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Dr. Raghunath Babu

Gynaecologist, Hyderabad

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Dr. Raghunath Babu Gynaecologist, Hyderabad
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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. Raghunath Babu
Dr. Raghunath Babu is a popular Gynaecologist in Yousufguda, Hyderabad. You can consult Dr. Raghunath Babu at Heritage Hospital in Yousufguda, Hyderabad. Book an appointment online with Dr. Raghunath Babu on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 33 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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Heritage Hospital

Plot No. 37, Srinagar Colony Main Rd, phase-3, Kamalapuri Colony, Sri Nagar Colony. Landmark: Near Union Bank, HyderabadHyderabad Get Directions
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My wife is 50 years. Here periods has stopped about 4 months back. We have had unprotected sex now worried about if there are any chances of conceiving.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is 50 years. Here periods has stopped about 4 months back. We have had unprotected sex now worried about if t...
Hello, if no menses since last 4 months, then likely she is not ovulating. But you may be conclusive with a serum beta hcg test after 7 days post last intercourse.
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Sodium Deficiency - What Are Its Symptoms?

MBBS, MD , DiP DIAB, FACP
General Physician, Bangalore
Sodium Deficiency - What Are Its Symptoms?

Sodium deficiency or hyponatraemia refers to the low sodium concentration in the body of an individual. As other minerals, Sodium also plays essential roles in the human body. It is required for many of the functions of the body, including blood pressure management, fluid balance and the proper functioning of the nervous system. It may also sometimes lead to neurological impairments which affect walking and attention and could also result in bone fracture. Hyponatremia can be caused due to drinking too much of water, without enough replacement of sodium from the body. However, consuming too much of sodium can increase the volume of blood in the body, resulting in various health problems and can sometimes lead a person to coma.

The symptoms of sodium deficiency or hyponatraemia aren’t usually always specific. They can differ from person to person and depend on how rapid the fall in the sodium concentration of the body is. However, some of the common symptoms that are usually seen in the affected persons are as follows:

  1. Gastrointestinal distress: One of the symptoms of hyponatraemia includes gastrointestinal distress. It may cause a decrease in the appetite of an individual and also result in nausea and vomiting. However, if a person suffering from sodium deficiency experiences vomiting, then their problem may continue to worsen.
  2. Cognitive Impairment: Deficiency in sodium level can also result in abnormal mental status. Hyponatremia causes expanding of the tissue cells in the body. However, maximum tissues in the body can handle this change but the brain cannot. It is not capable of compensating for the increased size of the cells and as a result, the brain starts to dysfunction and causes a headache, confusion, lethargy and the problem of fatigue. With the worsening of the conditions, the person can experience hallucinations, decrease in consciousness and may also lead to coma.
  3. Muscular Problems: Due to the drop in Sodium concentration, a person can experience various muscular problems including spasms or cramps. He/She may also suffer from fatigue. The weakness in the muscles and seizures are some of the additional symptoms of sodium deficiency.

The severity of these symptoms depends on the speed i.e., on how fast the fall in the blood salt level is. A gradual, low-level drop can be tolerated if it lasts for a few days or weeks, but the deficiency of sodium in the body can be fatal if not treated as early as possible. It may even lead to the death of a person.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3077 people found this helpful

If I wanted to know each any every information about upcoming baby which test should I prefer whether it is triple marker or quadruple marker screen test?

BHMS
Homeopath, Secunderabad
If I wanted to know each any every information about upcoming baby which test should I prefer whether it is triple ma...
Let the doctors based on your detailed history decide what tests are necessary. All the detailed tests are not mandatory unless there is any suspicion for risky pregnancy. You can always discuss about your fears and concerns with the doctor. If not satisfied with the explanation, you can take a second opinion. Worrying unnecessarily will only lead to frustration and anxiety.
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Hi. I'm 35 weeks pregnant yesterday I did my final scan. My baby's weight is only 2kg 100 g. Doctor said my fetal weight is very low. I don't know how to increase my fetal weight. Can you please suggest me how to increase a fetal weight bcs I have only one more month. My due date is on May 16th. Please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi. I'm 35 weeks pregnant yesterday I did my final scan. My baby's weight is only 2kg 100 g. Doctor said my fetal wei...
Take rest on side,do some exercises .eat protein rich food ,check your haemoglobin and blood pressure
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Hii my wife is pregnant she has second trimester (19 week) there HB 9.8 and RDW-16 fl what I be done.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hii my wife is pregnant she has second trimester (19 week) there HB 9.8 and RDW-16 fl what I be done.
Hello, as she is just 19th week, hb can be increased by regular iron tab intake daily till term and hb shall rise gradually by then.
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Within 24 hours the pregnancy symptoms are seen in body? We had sex and the very next day I am vomiting within 20 hours. This would be pregnancy symptoms? Should I worry? And I taken i-pill within 48 hours. Please help me ASAP.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Within 24 hours the pregnancy symptoms are seen in body? We had sex and the very next day I am vomiting within 20 hou...
No, pregnancy induced vomitting does not start within 24 hours of conception. The vomiting is related to your stress or because of i-pill.
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I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.
Hi lybrate-user, their could be local lesion that might be irritating you, please keep area dry apply soframycin cream for soothing effect.
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My mom's knees have paining and swelling on them. She is facing pre-menopause period and it is aggregates more when she eats lemon or any sour taste food. She is overweight and have difficulty in walking due to pain.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
My mom's knees have paining and swelling on them. She is facing pre-menopause period and it is aggregates more when s...
Her knee pain is because of osteoarthritis. It may be early or advanced and can be diagnosed by x Rays. Her weight is playing major role for knee pain. Main treatment for her will be exercises for knee. Cycling and Swimming are best exercises as they avoid loading of joints and exercises are pain free as compared to walking. She will need some medicines depending upon x Ray findings.
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First Vaccine Again Dengue

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
First Vaccine Again Dengue

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.

 

Read more:-

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

 

Full prescribing info - dengvaxia

Contents

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.

Contraindications

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.

Special precautions

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.

 

Side effects:

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.

Common (may affect up to 1 user in 10): Injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

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.

 

Interactions:

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.

 

Storage

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.

 

Description

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.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

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

Im 9 month pregnant .now a jelly fluid come out from my pelvis .is it aminoitic fluid. Please respond me fast.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Im 9 month pregnant .now a jelly fluid come out from my pelvis .is it aminoitic fluid. Please respond me fast.
hi Vinsana, amniotic fluid will be like clear water. sticky mucoid fluid could be due to hormonal changes.
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