within 1 or 2 or 3 months), so that I ca...
Stricture does not occur always after cystoscopy. It only occurs after about 1-2 months if the procedure has been difficult.
2 people found this helpful
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Treating Chronic Lower Back Pain

BPTh/BPT
Physiotherapist, Ghaziabad
Treating Chronic Lower Back Pain

About 80 percent of people all across the globe experience lower back pain at some stage in their lives. It is one of the most common reasons why people miss their work and appoint a physiotherapist. But lower back pain is an ailment that can be avoided with proper knowledge and some back exercises. In case your lower back pain is not under control and you have been neglecting it, you are susceptible to acute pain, sciatica, nerve pain and pain in other regions caused from a pinched nerve. Long-term pain in the back portion can lead to permanent ailments like degenerative disc disease or spinal stenosis.

Probable causes of lower back pain: Severe pain in the lower back region can be caused due to a herniated disc, back muscle pain, ligament strain or any other non-specific pain. An individual may also suffer from lower back pain due to systemic conditions like rheumatoid arthritis, fibromyalgia or ankylosing spondylitis. Though these causes are very common in most people suffering from lower-back pain, the diagnosis varies from person to person and to ensure the best care to alleviate the pain, you must consult a responsive musculoskeletal physiotherapist.

Stages for assessing and treating lower back pain: Managing the back pain is the primary objective of physiotherapy. In reality, back pain is the final symptom that is developed and the first thing that must be addressed.

  • Stage I: Back pain relief: The physiotherapist is going to use different types of tools and items to help the pain subside along with the inflammation. These include electrotherapy, acupuncture, ice application, soft-tissue massage and deloading taping techniques. Sometimes the physiotherapist may also recommend an anti-inflammatory drug if the pain is intolerable.
  • Stage II: Restoring normal strength: With the settling of pain and inflammation, you are more susceptible to injury because though your pain has subsided, your ligaments and muscles are weak. Your doctor will aim at restoring normal motion of lumbar spine, muscle endurance and strength, proprioception, balance and walking abilities.
  • Stage III: Restoring full body function: Depending on your daily chores and activity, your physiotherapist will aim at restoring the function of your back portion to keep you safe while performing the chosen activities. For some, it may be taking a slow walk around the park while for others it may mean taking part in some sports activity.
  • Stage IV: Preventing recurrence: Your physiotherapist will rehabilitate you to prevent further occurrence of this excruciating pain by suggesting proper postures, exercise and core muscle workout.

Each of these stages are important to help you get rid of severe back pain and with daily exercise, you can regulate your body and spare yourself from recurrence of this lower back pain.

3230 people found this helpful

Hi, I have had sex with my fiancee in FERTILE period. But she took Unwanted 72 in 10 hrs. Naturally, within 6 days, she had withdrawal bleeding. Now my question is WHEN she can expect her NEXT PERIOD. Is it 30 days from LAST REGULAR PERIOD OR is it 30 days from withdrawal bleeding. Please suggest. Thanks.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi, I have had sex with my fiancee in FERTILE period. But she took Unwanted 72 in 10 hrs. Naturally, within 6 days, s...
30 days from withdrawal bleeding ,only if she has had a good period like flow for three to four days, and in case she just had spotting, then in that case she might even miss her date, in which case you will have to do a Urine pregnancy test to confirm pregnancy. Of positive she will have to follow a new line of drugs to be taken for termination, and if Negative, she will eventually have her period without any intervention in a variable time of plus minus 6 to 7 days from the expected date.
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Hello mam/sir, 2-3 days earlier from my period dates, I feel very depressed and feel to cry. My mind gets disturbed so much that I wouldn't be able to make control on it. What is the reason behind that? And how can I cure it without allopathic treatment? Is there any yoga for it?

MD
Gynaecologist, Mumbai
Hello mam/sir,
2-3 days earlier from my period dates, I feel very depressed and feel to cry.
My mind gets disturbed s...
This is premensrtual tension or PMS pl take primosa1000 once daily for 3mths if the peropds are regular with no other problem it may be advisable not to disturb the cycle with hormonal medication.
1 person found this helpful
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She is pregnant and her g-sac is small is it something serious or casual? Please advice me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
She is pregnant and her g-sac is small is it something serious or casual? Please advice me.
Maximum what worse may happen is abortion. It is full ultra sonography report which is important. Sometimes repeat may be required. Meet your obstetrician.
1 person found this helpful
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Hi Doctor. I'm going through a very stressful time and the last thing I need is my period. I'm on yaz and my withdrawal bleed started today. I was wondering, can I still skip my withdrawal bleed by going on with the active tablets without doing major harm to my body?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hi Doctor. I'm going through a very stressful time and the last thing I need is my period. I'm on yaz and my withdraw...
Hi Idaelly if your withdrawl bleeding is already started than you should not stop it,, beacuse it will change hormonal balance in your body. there is a possibilty of 1-2 irregular cycle after that if you continue taking tablets Thanks
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Hi doc I had my anomaly scan on 20th week 3rd day. My baby's weight showed as 371 gms. My gyn told me to watch the weight of the baby. When I asked a junior doc she told it should be around 500gm. So my concern is whether my baby is underweight or is the weight normal. Please somebody help? :(

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Hi doc I had my anomaly scan on 20th week 3rd day. My baby's weight showed as 371 gms. My gyn told me to watch the we...
Growth chart: fetal length and weight, week by week gestational agelength (us) weight (us) 20 weeks10.08 inches10.58 ounces 21 weeks10.51 inches12.70 ounces 22 weeks10.94 inches15.17 ounces 23 weeks11.38 inches1.10 pound your baby weight as per scan it is normal, normal weight at 21 week=360.038944 grams.
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What are the early symptoms of pregnancy and when does this symptoms starts. How many weeks after intercourse it took to know that a girl is pregnant.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
What are the early symptoms of pregnancy and when does this symptoms starts. How many weeks after intercourse it took...
In addition to a missed period, the earliest signs and symptoms of pregnancy might include: Tender, swollen breasts. Early in pregnancy hormonal changes might make your breasts tender, sensitive or sore. ... Nausea with or without vomiting. ... Increased urination. ... Fatigue. ... Food aversions or cravings. Symptoms starts is depends from person to person 50 percent had some symptoms of pregnancy by the time they were 5 weeks pregnant. 70 percent had symptoms by 6 weeks. 90 percent had symptoms by 8 weeks.
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Hello I am 24 year old woman I am pregnant for 1 months yesterday I had little bleeding through my vagina what does it mean I am not having any pain please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
Hello lybrate-user, please do consult obstetrician in person, do one scan if necessary. Bleeding can be due to threatened abortion. Or body will have tendency for a normal period cycle as it was happening before. Rest is Needed accordingly. Thank you.
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