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Dr. Rajendra Sappa

Gynaecologist, Mumbai

500 at clinic
Dr. Rajendra Sappa Gynaecologist, Mumbai
500 at clinic
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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.
More about Dr. Rajendra Sappa
Dr. Rajendra Sappa is an experienced Gynaecologist in Goregaon West, Mumbai. He is currently practising at Baliga Nursing Home in Goregaon West, Mumbai. Book an appointment online with Dr. Rajendra Sappa 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 29 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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Paras Building, 1st Floor, S V Road, Goregaon West. Landmark:Near Filmistan Studio & Opposite Vijay Sale, MumbaiMumbai Get Directions
500 at clinic
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How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

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Respected Doctor Good evening, Sex badhane ka tarika bataiye. Kyo ki muje jaldi sex aata nahi. iske vajah se mera pati oral sex karke pura pani muh me dalata hai.

BHMS
Homeopath,
Respected Doctor Good evening, Sex badhane ka tarika bataiye. Kyo ki muje jaldi sex aata nahi. iske vajah se mera pat...
Dear lybrate user, take homoeopathic mother tincture agnus castus q, 30 drops, thrice daily, after meals, in a cup of water.
1 person found this helpful
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My pregnancy of six month but my weight is not increase. How diet to take my weight increase help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My pregnancy of six month but my weight is not increase. How diet to take my weight increase help.
Hello, A pregnant woman should take utmost caution of what she eats. A nutritious diet rich in proteins, iron, calcium and omega 3 fatty acids is recommended. Overall besides normal food make sure she takes a big glass of milk daily, 2-3 eggs in a week, chicken/ fish twice a week, take 2 helping of fruits and salads daily. Taking 5-6 almonds alone a piece or two of walnuts daily should overall take care of your nutritional requirements. Hope this helps you.
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I am 28 years old married. Me and wife are trying for a baby. Whenever we do the intercourse, y sperms are coming out of the vagina? And no pregnancy signs even after that. However it is normal that sperms are coming out. Then why my wife getting pregnant? What needs to be done? please suggest.

MBBS, DGO, FGO
Gynaecologist, Jalandhar
I am 28 years old married. Me and wife are trying for a baby. Whenever we do the intercourse, y sperms are coming out...
It is the extra semen and not the sperms which come out and that is normal. Regarding pregnancy, I don't know for how long you are trying. If it is only 3-4 months, don't worry, just try in most fertile days of the cycle which are from 12th -16th day , counting from first day of menses
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Hi. Samira merchant here I have headache problem during my menstruation time before n after of timing. I am 38 years old. Please confirm me is it normal. Thanks.

MBBS (DNB)
General Physician, Thane
Hi. Samira merchant here I have headache problem during my menstruation time before n after of timing. I am 38 years ...
Not everyone has same its due to homomal isuues while mense you can take tb crocin advance for that.
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I am suffering from painful periods. At my period time I'm feeling my breast should growing up. Why like that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am suffering from painful periods. At my period time I'm feeling my breast should growing up. Why like that.
Non following of periods paricharya causing this problem avoid heavy work heavy food bathing travelling exercise during periods take proper rest during periods
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I am 23 years old female, got one abortion, I have cyst recently treated a year back but cyst still remains in very small size. I have regular sex with my husband twice a week. Does it have any problem in getting pregnant above all these problems like regular sex uterus cyst etc. Pls help me with the answer.

BHMS
Homeopath, Chennai
I am 23 years old female, got one abortion, I have cyst recently treated a year back but cyst still remains in very s...
Dear lybrate-user, though presence of a cyst (commonly ovarian cysts) need not necessarily be the cause of delayed pregnancy, they are an important factor. Cysts - ie ovarian - are usually follicles (or eggs) that grow abnormally and collect fluid within. Since normal follicular growth is stimulated by hormones - (brain, thyroid gland and the ovaries) - abnormal growth must also be related to hormones - hence the cause of cysts are hormonal imbalance. Not every person with cysts find it difficult to get pregnant. It depends on how bad the imbalance is, if there is any other coexisting problem, like obesity, thyroid imbalance, diabetes, anemia, which all have been linked to irregular periods. I'd advise you to meet a doctor (gynaec or other) and rule out the causes. Get a usg and thyroid, fsh, lh and hb tested. Until then, get your lifestyle in order, diet and activity, resolve issues with husband if any. Many a times, personal conflicts cause stress which can lead to hormonal disturbances and hence diseases. Once we know what your cause is, you can meet a homeopathic physician who will be able to treat both yur cysts as well as fertility at the same time.
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Hi I'm 25 years old married having pcod n trying to conceive. I had period 2 months ago n I had 2 preg tests are negative. Doc suggest me deviry tablet 5 days to get period but after 8 days no period. Can this tablet cause pregnancy? Im I pregnant? What's the reason.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Hi I'm 25 years old married having pcod n trying to conceive. I had period 2 months ago n I had 2 preg tests are nega...
Hi lybrate-user. It can take up to 14 days to get periods after Deviry. So don't worry, and wait for some time. Deviry does not cause pregnancy.
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My friend had unprotected sex with his gf. She took pill even though she didn't get his mensis. She did pregnancy test the result is positive. Wat should we do now?

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Again recheck. If reconfirms then she is pregnant. How many days period is late? if its below 50 days form last period start date then there are tablets for abortion. Consult a local gynecologist. Thanks.
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Me and my wife r planning to hva a bady from last three month. But she is nt able to conceive. What is the reason.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Me and my wife r planning to hva a bady from last three month. But she is nt able to conceive. What is the reason.
Hi dear. Infertility or inability to have children is a complex problem and can be due to many reasons. We normally suggest couples to try for atleast 6 months before trying to investigate for infertility. Both the woman and man are responsible for conception and to know the cause of infertility we need to test both. Basic ultrasound and hormone tests for woman as well as semen analysis for the male is needed to know the cause as there are multiple reasons for not conceiving, ranging from hormonal problems, stress, infections etc. So its necessary you visit a infertility specialist in your area for evaluation and treatment. All the best
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I am facing irregular menstrual cycle. Its the third mnth and I had no periods. I was having pcod but after the treatment everything was normal but after one yrr I am again facing all these problems. With the absence of menstrual cycle I have stomach pain nd headache on almost everyday frm one mnth.

BHMS
Homeopath,
I am facing irregular menstrual cycle. Its the third mnth and I had no periods. I was having pcod but after the treat...
I think you been treated with hormonal therapy. It supresses the symptoms actually. After withdrawing your facing same problem. Soo you need check it again. your thyroid level, your prolactin level, this has to evaluate. Also you need usg for detection of any other cause in ovary and uterus. And alsoo you need proper homeopathic treatment for permanent solution of this condition. Soo you can contact me through Lybrate.
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I am 14 weeks pregnant and have winter allergy which causes blocked nose ,sore throat and itchy eyes. How can I get rid of all these?

MD - Obstetrtics & Gynaecology
Gynaecologist, Yamunanagar
I am 14 weeks pregnant and have winter allergy which causes blocked nose ,sore throat and itchy eyes. How can I get r...
Dear lybrate-user, do steaming with vicks, also do gargles with salt water. There are some medicines also available .please consult me privately for that.
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I am 30 year old lady with PCOD. I got pregnant with my second child. My LMP - 8/2/2016. My HCG levels are: 187, 875, 1675, 6116, 9944, 15980 (taken on 11/4/2016). My u/s so far shows only a gestational sac 15 mm. The latest taken yesterday did show a small white spec inside the sac. My Dr. says 75% miscarriage. Since my HCG is increasing, she has asked me to wait. I do not have any signs of bleeding.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If gestational sac diameter is less than 25 mm and if crl is visible and if crl is less than 7 mm and heartbeat is not visible, repeat ultrasound is needed after a week. And please stop doing hcg test now, it is not useful in your case.
1 person found this helpful
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Me and my gf had sex without protection now wat tablets to take from avoiding pregnant.

MBBS
General Physician, Chandigarh
Me and my gf had sex without protection now wat tablets to take from avoiding pregnant.
You have not mentioned your age if your girl Friend is above 18 yrs she can take I pill within 72 hrs of sexual activity
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Doctor ji mera question hai meri shadi ko 5 years ho gaye mujhe abhi tak bacha nhi hua koi reason.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Doctor ji mera question hai meri shadi ko 5 years ho gaye mujhe abhi tak bacha nhi hua koi reason.
You need to get a few blood tests and scan done to evaluate the cause of your sub fertility. Also your husband's semen needs to be analysed.
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I want to conceive and get pregnant so can you suggest me a helpful plan. And I have irregular periods. I have under gone many doctors treatment.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
Dear , you have not mentioned any long term illness, height, weight etc. Your case needs to be examined on many points. Women with irregular period can also have pregnancy. You may seek consultation in private.
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Hi, What could be the reason for the gestational sac slow development during pregnancy. I went to Doctor during the 10th week and the sac measured around 5 cm but there was no development of the baby nor was the baby's heartbeat heard. Which lead to a miscarriage later. Could there be anything that can be done to prevent any chances of miscarriage for a second time?

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Hi, What could be the reason for the gestational sac slow development during pregnancy. I went to Doctor during the 1...
Dear lybrate user, mostly, preventive measures do not help if cause of miscarriage is not known. There are certain blood tests which would be advisable to get it done before planning for next pregnancy. If any of them is abnormal, treatment can be started early during next pregnancy.
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Labor Pain - 5 Tips to Help You Survive

MBBS, DGO
Gynaecologist, Dehradun
Labor Pain - 5 Tips to Help You Survive

It is not easy to deal with labor pains. According to scientists and doctors, labor pain is a very strong sensation that a woman experiences in her lifetime. Therefore, it is important to know some tips that will help you deal with the intense pain during labor. There are some practical tools, which will help you survive labor pains on both emotional and physical levels.

You just need to implement these tools during your labor.

  1. Focus on the current contraction: When you get a contraction, focus on it solely. Do not agonize on the contractions you had or do not feel scared thinking about the contractions that are yet to come. You just need to focus on the present contraction without thinking about anything else. Many women think about how long they have to push before they can meet the baby. The over thinking can worsen the pain. Therefore, you should be in the present moment.
  2. Breathe: A great tip of resisting labor pains is breathing. Various kinds of breathing techniques have been invented for labor. You can try some of those breathing techniques during your labor. If you don’t remember any particular breathing technique, you can also try everyday breathing during the contractions. Breathing lets your abdominal muscles relax and helps the baby descend faster.
  3. Try to relax: Whenever you encounter pain or stress, you tense all the muscles of your body, especially your abdominal muscles. It is important to relax during your labor pain. Although it is difficult, you should try to relax instead of getting tensed. It will make your labor smooth.
  4. Be in a comfortable place: You should be in a place where your labor must be comfortable for you. If you are not comfortable, you will be stressed and anxious, which in turn, will make it difficult for you. When you are in a comfortable place, you will be happier and your muscles will be more relaxed.
  5. Don’t worry: Instead of worrying about your entire labor experience, focus on the task at hand. When you don’t worry, you can process the contractions without being stressed. As a result, your body will also get less tired and your baby will come out faster. You need to channel your energy into pushing the baby rather than worrying and stressing.

If you follow these simple tips, you will be able to survive labor pains and give birth to a healthy baby. Nature has given women all the tools so that they can give birth to a baby naturally. You just need to trust your body and empower yourself by keeping these tips in your mind. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2528 people found this helpful

You Need To Make These 6 Lifestyle Changes Now!

MBBS
General Physician, Mumbai
You Need To Make These 6 Lifestyle Changes Now!
It is not only important to monitor what you eat or drink but also how you time it all. If we discipline ourselves towards a better lifestyle, maintaining good health won’t be such a task. It is World Health Day today. It is a good reason to take complete responsibility of inculcating healthy habits into our life.

Follow these 6 changes to your lifestyle to feel better and live healthier-

1) King’s Breakfast: Most people don't feel like eating much at breakfast, esp. the late nighters. However, ignoring or skipping breakfast sets a bad rhythm for the rest of your day and weakens your immune system. Having breakfast is a must and the ideal breakfast is one which is low in carbs and has a good portion of protein. For people short on time, a seasonal fruit with raw nuts and a little yogurt can be a good option.

2) Water Intake: Drinking inadequate water causes dehydration inside and can lead to a number of issues. Most common issues are headaches, dry skin, impaired sleep, joint problems, poor concentration as well as digestive disorders. Best way to address this problem is to keep water handy wherever you are. Try to drink about two litres of water each day. More, if its hot or after workouts.

3) Sleep Well: Sleep time is rejuvenation for your body. If you don't get enough sleep, you will deprive your body the time to recover and tackle whatever the next day has to offer. Try to be in bed earlier and get atleast 7 hours of sleep.

4) Physical Training: A good mix of aerobic as well as resistance training is quite important for your health. You feel more energetic and productive when you physically work out. Folks who exercise regularly are generally happier than those who are inactive.

5) Stress Releasing: Stress is a major factor in inducing various forms of illnesses. Stress must not accumulate. Try to give yourself some time every week to do things that you enjoy – it can be reading or meditating or enjoying the outdoors.

6) No Self Medication: Often one wrong medicine causes much more harm than any medicine at the right time, does good. Try to avoid popping pills without doctor’s recommendation. Many side effects or reactions to an existing medication or condition can lead to uncalled for problems and complications later. Don’t rely on sources like chemist or a relative to guide you, they might not look at the right details due to lack of knowledge. Say no to self medication.

Have any further questions? Click on consult privately to ask me.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over Whatsapp, Facebook and other media.
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