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Dr. Devayani

Gynaecologist, Hyderabad

at clinic
Dr. Devayani Gynaecologist, Hyderabad
at clinic  ·  ₹ online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Devayani
Dr. Devayani is an experienced Gynaecologist in Secunderabad, Hyderabad. You can consult Dr. Devayani at Danguriya Maternity Hospital in Secunderabad, Hyderabad. Save your time and book an appointment online with Dr. Devayani on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 33 years of experience on Lybrate.com. You can find Gynaecologists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Shop No 26, Archna Enclave, Marredpally, Secunderabad, HyderabadHyderabad Get Directions
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BHMS
Allergist/Immunologist
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When steroid tablets are taken for many months or years, harmful side effects are likely and almost inevitable. The list of possible effects is long; it includes mood changes, forgetfulness, hair loss, easy bruising, a tendency toward high blood pressure and diabetes, thinning of the bones (osteoporosis), suppression of the adrenal glands, muscle weakness, weight gain, cataracts, and glaucoma. After being swallowed, these tablets are absorbed from the stomach into the bloodstream and taken not only to the bronchial tubes (to treat asthma) but also to every other part of the body. Their effects are widespread.

On the other hand, only miniscule amounts of steroid medication enter the bloodstream after inhaling it. The reasons for this difference include the following. First, steroids used for inhalational treatment of asthma are designed not cross well from the surface of the bronchial tubes into the bloodstream. Somewhat like applying a steroid cream to the skin, they are poorly absorbed from the surface into the blood. Second, only very small amounts of steroid medication are delivered from the inhalers with each dose or "puff" Less medicine is needed when it can be directly applied to the affected area. We measure the amounts of steroids inhaled in micrograms, which are units one thousand times smaller than the milligrams by which we measure prednisone or Medrol® tablets.

When breathed in, some steroid medicine remains in the mouth and can be swallowed into the stomach and from there absorbed into the bloodstream. You can minimize any effect from steroids left behind in your mouth in two ways. First, use a spacer tube with your steroid spray. (A spacer can not be used with budesonide [Pulmicort®] dry powder inhaler.) Medicine that would otherwise land on your tongue and mouth stays in the spacer chamber. The part of the spray that passes through the spacer also tends to pass through your mouth and proceed down onto the bronchial tubes. Second, rinse your mouth with water after inhaling the steroid spray. Rinsing removes any medicine residue from your mouth. The portion of the medicine that helps your asthma remains undisturbed on your bronchial tubes.

So much for the theory; what about the actual experience with steroids in inhaled form? The current generation of steroid inhalers first began to be used in the mid 1960s. For more than three decades they have been prescribed for millions of people with asthma and other lung diseases worldwide. No serious long-term adverse effects have emerged. For adults, given in the usual doses, they do not cause degeneration (atrophy) of the normal tissues of the respiratory passageway. They do not predispose to lung infections. They do not cause cancer, diabetes, or high blood pressure.

We need to look more carefully at the two phrases used above: "for adults" and "in the usual doses" Children's bones may be sensitive to the very small amounts of steroids that can enter the bloodstream after inhalation. There is currently debate ? and considerable on-going research ? to determine whether in children inhaled steroids might slow bone growth and reduce a child's ultimate height.

Also, when given in very large doses (many puffs from a high-concentration steroid inhaler), the amount of steroid medicine that spills over into the bloodstream can become significant. Although the effect is small, like a very small dose of prednisone, over the years this small effect can potentially add up to serious harmful effects. High doses of inhaled steroids taken for a long time can probably predispose to cataracts, glaucoma, and thinning of the skin and bones. As a result, your doctor will probably only have you take high doses of inhaled steroids as a means to avoid steroid tablets. And he/she will constantly work with you to attempt to reduce the dose of inhaled steroids to a more conventional and safer range.

Remember that not taking inhaled steroids for fear of side effects may have real consequences that are far worse than potential effects in the future; namely, asthma symptoms and risk of asthma attacks now. Severe asthma attacks are usually treated with steroid tablets, which all agree have the worst side effects.

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Never wash your vagina with water after urination or coitus. It may flush out healthy bacteria which resides in vagina and maintains its ph. It is the sole cause of many vaginal infections and may lead to unhealthy environment of vagina.
1 person found this helpful

Causes and Symptoms of Dementia

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist
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Dementia cannot be singularly regarded as a specific disease, but rather indicates a group of symptoms associated with your memory, cognitive thinking, and social abilities, up to the point where daily functioning gets affected. In most cases, dementia steadily worsens over time (progressive dementias). Dementia is not to be confused with memory loss alone; because it is natural with old people to experience memory loss, but that does not necessarily mean they have dementia. If the reason is dementia, then you may require medical treatment.

Causes

Dementias are generally caused either by damage to or changes in the nerve cells operating in the brain. The causes can be grouped differently based on the type of dementia experienced and the part of the brain affected. While some causes can be reversed with effective treatment, others, unfortunately, cannot.

The most common causes of dementia which cannot be reversed include:

1. Alzheimer's disease
2. Vascular dementia
3. Parkinson's disease
4. Frontotemporal dementia
5. Dementia with Lewy (dementia which is neurodegenerative and progressive in nature) bodies
6. Severe head injuries

Other irreversible causes which are relatively rarer than usual include:

1. Huntington's disease (breakage of the brain's nerve cells)
2. Creutzfeldt-jakob disease (irreversible and fatal brain disease)
3. Multiple sclerosis or amyotrophic lateral sclerosis
4. Infections like syphilis
5. Leukoencephalopathies (diseases affecting the brain's'white' areas)
6. Brain injuries
7. Multiple system atrophy

Causes of dementia which can be treated include:

1. Hypothyroidism
2. Heavy metal poisoning
3. Certain brain tumors
4. Chronic alcoholism
5. Hiv/aids
6. Vitamin b12 deficiency
7. Medicinal side effects or abnormal drug reactions
8. Normal pressure hydrocephalus
9. Certain cases of encephalitis

Symptoms

Symptoms of dementia include:

1. Memory loss
2. Difficulty finding the right words
3. Difficulty exercising judgments, especially during emergencies
4. Inability to recall particular events or to recognize people and places
5. Depression or other mood disorders, in addition to symptoms like uncontrolled aggression or constant agitation.
Causes and Symptoms of Dementia
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MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Ovulation is that period between the last menstrual cycle and the next menstrual cycle when the chances of pregnancy are the highest.

I'm 21 years old and I missed my periods. And I doubt if I'm pregnant I confirmed it with prega news kit. I don't want to conceive right now. Its been month that I mated with my guy. What is the solution to get back my periods?

Advanced Infertility, MD - Obstetrics & Gynaecology, MBBS
Gynaecologist
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I'm 21 years old and I missed my periods. And I doubt if I'm pregnant I confirmed it with prega news kit. I don't wan...
If your pregnancy test is positive and you do not want a pregnancy you will have to undergo a abortion. If it is negative you or your partner will have to use some contraceptive. Your partner can use a condom.

During periods I am suffering alot of pain. What are the reason and also prefer me the best the medicine for it?

PG Hom, London, BHMS
Homeopath
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During periods I am suffering alot of pain. What are the reason and also prefer me the best the medicine for it?
Hello lybrate-user, the pain that you experience during periods is known as dysmenorrhea and it happens due to contraction of the uterus. If the pain is such that it is not affecting your daily activities, you can try to control it by taking hot water fomentation. Severe unbearable pain needs medical attention and you can take homeopathic medicine -mag phos 6x 2 pills every 2hourly.
3 people found this helpful

Me and my wife are planning to have a baby from past two months. But she is not able to conceive what is the reason?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Me and my wife are planning to have a baby from past two months. But she is not able to conceive what is the reason?
Hi dear. Infertility or inability to have children is a complex problem and can be due to many reasons. We normally suggest couples to try for atleast 6 months before trying to investigate for infertility. Both the woman and man are responsible for conception and to know the cause of infertility we need to test both. Basic ultrasound and hormone tests for woman as well as semen analysis for the male is needed to know the cause as there are multiple reasons for not conceiving, ranging from hormonal problems, stress, infections etc. So its necessary you visit a infertility specialist in your area for evaluation and treatment. All the best

I am having some of the symptoms of iron deficiency. How to fill that deficiency?

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I am having some of the symptoms of iron deficiency. How to fill that deficiency?
Hi, Please follow these tips: - Consume plenty of green leafy vegetables like spinach, methi, broccoli, beetroot, drumsticks, brinjal, carrot, tomatoes, etc. - Consume fruits like apple, pomegranate, dry fruits like dry grapes, dates, fig, almonds, walnuts, pista, etc. as it contains lot of proteins and vitamins. - Intake of citrus fruits like oranges, musambi helps to increase the absorption of iron as it contains vit.C. - Take iron supplements according to the advise of your doctor.

My wife had ultrasound scan for early pregnancy test in 6th week and report come there is no sac in uterus and it's developing in ovaries or follicle tube and doctor suggest ectopic surgery and is it problem to get pregnant in future after ectopic surgery. Please suggest.

PGDMCH, MBA( CHA) , MBBS
General Physician
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My wife had ultrasound scan for early pregnancy test in 6th week and report come there is no sac in uterus and it's d...
Dear Lybrateuser, Pl get ectopic surgery done urgently as it is an emergency. Future planning can be done later.

Am 39 and diabetic, I hve under gone all sought of fertility treatments but failed even tried IVF but failed r there any chances to conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Am 39 and diabetic, I hve under gone all sought of fertility treatments but failed even tried IVF but failed r there ...
How many cycle of IVF you had done. Since IVF have a success rate of 40 to 50 % only depending on the infertility type, so you may not be able to conceive in one chance. N this case, the diabetes isn’t preventing conception, but is preventing an ongoing pregnancy. High glucose levels are reported to increase a woman’s chances of miscarriage by 30-60% An increased risk of birth defects due to damage caused to embryonic cells form the high levels of glucose in the blood SO you should think of donor IVF cycle also.
2 people found this helpful

I am 23 years old. I am not getting my chums it's been already 2 months. I took a tablet called novelon. I have completed 12 days course. Is it safe to take this tablet.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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I am  23 years old. I am not getting my chums it's been already 2 months. I took a tablet called novelon. I have comp...
hi Vinod I need to understand why you took Novelon, delayed period could be because of stress or hormonal you should evaluate cause so as to avoid recurrence.

How can I save me by baby miscarraige?

MBBS
Sexologist
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Eat healthy and balanced diet, keep ideal weight. Don't skip your meals and do relaxation exercises to stay mentally strong.
1 person found this helpful

My roommate went to visit her boyfriend and had unprotected sex and she is freaked out as to which contraceptives to take. Please help its been 3 hours since they had sex.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hello, She can take an emergency contraceptive pill like unwanted 72 or an IPILL within 72 hrs of last intercourse to stay protected from pregnancy.

My mother is having pain in her joints (bones as well as muscles pain). She feels very lazy and is not able to do even daily home tasks. She was suffering from thyroid last year. She had a lot of blood loss through Menstruation because of thyroid. What should we do to make her feel fresh and cure her pain?

B.H.M.S
Homeopath
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My mother is having pain in her joints (bones as well as muscles pain). She feels very lazy and is not able to do eve...
1 china q 5 drop 8 hourly in a glass of water. 2 caulophyllum q take 5 drop 8 hourly with a glass of water.
2 people found this helpful

PDDM, MHA, MBBS
General Physician
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How to lead a healthy lifestyle and avoid lifestyle diseases?

Stop smoking, reduce alcohol consumption to once a week (two drinks only, it is better if avoid alcohol).

Control your existing illnesses like diabetes and hypertension by dedicated dieting and regular consultation with your physician.

Physical activity: 40 minutes a day, minimum 5 days a week. Stop junk foods completely, reduce sugar, salt and oil consumption.

Sleep well (5-8 hours). Everybody has a different biological clock. A refreshing night's sleep varies from person to person. For some 5 hours is enough, for some they need 8 hours. Find out which person you are and start sleeping for the correct time.

Hello doctor. This month I hv a imp function on 21 and I ant to postpone my period date. As last month on 20 I had periods. I ll be taking primolut n from 16 two tablet a day ie mrng and night. But I am very tensed coz my period never extend then my date. So can you pls tell me with tablet did my period extend. So that I attend function on 21.

MBBS
General Physician
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Hello doctor. This month I hv a imp function on 21 and I ant to postpone my period date. As last month on 20 I had pe...
You are guided property your periods will get postponed till you continue with this tab primolute n take it for atleast 10 to 15 days and once you stop it you will have withdrawal bleeding within a weeks to ten days time.
1 person found this helpful

Doctor my friend is asking that during periods she feel heavy pain in her stomach and get out if that pain she is taking cyclopam tablets. During her pain some times she took more than 2 tablets also. Is this tablets is safe and not having any side effects.?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist
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Doctor my friend is asking that during periods she feel heavy pain in her stomach and get out if that pain she is tak...
hi, it is ok if your friend takes that tablet one or two every cycle.Ask her to consult a gynecologist and take scan to check whether uterud and ovaries are ok.If no problem this dysmenorrhea will get controlled by yoga, exercise and swimming.
1 person found this helpful
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