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Dr. Dhage Shubhangi Sunil

Gynaecologist, santacruz mumbai

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Dr. Dhage Shubhangi Sunil Gynaecologist, santacruz mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Placental Abruption - What are the Risks and Complications Associated with it?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Placental Abruption - What are the Risks and Complications Associated with it?

Pregnancy can have a number of complications. One of these is known as placental abruption. This is a serious yet uncommon complication. The placenta is a structure in the uterus that nourishes the growing baby. In rare cases, this placenta can get peeled off- partially or completely, before delivery. This is known as placenta abruption and deprives the baby of oxygen and essential nutrients and can cause the mother to experience heavy bleeding. If left untreated, this condition can put the life of both the baby and mother in jeopardy.

The cause of placental abruption has is still not known, but there are a number of conditions that can increase the risk of suffering from this condition. This includes:

  1. A prior placental abruption
  2. High blood pressure
  3. Abdominal trauma such as a fall or blow to the abdomen
  4. Substance abuse or smoking
  5. Premature rupturing of the amniotic sac that surrounds the baby
  6. Any condition that reduces your blood’s ability to clot
  7. Multiple pregnancies
  8. Pregnancy after the age of 40

A placental abruption can be diagnosed through blood tests, an ultrasound and a non stress test to check the baby’s heart rate. Placental abruption affects the life the mother and baby in many ways. For the mother, it can result in excessive bleeding that triggers shock, blood clotting problems and the need for a blood transfusion. It can also cause kidney, liver and pituitary gland failure. Even after delivery, the mother may still experience vaginal bleeding. If this cannot be controlled, an emergency hysterectomy may also be required. The uterus may also not contract properly after delivery and the mother may need medication to help the uterus contract back to its original position.

Placental abruption deprives the baby of essential nutrients and can lead to premature birth or stillbirth. After delivery the baby may suffer from breathing and feeding difficulties. The baby may also be born with low levels of oxygen in the blood. Low blood pressure and low blood count can also be triggered by this condition. In severe cases, it can also lead to brain damage and death shortly after delivery.

Placental abruption can be prevented by following a healthy diet that helps regulate blood pressure. Get plenty of rest and take multivitamins regularly to reduce the risk of suffering from this condition. Lastly, if you experience any contractions or vaginal bleeding, consult your gynaecologist immediately.

2754 people found this helpful

I lost my virginity. I am getting Married in few months. Is there any solution to hide it from my partner?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Yes but not sitting at home direct checkup and guidance needed with sexologist nearby or me if you really value it. Yes its possible to help. Move on before its late.
2 people found this helpful
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Digestion & Ayurveda

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Digestion & Ayurveda
When our digestive ability, or Agni, is strong, we create healthy tissues, eliminate waste products efficiently, and produce a subtle essence called Ojas. Ojas, which is a Sanskrit word that means strength, can be envisioned as the innermost vital essence. According to Ayurveda, Ojas is the basis for clarity of perception, physical strength, and immunity. On the other hand, if our Agni is weakened through improper eating, lack of activity, negative emotional energy or unhealthy daily routine, our digestion will be hampered and we produce toxins that get stored in the body. According to Ayurveda, this toxic residue, known as Ama, is the root cause of disease.

Whether we are coping with weight issues or uncomfortable GI symptoms such as bloating, gas, or indigestion, often the underlying root problem is weak Agni, or poor digestion. When a patient goes to a health care provider trained in conventional allopathic medicine, the treatment options for digestive issues are typically medications, which serve to control symptoms, but do not treat the underlying cause.

Even when a provider’s approach includes testing and the elimination of offending foods, this is still only addressing part of the problem. While this treatment addresses the agent (or food) being ingested, it doesn’t look at why it is not being digested properly. Although eliminating foods that are bothersome can often alleviate symptoms, it is often difficult for patients to continually avoid those foods. It can often begin to disrupt their quality of life.

The Ayurvedic concept of Agni allows us to expand the conversation into answering the most important questions: “Why did the body begin to improperly digest, or not tolerate, this food?” and “How can we both eliminate the offending agent and concurrently increase Agni or digestive power?” This approach opens up the possibility of re-introducing the food at a future time, allowing the person to fully experience foods again.

Ayurveda recommends a variety of practical techniques for keeping our digestive fire strong. Incorporating these practices into your daily life can strengthen Agni and, in turn, facilitate weight loss, improve the metabolism of food, and minimize uncomfortable GI symptoms.

Advices for you!

1. Meditate on a regular basis—welcome are increasingly confirming the genetic changes that occur with regular meditation, which can help restore the body’s homeostasis, including the processes controlling digestion. To achieve maximum benefit, meditate for 20 to 30 minutes, twice daily, once in the morning and once in the evening.
2. Do some form of daily movement, whether it is a little yoga every morning, or a daily walk - a short 15-minute walk after each meal helped to control sugar spikes after eating. These short post-meal walks were more effective than taking a longer, 45-minute walk once daily.
3. Don’t overeat—When we eat more food than our stomach can accommodate, we cannot properly break it down. We also tend to produce more acid, thus causing reflux and indigestion. In addition, the amount of digestive enzymes produced may not be able to completely break down the volume of food ingested, which leads to more gas formation, discomfort, or bloating. Recommends that we leave one-third to one-quarter of our stomach empty to allow space for our body to easily digest our meal.

Here is a simple way to gauge an ideal portion of food for a meal based on your body size: Cup your hands together with your fingertips touching, forming the shape of a bowl. The recommended amount of food for a meal is the equivalent of two of these handfuls of food. Of course, you can eat less than two handfuls if your appetite is smaller.

Sip on ginger tea throughout the day, and with meals. Ginger is known as the “universal remedy” due to its many benefits for the body, and it has been used for more than 2,000 years to treat digestive issues. Ginger can relax the smooth muscle of the intestines, thereby relieving symptoms of gas and cramping.

Ginger stimulates digestion by speeding up the movement of food from the stomach into the small intestine, and helps eliminates digestive discomfort after eating. In addition, ginger can stimulate saliva, bile, and gastric enzymes to aid in digestion of the food that has been ingested (beneficial effects are a result of phenolic compounds, primarily gingerly and shoals, and various other volatile oils that are present in ginger).

Ginger tea is refreshing and easy to make. Just add one teaspoon of grated or sliced fresh ginger root to a cup of hot water. You can prepare a larger batch and keep it with you in a thermos bottle to sip throughout the day.

4. Eat your largest meal at lunchtime - our bodies are most able to digest food at midday, when we are active. Our digestive system secretes the highest concentration of “digestive juices” around noon, making this the best time to eat our largest meal. In the evening, our bodies are slowing down and preparing for sleep. If we eat our biggest meal at dinner, when our digestive fire is weaker, we will feel heavy and bloated and will be more likely to have difficulty falling asleep.
5. Focus on releasing negative emotions—you’ve no doubt noticed that your emotions influence your digestion. You may get heartburn when you’re under stress, lose your appetite when you feel sad, or become nauseated or even throw up before a big exam or presentation. The stress associated with unprocessed negative emotions can inhibit the natural digestive process and lead to chronic digestive issues.

Learn how to release emotional pain!

As we now know, a complex, independent nervous system called the enteric nervous system (ENS) lines the gastrointestinal tract (contains many of the major neurotransmitters that are found in the brain, including serotonin, dopamine, glutamate, norepinephrine, and nitric oxide) - in fact, about 95% of the serotonin contained in the body at any given time is in the ENS.

This second brain controls our digestion and can work both independently and in conjunction with the brain in our head. Without getting bogged down in the details of this intricate system, we can briefly state that there is an intimate relationship between our brain and our gut, and our digestion responds to the thoughts and emotions.

When we experience a situation that we interpret as stressful, signals from the brain can alter nerve function between the stomach and oesophagus, resulting in heartburn. With extreme stress, the brain sends signals to the gut immune cells that release chemicals leading to inflammation. This inflammation can then lead to malabsorption and even food sensitivities if the stress becomes chronic. By learning how to manage stress and release emotional turbulence, we help our digestive tract to work naturally and efficiently.

Proper digestion, with a strong Agni, plays a central role in our physical and emotional wellbeing. As recognizes, we are not what we eat, but “we are what we digest.” By making choices that strengthen our digestive ability, we form the foundation for good health and vitality.

Hello doctor, I am 21 years old, unmarried and never had any sexual activity. I am diagnosed with a cyst in right ovary (size 51 into 40 mm). I want to ask, do I need any medication or it will dissolve on its own? One more thing, I got my last periods on 6th of june 2016 and this month, I have not get my periods yet. When will I get my periods, is it related to ovarian cyst?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello doctor, I am 21 years old, unmarried and never had any sexual activity. I am diagnosed with a cyst in right ova...
If you have missed your periods I would advice you do a urine pregnancy test first. If negative best to consider contraceptive pills for 3 months to see if it helps in dissolving the cyst.
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I want to do anal sex with my husband but afraid of pain. My husband always ask me to do that but I am afraid. What would I do.

General Physician, Nashik
Its not advisable to do anal sex but still if you do. Use plenty of lubricant (e.g. KY JELLY) to reduce the risk of tissue tears and minimize friction. Try to relax by taking a warm bath before anal sex. Lying on your stomach may make entry smoother. Stop anal sex if you start experiencing pain. If you experience bleeding or you notice a boil or rashes around the anus or a discharge coming from it, see a doctor as soon as possible.
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My wife had narrow vaginal opening. She had been operated for the same. The doctor said to use of tampons and diarator for two months before intercourse. We are married from past three years and never had proper intercourse. What are the necessary precautions for this time, we should take care about? and what is the time period we must avoid for the intercourse.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
If dilators have been tried, I will ask you to try lubricated finger and then lubricated penis for intercourse.
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I am 24y old woman .1 year past I am taking treatment to become pregnant but could not. Now doctor gave me her face tablet to conceive but now also I couldn't able to conceive what should I do. please help.

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
I am 24y old woman .1 year past I am taking treatment to become pregnant but could not. Now doctor gave me her face t...
Fortunately you've a healthy BMI inspite of your medical condition mentioned as a part of your query details of swelling of ovary. Are you taking fertility treatment in view of irregular periods? As a broad outline, there is a step ladder approach to the treatment of infertility. Refer to the below link to have a better understanding of step ladder approach - Html Not every treatment may work in the first cycle itself. It may take a couple of cycles before you have success with the treatment option. If one option doesn't work, then another option may be suggested which you may have to try for a couple of cycles. You'll need to be patient as well as positive. Make sure that you and your spouse have been evaluated thoroughly so as to not miss out on any underlying treatable cause of infertility. Good Luck on your quest for motherhood.
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How to identify that conceived pregnancy which day? And how to do intercourse for pregnancy conceive? ? Any special methods? ?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
How to identify that conceived pregnancy which day? And how to do intercourse for pregnancy conceive? ? Any special m...
Hi lybrate-user if you have 28-30 days regular periods. Then plan sex from day 8-18th day of the period. You can't know exactly when you conceived but you can know the internal when you conceived with the help of the ultrasound.
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I wanted to know during fertile period having sex daily during those days will have active sperms since we are having intercourse once in 24 hrs. Please help.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, You always have active sperms. It's better to have intercourse on every alternate day. Increase the frequency of intercourse during the fertile period of your wife's cycle. Your wife' fertile period will be 12th-18th day of her periods.
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I am unmarried female suffering from pcod and thyroid taking 50 mcg thyronorm I have taken treatment for pcod fir appx 8- 9 mths still my periods not regular . I do regular work out too what can I do please give some information regarding this m soon going to get married. thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
I am unmarried female suffering from pcod and thyroid taking 50 mcg thyronorm I have taken treatment for pcod fir app...
Hello Ms. Lybrate-user as you asked about your problems related to your irregular periods and pcod, I would like to advise you to follow regular daily routines of getting all dietary measures and daily behaviours as well as exercise and yoga and morning walk every day. You may use light diets and soups of carrots and beetroots and green vegetables and moong daal soups fried with cumin seeds and ghee and garlic. Warm milk boiled with ginger, haldi including nuts every day before going to bed and at breakfast. Avoid cold drinks or fridged food and yogurts as well as sour products e. G. Pickles etc and junk food. Oil massage every day before going to bath. Hot water sipping boiled with ginger, saumph, ajwayan, mulethi every half-hour. You may use ayurveda medicines as given below. 1/ chandra prabha vati. 2tabs rajah prawartini vati. 2tabs laxamana loh. 2tabs twice daily with warm water after meals. 2/ laxamanarist. 15 ml dashmularist. 15 ml twice daily with water after meals. You should continue the above mentioned medicines for 3-6 months regular. You feel uncomfortable and have pitta vitiated metabolic as well as harmonic imbalances. You need private consultation for pulse diagnosis and proper treatment with me.
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Breast Reduction - When To Go For It?

M. Ch. (Plastic Surgery), MBBS
Cosmetic/Plastic Surgeon, Hisar
Breast Reduction - When To Go For It?

In today’s world, females have the advanced technique of shaping up their breast. It is a part of their overall persona and beauty. There are breast reduction surgeries that can work wonder in reducing the size of the breast. The reduction of the breast does not only give you a beautiful appearance but also uplifts your confidence.

When to Go For Breast Reduction

You can consider breast reduction if your breasts are too large for your body. Large breasts can also cause neck, back or shoulder pain. You can also go for surgery if one of the breasts is large and the other one is smaller.

Pros of breast reduction

  • Your breasts will be in proper shape and will look firm.
  • You will get rid of the neck, back, and shoulder pain.
  • You can wear anything and look good.

Cons of breast reduction

  • The surgery could lead to decreased sensation in some portions.
  • The breasts might look uneven after surgery.
  • You could develop problems while breastfeeding may be a problem.

Breast Augmentation

Breast augmentation is one of the greatest plastic surgery operations that is done in hospitals across the globe. Gone are the days, when you would sit back home and blame nature for your shaggy breasts. You have the gift of plastic surgery to come to your rescue. Breast augment can enhance the beauty of your breast and uplifts its features. In this process, the implant is put under the pectoral muscle so that you can still breastfeed your infant if needed.

The process is executed with the help of a small 4cm incision. The recovery process takes a week’s time. Breast augmentation can be carried out in a surgical centre or in any hospital’s outpatient facility. It doesn’t require a hospital stay in most cases. In some selected cases only, the procedure is done using local anaesthesia. In those cases, the patient stays awake. The breast region is made numb.

What to expect during the procedure?

The woman opting this must know what all are expected to happen during the procedure. The surgeon will insert the breast implant by making a single cut in one of the following three areas:

  • In the crease under breast
  • Underarm (axillary)
  • Around the nipple (periareolar)

After the incision is done, the surgeon will try and separate the breast tissue from the patient’s muscles and connective tissue. This will lead to the creation of a pocket either behind or in front of the pectoral muscle. After this, the surgeon will put the implant into the newly-created pocket. It will be centred behind the nipple. Saline implants are put in an empty form and then filled with sterile salt water. Silicone implants are however pre-filled with silicone gel. After the implant is over, the cut is stitched with sutures and the skin is bandaged with adhesive and tape.

What to expect after the procedure?

For a few weeks, the patient might experience Soreness and swelling. It is also possible to develop bruises. Your scars will fade away with time. It is quite possible that the scars will not vanish permanently ever in your lifetime. You must wear a compression or sports bra at the time of healing. You might be required to take pain killers, as advised by the surgeon. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

3355 people found this helpful

I am 33 weeks pregnant now I am getting vaginal spotting in 8 days will it be harmful for me and my baby.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
If you mean vaginal spotting by blood spotting, then of course it can be harmful for you & your baby. So please confirm me if its blood spot or white spot, so I can guide you properly.
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Hi doctor I have nausea vomiting and tired dizziness all of pregnancy symptoms but test result negative .What may be the problem please say.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
There are many reasons for these symptoms, only one of them being pregnancy. That is why, a doctor has to do history taking, examination and investigations, pinpoint the diagnosis and treat accordingly. Please consult a physician in person.
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मौसमी बुखार व उसमें उपयोगी आयुर्वेदिक काढा

Ayurveda, Jodhpur
मौसमी बुखार व उसमें उपयोगी आयुर्वेदिक काढा

दोस्तो अभी मौसम परिवर्तन के कारण शरीर मे भी क्रियात्मक परिवर्तन हो रहे है तो इसमे ये आयुर्वेदिक काढा उपयोगी सिद्ध होगा-
(वयस्क मात्रा)

  •  Tulasi ptte 7,
  • Sabt dhaniya sukha 1/2 tsf,
  • Chirayata 1/2 tsf,
  • 3 dane kali mirch, thodi adrk,
  • 1 gilas pani lekr dhimi aanch me ubalna
  • Jb
  • Pani 1/2 cup rh jaye
  • To
  • Usme thodi mishri mila kr chhan kr gunguna pi le fir odh kr so jaye.
  • Ye 7 ratri tk leve.
  • Kisi bhi type ka fever ho like-chiknguniya, dengu, viral. It is helpful in many of the cases.
2 people found this helpful

We plan for baby, we tried last month but not conceive baby. My penis size is 3.5+,is that ok to conceive child. Also how to increase sperm count and improve penis size. Please advice.

Homeopath, Mumbai
We plan for baby, we tried last month but not conceive baby. My penis size is 3.5+,is that ok to conceive child. Also...
Hello lybrate-user! It not necessary that you will get result in one month! In medical term if you trying for baby for 6 month to 1 year without any precautions and still not able to conceive than there is some problem! And untill you r happy and your patner is happy than there is no problem in size! And homeopathy is best to treat all problem! Tc.
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Physiotherapist, Coimbatore
As physiotherapist, we recommend that you carry out physical movements worth 60 minutes everyday to maintain your physical health.

After 10 days of medical abortion. My gynae prescribed me mistol and some other medication for infections. I just want to know is it ok to bleed for after all these medications? Do I require a vaccum cleaning if I do not stop bleeding?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dear Tanya , bleeding should stop in few days . Only if it persists,heavy, fever , severe pain etc then will have to go for vacuum cleaning ( suction, evacuation) . Convey to your sister . Revert back if need be . Thanx
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