Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. Find the best Gynaecologists online in Gurgaon. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Anjali Kumar
Submit a review for Dr. Anjali KumarYour feedback matters!
I am 6 days late last month my periods date was on the 6th and 17th made love to my husband am I pregnant but my brest is heavy and hurts alot and my abdomen has this cramps and hurts like the pain I get before my periods.
I am 29 pregnancy with 42 days. It will be my second abortion. I have done usg under a gynecologist. And under her supervision I have taken 2 misoprostol of 200 mcg orally on Sunday night and 10 misoprostol in vaginally. On Monday it would be my abortion but as no pain and bleeding occurred, she didn't abortion. Then Monday evening I have taken a mifepristone 200 mg obviously under her advice, bt still now no pain and bleeding has occurred. What should I do. If a second usg needed to know if the foods is alive. I fear about infection. Should I continue the misoprostol of 4 tab after 48 hours. My doctor says until bleeding start she can not do anything. I really feared.
Hi I am 20 years old and has thyroid and also PCOS. But all the levels are controlled. I was taking Novelon for PCOS and after stopping that my hairball has become also fast that in 20 days I lost more than lacs of hair I have photo too for few collected ones. I have lot of dandruff too. Please help me what can I do. I ma on homeopathy for PCOS.
Hi I have concern as I get my periods on 4 december than after that I had unprotected sex on 8 december then I took unwanted 72 with in 12 hrs and after that again on 9 we had unprotected sex and leave his sperm inside but that time I did not took unwanted 72 because I just had it 5-6 hrs before. And after that today I am getting bleeding as there is not even my periods date please help me out. What should I do now am I pregnant?
Whether it good to have intercourse daily or alternative days in a month to get pregnant. Which is best doctor. Some people do not have sex often if you want to make baby. Some say have regularly. I Am confused. please give me a correct description when to have intercourse and wen should I not..
Dengvaxia - First vaccine against dengue:
Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.
Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice
Full prescribing info - dengvaxia
Dengue tetravalent vaccine (live, attenuated).
Indications / uses
Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.
Dosage / direction for use
The patient will receive 3 injections of 0.5 ml each at 6-month intervals.
The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.
If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.
It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.
Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.
Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.
Use in pregnancy lactation: Dengvaxia must not be given to pregnant or breastfeeding women.
If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.
Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.
As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.
Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.
Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.
Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.
Use in children: Children less than 9 years of age should not receive the vaccine.
Like all medicines, dengvaxia can cause side effects, although not all patients get them.
Serious allergic reactions: If any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.
When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.
Serious allergic reactions are very rare (may affect up to 1 in 10,000 people), after receiving any vaccine.
Other side effects: The following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.
Uncommon (may affect up to 1 user in 100): Infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).
Additional side effects in adults (from 18 to and including 60 years of age): Uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).
Additional side effects in children and adolescents (from 9 to and including 17 years of age: Uncommon (may affect up to 1 user in 100), Itchy rash (urticaria).
Reporting of side effects or any suspected adverse event: If the patient experiences any side effects after vaccination, advised to seek immediate medical attention.
By reporting side effects, it can help provide more information on the safety of the vaccine.
Using other medicines and dengvaxia: Dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.
Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.
Caution for usage:
Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.
Epinephrine (1:1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.
Dengvaxia must not be mixed with other medicinal products in the same syringe.
Dengvaxia must not be administered by intravascular injection under any circumstances.
Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.
Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.
Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.
The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).
After reconstitution with the solvent provided, dengvaxia must be used immediately.
Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.
Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.
Store in a refrigerator (2°c-8°c). Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.
After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).
* ccid50: 50% cell culture infectious dose.
** produced in serum-free vero cells by recombinant dna technology.
The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.
The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.
After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.
Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.
Mechanism of action:
Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.
Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.
Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.
However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.
More information about dengvaxia - First vaccine against dengue
Sanofi awaits govt approval to launch dengue vaccine in india
Sanofi pasteur - Dengue vaccine frequently asked questions
चुकंदर का सबसे ज़्यादा उपयोग सलाद व मिक्स जूस में किया जाता है। इसे अंग्रेज़ी में beetroot (बीटरूट) कहते हैं। इसमें मिलने वाला बीटेन नामक पदार्थ मस्तिष्क को शांत रखता है और स्नायुयों को आराम पहुंचाता है। इसमें पर्याप्त मात्रा में मिलने वाला लौह तत्व शरीर में रक्त की वृद्धि में सहायक होता है। इसके पत्तों का सब्ज़ी भी बनाई जाती है। इसलिए आज हम आपको चुकंदर के फ़ायदे बताएंगे।
आयुर्वेद का कहना है कि चुकंदर मधुर, रक्तवर्धक, विरेचक व मानसिक विकार दूर करने वाला है। यह दो प्रकार होता है- सफेद व लाल। लाल चुकंदर ज़्यादा गुणकारी है। इसके सेवन से कब्ज़, आंतों की सूजन, हृदय रोग, मासिक धर्म की बीमारियों व मुंहासों में लाभ होता है। लहसुन खाने के बाद यदि थोड़ा चुकंदर खा लिया जाए तो मुंह से लहसुन की महक नहीं आती। यदि हाथ में चुकंदर का लाल रंग लग गया है तो उसे छुड़ाने के लिए नींबू रस व नमक का प्रयोग करना चाहिए।
Chukandar – beetroot health benefits in hindi
चुकंदर के पोषक तत्व
रासायनिक विश्लेषकों के अनुसार इसमें 87.7 प्रतिशत नमी, 8.8 प्रतिशत कार्बोहाइड्रेट, 1.7 प्रतिशत प्रोटीन, 0.1 प्रतिशत वसा, 0.8 प्रतिशत खनिज तथा 0.9 प्रतिशत रेशा पाया जाता है। 100 ग्राम चुकंदर में 1 मिलीग्राम लोहा तथा 18.3 मिलीग्राम कैल्शियम व 55 मिलीग्राम फॉस्फोरस पाया जाता है। इसमें प्रचुर मात्रा में विटामिन बी काम्पलेक्स, विटामिन डी व सी भी मिलता है। चुकंदर में बीटा सायनिन भी मिलता है जो नशे के बाद होने वाले हैंग ओवर को दूर करता है। इसमें मौजूद बोरोन नामक तत्व यौन हारमोन के उत्पादन में मदद करता है। आप भी चुकंदर के फ़ायदे उठा सकते हैं।
चुकंदर के फ़ायदे
– चुकंदर के फ़ायदे की बात हो तो इसके नियमित प्रयोग प्रतिरोधक क्षमता का विकास करता है और कैंसर तथा ट्यूमर आदि की आशंकाएं निर्मूल हो जाती हैं।
– दूध पिलाने वाली महिलाओं के दूध में वृद्धि के लिए चुकंदर का नियमित सेवन लाभकारी है।
– नियमित रूप से चुकंदर का सलाद खाने से पेशाब की परेशानी दूर होती है तथा पेशाब के साथ कैल्शियम का निकलना रुक जाता है।
– चुकंदर का नियमित सेवन कब्ज़ व बवासीर आदि बीमारियों से मुक्ति दिलाता है।
– यदि नाखून सफेद हो रहे हैं, उनका रंग उड़ रहा है और वे टूट रहे हैं तो भोजन के साथ प्रतिदिन 100 ग्राम चुकंदर का सेवन करने से लाभ होता है।
– चुकंदर को पानी में उबालकर उसमें हाथ-पैर डुबोकर रखने से हाथ-पैरों का फटना बंद हो जाता है।
Chukandar beetroot juice health benefits in hindi
चुकंदर के जूस के लाभ
ताज़े चुकंदर के फ़ायदे जानने के साथ साथ आपको चुकंदर के रस के फ़ायदे भी मालूम होने चाहिए। ताकि आप इसके सेवन के लिए प्रेरित हो सकें।
– चुकंदर, गाजर, पपीता व संतरे का जूस मिलाकर दिन में दो बार पीने से ब्लड प्रेशर नियंत्रित होता है।
– एक कप चुकंदर जूस सुबह खाली पेट पीने से बार-बार गर्भपात व मासिक धर्म की अनियमिता दूर होती है।
– यदि गर्भवती महिलाएं चुकंदर, गाजर, टमाटर व सेब का जूस मिलाकर पिएं तो उनके शरीर में विटामिन ए, सी व डी तथा लोहे की कमी नहीं होने पाती। यह रक्तशोधन भी करता है।
– चुकंदर जूस या सलाद का सेवन गुर्दे के रोगों में लाभ पहुंचाता है।
– एक कप चुकंदर के जूस में एक चम्मच नींबू का रस मिलाकर पीने से पाचन शक्ति मज़बूत होती है तथा तथा उल्टी, दस्त, पेचिश व पीलिया रोग में आराम मिलता है।
– एक कप चुकंदर का जूस दिन में तीन बार पीने से शरीर में खून की कमी दूर होती है और स्मरण शक्ति बढ़ने के साथ ही मानसिक कमज़ोरी दूर होती है।
– गैस्ट्रिक अल्सर में चुकंदर के एक कप जूस में एक चम्मच नींबू का रस मिलाकर पीने से लाभ होता है।
– चुकंदर, गाजर व खीरे का जूस मिलाकर पीने से गुर्दे व गाल ब्लेडर की सफ़ाई होती है।
– कान के दर्द में चुकंदर का रस गुनगुना गर्म करके डालने से लाभ होता है।
– यदि चुकंदर व टमाटर का रस मिलाकर उसमें एक चम्मच हल्दी डालकर सेवन किया जाए तो त्वचा का रंग निखर आता है।
– चुकंदर के रस में सिरका मिलाकर लगाने से बालों से रूसी विदा हो जाती है।
चुकंदर की पत्तियों के लाभ
– यदि चुकंदर पत्तों के साथ खाया जाए तो जल्दी हज़म हो जाता है।
– मधु में चुकंदर के पत्तों का रस मिलाकर लगाने से दाद ठीक हो जाता है।
I have taken eova m tablet on last period, then on 9 th day of period took HCG injection. But today my period has been started. Can I take eova in this cycle again?
Communication is the key. Talk to your family, friends and professionals telling them how they can help and how you are feeling. Accept offers of help.
I have been very regular with my periods and it comes like clock work on 28th day until last Dec. From Jan I am facing irregularities in getting an average 38 day cycle. I am married with a 3.5 years kid through c section. This month it's already 42 days and I am yet to get my periods. There s no chance of pregnancy too. I took norethisterone 5 mg tablets for 2 days (1-1-1) before 2 days .Still yet to get. Pls suggest. Worried about early menopause.
Hello Doc, My wife had an abortion on 13th September 2016. She was pregnant for the first time and due to her health issues we did it. But from last one week she is having discharge of milk like fluid from her breasts. We are newly married and she is new to these things. What is the remedy and how will it stop? Meanwhile she is feeling cramp on her underarms from last 3 to 4 days.
I am 27. I had c-section delivery. My baby is 5 month old. Is it safe for him to consume green coffee during breastfeeding?
Whether you eat to live or live to eat, everyone suffers from a gastrointestinal tract infection at some point or the other. This can range from acidity and mild indigestion to diarrhoea and stomach ulcers. Digestive problems can make day to day life uncomfortable and in some cases become embarrassing as well. Thankfully, most gastrointestinal tract infections can be treated and cured easily.
Stomach and digestive problems spare no person. At times, the stomach disorder is of a short duration and at other times longer. Both stomach and digestive problems indicate that there is something inherently out of order and the body needs immediate help. The discomfort that accompanies stomach and digestive problems can hinder life’s activities and become an embarrassment too. Homeopathy has a cure for both stomach and digestive problems. The natural Homeopathic remedies for stomach and digestive problems are not only of great help in getting rid of stomach problems but also eliminate the root cause of the digestive disorders. The Homeopathic treatment is completely safe with zero side effects and proves to be of immense benefit in the long run.
When it comes to such infections, homeopathy is a form of medicine that is preferred by many. This is because it has negligible side effects and can be prescribed for children and adults alike. Homeopathy treats not only the physical symptoms exhibited by the patient but his or her overall physical, mental and emotional health. Some homeopathic remedies used to treat digestion problems are:
Nux Vomica- This is considered the ‘go to’ remedy for almost all stomach problems. It can be used to treat heartburn, constipation, indigestion etc. It also relieves bloating and a sense of fullness after eating a heavy meal.
Pulsatilla- This homeopathic remedy can be used to deal with the gastric trouble that results from excessive consumption of fatty foods and for the treatment of loose stools. Most people who benefit from this medicine showcase an absence of thirst.
China- China helps relieve bloating caused by excessive gas in the abdomen. This bloating may also be accompanied by severe abdominal pain. Diarrhoea that is a result of eating fruits and that causes extreme weakness can also be treated with China. China can also be used to treat loose stools that are accompanied by blood.
Arsenic Album- Gastric troubles caused by food poisoning can be treated with Arsenic Album. Some of the problems it addresses are nausea, vomiting, stomach aches and loose stools. In such cases, the patient may also complain that the discomfort worsens on eating or drinking anything and may experience a burning sensation in the stomach.
Lycopodium- Homeopathic medicine for stomach feeling full after eating very little. Sometimes a person may feel full even though he or she has eaten very little. Lycopodium is the ideal remedy for this problem. It is also used to treat acidity caused by the intake of starchy food and gas in the stomach that causes burping.
- Ipecac- This homeopathic remedy can be used to treat persistent nausea or simply an extremely nauseating feeling. This nausea may or may not be accompanied by other gastric complaints.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Is it risky for a pregnant woman, with placenta previa to go into labor? I am worried about my daughter.
Hepatitis is a medical condition in which the liver gets inflamed due to the action of a virus mostly. The type of treatment for this condition is decided according to the type and the root cause behind the condition. There are 5 types of viral hepatitis as described below:
- Hepatitis A- This type of viral hepatitis develops due to an infection from Hepatitis A virus. Consumption of contaminated food and water can result in this condition. Hepatitis A cannot be treated but vaccination helps in preventing its development.
- Hepatitis B- Infection due to Hepatitis B virus results in this condition. Contact with infected body fluids like saliva, blood or semen, sharing razors with infected people, having sexual contact with an infected person etc. increases the chances of suffering from this condition in a person.
- Hepatitis C- It is a type of viral hepatitis which develops due to an infection from Hepatitis C virus. Direct contact with infected body fluids, sexual contact, and drug use through injection may result in the development of this condition.
- Hepatitis D- Infection from the Hepatitis D virus may result in this severe liver disease known as Hepatitis D or Delta hepatitis. Direct contact with infected blood or a puncture would result in the development of such a condition.
- Hepatitis E- Spread of Hepatitis E virus, due to poor sanitation (leading to ingestion of fecal matter) may result in this waterborne disease known as Hepatitis E.
Here are some things you can do in order to prevent viral hepatitis
1. Avoid consuming contaminated food and water - Maintaining proper hygiene is very important in order to prevent viral hepatitis. Especially if you are living in or travelling to a developing country, you must avoid drinking local water, eating raw fruits and vegetables without washing them, having seafood or having ice.
2. Avert contamination of blood - In order to prevent viral hepatitis due to blood contamination, sharing of razors, sharing of drug needles must be avoided. Using somebody else's toothbrush must also be avoided. Spilled blood should not be touched by anyone. It can become a cause of viral hepatitis in him/her due to blood contamination.
3. Vaccinate yourself - For Hepatitis A and B, vaccines have been developed. You can safeguard yourself from these forms of hepatitis by vaccinating yourself. However for Hepatitis C, D, and E, vaccines are yet to be developed.