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Dr. Puspa Tainwala

Gynaecologist, Mumbai

Dr. Puspa Tainwala Gynaecologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Hi, I am having vitamin d3 and b12 deficiency and also thyroid is there is it safe to conceive.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, I am having vitamin d3  and b12 deficiency and also thyroid is there is it safe to conceive.
yes..if your thyroid level is in normal range you can conceive. take regular consultation with gyne.doctor.
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Thyroid Disease in Pregnancy

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Thyroid Disease in Pregnancy

During pregnancy, hyperthyroidism and hypothyroidism become very common. The thyroid gland is an endocrine gland that is situated in the anterior portion of the neck. Its function is to produce hormones that regulate the body’s metabolism, weight, temperature of the body and the nervous system.

If you experience thyroid complications during pregnancy, you will require medical attention. In some cases, pregnancy may cause you to experience symptoms that are similar to hypothyroidism (low production of the thyroid hormone). Thus, if you exhibit symptoms such as weight loss, vomiting and frequent palpitations, do not let them go untreated.

If the thyroid problems are left untreated, they may lead to premature birth; carry risks of miscarriage, low birth weight and high blood pressure problems.

Symptoms:

In case of hyperthyroidism (excessive secretion of the thyroid hormone), the symptoms are unexplained nervousness, irregular heartbeat, slight tremors and nausea. For hypothyroidism (low secretion of the hormone), the symptoms are weight gain, constipation, muscle cramps and an inability to focus on anything.

Causes:

Hyperthyroidism occurs when the body produces an antibody that stimulates the thyroid gland to overproduce hormones. Hypothyroidism occurs when the immune system of the body starts to attack the thyroid gland, thus causing it to scale down on its hormone production.

Treatment:

  1. If you are suffering from hyperthyroidism, then an anti- thyroid medication is prescribed that helps to limit the production of excess hormones. If this does not work, then surgery may be required to remove the thyroid gland.

  2. In case of hypothyroidism, a synthetic hormone is administered that helps in boosting hormone production. The dosage of the hormone is fixed according to the needs of the body so that it does not interfere with other functions of the body.

1 person found this helpful

My wife had 1 time miscarriage done on march now we dont want baby for 3-4 months. Kindly please suggest pills for the same.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
Hi I appreciate your decision as it will give time to your wife to come to norms, both physically & mentally. 3-4 months is a short duration so best is to choose condom and second option is birth control pill. For pill, try tab. Triqullar, 1 tab. Daily, for 21 days, starting from 5th day of cycle.She must take folic acid tab daily also.
1 person found this helpful
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Hi, I am 25 years old, female weighing 99.2kg I am suffering from PCOS from last 6 years. Now days from 3-4 months I am having swelling and severe pain in ankle and legs.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Hi, I am 25 years old, female
weighing 99.2kg
I am suffering from PCOS from last 6 years. Now days from 3-4 months I ...
Dear patient, you need to control your further weight gain first for which you must do 40 mins of brisk walking daily (morning walk or evening walk before dinner) and do following diet control. Along with this homeopathic medications can help you cure this problem from root if taken regularly with detailed case taking, you can consult privately for the same with all your reports till now DO'S AND DONT'S: Avoid a sedentary life. Regular and moderate exercises daily, even for ten minutes will go a long way. Daily fast walking for 45 minutes is helpful to burn calories. Avoid a high fatty diet like cakes, biscuits, candies, chocolates, butter, cheese and sugar. Avoid fried and oily food Do not over-eat. Instead eat frequent small meals, rather than infrequent large meals with unhealthy snacks in between. Eat 3 to 4 moderate meals a day with your main meal in the middle of the day. Eat slowly. Not only will your meal last longer but it will also feel more substantial. Avoid smoking and alcohol as it predisposes a person towards obesity. Replace daily consumption of soft drinks, fruit juices and milk with 10-12 glasses of water. A simple crash diet is never an answer to obesity. Instead a balanced diet with regular exercise is advisable. Think of a permanent change rather than a short term dieting. Walking burns upto 250 calories per hour. Jogging uses about 400 calories per hour. Swimming burns upto 500 calories per hour and playing a game like squash could burn upto 650 calories per hour. Brisk walking at a pace of 120 steps per minute not only helps you to lose weight but also gives your heart and lungs a workout at the same time. DAILY CALORIE REQUIREMENTS: Men with inactive lifestyle : 2400 - 2500 cals Men with active lifestyle : 2800 - 3000cals Men with very active lifestyle : 3400 - 3500 cals Women with inactive lifestyle: 1900 cals Women with active lifestyle: 2150 cals Women with very active lifestyle: 2500 cals DIET CHART: Early morning: (6-7 am) : ? 1-2 glasses of Warm water with the some freshly squeezed lemon juice and after 15-20 mins you can have your morning tea. (preferably green tea) Breakfast: (9-10 am): Poha/upma/brown bread vegetable sandwhich/cornflakes with 1 bowl of seasonal fruits (avoid butter in sandwhich and excessive intake of bananas and chickoo) Lunch: (1-2 pm): it is better to start lunch with a small quantity of salad which can have sprouts into it. It helps your stomach to fill up enough so that you don?t bump into extra rotis when more hungry. It can be followed by 2 rotis, plate of cooked vegetables and 1 cup of dal. You can have 1 small cup of curd of skimmed milk or 1-2 glass of buttermilk. Evening snack: (5-6 pm): 1 cup tea with light snack of 2-3 wheat/oats biscuits. Dinner: 2 rotis (without ghee) with vegetables and brown rice if you want for 2 times/week in small quantities. Avoid curd at night as it causes constipation.
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My mind works very slowly and I have very low confidence ,poor memory ,low concentration, nervous and I always confuse to take any decision. I feels stressful. So please tell me that what to do for improving memory and fast work your mind and take proper decision any time

Masters in Clinical Psychology
Psychologist, Lucknow
My mind works very slowly and I have very low confidence ,poor memory ,low concentration, nervous and I always confus...
Hi lybrate-user, first and foremost you need to drop stress- get active exercise daily for 1 hour brisk walk, gymming, cardio anything of your choice. Eat more fresh fruits and green leafy vegetables and lots of dry fruits almonds and walnut specially. Write down your negative thoughts and in return write 3 positive points countering that negative thought you need to build up on your confidence and assertive skills. Consult a psychologist for sessions to be right back on track. All the best.
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I am just turned 50 year and my wife is of 43 year old. We married for the last 25 years and had active and enjoyable sex life till around 4 years ago. For the last four years my wife gradually lost interest in the act and for the two years I can say she won't have orgasms beyond couple of times. As I understood that this can be a harmonic imbalance, I tried to convince her to see the doctor, however she neither refuses outright nor express any interest in seeing the doctor. Before she gradually last interest in the act, she used to have a severe headache followed by attaining orgasm. I suppose this apart from normal hormonal changes are the reasons for near no libido. I have, with a great difficulty convinced her to see the doctor and able to take her to homiocare international, where in they promised to cure with use of long term homeopathy medicine usage. However I don't see any improvement during or after the treatment period of over year and three months. In fact I see that this problem is worsening. As I am active and felt deprived of the enjoyment, I tried to convince her to allow me to work on her to stimulate her. She is not comfortable if I tried various methods of foreplay including oral on her, however she is even more uncomfortable when I try various methods to stimulate. We are now hit the dead end. Meanwhile, due to lack of sexual enjoyment, I am restless and unable to have a good night sleep and I feel slowly effecting my overall health despite I being physically very active. I have no clue as to how to go about it. Can you please suggest how we can get back to normal situation. Every passing day, I am becoming more and more desperate and feel the need more and more. In fact she allows me to penetrate and relieve my self, despite this I am not satisfied as such I don't enjoy this one side act and looking her to be active part of this. I am feeling please help. I understand that there is a medicine which can be taken before the starting of the act to avoid headache. Please suggest.

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
I am just turned 50 year and my wife is of 43 year old. We married for the last 25 years and had active and enjoyable...
Dear , excess sex could be the basic problem. Your wife is not interested in continuous sex and I think you compelled her to do continuous or frequent sex. That irritated her and she felt several problems and pain in those acts. It is natural that she lost her interest. You wrote that she failed to have more than two orgasm. We advise for three or four sexual intercourse in a week after the age of 30. That is because you have to take care of other aspects of life like career, stress, general health, home, children, social interactions, entertainment, hobbies etc. Your wife's condition for the time being is like disappointed sexual neuorosis. I need to talk to you more on this aspect. Please post a detailed private question to me. Take care.
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I AM IN FIRST TRIMESTER, IS IT OK TO EAT CHICKEN, CURRY, BRINJAL, WET ALMOND. IS THESE FOOD SAFE FOR BABY. When my first ultrasound be done. Its my second baby I conceive this 5 year after my first baby. My first baby is from c-section. Is it possible that I delivered this baby through normal delivery.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi lybrate-user. The food you mentioned are not only safe but actually good for the baby specially almonds and chicken. Usually first ultrasound should be done between 5-8 weeks of pregnancy. Whereas delivery is concerned at its been a gap of 5 years from your last delivery you can opt for normal delivery. Minimum is 3 years is recommended if you want a vaginal delivery. However there are risks involved in a vaginal birth after c section. I would personally not recommend to try for a vaginal birth.
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I am 19 years old. I just had sex with my boy friend. So I took I pill but after that I missed my menstrual cycle. Why so?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 19 years old. I just had sex with my boy friend. So I took I pill but after that I missed my menstrual cycle. Wh...
Hello- it might be possible that you I pill has not worked and you might be pregnant. Go for a upt at home.
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My wife have diabetic and pregnant now with 8 weeks her weight is 73 kg. Now my question is what meal chart is good and when and what she should have in meals? What are the free foods, vegs, fruits? How she can maintain her weight? Any other suggestion? Also she is taking insulin three times in a day.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
My wife have  diabetic and pregnant now with 8 weeks her weight is 73 kg. Now my question is what meal chart is good ...
Hye. For her present condition she needs to take a personalised diet plan which has to be planned keeping in mind her pregnancy, gestational diabetes and hypothyroidism along with her present intake.
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My wife's mentrual cycle is disturbed by last two months her period comes after 45 days only instead of 30 days and we want conceive a baby. Please guide me how can we concieve early as possible because I have to dubai after two months for job?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My wife's mentrual cycle is disturbed by last two months her period comes after 45 days only instead of 30 days and w...
Your wife needs to get a few blood tests done- thyroid function teats, LH, FSH, Prolactin and a HSG to check on her tubes and a USG pelvis .Also you need to get your semen analysed. Further treatment will depend on these results
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I am 23 unmarried. I am getting periods only for 2 days. Does it create some issues? Please give some advice .I am so worried.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 23 unmarried. I am getting periods only for 2 days. Does it create some issues? Please give some advice .I am so...
Hello, if your menses have been regular and even though lasting for 2 days only with no further complaints then there is no need to worry, its normal for you.
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What Is Causing Blood in Your Urine?

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
What Is Causing Blood in Your Urine?

If there is blood in your urine, it is a sign of renal illness. While this could be happening because of various reasons, it is advisable to see your doctor soon.

Following are the causes of blood in your urine:

  1. An enlarged prostate - An enlarged prostate is a common cause of the appearance of blood in the urine in men who are in their middle ages or older. Enlargement of the prostate gland causes the urethra to be compressed. This prevents the urethra from getting fully emptied while urination.
  2. Cancer - A cancerous kidney, bladder or prostate gland can also cause blood to appear in the urine. It is another major cause of hematuria but usually occurs in older patients.
  3. Infection - Infections like urethritis, pyelonephritis, cystitis or infection in any other body organ along the urinary tract is one of the most common causes of hematuria. Such bacterial infection in the urethra can also infect the kidneys and the urinary bladder. It results in the urge to urinate frequently and also causes blood to appear in the urine.
  4. Kidney stones and bladder stones - Another reason that can cause blood to appear in the urine is the presence of stones in the kidney or bladder. These stones are crystallized minerals that are formed in the kidney or the bladder but fail to pass through the urinary tract. They cause blockage and pain and result in hematuria.
  5. Polycystic kidney disease - PKD is a kidney disorder in which cysts filled with fluid form in the kidneys and impair the kidneys, causing them to fail entirely at times. It is an inherited disease and causes blood to appear in the urine.In children who are between 6-10 years of age, kidney disorder after streptococcal glomerulonephritis can be a possible cause of hematuria.
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I'm 4 days due to my period and cramping like period is coming from last 1 week and the pain is coming n going. I had never been late to my periods it's always on time. After my marriage this is first time it's late and also I'm trying to conceive from last six months. Is this is pregnancy can I test?

MBBS
Sexologist, Panchkula
I'm 4 days due to my period and cramping like period is coming from last 1 week and the pain is coming n going. I had...
You can wait for 7 days after the due date of menses, to do urine pregnancy test on first morning sample of urine to confirm pregnancy.
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I have a lot of problem. 1st is menstrual problem. Heavy bleeding. Hair loss. When I brush my teeth, it's bleeding. Low bp too. Can you help me in this?

oral implantology, BDS
Dentist, Jaipur
I have a lot of problem. 1st is menstrual problem. Heavy bleeding. Hair loss. When I brush my teeth, it's bleeding. L...
For bleeding gums you need to visit a dentist for thorough check up and scaling polishing of your teeth. for other problems you need to consult different doctors like for hair problem consult with dermatologist or trichologist. for menstrual cycle problem consult a gynecologist
3 people found this helpful
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Hello mam, I need your assistance, I had sex on the first day of my period the next day it stopped rushing. I waited for 5 days and I did urine pregnancy test and it was negative. What can I take and secondly my period is irregular and I am sexually active and never been pregnant. I wish to be pregnant.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
Hello mam, I need your assistance, I had sex on the first day of my period the next day it stopped rushing. I waited ...
Having 1 day menses is not athing to get worried. Only a few tests are to be done having sex on the first day of the period has the least chance of pregnancy to achieve. If you really want pregnancy try having sex on day 10 to 16 counting from the first day of menses.
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I am having irregular periods and very scanty bleeding. Will you please suggest me some treatment.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am having irregular periods and very scanty bleeding. Will you please suggest me some treatment.
There is a possibility you have polycystic ovaries. I would advice you to get a Pelvic USG done along with a few blood tests- FSH,LH,PROLACTIN,FASTING SERUM INSULIN, TESTOSTERONE. Medicines will depend on the results of these.
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Hi sir My wife mc is not come within one month ten days I think she is pregnant but both of them are not to birth this child. Please give me a good medicine. My wife age is 25 years. Thank you.

DGO, MBBS
General Physician, Delhi
Hi sir
My wife mc is not come within one month ten days I think she is pregnant but both of them are not to birth thi...
Hello. I want to know about last period date and also if possible get your urine pregnancy test and ultrasound done. It will depend on this how to plan for your future medications. If you do not wish to have a pregnancy at present, then you should not waste time and get this checked as early as possible.
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Hi doc am 21 years old and 14 weeks pregnant my babies nuchal thickness is 2.1 and trisomy 21 risk ratio is 1: 109 cut off risk is 1: 250 is it normal? Am worried.

MBBS, MD - Obstetrics & Gynaecology -
Gynaecologist, Gurgaon
Hi doc am 21 years old and 14 weeks pregnant my babies nuchal thickness is 2.1 and trisomy 21 risk ratio is 1: 109 cu...
Hi. Nuchal thickness is normal. However if double marker shows high risk, u cn go for triple marker at 16 wks or straight away amniocentesis which is 100 per cent confirmatory. However at your age, chances of trisomy 21 are v low
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I am 22 years old, female. I have had a lump in my right armpit for over 6 years now. It is not usually painful. Although it sometimes does usually before my periods start. I have also had cervical spondylitis. Wanted to know if it was anything to worry about.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 22 years old, female.
I have had a lump in my right armpit for over 6 years now. It is not usually painful. Alth...
You are too young to suffer from cervical spondylosis. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Neck & shoulders.--A biopsy must be done on the lump in your arm pit. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again (through this platform) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health.
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