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Dr. Madhulika Sharma

Gynaecologist,

at clinic
Dr. Madhulika Sharma Gynaecologist,
at clinic  ·  ₹ online
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Personal Statement

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.
More about Dr. Madhulika Sharma
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Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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While doing sonography of my wife it says both ovaries are bulky with multiple peripherally arrange subcentimeter size follicles with in s/of polycystic ovaries please tell me treatment for this and what does it mean. My wife is 32 year old and we planning for pregnancy. .

International Academy of Classical Homeopathy, BHMS
Homeopath
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Hi just go throw my tip on pcos. You can take apis 30 thrice a day for 5 days. Inform me if any query. Take care.

Saline Gargles

MDS Prosthodontics
Dentist
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Please do not forget to do warm saline gargles - luke warm water with pinch of salt in it at least 3 times a day.
Saline Gargles

BPTh/BPT
Physiotherapist
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Health hazard in long sitting

Avoid sitting for long time to prevent muscles to get spasms or stiffen and to avoid accumulation of adipose tissues as it may increase the risk of developing waistline
Hence try to do small movements involving hip rotation and moving around for at least 15 minutes every three hours to ensure occupational strain in the joints and to ensure better metabolism

I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 days. I thing there is no chance to get pregnant. Is'nt it?

MS - Obstetrics and Gynaecology
Gynaecologist
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I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 d...
What do you mean by" repeated with in 30 days. Is it 30 days cycle or +/-- 30 days. You have to very clear about it. 8th day is borderline, can fall on either side i. E. Can fall under fertile / safe phase depending on duration of cycle i. E. 28 days/30 days. So don't take any chance and give full detail including your lmp (date of last menstrual period) so I can help you.

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
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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:


A nasogastric tube - a tube that is passed down your nose and into your stomach
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.
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

I am 24 female and 1 month pregnant. I have been going through a lot of problems and the recent one is frequent urination. What to do.

MBBS
General Physician
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I am 24 female and 1 month pregnant. I have been going through a lot of problems and the recent one is frequent urina...
It would be better if you tell us all the symptoms that you have been getting. Frequent urination can be a normal thing if you don't have any other symptoms like burning sensation while urinating or pain abdomen or fever or anything unusual. When you're pregnant your womb tends to increase in size that leads to constant pressure on your bladder resulting in frequent visits to toilet. So do not worry if that is the case and take good care of your health. Do regular visits to your doctor and get periodic tests done. Good luck. But do get back if there is anything else that has been bothering you.

Hi I am 31 years old mother of an 8 years old son. I am trying for the next issue from last 1 year. My problem is that whenever my ovulation days comes and we have to intercourse only at that time I get suffered from severe vaginal infection. After the ovulation days the problem is automatically cured up without any medication. I am very tensed due to this. please help me. I am also taking fertility treatment but my gynea is unable to resolve my problem please give me some suggestions towards it.

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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You can take oral antibiotic and antifungal treatment under guidance for longer duration. Also your partner needs to be treated. Kindly consult.

The cooking oils that make you healthy - and those that don't

MSc nutrition, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Dietitian/Nutritionist
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All food sources that we think of as "fats" are made up of fatty acids. These fatty acids have specific chemical shapes that affect both how the fat performs in cooking (or baking) and how the fat affects your health. These chemical shapes generally are classified as saturated, polyunsaturated or mono-unsaturated. All fats contain all three types but are classified by the type of fatty acid that makes up most of the fat. For example, since butter consists mostly of "saturated" fatty acids, it’s considered a "saturated fat."

Saturated Fats
Examples: butter, lard, shortening
How to spot them: They’re solid at room temperature.
Health notes: A diet high in saturated fat has been linked with elevated cholesterol levels and increased risk for heart disease, so it’s best to limit use of them.

Monounsaturated Fat
Examples: olive oil, rice bran oil, peanut oil
How to spot them: They’re liquid at room temperature but become semi-solid (or cloudy) in the refrigerator.
Health notes: When substituted for saturated fats, monounsaturated fats can help to improve blood cholesterol levels, thereby reducing risk for heart disease.

Polyunsaturated Fats
Examples: canola oil, sunflower oil, walnut oil
How to spot them: They’re always liquid—even if you put them in the fridge.
Health notes: When used in place of saturated fats, polyunsaturated fats can help to improve blood cholesterol levels, thereby reducing risk for heart disease. "Omega-6" and "omega-3" are other terms used to describe specific types of polyunsaturated oils. Although both omega-6 and omega-3 fats are essential for good health, omega-3s also have additional heart-health and anti-inflammatory benefits.

Cooking
When you’re cooking at a high heat, you want to use oils that are stable and don’t oxidise or go rancid easily. Saturated fats and monounsaturated fats are pretty resistant to heating, but oils that are high in polyunsaturated fats should be avoided for cooking.

BEST OILS FOR COOKING AS WELL AS HEALTH
1. Olive oil
2. Rice bran oil
3. Canola oil
The cooking oils that make you healthy - and those that don't

Sir my periods are getting 2 months late and I checked pregnancy by prega news kit. What should I do?

MD - Obstetrtics & Gynaecology
Gynaecologist
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Sir my periods are getting 2 months late and I checked pregnancy by prega news kit. What should I do?
Menses can be missed either because of hormonal changes or even stress or even if you have put on some weight in recent times then also menses can be missed. All these problems are temporary and menses will come on its own. You can wait for another 15 days before you can take tablet deviry to get menses. In the meantime, keep repeating urine pregnancy test every week till you get your menses.

Me and my wife did sex without protection. But when the ejaculation time came I took outside. But I guess lil sperm goes into her vagina. She took i-pill some days ago. So she can not take anymore. What should I do to prevent her pregnancy?

Fellowship in Laparoscopy, MD - Obstetrtics & Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist
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Me and my wife did sex without protection. But when the ejaculation time came I took outside. But I guess lil sperm g...
She can take another ipill. No issue in that. Better you start her on ocps so that frequent use of ipill can be avoided.

Please tell me, if a lady doesn't eat iron tablet in pregnancy period so which food consume on behalf sothat her body makeover iron fullfil.

DGO, MBBS
Gynaecologist
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Please tell me, if a lady doesn't eat iron tablet in pregnancy period so which food consume on behalf sothat her body...
Iron supplements are mandatory in pregnancy. She can get her iron supplements changed if the current one is not suiting her. Iron rich foods to be consumed are spinach, beans, iron fortified cereals, pasta etc. If non-vegetarian, have cooked meat, poultry, sea food etc.

Eating Right

MBA, PDCR, Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGCRCDM
Ayurveda
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'when the diet is wrong medicine is of no use. When diet is correct medicine is of no need'
Taking heavy meals in short durations without earlier meals properly digested produces toxins.
Kala viruddha (time against): intake of cold and dry substances in winter, pungent and hot substances in summer.
The combination of fruit salad, milk and banana should be avoided.
Using yogurt with milk, fish with milk, achar (pickle) with milk, honey with ghee (butter) are some virudha ahara (incompetent food) if taken together, they produce a lot of toxins in our body.
Drinking buttermilk is excellent as it is easily digestible, kindles hunger, instigates vata and kapha and cures dropsy, haemorrhoids, enlargement of the abdomen, abdominal tumour, duodenal diseases, dysuria, enlargement of spleen, loss of appetite, and anaemia.
Eating Right

If girl delay 8 day of his mc dates. Than which type of medicine provide to their abortion.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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If girl delay 8 day of his mc dates. Than which type of medicine provide to their abortion.
Hi sumit. A delay in periods does not necessarily mean she is pregnant. Sometimes even hormonal disturbances can cause a delay. I suggest you do a pregnancy test first and confirm whether she is pregnant or not. Let me know how it goes so I can guide you further. All the best

IDEAL TIME TO HAVE GREEN TEA...

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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BEST TIME TO TAKE GREEN TEA....
Green tea has many health benefits
-Improves metabolism and boost the body’s fat burning mechanism and helping you to keep fit
- It also contains a powerful antioxidant called epigallocatechin-3-gallate (EGCG) which has antibacterial and anti-inflammatory properties that help in fighting cancer, removing free radicals and unwanted toxic substances from the body.
-It also contains other antioxidant compounds such as catechins and poly-phenols that boost the immune system.
TO GET THE BEST HEALTH BENEFITS TAKE GREEN TEA AT LEAST TWO HOURS BEFORE OR AFTER YOUR MEALS
Can also take it about 1 hour before you sleep to burn fat even while you are asleep.

SOME DONT'S FOR GREEN TEA..
-Avoid green tea very early in the morning on an empty stomach. The caffeine in it can lead to dehydration and it could stimulate the release of gastric acid which can cause stomach upset or even ulcer.
-Avoid it at meal time because it can reduce the absorption of Thiamin (vitamin B1). A deficiency of this vitamin leads to a condition called beriberi.
So, its very important to take the green tea at a particular time for best health benefits...
IDEAL TIME TO HAVE GREEN TEA...

What is the best period to conceive? Does this depend upon the position of intercourse as well?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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What is the best period to conceive? Does this depend upon the position of intercourse as well?
If you have a28day cycle regularly. The ovulation usually occurs on14th day. Keeping this in mind 9th-21st day is the fertile period.

Hello, I am having sex daily for 1 and half months but still my wife did not get pregnant why? And doing sex regularly.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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Hello, I am having sex daily for 1 and half months but still my wife did not get pregnant why? And doing sex regularly.
Hello, You need to try for at least 1 year after your marriage to conceive. So don't get worried too fast.

I delivered a baby boy on 12 May and now I am getting fatter day by day. Please advise me some diet to reduce.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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Eat a diet less in calories, fats and sugars. So cut down on all fried foods, sweets, chocolates and junk stuff like pepsi, coke etc; increase the proteins in your diet like chicken, fish, dals, beans etc; replace white bread for brown bread or chappati. Have enough vegetables, fruits and water daily. In addition do regular exercise.

MY eyes are yellow, I m not getting saliva in my mouth, I m also not willing to eat anything. What should I do?

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist
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MY eyes are yellow, I m not getting saliva in my mouth, I m also not willing to eat anything. What should I do?
Are you have vomiting, fever, extremely weakness. If yes check your serum total, direct bilirubin for evaluation of jaundice. Otherwise you need not worried about that. Take plenty of water, fluids, salt and sugar in the ratio of 1: 4 with hot water.

I am 15 years old boy. My gf want to sex with me. Is it safe? If no. Then how to protect pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I am 15 years old boy. My gf want to sex with me. Is it safe? If no. Then how to protect pregnancy.
Hi Akshat. I would not suggest you to have sex at such as a young age as it can have severe mental and psychological impact later in life. However if you still do decide to go ahead, please follow safe sexual practice. Please use condoms at the least to prevent pregnancy.

My body pains at night. When I sleep after doing dinner. And my wife is pregnant please give good consistency regarding my wife pregnancy.

C.S.C, D.C.H, M.B.B.S
General Physician
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My body pains at night. When I sleep after doing dinner. And my wife is pregnant please give good consistency regardi...
For pain you have t observe if you sprain your body in anyway and for wife she needs to take good food and tablets told by gynecologist
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