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Dr. Nimish Tutwala

Gynaecologist, Mumbai

350 at clinic
Dr. Nimish Tutwala Gynaecologist, Mumbai
350 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Nimish Tutwala
Dr. Nimish Tutwala is a renowned Gynaecologist in Western Express Highway, Mumbai. You can visit him at SAI Swayam Maternity & Nursing Home in Western Express Highway, Mumbai. Book an appointment online with Dr. Nimish Tutwala and consult privately on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 34 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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Shop No 7 To 12, Nalanda Society,Off Western Express Highway, Malad East,Landmark:Near SAI Baba Temple, MumbaiMumbai Get Directions
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Scarless Abdominal Surgery

Fellowship in HPB and Transplant surgery, Fellowship in HPB oncology, M.Ch - Surgical Gastroenterology/G.I. Surgery, Membership of the Royal College of Surgeons (MRCS), MS - General Surgery
Gastroenterologist, Hyderabad
Scarless Abdominal Surgery

HOW CAN SURGERY BE SCAR LESS?

It is not possible to magically perform operations without access to the abdomen. Scar less or SILS (single incision laparoscopic surgery) is an advanced technique in laparoscopy where the procedure is performed through the umbilicus instead of the traditional 4 or more laparoscopic incisions. As the incision is through the umbilicus the scar is virtually invisible. Single-incision laparoscopic surgical procedures require an experienced surgeon who is highly skilled and experienced in laparoscopic surgery.

WHAT ARE THE ADVANTAGES OF SCAR LESS LAPAROSCOPIC SURGERY (SILS)?

In addition to improved cosmetic outcomes. Single incision laparoscopic surgery leaves the patient with the potential for less post-operative pain, quicker recovery time and reduced risk of wound site infections.

DOES IT NEED SPECIALIZED EQUIPMENT?

SILS surgery needs specialised ports and instruments so that we can achieve triangulation at the surgical site. The imaging system should be high resolution with a HD or 3D camera. The most important factor is a surgeon with the large experience in these procedures both by open as well as laparoscopic route so that it can be done safely.

CAN ALL SURGERIES BE PERFORMED LAPAROSCOPICALLY?

Though a wide range of surgeries have been attempted by SILS as of now it is performed on a regular basis for few standard laparoscopic procedures such as laparoscopic cholecystectomy, appendectomy and obesity surgery. Especially for surgeries like cholecystectomy with risk of bile duct injury it should performed by a surgical gastroenterologist with in-depth knowledge of the gallbladder and bile duct anatomy and physiology.

IS IT A SAFE OPERATION?

Patient selection is very important Not every patient who wants scarless surgery can be offered surgery. Generally patient uncomplicated appendicitis / cholecystitis can undergo scarless surgery. However if local factors are not conducive safe completion of the procedure is more important than cosmesis. Patients should be prepared for conversion to reduced port or multiport laparoscopic surgery if situation warrants.

IS IT AN EXPENSIVE OPERATION?

If the patient built and local factors make it feasible to perform scarless laaproscpic surgery the cost is only marginally higher than standard laproscopic surgery because of the few additional specialized equipment used. It is definitely not much expensive compared to standard surgery.

WHAT CAN WE EXPECT AFTER SURGERY?

The surgery can be performed in about one hour with a typical hospital stay of less than 24 hours.

You will have mild pain and soreness at umbilicus with a 1.5 to 2 cm incision hidden in the umbilicus grove. Patients will probably be able to get back to normal activities within 3-4 days time, including driving, walking up stairs, light lifting and work.

In two weeks time the scar is contracts and disappear into the umbilical fold & becomes virtually invisible. You have undergone a magically scarless operation on your tummy!!

4 people found this helpful

Hi, I am 26 years old & i am having period related problem my periods are not regular from the starting 3-4 year before I took the medicine till 6 month deviry tablet I took then my period cycle got 40 days BT from Jan' 15 again i am facing problem in the periods I got periods after one & half month 2 month like this I took again deviry problem BUT again my prob is same please suggest something for my this problem.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Hi, I am 26 years old & i am having period related problem my periods are not regular from the starting 3-4 year befo...
Please furnish your blood reports and scan report if you have. You need to start ayurveda medicines along with a daily exercise routine and diet schedule.
3 people found this helpful
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Hello am 25 years old and my husband is 30 years old. My blood group is A-ve and my husband's is A+ve. Does that affect in any way as we are planning to have a baby. If there then what is the solution for that.

Gynaecologist, Patna
Hello am 25 years old and my husband is 30 years old. My blood group is A-ve and my husband's is A+ve. Does that affe...
If mother is negative and father is positive, there are chances of baby to be positive. Which in turn will be treated as foreign blood group in mother and will will cause breakdown of foetal blood and anemia. But this mixing of blood occurs during delivery or following abortion. So first baby remains safe. To protect other babies from it, an Anti-Di given following delivery.
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Simple Tricks and Tips to Manage Anxiety and Insomnia

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist, Mumbai
Simple Tricks and Tips to Manage Anxiety and Insomnia

Insomnia or sleeplessness is quite difficult to cope with and for people suffering from anxiety, it is even tougher. People suffering from anxiety remain in a state of mental and physical distress. On top of this, if they cannot sleep well because of insomnia, life becomes quite hard. Insomnia causes anxiety and also is caused due to anxiety.

Here are some simple tips to manage anxiety and insomnia:

  1. Maintain a schedule: Try to go to bed at the same time every night and wake up at the same time every morning. Experiment with several different bedtimes and wake up times to find out which one works best for you.
  2. Turn off electronic devices: Switch off all electronic devices thirty minutes before you go to bed. Electronic devices stimulate your mind and the light from the devices does not make you feel that it is time to sleep. Keep the devices away from you while going to bed.
  3. Dim lights: Practice dimming all lights in your house before bedtime. Change light bulbs and replace them with low wattage lights. This will enable you to have lights, although they are dim. Low lighting will make your body produce melatonin to make you prepare for sleep.
  4. Keep away from alcohol and smoking: Consuming alcoholic drinks before bedtime reduces your quality of sleep and you may wake up within two hours. Do not consume alcohol before bedtime. Smoking should be restricted before sleeping, as the nicotine contained in cigarettes is a stimulant, which can take away your sleep.
  5. Ignore caffeinated drinks: Caffeine is a stimulant and consuming caffeinated drinks before going to bed can result in losing sleep. Do not drink coffee before sleeping.
  6. Exercise: Exercise is a perfect solution to reduce anxiety and results in improved sleep quality. Exercise regularly during the day or three to four hours before bedtime. Yoga and meditation performed just before going to sleep are effective.
  7. Make a pre-sleep ritual: Try to find ways, which would help you calm your mind just before going to sleep and practice it every day. This can be reading a book, taking a hot shower or listening to your favorite songs. Your mind will be relaxed, and you will get better sleep.
  8. Maintain a sleep journal: Keep a sleep journal and write about the time when you go to sleep and when you wake up. Also note down the time you require to fall asleep, the number of times your sleep breaks and how your sleep was. This will enable you to observe your sleep patterns and make adjustments.

For people suffering from anxiety, added insomnia results in enhanced difficulty. One should cope with the problems properly and try to improve upon them.

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When the baby is in her mother womb there will be some liquid waste in her mother womb. Then how baby will survive? Does that liquid doesn't go to her mouth, nose, eyes etc. Please explain ne doctor.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
When the baby is in her mother womb there will be some liquid waste in her mother womb. Then how baby will survive? D...
Yes. Once babies develop cardiac and renal systems, their kidneys begin to process fetal blood flow and create urine, which is subsequently peed out into the surrounding amniotic fluid. Fetal urine is a big source of amniotic fluid past the first few months of pregnancy! As for where it goes...babies constantly swallow and process amniotic fluid over and over throughout gestation, which means just about every human being has swallowed and digested their own pee. Medical implications of this: one of the causes of polyhydramnios (too much amniotic fluid) is when a baby is unable to swallow. On the other end of the spectrum, oligohydramnios (too little amniotic fluid) can be caused by fetal kidney failure.
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Due to office tensions I am unable to active on bed, my husband disappointing with me. So please suggest some tablets for increasing my mood. Please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Due to office tensions I am unable to active on bed, my husband disappointing with me. So please suggest some tablets...
Homoeopathic medicine ONOISMODIUM Q ( Dr Reckeweg) Drink10 drop in 20 ml fresh water 3 time daily for 30 days.
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I am suffering from PCOD problem, I tried all the way even patanjali medicines also but there is no improvement in my problem, my periods running continuously till 3 months, I need to take medicines every time to stop, my weight is 77 kg, I am trying to loose from last 1 years but didn't get any result, because of this problem I am not able conceive its being 5 years of my marriage ,please give some solution for my problem.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
I am suffering from PCOD problem, I tried all the way even patanjali medicines also but there is no improvement in my...
Hi Priyanka...PCOD does cause menstrual irregularities and difficulty in conception.And the first line of treatment is weight loss .U are very young. Get yourself investigated properly and you would be fine
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Hi i am 20yr old girl till february my period was regular and normal. But last month I missed my period and till now I won' t get period. So can you please suggest me any medicine for it

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
You, madam, are unfortunately grossly over-weight and that can cause multiple problems now and more so in the future. Missing your period is nothing compared to the problems facing you as you age a bit. And I can assure you 99% of the weight problem is in the mind. Consult privately to set a routine to a healthy life, and not a list where visits to the hospital is on the top of your list. Dr. J tikari
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I have to do sex with my virgin gf. What should I do if bleeding occurs? Should I try anal sex also?

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
HAVING COMMITTED ANAL SEX MAY GET BACTERIAL INFECTION WHERE BY YOU WILL BE JUST REPENTING . ITS NOT FIRST TIME EVER ONE WILL HAVE VIRGINAL SEX. IT COULD BE PAINFUL LITTLE BIT FIRST TIME GETS SMOOTH FURTHER. SO ANAL SHOULD NOT BE TRIED . WISH YOU GOOD HEALTH.
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My wife is 17 weak pregnancy, uterus stitched 3 weak ago, can us do sex this time? Can do Oral sex this time?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. Definitely please don't force your wife for penetrative sex as well as oral sex at this moment. Women get irritated and stressed when men compel them for oral sex. They don't like oral sex at all. Instead, ask her to assist you masturbation, if you need to. Take care.
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Hello Dr. I am suffering from rubella. Mera ek baby h bt 2-3 baar miscarriage ho chuka h .mjhe conceive krne k liye kya krna chahiye. Iska treatment h?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello Dr. I am suffering from rubella. Mera ek baby h bt 2-3 baar miscarriage ho chuka h .mjhe conceive krne k liye k...
Hello- Agar apko rubella hua hai to ye future mai apki pregnancy ko abort kar sakta hai. Rubello ko puri tarah se apke system se bahar nikalne k liye apko ayurrvedic immuno booster medicines start karni hongi, isse apke sharir se rubella toxins bahar ho jaenge sath he apke uterus ki implantation power badh jaegi jisse ki miscarriage nahi hoga.
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I had a unprotected sex with my wife on 21/03 and I gave unwanted 72 with in 2 hrs. And again we had unprotected sex on 08/04 and this time no pill was used as it is safe period. Her periods are expected to be from 13th to17 th of every month (28 days regular cycle) but her periods are not yet started. Is there any chances of pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had a unprotected sex with my wife on 21/03 and I gave unwanted 72 with in 2 hrs. And again we had unprotected sex ...
Periods may get delayed or irregular because of ipill. If they miss by 7 days then please get urine pregnanc test done and keep repeating it every week till she gets menses. Safe period is not very reliable as sometimes ovulation gets delayed.
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I am a 18 year old girl and I missed my period this month, I had a contraceptive pill. I am really worried now. What do I do?

MBBS
Sexologist, Panchkula
Get your urine done for pregnancy test if you had sex if the test is negative then wait for menses, it will come but could be late.
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My wife is 21 week pregnant and gone with cervical stitches at 13 week, now in test it sugar level shows 160 fasting, what will I do. There are 40-50 pus cells also reported in urine and traces of sugar.

MBBS
General Physician, Mumbai
We have to treat her urinary tract infections with antibiotics and make sure her sugar levels are within normal limits.
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Me & my bf had sexual relationship last month after that I had my periods after three days now even this month I had periods But its never regular as I am suffering poly cyst ovaries will i have chances of pregnant.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
PCOS is due to a combination of genetic and environmental factors. Risk factors include obesity, not enough physical exercise, and a family history of someone with the condition. Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cysts. Cysts may be detectable by ultrasound. Other conditions that produce similar symptoms include , hypothyroidism, and hyperprolactinemia.they need to be ruled out first. Treatment may involve lifestyle changes such as weight loss and exercise. Birth control pills may help with improving the regularity of periods, excess hair, and acne. Efforts to improve fertility include weight loss, clomiphene, or metformin. In vitro fertilization is used by some in whom other measures are not effective. Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation, Not all women with PCOS have difficulty becoming pregnant. For those that do, anovulation or infrequent ovulation is a common cause. Other factors include changed levels of other hormones in body. Like women without PCOS, women with PCOS that are ovulating may be infertile due to other causes, such as tubal blockages due to a history of sexually transmitted diseases. For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate and FSH are the principal treatments used to promote ovulation.Previously, the anti-diabetes medication metformin was recommended treatment for anovulation, For women not responsive to clomiphene and diet and lifestyle modification, there are options available including assisted reproductive technology procedures such as controlled ovarian hyperstimulation with follicle-stimulating hormone (FSH) injections followed by in vitro fertilisation (IVF)
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I recently had my normal delivery on april 18. My weight before pregnancy is 55kg. In the 9th month it is 69kg. My weight now is 66kg. My thighs, hips, abdomen and arms are looking fat. What should I do to get back to my normal weight. Thanks in advance.

Advanced Aesthetics
Ayurveda, Gulbarga
Regular exercise is great for building muscle and losing fat, but if you want to see real weight-loss results, what you eat matters. But dropping pounds isn't about depriving yourself ? it's about choosing the right foods that satisfy without the calories. Revamping your diet is an important place to begin if you want to lose weight. Cinnamon Even just a small amount of cinnamon has been shown to help regulate blood sugar levels, curb cravings, and boost metabolism, so sprinkle some in your morning coffee or smoothie for a little boost. Apples are one of the fruits that are highest in pectin, a soluble fiber that helps you feel full and satisfied. Eat an apple as a snack, and you may just feel like eating a little less when it comes time for your meal. Green Tea Sipping green tea throughout the day is a great way to boost your metabolism and suppress your appetite while also hydrating you to keep your body in tip-top shape. Potatoes They may be full of carbs, but potatoes aren't the enemy. A 2008 study found that potatoes are the food that helped people feel the most satisfied. The skin of a potato is full of fiber and the starch doesn't have a ton of calories, meaning potatoes can be part of your diet ? just make sure you eat the skin and hold the melted butter, sour cream, and bacon bits! Soup Broth-based soups are a healthy eater's best friend; they fill you up, are relatively convenient, and are low in calories. Look for a low-sodium, BPA-free can, or make a big pot of these healthy soups to eat throughout the week. Pears Like apples, pears are high in the fiber pectin, which has been shown to help suppress appetite. Grab a pear (skin on) when you're feeling peckish to curb your cravings for vending machine fare. Salsa A simple, homemade salsa is full of fresh ingredients as well as flavor. You can add the condiment to salads or as a topping on lean meats like fish or chicken for a satisfying meal without high-calorie condiments. Oatmeal Swap your breakfast cereal for a bowl of oatmeal, and you just may see the pounds disappear. A recent study found that those who ate oatmeal instead of cereal consumed the same amount of calories but felt fuller longer and more satisfied, thanks to oatmeal's high fiber content. for exercise and diet chart consult privetly
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My Lmp was 10th march. Then 20 april I took duphaston 10mg for 5 days as per Dr. advice but still I did not get period. Last year I had pcod but last 6 month I got regular period 30 to 35 days. Pls give me suggestions.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
My Lmp was 10th march. Then 20 april I took duphaston 10mg for 5 days as per Dr. advice but still I did not get perio...
Hello lybrate-user.. If progesterone alone has not helped you need to add estrogen to the treatment as well. But before that please get an ultrasound scan of pelvis done to see for endometrial thickness. All the best.
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My wife had an caesarian procedure on 01.05. 2015. Our baby (daughter) born complete healthy. Dr. Advised my wife to take cerazette 75 daily. My baby is being breastfeed ed by my wife exclusively. Now for the last three days, my baby is vomiting continuously even after taking domostol drop. Child specialist is suggesting, that it may be a side-effect of consuming those contraception pill (cerazette 75m). We do not have any reason to take contraception, as getting pregnant is least of our worries. We are staying separate in these three month for job purpose. So, my question is, can the cerazette tab be harmful to my baby by any means? and if my wife stop that tab on her 15th day, will that be better in any scenario, or it may be harmful to my baby.;

C.S.C, D.C.H, M.B.B.S
General Physician,
Cerazette does not influence the production or the quality (protein, lactose, or fat concentrations) of breast milk. However, small amounts of etonogestrel are excreted in the breast milk. As a result, 0.01 - 0.05 microgram etonogestrel per kg body weight per day may be ingested by the child (based on an estimated milk ingestion of 150 ml/kg/day). Limited long-term follow-up data are available on children, whose mothers started using cerazette during the 4th to 8th week post-partum. They were breast-fed for 7 months and followed up to 1.5 years (n=32) or to 2.5 years (n= 14) of age. Evaluation of growth and physical and psychomotor development did not indicate any differences in comparison to nursing infants, whose mother used a copper-iud. Based on the available data cerazette may be used during lactation. The development and growth of a nursing infant, whose mother uses cerazette, should, however, be carefully observed. For your child you give emeset syrup 2.5ml and inform me, privately.
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Hello, I am 30 yrs, 12 weeks pregnant (LMP: 6/6/2016). I am feeling very horny and masturbating by rubbing my clitoris for around 5-7 min. Will it harm my baby or causes abortion. Please kindly help.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hello, I am 30 yrs, 12 weeks pregnant
(LMP: 6/6/2016). I am feeling very horny and masturbating by rubbing my clitori...
.Better to avoid this type of activity ,further it may cause itching . as such it will not harm the baby if your pregnancy is not having any complication.
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I have safe sex on 18 nov my date is on 29 of evry mnth. My date is late by 10 days. I have tryd everything. I have taken 4 pregnancy test in 3 days gap all r negative. I have also done wid blood test it is also negative. Please help wt has happen y I m nt getng my periods.

DGO, MBBS
Gynaecologist, Surat
I have safe sex on 18 nov my date is on 29 of evry mnth. My date is late by 10 days. I have tryd everything. I have t...
Occasional delayed periods are common .may be due to an ovulation /delayed ovulation / ovarian cyst / hormonal imbalance. Please consult gynaecologist. Nothing to worry much.
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