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Dr. Nargis Rajebal Pethani

Gynaecologist, Mumbai

Dr. Nargis Rajebal Pethani Gynaecologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nargis Rajebal Pethani
Dr. Nargis Rajebal Pethani is a popular Gynaecologist in Mumbai, Mumbai. She is currently associated with Pethani Clinic in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Nargis Rajebal Pethani on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 41 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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J J Road, Opposite Goodluck Motor Training School, Byculla, MumbaiMumbai Get Directions
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Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.
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IS "LOW FAT" A Healthy Choice" ?

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
IS "LOW FAT" A Healthy Choice" ?
The Truth behind Low Fat Food Products!


“Now -a -days there been a boom in low fat products like fat free desserts, low fat biscuits, calorie counted ready meals. But while our shopping baskets are full bursting with this guilt free foods, our waist lines keep getting bigger.
Find the reason given below:
We all need some fat in our diet, not least because it makes our food palatable and tasty but is essential for our body, In low fat products altering the oil used for producing low fat foods, manufacturers also found they had to increase the amount of sugar in their products so we continued to enjoy their taste and texture.
All of this meant that the typical low fat product tended to be high in carbs, might contain trans fat which are really bad for our heart and at the end of the day had a very similar calorie count to the original product.Infact when we eat foods high in carbs especially white refined ones, our bodies digest them more quickly, this can lead to blood sugar swings and cravings making it more difficult to control our overall calorie intake-which means that second or third ‘low fat’ biscuit starts to look very tempting!
A DIET TOO HIGH IN THESE REFINED CARBOHYDRATES & SUGARS CAN BE AS UNHEALTHY AS A HIGH FAT DIET BECAUSE IT INCREASES THE RISK OF DIABETES, HEART DISEASES AND CAUSES HIGH CHOLESTEROL LEVELS.
30 people found this helpful

Unprotected Intercourse and Pregnancy

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Unprotected Intercourse and Pregnancy

Unprotected intercourse can lead to a pregnancy. But chances of pregnancy depend on which phase of the cycle was one intimate.

If there is a proper period after the episode then it is impossible that you are pregnant of that episode of intercourse.

However, a similar but lighter bleeding of a couple of days also can occur at nearly the same of your periods. But Beware this maybe an implantation bleed, which is an early sign of pregnancy.

So whenever in doubt its best to check with a home pregnancy test or consult a gynaecologist as soon as possible.

7 people found this helpful

What food we should take during 2nd month of pregnancy?

PGDD, RD
Dietitian/Nutritionist,
Hey, Take your normal foods which you are comfortable with. Eat small frequent meals including cereals, pulses, dairy, fruits and vegetables. Good amount of water is essential. Avoid outside foods.
1 person found this helpful
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My wife is suffering from low blood pressure in routine she is in her 6th month of pregnancy before pregnancy she never had this problem. She is having good diet eating fruits taking rest properly but still consistently suffering from low bp is it normal or not will it put any negative effect on the baby.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife is suffering from low blood pressure in routine she is in her 6th month of pregnancy before pregnancy she nev...
bp low because of imbalance diet and nutritional insufficiency.first advice her to take proper diet rich iron,calcium,folic acid,vitamin and protein supplements.take plenty of fluid and walk in morning atleast for 15 min.try to avoid constipation.
3 people found this helpful
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A 25 years girl conceived when her thyroid was 22 points.Then she started taking treatment for thyroid and become normal . She is 3rd month now.Is there any chance that her baby will get thyroid?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Keep thyroid levels in control by taking tablets without missing to keep the baby safe. Stree woman health care centre bangalore
1 person found this helpful
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Her period happened twice in a month. Previously she had used growth on powder. What she should do? Please give advice.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Her period happened twice in a month. Previously she had used growth on powder. What she should do? Please give advice.
Hello, these growth powders are hormone based and can easily interfere with natural hormones in a woman's body and hence the changes, so please stop the supplement now. and wait for menses to regularise naturally.
1 person found this helpful
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Kegel Exercise

BHMS
Homeopath,
Kegel Exercise

The muscle you are working during kegels is called the pc muscle (pubococcygeus), and it's the same muscle you use when you control the flow of urine. Think about when you go pee then someone knocks on the door and you stop the stream of pee that muscle that you contract to stop the flow of urine is the pc muscle. Try flexing it right now.

This is also the muscle you use to hold in a fart. If you haven't found it yet, pretend you are holding in a poop  that's the muscle. When you do these, try not to flex other muscles, like your stomach or thighs. It's okay if you're squeezing your butt hole (that's part of the pc muscle), but don't squeeze your butt cheeks.
Variation

A kegel exercise routine will consist of contracting this muscle several times, at different lengths, and resting between reps. Try holding the muscle for 1 second. Try 3 seconds. Try 8 seconds. When you are new to this it is difficult and normal if you can only hold for a second or two. You will get better with time!

A workout routine will involve a few sets of these. For example, squeeze for 5 seconds, rest for 5 seconds, and do that 10 times. Now wait a minute and repeat the whole thing again. Some people prefer a static routine of 2 sets of 10 reps at 5 second holds, others come up with varying sets.

Also try doing these in different positions. Try standing up, sitting down, crouched, and in the fetal position. Try legs apart and legs closed. Some positions may be easier for kegeling than others.

Tips:
Remember to breathe holding your breathe during these will make it more difficult you may get turned on while doing these. That's fine, just go with it! you're only doing 2 things tensing or relaxing those pee-stopping muscles. It's best to do on an empty bladder, so if you have to pee, go to the bathroom before. As with any exercise, the more you stick with it, the better you become. Don't give up if you don't see results in a day you'll see results within a week!

4 people found this helpful

I had an unprotected sex since 15 days. I have missed my periods 5 days ago. What pills I had to taken to stop pregnancy. Answer me plzz?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
I had an unprotected sex since 15 days. I have missed my periods 5 days ago. What pills I had to taken to stop pregna...
Hi please confirm your pregnancy with urine pregnancy test like velocit kit first and if it comes positive than only you need to take medicine thanks.
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She has white bleeding and she fearing that she has pregnancy. Is it real that she has coming pregnant.

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
She has white bleeding and she fearing that she has pregnancy. Is it real that she has coming pregnant.
Hi if she has missed periods means her menses did not come on due date than she can be a pregnant otherwise not. She should do urine pregnanacy test after 5 days of missed period to know weather she is a pregnant or not. If its comes negative than be relax nothing to worry thanks.
1 person found this helpful
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My wife had Cesarean, her is inverted nipple, baby can't suck milk, We used breast pump, but milk not coming. Sometimes will get about 30 to 40 ml, which food should she eat to increase milk.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello- Due to improper diet and daily schedule the milk producing and ejaculating hormones of the body does not work properly, however certain dietary alteration and herbal medications can improve the quantity of breast milk. -Start a full ilk diet schedule of feeding mother, no food just milk (cows milk if possible) -Avoid late night workout and hot environment. -Massage body with Ksheer Bala oil daily. -Start herbs like Shatavari etc along with the milk. These ayurvedic herbs promote milk production and secretion and also normalizes the hormones in the body.
1 person found this helpful
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My cousin is diagnosed with chemical imbalance in neurotransmitter from two months. Doctor has advised her medicine risperdal 1mg. After 10days she was fine. Her response was good by taking this medicine at night. Now almost one and half month she is taking and She is getting better day by day. She is 18 Year old. She is studying, watching TV, going for walk and going for dance as well but her energy is low as it was before. Kindly suggest what we HV to do to bring that energy level.

MBBS
General Physician, Chandigarh
My cousin is diagnosed with chemical imbalance in neurotransmitter from two months. Doctor has advised her medicine r...
slowly she will regain her energy also please keep her under the constant care of the doctor who is treating her and follow his advice that is very important you should feel free to ask any doubts related to her problem from her treating doctor.
1 person found this helpful
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I am 50 years old female diagnosed with cervicitis in ultrasound scan. My mother 74 yrs of age was diagnosed with ovarian adenexa mass and was operated and without chemo on tomaxifen leading normal life. Do I hv any chance of having cancer in life as I have heard it is in genes,

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
ovarian carcinoma can have a family history. All u need to do is yearly pap smears and if normal every 3 yrs. plus a routine ultrasound every year to look for ovarian mass. if u are too anxious u can even undergo hysterectomy on these grounds if u don't want a follow up.
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Marriage at the age of 38. Eight months passed not able to conceive. AMH levels fluctuating.in march 16 it was 6.8,june 16 it was 3.2 and now in aug 16 it is 7.2.what it shows? TSH is 3.0 prolactin 11 estradiol 60.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Marriage at the age of 38. Eight months passed not able to conceive. AMH levels fluctuating.in march 16 it was 6.8,ju...
lybrate-user, All the hormonal levels mentioned are within normal limits, except TSH. To help conception to occur, it has to be less than 2 mU/L. AMH levels can fluctuate. Thanks.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Vaginal wash
A combination or standalone mineral and/ or herbs has proven excellent for vaginal wash to cure infections of different aetiology especially white or yellowish thick discharge. Though for complete treatment oral medicines are recommended but sometimes patient is not mentally ready to start proper course of treatment.
In such cases we recommend adopting vaginal wash approach for instant results. However its not the complete regime. At least patient feels relief to a large extent. Cost is very economical i.e. As low as INR 10/- per wash.
1 person found this helpful

Early pregnancy ke lie kya karna chahie ?

MBBS, DGO (cal)
General Physician,
Are you pregnant and asking, what is to be done during early pregnancy? or you want to be pregnant at an earliest? I could not understand. If it is first part, have a check-up by gynecologist - you need some baseline investigations, do that, have regular check-up as per his/her advice. For the second part follow what every couple do. If you are not pregnant within two years after trying, consult gynecologist to find out the reason.
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I am 8 months pregnant. My sgpt is48 n my sho t is 37. I have been prescribed fortibile. Can I continue taking cashewnut n kismis.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I am 8 months pregnant. My sgpt is48 n my sho t is 37. I have been prescribed fortibile. Can I continue taking cashew...
Hello, your lft are being raised and borderline and one must be careful in developing ihcp and have to be vigilant for excessive itching over the body, palms and soles specifically. Avoid cashew and kishmish till delivery.
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I want entire details of ladies period. When can we have sex during which days, so as to avoid pregnancy. And sex on which days shud b avoided. Like 14th day of period cycle.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
I want entire details of ladies period. When can we have sex during which days, so as to avoid pregnancy. And sex on ...
Hello lybrate-user you have to avoid contact between 8th day to 24th day of cycle to avoid conception.
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I am 24 year old women and I want information about anal sex. How we can do safe anal sex.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am 24 year old women and I want information about anal sex. How we can do safe anal sex.
Madam lybrate-user, Although Anal sex is not good for better health, because more chances for infection and other S.T.D.like as Aids, anal erosion, injury may be. If you like this act safely, you may perform it with condom.
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I am trying to conceive baby from last 6 months but able to do it. I wan to understand more about IVF and surrogacy.

MBBS
General Physician, Mumbai
I am trying to conceive baby from last 6 months but able to do it. I wan to understand more about IVF and surrogacy.
In surrogacy your ovum and your husbands sperm are first selected and than an embryo is developed and that embryo is transferred to a woman who can rent her uterus through ivf procedure and can bear the consequences of pregnancy and genetically it is your own child
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