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Dr. Anu

Gynaecologist, Gurgaon

300 at clinic
Dr. Anu Gynaecologist, Gurgaon
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Anu
Dr. Anu is a popular Gynaecologist in New Gurgaon, Gurgaon. You can meet Dr. Anu personally at Sheetla Hospital in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. Anu on Lybrate.com.

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Room No 5, , New Railway Road, Gurgaon. Landmark: Near Dsd College, GurgaonGurgaon Get Directions
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Exocrine Pancreatic Insufficiency: Causes and Symptoms

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Exocrine Pancreatic Insufficiency: Causes and Symptoms

Exocrine Pancreatic Insufficiency or EPI is also known as pancreatic deficiency, a disorder where the pancreas is unable to produce sufficient amount of enzymes that are required to digest food. The pancreatic enzymes help to break down and absorb nutrients from the food in the small intestine. So, this disease causes nutritional deficiencies.

Causes of Exocrine Pancreatic Insufficiency : 

This condition is generally caused as a complication of other diseases because EPI develops only as a result of severe damage to the pancreas. The following reasons can cause EPI:

  1. Inflammation of the pancreas: After surgery in the pancreas, stomach or the intestines, there may be inflammation in the pancreas as a post-surgical complication. A high content of triglyceride fat in the blood can also cause pancreatic inflammation and hinder the secretion of the enzymes.
  2. Chronic Pancreatitis: In this disease, the pancreatic ducts are swollen and blocked and so the digestive enzymes cannot be passed into the small intestine. This condition is often caused by a heavy consumption of alcohol.
  3. Cystic Fibrosis: The digestive fluids and enzymes become thick and sticky and block the passageways of the pancreas and other organs like the lungs and the kidneys. This can obstruct secretion and passage of enzymes afterwards.
  4. Shwachman-Bodian-Diamond syndrome or SBDS: SBDS is an autosomal recessive genetic condition where enzyme producing pancreatic cells is not formed properly. This rare disorder causes a number of associated disorders like bone marrow diseases, skeletal defects and exocrine pancreatic insufficiency.

Symptoms of Exocrine Pancreatic Insufficiency:

Symptoms of EPI often appear in the middle stages of the disease when the process of absorption of nutrients has already been affected. The common warning signs are:

  1. Digestive problems like gas, diarrhea and indigestion because the food remains mostly undigested.
  2. Severe and frequent stomach pain in the lower abdominal region
  3. Greasy stools due to the excretion of undigested fat
  4. Rapid loss of weight and body mass due to malabsorption of nutrients
  5. Constantly feeling bloated and full even if you have not eaten anything
  6. A general sense of fatigue and exhaustion
  7. Excessive bleeding from small wounds because protein deficiencies hamper blood clotting
  8. Pain in the muscles and bones
  9. Increased susceptibility to infections of the body system
  10. Anemia
  11. Joint pains
  12. Abnormal swelling of the limbs or edema
3042 people found this helpful

Doctor I am 19 years old student I had abort pregnancy twice last year, first with medical abortion and second through surgical method. Now I am one month pregnant for the third time my last periods was on 18 January 2016. Is third abortion save for me and my future pregnancy? What should I do doctor please help me?

MD - Homeopathy, Masters Degree of Homoeopathy
Homeopath, Mumbai
hi, Abortion in short interval three time will definitely affect your health but its chances of affecting your future pregnancy are less as you might be doing it under professional supervision. With this i would also like to advise you to take help of contraceptive measure for future.
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My girlfriend and I have done unprotected sex as my condom broke while intercourse She has taken I pill water 5 hr of sex. The question is that Is she got pregnant or not Because there is no signs after taking I pill.

MBBS
General Physician, Chandigarh
My girlfriend and I have done unprotected sex as my condom broke while intercourse She has taken I pill water 5 hr of...
You will have to wait for at least 10 days and if she doesn't get her periods then test her urine for pregnancy.
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I am now 5 weeks 6 days pregnant. I had my hcg level on 4th aug to 1555. Last night I had very light brown discharge. I could see it when wiping. Is it normal.

MBBS, DGO
Gynaecologist, Gurgaon
I am now 5 weeks 6 days pregnant. I had my hcg level on 4th aug to 1555. Last night I had very light brown discharge....
It shows some bleeding had occurred but may not have affected pregnancy better to repeat pregnancy test after a wk.
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Eating Fig for Sexual Health

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Eating Fig for Sexual Health

Fig is a dry fruit that is consumed throughout the world. It is a dry fruit that has great nutritional value. It as been used as a sexual enhancer by civilization of many thousand years old. The Egyptian started using it and then there have been signs that Persians as well as mughals royals used fig. these royals had many wives and sex slaves and it is said that fig helped them in their sexual escapades.

How it works:

To be honest I wont be able to tell you how fig helps you and I can’t give you scientific logic behind it effectiveness but after using it for a week you would will that your volume of your ejaculation would increase by many folds.

The miracle formula:

Eating fig raw can do wonders to your sexual health and sexual stamina but cooking it with milk will increase its powers many folds. This milk should be taken before sleep. Drinking this milk for a month will make you better sexually. You will witness better erections and also longer lasting ejaculations.

55 people found this helpful

Pregnancy - How It Affects Women Sexual Desire?

MD - Alternate Medicine, M-CSEPI, BHMS
Sexologist, Pune
Pregnancy - How It Affects Women Sexual Desire?

Did you know that pregnancy can alter your libido, since it is influenced by biological, psychological and social factors? It is no surprise that the numerous hormonal changes and the emotional roller-coaster that a woman experiences during pregnancy, can change her desire for sex. Of course, no two woman's sexual drive is the same and hence the matter is very individual and unique for every woman. 

But some common bodily trends are observed during the various trimesters of pregnancy:

1. During the first trimester of pregnancy, some women are put off by sex when the symptoms of nausea, vomiting and tiredness kick in. This can be blamed on the rise in the levels of the hormones estrogen and progesterone. A woman would rather just catch up on lost sleep and lie in bed by herself, getting all the rest she can.

2. The second trimester brings relief in the symptoms felt during the first trimester. Some women experience a surge in their libido, as energy levels improve and they feel relatively more relaxed. 

3. The third trimester brings with it weight gain, back pain and other symptoms which can lower a woman's sexual drive again.

4. Besides the typical changes that are brought on in the different trimesters, quite a few women report a heightened desire for sex. With all those pregnancy hormones flowing, it's understandable. During pregnancy, a woman's breasts get bigger and more sensitive. The vulva also becomes engorged from extra blood flow and even more sensitive, which could lead to more enjoyable pregnancy sex. 

5. Another fact is that, with no longer having to worry about contraception during this time, both partners welcome the fact that they can have sex anytime they want or without worrying about the obligations of ovulation. 

So basically, a woman can easily embrace her sexual desire during this special time of pregnancy. As long as a doctor doesn't suggest otherwise, it is perfectly safe for a woman to revel in her new found desire and have sex with her partner until the baby arrives. If you wish to discuss about any specific problem, you can consult a Sexologist.

3261 people found this helpful

Dear doctor. I have been married since 6 years. I have mostly done sex on safe days and used contraceptive 3 times in these years when the days were not safe. Now I am planning a baby in 3-4 months. Can you please tell me that do contraceptives decrease the chances of getting pregnant? M worried that it will not harm in the coming future?

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Dear doctor. I have been married since 6 years. I have mostly done sex on safe days and used contraceptive 3 times in...
Hi vaishali, contraception will not affect ur chances of pregnency n that too u used only 3 times, if ur periods r regular u try for pregnency naturally by meeting during fertile period for 6 months to 1 year .
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https://www.facebook.com/pages/Dr-BK-Kashyap-PsychoSexologist-Kashyap-Clinic/1506623262899467?fref=nf https://www.facebook.com/pages/Dr-BK-Kashyap-PsychoSexologist-Kashyap-Clinic/1506623262899467

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Allahabad
https://www.facebook.com/pages/Dr-BK-Kashyap-PsychoSexologist-Kashyap-Clinic/1506623262899467?fref=nf     https://www...
Sexual dysfunction-overview
Definition:
Sex is one of the basic instincts of human life. It is as important as food, clothing and shelter. Sex is not just for human reproduction or making babies, but it is also a mode of physical and mental relaxation. Lack of proper sex education by our government and educational institutions has led to mushrooming of quacks, hakims, vaids & unqualified sex specialists. This is one of the major reasons fo a Dr B K Kashyap qualified in male sexual diseases to overcome to rescue of the patients of northern India in tackling their sexual problems. Following are the few quaries and their answers which one comes across in sexual medicine practice.
As many as one third of all men experience some form of difficulty during sexual activity, yet only a few take the step forward to seek treatment for the same. It can be embarrassing to discuss one's sexual problems with a physician but patients must understand that if this gives an effective solution in the end, it is well worth the effort.
Male sexual dysfunction can be described as any form of difficulty in the sexual activity that prevents the concerned man (or the couple) from experiencing satisfaction. Sexual activity can be divided into phases of excitement, plateau, orgasm and resolution and the problem can be related to any of these phases. The result can be any of the following: loss of libido, erectile dysfunction, ejaculation problems such as premature / retarded / retrograde ejaculation or absence of orgasm. The good news is that male sexual dysfunction is treatable with Ayurved Dr B K Kashyap and the response is we have been treating patients years now and have had good results in most cases. We strongly advocate
that patients share their concerns with their partner as well as the treating physician to get the best results. In addition, it is advisable that patients take adequate steps early on because seeking timely treatment can help to prevent any complications in their personal lives due to sexual dysfunction.
• Causes of sexual weakness / E.D. :-
• How does erection occur :
• Ayurved treatment Approach:
Ayurved Approach:

Erectile dysfunction (E.D.) :-
Erectile dysfunction (ED), a more precise term for impotence, has ben defines as the inability of the male sexual performance. A more specific defination diagnosis of E.D. is the persistent of repeated inability for atleast three months to attain sexual performance.
Premature ejaculation :-

It means uncontrolled ejaculation/semen emission before or shortly after the enters the vagina during sexual intercourse.
How does erection occur :-
For erection to occur, several parts of the body must together. The brain sends messages to control the nerves, hormone levels, blood flow and muscles that cause and erection. If anything interferes with these messages or if any part of the system does not function correctly; an errection will not occur.
The brain controls all sexual functions, from preceiving arousal to initiating and controlling the psychological , hormonal, nerve and blood flow changes that lead to an errection.
Arteries deliver the extra blood to the penis that causes it to stiffen, veins then drain the blood out of the penis after intercourse.
Nerve impulses relay signals of arousal and sensation to and from the penis.
Hormone, including testosterone, control the male sex drive. Testosterone is secreted by the testicles.
Investigation required to know the exact cause of sexual weakness/E.D. :-
a) Physical Examinaton
b) Blood Test & Urine Test
c) Pipe Test
d) Penile blood flow studies
e) Sleep monitoring
Misconceptions in our society related with sexual weakness/E.D .
Ans:
a) Does Masterbation cause weakness ?
Ans: NO
b) Can the size of Penis decrease with age ?
Ans: NO

Causes of sexual weakness / E.D. :-
E.D is generally categorized as :-
1. Organic :
a) Endocrinologic
b) Neurologic
c) Vascular
2. Psychogenic :
a) Performance anxiety
b) Relationship conflict
c) Sexual inhibition]
d) Conflicts over sexual preference
e) Sexual abuse in childhood
f) Fear of pregnancy or sexually transmitted diseases.
3. Mixed/Others:
a) Age
b) Depression-Tension
c) Smoking
d) Diabetes
e) Renal, Hepatic dieases.
f) Heart dieases
g) Anger
h) Some medications
i) recreational drugs like alchohol, marijuna, cocaine, heroine also cause E.D.
How does erection occur :-

For erection to occur, several parts of the body must together. The brain sends messages to control the nerves, hormone levels, blood flow and muscles that cause and erection. If anything interferes with these messages or if any part of the system does not function correctly; an errection will not occur.
The brain controls all sexual functions, from preceiving arousal to initiating and controlling the psychological , hormonal, nerve and blood flow changes that lead to an errection.
Arteries deliver the extra blood to the penis that causes it to stiffen, veins then drain the blood out of the penis after intercourse.
Nerve impulses relay signals of arousal and sensation to and from the penis.
Hormone, including testosterone, control the male sex drive. Testosterone is secreted by the testicles.

Typically sexual disorders in women are sterility, dyspareunia (painful sex) and vaginal dryness. Men commonly suffer from erectile dysfunctions and problems of premature ejaculation. Sexual disorders very often arise from psychological factors such as fear and incompatibility of partners. These disorders may also be precipitated by smoking, hormonal imbalances, diseases like mumps and diabetes and the prolonged use of drugs like contraceptive pills.
Conventional treatment may lead to various side effects. In women, blurred vision, tender breasts and depression is not uncommon. And in men it could lead to mental confusion, gastric problems, dizziness and headaches
337 people found this helpful

I am 25 years old. Me and my husband are trying for a baby for 6 months but I have not conceived yet. My period was on 10 feb 2016 and we are having intercourse regularly. After sex, I remain lying on bed for 15-20 minutes. Can I conceive?

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
I am 25 years old. Me and my husband are trying for a baby for 6 months but I have not conceived yet. My period was o...
Please don't worry too much as of now. It takes up to an year for a couple to conceive naturally - some get pregnant quickly, while some others take some time. Healthy diet, stress free lifestyle and regular contact with your husband is all you need at this time. All the best.
1 person found this helpful
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Me and my wife is 43,42 years old living a happy and healthy sex life, but incidentally due to failure contraceptive she conceived, but non growth of fetus in 8 weeks she has to undergo abortion, we have two females of 20,15 years. now problem is that she wants tubectomy immediately, but doctors tell us to do that after 6-8/weeks of abortion, yesterday we did intercourse using condom, but she is afraid some cum leaks in her vagina and she can get pregnant again, but I am sure no burst of condom, all cum in condom but how can I tell her, my life at presently in a very sad condition, what should I do to assure her that we do not need any baby in future and after a perfect time we will undergo tubectomy or vasectomy. Please guide.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Vasectomy does not reduce the male hormones or the sex urge thereafter. It takes less than 30 mins and you can walk home almost immediately since it's done under local anesthesia. In fact you can get it done tomorrow if you want (monday). Visit any surgeon. She need not go for any surgery the. Her fobias will dissipate. When she realises that there is not going to be any repetition of her ordeal, and your commitment to top it, she should feel better. A condom safely used provides 100% protection, assure her of the fact. Only risk after vasectomy is that you have to use condoms for a month at least till you semen test shows no sperms.
6 people found this helpful
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Hai Sir, Now my wife is in pregnancy. Now 3 months completed.This time what are the exercise to do in the morning. Please suggest me sir ?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Simple morning walk would do great changes. For particular exercise u need to consult gynecologist so that they can arrange u antenatal exercises classes.
1 person found this helpful
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I am 30 years old. I am getting up at one clock mid night. And I go to toilet and at five also I go toilet. So is it healthy.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
I am 30 years old. I am getting up at one clock mid night.  And I go to toilet and at five also I go toilet. So is it...
Get your diabetic profile checked once, as frequent urination is one of the signature symptom of diabetes.
1 person found this helpful
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It had been 4 months since I am married. During first period after my marriage I had a lot of unbearable pain in my whole body. And still after the periods are over the pain continues the whole month. I do not know the reason for this. I had got checked my hb (11.8) bp is also normal. Can you hlp me please. Full body pain. No burning during urination. No pregnancy.

BHMS, M.D.
Homeopath, Pune
It had been 4 months since I am married. During first period after my marriage I had a lot of unbearable pain in my w...
hello lybrate user, take healthy diet, have more fruits and protien rich diet like sprouts, eggs, banana etc. take homeopathic treatment for dysmenorrhea (painful menses).it's safe, natural and holistic way of treatment.natural homeopathic medicine strikes at root of problem to ensure complete relief. in chronic cases medicine is selected on basis of thorough details of patient like medical history, causes, temperament etc..;such well selected remedy gives complete relief without side-effects.message back for proper homeopathic consultation.take care.
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I have stomach pain during my period. So have any medicine or other for relief from it.

BHMS
Homeopath, Faridabad
I have stomach pain during my period. So have any medicine or other for relief from it.
Hello, Here are some tips to help you get rid of your problem: It is good to avoid fried, sour and protein rich foods in the last week of the menstrual cycle. Eat fish as it contains omega-3 fatty acids, which helps in easing contractions during menstruation Avoid eating dairy products, meat and poultry Maintain healthy and nutritious diet and perform yoga to help you stay away from problems If you are suffering from anemia, you should take food rich in iron Avoid vegetables like potato, eggplant, yellow pumpkin and try to concentrate on consuming drumsticks, papaya, white pumpkin, snake guard, cucumber and bitter guard When you experience pain, you can help reduce the pain by giving the area hot treatment. Drinking plenty of water and herbal tea also helps reduce pain and problems faced during menstrual periods. You can also perform yoga and some cardiovascular exercises that will help you get rid of these cramps. Last but not the least; take as much rest as possible. This will help you keep your menstruation under control. Medication: Take Schwabe’s Mag. Phos. 6x/ 5 tablets to be dissolved in ½ cup of water after every 2 hrly. till the pain lasts.
27 people found this helpful
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5 Health Hacks For Busy Professionals

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
5 Health Hacks For Busy Professionals

5 diet and fitness tips for busy people

Vigorous exercise is important. However, if your hectic schedule leaves you with no time to hit the gym, you can try integrating some activity in the course of the day for increasing your productivity and staying fit.

  • Take a walk when you are conversing on the phone.
  • Instead of the lift, take the stairs.
  • Take short breaks and step away from workstation.
  • Workouts at home, such as sit-ups, push-ups, crunches, lunges and squats, keep you in shape.
  • Eat healthy and on time
  • Eat-healthy-hacks

Foods which are low in nutritional value and have too many calories can pose serious health problems, including weight gain, cardiovascular problems and diabetes. It is important to stick to a healthy diet and a strict routine.

  • Instead of starchy foods, choose wholegrain variants which contain more fibre, and keep you feeling full.
  • Feel like snacking in the middle of the day? stock up on nuts and seeds or citrus fruits that are known to cure fatigue and stimulate alertness.
  • To keep your energy up and your metabolism on overdrive, eat breakfast and smaller meals throughout the day, rather than 3 big meals.
  • Have sufficient liquids through the day to avoid dehydration.

Avoid processed or packaged foods that contain too much sugar. Excess sugar has been linked to energy spikes followed by a crash, while too much salt can lead to high blood pressure and an increased risk of strokes and heart disease.

  • Sleep is important
  • Sleep-healthy-hacks

Finding it difficult to get a good night’s sleep? sleep deprivation can lead to fatigue, confusion, memory lapses and irritability.

To get a restful sleep:

  • Create a sleep schedule and stick to it. Reading a book, listening to relaxing music, or taking a warm shower can help in relaxing your body.
  • Avoid watching tv or surfing on your mobile as this can interfere with your sleep.
  • Pay attention to what you eat and drink. Going to bed hungry or stuffing yourself too much can cause discomfort and keep you awake.
  • Focus on deep breathing
  • Deep-breathing-healthy-hacks

When you are trying to juggle multiple things at a time, you are bound to be stressed. Five to ten minutes of deep breathing can help in relaxing you and reducing anxiety.

You can also close your eyes and focus on relaxing and tensing each muscle group while taking deep, slow breaths. The best part about this is that you can do it any time, at home, workplace or even on the road.

  • Watch your posture
  • Posture-healthy-hacks

Good posture is not just great for your back and neck, but also allows you to breathe properly and increases concentration and thinking ability. To improve your posture:

  • Get a good quality office chair, one with firm and dense cushioning and back support.
  • Instead of resting your weight on a particular foot, plant both feet flat on the floor.
  • Set a reminder to check your posture. This can be in the form of a post-it note, an alarm on your phone or an email reminder.
28 people found this helpful

Hi I have had an unprotected sex with my husband on 7th day of my period and immediately took an i-pill now after 5 days I started bleeding again is it like this after taking an i-pill is it safe that I won't get pregnant we are just married and had unprotected sex for the first time? Will the bleeding stop and is it sure that I wnt be pregnant.

MBBS, DGO
Gynaecologist, Gurgaon
If it was 7 day from start of period then it was safe period otherwise also since you took I pill which is also hormone pill you had bleeding again no chance of pregnancy.
13 people found this helpful
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My stomach aches so badly. I get cramps any time. And I am taking medicine for my periods. because I get heavy periods and sometimes I miss my periods.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My stomach aches so badly. I get cramps any time. And I am taking medicine for my periods. because I get heavy period...
Try and avoid fast food and stick to home made bland food for a few days with lots of water to drink and see if it makes any difference
1 person found this helpful
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Hi I have started taking novelon from Jun 1 St everyday. In between 2 days I has unprotected sex and intercourse with my husband. Today while having sex I couldn't produce any liquid discharge from vaginal is der any chance of pregnancy. Please help. My periods ended on 26 May. But I started taking novelon from Jun 1.I did not have any sex in between 26th may to Jun 1 st. I had 2-3 days continuously after started taking novelon.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi I have started taking novelon from Jun 1 St everyday.
In between 2 days I has unprotected sex and intercourse with...
Hi lybrate-user Was the tablet prescribed or did you buy it from a pharmacy. It needs to be taken from Day 2 of period, not 4 days after periods ended. After starting pill, it takes 7 days for the drug to become effective. Having unprotected intercourse before 7 days increases you risk of pregnancy. It is too early to say if you are pregnant. You'll have to wait till 25-26th June and do pregnancy test. Taking pill or being pregnant had nothing to do with sexual responses.
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I am 27 years. I am suffering from continues over bleed periodic problem from last 20 days. Can you suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, thanks for seeking help n trusting authentic ayurveda, Is the issue for this cycle or its of every cycle? This clearly share that your having pitta issues aggravated by high salt(containing foods) intake n pungent n sour taste like vinegar, continuing such food will lead you loose your tone of every muscle in your body. K fine soon be true health will reach you soon, I am considering that you didn't popped any hormonal pill. Have 2 tabs of any 1 of these patha/vasa/adhulasa/kutaj ghana for 3 days in d early morning n before food, If your having nausea n vomiting then only juice of pomegranate by sips. Your free to communicate any time.
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