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Dr. Nishal

Gynaecologist, Mumbai

200 at clinic
Dr. Nishal Gynaecologist, Mumbai
200 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nishal
Dr. Nishal is a popular Gynaecologist in Mumbai, Mumbai. You can visit him at Fonsecas Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Nishal 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 25 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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English
Hindi

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Nitya Sahaya Mari Nagar, Mahim. Landmark: Opp Mahim Railway Station, MumbaiMumbai Get Directions
200 at clinic
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Hello dr! main 5 month pregnant hu. Mera hemoglobin 8.1 hai blood test me beta thalassemia minner aaya hai, or koe problem nhi h mujhe pregnancy k doran. Aap mujhe sahi diet bataiye taki mera hemoglobin improve ho sake. Kya beta thalassemia k karn mujhe normal delivery m dikkt ho sakti h? please guide me!

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello dr! main 5 month pregnant hu. Mera hemoglobin 8.1 hai blood test me beta thalassemia minner aaya hai, or koe pr...
Pahle to aapka serum ferritin, total iron binding capacity or serum iron karado jisse iron dena hai ya nahi nakki hoga. Dusara husband ki check up karalo unko thalasaemia hai ki nahi. Aapke bhai bahan or maa baap ki check up unki health ke liye kara do. Khana sake liye hai vaisa green vegetables, jaggary vala achha. Iski vajah se delivery me koi special dikkat nahi hoti.
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Obesity - Possible Causes Behind it

Msc. - Food Science
Dietitian/Nutritionist, Bangalore
Obesity - Possible Causes Behind it

According to WHO a third of the world population is obese, obesity is caused by overeating, lack of physical activity, age factor, hereditary and sometimes malfunctioning of the endocrine glands causing excessive fat accumulation. Food is meant to generate energy in the body so as to enable each and every organ to discharge its individual functions. To avoid overeating one has be careful about portion control and eat at a fixed time. Each meal should have a combination of carbohydrate 50 to 60 % of total calories + protein 35 to 40% of total calories and fat 20 to 25% of total calories. Dietary fibre of 25 to 30 grams a day can obtained from whole grain, fruits and vegetables should also be taken in sufficient quantities as it imparts a sense of satiation and reduces the food intake.

Indian diets are usually high in carbohydrates leading to higher incidence of diabetes. This can be countered by increasing proteins in each meal along with fibre,which gives a controlled balance to sugar levels in the body. Use unsaturated vegetable oils like olive, rice bran, soyabean and sunflower oil to maintain and reduce cholesterol and maintain heart health along with Omega-3 from flax seed, nuts (almonds and walnuts) or fish oil supplements, including vegetable juices in your daily diet improves the antioxidant level and fibre in the body and helps in weight loss.

How to make meal plans customized to your BMR

Step 1 - Calculate your BMR

Women's BMR Men's BMR     
655 66
+ (9.6* of your weight in kilos) + (13.7* your weight in kg)
+ (1.8*your height in cm) + (5*your height in cm)
- (4.7*your age in years) - (6.8*your age in years)
= ___________ Calories per day = ___________ Calories per day

Step 2 - After calculating your BMR ,and to start weight loss cut 200 kcal from your BMR.

For example if your BMR is 1600 kcal choose a meal plan that is 200 kcal lower I.e is from 1200 to 1400 calorie meal plan.

The main meals should be three meals like your breakfast ,lunch and dinner and the in between meals should be like fruits ,veg juice ,dry fruits,dry bhel , roasted chana, a slice of cheese ,which are not very dense in calories and high in nutrients.

STEP 3 - Eat every two hours with three main meals and three small meals.

STEP 4 - Drink plenty of water through the day at least 8 to 10 glasses.

Exercise - Lack of physical activity means there is no energy output and this results in weight gain over the period of time because as we age our BMR reduces (basal metetabolic rate : that is total number of calories your body requires for normal body functions excluding any activity factor like exercise, BMR is the energy used for metabolic process of maintaining life itself and usually accounts for two thirds of total daily expenditure ). To maintain a healthy weight increasing the BMR is essential and this means increasing the muscle mass over the fat mass as 1 pound of muscle burns 6 calories at rest and 1 pound of fat just 2 calories. Increasing muscle mass can happen only through physical exercise and adequate protein in the diet thereby, increasing fibre and reducing fat in the diet.

Advantages of Physical Activity

  1. Helps to keep digestive system in optimum condition
  2. Improves cardiac rhythm and output
  3. Maintains flexibility of body
  4. Energies blood vessels and does not allow cholesterol deposits and improved heart health as it does not allow fat accumulation
  5. Improves peristaltic action of intestine and rectum and removes constipation
  6. Helps in improving insulin resistance in the body especially in PCOD and PCOS (polycystic ovarian syndrome)
  7. Maintains the sugar levels in diabetic patients

Other Causes of Obesity

  1. Age factor: Obesity is generally prevalent in the middle age as the BMR reduces as a person ages especially if he or she does not exercise, but weight gain can be gender specific as women have more fat mass and the weight gain during pregnancy is common due to increase in fat in the diet, but in recent years there has been a rapid rise in obesity in children and teens due to over indulgence in junk and fast foods, which have high amounts of refined carbohydrates and hydrogenated fats. Heredity also plays an important role in fat accumulation. Children of obese parents do have high chances inheriting obesity from their parents as genetic factor could be a contributing factor rather than excessive food. In such cases physical activity plays a very important role for weight loss
  2. Untreated Hypothyroidism: Hypothyroid causes a drop in the BMR and increase in fat percentage and if untreated can cause weight gain, but once on medication they have improved metabolism.
  3. Drugs: Use of oral contraceptives, steroids, insulin and phenothiazines is generally followed by weight gain to stimulation of appetite.
  4. Alcohol: Alcohol is just empty calories and 1ml of alcohol gives 7 calories and this causes weight gain along with the fat laden food eaten while having alcohol, overeating is usually a consequence of drinking leading to weight gain and drinking coupled with smoking increases the lipid levels in the body affecting the heart health
  5. Fasting and Yo Yo Dieting: The process of losing weight and gaining weight several times throughout a life time is often characterised by increased fatness with each cycle (Krause food and nutrition therapy). Fasting is dropping calories to less than 600 to 800 over a period of time, which causes starvation and breakdown of muscle mass and lowering of BMR and once one gets back to normal diet there is sudden surge in weight which then gets difficult to rid off.
  6. Water: Incredible as it may seem water is a very important catalyst in weight loss,water suppress the appetite naturally and helps metabolise stored fat. Drinking water is best for fluid retention caused due to excessive intake of salt, the more water you take, more it dilutes the excess salt and reduces the fluid retention. Eight to twelve glasses of water in a day is the optimal intake.
  7. Stress: Stress is a another precipitating factor for weight gain which causes damage to the heart. Excessive stress causes an increase in cortisol and thereby, increase in fat percentage in the body and weight gain. An emotionally charged and highly strung nervous system can adversely affect the coronary arteries and deteriorate the heart. If you wish to discuss about any specific problem, you can consult a doctor.
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I am Having tingling sensation around my breast and under arm previously I have some itching around nipples and pain that comes and goes please tell what it is and is it serious.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
I am Having tingling sensation around my breast and under arm previously I have some itching around nipples and pain ...
NO ITS NOT SERIOUS. BREAST TISSUE OFTEN CONSERVES WATER AND SO THE HEAVINESS AND TINGLING SENSATION. YOU CAN USE CAP. PRIMROSE OIL TWICE DAILY FOR AND MONTH AND THAT WOULD TAKE CARE OF EVERYTHING
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I am 36 years old female & 6 months pregnant now. I get burning sensation if I eat anything after 6 pm. Also I am not even able to drink water in night, immediately I vomit.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 36 years old female & 6 months pregnant now. I get burning sensation if I eat anything after 6 pm. Also I am not...
This is a common problem in pregnancy. But this time, you should not take any drug without consulting your doctor. You need cold water and some drugs to stop acidity- also needs some diagnostic tests.
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We have married since last 2 year. I was taking Yasmin contraceptive to stop pregnancy. Now from last 2 moths I was stop taking because we are planning for baby now. We had intercourse also in last two moths but seems no result yet. My periods are now 45 days longer after stopping Yasmin bf4 it was 28-30 days. Last period date was 10th may and stop on 17th may. So can you please suggest on which day should we intercourse to get quick conceived.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
We have married since last 2 year. I was taking Yasmin contraceptive to stop pregnancy. Now from last 2 moths I was s...
From your 10th day of periods to 22nd of periods is time of ovulation ova is mature that time. You will have more chance of pregnancy. You can wait atleast 5-6 month for carrying pregnancy, if after that you have problem for conceiving then visit to doctor.
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What precautions to take for having baby without complications? Please advise.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist,
What precautions to take for having baby without complications? Please advise.
There are lot of precautions depending on stage of pregnancy or even prior to pregnancy that is why you must repeatedly go to obstetrician.
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My wife has chocolate cyst, will it makes any problems in pregnancy.

B.H.M.S., Senior Homeopath Consultant
Homeopath,
Please give her con. Mac 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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I have irregular periods there is a gap of almost 3 months. I have been to hospital got to know I have pcos. I'm working women don't have time to workout. Please advise what should I do. Is there any problem due to irregular periods. Even I have thyroid.

MBBS
General Physician, Jalgaon
I have irregular periods there is a gap of almost 3 months. I have been to hospital got to know I have pcos. I'm work...
Please Avoid using vehicle whenever possible, go by walk Do yogasanas and pranayam daily Take carrots, papita, dates, beet root, green leafy vegetables daily Avoid late dinners Take Ashokarishta 20 ml twice a day for 6 mths Cap evecare by Himalaya 2 2 for 6 mths Lohasav 10 ml twice a day for 6 mths
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Sir I am trying for baby. But not conceive. First week they feel all type of symptoms but second week they feel nothing and finally period come .whats reason please give me advice.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Sir I am trying for baby. But not conceive. First week they feel all type of symptoms but second week they feel nothi...
Pregnancy is possible only on one day of cycle meaning on day of ovulation. So couple has to give enough time to nature i.e. 12-24 months. If this time is given or if you are impatient it needs examination of both, reports of both so meet Gynecologist or infertility specialist. In that case also must have patience as reports and treatment both take time.
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My wife is pregnant of 06 month 01 month. Problem is that- she discharge on regular basis automatically. She has ejaculate with very thick and white thing. Is this normal thing or has some major problems. Her consultant doctor said this is normal thing. Kindly advice. DOB- 16-10-1987.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
My wife is pregnant of 06 month 01 month. Problem is that- she discharge on regular basis automatically. She has ejac...
Hi,during pregnancy secretions will be more.There will be increased white discharge.But if it is associated with itching,foul smelling then it is infection.If it is fluid around baby it will be reflected in her ultrasound.Atleast once have a check up with the gynecologist who can see the discharge and decide what it is.
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Hello doctor. Sometimes I am having pain in my lower stomach during periods. And I took medicine. But my friend told me that in period its harmful to take medicine even I will not able to get pregnant after marriage. Is this true Dr. Please help.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Hello doctor. Sometimes I am having pain in my lower stomach during periods. And I took medicine. But my friend told ...
Your troubles become a bit complex. I need some details from you. Come privately in lybrate. If not possible take pulsatilla 200 2 doses / in morning in difference of 15 mins. Before 7 days of app period date.
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I am 18 and staying in hostel. I have a severe dandruff problem and hair fall too. And a delayed periods. Could it be bcos of this. I need some solution:-s.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
delayed periods and dandruff are not related. delayed periods could be because of faulty dietary habits and lack of exercise or recent onset of weight gain. u can use a anti-dandruff shampoo and wash hair more frequently.
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Home Remedies For Abdominal / Stomach Pain

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Home Remedies For Abdominal / Stomach Pain
Take anardana (pomegranate seed) and apply some black salt and kali mirch (peppercorns) powder on these anar seeds. Use these seeds in stomach ache or abdominal pain.
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I m 22year old my wt is 50kg. I always suffers from white bleeding before my date due to this my period not come regularly missing sometime and due to this I have many blocked on my face what can ido please help.

BAMS
Ayurveda,
I m 22year old my wt is 50kg. I always suffers from white bleeding before my date due to this my period not come regu...
it is swet pradar in ayurveda , there may be some medical problems, lack of proper nutrition, external factors, digestion/metabolism issue etc etc we need to find the cause of your problem to treat it kindly take my appoinment so that I can take your case details and suggest you some solution.
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Know More About Injuries

MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
Play video

Know how Knee and Back injuries can be treated

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Hello, I am 32 years female , I gone through from molar pregnancy after this treated I have normal menstruation but from one an half month I have no periods . Hope its not a problem. Please suggest.

BHMS
Homeopath, Faridabad
Hello,
I am 32 years female , I gone through from molar pregnancy after this treated I have normal menstruation but f...
Hi, Get a pregnancy test done to rule out pregnancy first. If you are not pregnant, other causes of missed or irregular periods include: Excessive weight loss or gain. Although low body weight is a common cause of missed or irregular periods, obesity also can cause menstrual problems. Eating disorders, such as anorexia or bulimia. For more information, see the topic Anorexia Nervosa or Bulimia Nervosa. Increased exercise. Missed periods are common in endurance athletes. Emotional stress. Illness. Travel. Medicines such as birth control methods, which may cause lighter, less frequent, more frequent, or skipped periods or no periods at all. Hormone problems. This may cause a change in the levels of the hormones that the body needs to support menstruation. Illegal drug use. Problems with the pelvic organs , such as imperforate hymen, polycystic ovary syndrome, or Asherman's syndrome. Breast-feeding. Many women do not resume regular periods until they have completed breast-feeding. Other diseases such as irritable bowel syndrome, tuberculosis, liver disease, and diabetes can cause missed or irregular periods, although this is rare. Any nutritional deficiency can also lead to Menstrual problem/ irregularity. Take more of green vegetables, nuts, salads, seasonal fruits, yellow coloured veggies, milk & milk products, plenty of water and enough of sleep & rest. Take homoeopathic medication – Schwabe's Five Phos. And Alfaalfa Tonic – both thrice daily for 1 month.
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Freckles

PGDFM, Fellowship in lasers and Aesthetic medicine , MBBS
Aesthetic Medicine Specialist, Delhi
Freckles

What are freckles?
Freckles are little brown spots on the skin that are caused by the sun. 
We all have pigment-producing cells in our skin called melanocytes. These melanocytes produce melanin pigment and feed it to the normal skin cells that form the outer barrier of the skin. When our melanocytes become damaged by the sun, we produce freckles, which are simply abnormal collections of melanin pigment in the skin.
 

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I have completed 5 years of marriage. I have mild endometriosis problem .I have done 2 time iui and laparoscopy in April 2016. Doctor said ovaries are little bit weak and fallopian tubes are thin. So I am taking medicine from last 3 months. Doctor said, take these for next 3 months more. After that they will go for IVF. So what should I do. My medicines are Endofine, glycomet and pcosite.Please tell.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
The medicines you are taking are to improve the blood flow to the uterus and ovaries and also to treat poly cystic ovaries. Since you are already 34 years and completed 5 years of your marriage I feel you must fast track your treatment process. That is if you are very keen to have a baby in your life better to go for ivf in a good centre.
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Dear sir, Me and my girlfriend had unsafe sex almost 10 days prior this date. She took i-pill just after the day we had last sex but she haven't got her periods yet Though her date normally starts in middle of the month. How can we know whether she is pregnant or not or is their anything we could do o eliminate the chance of pregnancy after almost two week of sex.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Dear sir,
Me and my girlfriend had unsafe sex almost 10 days prior this date. She took i-pill just after the day we h...
If she has missed her scheduled period this month after you had sex, then chances of pregnancy should be ruled out. Ask her to do a urine pregnancy test at home. If it's negative you need not worry and just wait fir another week or so for the periods to begin. If the test is positive, without any delay, consult a gynaecologist, get examined and investigated to confirm the exact duration of pregnancy, in order to decide the most safe and effective method of termination, if desired by you both.
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