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Dr. Nalkam

Gynaecologist, Mumbai

200 at clinic
Dr. Nalkam Gynaecologist, Mumbai
200 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Nalkam
Dr. Nalkam is a renowned Gynaecologist in Mumbai, Mumbai. You can meet Dr. Nalkam personally at Fonsecas Clinic in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nalkam on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 28 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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Nitya Sahaya Mari Nagar, Mahim. Landmark: Opp Mahim Railway Station, MumbaiMumbai Get Directions
200 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Mai 23 sal ki ldki hu last yr m pregnant thi pr ectopic pregnancy ki wjha se meri right tube block ho gai h or m 1 sal se ab dubra pregnancy conceive ni kr pa rhi hu. Mere husband ki reports normal h. Mai kya kru.

Advanced Infertility
General Physician,
Mai 23 sal ki ldki hu last yr m pregnant thi pr ectopic pregnancy ki wjha se meri right tube block ho gai h or m 1 sa...
Hai Ms. Lybrate-user, ek tube mein pregnancy hua tho dhoosra tube ka condition ko dhekna padega. Kyunki us mein bhi pregnancy hone ka chances bahuth zyaadha hei. Aapki gyneacologist, ovulation induction drugs prescribe kar ke, left side follicle annae huae cycle mein intercourse ya iui advice karengae.
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I want to conceive I have pcos I had 2 miscarriage 2 years back I am trying bt still there are no results.

IVF Specialist, Sahibganj
I want to conceive I have pcos I had 2 miscarriage 2 years back I am trying bt still there are no results.
Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels. Then you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Try losing some weight also. Hope I have answered your question. Regards
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Nuts - Are They Good For Your Health?

MD
Yoga & Naturopathy Specialist, Delhi
Nuts - Are They Good For Your Health?

For too long, nuts have been shunned from diets because they contain fat. On the contrary, nuts are actually good for you! Nuts contain many, many nutrients that are required by your body. So before you think skipping out on nuts is okay, read to know more.

Nuts and your health
Nuts contain fibre, protein, copper, magnesium, folic acid, vitamin E and monounsaturated fats. They are also packed with antioxidant phytochemicals. Thus, nuts are a powerhouse of nutrients that can greatly lower the danger of heart diseases. They also have been found to reduce bad cholesterol levels and increase good cholesterol levels. Also, nuts can prevent your arteries from hardening.

Nuts and your diet
Nuts are filling, nutritious and delicious, which is what every dieter wants in their diet. In fact, if you want to stay loyal to your diet, nuts could prove to be very helpful. The fibre and fat content in nuts is filling, curbing your hunger and making you eat less. Studies have found out, because this quality of nuts, people did lose weight when they incorporated nuts in their diet. It also helped them stick to their diets for a long time.

Portion control
Nothing is good in excess, and sometimes too much of a good thing can end up harming you. Just because nuts are healthy, it doesn’t mean one should overindulge. Like every food, nuts too contain calories. The math is simple too much nuts equals extra calories. It is always better to control portion. While nuts are rich in dietary fibre and monounsaturated fats, you need to make sure you don’t eat it blindly.

Eating amnesia, where you don’t pay attention to what you’re eating, is common when it comes to nuts. When you eat nuts by a handful, chances are you don’t pay attention as you reach for that third or fourth serving. This adds to your calorie count. The best way to avoid eating amnesia is to control your portion. Pre-portion your nuts in bags, or grab a handful and stow away the rest.

Tips
Here are a few tips on how you can include nuts in your diet, and control their portions:
1. Add nuts to your cold or hot cereal for a wholesome breakfast
2. Scatter some almonds over yoghurt for a quick snack
3. Add some peanuts to level up your frozen yoghurt
4. Add nuts to muffins, waffles, pancakes or bread
5. Flavour your steamed vegetables with some nuts

6819 people found this helpful

See What Really Happens to Your Body When You Stop Eating Added Sugar

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
See What Really Happens to Your Body When You Stop Eating Added Sugar

300 Calories is the average calorific value of our daily sugar intake. It's no wonder then that dietician and weight loss (Learn more about weight loss) gurus across the world will advise you to quit added sugar as the first step of a weight loss program. Added sugar refers to processed sugar in the form of cubes, sugar crystals or powdered sugar and does not include natural sugars found in fruits, vegetables etc. Apart from cakes and sweets, we eat added sugar in a number of ways including a number of packaged foods like sauce and salad dressings.

If you consume a lot of sugar on a daily basis, quitting added sugar could leave you with withdrawal symptoms. Quitting added sugar is not easy, but here are a few reasons it is well worth the effort.

  1. You'll have fewer pimples: Sugar has inflammatory properties. This can trigger systemic inflammation leading to the acne. Thus quitting sugar can instantly reduce the number of pimples on your face and give you clearer skin (Learn more about Healthy Skin).
  2. It improves the health of your heart: Added sugar can raise insulin levels. This activates the sympathetic nervous system and increases blood pressure and heart rate. Stopping your consumption of added sugar can lower cholesterol levels and decrease the amount of triglycerides in the body. This lowers blood pressure and boosts cardiovascular health. (Know more about blood sugar level)
  3. A friendly weight scale: Replacing toffees with dry fruits will considerably reduce your calorific intake. Similarly switching packaged salad dressing for fresh homemade dressing can also make your salad healthier. Given that we eat added sugar in so many forms, making a conscious decision to quit added sugar can have a big impact on your daily calorie intake. Studies show that this simple step can lead to a weight loss of up to 10 pounds in six months.
  4. It'll make remembering names easier: Added sugar can hinder learning and memory. Over time, it can also damage communication between brain cells. Quitting sugar can boost both your short term as well as long term memory. You will also find it easier to focus on will be able to be attentive to something for longer periods of time.
  5. A good night's sleep: You don't just need 8 hours of sleep a day; you need 8 hours of restful sleep at the right time. Sugar makes blood sugar fluctuate and the crash that follows a sugar high can make you feel sluggish around mid-day. Many people find that if they have an afternoon nap, it becomes more difficult for them to fall asleep at night. Sugar also releases cortisol that interferes with sleep. Thus quitting added sugar can keep you alert through the day and help you fall asleep easier at the end of the day.
9057 people found this helpful

My wife is 1 month pregnant I want to confirm should I started folic acid or not if yes then please tell me name of medicine and mg also and how to take.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My wife is 1 month pregnant I want to confirm should I started folic acid or not if yes then please tell me name of m...
Take regular folvit or vitagreat, one tab daily, but at the same time you should get your antinatal blood tests done along with sonography to help you advise further.
1 person found this helpful
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I and my boyfriend had physical relation its almost 5/6 days and he spill little amount of sperm may I will get pregnant?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I and my boyfriend had physical relation its almost 5/6 days and he spill little amount of sperm may I will get pregn...
If your boyfriend has ejaculated inside the vagina there is always a chance of you getting pregnant.
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World prematurity day

MD - Obstetrtics & Gynaecology
Gynaecologist,
World prematurity day
Keep kick count, watch for any pain, discharge or bleeding pv, don't let yourself to have urinary tract infection and keep your dental hygiene. Report to your obstetrician immediately if you have any of symptoms of premature pains
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I am suffering from PCOD what treatment should I choose( Ayurvedic, allopathy or homeopathy)?

MD - Homeopathy, Certificate in Gynaecology & Obestric, BHMS
Homeopath, Delhi
Homeopathy is the best treatment for PCOD,I have cured permanantly many PCOD Cases with only Homeopathy
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Hello sir, Me and my gf had unprotected sex on 5 sep 2015. After 12 hours she had unwanted-72 pill. She got last periods on 14 august 2015. Now she is missing periods. And today she had done pregnancy test. And the result is positive? what should we do now please help. We dont need baby. Our age is just 23 please help.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Hello sir,  Me and my gf had unprotected sex on 5 sep 2015. After 12 hours she had unwanted-72 pill. She got last per...
It happens that's why I keep telling people to avoid using i-pill for careless sex. Now she has crossed 45 days, you need to rush for checkup with expert, no sitting at home solution. There is a slight chance for abortion with medicines or else surgical. Be quick and avoid taking any medication without checkup and guidance.
13 people found this helpful
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I am 6.4 weeks pregnant. In abdominal ultrasound test found that no heartbeat. Please help. Apart from this all are normal.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I am 6.4 weeks pregnant. In abdominal ultrasound test found that no heartbeat. Please help. Apart from this all are n...
Hello, no foetal cardiac activity means missed abortion but you may chose to wait another week before termination, just in case the cardiac actvity may arrive due to delayed fertilisation. Repeat usg again after a week. Regards.
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MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

Hi i am 25 yrs old yesterday night few bleeding in my left breast and pain also. I am very afraid please tell me it could be a cancer.Please suggest

MD - Maternity & Child Health
Gynaecologist, Bangalore
25 yr old and breast cancer is unlikely but stil go n consult gynecologist for proper treatment if there is a problem or so.
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I am feeling very sick. Fever abdominal pain weakness from last 3 days. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am feeling very sick.
Fever 
abdominal pain 
weakness 
from last 3 days. What should I do?
Take 3-4 gms saunf and same quantity of ajwain with luke warm water. You may get relief. If persists,
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Pregnancy tip due to earlier miscarriage.

F.MA.S. FELLOWSHIP IN MINIMAL ACCESS SURGERY, I.V.F. AND CLINICAL EMBRYOLOGY, FOETAL MEDICINE TRAINING, PREVENTIVE ONCOLOGY TRAINING, MS - Obstetrics and Gynaecology
Gynaecologist,
Hi , if its only one miscarriage then not to worry much. Please start tablet folvite 5mg once daily at least one and half month before getting pregnant. Please discuss about any medical issues in family with your doc. Accordingly some treatment modification is required.
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What if we had unprotected sex and not used condom does it leads to any desease or something else would you please explain me?

MSc-Psychology, MHSc-Reproductive and Sexual Medicine, MD - Obstetrtics & Gynaecology, MBBS
Sexologist, Hyderabad
She may become pregnant. If the woman with whom you had sex, have any sex infections you can get those infections. If she don`t have any infections you can not get any infections.
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My frnd is 21 year she had unprotected sex a week back now she is getting milk fro her breast what may be the reason.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
My frnd is 21 year she had unprotected sex a week back now she is getting milk fro her breast what may be the reason.
Unlikely due to unprotected intercourse. Could be due to some hormonal changes. If it's not significant, do not press n try to extract more. If it continues, consult a gynaecologist personally for some hormonal study.
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How to get a baby girl while having sex with wife.

Advanced Aesthetics
Ayurveda,
How to get a baby girl while having sex with wife.
If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You?re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it?s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there?s always sperm waiting in the fallopian tubes to meet the egg when it?s released. any queries consult privately
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Terrible pain during the second day of periods which only goes away after taking injection. The pain is so worse that it always makes me vomit. I have had all sort of tests and have tried on a lot of medications but nothing works for me.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Terrible pain during the second day of periods which only goes away after taking injection. The pain is so worse that...
if there is severe pain then you can opt for contraceptive pills , specially low dose.and also get yourself checked for infection
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