Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. Find the best Gynaecologists online in Mohali. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Swetha Gupta
Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Submit a review for Dr. Swetha GuptaYour feedback matters!
Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.
There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.
Common Treatments for pulmonary hypertension:
- Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
- Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
- Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
- Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
- Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
- High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
- Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
- Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
- Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.
- Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
- Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.
- The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
- Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
I am 17 year old girl Sir I am suffering from breast pain and stomach pain since two day so please suggest me how to cure these pains.
Hi. What are the possible side effects of taking pain killers for period time pain (I use it most of the time). Will it affect the child birth? Will it affect pregnancy?
My monthly menstrual cycle is around 24 to 30 days. I had unprotected sex on 14th day around my ovulation date. I took unwanted 72 6 hours after the act. It has been 32 days since last period. I took a urine pregnancy test on the 30th day andnit was negative. Some symptoms that I have are sore nipples (not the surrounding breast tissue), slight lower abdominal pain (but it is very rare ), decrease in vaginal mucus which looks kind of creamy. What are the chances of me being pregnant?
I am 37 week pregnant I had scan today it shows bpd-88 4 mm, ac-304 mm, tibia-62. 24 mm, ac/hc-1.01 mm, hc-308 mm, femur-69. 4 mm, humerus-59. 9 mm placenta is grade 3 maturity, baby weight 2500gm .is this report is normal I saw in internet that baby weight is too less so I am worried because I had abortion twice please help me.
Look after your hair this Holi in these 3 effective ways
Holi is the ever exuberant festival of colors where everyone indulges in fun and frolic. Traditionally played with natural colors derived from flowers, Holi is now celebrated with harmful, toxic and inorganic colors that can really leave you with ruined hair and skin post celebration. These colors comprise of dyes, chemicals, glass powder and metals such as mica - all of which have extremely harmful effects on your skin and hair.
The colors used during Holi can cause your hair to become dull and brittle and may even induce a condition known as acute irritant contact dermatitis, which causes redness, irritation and burning of the scalp area.
Follow these tips to take care of your hair and scalp as you enjoy the festival.
1.Oil your hair
Apply oil to your hair about an hour before you play Holi to maximize the penetration of the oil into the scalp. Oil prevents the color from settling down into your hair, thus, making it easier to remove later on. It also acts as a shield by providing protection from chemicals and dirt, and can help in preventing your hair from becoming dry and frizzy due to prolonged exposure to colors and the sun.
2.Cover your tresses
Tie your hair up in a bun or ponytail to minimize its contact with harmful colors. If possible, cover your hair with a scarf or shower cap to protect it from the damage.
3.Wash your hair the right way
Thoroughly rinse your hair with plain water to get rid of dirt, dry colors, chemicals and the mica particles contained in it. After that, apply a mild shampoo on your hair, gently massaging your hair and scalp and leave it in for about 10 minutes. This will help in extracting and dissolving all the dust and colors stuck to your hair and scalp. Rinse out the shampoo and apply a rich conditioner to replenish the oil and moisture that have been stripped away by the chemicals. If your hair is still dry and lifeless, oil it overnight after Holi, as well. Applying hair masks is also a good idea to help your mane regain its former glory.
Blood clots can be alarming, more so during pregnancy. The seriousness is much more because of the baby growing inside you. However, the good part is that this condition is considerably rare.
However, one can take steps to minimize the risks of this condition during pregnancy.
What is a blood clot?
Blood clots develop when the platelets obstruct blood flow. Normally, this happens after any injury or a cut, in order to prevent continuous bleeding. During pregnancy, blood clots act as a safeguard against losing excessive blood at the time of labor. Deep vein thrombosis (DVT) is however, a serious condition wherein a blood clot forms within the leg’s deep veins or the pelvic area. DVT is linked to Pulmonary Embolism, a condition wherein a blood clot ruptures and travels all the way to the lungs’ blood vessels.
Bear in mind that statistically, a blood clot may affect one or two out of every 1000 women. So there should be no real alarm unless you realize that you could be at risk. The risks of this condition are at their highest, either during the initial six weeks post-childbirth or the first 3-4 months post pregnancy.
The risk factors are:
- Family history of DVT
- Smoking or having been exposed to passive smoke
- Age- especially above the age of 35
- Being overweight or obese
- Sedentary lifestyle devoid of any exercise
- Childbirth via a C-section
Although rare, some of the common symptoms include:
- Pain or swelling in the affected leg
- Pelvic pain
- Pain that deteriorates while walking/moving around
- Abnormally large veins
Placental abruption or blood clots in the placenta
Treatment and prevention
Adopting a healthier way of life by following a proper diet and exercising regularly is the basic preventive measure you can take. Discuss the type of exercises you can do with the healthcare provider. Exercising regularly ensures better circulation, thus averting the formation of blood clots. Now is as good a time as ever when it comes to quitting tobacco. An anticoagulant will be administered that prevents blood clotting.
In case you have a concern or query you can always consult an expert & get answers to your questions!