Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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In how much time maximum urethral stricture can occur after cystoscopy (like within 1 or 2 or 3 months), so that I can feel safe after that period of time, as I have done cystoscopy? Thanks.
Hi this question is about my wife she is 27 years old, on feb 16th we had sex and she got period on feb 19th but after that it's more than 2 months she didn't got period till now I just want to know is there any chance that she is pregnant an if it is so how can we detect that and as we are not ready for child so is there any method to avoid it please help me.
Hi. I am 23 years old girl. I have irregular periods and so much pain in lower part of stomach and back during my periods. And some blood cloth is also come and about 3 month my bleeding is so less periods is not coming openily. Please suggest me. I really need your help. What can I do.
My friend who is 22 years old have irregular period. Last time she had period on 3-4 march and till now her period did not come. She always has irregular period problem. Some time she has period every month and some time in every two month. Pls give your opinion. Thnx.
Hello, i'm 27 years old. I'm married. Before marriage my weight was 55-60 around. After marriage I lost my weight too much. From last four years I lost 20 kg, now i' m 37 kg. Due to all this, I faces lot of problems such as weakness, white discharge and low hemoglobin. In every 15 days I took iron glucose due to my weakness and my diet is veg and non veg both. So please give me suggestion to my health. To become healthy.
How to get hair growth She is having diabetic , thyroid and Pcod Very huge hair fall What should do or take to increase hair.
Got married few month back but on 1st night I realised she is not virgin, even she doesn't shown any sign of pain also but when I ask her about this she told me I am virgin you can check up with doctor, it is almost 6 month is over, please suggest can I get her checked now and whom to contact.
Dear, sir/madam Pls answer my question, My girl friend is missing her regular periods and she doubts that she might be pregnant. She doesn't want a baby now. How to avoid this pregnancy, now what she have to do madam.
Hi Doctor, I am 27 years old Female, married in 2014. We are planning for baby now. But suddenly my weight increased in fast few months. I have been maintaining my weight in 70 kg for past two years. Now my weight is 100 kg. I have tested for Thyroid, but the result shows I don't have Thyroid. I visited gynaec doctor because of my weight increase, she confirmed I have slight pcos and prescribed Glyciphage 1000 mg Folvite 5 mg each day, I am taking it for past two months. Weight remains the same. No reduction in weight. Before taking the tablets my periods are regular even though I have pcos, after taking the tablets my periods got irregular. Now Gynaec Doc prescribed me Obifil diskets tablet. Will this Obifil tablet safe, also help in reduction of weight and in getting pregnant. Please advise me with some tips and revert back asap.
Hii am 22years old, on feb 8 me and my boyfrnd had gone for picnic he rubbed his pennis on the top of my pussy. He said that he didin't had any sperm but iam tensed and taken premolut-n tablets 2 per day for 5 days and got periods after 4 days that is on feb 19. Bleeding was normal a bit heavy too like my normal periods but only lasted for 4 days. After my periods that is from the 5th day iam having white milky discharge, back pain, head ache and discomfort in my stomach. I don't know whether it is my psychological feeling or else but iam very tensed. Am i pregnant? please help me.
I want to know about all the test present for std diagnosis I want my full body checkup and please suggest me some important test for std which is done on regular bases I also want to know about some swap test and urine test for std?
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.
Hello doctor, I am 9 months pregnant and my skin is getting darker day by day specially my facial skin and my neck. Pls help me suggest me some cream etc.
I am 29, got married last one and half years ago we trying to baby but still it's not happening, my job is in other country and after every 2 months meet with my wife and spend the time for a week.
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I have got fungal infection. Is there any harm applying propyzole NF cream (clobetasol propionate and clotrimazole) to genital area? There is intermittent itching at genital area especially more in folds of vagina.
Am I pregnant? What should I be eating? Is it normal to be this tired? How can I help my partner during labour?
Pls guide about calender system. My wife has regular period on 23rd every month. So when we go for safe sex without taking any protection. Pls tell elaborately. We are confuse .pls. We just got married. Regards.
Hi. I have already 3 children but now I had tubactomy so I want another child please what I do for conceive again please suggests me I do tubal reversal or ivf. If I go for ivf doctor give me injection for making egg it will be side effect for that injection ya in future period will be irregular what wil be side effect please let knw.
Modern hectic schedule at home as well as workplace has led to the popularity of strategic snacking. Nutrition and Snacking habits have a direct relation on energy level, mental sharpness and motivation. One must identify the right snacks that will not only fill one up without triggering the craving for more snacks.
A snack is considered to be healthy if it is packed with nutrients and its calorie level lie between 100 and 150 calories. Strategic snacking is a great way to keep a check on one's appetite maintaining the energy levels keeping the body balanced.
The following ten snacks are a powerhouse of nutrients which will keep one full and satisfied:
- In order to have a 100 calorie nut pack, make packs of 15 to 20 Almonds, Walnuts or Pistachios. The nuts are rich in protein, fibre and cholesterol-lowering unsaturated fats, which makes one feel full and have powerful antioxidants, like vitamin E.
- One can try out one medium-size raw sliced red pepper or, twelve pods of sugar snap peas or baby carrots with a snack-size 2 ounce container of hummus.
- A cup of high Protein Yogurt, blueberries, cherries, raspberries or strawberries will give 50 calories coupled with 100 calories worth 6 ounces of nonfat yogurt.
- Bars comprise of protein, fibre and healthy fats and a single bar can give 150 calories per bar. They contain nuts and dried fruit, which help minimize the calories keeping the belly full for a longer period.
- Apples and Peanut Butter are high in fibre and peanut butter is high in protein and unsaturated fat and spoonful of peanut butter can stabilize blood sugar and quell hunger.
- Light Cheese is packed with protein, which our body digests slowly so it helps one to stay full for hours. Most cheeses pack a lot of fat and calories, so only light cheese recommended as it provides 150 calories and 18 grams of protein.
- Avocados are full of Omega 3 fats and antioxidants and having an avocado with a sprinkle of olive oil and sea salt will last for the whole afternoon.
- Multigrain Corn Tortilla Chips are made with stone ground corn, flaxseed, quinoa, brown rice and chia seeds which are digested very slowly helping belly to stay full for a longer duration.
- The serving of five to ten Olives are a good source of the antioxidant vitamin E, which reduce risk for cardiovascular disease.
- It is extremely important these snacks proportioned so that one does not have to count or measure them while at work. These will keep one's belly full reducing the hunger urges and moreover these are healthy.