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Dr. Rijwan Malwenkar

Gynaecologist, Mumbai

300 at clinic
Dr. Rijwan Malwenkar Gynaecologist, Mumbai
300 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Rijwan Malwenkar
Dr. Rijwan Malwenkar is a popular Gynaecologist in Sion, Mumbai. He is currently associated with Life Care Hospital in Sion, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Rijwan Malwenkar on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 40 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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B 102/9, 1st Floor, Priyadarshini Chs,Sion Bandra Link Road, Dharavi. Landmark:-Opposite New ONGC Tower, MumbaiMumbai Get Directions
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Sunlight can reduce weight

C.S.C, D.C.H, M.B.B.S
General Physician,
Sunlight can reduce weight
A new Northwestern Medicine study has reported that the timing, intensity and duration of your light exposure during the day are linked to your weight.

People who had most of their daily exposure to even moderately bright light in the morning had a significantly lower body mass index than those who had most of their light exposure later in the day.

"The earlier this light exposure occurred during the day, the lower individuals’ body mass index," said co–lead author Kathryn Reid, research associate professor of neurology at Northwestern University Feinberg School of Medicine. "The later the hour of moderately bright light exposure, the higher a person’s BMI."

The influence of morning light exposure on body weight was independent of an individual’s physical activity level, caloric intake, sleep timing, age or season. It accounted for about 20 percent of a person’s BMI.

"Light is the most potent agent to synchronize your internal body clock that regulates circadian rhythms, which in turn also regulate energy balance," said study senior author Phyllis C. Zee, M.D. "The message is that you should get more bright light between 8 a.m. and noon." About 20 to 30 minutes of morning light is enough to affect BMI.
28 people found this helpful

I am getting irregular periods from past 2-3 months. And suffering from cramps too.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am getting irregular periods from past 2-3 months. And suffering from cramps too.
Your problem can be due to Anaemia or hormonal imbalance due to stress.I will advice you below given homoeopathic medicinesfor 2-3 months nd surely you will be normal PULSATILLA NIG 30 ( Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night MENSOAID SYRUP ( BAKSON) Drink 2 sspoons in evening. DYSMIN ( SBL) Chew 4 tab 2-4 hrly depending on severity of pain during periods nd report after 3 months FERRUM SIP ( SBL) Drink 1 spoon twice daily Things to do 1.Daily intake of atleat 2 fruit from Apple,banaba,pomegranate,papaya,grapes, 2.2 glass milk daily 3.Lots of water daily 4.Have a sound sleep 5.Start taking a good iron supplement
1 person found this helpful
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
2 people found this helpful

Super Fact of the Day: You can literally smell fear!

MBBS
General Physician, Faridabad
Super Fact of the Day: You can literally smell fear!
Bodily sweat contains different pheromones when you’re frightened or not. People can detect the differences in their smell, and when they sniffed sweat from skydivers, it caused brain regions that react to fear to become active.

Would you like to share this interesting fact with family or friends? Go ahead and Share!
472 people found this helpful

Sir/Madam My wife undergone two delivery with Scissarian. But after second delivery her muscles on abdominal area cut and shrinked towards either sides (as per doctor). At present abdominal area very thin and we can feel internal organs by Just touching and also looking very bad as obies or like pregnancy of 5 or 6 months. Is there any treatment/Surgery?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi VP RAJESH. The condition you are describing is more common after multiple deliveries. Small muscle defects and laxaity can be corrected by abdominal exercises but large defects as what you are describing need surgery. Surgical correction is the only treatment available in your case. See a surgeon in your area and he should be able to help you out.
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Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic villus biopsy test. Please answer me to what risk of this test.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic v...
If it is done through abdomen the risk of pregnancy loss is lesser than if it done vaginally. Difference in risk maybe 0.5% to 5%.
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I m preagnent for 1 month mujhe bhook lagte hai but agar koi cheej main khana chaa rahe hu tu mujhe vormting feel hu ta but vormting huta nhi bus feel hu raha jis se mein apna daily meal finish nh kr pa rahe hu please help me doctor.

DGO, MBBS
Gynaecologist, Faridabad
I m preagnent for 1 month mujhe bhook lagte hai but agar koi cheej main khana chaa rahe hu tu mujhe vormting feel hu ...
Normal for pregnancy will take 2 month to subside. Take small and frequent meal preferably liquid and les spicy.
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On 11.11.2016 she get period. Always 4 days before she get period from last period. On 11.12.2016 she checked pregnancy test .it shows positive. But after 2 hours bleeding is coming. So what is your suggestions can you help me.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
On 11.11.2016 she get period. Always 4 days before she get period from last period. On 11.12.2016 she checked pregnan...
HELLO, iF Pregnancy test is positive then bleeding indicates threatened miscarriage and hence an urgent ultrasound is needed and progesterone support with bed rest should be followed. Meet your gynecologist asap.
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Dear Dr. I want to ask you that I do sex with a lady with cloths means do not insert penis inside her vagina and she also satisfied with this activity I want to ask you that is it safe even there is no risk to my penis while wearing cloths is it ok for the strength of my penis.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear Dr. I want to ask you that I do sex with a lady with cloths means do not insert penis inside her vagina and she ...
i m recommending you an following remedy which will surely help you Natural home remedy using almonds, cow's milk, ginger powder, cardamom and saffron: Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning This remindy will be helpful.
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Healing Spices in our Kitchen

Post Graduation In Applied Nutrition And Dietitics, diabetes educator, post graduate in exercise and nutrition
Dietitian/Nutritionist, Mumbai
Healing Spices in our Kitchen

Our immune system does a great job of keeping us healthy and preventing infections. However, we need to support it with the right foods so it works better and in turn helps us in the process.

Garlic – This grandmother’s ally has immense infection fighting ability. Being a natural detoxicant, unlike with antibiotics there are no side effects. It protects our body against bacterial and viral infections. The three powerful compounds (allicin, ajoene and thiosulfinates) contained in it helps the body prevent and fight infections.

Ginger – Spicing up your meals with ginger is a great way for boosting your immune system naturally. It helps to cleanse the lymphatic system and prevent the accumulation of toxins in our body organs. The quickest way to incorporate ginger in your diet is to add finely chopped ginger to boiled water, let it steep for 2-3 minutes. Strain out ginger and sip good health. Sprinkle dried ginger into any salad dressing or add finely chopped pieces to soups.

Turmeric – Curcumin, the active ingredient present in turmeric, is anti-viral and anti-fungal. Whenever you use turmeric, add black pepper also to the recipe. This will increase your body’s absorption of turmeric significantly.

Basil (Tulsi) – It contains a wide range of essential oils rich in phenolic compounds that gives it the immune boosting properties. It stimulates liver cells to increase the appetite. Also, gives relief from cirrhosis and other infections of the liver.

Oregano (dried ajwain) – Doesn’t that pizza or garlic bread always taste better when this Italian herb is sprinkled over them? At least, I love it that way! Rosmarinic acid, which is a strong antioxidant found in oregano supports immune system health. It also has compounds that inhibits inflammation. Studies have shown it to be beneficial for conditions including osteoporosis and arteriosclerosis. You can garnish your omelettes with oregano. Oregano also goes great with sautéed mushrooms and onions too.

Barley – Loaded with beta-glucan which is a special fiber compound that has powerful antioxidant properties, you must consume this regularly. Barley water is known to be good for kidneys and also to treat arthritis and rheumatic diseases. It speeds wound healing and is thought to make antibiotics more effective. It reduces swelling in the body and helps cure Urinary tract infection.Boil barley until soft, strain the extract; add lemon or orange flavor and little bit of sugar if needed. You can refrigerate it and drink a glass daily.


Rebuild your immune system by adding these natural superfoods daily in rotation. Adding these disease-fighting punch is the secret to a healthy family.
63 people found this helpful

I have lumps on my testicles sometimes there is no pain but some time it itches. Please tell me wrist to do. It may be a corps if years I am having that now . Will benzoyl peroxide do the work?

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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Hi, my wife 19 th month pregnant. We did anomaly scanning. All d report normal. But amniotic fluid index moderately reduced. In first two scan amniotic fluid index normal. But in 19 th week amniotic fluid reduced. So is it safe or what? How to increase amniotic fluid index. So is it normal or what?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hi, my wife 19 th month pregnant. We did anomaly scanning. All d report normal. But amniotic fluid index moderately r...
When pregnancy occurs along with the baby, a structure named placenta is formed. This placenta is the one which forms the amniotic fluid. The baby passes urine which also maintains the amniotic fluid volume. So if the amniotic fluid is reduced it means there could be a problem with the placental function or baby's kidneys or both. Anomaly scan determines structure of a baby and its organs, even if it is normal it cannot say anything about function. It is better to take medicines to improve the amniotic fluid and if it does, to keep it in normal limits. If the amniotic fluid goes down further, to become severe oligohydramnios, at times it is an indication to terminate the pregnancy. So keep a watch and ask your wife to take 2.5 liters of water daily along with emdicines prescribed by your gynecologist.
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I'm a beta thalessmia trait patient. Always down hb and feel weakness, giddiness also. How can I recover for this.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Certainly improve your diet - it will make a big difference to your whole body and blood. You will have to include medium light exercises as well. You can get a lot of relief from homeopathic anemia medicines.
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My15yrs old daughter is suffering from poly cyst ovary (pcod) 6 months she didnt get periods so Dr. gave devry. Then periods came now again since last 2 months not getting periods. Lots n lots of acne on her face and breast n neck with lots of facial hair. Now her voice is also changing hoarse voice. We all r very tense. She is going on depression. Please advice what treatment should I give her.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take following medicine:- tm - 30 + kali phos. - 30 + bio. 30 / 5 - 5 drops from each medicines in one teaspoon of water thrice a day for two weeks. Keep a 10 to 15 minutes gap in between these medicines. Revert back after two weeks with feedback.
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have multiple uterus fibroid I want toconceive butnot getting conceive.

MD - Obstetrtics & Gynaecology
Gynaecologist,
have multiple uterus fibroid I want toconceive butnot getting conceive.
Where are they in the muscle outside or in the cavity those on the cavity only cause problem fir conception.
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My vagina has swollen and its paining .there is also a lot itching with discharge of liquid. What should I do?

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
You are having most probably a severe fungal infection. Try to maintain optimum hygiene and must start with homoeopathic treatment as soon as possible.
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How to shed those extra flab this new year

MSc
Dietitian/Nutritionist, Chandigarh
How to shed those extra flab this new year




The countdown has already begun and 2 days are left for the arrival of 2016. The upcoming new year party is an occasion to dance, eat and rejoice with our friends and family. Everyone aspires to look gorgeous, look stunning and look beautiful. All that one need’s to do this party season is getting back in shape.

We need to make some healthy choices so that there is a steady weight loss. Take a look at some of the exciting tips for losing weight this party season.

Follow these tips and lose weight instantly this party season and to look stunning!


1. The Green Tea Effect - The best beverage
Consuming green tea more than twice a day shall keep the metabolism process active, this shall help in losing weight. The more the fat burning takes place, the lesser one needs to work on losing.


2. The Honey, Lemon and Luke warm water everyday
This amazing mixture should be consumed right in the morning before the breakfast on an empty stomach. Following this practice, it will not only help in reducing weight and make you look slim but also give you a glowing skin.


3. Yoghurt - A must-have dairy product
Yoghurt is a highly effective food which has to be included in the regular diet plan to make sure there is no fat accumulation around the tummy.


4. Exercise regularly for a healthy body
Regular exercise makes us active, fit and healthy. It also helps in burning calories. One must perform light exercises everyday for about half and hour to one hour.


5. A big No-No to Fatty foods
Avoid ghee, oil, butter, cheese, maida, potatoes, rice and sweetened products. We all may love non-vegetarian delicacies, but try to run away from spicy, oily and non-vegetarian food.

It is very difficult to resist ourselves and stick to a diet plan. But one can always give a try. After all, everybody appreciates a person with a sound mind and a healthy body. Give it a try, it will definitely do wonders.
81 people found this helpful

What causes Pain in breast may be ?

PG Dip. in Psychosexual Medicine, DPM, PG Dip(Medico Legal), MD, DHPh(UK), MBBS
Sexologist,
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Self care in pregnanacy!

Congratulations!
You are just a few weeks away from the greatest joy of your life. As you keep counting moments, do not be afraid. The journey to the greatest joy can be a joyride too. Your doctor will take care ot your worries, clear all tour doubts. Just follow some simple dietary and exercise regimens, maintain basic hygiene and it will make things a lot easier for you.

Do's

1. Exercise regularly, after consulting your doctor e. G. Walking, yoga and meditation.
2. Maintain personal hygiene by bathing, brushing teeth, trimming nails regularly.
3. Wear clean, loose, comfortable clothes.
4. Keep surroundings clean.
5. Get enough sleep, minimum 8 hours.
6. Consult your doctor before taking any medicine and take them regularly.
The doctor will ask you to:
#take medications like folic acid during months 1-3, iron & calcium supplement from the 4th month onwards.
# get 2 tetanus toxoid (tt) injections after the 5th month, 4 weeks apart
# get your blood and urine tests done.
7. Visit your doctor for routine check up every month.
In case of emergencies such as severe abdominal pain or cramps, leaking of fluids from the vaginas even if there is no pain, swelling of feet or hands, bleeding from the vagina & decrease of foetal movement, contact your doctor.

Avoid
1. Smoking & smoke filled surrounding, lifting heavy weights, wearing high heels.
2. Long journeys, crowded transport and bumpy rides. Consult your doctor before travelling.
3. Sex if you have unexplained bleeding, history of miscarriage or premature labour, pregnancy with twins or triplets or disorders of the placenta.
Consult your doctor regarding sex during pregnancy.
4. Getting up suddenly from the bed if you feel dizzy or giddy. First turn to the side, sit and then stand up slowly.

Diet
1. Avoid consumption of coffee, tea, preservatives (e. G ajinomoto, alcohol, spicy and fried foods.
2. Avoid excess taking salt intake in case of history of hypertension.
3. Take a diet that is rich in proteins, carbohydrates, minerals, vitamins. Foods that are rich in nutrients and could be taken during pregnancy are -
-proteins - milk, pulses, legumes, nuts, cheese, whole grains, soybean, egg, meat.
Iron -
Green leafy vegetables, dry fruits, whole grains, dates, lean red meat, fish, poultry.
Folic acid-
Berries, green leafy vegetables, beans, orange juice, broccoli, nuts, fortified cereals
Calcium-
Green leafy vegetables, milk & milk products like cheese, ice cream, curd, fish.
Fats-
Oil, ghee, sweets in small quantities.
Vitamins, minerals- fruits (2-4 servings daily, vegetables (3 -5 servings daily)

Nausea, vomiting & acidity are common during pregnancy and can be managed by taking toast, biscuits, frequent small meals, medications and plenty of fluids.

Average weight gain during pregnancy
1st trimester: 1 kg
2nd trimester: 5 kg
3rd trimester: 5 kg
Total: 11 kg minimum
The weight gain depends on your weight prior to pregnancy.





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Hello doctor. i Am 20 years old female. I had unprotectd sex with my hubby on next day of my menses. And I found spotting and had pain on left abdominal while sex and my periods these days are irregular please let me know the chances of pregnancy and do I need to worry about spotting?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
The day when u had sex with hubby is a safe time for sex nd no chances of pregnancy. I think now periods r irregular just due to your stress about being pregnant..
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