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Dr. Shabnam Dhira

Gynaecologist, Hyderabad

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Dr. Shabnam Dhira Gynaecologist, Hyderabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Shabnam Dhira
Dr. Shabnam Dhira is a trusted Gynaecologist in Jubilee Hills, Hyderabad. You can meet Dr. Shabnam Dhira personally at Dr. Shabnam @ Apollo Hospitals in Jubilee Hills, Hyderabad. Save your time and book an appointment online with Dr. Shabnam Dhira on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 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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Dr. Shabnam @ Apollo Hospitals

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What Is Piriformis Syndrome?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
What Is Piriformis Syndrome?

A common symptom of piriformis syndrome is pain along the sciatic nerve, so it is often thought that piriformis syndrome causes sciatica.

However, piriformis syndrome does not involve a radiculopathy - a disc extending beyond its usual location in the vertebral column that impinges or irritates the nerve root - so it is technically not sciatica.Instead, with piriformis syndrome, it is the piriformis muscle itself that irritates the sciatic nerve and causes sciatic pain.See What is Piriformis Syndrome?

The piriformis is a muscle located deep in the hip that runs in close proximity to the sciatic nerve. When the piriformis muscle becomes tight and/or inflamed, it can cause irritation of the sciatic nerve. This irritation leads to sciatica-like pain, tingling and numbness that run from the lower back, to the rear and sometimes down the leg and into the foot.

Supine piriformis stretches 

Lie on the back with the legs flat. Pull the affected leg up toward the chest, holding the knee with the hand on the same side of the body and grasping the ankle with the other hand. Trying to lead with the ankle, pull the knee towards the opposite ankle  until stretch is felt. 

Do not force ankle or knee beyond stretch. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.Lie on the floor with the legs flat. Raise the affected leg and place that foot on the floor outside the opposite knee. Pull the knee of the bent leg directly across the midline of the body using the opposite hand or a towel, if needed , until stretch is felt. Do not force knee beyond stretch or to the floor. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.Lie on the floor with the affected leg crossed over the other leg at the knees and both legs bent. Gently pull the lower knee up towards the shoulder on the same side of the body until stretch is felt. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.

Typical features of any sciatica exercise program include:Core muscle strength. Many sciatica exercises serve to strengthen the abdominal and back muscles in order to provide more support for the back. Stretching exercises for sciatica target muscles that cause pain when they are tight and inflexible. When patients engage in a regular program of gentle strengthening and stretching exercises, they can recover more quickly from a flare up of sciatica and are less likely to experience future episodes of pain.Specific diagnosis. Most exercise programs will be tailored to address the underlying cause of the patient's sciatic pain, such as a lumbar herniated disc or spinal stenosis. Doing the wrong type of exercise can worsen the sciatic pain, so it is important to get an accurate diagnosis prior to starting a program of sciatica exercises.

1. Piriformis Stretch

 Laying on your back, place both feet flat on the floor with knees bent. Rest your right ankle over the left knee and pull the left thigh toward your chest.Hold stretch for 30 seconds. Repeat on the other side.Remember to keep the top foot flexed to protect your knee.

2. Seated Hip Stretch 

While in a seated position, cross your right leg over your straightened left leg.Hug your right knee with your left arm, making sure to keep your back straight.Hold this stretch for 30-60 seconds, and then repeat on the opposite side.

3. Pigeon Pose Start in Downward-Facing Dog pose with your feet together.

Draw your right knee forward and turn it out to the right so your right leg is bent and your left leg is extended straight behind you. Slowly lower both legs.Hold the position for five to ten breaths, then switch to the other side.

4. Self-Trigger Point Therapy 

Performing self trigger-point therapy using a lacrosse or tennis ball can be very effective at delivering sciatica pain relief.All you have to do is find a painful spot in the glutes, place the ball at that location and then relax your body into the ball.Hold this position for 30-60 seconds or until you notice a significant reduction in pain. Move to the next painful spot. The total time spent on this exercise should be between 5-10 minutes.

Practicing these four exercises once or twice a day can definitely bring you much needed sciatica pain relief.

Thyroid During Pregnancy!

MICOG, MS, MBBS
Gynaecologist, Delhi
Thyroid During Pregnancy!

Nothing can be more gratifying than welcoming your bundle of joy into this world. Care needs to be taken during pregnancy to ensure that the developing foetus is healthy. Many pregnant women suffer from Thyroid problems. Thyroid Stimulating Hormone (TSH) is an important hormone produced by the Pituitary gland. TSH regulates the production and action of the Thyroid Hormones (T3 and T4). Estrogen and Human Chorionic Gonadotropin also affects the production of the thyroid hormones. Abnormal level of thyroid hormones in the body can result in Hyperthyroidism (increased production of thyroid hormones) or Hypothyroidism (decreased production of thyroid hormones by the thyroid gland). These conditions, if left untreated, can prove to be fatal for the mother and the baby.

Hyperthyroidism is greatly affected by an autoimmune disease, the Graves disease. The Thyroid Stimulating Immunoglobulin (TSI), produced during Graves disease, interferes with the production of the thyroid hormones. The TSI mimics the TSH to a great extent. This triggers the thyroid gland to produce the thyroid hormones in excess. A woman with hyperthyroidism may complain of increased heart rate, fatigue and increased blood pressure. There may be heat intolerance, tremor, sudden weight loss and Hyperemesis Gravidarum.

Untreated Hyperthyroidism can result in heart ailments, premature child birth, foetal Tachycardia, Preeclampsia (a pregnancy complication characterised by an abnormal rise in blood pressure) and miscarriage. In case of foetal and neonatal Hyperthyroidism, there is low birth weight, heart ailments, irritability and poor brain development.

Blood tests, whereby the levels of T3, T4, TSH and TSI are examined, can help in the diagnosis of Hyperthyroidism. Women with Graves disease should be extra careful. Antithyroid drugs can provide great relief. Most antithyroid drugs successfully cross the placenta and effectively regulate the production of the foetal thyroid hormone. Propylthiouracil (PTU) and Methimazole are effective anti-thyroid drugs.
Most doctors recommend Methimazole during the first trimester and PTU during the last two trimesters.

In case of Hypothyroidism, Hashimoto disease is the main wrecker in chief. This autoimmune disease results in considerable decrease in the production of thyroid hormones. Hypothyroidism can also be aggravated by Thyroidectomy (surgical removal of thyroid gland). Like hyperthyroidism, hypothyroidism during pregnancy can result in serious health complications. There may be stillbirths, congestive heart failure, miscarriage, anaemia, poor brain development of the newborn and Preeclampsia. Symptoms like cold intolerance, muscle cramps, concentration problems, fatigue or constipation should not be taken lightly.

Blood tests (T4 and TSH) go a long way to detect Hypothyroidism. A synthetic Thyroid hormone, Thyroxine, is effectively used to treat hypothyroidism. Including iodine supplements in your diet prove to be helpful in hyperthyroidism treatment.

Thyroid problems, though serious, can be successfully treated. A little alertness during pregnancy can shield both the mother and the newborn from the harmful consequences. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3609 people found this helpful

As I am suffering with pcod I did not get my period from last two months and had a negative pregnancy result I consulted a gynecologist and she asked me to use Meprate 10 mg for 5 days 3 tablets per day. And she told me that once I stop using them I will get my period. But I stopped them 1 week back and I did not get my period still. I am not able to understand the reason behind this.

MBA (Healthcare), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
As I am suffering with pcod I did not get my period from last two months and had a negative pregnancy result I consul...
Pcod is very common problem now a days. I prescribed some unani medicine you take it. 1. Majoon muqawwai raham 1 tsf daily with milk 2. Syrup mastureen 1 tsf twice.
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My last period date was April 4 2017 after that period didn't come and dis is happening for the first time so I am quite worried about it because I am not married and didn't had sex.

BHMS
Homeopath, Raebareli
My last period date was April 4 2017 after that period didn't come and dis is happening for the first time so I am qu...
Ranju nothing to worry about its quite common to miss periods in fertile age group due to various cause, all you need to do is at present is take a good nutritious diet and fruits along with it indulge in pelvic exercise for proper uterine circulation and avoid Soya products along with it you need a constitutional medicine.
1 person found this helpful
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Kindly suggest a effective pill to get rid of unwanted pregnancy please i have submitted the question desperately waiting for the answer

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It is not legal for you to take these medicine without doctor consultation. We need take your consent for abortion on a form. After explaining everything about it. Then only we can prescribe medicines on three prescriptions. It is illegal to purchase these medicine without doctor prescription. No chemist will give you these medicine without prescription.
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Im 21 years old. Took mefiprestol for abortion on 4. Of nov. Im still bleeding g.ultra scanning showed no any retained products of conception. Im still bleeding. Do I need abortion.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Some amount of bleeding is natural for about a week after taking abortion pills. If the scan shows no retained products, then not to worry. In another 5 days your bleeding will stop.
1 person found this helpful
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I am 17 weeks pregnant and have got chicken pox. How to take care of my unborn baby? What should I do for safe delivery of my child?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 17 weeks pregnant and have got chicken pox. How to take care of my unborn baby? What should I do for safe delive...
Hello, you can use local acyclovir cream over the lesions and allow the lesions to dry and you shall develop natural immunity against the virus which shall be transferred to your child.
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I have Pcod problem and I want to conceive. My marriage completes two and half year. We r trying to conceive from last one year but no result. M advisable to take Ovanac Cc for 5 days. I want to know is this helpful? How this works?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have Pcod problem and I want to conceive. My marriage completes two and half year. We r trying to conceive from las...
In pcod, to get pregnant, clomiphene citrate (tablet you r receiving) to be started from day 3 of menstrual cycle and egg growth to be monitored by follicular scan. This is the normal course of treatment initially for any woman with infertility with pcod. All these medicines will work only if your weight is under control with diet, exercise and metformin (only if you are overweight).
3 people found this helpful
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We are got married for last 3 year my wife is 30 now I am 32. Her Menstrual cycle is irregular. Kindly suggest. She wants to conceive. please suggest what can be done?

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
We are got married for last 3 year my wife is 30 now I am 32. Her Menstrual cycle is irregular. Kindly suggest. She w...
Irregular cycle may be due hormonal imbalance. Send me all the investigation (fsh, lh, usg, thyroid profile).
4 people found this helpful
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Pilonidal Sinus - Say No To Surgery!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS-Ayurveda
Ayurveda, Delhi
Pilonidal Sinus - Say No To Surgery!

Pilonidal Sinus is a disease commonly seen in the people with hairy skin. Disease presents as a small nodular swelling in the lower spinal region with off and on blood mixed pus and watery discharges. This sinus is formed because of underlying hairs which are impacted beneath the skin and act as a source of infection. Once the pus is formed; it creates a passage to come out on the skin; thus a sinus is formed.This disease is usually not curable by oral medication like anti biotics etc., Ayurvedic as well as homeopathic oral medication is also of not much help. 

Now a days; pilonidal sinus patients are treated with surgery/ Z plasty. With these surgical procedure; chances of recurrence are as high as 15 %. 

How ever in Ayurveda; Pilonidal Sinus can be very effectively and very conveniently treated by Graded Ksharsutra. In this procedure; first the sinus tract is defined with respect to its depth, direction  and branching pattern with careful probing and sinogram. Once the sinus tract has been precisely defined; medicated Ksharsutra is placed in the tract with the help of certain instruments.  Now from this medicated thread; medicine is gradually released in the tract. This medicine (Kshara) induces a potent debridement effect on the sinus tract as a result all the unhealthy fibrogranulomatous tissue, pus pockets and accumulated hairs etc. are cleared from the tract. The medicinal coating on the thread gets dissolved hence the thread has to be replaced by a new thread with in a week or two. 

The sinus tract heals at the rate of 0.5 to 1 cm per sitting. Thus a small sinus tract which is around 4-5 cm long may take around 8-10 sittings  to heal completely. The chances of recurrence of Sinus tract after Ksharsutra treatment are predictably ZERO. 

The treatment is far better than surgery as- 

  1. No hospitalization or bed rest required
  2. Patient can continue his normal routine activities
  3. Chances of recurrence are predictably ZERO
  4. No shaving of hairs or laser treatment for hair removal required

 

1 person found this helpful
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