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Dr. Sachin Patil

MBBS

Gynaecologist, Mumbai

at clinic
Dr. Sachin Patil MBBS Gynaecologist, Mumbai
at clinic  ·  ₹ online
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Personal Statement

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. Sachin Patil
Dr. Sachin Patil is a trusted Gynaecologist in Mulund, Mumbai. He is a qualified MBBS. He is currently practising at Maher Maternity Nursing Home in Mulund, Mumbai. Book an appointment online with Dr. Sachin Patil on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. Find the best Gynaecologists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - NA -
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English
Hindi

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Gayatri Bldg, 1st Floor, Lokmanya Tilak Rd, Next To Ruchi Hotel, Hanuman Chowk, Mulund (East).Mumbai Get Directions
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REPORTING PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?

MD - Pathology
Pathologist
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 Platelets are the smallest type of blood cells. They are important in blood clotting. When bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. If there are too few platelets, uncontrolled bleeding may be a problem.
In the current season, dengue is not the only cause of decrease in platelet counts. Other causes like malaria, other viral infections, Vitamin B12 and folate defiiency etc can also cause reduction in platelet counts. That said, dengue patients may also clinically present without any decrease in platelet counts.

It is well-known that thrombocytopenia ( reduction in platelet counts) is one of the critical parameters in patient management. Therefore, it is very important that laboratories assess platelet counts with utmost accuracy. The normal range of platelet count in a healthy adult individual is 150000 - 400000/μL. Babies and children have different reference ranges.compared to adults Therefore please check on the lab report for normal age wize reference range. A count of 1.5 lacs would be considered as normal in adults but would qualify as decreased count in a child.

Platelets can be counted either on automated machines( automated method) or on manual blood smear by pathologist.(manual method).

Generally hospitals and laboratories measure platelet counts on automated hematology analyzers- as .these are simple to use and give fast results.However, they suffer from a very big disadvantage. This disadvantage is based on the principle on which these machines work.The machines are programmed in such a manner that any blood particle falling within a predermined size range is counted as platelet and above this range is counted as red cell(RBC – which contains hemoglobin and is responsible for red colour of blood).Although this concept works well in majority of cases, but machine readings are seldom reliable , especially when platelet counts are below 30,000/ cmm. Giant platelets will be counted as RBCs and the machine will give a factitiously low reading of platelets. - Again , if the sample has not been properly mixed at the time of collection, platelets will stick and form clumps. Again the size of these clumps will be more than that of individual platelets and machine will count these as RBCs , thus give a falsely low platelet count. Also, if the sample is collected in a periphery and takes a lot of time to reach the main lab , by this time the platelets would have swelled up due to presence of additives in the blood tube, and not be counted in platelets.but as RBCs instead. (due to size factor)
So what is the solution, ?
All such cases, where platelets are reported low on analyzers, must be screened on peripheral smear by pathologist. Only on looking at the peripheral smear , will the pathologist be able to confirm whether the platelet counts are actually low or not.

Summary : The analyzer is reliable in majority of cases . However, for all cases with low platelets, manual screening by a pathologist is must for confirmation and to avoid unnecessary panic and unrequired platelet transfusions.
REPORTING  PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?

I am 30 years old female and I am not getting periods regularly and now from past few months it has been stopped completely, I am getting left side stomach ache above uterus and bodyaches for every month menses cycle but no bleeding only white discharge is coming out due to which I am feeling sluggish and weakness like no energy in the body, exhausted and inactive. Eventhough I am consuming timely meals and nutritious food why am I feeling low and performing every daily routine activity very slowly? why my breast size is getting larger and uncomfortable? I am finding it very hard to live a healthy and active life. Also my lower body is loosing weight and upper portion is gaining weight vice versa? need suggestions on how do I overcome these problems and get an idle weight and body structure which suits my personality? how should I stop severe hairfall? due to which I am going through a lot of stress by wanting to understand proper treatments and medication for all these issues. Also suggest how to get rid of double chin and puffiness/dark circles on the eyes. I would appreciate doctors advices to be much more precised and understand-able post which I can work on their instructions to gauge satisfying improvement and desired positive resuts. Thanks to all the doctors for patiently reading my problems and providing better solutions on the same, hereby waiting for genuine responses.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Your problem is really complicated. I wonder that why you don't consult a doctor if you were not getting your periods for months. Secondly it is due to suppressed periods that your upper part is heavier and dark circles around eyes. That s why you feel tired and weak. I advise you to undergo following blood tests cbc esr thyroid profile creatinie, urea lh, pl, fsh esr vitamin-d show me the reports soon.

Is it purely romour that ipill sometimes fail even if taken after sex before 72 hours. And which pill is best for precaution for pregnancy?

BAMS
Sexologist
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Is it purely romour that ipill sometimes fail even if taken after sex before 72 hours.
And which pill is best for pre...
Their is 0.5 percent chances that ipills fails. U can take unwanted 72 pills for prevention of pregnancy.

What is the maximum age in which woman conceive pregnancy ?

CCH, CGO, BUMS
Unani
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What is the maximum age in which woman conceive pregnancy ?
A women can conceive anytime in her fertile period which is aprox 15- 45 but as the age advance chances of pregnancy become less.

Is masturbation of girls bad for health when it is only rubbing the vagina and feels pleasant during masturbate. Sometimes I feel that I m doing wrong for my health. Is any side effect in my future sexual life. Sir now I m unmarried girl. I cant share this to any one thatswhy I questioned here.

DSTD,MBBS
Sexologist
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Is masturbation of girls bad for health when it is only rubbing the vagina and feels pleasant during masturbate. Some...
Getting sexual pleasure by masterbation is not bad if you take take care of proper hygene & do it within limit i. E to do privately wash your private part & hand before & after the act. & very imp to do it not more than 2-3 times per week. Not daily.

Period due date was on 3rd of may, started spotting on 3rd evening and it continued on 4th along with lower left side stomach pain and left side lower back pain on 5th it was lil heavy bleeding along with lots of stomach cramps and backache on 6th half day it was bleeding and second half spotting and on 7 th again spotting on 8th just stomach cramps and backache. Did home pregnancy test on 8th it showed negative. My period only last for 3 days even today thats 9th I still have cramps.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath
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As you may know, you are perimenopausal. This refers to the time before menopause when hormone levels, particularly estrogen, begin fluctuating. Perimenopause occurs, on average, about four years before actual menopause. Menopause is timed as the date of the final period, confirmed after periods have been missed for 12 months.

Hi concerned. After the intercourse. The injected ones are flowing out .can you tell me measures to avoid the flow as we are planning for pregnancy.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist
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Hi concerned. After the intercourse. The injected ones are flowing out .can you tell me measures to avoid the flow as...
ITS QUITE NORMAL, HALF OF THE SPERMS ALWAYS COME OUT BUT THERE ARE LOTS OF THEM STILL INSIDE TO CAUSE A PREGNANCY.

But how do I differentiate if it is my regular period or just the withdrawal bleeding?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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But how do I differentiate if it is my regular period or just the withdrawal bleeding?
If you have taken contraceptives for some time and stop these, after 5-7 days of stopping, withdrawal bleeding occurs.

Hello doctor. I am 9th month pregnant. Last conception date is 6 dec 2015 It. Is my ultrasound report. It had done on 18 July 16 can you tell me about the condition of my baby n when will my baby born? BPD - 80. 1 MM AC - 300 MM FL -63. 1 MM placenta localisation - Anterior amniotic fluid -mild more EFW -22008 G gestational age - 32 weeks 6 days EDD- 6-9-16. When will I feel my baby is delivery position?

MBBS
General Physician
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Hello doctor.
I am 9th month pregnant. Last conception date is 6 dec 2015
It. Is my ultrasound report. It had done on...
Your report says your baby is ok and your date for delivery is 6-9-16 which can be plus or minus a few days but actually speaking these are the calculated dates from your periods in fact actual date of delivery nobody can predict.

I want to use coper t, is they any side effects?

MD - Ayurveda, B.A.M.S , N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda
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I want to use coper t, is they any side effects?
Some women experience heavier and more painful periods with the copper-based contraceptive coil. This can be a problem if you are already prone to heavy and painful periods as well as mild to moderate pain in lower abdomen. Other side effects may include white discharge. But these are not seen in everyone. Consult your Dr. If you notice any of these after insertion.

Sir, my sister 36yrs of age, is suffering from gas from past few years and recently she developed pain in her breast. What can be the cause and how to get cured. Please help.

DGO, MBBS
Sexologist
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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 she can feel some lump/swelling then may need to do ultrasound examination of breasts. Wearing a well fitting bra may help. For medicine ask me in private question.

I m 33 weeks pregnant now and I don't feel any pressure on pelvic and not feel heavy at all. I had sonography in 29weeks and aal was ok. Sometimes I feel lot of movements but they are not strong at all.

MD - Obstetrtics & Gynaecology
Gynaecologist
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I m 33 weeks pregnant now and I don't feel any pressure on pelvic and not feel heavy at all. I had sonography in 29we...
You go to doctor your heart beat is o.k.you should check the foetal movements in the evening after 7 p.m. you feel pressure on pelvis after 36 weeks

Is condoms safe to use ?

MD - Pharmacology, ECFMG certified , MBBS
General Physician
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Condoms are safe to use provided: 1. You don't have latex allergy 2. You know the correct method of use Remember that even after proper use they have chances of failure. But unprotected sex is more risky and hence they should be used.

Sir my wife has 2 months pregnancy but tomorrow she has some biding and today ultrasound report Doctor confirm she has miscarriage before 1-2 week ago it is possible?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Sir my wife has 2 months pregnancy but tomorrow she has some biding and today ultrasound report Doctor confirm she ha...
Hello, she may have experience missed abortion and bleeding would have started after 2 weeks, thats possible.

I had a sex with my wife on her 5 day of her dates I had used condam is there any chance of pregnancy ?

MS - Obstetrics and Gynaecology
Gynaecologist
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How do you count the day? correct method is, when the bleeding starts is the 1st day, according to this 5th day is safe day so no chance of getting pregnant.

Suffering from back pain during Pregnancy?

B.P.T
Physiotherapist
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Correct sleeping, standing and lying postures are important during pregnancy to get an alignment of the lumbar region in correct posture to ease back pain.
Suffering from back pain during Pregnancy?

What will be consequences and side effects if mifepristone and misoprostol had taken without pregnancy and why period is not starting even after 50 days.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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What will be consequences and side effects if mifepristone and misoprostol had taken without pregnancy and why period...
Dear Lybrate user, These medicines are not meant to be given to induce menses without pregnancy. There are other drugs meant for that. It is not possible to give opinion regarding menses not starting without detailed evaluation.
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