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Dr. Kanishka D Kapasi

MBBS, Diploma in Obstetrics & Gynaecology, MD - Obstetrics & Gynaecology

Gynaecologist, Mumbai

35 Years Experience  ·  0 - 350 at clinic
Dr. Kanishka D Kapasi MBBS, Diploma in Obstetrics & Gynaecology, MD - Obstetric... Gynaecologist, Mumbai
35 Years Experience  ·  0 - 350 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Kanishka D Kapasi
Dr. Kanishka D Kapasi is a renowned Gynaecologist in Vikhroli East, Mumbai. She has had many happy patients in her 35 years of journey as a Gynaecologist. She has done MBBS, Diploma in Obstetrics & Gynaecology, MD - Obstetrics & Gynaecology . You can visit her at Godrej Memorial Hospital in Vikhroli East, Mumbai. You can book an instant appointment online with Dr. Kanishka D Kapasi on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 44 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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Education
MBBS - LTMC Mumbai - 1982
Diploma in Obstetrics & Gynaecology - GMC Mumbai - 1985
MD - Obstetrics & Gynaecology - GMC Mumbai - 1985

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Pirojshanagar, Vikhroli East, Landmark: Opp Godrej Towers. Landmark: Near Vikhroli Railway StationMumbai Get Directions
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Pirojsha Nagar, Vikhroli East Landmark : Opposite Godrej Towers & Near Vikhroli Railway StationMumbai Get Directions
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
2 people found this helpful

I have done unprotected sex last night 09-09-2015 and my wife's period complete just before yesterday 08-09-2015. I don't want baby now because she delivered baby just 2 months before. Can she take unwanted 72 or any other advice.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
I have done unprotected sex last night 09-09-2015 and my wife's period complete just before yesterday 08-09-2015. I d...
Normally no chance of pregnancy, avoid unwanted 72, but in future think before you have sexual relations. Also learn basics of sexuality with sexologist if you really value your marital/sexual life.
2 people found this helpful
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I'm 22 years. Myslef and boyfriend had heavy petting on jun 8. There was no intercourse. But I have missed my period for two months. And now today I culd find spots, I'm I pregnant, I have Irregular periods.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I'm 22 years. Myslef and boyfriend had heavy petting on jun 8. There was no intercourse. But I have missed my period ...
If you are sure you did not have intercourse then no pregnancy, however in doubt confirm with pregnancy test and for irregular periods meet gynaecologist.
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Ph. D - Gastro & Human Nutrition Unit
Dietitian/Nutritionist, Pune
Stretch when you wake up.
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My periodic cycle is 28 days once. This month I got my period was may 2. Next expecting date ll on may 30. I want to prepone my period before 7 r 8 days cause of my marriage is on may 29. Please provide some suggestion.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi, dont do this evil thing with your body you will be punished during climecteric age very badly take care thnks.
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I am 27 years old female and have irregular periods last 3 months. Please give me some suggestion.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please get thyroid profile and cbc test done and send me the final impression of your reports. On that basis I can give you the medicine.
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I want to use coper t, is they any side effects?

MD - Ayurveda, B.A.M.S , N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda,
I want to use coper t, is they any side effects?
Some women experience heavier and more painful periods with the copper-based contraceptive coil. This can be a problem if you are already prone to heavy and painful periods as well as mild to moderate pain in lower abdomen. Other side effects may include white discharge. But these are not seen in everyone. Consult your Dr. If you notice any of these after insertion.
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I want to do anal sex with my wife .is it right thing to do ? how should I do it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello- you can do anal sex with your wife but you should keep these things in mind. Anal sex may or may not be pleasurable for men but it can cause severe pain and bowel problems in women. Anal sex if done without wearing a condom can cause sever infection of penis as anus harbors numerous harmful bacteria and toxic waste products for removal. Anal sex done without proper lubrication can cause anal fissure in women.
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Hello! Hi. As per doctor's instruction we did an urine pregnancy test for my friend with sugar. Initially the sugar get settled down in 1st min. And within a period of 7-8 min it gets dissolved completely. What does it mean? I am askng dis to confirm pregnancy only not for diabetes.. Pls give proper guidance.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello! Hi. As per doctor's instruction we did an urine pregnancy test for my friend with sugar. Initially the sugar g...
There seems to be some misunderstanding. It is different test for pregnancy and different for sugar.
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Is it safe to have sex during periods ?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Is it safe to have sex during periods ?
Yes, but chances of infection and std are higher. There are various causes affecting menstruation. You need to immediately consult me privately. I can prescribe some tests to identify the causes and treat accordingly.
8 people found this helpful
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Is There a Back Pain Cure in Homeopathy?

MD - Homeopathy, Masters Degree of Homoeopathy
Homeopath, Mumbai
Is There a Back Pain Cure in Homeopathy?

Homeopathy world has currently brought unique solutions for reducing unbearable back pain. You can get speedy recovery and on the other hand, your back muscles will also become much more flexible than ever. 

Top 5 homeopathic medicines for curing back pain:

  1. Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back-injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
  2. Rus Tox: If you want to stop chronic condition of your back pain, then nothing can be the best option other than this medicine. Most of the homeopathic practitioners are now strongly recommending this medicine for severe cases. Only limited dosage of this medicine taken in a consistent manner can offer you more relief from your back pain, and you can get greater relaxation. 
  3. Mag Phos: This medicine is very much useful for alleviating all kinds of back pains and this medicine can be accompanied by external heat. Cramping muscle pains are simply unbearable and thus cannot be gotten rid of at times. In such a condition, there is no other safest alternative other than this medicine.
  4. Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you have become pretty tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours, and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.
  5. Kali carb: This medicine is the best back-pain solution for females. Those females who have severe back pain immediately after delivery can get greater relief from this medicine. In this case, back muscles often develop cramping pains and these pains are very much irritating and thus you might feel disturbed. This is the reason doctors often recommend taking this medicine to fix the problem.

Related Tip: "When Should You See Your Doctor in Back Pain?"

4106 people found this helpful

Hi Sir. I had my first C Section on July 11th of this year. Right from C section I am having pain on my belly button down right side. May I know what is the reason. Please help me.

BHMS
Homeopath, Faridabad
Sometimes this type of post surgical pain may remain afterwards. You should take arnica 200, 5 drops in the morning and staphysagria 200, 5 drops in the evening for 7days. If you are suffering from constipation then take a fiber rich diet. If you does not get relief after 7 days then usg whole abdomen test. Revert me with feedback.
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Every month, when I have my cycle, I suffer from menstrual cramps for the first 3 days. My entire body from waist down is subjected to horrible pain. Therefore, to reduce the pain, I usually take painkillers-meftal spas or panadol. I would just like to know that is it safe to take painkillers during menstrual cycles? and if not, then what would you recommend?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are various causes affecting menstruation.you need to immediately consult me privately. I can prescribe some tests to identify the causes and treat accordingly.
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Only 3 days periods has came and its little so what will be the causes and body is paining and leg is paining so much.

Diploma in Diet and Nutrition, BHMS
Homeopath, Mumbai
Most likely hormone related and pcod . Just check once with your thyroid profile and your pelvic sonography. Then get back to me.
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I am 30 weeks pregnant. My uein test shows pus cel 25-30. No fever or burning sensation though. Please advice wat to do next and will this have any effect of baby.

MBBS
Sexologist, Panchkula
I am 30 weeks pregnant. My uein test shows pus cel 25-30. No fever or burning sensation though. Please advice wat to ...
Take 8 to 10 glasses of water daily to flush out the infection. It has no effect on baby if there is no burning or fever.
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I am 27 years old woman. I feel very heat in my vagina. And sometimes white discharge occur. What should i do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You need to get a high vaginal swab and urine re done to rule out infection. If very symptomatic with discharge and itching you need to be prescribed a course of antibiotics and antifungals.
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When period starts, on 1st day I have stomach pain and vomiting problem.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist,
Its ok to have pain on the first day of periods, pain killer tab can be taken even before periods start for pain relief, after marriage and child birth it will settle.
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I had sex with my girl friend. But I didn't insert my penis in to her vagina. I used my penis below d vagina nd between d to lap joint. After doing tht I found my semen in her vagina outer layer. I searched in Internet is show their is 95 percentage of change to get pregnant. Is tht true?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi Jose, chances of getting pregnant will depend upon day of her menstrual periods it would be better if you share details. yes semen can go in vagina and give rise to pregnancy.
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Fellowship in Minimal Access Surgery, MS - General Surgery
Gastroenterologist, Ahmedabad
PHYSICAL,MENTAL, SPIRITUAL & FINANCIAL WELLBEING IS THE PARAMETERS OF PERFECT HEALTHY LIFE .
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