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Dr. Pramila

Gynaecologist, Hyderabad

100 at clinic
Dr. Pramila Gynaecologist, Hyderabad
100 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Pramila
Dr. Pramila is one of the best Gynaecologists in Amberpet, Hyderabad. Doctor is currently associated with Kishan Rao Hospital in Amberpet, Hyderabad. Book an appointment online with Dr. Pramila on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. Find the best Gynaecologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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2-2-1167/11/1/A, Main Road, Tilak Nagar-Amberpet, Landmark: Nr Railway Track, HyderabadHyderabad Get Directions
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Blood In Urine In Kids - Know The Reasons Behind It!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Blood In Urine In Kids - Know The Reasons Behind It!

The kidneys are the main excretory organs and remove all toxins and wastes from the body in a liquid medium, the urine. The urine is normally straw coloured as there are filters which do not allow blood to enter the kidneys. However, due to various reasons, when there is a disease in the urinary tract, red blood cells can escape into the urine. The urine then assumes a pinkish tinge; the exact colour would depend on the amount of blood leaked. While the thought of pinkish urine is scary, it becomes a bigger concern when seen in children. Read on to know a little more about the types, causes, and ways to manage this condition. 

Types: 

  1. Microscopic: When there is blood visible only through a microscope. This is quite common in children, and unless there is no accompanying kidney disease, it does not pose a problem when found occasionally. 
  2. Gross: It is when the color of the urine changes to a pinkish tinge. This is of concern and requires immediate attention. 

Causes:

There are various reasons and some of them are listed below 

  1. Inherited causes: Conditions like sickle cell disease, polycystic kidney disease, Kidney stones and inherited nephritis. 
  2. Structural causes: Cysts in the kidneys can cause hematuria 
  3. Trauma: An injury (to the abdominal area) during sports should be ruled out, which could have damaged the problem 
  4. Infections: Infections along the entire urinary tract right from glomerulonephritis to kidneys to bladder can cause blood in the urine 5.    Imbalances in minerals: High levels of serum calcium, which puts them at a higher risk of developing kidney stones later. Dietary calcium should be reduced. These children also could have a history of stones in the family. 
  5. Idiopathic: When the cause of the hematuria is not known, it is termed idiopathic. 

Associated issues/Diagnosis: 

Hematuria is an indication or a symptom of an underlying medical condition (be it infection or trauma) and the underlying cause always needs complete evaluation. Accompanying symptoms can help narrow down the diagnosis. If any inherited cause is suspected, presence of hematuria should always be assessed in parents and grandparents. 

  1. Check for history of trauma 
  2. Known prior kidney disease 

Symptoms of infection 

  1. Family medical history 
  2. Urine tests to analyse its composition 
  3. Urine culture, MRI, CT scanning, or biopsy may be required in more serious cases. 

When to worry? 

  1. Associated proteinuria 
  2. Microscopic hematuria which is persistent 
  3. Kids with high blood pressure 
  4. Kids with other existing kidney diseases 

Management: 

In most cases, no specific treatment for hematuria is required as the condition subsides after the underlying problem is addressed. For instance, once the infection clears, the hematuria also clears. Follow-up urine tests may be required to confirm that it is cleared. Blood in urine must always be evaluated by pediatric nephrologist as its causes range from very mild disease to rapidly evolving kidney failure, which may occur over days to weeks.

5 people found this helpful

I'm 23 year old and I had my last periods on 11th nov, I had sex on 23 nov. Estimated periods is on 10 Dec. I have dysmonnerhea problem. I'm having cramps in my abdomen from yesterday (7 dec) but bleeding does not starts yet. Had 1-2 drops of pinkish brown discharge. What is the reason behind this? Is there any pregnancy chances.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm 23 year old and I had my last periods on 11th nov, I had sex on 23 nov. Estimated periods is on 10 Dec. I have dy...
Hello, There are pregnancy chances as you had sexiness your fertile period. Please rule out regency with a serum beta hcg test first.
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I am asking this question for my friend. That he is in a doubt. Will precum cause pregnancy? As he had sex with his girlfriend without any safety measures. If so what are the methods to prevent pregnancy. Now it is the third week.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am asking this question for my friend. That he is in a doubt. Will precum cause pregnancy? As he had sex with his g...
Third week is too late to do anything. You will have to wait for her next periods. Yes, pre-ejaculatory semen contains sperms and technically it can cause pregnancy. But the chance is much lesser. For the male partner, the only protection he can afford during casual sex is by the use of condoms.
1 person found this helpful
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Hi my wife is 31 years old and we have a 3 years old daughter (only one child). The daily routine is not fixed, like no fixed timing for lunch and dinner, however she always skip her breakfast. So wanted to know what would be the best health drinks like women hairloss or any thing, which she can take daily at night with milk, so that somewhat she can cover few of health neutrons on daily basis. We done few medical testing done and got deficiency in Iron, so started taking Iron capsules, and thinking of starting some milk supplements. Pleases suggest. Thanks.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi my wife is 31 years old and we have a 3 years old daughter (only one child). The daily routine is not fixed, like ...
Let her have folic acid and calcium and vitamin supplements along with a balanced diet rich in green vegetables and fruits and milk ,and also some vitamin E capsule for hair loss. You may give her vit D and calcium supplements too, not forgetting that all kinds of milk products are helpful too.
2 people found this helpful
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I am having a PCOD problem, because of this irregular periods. Can you please help me with this? Whether this problem will be cured?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am having a PCOD problem, because of this irregular periods. Can you please help me with this? Whether this problem...
Miss lybrate-user, as you told you have pcod problem. Basically it is due to hormone imbalance. There are number of reasons for that, it is mainly due to faulty food habits and life style. Stress and anxiety are also main cause of hormonal imbalance. So our line of treatment should have to include all these factors too. Our brain has its own biological clock and it work according to that- like -time of hunger, time for bowel clearance etc. So we must follow this clock. Deviation from it leads to number of disease. Do daily walk take your meal on time, so that it is properly digested, nothing is more important than digestion of food. Make sure that your bowel moment is ok. Do yoga and pranayam - asana, kapalbhati is very good in pcod. Tere are lots of ayurvedic medicine which are helpful in it. Consult for proper medication.
2 people found this helpful
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Hi, my wife had her period on 31 Mar 16, when will the fertile days occur to her? And as we plan for baby so how many times we intercourse in a day?

Doctor of Medicine
Gynaecologist, Surat
Hi, my wife had her period on 31 Mar 16, when will the fertile days occur to her? And as we plan for baby so how many...
If she is having regular cycle than ovulation takes place 14 day before expacted date of menstruation. Intercourse should be done once in 24 hours.
3 people found this helpful
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Trauma Life Support - How It Should Be Treated?

MEM , Diploma in geriatric, MBBS
General Physician, Panchkula
Trauma Life Support - How It Should Be Treated?

When it comes to accidents and other such traumatic incidents, a concise approach is needed to assess and manage the person’s injuries. The immediate response to an accident is known as basic life support and can be performed by anyone, but advanced trauma life support must be performed by a certified medical practitioner. The main objective of trauma life support is to address the greatest threat to life first.

Trauma life support has three stages primary survey, secondary survey and tertiary survey. A primary survey is the first part of proving trauma life support. This should be addressed in a series of steps that follows the mnemonic, ABCDE.

  1. Assess the airways: If the person is able to talk, his airways are clear. Hence call out to the person and try to get a verbal response. If the patient is unconscious, make him lie down on the floor with the chin tilted back. Open the mouth and check for any obstructions. Fluids such as blood or vomit that is obstructing the airways may be suctioned out. In case the airway is still obstructed, an endotracheal tube may be inserted.
  2. Breathing and ventilation: Check for chest movement that may indicate breathing. If present, tracheal deviation and subcutaneous emphysema should be identified. An inspection of the chest can help identify penetrating injuries, bruising, tracheal deviations and a flail chest segment.
  3. Circulation: Look out for hypovolemic shock that may be caused by excessive bleeding. This bleeding can be controlled by applying direct pressure on the wound. Establish two intravenous lines and administer crystalloid solution to the patient. If the person still does not respond, administer type specific blood or O negative blood to the person.
  4. Disability assessment: A basic neurological assessment can be made by alerting the person, verbal stimuli and its response or unresponsiveness. Towards the end of the primary survey, the Glasgow coma scale can be used to determine the patient’s level of consciousness.
  5. Exposure control: While the patient’s clothes will need to be completely removed, protect him from hypothermia by covering him with warm blankets. Warm intravenous fluids before administering them and maintain a warm environment.

Once the patient’s vital signs are turning normal, the medical practitioner can start the secondary survey. This involves a head to toe medical examination and understanding of family medical history. X-rays of the injury sites may also be taken. If at any point, the person’s condition begins to deteriorate, a primary survey should be repeated. As soon as possible, the patient must be shifted off the hard spine board and placed on a firm mattress. This is followed by a tertiary survey, which helps identify injuries that may have been missed earlier and other related problems.

2 people found this helpful

Is combiflam tablet harmful for health ? Also which is good pain relief tablet available in market ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is combiflam tablet harmful for health ?
Also which is good pain relief tablet available in market ?
Combiflam reduces fever & inflammation and can be given for few days only. It is not a routine painkiller, being nsaid variety, it can lead to gastric ulcers.
1 person found this helpful
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My friend's daughter had her first periods 2 months back. SINCE THEN THE MONTHLY CYCLE HAS NOT RECURRED. Which doctor shall the girl be referred to for consultation? She is 11 years old.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD-GYNEC
Gynaecologist, Mumbai
My friend's daughter had her first periods 2 months back. SINCE THEN THE MONTHLY CYCLE HAS NOT RECURRED. Which doctor...
Hello there, just wait for a month. if not occurred then consult Gynecologist. for the timings you can give her 1) Kumari Aasav 15 ml ×3,times a day. with lukewarm water.
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My age is 19. I had lost my virgin in my age of 16. Which ointment I used to regain or tighten my vagina? please help me.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Dear Rupa. Unfortunately there are no 100% effective tablets or ointments to tighten the vagina. Only surgical reconstruction of the hymen is effective. Don't use the over the counter products that claim to tighten the vagina as they are not approved medications and can have long term side effects.
1 person found this helpful
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Haviing pcos for more than 7 years got married no baby for 2 years what kind of treatment to overcome this problem?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
This is a common problem in PCOS. Consult doctor and find out if there is any ther problems in you or your husband. Get the treatment and fulfill your wish. ALl the best
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Does having sex regularly hamper the mensuration cycle time? I have checked with prega news, and it has been negative. And at the same time, my periods are 10days late, as of now. Is there something to worry? I have been using condoms every time too.

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
Does having sex regularly hamper the mensuration cycle time? I have checked with prega news, and it has been negative...
The periods can be delayed due to other reason as well, if pregnancy test is negative you can wait for 4_5days, if still no periods, meet a gynaecologist. Don't panic.
1 person found this helpful
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Sujok - How it Helps in Curing Ailments?

BHMS
Homeopath, Pune
Sujok - How it Helps in Curing Ailments?

According to the principles of sujok onnuri medication and oriental solution concepts, diseases happen in the human body and brain are simply because of the imbalances of the energies acting onthem. Sujok accomplishes cure by bringing on parity and amicability of the forces in the body and psyche, through different outer means.

  1. Sujok is an astounding system of recuperating that draws out the inward grin of the body. This is the regular condition of well-being that the body is intended to be in. This reaches out to brain, life and soul.
  2. The Sujok Therapy system utilizes a mix of physical, vitality and powerful or supernatural treatments for recuperating particular organs, zones, meridians, energies and mental and enthusiastic conditions of a man. In Korean, the dialect of the originator Prof. Park, Jae Woo, Su signifies "hand" and Jok signifies 'foot'. Sujok depends on the information that our hands and feet have a legitimate system for curing the sicknesses of the human body.
  3. There is nothing to ingest, as this is a medication less system. It can be utilized both for treating furthermore for anticipating diseases. Sujok is in this manner a far reaching wellbeing system.
  4. Hands and feet, arms and legs convey a correspondence to organs in the body and by affecting them, an assortment of physiological, mental and passionate disorders can be dealt with. This treats generally difficult to-achieve zones of the body.
  5. Sujok depends on antiquated medico-philosophical principles. It utilizes basic and powerful techniques for finding the correspondences well on the way to react to treatment.
  6. Sujok treatment utilizes an assortment of material like seeds, miniaturized scale magnets, small scale needles, palm or comparative leaves, ring massagers, colors, etc, to animate the correspondence focuses on hands or feet, and now and then arms or legs. This outcomes in change in the infected organ or part of the body.

Characteristic treatment strategies like maintained back rub and touch, pressure point massage and needle therapy, are among the techniques utilized. If you wish to discuss about any specific problem, you can consult a acupuncturist.

3295 people found this helpful

My mom she is 53 now. Still her cycles are regular. Is it not a problem getting periods after 50?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
My mom she is 53 now. Still her cycles are regular. Is it not a problem getting periods after 50?
Hi no its not all a problem. Menopause depends on the hereditary and the hormones in the body.female can get her menses till 60 too.
1 person found this helpful
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I have menstrual problem. I want to conceive now but due to irregular periods I am not able to conceive. I also have multiple folicules problem. Please suggest the best option so that I can recover early from this.

Advanced Aesthetics
Ayurveda, Gulbarga
I have menstrual problem. I want to conceive now but due to irregular periods I am not able to conceive. I also have ...
U start ayurvedic medicines for irregular periods and for follicles if you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You? re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Any queries consult privately.
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When can I have sex with my girlfriend without using condom and she will not be pregnant?

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
When can I have sex with my girlfriend without using condom and she will not be pregnant?
Dear Lybrate user. 5 days period to first day of monthly period, 7 days after the first day of monthly period. These two periods are safe. Take care.
2 people found this helpful
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Want a gynecologist to respond 2 d and c one miscarriage at 6 weeks which ended after fetal heart beat was seen and a blighted ovum within 3 months what are the chances for normal delivery Just had laparoscopy to remove a cyst but doctor deflated it because he did not want to interfere the cyst in the fallopian tube. Could that be a cause for miscarriage. What are my odds and options.

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
Want a gynecologist to respond
2 d and c
one miscarriage at 6 weeks which ended after fetal heart beat was seen and a...
From your description, it seems that you had a pregnancy that stopped growing after sometime and needed to be removed by d&c. You also had a cyst that was deflated under laparoscopy. But as per your description it was in the fallopian tube - this is something rare, the cysts usually are in the ovary, are not very harmful and can be deflated. I think it is a wrong idea that you have a cyst in the tube. As far as your cycles are regular, the chances of pregnancy will remainhigh.
1 person found this helpful
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