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Dr. Rupji Kunal Ramesh

Gynaecologist, Mumbai

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Dr. Rupji Kunal Ramesh Gynaecologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rupji Kunal Ramesh
Dr. Rupji Kunal Ramesh is a trusted Gynaecologist in Mumbai, Mumbai. You can visit him at Dr Rupji Kunal ramesh' Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Rupji Kunal Ramesh 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 41 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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336 Grd Flr, J S S Road, Kalbadevi, MumbaiMumbai Get Directions
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Am depressed as because my weight is 64. And am pregnant so doctor advised me to less weight how could I please send an immediate tip.

MBBS DGO PGDCC
Gynaecologist, Belgaum
Am depressed as because my weight is 64. And am pregnant so doctor advised me to less weight how could I please send ...
Even depression increases weight gain. You can't do anything during pregnancy. After delivery can plan accordingly. Now enjoy your parenthood.
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Oats - Why you should eat them

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
Oats - Why you should eat them

Oats though seemingly dull, accompanied by a bowlful of milk can form a very nutritious meal. It is packed with fiber which is very essential to regulate your digestive system. Oats are low in calories and help you maintain your waistline. Here are a few reasons why you should add oats to your regular diet-

1. Oats fill you up - Oats are packed with fiber which keeps you full for a while. A bowlful of cooked oats contains only about 150 calories and yet it manages to stave off your hunger because of its high fiber content. The absorption and digestion process slows down when you eat oats thereby restricting your appetite and calorie intake. Oats keep you full for a longer time than other calorie-rich meal and delays the hunger pangs.

2. Oats help reduce cholesterol - According to studies, people suffering from high blood cholesterol could reduce their cholesterol levels by consuming 3 grams of soluble fiber every day. Oats contain the highest amount of soluble fiber among all whole grains (4 grams per cup). The gel-like soluble fiber transits the intestinal tract and aids in trapping substances which contribute to the rise in blood cholesterol level.

3. Oats are diabetes-friendly - Oatmeal is a perfect substitute for meals high in sugar and saturated fat. It helps to control the level of glucose in your bloodstream and also delivers your daily need of fiber. People suffering from uncontrolled diabetes can abundantly benefit from consuming oats although it is essential to keep in mind that you should not add sugary toppings or any other synthetic ingredients to your oats so that it retains all the nutrients which are already present in it.

There are many ways in which you can make your oats interesting. You can go beyond your breakfast cereal and bake cookies made of oats. You can also sprinkle them on your pancakes and bread or add them to your smoothie to increase your fiber intake. You can also add fruits like bananas or berries to your bowl of oats and make it tastier according to your liking.

Tip: How Excessive Caffeine can Stop you from Becoming Pregnant?

4910 people found this helpful

I am 23 years old I am facing heavy bleeding during my periods this time. Normally my periods days ranged from 3to 4 days. This time it's still going on 5th day even. The bleeding is normal as the other days but I am not getting the reason for this.

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
I am 23 years old I am facing heavy bleeding during my periods this time. Normally my periods days ranged from 3to 4 ...
hi Neelam. do not worry abt this problem. at ur age the length of cycles can vary due to multiple reason. just relax , ur bleeding will stop in a day or two.. nothing to be done right now..
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6 Common Reasons for Pain in the Elbow

MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Delhi
6 Common Reasons for Pain in the Elbow

Elbow pain may be caused due to a variety of reasons from injuries to fractures and ligament pulls or tears. This is most commonly experienced by people who are into sports, including those who play tennis, golf and other such sports that require intense arm movements.

So, let us look at the six most common reasons behind elbow pain:

  1. Medial Epicondylitis: This condition creates pain in the inner tendon within the elbow and is usually termed as 'golfer's elbow'. It basically occurs due to the constant swinging and throwing motion that a sports person may indulge in. When these movements are repeated on a constant basis, there is wear and tear as well as acute pain in the area. Also, an injury to the wrist can cause this pain in the elbow.
  2. Lateral Epicondylitis: This condition is commonly known as 'tennis elbow'. The affected area under this condition includes the outside tendons of the elbow. This is caused due to swinging, hitting, hammering and punching motions that are repeated too often. It is commonly experienced by cooks, artists, carpenters, automobile workers, and plumbers and people who use heavy tools.
  3. Olecranon Bursitis: This condition is also known as 'student's elbow' and usually occurs due to constant writing and gripping motion which affects the bursae. These are small fluid filled sacs that lubricate the joints even as the protection happens. The symptoms include swelling and pain. There is also risk of infection and redness in this condition.
  4. Osteoarthritis: The cartilage of the joints gets affected in this condition which is the connective tissue that exists in the joints. This condition causes wear and tear of the joints and bones which leads to pain in the various areas including the elbow. Medication and physiotherapy are good measures for treatment.
  5. Fracture: Sometimes, dislocation or fracture may lead to pain in the outstretched arm or elbow. Dislocation may take place when a bone moves from its aligned spot. The symptoms will include obvious swelling and acute pain in the elbow.
  6. Ligament Damage: Strains and sprains in the ligaments within the elbow joint can lead to this damaging condition. Torn or stretched ligaments are the most common outcomes in this kind of injury and damage.

To find out which reason may be the culprit behind your elbow pain, you will need to see a general physician or an orthopaedic specialist who will run you through a series of tests and examinations including X rays, MRI scans and others in order to ascertain the cause and treatment. A sports injury specialist can also help in diagnosis and treatment.

4334 people found this helpful

I and my girlfriend had unprotected sex after her 10th day from her date. I didn't released my sperm inside and I didn't inserted my penis deep on her. Does she get pregnancy? If "yes" what precautions should I take to break.

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
I and my girlfriend had unprotected sex after her 10th day from her date. I didn't released my sperm inside and I did...
If your girlfriend missed her period then there is a chance that she may be pregnant. There is no such thing as a safe period in young and fertile women. All days of the cycle can be considered ‘risky’ although the risk is highest midcycle (9-20th days). The only way to determine if your girlfriend is pregnant is to do a urine pregnancy test with an early morning sample of urine – this means the first sample of urine when she wakes up as this is the most concentrated sample of the day. If this is positive you will need to see a gynaecologist to discuss what you wish to do further. If the test is negative I would suggest that you wait for 15 days before repeating the test. If that one is also negative you will need to see a gynaecologist for help with further tests and treatment. The technique you have used is called the withdrawal technique for contraception. This is acceptable within long term relationships where the couple do not mind getting pregnant. It has several drawbacks including a high failure rate, sexually transmitted infections, poor sexual satisfaction and a high degree of worry or concern due to the risk of unwanted pregnancy. When the penis is erect a small amount of secretion from the glands allow for lubrication of your urethra. There may be a small drop of secretion at the tip of the penis which may not be seen with the naked eye but this drop contains over a million sperms – as you may already know you only need one sperm to fertilise an egg. When this happens around the time of ovulation the risk of pregnancy is high. In either case sperms can survive in the female genital tract for up to seven days. So please be aware that in young fertile women with regular cycles there is no such thing as ‘safe’ days where you do not need to use contraception. If you are certain that you wish to continue to be sexually active but do not wish to conceive you need better contraception than the withdrawal technique or even just condoms. Condoms will protect against sexually transmitted infections for peno vaginal intercourse but have a high failure rate where prevention of pregnancy is concerned. Please see the doctor to discuss more reliable methods of contraception so that you do not have to worry about an unwanted pregnancy and its risks in future.
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I had a miscarriage in January, my last two period have been really heavy, is it supposed to be like that and will my other periods be like that?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had a miscarriage in January, my last two period have been really heavy, is it supposed to be like that and will my...
If you have similar heavy period then you should start oc pills like novelon for 3 months. As such you should not get pregnant for 6 months from last miscarriage as it increases chance of repeat miscarriage.
1 person found this helpful
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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

6 people found this helpful

Hii I m going for injectable iui treatment and with ovitrop injections on 5, 7, 9 day and after gmh injection the follicle size is 20 mm of left ovaries and right ovaries 16 mm, 16 mm on day 14 et 10.2 and 5 pm of 14 day had hcg trigger shots but day 15 had bleeding with clots so I m worried whats that because tomorrow they will do iui at 9 am. Is anything wrong or they will not do iui because of bleeding. please tell me the cause of bleeding.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Sometimes bleeding may be present when the follicle ruptures, but not in excess. Still you need to consult your doctor on schedule, as she will only decide that whether iui can be done or not. Till then take precaution as advised by your doctor.
1 person found this helpful
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