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Enjoy the best healthcare at premier clinics More often than not, patients do not get the proper medicines they require. Most people suffer from some disorders or the other and need speci......more
Enjoy the best healthcare at premier clinics More often than not, patients do not get the proper medicines they require. Most people suffer from some disorders or the other and need special care and treatment to get back to a normal and healthy lifestyle. The clinic is designed to offer extraordinary practice and help the patients achieve their potential and the individuality. W Pratiksha Hospital, situated in Sector-56 of Gurgaon, is a multi-speciality clinic where you can get in touch with gynaecologists, dermatologists and others. Among the doctors are Dr Abhay Ahluwalia, who is a reputed endocrinologist, Dr Raman Tanwar, a urologist, Dr Atul Sharma, a gastroenterologist, Dr Rohan Khandelwal, an oncologist, Dr Munia Bhattacharya, a psychologist, Dr Rajesh Humar Padhan, a gastroenterologist, Dr Subhas Chandra Chanana, an oncologist, Dr Mohit Khirbat, a nephrologist, Dr Pallavi Vasal, a gynaecologist and Dr Reema Das, an ophthalmologist. All the doctors have at least 10 years of experience, with Dr Subhas having 48 years of experience in his field. If you would like to get in touch with them or book appointments with them in the clinic, you can do so through lybrate.com

Timings

MON-SAT
08:00 AM - 09:00 PM
SUN
09:00 AM - 09:00 PM

Location

Golf Course Extension Road, Sushant Lok-II, Sector-56
Sector-56 Gurgaon, Haryana - 122011
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Videos (7)

Hello!<br/><br/>I am Dr. Sanjeev Chaudhary. I am senior consultant cardiology. We have a very adv...

Hello!

I am Dr. Sanjeev Chaudhary. I am senior consultant cardiology. We have a very advanced setup of international cardiology in this hospital. We have the latest first-of-its-kind machine of cath lab. You must have heard and seen your relatives or friends undergoing angiography, angioplasty and other international cardiology procedures and you know that that there is a lot of radiation exposure to the patient and to the doctors while doing those procedures. The doctors and medical professionals cover themselves in Lead aprons so that they are not exposed to the radiation. But what about the patient? The exposure of radiation to the patient is harmful and in the long run, may cause various diseases including cancers.

So the major advantage of our machine over others is that there is 80% dose reduction to the patient. The patient is exposed to only 20% of the dose as compared to other machines while giving the same clarity and same picture and even in some cases better clarity. So this is a new technology. This is advanced technology. I request everybody to take advantage of this advanced technology for your near and dear ones so that you are not exposed to harmful radiations to that extent and in long run, you can enjoy a safe and healthy life.

Thank you!

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Hello Friends,<br/><br/>I am Dr. Rohan Khandelwal, Oncologist. All you know that the breast cance...

Hello Friends,

I am Dr. Rohan Khandelwal, Oncologist. All you know that the breast cancer is so common nowadays. 1 out of 21 women in India are kore prone to breast cancer. Breast cancer hone ke multiple reasons hain. Islia iska early diagnosis important hai. Iska cure available hai. Symptoms like lump in breast, pain, nipple discharge, consult a Dr. Agar aap 40 se kam hai to ultrasound and jyada hai to mammography. Hum iBreastExam se test krte hain. Hum breast scan krte hain with device in 10 mins. It is painless and it can pick the lump. It is important that you should be aware of any lump in your breast. Ye cancer painless lump se start hota hai. Islia ise ignore na kren.

Thank You!

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PCOS: What Increases Your Risk?

Hi friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital Delhi and Fortis Hospital Shalimar Bagh. Today we will be discussing ovary commonly encountered problem name Polycystic Ovarian Syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very-very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods of difficulty in becoming pregnant, chances are you may be suffering from the Polycystic ovarian syndrome. A polycystic ovarian syndrome is because of a hormonal imbalance namely the female hormones like estrogen and progestogen imbalance between the excess of male hormones happening in these women. These women also have insulin resistance in their body, leading to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends because of a Polycystic ovarian syndrome is at the interplay of hormonal disbalance compounded with environmental factors, like the lifestyle of the person because of this there is a development of multiple eggs in the ovary rather than formation of one single egg. These small-small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances.

Now let us talk about the diagnosis of a polycystic ovarian syndrome, so friends just an ultrasound finding of multiple cysts in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose Polycystic ovarian syndrome a woman will be having normal ovaries but suffering from PCOS, on the other hand, she may be having polycystic ovaries but she is in a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. Which is not one single criteria of polycystic ovaries coming up in the ultrasound. Coming to the treatment part of these women that treatment depends on the problem that is these women are facing but in the root cause of these problems lays the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management, so please listen to your doctor, when she is saying and requesting you to lose weight. That is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs, if she is suffering from acne or excess body hair we will be giving certain drugs to tackle that, if she is suffering from anovulation or by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation, this may require the intake of tablets or sometimes intake of certain injections. So friends polycystic ovarian syndrome is no longer an enigma, it can very much cure. The only thing that is required is you helping your doctor curing it by managing a very healthy lifestyle and through the drug that we prescribed you taking them diligently. Thank you very much.

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Abnormal Uterine Bleeding - Causes and Symptoms

Hello, I am Dr Pallavi Vasal consultant Obstetrics and gynaecologist. Today I will be talking about abnormal uterine bleeding so, abnormal uterine bleeding is bleeding anywhere from the genital tract which is unusual. It can occur as in the form of spotting or bleeding before the periods or in between periods, after sex or it can be longer than a normal period, heavier than normal or if the bleeding is happening after menopause. If we divide the causes of abnormal uterine bleeding if we see young girls who have it as they started with the menstrual period. It usually because of trauma and any foreign body, irritation of the genital tract or an urine tract infection, but we have to be very careful about this sexual abuse, in young girls if it is happening, In adolescence during the teenage it can be during the first few years of the after the attaining the menstrual cycles it can happen in the first few years. This is because of the hormonal changes, which are happening in the girl’s body. But in that case, also we need to rule out any kind of pregnancy, infection any bleeding disorders or any other medical illness. In the reproductive age, group pregnancy has to be ruled of first because that is the most common cause of the abnormal bleeding in the reproductive age group. Then it can be because of the abnormal gain in weight or sudden loss in weight, intake off or any hormones or in use of any contraceptive intrauterine contraceptive virus, in pre-menopause that is between the age of 40 to 50 years of age, it can be because of the Ovulatory dysfunction that means there they are changes in the hormones when the periods are about to end because of that the hormones they are dysregulated that lead to abnormal bleeding. It can be because of fibroid in the womb or it can be because of the increased thickness of the lining of the womb or the growth of the endometrial polyp. So pregnancy precancerous or the cancers of the cervic, so any kind of cancers this also needs to be taken care off. And in the postmenopause, so in the postmenopause it is very important to see if a lady has started bleeding again after attaining the menopause, this leads to being because we need to rule out cancer because it is very scary and if it is diagnosed at a very early stage it can be treated very nicely. The another most common cause in menopause age group is atrophic days, thinning of the lining of the vagina and the womb sometimes that leads to irregular bleeding or growth of polyp for fibroid or infection in the uterus that can also lead to abnormal bleeding in women who are menopause. Now the symptoms as we discussed the symptoms are like bleeding or spotting in between the periods, the periods are less than 26 days more than 35 days heavy bleeding or prolonged bleeding during the periods. As we go ahead you need to go to a gynaecologist get a general checkup done along with the abdominal examination and the internal examination and then usually ultrasound is very much required in these cases to rule out anything which can be treated by surgery or the treatment can be with the medicines. Now a couple of blood test like CBC, the complete blood count, the hormonal profile, the infection screen, the pregnancy test all these needs to be done. The treatment is based on the cause, if there is no significant pathology identified then hormonal correction is required and this is done with hormonal therapy, which can be oral, injectable or in the form of intrauterine contraceptive device or if there is a particular cause like fibroid or polyp, then that needs to be removed through the surgery. In menopause age group we advise endometrial biopsy even if there is nothing but significant in the ultrasound because we need to rule out cancer in a patient who has attained menopause but still are having periods. So the important things I would say is too young girls especially avoid taking an excess of hormones or you should maintain a healthy weight and healthy lifestyle and there is very much there is a very high intake of I pills and adolescent that should be avoided because they have screwed up your periods and leads to irregular bleeding. For further queries, you can talk to me or connect me through Lybrate.

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Is It Risky To Have A Baby After 35?

Hello, everyone, I am Dr Pallavi Vasal consultant of Obstetrics and Gynaecologist. Today I am discussing about pregnancy after the age of 35 years which is becoming fairly common nowadays and as the carrier orientation is increasing more and more women are conceiving after the age of 35. So, major concerns which arise after the age of 35 whether you are going to have a healthy baby or not and whether the pregnancy is going to be a smooth one or not. So what happens naturally is the egg production peeks at the age of 24 to 26 years and during this time the production of eggs is of very good quality but as the age increases there is a decline in the quality of the eggs as well as quantity of the eggs which are being produced in a female body. So there are issues which might arise because of it so what happens if we go for the risks in cases of the baby so what happens if the risk of down syndrome which is a congenital malformation rich is very closely link with the age of mother if the risk is one in 2000 at the age of 20years it increases to one in 350 at the age of 35 and further one in 100 at the age of 40years. So, with the increasing age of mother, there are chances of having a baby with Down syndrome. But nowadays we have excellent test and wonderful results we can expect with the levels of testing which are available nowadays like we go for double marker, quadruple marker even there is a test which is called Non-invasive prenatal test so that we can filter the baby cells from the mother cells and study than in detail whether the baby is having any abnormality or not.

All these are screening test and if needed further we can go for the confirmatory test like amniocentesis and coronary vessel tissue sample. Another thing with age is the doubt of having sugar during pregnancy, the problem with blood pressure developing during pregnancy but all these things come in to pregnancy only if you have the previous health has not been very good or if you have being diabetic or if you have already being hypertensive, then they put in a major issue otherwise they don’t. So if you have a good health before pregnancy so there are high chances that you will have a healthy pregnancy even after the age of 35 years beyond this if you have any doubt you can consult me or you can consult me through Lybrate and you can book an appointment through Lybrate.

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Tuberculosis: Treatment and Management

Hello everyone, I am DR. Pallavi Vasal, consultant of Obstetrics and Gynaecologist, working at Gurgaon. Today I will be discussing Tuberculosis in pregnancy. The class of patients which we deal with and the surrounding around is, we always think that tuberculosis is not that common in our class but it is not so. India has the largest number of cases of tuberculosis cases in the whole world, around 1 in 600. The incidence of tuberculosis in India is around 1 in 600 and in our country tuberculosis is still very prevalent. It is transmitted through respiratory droplets, though it is very important that you be very careful about your surroundings. Now during pregnancy, we are particularly discussing tuberculosis in pregnancy because during pregnancy your immunity comes down and because of this, you become most acceptable to any kind of infection and usually we catch an infection from the surrounding. So you need to be very careful about the workers you are hiring like your maid, your driver, your gardener, you need to screen them before you hire them because they are the ones who might be carrying tuberculosis. And if you screen them it will be helpful for you also and for them also. Untreated tuberculosis is the greater risk to the mother and the baby then does the drug have. So it is very important to screen and treat tuberculosis timely and quickly as soon as it is diagnosed. Most commonly the bacteria it affects the lungs otherwise it can affect the all the organs of the body. Now, when usually the symptoms of tuberculosis are like evening rise of temperature, loss of appetite, you don’t feel hungry, despite being pregnant you start losing weight, crowning cough lasting for more than 3 weeks, generalised tiredness, breathlessness and nausea. What happens in pregnancy is the physiological changes which happen in pregnancy makes the diagnosis of tuberculosis during pregnancy a bit tricky. So it is usually based on your history then your sputum which is coming out that is examined at least 2 times and chest X-Ray can even be done in the pregnancy if you are in a high-risk category with the abdominal shielding so that the baby is unharmed. Now there is another test called tuberculosis PCR which is tested in your sputum, culture can also be sent. And there is one more test called GeneXpert which also tells us about the resistance of the tuberculosis bacteria.

The treatment of tuberculosis depends upon the intensity and the severity of the disease. It can vary from 6 months to 9 months depending upon your condition. Usually, most of the drugs can be safely taken during pregnancy even in the first trimester, except a couple of drugs like streptomycin which is not advisable to take in the first trimester of pregnancy. In India the incidents of drug-resistant tuberculosis are also increasing, so once you are tested positive you need to take a complete treatment otherwise there are high chances of relapse and you developing a multi-drug resistant TB, which is very difficult to treat. Once you diagnose with TB, it takes 2 to 3 weeks after the starting of the treatment for you to become non- infectious. Till that time you have to keep your hygiene very good and keep wearing a mask if you are having lung TB, wash your hands repeatedly, eat healthy food and get a lot of fresh air, so that in general your health remains very good. Now be regular with your visits to the gynaecologist and with the physician for the treatment of tuberculosis and for the treatment of pregnancy as well. As pregnancy advances, if the TB is treated properly, it doesn’t cause much risk but there are chances of early labour, premature delivery and rarely the baby might also carry a form of TB which is known as congenital TB. But all these can be very well presented with the drug treatment if it is taken very timely and very efficient. So if you have any doubts regarding any of these issues then we can further. We can make an appointment through Lybrate or we can fix an appointment.

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Causes, treatment and adverse effects of heart attack

Causes, treatment and adverse effects of heart attack

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Amenities

Parking
Cafeteria
Online Appointments
Credit Card
Reception
Wheel chair assistance
Waiting Lounge
Ambulance
Ac Rooms
Diagnostic Lab Service

Doctors in W Pratiksha Hospital

Dr. Reema Das

DOMS, MBBS
Ophthalmologist
90%  (24 ratings)
15 Years experience
900 at clinic
₹250 online
Available today
04:00 PM - 06:00 PM

Dr. Munia Bhattacharya

Hypnotherapy and NLP, CBT, Autism, Ph.D-Clinical Psychology, MA - Applied Psychology, BA - Psychology
Psychologist
87%  (14 ratings)
17 Years experience
1000 at clinic
₹300 online
Available today
03:00 PM - 06:00 PM

Dr. Raman Tanwar

MCh - Urology, Visiting Fellow Andrology and Men's Health, Visiting Physician Urology and Andrology, Fellowship in Minimal Access Surgery, Master of Surgery, MBBS, EUREP USI Fellowship
Urologist
92%  (74 ratings)
13 Years experience
1000 at clinic
₹700 online
Unavailable today

Dr. Rohan Khandelwal

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist
89%  (210 ratings)
11 Years experience
1000 at clinic
₹500 online
Unavailable today

Dr. Pooja Mehta

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
89%  (10 ratings)
20 Years experience
1000 at clinic
₹300 online
Unavailable today

Dr. Pallavi Vasal

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist
90%  (112 ratings)
14 Years experience
1000 at clinic
₹300 online
Unavailable today

Dr. Subhash Chandra Chanana

FACS, MBBS, MS - General Surgery
Oncologist
89%  (843 ratings)
49 Years experience
1000 at clinic
₹300 online
Available today
05:00 PM - 08:00 PM

Dr. Jasdeep Saluja

MBBS, MD - Psychiatry
Psychiatrist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
90%  (14 ratings)
9 Years experience
1000 at clinic
₹350 online
Unavailable today

Dr. Mohit Khirbat

DNB (Nephrology), MBBS -1992 & MD - Medicine
Nephrologist
21 Years experience
1500 at clinic
₹300 online
Unavailable today

Dr. Kapil Agarwal

DM, MD, MBBS
Neurologist
89%  (23 ratings)
19 Years experience
1200 at clinic
₹800 online
Unavailable today

Dr. Sfurti Mann

MD - Medicine, MBBS
Internal Medicine Specialist
90%  (120 ratings)
12 Years experience
1000 at clinic
₹800 online
Unavailable today

Dr. Neeraj Kumar

DM (CARDIOLOGY), MD (MEDICINE), MBBS
Cardiologist
87%  (12 ratings)
28 Years experience
1200 at clinic
₹500 online
Available today
05:30 PM - 06:30 PM

Dr. Radha Rajpal

M.B.B.S, MD - Paediatrics
Pediatrician
23 Years experience
1000 at clinic
₹100 online
Unavailable today

Dr. Vaneet Parmar

MD - Paediatrics, MBBS
Pediatrician
23 Years experience
900 at clinic
Unavailable today

Dr. Biplav Agarwal

MBBS, Diploma In Medical Cosmetology, MD - Dermatology
Dermatologist
85%  (24 ratings)
10 Years experience
1000 at clinic
Unavailable today

Dr. Kapil Vidyarthi

M.Ch - Paediatric Surgery, MBA (Healthcare)
Pediatric Surgeon
35 Years experience
1200 at clinic
Unavailable today

Dr. Sandeep Dawre

MCh - Plastic & Reconstructive Surgery, MBBS, MS - General Surgery
Cosmetic/Plastic Surgeon
85%  (167 ratings)
15 Years experience
1200 at clinic
₹300 online
Unavailable today

Dr. Sandeep Singh

MS - Orthopaedics, Fellowship in Adult Spine Surgery
Orthopedist
87%  (29 ratings)
21 Years experience
1000 at clinic
Unavailable today

Dr. Anil K Agarwal

Diploma In Venerology & Dermatology, MBBS, MD - Dermatology
Dermatologist
39 Years experience
1000 at clinic
Unavailable today
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Specialities

Psychiatry

Psychiatry

Offers specific care to patients with any kind of mental illness or behavioural disorders
Internal Medicine

Internal Medicine

Deals with the careful understanding and treatment of adult diseases
Ophthalmology

Ophthalmology

Concerns itself with the treatment of diseases related to the eye
Cardiology

Cardiology

Aims to provide effective diagnosis and treatment related to cardiac and circulatory problems
Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
Psychology

Psychology

Deals with management of emotional and behavioural problems
Dermatology

Dermatology

Aims to deliver the highest quality of care to patients with skin disorders
Pediatrics

Pediatrics

Aim to offer the best form of childcare to infants and children up to 18 years
Physiotherapy

Physiotherapy

Effectively treats physical injury or diseases through vigorous massages and exercises
Pulmonology

Pulmonology

Offers specialized care in the treatment of pulmonary diseases and conditions
Ear-Nose-Throat (ENT)

Ear-Nose-Throat (ENT)

Aims to offer special care to patients with conditions related to the ear, nose and throat
General Surgery

General Surgery

Offers extensive care to patients suffering from abdomen related medical issues
Nephrology

Nephrology

Deals with the diagnosis and treatment of conditions affecting the kidneys
Orthopaedics

Orthopaedics

Concentrates on efficient treatment of injuries and problems of the musculoskeletal system
Dietitian/Nutritionist

Dietitian/Nutritionist

Expertly offers advice in dietetics, including recommendations on planned diets to patients
Urology

Urology

Offers cumulative treatment of problems of the Urinary tract and male reproductive organs
Pediatric Surgery

Pediatric Surgery

General Physician

General Physician

Aims to provide best quality care to patients with acute and chronic problems
Anesthesiology

Anesthesiology

Concentrates on preoperative medicine and the administration of anaesthetic drugs prior surgery
Pain Management

Pain Management

Concerns itself with the effective diagnosis and management of various kinds of pains
Cosmetic/Plastic Surgery

Cosmetic/Plastic Surgery

Offers various surgical and non-surgical procedures to patients willing to enhance their appearance
Oncology

Oncology

Offers high quality care to patients with tumours, especially those that are cancerous
Neurosurgery

Neurosurgery

Aims to deliver cumulative healthcare for disorders related to the brain and spinal cord
Neurology

Neurology

Offers specialized healthcare to patients suffering from disorders of the nervous system
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Network Hospital

W Pratiksha Out-Patient Clinic

4307, DLF Phase IV, Sector 28, Gurugram, Haryana 122022Gurgaon Get Directions
  4.4  (3659 ratings)
8 Doctors
5 Specialities
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Patient Review Highlights

"Professional" 12 reviews "Prompt" 6 reviews "Well-reasoned" 16 reviews "Helped me impr..." 7 reviews "Nurturing" 4 reviews "Practical" 8 reviews "Thorough" 9 reviews "knowledgeable" 52 reviews "Sensible" 7 reviews "Caring" 12 reviews "Very helpful" 113 reviews "Saved my life" 2 reviews "Inspiring" 5 reviews

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Attention Deficit Disorder - Know Remedies For It!

MBBS, MD - Psychiatry
Psychiatrist, Gurgaon
Attention Deficit Disorder - Know Remedies For It!

Attention deficit disorder is a behavioral disorder that comprises impulsive behavior, inattentiveness and hyperactivity. This disorder tends to affect children more commonly but the symptoms tend disappear as one ages. 

The various symptoms of this disorder are:

1. Concentration problems 
People affected by this disorder have problems in staying focused in routine tasks. You may have problems in listening to conversations, get distracted easily, overlook various important things and have trouble remembering various things.

2. Being disorganized and forgetting things
You may exhibit symptoms such as having an extremely cluttered desk. You may also experience difficulties in completing projects and forgetting appointments. You may also lose track of time while doing important things.

3. Emotional problems
Various emotional problems such as mood swings, hypersensitivity to criticism, problems in staying motivated and having low self-esteem are common signs of ADD. The disorder may also lead you to be extremely short tempered and be constantlyfrustrated.

4. Hyperactivity
This symptom causes you to be constantly agitated, unable to focus due to a racing mind, fidgeting constantly and talking excessively. 

5. Impulsivity
You will exhibit impulsive behavior such as not being able to exercise self-control, blurting out inappropriate comments and have certain addictive tendencies. 

Attention deficit disorder can cause various problems in your life. Most of these are related to the following domains:

1. Work related problems 
You may constantly feel a sense of underachievement and be unable to meet your work responsibilities. You may be unable to meet deadlines, and face problems in filling paperwork.

2. Relationship problems
This disorder takes a toll on your relationships such as it can create a rift between you and your family. They may feel that you are not sensitive to their concerns.

3. Mental health problems
You may face various mental health problems such as drug abuse, anxiety, self-esteem issues and chronic stress.

The various remedies for this disorder are -

1. Get proper sleep
You should always aim to sleep for at least 6 hours every day. If you are well rested, then you will be more energetic and stress free.

2. Regular exercise 
You should exercise on a regular basis to keep yourself fit and healthy. It can also help you avoid problems such as obesity.

3. Improve your relationships
You should schedule time for your loved ones and engage with them. It may contribute to your overall mental well-being.

2 people found this helpful

Hi, In june, 2017 I was diagnosed with metastic prostatic adenocarcinoma. My gleason score was 8 and psa 465. I was taken as a participant for clinical trial of firmagon (degarelix) under Dr. Sujoy gupta at tata medical centre, kolkata. I was administrated primary dose of degarelix 240 mg and subsequently 17 doses of 80 mg after every 28 days during the period 03.07.17 to 19.11.18. Psa gradually came down and after 12th dose it was 0.510. But afterwards, it began to rise and stood at 2.33 on 17.09.18. As per doctor advice, underwent bilateral orchiectomy on 29.11.18. Even then, psa kept on rising and stood at 46.85 on 08.01.19. For further treatment, I was referred to Dr. (radiotherapy, frcr (clinical oncology) at tata medical centre, kolkata. As per him, I have become castrate resistant and as advised I am on abiraterone acetate (abirapro 250 mg) 4 tablets at a time along with omnacortil 5 in empty stomach since 11.01.19. But psa is on the rise and last test results of 27.03.19 shows the level at 97.83. He has suggested me to continue the medicine for another month and review with him with fresh psa reports at the end of this month. I beseech to advise whether I am on the right treatment, suggest the best of the treatment or refer a doctor with whom we should consult?

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
You have ca. Prostate with high-level ofp. S.a level in stage 4th if you want I can suggest you an alternative cancer medicine contact on mobile with all reports. This will definitely give you relief.
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Pelvic Inflammatory Disease - What Should You Know?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist, Gurgaon
Pelvic Inflammatory Disease - What Should You Know?

Pelvic Inflammatory Disease (PID) is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer

  • Cause: Sexually Transmitted Diseases (STD) like chlamydia and gonorrheaproduce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortionmiscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease. 
  • Symptoms: The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. 
  • Associated symptoms: High fevernauseavomitingindigestion, exhaustion, shivering and fainting. 
  • Diagnosis: A pelvic examination is conducted to check for abnormal bleedingfrom the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries. Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause PID. An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs. A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection. 
  • Treatment: The treatment procedures of PID vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.
3888 people found this helpful

Vaginal Cancer - Causes & Symptoms Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist, Gurgaon
Vaginal Cancer - Causes & Symptoms Of It!

Generally identified as a rare and uncommon phenomenon, vaginal cancer most often occurs in the cells present in the outer lining of the vagina, also called the birth canal. Although primary vaginal cancer is rare and unusual, there are various other types of vaginal cancer that originate elsewhere in the body, but have spread over to your vagina.

Depending upon the nature of origin, vaginal cancer can be divided into the following types:

  1. Vaginal adenocarcinoma, beginning in the glandular cells on the surface of your vagina
  2. Vaginal sarcoma, developing in the connective tissue cells and multiple cells lining the walls of your vagina
  3. Vaginal squamous cell carcinoma, originates in the squamous cells lining the surface of the bacteria
  4. Vaginal melanoma, developing in melanocytes, the pigment producing cells in your vagina

Symptoms: As vaginal cancer progresses from one stage to the next, you may experience any one of the following signs and symptoms:

  1. Diluted, watery vaginal discharge
  2. Painful urination
  3. Constipation
  4. Odd cases vaginal bleeding, for instance, after menopause or after intercourse
  5. Formation of lumps in your vagina
  6. Frequent and regular urination
  7. Pelvic pain

Causes: Normally, cancer develops when healthy cells undergo genetic mutations, subsequently leading to the uncontrollable growth of abnormal cells. Cancer cells are known to break off from pre-existing tumors and can easily spread everywhere, in what is referred to as metastasize.

Beyond the natural process of development, here are a few factors, which may further contribute to the growth of cancerous cells:

  1. Increasing age
  2. Vaginal intraepithelial neoplasia
  3. Exposure  o miscarriage prevention drugs
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Menstrual Disorders - 5 Causes Of Them!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist, Gurgaon
Menstrual Disorders - 5 Causes Of Them!

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.

Some of the most common causes of menstrual disorders are as follows:

  1. Hormonal imbalance: Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.
  2. Anatomic problems: One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.
  3. Clotting irregularities: Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.
  4. Medications and supplements: There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirinibuprofen, estrogen pills, Vitamin E supplements etc.
  5. Miscellaneous factors: These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancerovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stressobesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.
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Body Dysmorphic Disorder - What Causes It?

MBBS, MD - Psychiatry
Psychiatrist, Gurgaon
Body Dysmorphic Disorder - What Causes It?

Body dysmorphic disorder is a type of psychiatric disorder. It is when you cannot think about one or more defects or flaws in your appearance. These flaws are usually very minor and sometimes even unnoticeable.  This is actually a much more serious disorder than many other people may think. This is because people with body dysmorphic disease may avoid many situations and also suffer from severe anxiety or shame. Here is everything you need to know about body dysmorphic disease.

Causes

Just like other psychiatric disorders, there is no known cause of body dysmorphic disease. However, there are a lot of factors which increases your risk of developing it which include.

1. Brain disorders

Many people with abnormal brain chemistry disorders suffer from body dysmorphic disease. 

2. Genes

People whose blood relatives have this disease or obsessive-compulsive disorder are more likely to develop this disorder as well. 

3. Environment 

Cultural and social influences are a major cause of body dysmorphic disorder as well.

Here are the symptoms of body dysmorphic disease. 

Symptoms

There are, however, a lot of symptoms of body dysmorphic disorder, most of which are psychological in nature. They include.

1.   Having a preoccupation with a flaw in the body which is very minor or perhaps even unnoticeable.
2.   Beliefs that people are mocking you in relation to your flaw.
3.   Being a perfectionist

It is also worth note that this obsession with a part of the body can be any part of the body and can also include several parts of the body or different parts of the body at different times. Here are the possible treatments for body dysmorphic disorder.


Treatment 

There are a variety of treatments which a patient can opt for and a variety of methods of curing the problem. Here are the most common.

1. Cognitive behavioural therapy
This is when a therapist tries to stop you from thinking about the flaw that you have been focusing on way too much. 

2. SSRI
SSRI stands for selective serotonin reuptake inhibitors. They are given in cases where body dysmorphic disorder is caused by problems related to the brain chemical serotonin. 

3. Hospitalization
This is a severe measure but may need to be taken if you are in danger of harming somebody or you cannot perform daily activities. 
 

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Split Personality Disorder - How To Track It?

MBBS, MD - Psychiatry
Psychiatrist, Gurgaon
Split Personality Disorder - How To Track It?

Previously known as multiple personality disorder or simply, split personality disorder, dissociative identity disorder is a very serious and unpleasant form of dissociation. It is based on a lack of connection, or rather a discontinuity in thought, action, feeling, memory or even a misplaced sense of identity. It is usually considered to be a result of severe traumatic experiences in early childhood, varying from extremely physical to repeated emotional or sexual abuse. It is thought to be a self-defence mechanism where the person dissociates himself from any such experience or situation that would deem to be harmful to his or her conscious self. It is, however, not to be confused with schizophrenia

Symptoms

There are innumerable indicators that point towards dissociative identity disorder. Some of them include:

-Severe depression
-Sleeping problems such as insomnia or sleep apnea
-Alcohol or drug abuse
-Anxiety attacks and phobias
-Suicidal tendencies
-Abnormal rituals and compulsions
-Visual or auditory hallucinations
-Self-persecution and self-sabotage tendencies
- Time-loss and amnesia
-Mood swings
-Headaches and migraines
- Inability to remember important personal information
- 'Switching' of identities

Causes

The main causes of split personality disorder are unfortunately still unclear and vague although 99% of persons who suffer from this disorder have a severe traumatic history or background. The causes need not necessarily be physical or sexual abuse. It could also stem from emotional abuse like insistent neglect. Studies have also shown that children may become dissociative if their parents are either too strict or unpredictable.

Anterior wall intramural fibroid. My wife is pregnant with 7 week 1 day we did the ultrasound today and came to know about this issue. What should be the next step? Though it is non- cancerous tumor wanted understand risk associated with it in future and doctor that treat this?

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Anterior wall intramural fibroid. My wife is pregnant with 7 week 1 day we did the ultrasound today and came to know ...
Donot worry till your wife successful delivery then consult with c.t abdomen meanwhile be in touch with your gynocologist.
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Postmenopausal Bleeding Normal - Is It Normal?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB -Obstetrics & Gynecology
Gynaecologist, Gurgaon
Postmenopausal Bleeding Normal - Is It Normal?

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

  • Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
  • Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
  • Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.
  • Infections: General infection of any area along the uterine tract could lead to occasional bleeding.
  • Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding. Diagnostic methods could include the following:

  1. Physical examination
  2. Transvaginal ultrasound
  3. Endometrial biopsy
  4. Hysteroscopy
  5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it.

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