Dr. Jyoti Dalal

you will have to let 20 th April cross over and do a morning sample preg test if you are 4-5 days overdue. Heavy painful breasts may occur in pregnancy, but also in PMS

Mr. lybrate-user, Thanks for the query. During pregnancy it is recommended that TSh should be maintained in the following fashion: 1st trimester- 0.1 to 2.5 mU/L, 2nd trimester 0.2 to 3 mU/L & 3rd trimester - 0.3 to 3 m U/L. So the present level of 0.6 mU/L is well within the required range. This is because she is on thyroxine tablets. If that drug is discontinued, then TSH will go up causing serious problems with growing fetus. So she has to continue taking that till she has delivery. Later it might imrove and then treatment may be looked at the situation then. Thanks.

Rasa – A Critical Factor in Ayurvedic Cooking
Did you know that the way we cook our food has a huge bearing on our health? If you go by the principles outlined in Ayurveda, the process of cooking is as critical to digestion as the nutritive value of the food being cooked. Any food can be considered balanced and healthy if it contains a good combination of the six Ayurvedic tastes, is tailored to the consumer's body constitution, and is easily digestible across all age groups. In this article, we will discuss Rasa – one of the most critical factors in Ayurvedic cooking.
The Six Rasas
Just as an understanding of the doshas is necessary for diagnosis of disease, an understanding of the rasa (taste) is necessary for treatment of disease. Every substance is made up of some combination of the five elements – Air, Fire, Water, Earth, and Space. Different permutations of these elements lead to the formation of the six tastes mentioned in Ayurveda – madhura (sweet), amla (sour), lavana (salty), katu (pungent), tikta (bitter), and kashaya (astringent).
The six tastes have certain qualities that can be attributed to their two primary elements. For example, the sweet taste is made up of earth and water, which makes it heavy, dense and moist. Because ‘like increases like’, eating sweet tasting foods excessively will lead to an increase in Kapha Dosha, as it comprises the same elemental qualities of Earth and Water.
Therefore, a balanced diet is one that has a healthy combination of all of the tastes, used in accordance with the dosha of the consumer. To be able to cook a balanced diet, it is imperative that one first understands all the tastes properly:
Madhura
This taste is heavy, oily and cooling in nature. When used in moderation, it brings energy and vitality in the body, soothes burning sensation and has positive effects on the skin and hair. Overindulgence in sweet foods can aggravate Kapha Dosha and cause congestion, cough and heaviness. It balances Vata and is soothing for Pitta.

Found In: Milk and milk products (butter, ghee and cream), grains (wheat, rice and barley), legumes (beans and lentils), sweet fruits (bananas and mangoes), and vegetables (carrots, sweet potatoes and beets), etc.
Amla
This taste enhances appetite, promotes digestion and has a warming effect on the body. In excess, it can create indigestion, hyperacidity and ulcers. This taste decreases Vata and increases Pitta and Kapha.

Found In: Citrus fruits (such as lemon and limes), sour milk products (like yogurt, cheese and sour cream), and fermented substances (including vinegar, pickles and soy sauce).
Lavana
The Salty Taste is heating and heavy in nature. When taken in moderation, it gives energy, promotes growth and stimulates water retention. However, too much salt in the diet can lead to hypertension, edema, ulcers, and hyperacidity. Salty Taste increases Pitta and Kapha and decreases Vata. Due to its ability to stimulate digestion, it is highly recommended for Vata people.

Found In: Any salt (sea salt and rock salt), sea vegetables (like seaweed and kelp), and foods to which large amounts of salt are added (like nuts, chips and pickles).
Katu
It is heating, light and drying in nature, helps digestion and circulation and cleanses excess fat from the body. When used excessively, it can cause inflammation, irritation, diarrhoea, heartburn, and nausea. Pungent Taste increases Vata and Pitta. Due to its ability to dissolve fat, it is recommended for people with an aggravated Kapha Dosha.

Found In: Certain vegetables (such as chili peppers, garlic, and onions), and in spices (like black pepper, asafoetida, ginger, and cayenne).
Tikta
This taste is cool, light and dry in nature. In excess, it can cause emaciation, fatigue and dizziness. Bitter Taste increases Vata and decreases Pitta and Kapha. It is especially balancing for Pitta as it helps to cool excess heat, enhance digestion, and improve liver function.

Found In: Green leafy vegetables (such as spinach and green cabbage), other vegetables (including zucchini and eggplant), coffee, tea, and fruits (such as grapefruits, olives and bitter melon).
Kashaya
The cooling, drying and heavy nature of Astringent helps improve absorption and has anti-inflammatory properties. In excess, it can create constipation and stagnation of circulation. The astringent taste increases Vata and decreases Pitta and Kapha.

Found In: Legumes (such as beans and lentils), fruits (including pomegranates, pears, and dried fruit), vegetables (such as, broccoli, cauliflower, asparagus and turnip), grains (such as rye, buckwheat, and quinoa), coffee, and tea.
Incorporating the Six Tastes in your Meal
Your doshas can get imbalanced if you allow one rasa to dominate your meal, exclude one totally, or consume them in the wrong combination. The traditional Indian Thali is regarded as one of the finest examples of a meal balanced in all tastes. Made up of rice, dal, vegetables, roti, salad, curd, small amounts of chutney or pickle, and a sweet dish to top it off, the Thali is a good choice for people of all doshas as it contains all the six tastes in the right combination. When you take your meal, try and follow the right order of eating to make the most of the benefits offered by each rasa. However, please make sure that the foods you eat are not incompatible in nature (such as madhura milk and Katupickle).

According to Ayurveda, it is advisable to should eat foods with madhura rasa in the beginning of the meal, as these foods are heavy and dense in nature and take more time to get digested. When we start eating, our digestive fire is powerful and the body will be able to digest these foods more easily. So, start off with grains (rice/chapati), legumes (dal) and breads. You can also have kheer, halwa or mithai in the beginning of your meal.
Then, move on to the foods that have the sour and salty tastes. You can have curd or vegetable in the middle of your meal. The pungent, bitter and astringent foods such as salad, pickle or chutney can be consumed next. At the end of your meal, it is advisable to take a very small piece of sweet (preferably jaggery) in order to satiate your senses.
If you remember to include the above-mentioned tastes in your regular meals, you will find it easier to keep your doshas in balance and diseases at bay.

I would advice analgesia like calpol and antibiotics to control the infection first. If it settles down and you don't have a recurring problem you can defer the root canal treatment till you have delivered.

If you have had sex after 4 days of missed period you have pretty good chances of getting pregnant. So you r advised to do pregnancy test.

just check her urine for pregnancy. if it comes negative then No need to worry. less bleeding can occur due to stress and worry too. but pregnancy to be ruled out

Hello, a home pregnancy test kit is available in the market, you may collect that kit to help her. Tk care.

What problems do you have. Pcos problem might have irregular cycles ,heavy bleeding, excessive hair growth. Right now the drugs available might keep under check. Regular excercise ,low carb diet can improve the condition.

Your weight is 79 and you have thyroid problem also. I am sure you will have Pcos and in that you will have difficulty to conceive so go to any good ivf consultant and take advise from him.