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Dr. kabalay's chamber

Gynaecologist Clinic

Bh 35, Salt Lake City,Sector 2, Kolkata Kolkata
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Dr. kabalay's chamber Gynaecologist Clinic Bh 35, Salt Lake City,Sector 2, Kolkata Kolkata
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Dr. kabalay's chamber
Dr. kabalay's chamber is known for housing experienced Gynaecologists. Dr. Kabalaya Kumar, a well-reputed Gynaecologist, practices in Kolkata. Visit this medical health centre for Gynaecologists recommended by 96 patients.

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10:00 AM - 07:00 PM

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Bh 35, Salt Lake City,Sector 2, Kolkata
Salt Lake Kolkata, WestBengal
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Love And Happiness!

MD - General Medicine
Sexologist, Delhi
Love And Happiness!

Let’s Spread Love And Happiness In This Festive Week..
Wish You All Sparkling Festive Week Of Navratri And Dussehra!!

 

Gynaecological Infections - Why Should You Be Aware Of It?

DNB (Obstetrics and Gynecology), DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Delhi
Gynaecological Infections - Why Should You Be Aware Of It?

Most women suffer from gynaecological infection at least once in their life while some may suffer from them multiple times. The most common infections that affect women’s reproductive tracts are vulvitis, vaginitis, cervicitis and pelvic inflammatory disease or the dreaded PID. What’s even worse is the fact that these dangerous infections are often missed in women due to lack of information and the absence of health services, especially in rural parts of the country.

Let’s take a quick look at each one of the above four gynaecological infections:

Vulvitis
Vulvitis is an inflammation of the vulva, the tender folds of skin outside the vagina.

Common symptoms include-

  • Redness and swelling on the lips of the vulva
  • Itching
  • Clear, fluid-filled blisters
  • White, sore and thick patches on the vulva

Causes can include anything from the use of toilet paper, swimming in pools, synthetic underwear, rubbing against a bike seat, bubble baths to shampoos and deodorants…

Usually, urine tests, blood tests and tests for sexually transmitted diseases are used to diagnose this infection. Vulvitis can be caused due to a number of reasons and it’s also a symptom of other more dangerous diseases, hence its treatment is done taking all these factors into mind.

Treatment can include-

  • Avoiding irritants like swimming in pools
  • Sitz baths with soothing compounds for itch control

Vaginitis
Vaginitis refers to any inflammation of the vagina. Usually, the inflammation strikes the walls of the vagina. It can be infectious or non-infectious. This infection is common in women of all ages with one-third of women reporting suffering from the infection at some time during their lives.

Causes
These can be many like infection with bacteria, yeast, viruses etc. Chemicals in creams or sprays, and even clothing can cause the condition. It can be sexually transmitted too. Your hormones, overall health and other diseases you may have – all of these also determine whether you’ll get vaginitis. 

The 3 types of vaginitis are-

  1. Candidiasis
  2. Bacterial vaginosis
  3. Trichomoniasis vaginitis
  4. Viral vaginitis
  5. Noninfectious vaginitis

Vaginitis should always be taken seriously. If left untreated, vaginitis can cause PID which can lead to infertility. If you get a discharge- a frothy white discharge or a colourless discharge with a fishy disorder and see redness around your vagina and pain during urination or sex- don’t take it lightly, but fix an appointment with your gynaecologist ASAP. He or she will mostly treat you using antibiotics.

Cervicitis
This is an irritation or infection of the cervix. It is caused by a number of different organisms and it can be either acute or chronic. Common causes are sexually transmitted diseases or STDs like-

Symptoms

  1. Smelly discharge containing pus
  2. Pelvic pain
  3. Bleeding between periods or after sex
  4. Urinary issues

Pelvic exam and tests for STDs are used for diagnosing this infection. Treatment includes the use of antibiotics for the victim and her sexual partner to prevent re-infection.

Pelvic inflammatory disease
Pelvic inflammatory disease or PID is an infection that affects the woman’s entire reproductive tract like the uterus, fallopian tubes, and the ovaries. It causes scar tissue formation which grows between internal organs leading to chronic pelvic pain. PID can also lead to ectopic pregnancy or a pregnancy which happens when the fertilized egg grows outside the uterus. Untreated PIDs can lead to chronic infection and infertility.
The main cause of PID is bacteria. Intra uterine device use is also linked to PIDs.

Bile Duct Blockage - What Can Possibly Lead To It?

DM - Gastroenterology, MD - Internal Medicine, MBBS Bachelor of Medicine & Bachelor of Surgery
Gastroenterologist, Noida
Bile Duct Blockage -  What Can Possibly Lead To It?

Any kind of injury on the surface of the skin is immediately noticed by us, but when something happens to one of our internal organs, it can take a little longer to get to your notice for example, an obstruction in the bile duct. The bile duct is a tubular structure responsible for carrying bile from the liver and gall bladder through the pancreas to the small intestine. This bile helps the digestion process and the absorption of fat. An obstruction in the bile duct can be triggered by a number of factors. 

Causes are: 

  1. Gallstones leading to CBD stones 
  2. Inflammation of the bile ducts 
  3. Cysts 
  4. Traumatic accidents 
  5. Bile duct or pancreatic tumors 
  6. Hepatitis infections 
  7. Cirrhosis or severe liver damage 
  8. Abnormal narrowing of the bile duct 
  9. Chronic Pancreatitis

This can affect anyone, but the people who have a history of gall stones or tumors in the abdomen are at a higher risk of suffering from bile duct obstruction. Chronic pancreatitis, sudden weight loss or obesity can also increase this risk. The symptoms of biliary obstruction include light coloured stool, dark urine, pain in the upper right abdomen, nausea, vomiting and fever. Your doctor will also probably need an X-ray of the bile ducts, blood tests, a hepatobiliary iminodiacetic acid scan and ultrasonograph to confirm a diagnosis before they can start treating you for the same.

If not treated in time, bile duct blockages can lead to a dangerous buildup of bilirubin in the body and trigger a number of life threatening diseases. Treatment for biliary obstruction can be through medication or surgery with surgery being the more preferred mode of treatment. It is aimed at resolving the underlying cause of the obstruction and alleviating the blockage. Treatment for biliary obstruction can be two common forms of treatment include a cholecystectomy and ERCP. The former involves the removal of the gall bladder and is suited to obstructions caused by gallstones. The latter is a procedure to remove small stones from the bile duct or place a stent inside the duct.

There are many ways bile duct obstruction can be prevented which first and foremost includes following a healthy lifestyle. If you are overweight, exercise for at least half an hour a day to regulate your weight and reach a healthy BMI. Decrease your intake of sugar and saturated fats as both these can cause gall stones. Also, increase the amount of fibre in your diet. All the above mentioned tips will certainly help you in preventing bile duct obstruction.

Delhi Gets 72-Hour Pollution Forecast System - Know The Benefits!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Delhi Gets 72-Hour Pollution Forecast System - Know The Benefits!

An emergency action plan has been devised for air pollution in Delhi. The Central Pollution Control Board has launched the Air Quality Prediction System that would forecast the air condition of the next 72 hours. This system would forecast for various areas and localities of Delhi and neighbouring regions like Ghaziabad, Gurgaon, Rohtak, etc. 

This pollution forecast system is based on the real-time observation of air quality using satellites. Satellites measure details of Aerosols like SO2, NO2, Dust, and particulate matter (PM10 and PM 2.5).

People can access air quality early warnings through the media corner of the CPCB website. It includes large-scale alerts on air pollution that may occur in Delhi.

How Is 72-Hour Pollution Forecast System Beneficial?

This new 72-hour Pollution Forecast System not only helps the general population prepare for bad-air days but also help enforcement agencies to gear up to take defensive action and warnings. For example, enforcement agencies may decide in advance to implement the Odd-Even system for cars, or put a halt on construction activity, or other remedial measures.

Diseases Caused by Pollution

Most respiratory diseases are caused by air pollution, some of which are:

Asthma: Asthma is one of the most common diseases that is caused by external and internal air pollution. In this chronic disease, inflammation and blockage occur in the air passage of lungs. Asthma is caused by the Sulphur, Oxides, Nitrates, Particulate Matter, etc.

COPD (Chronic Obstructive Pulmonary Disease): Another chronic disease which is caused by air pollution is COPD. In this disease, the Alveoli, Air Sacs, and Air Passage become inflamed. People who work in mines, docks, or quarries are most likely affected by this disease.

Lung Cancer: Presence of various carcinogens in the air may cause serious issues like pulmonary or lung cancer. In this disease, an uncontrolled growth of cells reduces the amount of oxygen in the lungs. It also affects the functionality of the Lungs.

Cardiovascular Diseases: Breathing polluted air for a long time may lead to heart problems. Pollutants such as Nitrogen oxide, Carbon Monoxide, and Ozone mixed with bloodstream may damage the functionality of Heart and lead to cardiovascular disease.

Threat to Pregnant Women and Newborns: Air pollution adversely affects the health of pregnant women. Breathing polluted air by pregnant women weakens the immune system of unborn child.

How Can We Work Individually Towards Reducing the Pollution

  • Awareness about air pollution
  • Plant as many trees as possible
  • Use less electricity (conserve energy)
  • Curb unbridled industrialization
  • Reduce the use of personal vehicles
  • Reduce polyethene bags
  • Reduce indoor pollution
  • Do not burn firecrackers.
  • Use less machines for cleaning.
  • Do not burn the garbage and throw garbage at its fixed place.

Conclusion

Delhi is one of the most polluted cities in the world and both short-term, as well as long-term measures, are required to improve the situation. 72-Hour Pollution Forecast System is the step in the right direction. It will help residents know in advance about upcoming pollution days and also increase general awareness of this issue.

1 person found this helpful

PCOS - How Homeopathic Remedies Vary From Person To Person?

MD - Homeopathy, BHMS
Homeopath, Kanpur
PCOS - How Homeopathic Remedies Vary From Person To Person?

PCOS, or polycystic ovarian syndrome, is a disorder that affects about 10 to 15% of women during their reproductive years. Though the exact reason or cause for the syndrome is not identified yet, it is believed to be genetic and runs in families. Obesity is believed to be another risk factor. There are multiple fluid-filled cysts in the ovaries, giving it the name.

PCOS is being identified as one of the main causes of infertility and therefore more women are becoming aware of this condition. There is a huge hormonal impact, and so there are physical as well as emotional symptoms which makes it difficult for both the woman and the people associated with her.

Symptoms:

  • Gynecological symptoms mainly include bleeding disorders ranging from excessive bleeding to scanty bleeding to no bleeding at all during menstruation. There could also be irregular bleeding with some women bleeding for weeks together during a period, to some having no period for a few months. There could be multiple abortions, and this could probably lead to the diagnosis of PCOS
  • Physical symptoms include excessive hair on the body (known as hirsutism), excessive acne, hair thinning, skin tags, insulin resistance, increased cholesterol and high blood pressure, the onset of diabetes, and pelvic pain.
  • Emotional symptoms include increased stress levels, anxiety and depression, severe mood swings, and reduced self-esteem.

While allopathy offers a regular dose of birth control pills as the mainstay treatment for PCOS, it does not help much. This is where homeopathy comes into the picture, as it offers safe products that address the root of the issue with no complications. 

Of note, homeopathy medicines should not be taken without consultation with a doctor. Symptoms should be discussed in detail before the doctor prescribes a compound.

 

Breast Augmentation - What to expect from the procedure?

M Ch., MS - General Surgery, DNB Plastic surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Breast Augmentation - What to expect from the procedure?

If you are in the process of considering a breast augmentation procedure, here is an insight into what you can expect. In general, or in the majority of the cases, the surgery encompasses three phases—consultation, operation, and then the most important part, recovery. In most cases, the breast augmentation is completed under general anesthesia where the patient remains asleep through the procedure.

How is the surgery performed?
The surgeon makes an incision in the crease under the breast or under an arm or around the nipple to separate the breast tissues from the connective tissues and the muscles of the chest. This enables the creation of a pocket-like structure behind or before the pectoral muscle. Then the implants are inserted in this pocket and centered behind the nipple.

What may happen after the breast augmentation procedure?

  1. Soreness and scars: After the surgery, some patients may suffer from soreness accompanied by swelling and bruising for around three weeks after the surgery. The scars tend to fade gradually with the passage of time even though a faint scar remains all through one’s life.
  2. Discomfort: Some may experience a slight or tolerable pain in the nipple after the surgery. In rare instances, patients undergo sharper, and burning pain with touch. A light massage can help ease the discomfort.
  3. Swelling: Some people report that their breasts feel firm after the surgery though this is a passing phenomenon. As the swelling subsides, the patients feel natural tenderness in the breasts within a short span of time.
  4. Things to take care during recovery: Sometimes, surgeons recommend wearing a compression bandage or sports bra for proffering extra support to the breasts and the implants. If there is a pain, then the patient is prescribed pain-relieving medications, as well. Though healing takes a long span of time, however, one can easily resume back to their daily activities within a week. It is advised not follow a strenuous job or continue with any strenuous workout for a few months or till complete recovery.
  5. Avoid strenuous activities: It is advised to sleep in a recliner for the first 2 days after the surgery, as this reduces the pain and swelling. Also, one should refrain or minimize the number of times one raises the hands above the head. It is advised to refrain from exercising or strenuous workouts for at least 3 to 4 weeks after the surgery.

The week following the surgery will be most difficult, and therefore, it is advised to complete all the important jobs before the surgery so that the body gets the required rest and recovers quickly.

As you can see, it is important to know and learn about the whole process before undergoing the surgery or deciding to undergo surgery so that you can make an informed decision and go about it systematically.

How Is Upper Arm Lift Surgery Performed?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
How Is Upper Arm Lift Surgery Performed?

There are many changes that take place in our face and body as we start ageing. While the face starts to show the signs of ageing earliest-in the form of wrinkles and fine lines as well as a sagging chin and neck, the effect of ageing on the body might be slightly late. The skin may sag or you may end up putting on weight in various parts of the body like upper arms, which may look unsightly and bring down your level of confidence as well. Signs of ageing can often make you shy away from living your life to the fullest.

For the sagging upper arms, one can always get a procedure called an Arm lift. This is also called a Brachioplasty. This is a cosmetic procedure that can be conducted to tighten the skin of the arms from the elbow upwards. Let’s see how this procedure works.

What does it do?

  • Excess fat tends to accumulate in both arms togather with weight gain. Person face laxity in this area after massive weight loss or with body ageing.
  • Arm Lift is a surgical procedure to tighten the skin in the arms through the removal of excess fat deposits as well as skin.

Who can opt for this surgery?

Any person who is medically fit having arm disfigurement can opt for this procedure. Patients who have signs of ageing or excessive weight gain are the best candidates for this kind of surgery. Also, it may be used by the patients who are suffering from sagging skin after losing a great deal of weight which may lead to an appearance of bat’s wings on the sides.

How is this procedure conducted?

This surgical procedure is conducted by a Cosmetic Plastic Surgeon. It’s a day-care procedure. The doctor begins by marking the various areas of concern having excess fat and flabby skin. Thereafter, the doctor proceeds to remove the excess skin so that the arms are tightened getting more youthful look. This is done under anaesthesia to make patient pain-free. The skin that is removed is usually shaped like an ellipse. In many cases, there may be a need to conduct a liposuction if the patient has excess fat as well. Once the excess skin has been removed, skin edges are approximated with meticulous sutures with various Plastic Surgery techniques.

Recovery usually takes 5-7 days. Person can resume routine activities from very next day. Sometimes you might be advised a pressure garment for better outcome.

Septoplasty - All The Necessary Details!

MBBS, MS - ENT, Max Healthcare
ENT Specialist, Srinagar
Septoplasty - All The Necessary Details!

The nasal septum divides the nose into two nostrils or airways. When this septum is defective in structure or position, it can cause several physical difficulties like breathing problemssleep apneableedingsinusitis, etc. The surgery to correct the nasal septum is known as septoplasty. The surgery is very common and has a high rate of success.


 
Reason: When the bone and cartilage separating the two chambers is crooked and deformed, it prevents the air from flowing properly through either one of the nostrils. People suffering from this condition often breathe through their mouth and this leads to respiratory tract infections. So, the septum is fixed with the help of septoplasty.
 
Procedure

  1. First, your medical history is taken. A thorough physical examination is conducted and the nose is photographed from the inside and the outside. You may also be asked to avoid medication like ibuprofennaproxen and aspirin for a few days since these can increase the bleeding after surgery.
  2. Septoplasty is performed under general or localized anesthesia and takes about 90 minutes. Incisions are made on the inside of the nose and the mucus membrane is lifted.
  3. Then, the pieces of cartilage that are affecting normal functioning are repositioned or removed.
  4. If the nasal bone is causing the septum to be wrongly aligned, then cuts are made on the bone and it is positioned correctly.
  5. Sometimes, cartilage grafts (called spreader grafts) are put in between the upper nose cartilage and the septum to widen the narrow nostril.
  6. After this, the mucus membrane is put back in place and stitched.

 
Post- surgical care: A nasal support is put inside the nose to help it heal and keep it straight. The support is removed after two days but there may be swelling and occasional nasal discharge for a few days. The tissues and cartilage become stable within 4 to 6 months. You are asked not to blow your nose or cough and sneeze too much as these might displace the nasal support. The head is to be kept at a higher level than the rest of the body while sleeping and physically demanding exercises are to be avoided in order to prevent nosebleeds.
 
Risks: Septoplasty is not performed if the patient had high level of blood sugar or high blood pressure. It is also delayed in case of any kind of infection in the nose, mouth or in the respiratory tract.

5 Things You Should Know About Laparoscopic Surgery!

MBBS, DNB ( General Surgery )
General Surgeon, Bangalore
5 Things You Should Know About Laparoscopic Surgery!

Laparoscopic surgery is also known as minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby, lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.

However, as with any surgery, complications may occur during the course of laparoscopic surgery.

  1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
  2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
  3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
  4. Anesthesia related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
  5. Injury: Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract. Proper protocol must be followed by the doctor to avoid such complications as much as possible.

Homeopathy For Stuttering!

BHMS
Homeopath, Kochi
Homeopathy For Stuttering!

Stammering or stuttering is a type of speech impairment where sounds or syllables are repeated involuntarily or there are unintended gaps in between words when the person is unable to make the desired sound. People develop stutters due to genetic flaws, motor functioning defects, coordination problems or due to psychological stressors. The condition can result in anxiety, depression and withdrawal from verbal communication.

How does homeopathy help?

A stutter can be practiced away or corrected by speech therapy but there is no specific medicine that can be used to cure stammering. Homeopathic medicines can provide relief from the symptoms by fixing flawed nervous functions, improve motor coordination and modify the vocal apparatus. Different homeopathic treatments can be used depending on the nature of the condition.

The following is a list of homeopathic remedies and lifestyle changes that can be used to address the problem:

1. Foods rich in vitamin B6 like nuts, fish, bananas and chicken should be consumed regularly by children who have a stutter to help with motor functions.

2. Adults should avoid caffeine, tobacco and other recreational drugs as they cause hyper-stimulation of the nervous system.

3. Stramonium(jimsonweed) can be used when the stammering is violent and the person distorts his facial muscles heavily in order to be able to speak.

4. Lychopodium (clubmoss) can be useful for stammering as well as depression, memory weakness and sleep problems. This is especially helpful if the patient struggles with the last few words of a sentence.

5. Spigelia is beneficial for a mild stutter at the beginning of a sentence, often followed by undisturbed speech.

6. Causticum is prescribed when emotional excitability causes stammering, twitching of the facial muscles or problems in the vocal chords.

7. Staphysagria can aid in reducing social anxiety which often causes stammering i.e. the stammer only appears while interacting with strangers or authority figures.

8. Nux vomica (strychnine) is the medicine to use when stammering is a result of extreme stress or over work.

9. Fright or shock often causes speechlessness or stammering. Aconite can provide immediate relief in such cases.

10. Lachesis is an effective homeopathic medicine when the patient stutters over specific letters or syllables.

11. Gelsemium is used to treat stuttering after severe viral infections when the patient complains of a heavy tongue and lack of general coordination.

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