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Dr. Rishikesh Pai

Gynaecologist, Mumbai

1250 at clinic
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Dr. Rishikesh Pai Gynaecologist, Mumbai
1250 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rishikesh Pai
Dr. Rishikesh Pai is a renowned Gynaecologist in Bandra West, Mumbai. You can visit him at Lilavati Hospital and Research Centre in Bandra West, Mumbai. You can book an instant appointment online with Dr. Rishikesh Pai on Lybrate.com.

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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation, Bandra West. Landmark:Opposite Mumbai Educational TrustMumbai Get Directions
1250 at clinic
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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
  4.3  (34 ratings)
1250 at clinic
...more
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Ways To Identify Metabolic Syndrome!

MBBS, MD - Medicine, ACLS, Post Graduate Course In Rheumatology, Masters in Psychotherapy and Counselling
General Physician, Jaipur
Ways To Identify Metabolic Syndrome!

Metabolic syndrome refers to a group of conditions that occur together and increase your chances of developing stroke, diabetes, and heart problems. This set of conditions includes high blood sugar, abnormal levels of cholesterol, abdominal fat, and high blood pressure. More importantly, having just any one of these conditions doesn't mean that you suffer from this problem.

What really brings about this condition?

Experts are still not sure as to what causes the development of this condition; the causes and risk factors can be manifold.

Some of the causes can be:

1. Insulin resistance -
 A hormone produced by the pancreas in your body, insulin plays the vital role of helping your body to use the glucose as fuel. The problem of insulin resistance causes your body to produce more of this hormone so as to tackle the rising glucose levels in your body. Closely connected to excess belly fat, it causes the development of diabetes.

2. Overweight or obesity - Instances of obesity can also cause you to develop metabolic syndrome. More specifically, abdominal obesity can see your prospect increasingly significantly. It can bring about problems like insulin resistance and other associated conditions.


3. Abnormal hormone levels - Even the behavior of hormones can affect your chances of developing this health condition. For example, the hormonal disorder like PCOS can cause metabolic syndrome.

4. Unhealthy lifestyle - Having too much of processed foods without an adequate amount of physical activity can increase your prospects of developing metabolic syndrome. Eating a heart-healthy diet, which is rich in fruits, vegetables, whole grains, and fish can help to curb this problem.

How to identify this health condition?

When it comes to symptoms, this group of disorders doesn't reveal any specific signs but symptoms associated with individual health conditions that make up this group. You can come across signs like an increased waistline, or symptoms associated with diabetes like increased urination, a thirsty feeling, blurred vision, and fatigue.

Nonetheless, you're said to suffer from this problem if you exhibit these characteristics:

  • Abdominal obesity marked by waist size of over 40 inches in men and 35 inches in women
  • Triglyceride levels of 150 and above
  • Blood pressure levels of 130/85 and above
  • Fasting blood sugar measuring 110 and above
  • Good cholesterol levels less than 50 in women and 40 in men
1 person found this helpful

Hello Dr: My wife is 24 week pregnant, She gone thru scan yesterday and report says: Umbilical artery - PI: 1.50 (>95 th centile). High Resistance flow" baby weight is 550 gram approx, AFI: 11.5, MCA PI: 1.99. Please help us how to resolve this issue. She taking Ecosprin 150 from 9 week onward. Please help.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Hello Dr: My wife is 24 week pregnant, She gone thru scan yesterday and report says: Umbilical artery - PI: 1.50 (>95...
Baby's growth and blood supply are compromised. U keep taking ecosprin and healthy diet. Baby 's growth needs to be monitored with regular u.s.g.Depending on U.S.G further management will be planned.
1 person found this helpful
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I am 30 years old.Now i am pregnent with pcod.Now i am in 7 week.And my hcg count is 850.And taking hormone injections.Is it is abnormal count.And is it risky?please give me answer as soon as possible.

MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Bhubaneswar
Please, undergo an ultrasonogram as soon as you can and let us know your report findings. It will solve your doubts and also it is recommended.
1 person found this helpful
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Herniated Disc - Is There A Way It Can Be Prevented?

MBBS, MD - Radiology, DNB (Radiology), DM (Diagnostic & Interventional Neuroradiology), CCST (UK)
Neurosurgeon, Kolkata
Herniated Disc - Is There A Way It Can Be Prevented?

Rubbery cushions (discs) between the bones (vertebrae) stack up to form the spine. When a nerve between the disc and vertebrae is pressed and inflamed, that condition is called herniated disc. The herniated disc is also referred to as the ruptured disc or the slipped disc. This is caused when the soft jelly is pushed out due to a tear in the exterior. Herniated discs can lead to an irritation of the nerves and result in tremendous pain. It may also cause the arms and legs to become numb and weak. However, some people suffering from this condition may not display any symptoms at all.

Herniated disc generally occur in the lower part of the vertebral column. The herniated disc may also be seen in the thoracic spine or cervical spine. The symptoms of a herniated disc include pain in the legs, feet, or the buttocks, pain in the shoulder blade, tingling of the feet, numbness of the feet and hands, muscle weakness, neck pain or muscle spasm in the neck. Most common causes of herniated discs are aging, excessive weight or lifting of heavy weight.

Prevention of herniated disc

  1. Herniated discs are very commonly found in people who are aged between 35 or 55 years. They are seen more commonly in the men in comparison to the women.
  2. A herniated disc cannot be prevented easily, but there certain things that you can do to reduce the risks. Maintaining the proper techniques of lifting is important. You should not be bending at your waist. You should always bend the knees and keep the back straight. This helps you to use your leg muscles which are very strong to support the weight.
  3. As the saying goes, precaution is better than ​cure, so here are few precautions that can be taken to avoid herniated discs. Practicing a proper posture can help in reducing the risk of a herniated disc. It is extremely important for an individual to maintain a healthy posture while standing, sitting, walking, and even sleeping. It is imperative that you stretch your muscles when you are sitting in one position for a long time.
  4. Another important thing to avoid is high-heeled shoes, as they are few of the most common causes of a herniated disc. It would be a good idea to go for flat and well cushioned comfortable footwear as they can go a long way in reducing the risk of the herniated disc.
  5. Exercising regularly can go a long way in keeping the muscles of the legs, stomach, and back very strong. You should try to balance your flexibility and strength by exercising regularly. The best form of exercise to avoid herniated disc or ruptured disc is aerobic exercise.
  6. It is true that as you start to age, the chances of getting a herniated disc increase significantly. However, if proper precautions are taken, the stress put on the spine can be effectively reduced, thereby eliminating the risk of a herniated disc. In case you have a concern or query you can always consult an expert & get answers to your questions!
2952 people found this helpful

Mind-Body Dualism and Health

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist, Noida
Mind-Body Dualism and Health

So you love your job and don't mind working after hours, every once in a while. Are you plagued by hypertension, stomach disorder and sleeplessness often? It's probably about time that you started paying more attention to the dual functioning of your mind-body. Stressing on one, while neglecting the other will only bear dire consequences in the near future. This will render your body weak and your mind restless.

The regulation of the mind-body dualism is the most integral aspect of your being. Your mind has the potential of affecting your health in more ways than one. Having a better outlook towards life helps deal with health issues such as depression, headache, pain and stress. The dual functioning of mind-body is bound to have greater implications on your health and one needs to be well aware of that facet:

Your mind reflects what your health has to say
The brain creates gamma globulin and endorphins, which toughen your immunity and serve as natural painkillers, respectively. The production of these substances depends significantly on how you're feeling at the moment. Having a positive outlook even when you're down with fever, pain or stress enables your body to create better regulatory hormones which accelerate healing.
On the other hand, if you're being too hard on yourself as a result of work overload, emotional crisis or any personal mishap, and adopt a negative perspective towards most things, your body will know and slow down its mechanism for creating endorphins and gamma globulin. This means you'll take longer to regain normalcy.

What you are doing to your body affects how your brain works 
On the flip side, if your body is under extreme pressure to perform and as a result, you're missing out on your regular, healthy regime, your mind is guaranteed to function differently. Eating differently, losing sleep, exercising less, and burn-outs will affect your mental well-being, negatively.
The fight-or-flight reaction and blood pressure levels are considerably influenced by how you're feeling and how you are dealing with things in life. As a result, you might feel depressed, moody, restless or sick. 

Therapies that improve your mind-body functioning
Practicing therapy and exercise, improves the dual functioning of your mind-body and is, therefore, indispensable for keeping well. The National Center for Complementary and Integrative Health (NCCIH) has suggested, some integrative measures that are sure to have a positive impact on your overall well-being: 

  1. Meditation
  2. Cognitive & behavioral management
  3. Yoga and relaxation
  4. Proper diet and regular physical exercise
  5. Active involvement in music, art or dance
  6. Avoiding a sedentary lifestyle

Despite everything else, if you're still willing to work beyond your deadline, at least don't forget to eat the salad that you had packed for lunch!

4391 people found this helpful

Request you to advise on the blood test required to detect polycystic ovary syndrome and recommend treatment for the same.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Request you to advise on the blood test required to detect polycystic ovary syndrome and recommend treatment for the ...
Fsh, lh,prolactin, testosterone, fasting serum insulin and thyroid function test, complete blood count.
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MD - Paediatrics, MBBS
Pediatrician, Faridabad
Breastfeeding releases the prolactin hormones into a mother's system because of which a peaceful and nurturing sensation fills her and she benefits emotionally and physically from it.
11 people found this helpful

Will eating papaya 3-4 days continuously after having a unprotected sex? Help in not getting pregnant? Is it useful or how much effective?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Hi lybrate-user. Some people do say that papayas cause abortions but it is not a sure shot way. So do not rely on these methods for contraception. Please take appropriate medical help for this.
4 people found this helpful
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