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Dr. Aparna Gupta

Gynaecologist, Meerut

Dr. Aparna Gupta Gynaecologist, Meerut
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Aparna Gupta
Dr. Aparna Gupta is a renowned Gynaecologist in Delhi Road, Meerut. You can consult Dr. Aparna Gupta at Dr Aparna Gupta's Clinic in Delhi Road, Meerut. Don’t wait in a queue, book an instant appointment online with Dr. Aparna Gupta on Lybrate.com.

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 Meerut. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Last month I had my periods on 17th april then I had unprotected sex with my boyfriend several times and depending on that I took 3 ipill in total till date. On 13th night I took one tablet named Histon (Norethisterone) tablet for postponing my period because generally I have early periods. Till today I didn't have my periods, I am having acute pain in my lower abdomen also which generally shows me the period's symptom. Is there any chance for me to become pregnant? Pls hlp me.

BHMS
Homeopath, Delhi
Last month I had my periods on 17th april then I had unprotected sex with my boyfriend several times and depending on...
Please certainly check for pregnancy with urine strip test though there is possibilty that you get menstruation bit delayed even after noethisteron is stopped.  The i-pill or any other morning-after pill should not be misused as an excuse to practise unsafe sex. The manufacturers clearly state that a woman shouldn’t pop in these pills more than once in a menstrual cycle - however, it would be totally naive to think they can be taken so regularly. Taking more than one will play havoc with your cycle, make your periods unpredictable, with spotting becoming constant. The i-pill should be taken within 72 hours of unprotected sex but it’s most effective the sooner you take it. It is most effective if taken within 12 hours of unsafe sex, and the efficacy drops thereafter. And the worst part is it has 10 % failure rates. Thnx for asking.
2 people found this helpful
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How To Deal With Rashes Due To Periods?

MD - Dermatology, MBBS
Dermatologist, Delhi
How To Deal With Rashes Due To Periods?

Periods, on their own, can be very uncomfortable but sometimes it can also trigger a rash making it all the more uncomfortable. This is a common problem faced by women who use commercial pads or sanitary napkins during this period. This is because they contain plastics, scents and chemicals that can irritate the sensitive skin in your genital area. Here are a few tips to help you deal with these rashes:

  1. Change Your Pads Regularly: Whether your flow is light or heavy, the same pad should not be worn for more than 4 to 6 hours. Change your pads even if your pad does not look full once this time has passed. Along with menstrual blood, sanitary napkins also soak up sweat and bacteria. The groyne area is naturally moist and warmer than the rest of your body making it the ideal condition for bacteria to grow. Changing your pad regularly keeps these bacteria from multiplying.

  2. Consider Alternatives: One of the main reasons pads cause rashes is because they rub against the skin and this friction irritates the skin. Hence, consider alternatives like tampons and menstrual cups that do not rub against the skin. You could also try cloth pads made using natural unbleached cotton.

  3. Wear Right Underwear: Avoid synthetic underwear and use the only cotton while you are on your periods. This allows the skin to breathe and keeps moisture from building up inside the underwear. Also, ensure that your underwear fits well and can hold your pad in place.

  4. Clean Well: Do not use wipes or tissue to clean your genital area but instead wash gently with water a few times a day. Once washed, dry the skin thoroughly before putting your underwear on. Do not use any type of soap, body wash or scents in the area. Also, avoid bubble baths and saunas.

  5. See a Doctor: In some cases, a rash can also be a symptom of herpes or a vaginal yeast infection. If you alternate between pads and tampons, a rash could also be a sign of toxic shock syndrome. Hence, if the rash persists for a few days, consult a doctor. Your doctor can prescribe a topical cream to be used to relieve the itchiness and inflammation depending on the rash. You could also use an anti-chafing cream on your bikini line. Diaper rash cream is an over the counter cream that usually works well in such cases.
6161 people found this helpful

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.
 

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Mai apni wife ke sath daily 1-2 baar sex karta Hu. Means 40-45 times in a month. To mai limit se jyada baar to sex nahi kar raha hu aur isse mere ya mere partner k health me koi problem to nai hogi. Aur please ye batay ideally hm loge 1 month me kitne baar sex kare jisse hamari health me koi bad effect na Ho.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Couple should decide mutualy frequency of sex depending upon theri happiness or availability. No pressure is there.
1 person found this helpful
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I'm 18 year old and my bodyfriend ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I had the i pill period after 5-6 days but then from that day till today I have not had my period. It's been more than 1 month. I had some bloating and cramping also. Also I had acne problem but it's all improving also having some back ache. I just want to get my period as soon as possible cause I'm very stressed please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 18 year old and my bodyfriend  ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I...
As you already had menses after the ipill, you can not be pregnant and ejaculation on the pant can not make you pregnant. As you r already having backache, means your menses are round the corner, no need to hurry for menses as it can disrupt the next menses also. And you r not 100% pregnant.
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I am 22 years old I have already two years baby. My last periods is on 25.06.2016 till now I dint get my periods. I took pregnancy test so it is positive. I want to abort it pls suggest me tablet and the procedure its urgent please.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am 22 years old I have already two years baby. My last periods is on 25.06.2016 till now I dint get my periods. I t...
Please consult a gynaecologist in your area and get it done. Without supervision by a doctor doing abortion is dangerous. They will first ascertain whether the pregnancy is intrauterine and then the size of the foetus and depending on your health condition will decide which is the best method for you. Please do not go blindly on self medication. Consult a doctor personally.
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My age is 38, I have continue bleeding problem from many days. Please advice me what to do, due to this I am suffering alot in my body.

BHMS
Alternative Medicine Specialist, Vadodara
Hello you should go with homoeopathy constitution medicine. Will give you permanent solution. It require detail case study kindly consult privately. Thanks.
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I have unprotected sex with my husband before 8 days within one hour I take unwanted 72 but still bleeding doesn't occur what is the problem. Is there any chance of pregnancy. Plzz tell me.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
I have unprotected sex with my husband before 8 days within one hour I take unwanted 72 but still bleeding doesn't oc...
Yiu periods will come somewhat delayed so don't worry. All these emergency contraceptive are hormonal in nature hence your periods would obviously not come on the regular date. Pease have safe sex to prevent unwanted pregnancy and sexually transmitted infections. Having emergency contraceptive is only for emergencies it's not to be used as a contraception. Good luck.
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I am newly married and I use condom for birth control purpose. But my wife said the lubricant used in the condom is create problem for her later for having pregnancy. really is there any problem in condoms and I used manforce strawberry flavoured condom. Please advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am newly married and I use condom for birth control purpose. But my wife said the lubricant used in the condom is c...
No it does not cause problem. Lubricant is harmless. For newly married oc pills are best contraceptives, not condoms.
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I am 24 years old female married 2 years back, checked with gynae she have done all the tests (blood, ssg sonogram, folicular study). I have no problem even my husband also having no problem (sperm analysis, duplex scan). But I didn't conceive yet. Please advice.

Advanced Aesthetics
Ayurveda, Gulbarga
I am 24 years old female married 2 years back, checked with gynae she have done all the tests (blood, ssg sonogram, f...
If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You? re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Any querries consult privetly.
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MD - Obstetrtics & Gynaecology
Gynaecologist, Jamnagar
Its a beauty to watch sperm getting injected into ova ,them making ova impermeable for any other sperm! Feel it , when preparing your body for pregnancy
8 people found this helpful

I am 5 months pregnant. I have low BP 65/107. I am feeling dizzy while changing my position. What should I do?

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
I am 5 months pregnant. I have low BP 65/107. I am feeling dizzy while changing my position. What should I do?
take plenty of fluids and keep hydrated, there is a physiological drop of BP in midtrimester pregnancy and you may start feeling better in later half of pregnancy
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I am on my period but bleeding it not so much. Its only 2-3 drop of blood. I am having sex before 2 weak with my husband. Here any chance of pregnancy or any other problem.

MBBS
General Physician, Faridabad
I am on my period but bleeding it not so much. Its only 2-3 drop of blood. I am having sex before 2 weak with my husb...
it should not be, get pregnancy test done, result will clearit should be done after 7-10days. thanks
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We have been trying to have a baby since last 8 months. My wife is 29. Everytime my wife periods gets delayed but with no results. Recently she was diagnosed with endometeriosis and got a laprascopic done. Even though the procedure started after she started bleeding, to our surprise, we came to know she was pregnant but miscarrying. Doctor said endometerisis is not the cause of miscarriage. We have been asked to start trying for a baby after 3 months. I would like to know what could be the causes for her miscarriage ? Could it be endometeriosis ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Endometriosis in very rare cases, can cause miscarriage. There are common causes of miscarriage like blood diseases, genetic diseases, infections, uterine diseases, hormonal causes etc
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I am trying to conceive. My period is due for 6 days still pregnancy tests are negative. Now there is a brown discharge. I am afraid if my periods started. Can this be implantation bleeding. It is light and brown in colour.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
I am trying to conceive. My period is due for 6 days still pregnancy tests are negative. Now there is a brown dischar...
It might be implantation bleeding. please repeat urine pregnancy test after 5 to 7 days. It will be better to go for pelvis-usg scan (sonography)
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We are planning for baby this month, should she has to avoid hard work like picking up full bucket water etc?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
We are planning for baby this month, should she has to avoid hard work like picking up full bucket water etc?
No restrictions is required right now but once she conceives you can check it out with your gynecologist.
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What Is Antibiotic Resistance?

MBBS, MD - Internal Medicine, Infectious Disaeses Specialist, MD (Internal Medicine), Infectious Diseases Observership, FNB Infectious Diseases
Internal Medicine Specialist, Gurgaon
What Is Antibiotic Resistance?

Ever been in a situation where a medicine you used to take regularly to deal with something, has suddenly stopped being effective? This is because of antibiotic resistance. This refers to the ability of bacteria to change their structure so as to resist the antibiotic. Thus, an illness that was once easily treatable is no longer affected by the same medicines and the bacteria causing the infection multiplies, thus worsening the condition.

How do bacteria develop antibiotic resistance?

When you take a drug, not all the bacteria present is affected equally. While some bacteria die out, others turn dormant. Repeated and improper use of antibiotics can lead multiplication of the dormant bacteria, which results in spreading of disease, instead of containing the same. One of the main causes of this is using strong antibiotics to treat minor viral illnesses.

What can you do to fight antibiotic resistance?

  • Follow your prescription: When taking a course of antibiotics, it is also essential to complete the course and not leave it midway just because you are feeling better. Antibiotics are also most effective when taken regularly. Hence, avoid skipping a dose in your treatment. Doing this does not completely cure the infection, but increases the bacteria's resistance to the drug.
  • Do not take someone else's medicine: Self medication can do more harm than good. Each drug attacks a particular combination of symptoms. Taking medication prescribed for someone else can increase the bacteria's resistance to antibiotics. It can also delay correct treatment, thus allowing your condition to worsen.
  • Discard the leftover medication: When stored for a long period of time, medicines lose their potency. Thus if you were to take them later, they would be less effective against the bacteria.
  • Do not take antibiotics for a viral infection: In any case, antibiotics to not address viruses and hence, the medicine will not have a beneficial effect on the virus. However, it can affect the bacteria present in your body by making it resistant to the drug.
  • Do not use antibiotics for an extended duration: Use of antibiotic for treating issues such as acne can contribute to antibiotic resistance. If you must take any such medication, ensure that you are being cared for by a healthcare professional. Most doctors will suggest giving your body breaks between antibiotic courses when it comes to long term medication.
  • Try natural remedies: Many common bacterial infections can be successfully treated naturally in their early stages. Aloe Vera, turmeric, garlic and tea tree oil are some of the natural cures for a range of bacterial infections. The biggest advantage of these natural cures is their lack of side effects.
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Hi. I got married this February and because of so much happening my periods got delayed after first month of my marriage and than I had regular periods but I didn't had any period this month I did pregnancy test it's negative. I am eating all types of food to generate heat in my body and doing workout also. I had my thyroid level 4.4 last month. What can I do? Do my thyroid level plays a role for menstrual cycle? Does not having any physical relation makes a difference to menstrual cycle? Please help.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi. I got married this February and because of so much happening my periods got delayed after first month of my marri...
TSH level 4.4 is normal.It is not affecting your menstrual cycle.Not having physical relation will not affect the menstrual cycle.Occasionally irregular cycle can occur in a female.Of recurs consult your gynecologist to rule out problems like PCO.Too much of workout also will delay the period.
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I am 30 years old. I got intimated last night. My husband ejaculated little sperm outside Then I gave him oral and we had sex without protection. Is there a need to take Ipill? And even I had missed my periods this month. Did home pregnancy test shows negative? Do taking ipill is harmful? Plzz suggest.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
yes it is better that you take it. but if this is a regular practice then you better take cyclical contraceptives rather than i pill every time.
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