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Dr. K. Nabath Salim

MBBS

Gynaecologist, Hyderabad

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Dr. K. Nabath Salim MBBS Gynaecologist, Hyderabad
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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.
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MBBS - NA -
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English

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Penderghast Road, Opposite Parsi Dharamsala, Behind Paradise HOTEL, Paradise.Hyderabad Get Directions
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Hi. This is Anu. M married. I want to ask about periods. Actually before marriage my periods used to stay for min 5 days and max 6 days. But after marriage it stays only for max 3 days. Wil it cause any serious problem in future?

MD - Ayurveda
Ayurveda, Hyderabad
Hi. This is Anu. M married. I want to ask about periods. Actually before marriage my periods used to stay for min 5 d...
Hello, because of harmonal changes it happens. If you have regular and normal periods for 3 days then don't worry. Sometimes it's bcz of anemia also. Ck your hemoglobin.
3 people found this helpful
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Information on MRI

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
Information on MRI

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Alcohol in Pregnancy: Is it Safe?

Certification in IVF & Infertility, Diplomate Gynae Laparoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Alcohol in Pregnancy: Is it Safe?

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

4228 people found this helpful

Causes and Symptoms of Hypopituitarism

MBBS, MD - General Medicine, DM
Endocrinologist, Hyderabad
Causes and Symptoms of Hypopituitarism

The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. Deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.

Causes-

Hypopituitarism has the following causes—

  1. Brain tumours

  2. Sarcoidosis (A lung disorder)

  3. Tumours in the pituitary gland

  4. Hemochromatosis (Too much iron in the body)

  5. Tumours in hypothalamus (Controls the production of hormones)

  6. Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)

  7. Tuberculosis

  8. Stroke

  9. Sheehan syndrome (Excessive blood loss during childbirth)

  10. Lymphocytic hypophysitis (An inflammation in the pituitary gland)

  11. Radiation treatments like chemotherapy

Symptoms-

Symptoms depend on which hormones is not being produced.

  • Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (steroid hormone). Symptoms include—

  • Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are—

    • Fatigue

    • Weight gain

    • Skin dryness

    • Sensitivity to cold

    • Constipation

  • Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-

In men, lack of LH affects their testes and sperm production. Symptoms include-

  • Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.

  • Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms—

    • Lack of height

    • Increase in body fat

    • Abnormal peak bone mass (bone tissue present after the skeleton matures)

In adults, the whole body is affected. Body fat increases while muscle and bone mass decreases.

  • Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.

  • Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—

    • Diluted urine

    • Frequent urination

    • Feeling excess thirst

  • Oxytocin: Lactation and childbirth are affected by lack of oxytocin. If you wish to discuss about any specific problem, you can consult an endocrinologist.

3063 people found this helpful

After 3 months of pregnancy can we have a sex. If no, then in which month can we have a sex?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. You can have sex from the fourth month of pregnancy only after confirming the same from your wife's gynecologist. If the gynecologist says NO, do not do it. Take care.
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Me and my husband had an intercourse last night. And since this morning there are blood drops in my urine. This is not the first time we were having sex, and my hymen too was broken 3 months ago. Also I am having a sensation of urination every time since morning, and there is irritation while urinating too. What could be the reason for this? Is this normal or something dangerous? I am really very worried. Please reply soon.

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of european union of sexual medicine, Fellowship in diabetes
Sexologist, Chandrapur
Me and my husband had an intercourse last night. And since this morning there are blood drops in my urine. This is no...
Penis enters vagina and hymen is also in vagina. Urine comes from urethra. Both r different. Blood in urine indicates urinary tract infection. Repeated UTI may be due to your bad genital hygiene and the fact that you do not pee after sex before sleeping or wash the area before sleeping.
4 people found this helpful
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Hi, I got married on Jan 2017. I do intercourse with my wife frequently but every month she has periods and didn't get pregnant. So I wanted to know is there any points I should follow to get my wife pregnant. Thanks

MBBS, DNB Obs &Gynae, Diploma in Reproductive Medicine (Germany), Fellowship in Laparoscopy
IVF Specialist, Delhi
Hi, I got married on Jan 2017. I do intercourse with my wife frequently but every month she has periods and didn't ge...
I suggest you to make relations wit your wife without worrying too much as you people are married recently. So relax but yes I would recommend you to have increased frequency from day 8 to day of your wife's menstural cycle as this is the most fertile period for you both .so all the best.
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I am 28 years unmarried female working in pvt company. My periods come in 21-23 days every month. I want to ask is this normal menstrual cycle or have any problem in conceiving in future? Also I am healthy and not able to loose weight. I tried dieting and exercise but failed. What to do to loose weight?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 28 years unmarried female working in pvt company. My periods come in 21-23 days every month. I want to ask is th...
Hello, ideally normal cycle is 23-35 days, but if you have been getting it regularly then this is a normal cycle for you.
1 person found this helpful
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My wife are 12 weeks pregnant I avoid child Can we avoid child by medicine Tell me about surgical abortion Can I do sex with her daily.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife are 12 weeks pregnant I avoid child Can we avoid child by medicine Tell me about surgical abortion Can I do s...
Abortion in India is legal only up to twenty weeks of pregnancy under specific conditions and situations, which are broadly defined. So you can do MTP
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Hello Dr. I am 2 months pregnant. But that home kit showing negative. But my body changes what to do now I don't know.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Hello Dr. I am 2 months pregnant. But that home kit showing negative. But my body changes what to do now I don't know.
Do the following tests 1. Beta HCG test on blood sample 2. U/s scan for foetus. Pregnancy or not will be confirmed.
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Dear sir, my wife is suffering from irregular periods i.e. The periods continue with gap between two three days. What is the cure? Sir kindly understand me the cause.

BHMS
Homeopath, Delhi
Dear sir, my wife is suffering from irregular periods i.e. The periods continue with gap between two three days. What...
Two three days gap are normal and it happens. Take proper sleep,exercise and diet. Avoid stress as much as you can....
1 person found this helpful
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3 Do's Of Pregnancy Diet

MBBS, DGO
Gynaecologist, Dehradun
3 Do's Of Pregnancy Diet

Pregnancy is an important time in a woman's life. During this period, you need to be most conscious of what to eat, do and how to change everyday habits. Following these dos and don'ts will ensure a smooth pregnancy experience for you.

Do's:

1. Take your prenatal vitamin


If you have not yet started taking a prenatal vitamin, now is the time to start. It's particularly critical to get enough folic acid while trying to conceive importantly during the first trimester. It greatly reduces your baby's risk of developing neural tube birth defects such as spina bifida.

2. Quit smoking

Smoking increases your risk of developing several problems including miscarriages, placental and preterm birth problems. It slows the fetal growth and increases the risk of stillbirth and infant death. It's never too late to quit or cut back smoking. Every cigarette you don't light gives your baby a much better chance of being healthy.

3. Do eat seafood

Seafood is loaded with vitamins and minerals. Consume a variety of seafood so you don't have a concentration of minerals from only one type of fish. But remember to not eat more than 12 ounces of fish per 7 days.

Don'ts:

1. Don't drink alcohol


Alcohol may immensely impact your baby's development. Women who drink alcohol while pregnant could easily deliver a baby with fetal alcohol syndrome (fas). Symptoms of fas are usually low birth weight, learning disabilities, behavioral problems, and lagging patterns in terms of growth and development milestones. Limiting or avoiding alcohol is a step that you need to take.

2. Don't eat raw meat at all

Raw and undercooked meat or eggs carries the risk of food-borne diseases as well as food poisoning incidence. Make sure all eggs and meat that you eat while you are pregnant are cooked well.

3. Don't drink lot of caffeine

Caffeine easily travels through the placenta and increases your baby's heart beats. Research shows that women can safely consume a cup or two of coffee every day, but avoid downing a triple shot strong latte while you have got a bun in the oven.

2922 people found this helpful

My wife is pregnant in 2nd month, please suggest foods good to health and also if anything which should not eat.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife is pregnant in 2nd month, please suggest foods good to health and also if anything which should not eat.
She has to eat all homemade good foods , eat fruits, and do simple exercises and no special food is needed . Vitamin iron and folic acid need to be taken daily
1 person found this helpful
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Vaginismus - Make Sex Less Painful For Your Lady!

MD-Pharmacology, MBBS
Sexologist, Delhi
Vaginismus - Make Sex Less Painful For Your Lady!

Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse also known as vaginismus. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Vaginismus / Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

  1. Vaginal dryness- Vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.

  2. Improper vaginal expansion- The female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.

  3. Vaginal itching caused by infection- Vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of Sexually Transmitted Diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things, and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

  4. Emotional issues including fear of sex, marital issues/ disputes, etc are also leading cause of painful sex

Treatment:

However, symptoms vary from the common ones mentioned above, it is always advisable to consult a experienced doctor including a gynecologist, sexologist or sexual counselor.

Role of sexual counselor is very important, as he she can offer Sex therapy in the form of counseling, brief psychoanalysis, or behavioural therapy .This can help to address any underlying psychological issues, such as fear or anxiety, tackle any irrational beliefs that you have about sex, educate you about sex.

Also some special techniques can be taught eventually stop your vagina closing involuntarily, such as using vaginal trainers and pelvic floor exercises

If you wish to discuss about this problem, you can consult a doctor and ask a question.


 

7071 people found this helpful

I have placenta praevia now I got this in my reports No e/o placenta praevia or retro-placenta clots seen What it's mine?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have placenta praevia now I got this in my reports No e/o placenta praevia or retro-placenta clots seen What it's m...
at what stage of pregnancy you're? during early stages, if threatened abortion is the case, some spotting is symptoms along with pain, ultrasound done and no clot seen is a good sign if it is later during pregnancy, after seven months, placenta previa is low down and no clots seen that no blood is collected because of internal bleeding which can be caused by pressure on placenta by growing up baby normal position of placenta is up and away,posterior
1 person found this helpful
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I am not getting periods regularly for years. I have thyroid and doctors say it is due to hormonal imbalance and stress but I don't have much time for exercises. Pls suggest some remedy. All the scan reports r hormonal.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am not getting periods regularly for years. I have thyroid and doctors say it is due to hormonal imbalance and stre...
Yes, thyroid imbalance causes problem but proper treatment of same improves the complaints. Meet endocrinologist to confirm proper doses for thyroid. Also meet gynaecologist to rule out any other cause for irregular cycles. And one suggestion never even think that you don't have time for excercises- yourself is the most important for you.
2 people found this helpful
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Abnormal vagina bleeding of women. Periods is two time in month. What is reason of this problem?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Abnormal vagina bleeding of women. Periods is two time in month. What is reason of this problem?
It could be due to fibroids, polyps, endometrial hyperplasia, adenomyosis, endometriosis, irregular hormone therapy, intrauterine device and ovarian cysts and tumours. An ultrasound and gynecological checkup is needed.
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Premenstrual Syndrome (PMS)

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Premenstrual Syndrome (PMS)

Premenstrual syndrome includes both physical and emotional symptoms that many girls and women get right before their periodssuch as bloating, backaches, fatigue, sore breasts, headaches, constipation, diarrhoea, foodcravings, depression or feeling blue, irritabilityetc. This phase lasts typically from day14 to day28 of a normal menstrual cycle worst during 7 days before the period starts.

I m 33 year old got married in June 2014 and conceived in july month. But when i go fr scan at 2 months in september, i had to go through D&C bcz of Blighted ovum. Afterthat i got my period back in november after 2 months. Dr. Said to me try after 2 cycle.Now i m trying fr 2 months bt nt coceiving. This month i got period after 32 days. I thought i conceive bt yesterday period showed her ugly face. I never been my period late. My cycle r 28 days. Please suggest wht to do i m stressed bcz my age is 33.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Don't get stressed. 2 month is not enough time. If still you feel insecure, consult doctor with husband. All d best. Your cycle regular means it's normal
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