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Dr. Komal Rastogi

Gynaecologist,

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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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What are the precautions during first month of pregnancy? How can we know that she is 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
What are the precautions during first month of pregnancy?
How can we know that she is pregnant?
Dear user. I can understand. If you have irregular period or are not sure when you ovulated, you can do a URINE HOME PREGNANCY TEST 14 days after you last had unprotected sex. However for accuracy of result, it is recommended to do the test 21 days after intercourse. To TEST PREGNANCY AT HOME simply add urine to a small piece of soap, if froth forms, or if the soap bubbles up, the test is positive. Mix ¼ cup of tuna juice and ¼ cup of vinegar in a plastic cup. Now pee in a separate cup and then add your urine to this mixture. After a few minutes, if the color changes to green, then you are pregnant. Take care.
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How to avoid pregnancy after having sex with out prevention. Sexual intercourse before 48 hrs.

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
How to avoid pregnancy after having sex with out prevention. Sexual intercourse before 48 hrs.
Dear user. You can eat papaya, pine apple and gooseberry for avoiding pregnancy. You can also use ipill or unwanted 72. Take care.
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Thank u for answering me. Am doin homeopathy from anjali mukerjees clinic but no results am on treatment from 8 monthts.what are your charges would like to know and where is your clinic located

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My clinic address Himanshu Maternity nursing home 101 102 a wing Neelgeri Bldg S.v road Malad w consulting time 11 to1 p.m.with appointment
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

Hi. I just want to ask and im very worried at the moment. Ok, my first day of my last period was sept 5 and we had a contact of my husband last sept 15 using pull out method. Do you think it was safe? Pls answer my ques. I am very stressed out. Thanks.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hi. I just want to ask and im very worried at the moment. Ok, my first day of my last period was sept 5 and we had a ...
Usually, chances of pregnancy by that method is very less and it is also considered safe. But sometimes, due to pre-ejaculation fluids, there are chances of pregnancy. Though it is uncommon, but chances are still present.
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I and my girl had an unexpected sex without a condom and now we are scared that she can get prevented it has been like 20 hrs till now. What do you suggest is to do?

MBBS
General Physician, Chennai
I and my girl had an unexpected sex without a condom and now we are scared that she can get prevented it has been lik...
It not the hours that count but which after period you had sex do let me know for more details need date of last periods.
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My girlfriend release white liquid. She suffer it badly. Why it is going on and what is her problem. Nd its prevent.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello white discharge is due to vaginal infection. Both the partners should take treatment simultaneously to get rid of it.
2 people found this helpful
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I am 7 week pregnant. .taking folvite nosic ,duvadilan and vitamin atoz gold. .is there any side effect.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 7 week pregnant. .taking folvite nosic ,duvadilan and vitamin atoz gold. .is there any side effect.
no, none of them have hormones duvadilan relaxes uterus so that baby cam grow others are vitamin supplements
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To Stay Fit

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
To Stay Fit

Fitness Info - To Stay Fit 

To maintain healthy eating habits build strength gain muscle mass lose fat and to enhance endurance 

A. Food fuels the body and without proper nutrition there would be setbacks. Eat organic food as much as possible to maintain balanced diet which consists of fruits vegetables complex carbohydrates complete proteins and fats including fish oils and flax seeds

B. Cook healthy bake grill steam or sauté rather than breading and deep frying 

C. Sleep deprivation can lead to low energy levels compromised mental strength and poor recovery from workouts. And have seven to eight hours of sleep.

D. Burn calories by taking simple steps such as standing up more at work, taking stairs instead of elevator and parking car away from the office, walk briskly whenever possible.

E. Muscle tissue grows when you give body time to relax and recover following workouts. Hence rest is very important.

1 person found this helpful

Tips and Foods to Help You Get Regular Periods

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Tips and Foods to Help You Get Regular Periods

If your period is irregular or nonexistent, you won't benefit from the effects of high estrogen. The point of highest estrogen is your pre-ovulatory stage. If you're on a 28 day cycle, ovulation occurs from days 12-16 (though it varies, depending on your stress level, the foods you eat, the exercise you're doing, etc). This means that pre-ovulation occurs on about days 8-11 (but again, it varies from woman to woman).

Your first step in regulating your periods is figuring out what's causing an irregular menstrual cycle. Once you determine the cause, you'll be better able to find an effective treatment.

1. Omega-3 fatty acids - salmon, sardines, fish oil supplements

The blood vessels in your ovaries are tiny, which makes them vulnerable to damage and poor circulation. Smoking, obesity, and high cholesterol can negatively affect your ovarian blood vessels, which blocks hormones and blood flow. Fish oils enhance blood circulation, reduce damage from free radicals, fight the effects of aging, and increase dopamine (which improves your mood!).

2. Non-white foods to regulate your menstrual cycle

Most natural foods are not white, so you can assume that if a food is white, it is probably processed to the point of being unhealthy! To make your menstrual cycle regular, avoid white flour, sugar, white potatoes, white bread, white pasta, and white rice. They disrupt your menstrual cycle by creating insulin surges that result in fat storage. This excess fat storage negatively affects ovulation and your periods - and can cause irregular periods. The simple tip on how to get regular periods: stop eating food that is white.

3. Protein - cottage cheese, lean meats, nuts to balance your hormones

Finding sources of balanced protein can be a challenge for busy women, but it is a must for hormonal balance. The more you balance your hormones, the more regular your menstrual cycle will be. Plant proteins are especially good for enhancing fertility and hormonal balance: almonds, walnuts, peanuts, cheese, hard boiled eggs, soy chips, hummus, canned sardines, and edamame.

4. Healthy beverages - because your cycle is affected by what you drink

Another 'food' to make menstruation regular is nettle leaf tea. The ingredients are so healthy: Organic Fennel Seed, Organic Ginger Root, Organic Cinnamon Bark, Organic Chamomile Flower, Organic Raspberry Leaf, Organic Anise Seed, Dong Quai Root Extract, Chaste Tree Berry Extract, Juniper Berry Extract, and Organic Parsley Leaf.

5. Vitamin D for regular periods

Vitamin D is a little hard to come by in food, Eat vitamin D-fortified milk products, tuna, egg yolks, salmon, sardines, and (yuck) cod liver oil. This vitamin improves communication between your cells, which stabilizes your hormones. Vitamin D is also vital for cancer protection - especially breast, colon, ovarian, and prostate cancers.

To increase your vitamin D and make your menstrual cycle regular, make sure you're getting enough sunlight. Where you live and the color of your skin determines how much time you should spend in the sun, but my research tells me that the average North American should spend about 10 minutes in the sun about 2-3 times per week. If you aren't getting enough vitamin D and you want to regulate your menstrual cycle, check out the vitamin D supplement above.

6. Dark chocolate to balance your menstrual cycle

Chocolate contains flavenoids, which have estrogen-like activity and help improve circulation by reducing platelet clumping. Flavenoids also enhance microcirculation in the ovaries and endocrine glands and increase dopamine (a 'feel good' hormone). Not just any old chocolate will do: eat dark chocolate that contains at least 70% cocoa solids.

But don't eat too much chocolate. You'll gain weight and confuse your hormones, which can contribute to irregular periods.

7. Castor oil and hot water bottles

Here's how to use castor oil and hot water bottles to regulate your period:

Moisten a flannel pack (an old T-shirt will do) with warmed castor oil. Place the oil-side down on your lower abdomen with a hot-water bottle on top of the flannel pack. Cover with a towel. Do this daily for an hour - but not when you're getting your period) for a few months. Then, gradually reduce frequency to twice a month.Your period might become heavier or more painful, but that's just stagnation clearing from the uterus.

8. If your periods are heavy, consider iron supplements

If your periods are both irregular and heavy, you might consider taking iron supplements. One of the common causes of iron deficiency and anemia is heavy bleeding during menstruation. If you don't get enough iron in your diet or the foods you eat, your body's iron stores will diminish and you'll experience fatigue.

9. Learn about Polycystic Ovarian Syndrome

While irregular periods are common among teenage girls, an underlying hormonal disorder may be the cause of long-term irregular periods in adult women. Polycystic Ovarian Syndrome is an endocrine disorder that is characterized by an excess of androgens or male hormones in the body. The imbalance of hormones interferes with the growth and release of eggs from the ovaries, which can prevent ovulation and menstruation.

Menstruation begins on average at age 12 for most women, and a normal menstrual cycle is approximately 28 days. Girls should have a regular menstrual cycle within approximately two years after they get their first period, or by age 17 at the latest. If you've been getting your period for more than two years and you're over 17 years old, you may want to talk to a doctor about how to regulate your period - and you may need more than information about foods to make your menstrual cycle regular.

21 people found this helpful

Otoplasty - 13 Deformities for which You Can Opt for It

MBBS, MS Surgery
Cosmetic/Plastic Surgeon, Delhi
Otoplasty - 13 Deformities for which You Can Opt for It

Otoplasty is a cosmetic surgery which corrects the deformities or absence of the external ear. Otoplasty originated in ancient India during 800 BC.

When should you opt for an otoplasty?

  1. Cagot ear: This is a defect where there is no ear lobe attached to the ear.
  2. Cat’s ear: In this condition the outer side of the ear is pulled forward. It gives the person a more feline appearance.
  3. Cauliflower ear: This generally occurs when your ear looks like a cauliflower. This is also caused due to hematoma that occurs because of severe trauma.
  4. Cleft earlobe: In this condition, there is a notch on the fleshy part of the earlobe and can be corrected by otoplasty.
  5. Constricted ear: In this condition, some of the cartilage is discarded by surgery and a new one is reconstructed.
  6. Cryptotia: An incision is made and the upper part of the ear is exposed by contraction.
  7. Darwinian ear: This occurs when the rim cartilage of the conchal bone (hollow next to the ear canal) is flat and not folded outwards. The term ‘Darwinian ear’ is derived from the British biologist Charles Darwin.
  8. Lop ear: People who have lop ear generally have a protruding ear with a central depression, producing a more ‘cup ear’ appearance. The helix is enlarged after surgery.
  9. Macrotia: In this situation the ear of the patient is very big as compared to his head. So the surgeon makes incisions on the lateral surface of the pinna (outer ear).
  10. Microtia: In this condition the pinna is extremely small and the whole ear seems much smaller.
  11. Question mark ear: This is a rare defect. There is an indentation between the cartilage and the ear lobe rim. This is also known as Cosman ear.
  12. Scroll ear: The outer edge of the ear protrudes forward in such a condition.
  13. Stahl’s ear deformity: In this condition the outer skin and cartilage folds abnormally giving an ‘elf’ kind of appearance.

Otoplasty is usually done to improve the appearance of the ear in severe cases and it is important to get a recommendation from more than one doctor or more than one ENT specialist before going forward with this procedure.

2791 people found this helpful

Is their any pill to get periods? Plzz plzz plzz doctor prescribe me a pill I realy nee it. My periods get too late. please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Is their any pill to get periods? Plzz plzz plzz doctor prescribe me a pill I realy nee it. My periods get too late. ...
Sometimes, the periods may be disturbed due to physical exertion, stress, sickness and hormonal disturbance. Homoeopathy has effective treatment for your problem without adverse effects. Take pulsatilla 200 ---once daily in the morning for 5 days.
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What could be the reasons for a 16 year old to have extremely dark red (blackish) bleeding during periods? There are symptoms of irregularity too & the patient doesn't drink water at all. The patient has complex sexual abuse history.

BHMS
Homeopath,
What could be the reasons for a 16 year old to have extremely dark red (blackish) bleeding during periods? There are ...
It may be due to ovarian cyst or uterine myoma. Need to check with usg. Also need to check thyroid, prolactine level in the blood. For medicinal purpose you can contact me through Lybrate.
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Hello, I got married for 2 years but till now I didn't got pregnancy and I used krimson35 for 3 months, And now I will get pregnancy or not?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, I got married for 2 years but till now I didn't got pregnancy and I used krimson35 for 3 months,
And now I wil...
Yes you can get pregnant, now on keep trying during your fertile period. If in case you did not get any positive result in 6 months then get required investigation for fertility checkup done.
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Hii Actually she had done sex with her partner on 4 august and her periods over on 30 july. So she is getting pain in lower abdomen and less white water discharge and back stress side pain and even she had stone . So is there any chance of pregnancy and what are these symptoms indicates?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
This is a safe period. So its highly unlikely that she will be pregnant. But she should do urine test herself using preganews etc incase she misses her periods in august her symptoms may be becoz of stone. Better to get it treated.
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I am 29 years old unmarried women. I take eltroxin 75 regularly for thyroid. I had pcos problem last year. But now it is cured. I regularly take take 2 cups of green tea. One cup after Breakfast and another cup at the evening. Is it harmful fr me?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 29 years old unmarried women. I take eltroxin 75 regularly for thyroid. I had pcos problem last year. But now it...
Lybrate-user, Thanks for the query. Since you are on treatment for hypothyroidism, it is necessary to maintain TSH around 3 to 4 mU/L, then only all the symptoms related to hypothyroidism are in check. As regards taking green tea, it is fine. It need not cause any harm. Thanks.
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Hello doctor my mom is 46 years old .Why stopped her menstrual cycle? meximum 2 month above her menstrual have not coming yet?

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
This happens in menopausal age, some get bit earlier and in some bit late; nothing to worry, is there any other problem if so report for suitable treatment.
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Whenever she think about sex she get wet very quickly as in whitish fluid comes out. This way during sex there will not be any tightness in the vagina and sex will not be good. What to do.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Whenever she think about sex she get wet very quickly as in whitish fluid comes out. This way during sex there will n...
Do Kegel Exercise twice daily, Take nutritious diet, Take Homeopathic uterine tonic twice daily. For more information you can consult me online in person through lybrate.
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Hi, My wife is getting white bleeding sometimes and before date with that any problem will be there.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
This is called white discharge, leucorrhoea. Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine kreosote 30 daily in the morning and in the evening and give feedback after 6 days.
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