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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.
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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.

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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.
4212 people found this helpful

Pregnant? 6 Things You Must Avoid!

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
Pregnant? 6 Things You Must Avoid!

Pregnancy is that period of time in a woman's life when a women is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby. 

Take care of what you eat

During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others. 

The diet during pregnancy should include

  1. Intake of fruit and vegetables is important as they are good sources of Vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.
  2. During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber. 
  3. Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy. 
  4. It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby. 

What should you avoid?
Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy

  1. Drugs and alcohol
  2. Medicines that are not prescribed by your physician
  3. Smoking tobacco
  4. Fried and oily food
  5. Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe. 
  6. Too much intake of caffeine is also hazardous for a pregnant lady

Thus, by following the above-mentioned  diet tips you can keep your baby and yourself healthy.  Always get advice from your physician for any decision that you take during pregnancy.

I am 21 year old female I have left breast pain in yesterday night onwards to today. But I have no abscess.

DGO, MBBS
Sexologist,
Breast pain is a common problem if it occurs before periods, because it happens due to hormonal changes, however if the pain stays all through the month or if you can feel some lump/swelling then you may need to do ultrasound examination of breasts. For pain you can take paracetamol tablets, also wearing a well fitting bra may help.
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Hi am done wid my periods which were on 19 feb 2016 nd last day was 23 24 2016 so can I hve sex on 5th 2016 are the days safe please let me know.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi am done wid my periods which were on 19 feb 2016 nd last day was 23 24 2016 so can I hve sex on 5th 2016 are the d...
These days r absolutely not saffe in terms of getting pregnant But u can use ipill immediately after sex to be safe during this period
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I took unwanted and i am bleeding in irregular time since then, not continuously. So i am still pregnant or my periods will come or these are my dates only. Suffering from cramps too.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I took unwanted and i am bleeding in irregular time since then, not continuously. So i am still pregnant or my period...
Hello, Please rule out pregnancy first with serum beta hcg test and then if negative bleeding can be controlled with antifibrinolytics.
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I am in my my 6.5th month of pregnancy, my TSH is 1.73 n in one of garbh sanskar lecture it is informed that TSH should be 3 for baby to be intelligent so what should be TSHlevel.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am in my my 6.5th month of pregnancy, my TSH is 1.73 n in one of garbh sanskar lecture it is informed that TSH shou...
Hello, The target TSH during pregnancy should be between 3.2-3.8,but less than that is acceptable indicating enough thyroxine already in the body.
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Hello doctor am 37.4 weeks pregnant.in my panties I see a thick discharge like sputum but it have yellow and brown colour discharge. What should I do? Can I go hospital now? I have little pain. But it's normal I have.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello doctor am 37.4 weeks pregnant.in my panties I see a thick discharge like sputum but it have yellow and brown co...
Some discharge is seen during last week of due date. It's called show means that very soon you will have natural labor pains relax and stay tension free but do go to hospital when strong pains start false or no labor pains will lead to lots of interference, leading to operative delivery.
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I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also menstruation problems (irregular and painful with less bleeding) indigestion during periods.

DGO, MBBS
General Physician, Delhi
I am suffering from hair fall but no dandruff, above 100 hair fall per day. I also have pimple problem, and also mens...
please maintain scalp hygeine , avoid excess of oiling on head and scalp, wash you hair minimum on every alternate days with a good hair shampoo and do apply conditioner ,take iron rich diet and also take multivitamin pills after personal consult with doctor . for menstual irregularity make a chart of its dates for 2-3 months and get back to me.

I am 23 years old female. I have been suffering unbearable pain in abdomen, lower back and legs only on the first day of my periods. I feel very weak. This is on since 8 years. I have consulted many gynaecs. Hav had many tablets n even had contraceptives for months. That entire 21 day kit. I also have been having sex with my husband since 4 years. In d beginning I didnt face any problems. But since a year or more my vagina dosnt open immediately and gets dry. I feel pain during and after sex at times. I am also wanting to have a child next year. Can you please guide me with all this. Thank you so much.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Madam, you're suffering from stiffness of vagina and insufficiency of secretions of bartholin glands. This is happening due to insufficiency of hormones. We have ayurvedic tablets to restore the balance of hormones so that you won't feel pain at menses and at sex, too. This medicine is free from side effects and this increases fertility, too. Just let me know your height, weight and details of menstrual cycle viz. Length of cycles, regularity, quantity and duration of bleeding, clots if any and mid cycle bleeding if any so as to arrive at perfect prescription.
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My weight is 60 kg and height 4'11. I am having pcos on the month of July my my follicles size left ovary 4-5 multiple right ovary 4-5 multiple. Doctor prescribed me with productive F, productive pcos and smartova 100. For 5 days. This month on my 12 the day I went for another follicles test and the report was left ovary 4-6 multiple right ovary 4-6 multiple and endometrial thickness 6 mm. So my question is. Does it mean I am responding to the medicine. And is it ok for pregnancy?

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
My weight is 60 kg and height 4'11. I am having pcos on the month of July my my follicles size left ovary 4-5 multipl...
No it may not be ok for pregnancy. The medications help grow the follicle but also improve hormonal balance. So if you are not able to grow follicle and endometrium then you might need injection for follicular growth with proper consultation.
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Hi, I am 32 years years old married woman have white discharge continue. Please help me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Use a single course of AF-KIT4 and see if that helps. If it continues or recurs please see a Gynaecologist
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UGI endoscopy report: Oesophagus: normal. Les at 37 cms Stomach: patchy erosion present in antrum. No ulcer or growth Duodenum: D1 and D2 are normal FINAl IMPRESSION: ANTRAL EROSIONS Can you explain my report. Is anything serious in my report?

PGPPH, BDS, Certified Implantologist
Dentist, Hyderabad
UGI endoscopy report: Oesophagus: normal. Les at 37 cms
Stomach: patchy erosion present in antrum.
No ulcer or growth...
You are suffering from Antral Gastritis. It is not a very serious problem but need to be treated immediately. Please meet your Doctor. Go to a Gastroenetrologist. For a proper antral gastritis treatment to be determined, it is essential that the doctor understands the cause of the problem. For example, if a bacterial infection is causing the antral gastritis, the infection may be treated by the doctor with antibiotics to prevent the disease from recurring. The doctor may also prescribe antacids to bring down the symptoms till the bacteria no longer causes the inflammation. Most individuals do not realize they have antral gastritis till the severity of the condition increases. Therefore, most people take some antacids over the counter to bring down the symptoms. When they start to have dark or bloody stools, nausea, gas, and severe ingestion, they may seek treatment for the disease with a doctor. The individuals who are affected may also get diagnosed when an endoscopic procedure is done for some other health issue. One of the most important antral gastritis remedies is to develop good eating habits. Consume foods that are light and avoid high fat foods like fried foods, butter, and fatty meats as they can delay the emptying of the stomach. Increase your intake of fresh fruits and vegetables like dates, eggplant, tomatoes, and green leafy vegetables. While there is no such antral gastritis cure, it is essential that you maintain a proper diet along with the treatment suggested by the doctor to bring relief. It is also important that when you notice any of the symptoms mentioned, you get checked immediately by a doctor and avoid taking over the counter medications to bring down the symptoms. The sooner the diagnosis is done and treatment given the less suffering you will experience.
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Strawberries - 11 Reasons Why You Must Eat Them!

Post Graduate Diploma in Nutrition Dietetics
Dietitian/Nutritionist, Panchkula
Strawberries - 11 Reasons Why You Must Eat Them!

Berries are known to be extremely beneficial to health, and the strawberries, given their wide availability are more popular, especially in the Asian region. Whether as a raw fruit or in a salad, as a smoothie or an ice-cream, strawberries are liked by different people in different forms.

Read on to know some of the common benefits of these wonderful berries.

  1. Boost immunity: Rich in Vitamin C and antioxidants, strawberries boost immunity significantly. A cup of strawberries is enough to get a complete day’s requirements of vitamin C.
  2. Controlled inflammation: The antioxidants and phytochemicals lower the ability of blood to develop higher cholesterol levels. They help reduce levels of C-reactive protein in the body system, which also controls inflammation. The risk of high blood pressure, heart disease, and stroke is reduced significantly.
  3. Digestive system: Given their high fibre content, it helps eat less and with reduced calories. It also promotes bowel movement and reduces intestinal inflammation. It also contains nitrate which improves blood flow and helps cleanse the system.
  4. Antihypertensive: Strawberries are rich in potassium, and this is highly beneficial in controlling blood pressure. Potassium and sodium act conversely, and by increasing potassium, sodium is reduced, which helps lower blood pressure.
  5. Controls cholesterol: The Ellagic acid and flavonoids are known to reduce low-density lipoprotein or LDL, which is harmful to the heart and overall health. They also reduce oxidative damage, which is a result of chronic inflammation leading to heart disease.
  6. Anti-aging properties: The biotin in the strawberries also improve skin and hair quality and also promotes tissue regeneration. They promote collagen formation, which reduces wrinkles and improve skin tone and texture. Vitamin C and A are also responsible for its antiaging benefits.
  7. Stress management: The antioxidants, improved immunity, and reduced inflammation also lead to improved stress management.
  8. Heart health: The colour of the strawberries comes from flavonoids, which are the main reason for their heart health.
  9. Eye health: Strawberries have been shown to improve eye health by reducing incidents of cataracts, reduces the degree of macular degeneration, and reduces damage from sun exposure. The vitamin C also strengthens the eyes lens and retina, further contributing to eye health.
  10. Anti-cancer agent: Strawberries are specifically shown to reduce the incidence of esophageal cancer with their rich content of flavonoids, antioxidants, vitamin C, and most importantly ellagic acid. These suppress cancer cell growth and reduce free radicals in circulation thereby providing protection against cancer.
  11. Weight management: Not just for people who want to lose weight, but even on a preventive measure, strawberries are good for weight maintenance. Those who want to prevent heart disease and diabetes should help themselves to strawberries. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
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Hi, I'm 27 years old my last LMP was 8 jan 2015 and I checked on 8 feb I got positive in urine test and went to doc she has done a vaginal scan no sac has seen and then she said for blood beta test that also came positive with 416 miu/ml and then she said that to do the test after 2 days. So my question is this range is good for 4 weeks 0 days and why the sac did not seen and this range can be doubled. please tell me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, It is too early actually as the gestation would only have been 2 weeks practically after fertilisation. This at present is an ongoing pregnancy which is too small to even may have been missed on ultrasound.If the SECOND BETA HCG TEST LEVELS ARE MORE THAN 65%raised than previous levels then its an ongoing pregnancy.
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My wife is pregnant and I had sonography on 26 December 2015. On ultrasound image there are some number's are written Luke 2.5 R17 G81 C5 A1. Or likha hai single intrauterine viable pregnancy of 9weeks 4days. My first question is which number is length of fetus? second question is what is estimate conception date?

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
My wife is pregnant and I had sonography on 26 December 2015. On ultrasound image there are some number's are written...
In the scan report there will be a term crl that is the length you need to tell the last date of periods to find the expected date of delivery.
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my periods are okay but i am not getting pregnent sice 3 months i used femilon tablets after advise of doctor is that is problem

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
You have to stop femilon because that drug prevents pregnancy. Again you and your partner should have detailed testing to find out the cause of not having pregnancy. All the best. Don't worry.
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Facial Height To Width Ratio/Proportion

MDS - Oral & Maxillofacial Surgery
Cosmetic/Plastic Surgeon, Noida
Facial Height To Width Ratio/Proportion

The relationship of vertical facial height to facial width is an important indicator of overall facial shape.

There are three methods of evaluating the vertical facial height - to - width proportion. These may be presented as proportions, percentages or indices: • craniofacial height (vertex - menton) to facial width (zy -Zy): the craniofacial height is measured from vertex (the highest point of the head, with the subject in nhp) to menton. Bizygomatic facial width, measured from the most lateral point of the soft tissue overlying each zygomatic arch (zygion), is approximately 60% of vertical craniofacial height. • physiognomical face height (trichion - menton) to facial width (zy - zy): bizygomatic facial width is approximately 70 – 75% of vertical facial height. In addition, bitemporal width, measured from the most lateral point on each side of the forehead, is 80 – 85% of bizygomatic width. Bigonial width, measured from the soft tissue overlying the most lateral point of each mandibular angle (soft tissue gonion), is usually 70 – 75% of bizygomatic width. • morphological face height (nasion - menton) to facial .Width (zy - zy).

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I am having vaginal infection. Itching and small white particle discharge. Please suggest medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD-GYNEC
Gynaecologist, Mumbai
hello there, For temporary relief you can apply vaginal pessaries like Candid V3. That's for 3 consecutive days. Drink lots of water. & good perineal hygiene is necessary by washing the area. Use plain, unperfumed soap to wash the area around the vagina gently everyday.
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Chronic Obstructive Pulmonary Disease - Symptoms and Treatment

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Chronic Obstructive Pulmonary Disease - Symptoms and Treatment

The lungs are made of tubes through, which air passes in and out for exchange of gases, taking in alveoli. It is a disease of alveoli to which finer air conducting tubes are attached. Over a period of time, with age and exposure to various agents, these tubules get obstructed. The amount of air that can pass through these is reduced, leading to reduced oxygen supply to the lungs and thereby the various body organs.

Symptoms
The symptoms of COPD can be easily understood if we realize how COPD is caused. The progressive blockage of the air tubes causes less oxygen to reach the tissues, which is the most essential agent for all tissues and organs to function. Reduced supply produces a generalized limitation in physical activity. There are two main components to COPD - chronic bronchitis and emphysema. The symptoms indicative of COPD are as follows:

  1. Chronic cough: Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
  2. Mucus buildup: There is constant buildup of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
  3. Fatigue associated with limited activity: As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
  4. Shortness of breath: The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
  5. Wheezing: Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.

Rarely, Frequent respiratory infections, more frequent flu attacks, swelling of the feet and ankles, cardiovascular disease, weight loss, and morning headaches.

Treatment
While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:

  1. Bronchodilators: Dilate the air tubes and ease flow of air
  2. Corticosteroids: Help reduce inflammation and thereby improve airflow through the tubes
  3. Flu vaccination: Helps curb the frequent flu attacks
  4. Antibiotics: To contain infections
  5. Pulmonary rehabilitation: A combination of breathing exercise and patient education to improve lung function.
  6. Oxygen therapy: In very severe cases, oxygen may be required.
  7. Lifestyle changes: Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential.

Knowing that you have COPD is the first step towards managing COPD, which can be managed effectively.

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I am 7 week pregnant but doctor ask this time she can not listen heartbeat of my baby so in which normally baby heart grow nd than I listen his heartbeat.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 7 week pregnant but doctor ask this time she can not listen heartbeat of my baby so in which normally baby heart...
wait for a week and if heart beat is not seen at 8 weeks it's confirmed that the pregnancy is not viable and it's a blighted ovum syndrome needing a minor procedure in opportunity ot. wishful thinking for you, hope you are able to see the heart beat do share the good news with all of us here
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