Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. Find the best Gynaecologists online in Kullu. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Anjana Narru
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Anjana NarruYour feedback matters!
Mam mene abortion krwaya tha 17 april ko fr 17 may ko period hui fr 3 day's hui fr 3 may ko fr period Ho gai koi dikkt wali baat to nh.
All painkillers work by interfering with the pain-transmission process.Although there are many different types, painkillers-or analgesics-usually relieve pain in one of two ways:
· By predominantly reducing inflammation or
· By predominantly affecting the central nervous system.
PAIN KILLERS THAT ACT BY REDUCING INFLAMMATION
Inflammation is the body’s way of responding to injury, infection or invasion by foreign bodies. Inflammation is controlled by inflammatory mediators, substances that are made by the body and which may make inflammation worse by sensitizing pain receptors.Drugs like aspirin and ibuprofen are called non-steroidal anti-inflammatory drugs (NSAIDs).
As their name suggests, they work by preventing or limiting inflammation-specifically by blocking the manufacture of prostaglandins. Although prostaglandians do not cause pain themselves, they sensitize nociceptive nerve endings to other inflammatory mediators (like bradykinin and histamine) and thereby amplify the basic pain message. Prostaglandins are manufactured in the body by an enzyme called cyclo-oxygenase, or COX for short.
The COX enzyme helps to metabolise (or breakdown) a larger substance called arachidonic acid, into pain-causing prostaglandins. By attacking COX and stopping it from doing its job properly, aspirin-like drugs slow down the production of the pain-causing prostagladins. However,slowing down COX is not always a good thing. Confusingly, there are two forms of the COX enzyme- COX-1 and COX-2. Blocking COX-2 ultimately helps to relieve pain. But, most NSAIDs block COX-1 as well, which disrupts other biological processes that are far removed from pain transmission. One of these processes is the production of protective mucus in the stomach. This explains why some people develop gastric ulcers, indigestion and general nausea after taking NSAIDs.
WHEN PAIN ‘GETS ON OUR NERVES
Pain becomes a problem to us when it affects the way in which we live our
lives (i.e. becomes chronic). For example, if we injure our backs or are suffering from a disease like arthritis, we can experience pain that is persistent. But when does pain become ‘a pain’?
When our pain machinery becomes sensitized and is activated when it shouldn’t be. Pain can be triggered by the irritation of nerve endings (one cause of which is inflammation) or by damage to the nerves.
Pain is generally divided into three types:
· Acute nocicpetive pain usually originates from the site of injury.
· Inflammatory pain involves the activation of the immune system.
· Neuropathic pain is usually caused by damage to the peripheral or central nervous systems.
Type of pain
1. Acute nociceptive Cause- injury to muscle, soft tissue, bones, joints or skin.
How it feels-sharp, stabbing, aching, throbbing, can be excruciating but is not usually long lasting.Example-twisted ankle, bee sting, childbirth.
2. Inflammatory Cause- generation of inflammatory mediators following a painful stimulus.
How it feels- burning, dull ache, can be excruciating, can come and go, or be virtually permanent.Examples-rheumatoid arthritis.
3. Neuropathic Cause- damage to nerve tissue.
How it feels- aching, tingling, numbness. Can be excruciating, can come and go, or be virtually permanent.Examples- trapped or compressed nerve, nerve damage caused by diabetes.
It's been six months since I got married but I am having problems when doing intercourse with my husband. I got too much nervous and all excitement go away when trying to penetrate. I have tried the finger technique as suggested by a gynaecologist which works but when trying to do intercourse I am unable to do it. I need advise what to do as we want to plan a baby too in next 1- 2 months.
This is for my wife. She is having white discharge for more than two months. She maintain a good hygiene but and we did some local treatment. Problem still there. Please suggest.
I am 28 yrs old, unmarried, I ll get married 7/5/2015. For past three months I have menstrual more than 10 days. This month periods start 1/5/15, but not yet stop. My friend advised to do usg, thyroid profile, fbs ppbs. I done all. In usg, impression is bilateral overies are enlarge in size, rt overy measures3.2*3.8*2.0cm. Volume13.6cc. Lt overy measures 3.4*3*8*2.8cm volume 19.4cc. Bilateral overies are enlarged in size with normal echotexture. Thyroid profile ft4- 1.21ng/dl, tsh1.538miu/l, hb 12.6gms/dl, tc 8600cells/cumm. Fbs 66 ppbs 83. Now I have mild cramp at lower abdomen. I took adrenochrome tablet 3times a day for 2days. But still bleeding mildly comes. What I have to do?
I married 2 years ago and not conceive till now. My husband sperm count normal. My tvs scan or follicle study also normal. N I hv regular menstrual cycle. Wt is the next step .is hsg necessary?
Air is the Most Essential Thing
Air is a mechanical mixture of gases, and the most essential thing for an organism to survive. It normally contains Nitrogen (78%), Oxygen (21%), Carbon dioxide and other gases in proportion. In addition to these gases, air also contains water vapour, traces of ammonia and suspended matter such as dust, bacteria, spores, and vegetable debris, etc.
Apart from supplying the life-giving oxygen, air and atmospheric conditions serve several functions. The human body is cooled by the air contact; special senses of hearing and smell function through air-transmitted stimuli; disease agents are conveyed by air.
The term “air pollution” denotes the presence of substances (e.g. gases, mixtures of gases and particulate matter) in the ambient surroundings, generated by the activities that interfere with the human health, safety or comfort, and is injurious to organisms, and other environmental media. It also results in chemicals entering the food chain, drinking water and thereby, adding substantial disease burden and affecting the quality of life. The problem of air pollution was first recognized about 500 years ago when the burning of coal in cities was increasing, and since then it is increasing at an alarming rate all over the globe.
During foggy weather, when little wind is present the smoke generated from pollution is mixed with fog and form “SMOG”
The smog is making it difficult for people to see and breathe.
- Personal air exposure: refers to exposure to dust, fumes and gases to which an individual is exposed directly or indirectly, eg. Smoking.
- Occupational air exposure: exposure to harmful concentration of aerosols, vapors, and gases in working environment.
- Community air exposure: This is most serious, complex, consists of varieties of assortment of pollution sources, meteorological factors, and wide variety of adverse social, economic, and health effects.
Till date more than 100 substances have been identified which pollute the air. These vary from place to place depending upon the specific complex of contaminant source. Following are few examples of primary and secondary air pollutants:
- Carbon monoxide
- Sulphur dioxide
- Nitrogen oxides
- Particulate matter
- PAN (peroxy acetyl nitrate)
- Photochemical smog
- Aerosols and mists: Sulphuric acid (H2SO4), Nitric acid (HNO3)
Indoor Air Pollution
- Indoor air pollution is one of the four most critical global environmental problems.
- It exposes more people worldwide to important air pollutants than pollution in outdoor air.
- Rural people in developing countries may receive as much as two-thirds of the global exposure to particulates.
- Women and children suffer the greatest exposure.
Sources of Indoor Pollution
- Indoor air pollution contributes to acute respiratory infections in young children, chronic lung disease, and cancer in adults, and may induce adverse pregnancy outcomes.
- Non-smoking women exposed to indoor coal smoke have a risk of lung cancer similar to that of men who smoke lightly.
Effects on Health
Air pollution has short term and long term effects. The direct effects are reflected in airway system and then spread to multi-systems. It ranges from:
- Upper and lower respiratory tract infections (acute and chronic)
- Acute and recurrent bronchitis
- Acute respiratory distress
- Asthmatic attacks
- Aggravation of pre-existing respiratory and heart disease.
- Lung cancer
The short term and long term exposure is also linked with short life expectancy and reduced quality of life.
Effects of specific pollutants
The keywords of general management with respect to Air Pollution are:
- More you prevent yourself from harmful allergens, dust, smoke, pollution and smog, more it would be beneficial for your health.
- Try to avoid early morning exposure to smog, cold air when your city is too much polluted.
- Avoid travelling in crowded areas, malls and street where number of people and vehicles are intense.
- Avoid taking walks on main roads, rather prefer parks with greenery.
- Eating healthy foods keep your immunity intact and strong.
- Food items like Jaggery, food rich in vitamin E and C keeps your immunity intact.
- Avoid taking spicy and sour foods.
Keep your airways clear and clean
- Use masks where ever necessary.
- Avoid smoking and Passive-Smoking.
- Keep your home free of dust, perfumes, strong smells and garbage.
- Timely medication helps your immunity to fight disease better.
- Don’t ignore symptoms even if they are minor and nonspecific.
- Keep yourself educated regarding hazards of air pollution and how to tackle them.
- Keep an eye on neighbourhood for any polluting activities such as open fires, release of chemicals from factories, old polluting vehicles etc.
- Try not to use own vehicles when you are travelling alone.
- Opt for Car-Pool in where ever possible.
Ask for your rights
- At working environments ask for masks, air purifiers, and less exposure to air/chemical pollution
- Take opinion of medical specialists if you feel unwell while working.
- Support govt. initiatives to keep your city clean and green
Role of Homeopathy in Diseases arising from Air Pollution
Homeopathy heals holistically!
- Homeopathic medicines stimulates the body’s inner strength and boost the immune system to work well i.e. to reduce the disease load and to improve the overall health.
- The constitutional or individualized homeopathy is known to reduce to tendency to catch respiratory illnesses.
- The prescription is dependent upon symptoms, signs, tendencies, history and causation.
- The treatment can be curative, palliative or supportive depending upon state and staging of disease.
- In every stage homeopathy has a definitive role to play.
- Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).
- In addition to constitutional/individualized medicines, the following medicines are frequently used on the basis of causation and symptom similarity:
- Allium cepa: Rhinitis, coryza copious, fluent, watery, acrid discharge; burning in nose, mouth, throat; violent sneezing; eyes red, burning with profuse, watery, bland lacrimation; headache, cough, hoarseness.
- Ammonium carb: Complaints from fumes, charcoal fumes; emphysematous changes in lungs; frequent sneezing, profuse discharge from nose, burning like hot water; stoppage of nose at night, wake up from sleep; sensation of dust particles in throat; dry tickling cough; chokes; wheezing.
- Arsenicum album: An important remedy that is used in majority of complaints incidental to air pollutants, e.g. conjunctivitis, rhinitis, asthmatic bronchitis, emphysema, lung cancer, leukaemia and other malignancies, etc; quick respiration; suffocation inducing cough; scanty, frothy expectoration; sneezing without relief; burning in eyes; burning pains all over.
- Blatta orientalis: Complaints from fumes, coal dust, smoke; relieves bronchospasm, acts as expectorant; dyspnoea, oppression of breathing; cough, with thick and purulent sputum.
- Bromium: Complaints from coal dust; allergy to dust; complaints of sailors who suffer from asthma when they go ashore, better on sea. Dry spasmodic cough, airway feels filled with smoke; difficulty in inspiring, as if breathing through sponge.
- Carbo veg: Complaints from carbon gas, carbon monoxide, dust, smoke, fumes from incomplete combustion of fuels. Collapse from imperfect oxidation. Oppressed, quick respiration; air-hunger, longing for fresh air; wants windows open; long spasms of cough with weakness, wheezing, gagging.
- Cassia sophera: Complaints from exposure to dust, smoke; asthma, dry cough, with pain in chest, irritation in throat, better warmth; expectoration thick, yellowish; worse during winters, change of weather.
- Dulcamara: Ailments from changing, damp environment, foggy weather, cold damp conditions, air-conditioned rooms; dry, teasing, spasmodic cough; hoarseness; dyspnoea after physical exertion.
- Euphrasia: Inflammation of the conjunctiva; profuse acrid lacrimation; profuse, fluent bland coryza, sneezing in morning; violent cough in day time, abundant expectoration; worse indoors, warmth; better in open air.
- Lobelia inflata: Ailments from smoke, dust; emphysematous changes; extreme dyspnoea; cough with sneezing, gasping; scanty expectoration; extreme nausea and vomiting, cannot bear taste or smell of tobacco.
- Natrum sulph: Ailments incidental to spring & rainy season; dyspnoea; coughs continuously, towards end hacks up thick, ropy, greenish mucus.
- Pothos foetidus: Ailments from smoke, dust; great dyspnoea and cough, frequent sneezing, pain in throat and chest, anxiety, abdominal distension and tension, better in open air.
- Phosphorus: An important remedy that may be used in majority of complaints incidental to air pollutants, e.g. conjunctivitis, rhinitis, asthmatic bronchitis, emphysema, lung cancer, leukaemia, and other malignancies, etc. Breathing anxious, panting, short, hurried, very much oppressed; tightness across chest; violent hard, dry, tight, racking cough in spasmodic paroxysms.
- Plumbum metallicum: An important remedy for lead toxicity. Interference with homoeostasis, rapid reduction in number of red cells, with pallor, icterus, anaemia. Localized neuralgic pains, neuritis, paralysis, wrist drop; stinging and tearing in limbs, with twitching, numbness.
- Sulphurous acid: Persistent choking cough with copious expectoration; hoarseness, constriction of chest, difficult breathing.
- Sabadilla: Rhinitis, pharyngitis; violent spasmodic sneezing, abundant watery nasal discharge, itching and tingling in nose, redness and burning in eyes, lacrimation, frontal headache, dryness and irritation in throat.
- Sambucus: Nasobronchial hypersensitivity; paroxysmal nightly suffocative attacks; nose stopped up at night, breath through mouth; cough deep, restlessness, profuse perspiration.
- Sanguinaria can: Nasobronchial hypersensitivity, asthmatic bronchitis. Severe dyspnoea, constriction in chest, severe spasmodic cough. Expectoration of thick yellow mucus, dislodged with difficulty. Sneezing, profuse watery mucus from nose; sensitive to flowers, odours.
- Spongia: Complaints from sudden change of atmosphere, smoke. Severe form of asthmatic bronchitis, with dryness of respiratory tract. Severe dyspnoea, with wheezing, suddenly wakes up at night with intense suffocation; respiration rapid, short.