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Dr. Himanshu Shah

Gynaecologist, Mumbai

300 at clinic
Dr. Himanshu Shah Gynaecologist, Mumbai
300 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Himanshu Shah
Dr. Himanshu Shah is a popular Gynaecologist in Kandivali West, Mumbai. You can visit him at Usha Maternity Home in Kandivali West, Mumbai. You can book an instant appointment online with Dr. Himanshu Shah on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Ground Floor, Paradise Building, Shantilal Modi Road, Kandivali West,Landmark:-Opposite ICICI BankMumbai Get Directions
300 at clinic
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Exocrine Pancreatic Insufficiency: Causes and Symptoms

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Exocrine Pancreatic Insufficiency: Causes and Symptoms

Exocrine Pancreatic Insufficiency or EPI is also known as pancreatic deficiency, a disorder where the pancreas is unable to produce sufficient amount of enzymes that are required to digest food. The pancreatic enzymes help to break down and absorb nutrients from the food in the small intestine. So, this disease causes nutritional deficiencies.

Causes of Exocrine Pancreatic Insufficiency : 

This condition is generally caused as a complication of other diseases because EPI develops only as a result of severe damage to the pancreas. The following reasons can cause EPI:

  1. Inflammation of the pancreas: After surgery in the pancreas, stomach or the intestines, there may be inflammation in the pancreas as a post-surgical complication. A high content of triglyceride fat in the blood can also cause pancreatic inflammation and hinder the secretion of the enzymes.
  2. Chronic Pancreatitis: In this disease, the pancreatic ducts are swollen and blocked and so the digestive enzymes cannot be passed into the small intestine. This condition is often caused by a heavy consumption of alcohol.
  3. Cystic Fibrosis: The digestive fluids and enzymes become thick and sticky and block the passageways of the pancreas and other organs like the lungs and the kidneys. This can obstruct secretion and passage of enzymes afterwards.
  4. Shwachman-Bodian-Diamond syndrome or SBDS: SBDS is an autosomal recessive genetic condition where enzyme producing pancreatic cells is not formed properly. This rare disorder causes a number of associated disorders like bone marrow diseases, skeletal defects and exocrine pancreatic insufficiency.

Symptoms of Exocrine Pancreatic Insufficiency:

Symptoms of EPI often appear in the middle stages of the disease when the process of absorption of nutrients has already been affected. The common warning signs are:

  1. Digestive problems like gas, diarrhea and indigestion because the food remains mostly undigested.
  2. Severe and frequent stomach pain in the lower abdominal region
  3. Greasy stools due to the excretion of undigested fat
  4. Rapid loss of weight and body mass due to malabsorption of nutrients
  5. Constantly feeling bloated and full even if you have not eaten anything
  6. A general sense of fatigue and exhaustion
  7. Excessive bleeding from small wounds because protein deficiencies hamper blood clotting
  8. Pain in the muscles and bones
  9. Increased susceptibility to infections of the body system
  10. Anemia
  11. Joint pains
  12. Abnormal swelling of the limbs or edema
3042 people found this helpful

I am 29 year old male. I got married three years before. Till now I didn't get any child. My medical report and my wife medical reports are fine only doctor said. What could be the reason getting late.

MBBS
General Physician, Jalgaon
I am 29 year old male. I got married three years before. Till now I didn't get any child. My medical report and my wi...
Please don't worry take cap kapikachhu by himalaya 1 1 for male cap evecare by himalaya 1 1 for female all for 3 months.
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1) May I know, how many time in week ,you can sex with your partner. Actually I feel very week after sex. And big problem also it get out within 3 minutes. So kindly suggest me. How to increase this time and also want to know what will I eat after it sothat I feel fresh and good. 2) In which time to good for sex that is not risky for get pregnant. And is this safe if I use condom. Because last time condom was not good it was loose. So I have given tablets for her. Kindly help me. Thanks.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
1) May I know, how many time in week ,you can sex with your partner.
Actually I feel very week after sex.
And big pro...
U can have sexual intercourse as many times as you wish. If your healthy and fit. It depends upon once own interest and individuality duration: to prevent early ejaculation. Please follow stop and proceed method. That is during the time of intercourse when you are about to ejaculate stop for few minutes and start the action again after few minutes. So that there will be improvement in the duration of the act. 2) mastrubating before 1 hour when your about to participate in the intercourse. 3) spend the time with partner. By involving in the action of foreplay. Kissing, hugging, cuddling, touching her private parts. Fingering and more. Make sure not to involve in the act direcltly. Risk of pregnancy: for a normal women menstrual cycle is usually occurs for every 28 days. Danger period is: 11th day -18th day of menstrual cycle. As it is considered as ovulatory phase. Chances of pregnancy is very high. During this period. So better to avoid sex during this period safe period is: usually 19th day of menstrual cycle to next menstrual cycle. Safe period which is luteal phase. Wherin you can participate in sex during this time. If you want to have sex during danger period better to use condom to prevent pregnancy. Third method: emitting the semen outside the vagina. By pulling the penis outside the vagina during the time of ejaculation diet for better sex avocados banana blue berries nuts dry fruits watermelon carrot foods rich in vitamin c that is oranges and lemon honey. Boiled egg raspberries. Ginger and garlic drumstick and more. Finally its safe to use condoms. And its good. To prevent std. Hiv and safe for prevention of pregnancy.
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Hello sir, I am married 6 years back I didn't get child. Please tell me any suggestions?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hello sir, I am married 6 years back I didn't get child. Please tell me any suggestions?
As 6 years have passed, both husband and wife should consult doctor to find out the cause and treat that cause. Do not feel depressed.
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Hi, From last 2 weeks, I am having pain in the sides of both my breasts, How to get rid of it?

BHMS
Homeopath,
Hi, From last 2 weeks, I am having pain in the sides of both my breasts, How to get rid of it?
Dear lybrate user, take homoeopathic bryonia alba 30, 5 drops, thrice daily. Also take homoeopathic mother tincture phytolacca decandra q, 30 drops, thrice daily, after meals, in a cup of water.
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Go Nuts Over Coconuts: 7 Super Cool Benefits Of Naariyal Paani

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Go Nuts Over Coconuts: 7 Super Cool Benefits Of Naariyal Paani

Coconut water or nariyal paani as we know it, is a staple in many homes during summer. Starting the day with a glass of coconut water has more benefits than you can imagine. We in India have been fortunate to have abundant access to coconut water that is healthier for your body than any sports drink, cola drink, sugary premix or fruit juice.

Nutritional facts

From a nutritional point of view, water from a green tender coconut is packed with vitamins, electrolytes, minerals, amino acids, enzymes, phytohormones, and cytokines. It has more potassium than in four bananas; is fat-free with hardly any calories, and very easy to digest.

Health benefits

Here are some benefits of drinking coconut water regularly.

1. Coconut water is a diuretic

When consumed regularly, it keeps your renal system (kidneys, bladder, ureters and urethra) healthy, prevents the occurrence of kidney stones, flushes out toxins like uric acid, phosphates, from the body via urine, and prevents urinary problems.

2. Coconut water helps reduce weight

300 ml of coconut water has just 60 calories, compared to 139 calories in a cola drink, 142 in fruit juice and a whopping 200 in a sports drink. It provides nutrition, keeps you feeling full and suppresses the appetite. Having coconut water with breakfast or lunch keeps you from snacking between meals or reaching for high-calorie meals and keeps water retention in check.

3. Coconut water slows down the aging process

Coconut water hydrates the cells and helps delay aging at a cellular level, combats the effects of pollution, stress and irregular food habits. All this is due to the presence of cytokines, which are a group of proteins that improve the quality of cells and regulate immunity.

4. Coconut water rehydrates and restores

Loss of vital nutrients through sweat is one of the main reasons we feel sapped of energy, listless and lethargic during summer months. Coconut water replenishes the body of vital nutrients, gives energy and gets absorbed by the body instantaneously. For severe cases of dehydration, add a pinch of salt to coconut water for results that are the same as any ors.

5. Coconut water helps maintain blood pressure

Coconut water which is packed with potassium, magnesium and vitamin c is a natural way to main blood pressure. Potassium counteracts the effects of sodium (found in salt) which is known to increase the blood pressure. It also maintains a healthy heart by lowering bad cholesterol, reduces plaque formation in the arteries, increases circulation, and maintains good cholesterol in the body.

6. Coconut water is good for the skin

Topical application of coconut water prevents acne, reduces blemishes, tightens pores, lightens scars, reduces wrinkles and slows down the aging of the skin. Coconut water hydrates the skin and hair both from inside and outside.

7. Coconut water is an anti-bacterial

Coconut water naturally prevents infections, boosts immunity, and maintains the healthy flora and fauna of the digestive system. The natural sugars in coconut water destroy microbes and disease-causing pathogens making it a delicious and preventative addition to your diet.

1 person found this helpful

I am 12 weeks pregnant. What are daily foods by name I eat for energy and my baby. Please advise.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
I am 12 weeks pregnant. What are daily foods by name I eat for energy and my baby. Please advise.
You need to eat a balanced diet. Eat whatever you feel like eating and as per your hunger. Eat lots of tomatoes and oranges. You can drink tomato juice also made in a mixer after adding little sugar. This will improve your iron levels. Eat figs and black resins (kishmish) daily after soaking overnight. Drink plenty of milk and take juice of 1 tender coconut daily till full pregnancy. Eat all seasonal vegetables and dal daily. Do. Meditation for 15-20 min daily and deep breathing for 20 min daily.
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After delivery . First child Cesarean in next baby when will be consume. please tell when we can sex sir thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi lybrate user, you should plan for baby after 2years of Caesarean section. you can have intercourse after 2months of the Caesarean section but use some contraceptives.
2 people found this helpful
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I am 27 year old female. I have one child last year for surgery now I have umbilicable herniation. So have I possible for next child.

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
I am 27 year old female. I have one child last year for surgery now I have umbilicable herniation. So have I possible...
Very much. You can have treatment for herniation if it's large and symptomatic and then plan safely.
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My friend she has not got her regular periods for 2 months. But she got spotting 4 times. She did a pregnancy test using the strip came negative twice to be on the safer side she even took mifepristone and misoprostol 3 days back she has only got mild bleeding for a night and it stopped what could be the problem?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
My friend she has not got her regular periods for 2 months. But she got spotting 4 times. She did a pregnancy test us...
Hello, it is likely that she has not aborted and should get an ultrasound pelvis done to check for either continuation of pregnancy or retained products.
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My mother is suffering from swelling problem since from 1 month please tell how she can reduce it.

M.D Medicine
Internal Medicine Specialist, Neemuch
My mother is suffering from swelling problem since from 1 month please tell how she can reduce it.
It may be due to high bp, etc or may be due to kidney problem. You have to go for complete check up. But till than decrease salt and sour food, and elevate foot part while sleeping. Keep one pillow under foot.
1 person found this helpful
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Living healthy life

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Patiala
Living healthy life
1. Do regular exercise.
2. Took balanced diet.
3. Avoid fast foods.
4. Increase liquid intake.
5. Eat seasonal products.
6. Check personal cleaniness.
45 people found this helpful

Why are Breaks Important?

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Why are Breaks Important?

After every hour, take mini-breaks from your work desk and do some stretches to loosen your shoulder and neck muscles and shift position.

You found this helpful

If there was a chance for my hand to have to Precum before I fingered my girlfriend is it possible for her to become pregnant? We are so frustrated. Please answer in detailed.

Fellow,European Committee of Sexual Medicine, Diploma in Psychological Medicine, M.B.,B.S
Sexologist, Jaipur
Hi Theoretically, precum can cause pregnancy but chances are very slim. It becomes a too long journey to survive for sperm from precum to finger to vagina. Sit back & relax
4 people found this helpful
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Causes and Treatment of Dysphagia

MS - ENT, DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Delhi
Causes and Treatment of Dysphagia

Ever had tempting food calling out to you, but could not to swallow it? This could be a serious medical condition and should not be taken lightly. Sometimes, certain disorders in the throat or the esophagus culminate in acute difficulties in swallowing. Commonly termed dysphagia, this disease is directly linked to some sort of a neuro cardiac abnormality. Dysphagia is commonly noted in babies and aged people or in other words in those age groups whose immunity systems are not necessarily strong. Occasional troubles in swallowing can go unnoticed and may not necessarily raise the alarm, but if this condition prevails for a comparatively long period of time, then one really needs to get themselves checked.

Some of the most prominent causes of dysphagia have been enlisted below:

  • Muscular and nervous dysfunctions: On certain occasions, the nerves and the muscles that are responsible for transporting food through the food pipe may not be functioning properly. As a consequence of which, food particles find it difficult to navigate through the esophagus and reach the stomach. Such a condition may be spurred by a stroke or nervous diseases like Parkinson's, sclerosis or dystrophy. A weak immunity system, leading to an inflammation and thus narrowing of the esophageal walls may also cause such a disease.
  • Gastronomical distresses: Ulcers or inflammation of the food pipe due to some gastroenteric disorders is also a cause of dysphagia. Such a condition may arise out of innocuous situations like an allergic reaction or on account of more chronic medical distresses like cancers and tumors. 
  • Dryness inside the mouth: The saliva in the mouth helps in debilitating the food particles into digestible form.  However, due to some kind of a hormonal imbalance, if there isn't adequate saliva formation, it becomes a task to swallow the food and results in dysphagia. 

With timely diagnosis, dysphagia can be treated effectively. Treating dysphagia usually involves a few clinical methods as well as a few lifestyle changes.  Certain specialists advice exercising the throat muscles that can possibly ease out swallowing while others recommend specific changes in the diet for the same. Surgical procedures involve dilation and endoscopy which clears out the surface area of the esophagus as a result of which heals dysphagia to a great extent.

3587 people found this helpful

I am having irregular periods after my cyst and appendix operation. How can I get regular and adequate periodical flow now?

DHMS (Hons.)
Homeopath, Patna
I am having irregular periods after my cyst and appendix operation.
How can I get regular and adequate periodical flo...
Hello, liberate user,  Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 30-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. • Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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Nutritional facts: lotus seed (maakaha)

M.Phil biotech and PGD Dietitics
Dietitian/Nutritionist, Panchkula
Nutritional facts: lotus seed (maakaha)

Nutritional facts: lotus seed (maakaha)

Lotus seed also known as Phool makhana is nutritionally very distinct from other nuts and seeds.These are very low in sodium and high in magnesium,being low in fat and high in carbohydrate,fibre,potassium,phosphorus,iron and zinc makes them a good choice of snacking for patients of high blood pressure,diabetes and heart disease also.

Sometimes the bland flavour may keep you away from introducing it into your food schedule, you can roast it and add the seasoning to replace it for unhealthy tea time snacks.These nuts can be added to sweet and salty preparations both, thus, make healthy choices by adding then in your breakfast cereals, snacks and salads .Their fibre content makes them a very good choice to add consistency to your dishes like curries and soups.

So, you can replace the cornflour with lotus seed powder and help yourself treat naturally from constipation.

The high protein and the anti oxidant percentage makes them a good choice for vegetarians and their anti-aging property brings them to the list of super foods.

10 people found this helpful

Hi Doctor I am Amrita and my age is 16. Doctors I have my first periods today before it my periods never happened today it's first time. It's too painful what should I do. I don't know anything periods and also don't know what to do in periods so please help me.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hi Doctor I am Amrita and my age is 16. Doctors I have my first periods today before it my periods never happened tod...
Hello, This is menarche for you. THE PERIOD related pain is common and can be controlled with antispasmodics like TAB EVASPAS twice a day for 3-5 days. Also use sanitary napkins throughout the day for bleeding and keep changing after 4 hrs depending on the flow. Drink plenty of water to keep yourself hydrated.
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I am 5 months pregnant and I am suffering from fever. Please suggest me medicine which I can take during pregnancy having no side effects.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 5 months pregnant and I am suffering from fever. Please suggest me medicine which I can take during pregnancy ha...
Fever can affect pregnancy very badly, specially the baby. SO, do not ignore it. Get it treated by doctor properly and get drugs after proper check up. SOme drugs are not safe in pregnancy.
14 people found this helpful
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I have physical with my husband on april month but I had period on april month 17/04/2016 but after that also I feel like pregnant like vomiting sick tummy like pregnant after that I have pregnancy check with kit so that was negative after that I had some blood spot like period but not proper period I am scared feel like pregnant please help.

DGO, MBBS
Gynaecologist, Ahmedabad
I have physical with my husband on april month but I had period on april month 17/04/2016 but after that also I feel ...
Hi lybrate-user, your pregnancy tests done twice, both negative, so I do not think you are pregnant. But as you are worried, you may go for blood examination for beta hcg or tvs ultrasound for confirmation.
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