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Dr. Sakhalkar Satish Prabhakar

Gynaecologist, Mumbai

1200 at clinic
Dr. Sakhalkar Satish Prabhakar Gynaecologist, Mumbai
1200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sakhalkar Satish Prabhakar
Dr. Sakhalkar Satish Prabhakar is a renowned Gynaecologist in Andheri East, Mumbai. You can consult Dr. Sakhalkar Satish Prabhakar at Dr. Sakhalkar'S Maternity And Nursing Home in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Sakhalkar Satish Prabhakar on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 33 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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Hindi

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Manas, Plot No-19, Shere-Punjab Society,Mahakali Caves Road, Andheri East. Landmark: Near Sai Krishna Hotel, MumbaiMumbai Get Directions
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Biological Wisdom

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kochi
Biological Wisdom
The body has its own biological wisdom to heal itself. The living body is best pharmacy ever devised. It produces diuretics, painkillers, tranquilizers, sleeping pills, antibiotics - indeed everything manufactured by drug companies.
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My vaginal nd there side skin is becomes dark day by day. And I have itching problem also in my vagina. Bcz of itching I had face some other problems also. please help me out from this.

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
It looks like you have fungal infection, please see a gynaecologist at the earliest. Keep the area dry and clean. Also get your blood sugar levels tested.
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I have missed my periods n we both had not intimated from last 3 months. Want to get in periods n 1 n half month ho gaye hai. How n when to take Mensovit plus capsule. Help pls.

DHMS (Hons.)
Homeopath, Patna
I have missed my periods n we both had not intimated from last 3 months. Want to get in periods n 1 n half month ho g...
Hello, menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in vicarious MC. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
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My Mom is 53 yrs. Old. Recently done right mastectomy. - PT2N0, Margins Free - 0/23 Nodes, HPE - IDC - Grade 3 (3*2.5*2 cm) Tumor Size in breast, Ki67 - >60%, ER/PR -+ ve, Her 2 - 2+ - Equivocal, She underwent CABG surgery 3 years ago. Here my local oncologist suggested to proceed with T.Tamoxifen 20 mg - 1 Tab. Each day for 2 years. Request the second opinion from the medical oncologist.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Correct treatment being given. Your mother should do well as we are having good results these days for breast cancer.
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Hello, I am 30 years old female. Married since 5 years, planning for kid now. Please let me know when is the best time to have sex to have a baby? Please help.

MD, MBBS
Gynaecologist, Gurgaon
Hello,
I am 30 years old female. Married since 5 years, planning for kid now. Please let me know when is the best tim...
Hi! from day 10th to day 18th of your periods, ciunting first day of bleefing as day 1, is the most fertile period. Try having intercourse every alternate day during this time period. You should also take tablet folvite 5mg once daily. All the best and take care.
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Kya pcod me pregnancy possible hai hamari shadi ko 4 saal ho gaye hai par koi pregnancy nahi hai.

MBA (Healthcare), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
Pcod is very common disease in now a days. Pcod can cause many problems like irregular menstrual cycle, infertility, acne, weight gain etc. First of you must take sufficient treatment of pcod. If pcod is overcome then you will conceived the pregnancy.
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Helo sir The problem is for my wife. When she is carrying she is around 45 kgs after giving birth to baby she is around 35 kgs now she is loosing her weight day by day. What is the problem sir can you please solve it for me.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Helo sir The problem is for my wife. When she is carrying she is around 45 kgs after giving birth to baby she is arou...
Hello, she is likely to be poorly fed and her daily water intake may be less than 3-4 litres. As she may be breast feeding her diet need to be improved.
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I am i, 16 year old but most of the time don't feel energetic, I want to live full energetics every time, what should be my schedule?

DNHE, MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajkot
I am i, 16 year old but most of the time don't feel energetic, I want to live full energetics every time, what should...
As per your age and height your weight is good. For getting the energy. Take diet which is good in nutrition like vitamins, minerals, protein etc. Take more green leafy vegetables. Take enogh sleep. Take three to four litres of water in a day. Avoid the stress and anger avoid fast food / junk food.
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I had anal sex with my wife she is now complained of having too much pain during intercourse. Having used a lubricated condom , she did not feel any comfortness. 2. Secondly during foreplay I lov to lick but my wife says it is unhygienic . Is it safe to lick?

BDS, Certification in hypnotherapy, Certification in N.L.P, Certification in Gene and behavior, Psychology at Work
Psychologist, Gurgaon
Unlike the vagina, the tissues of the anus are not stretchy. This means that the anus can easily tear, which puts the receiving partner in danger of anal abscesses, hemorrhoids, or fissures (a very large tear). Anal sex can weaken your muscles down there, which makes it hard to hold feces. The anus is full of bacteria. Consequently, the giving partner is especially prone to infections.
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I had sex with my bf but after 1 year my marriage is fix I do not want that my future husband came to know that I am not virgin please help me what to do? I can not to surgery hymenoplastic its expensive please help me did he really came to know that I had sex before?

MBBS
General Physician, Chennai
I had sex with my bf but after 1 year my marriage is fix I do not want that my future husband came to know that I am ...
Its difficult to say but its not detectable unless you do a medical exam, hymen breaking is not just beacause of sex it can occur during sports exercise etc do not worry.
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Last 7 years having pcod I conceived in 2012 with medication. I had suffered miscarriage by its own due to some choromose defect. Since then unable to conceive taken IUI three times. My husband had ED problem but his sperm report was okay last year. Now doctor advice to do YQ MICRODELETION test before going for IVF. Is it necessary to do a test & required at this stage? Pls help.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Patients with y chromosome microdeletion usually have less sperm count and presence or abscence of it does not change the outcome of pregnancy or pregnancy chances. If sperm count was very low then it was definitely a useful test but in your case it is definitely not needed. I think you should try for 3 more cycles of iui before spending a lot on ivf treatment.
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Hello doc I want to know it is easy for us to penetrate a vagina but can we penetrate the urethra and if we can what will be the complications and result.

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 can never penetrate urethra because the opening is too small to allow insertion of finger, not to think about penis.
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6 Do's and Don'ts of Healthy Eating Habits

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
6 Do's and Don'ts of Healthy Eating Habits

6 do's and don'ts of healthy eating habits

Do's

1. Try to eat more unprocessed foods


Use fresh ingredients like vegetables, eggs, milk, lean meat etc to prepare your meals in and try to avoid consumption of processed food as far as possible. In most cases, processed food items are loaded with preservatives, added chemical substances, sweeteners, fats and artificial colours, which should be avoided to maintain good health. Also, make sure to include lots of fresh fruits, nuts and legumes in your daily diet instead of fruit juices, instant noodles or frozen food items.

2. Include whole grains in your diet

Whole grains have a lesser glycemic index (figure that measures the ability of carbohydrates to increase glucose in your blood), which makes them a healthy food option. Whole grains keep you full for long hours while providing you with energy to concentrate at work throughout the day. When it comes to taste, the flavour and nuttiness of whole grains are superior to refined ones. So, prefer wholegrain bread, pasta or brown rice when choosing your food items.

3. Monitor your serving sizes

Monitoring the amount of what you eat is important as it helps you to limit your intake of unhealthy food. Also, ensure that the amount of food you eat for dinner is lesser than that of your lunch. Ideally, for lunch, you should ensure that half your meal consists of salad or vegetables and the other half should contain lean proteins and low-gi or whole grain carbs in equal amounts.

Don'ts

1. Skip breakfast

Breakfast is considered to be the most significant meal of the day. Make it a habit to have breakfast every day as skipping this meal can adversely affect your health by causing obesity, irritated mood, and headaches while increasing your risks of getting hypoglycaemia (deficiency of glucose in your bloodstream).

2. Eat excessively saturated fat

Try to minimise your intake of food containing saturated fats as this can lead to the accumulation of weight in different parts of your body. Instead of consuming, huge amounts of milk, cheese, butter, bacon, meat etc. Switch to low-fat substitutes like white-meat chicken, reduced-fat dairy products, soy versions of traditional meat etc.

3. Give up your entire diet plan for a small mistake

If you happen to make only one dieting mistake, don't feel disappointed and start munching on unhealthy or junk food. Just remember that eating large amounts of unhealthy food can nullify all the effects of healthy eating you have experienced so far.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: Can Soup Be a Complete Dinner By Itself?

3333 people found this helpful

She is suffering from pcos from long time. And she had completed her 1 month treatment of 3 month. And she had a 5 day period last month. Will you please tell me all the type of symptoms of getting better.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
She is suffering from pcos from long time. And she had completed her 1 month treatment of 3 month. And she had a 5 da...
She should do regular exercise walking jogging cycling etc. If she will reduce her weight to 55 kg. Most of the problems associated with pcos will vanish.
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Hi my wife is blessed by a beautiful daughter 10 days ago but she is facing problem in bathroom unable to do potty so please suggest us what will do ?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hi my wife is blessed by a beautiful daughter 10 days ago but she is facing problem in bathroom unable to do potty so...
drink lot of water , have high roughage food. you can use stool softeners also like lactose or lactulose ones.
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I am suffering from vomiting, nausea from 5 days, I got my periods last month 07th, why I am getting vomiting, feeling tired, still period also not happened (for yesterday 1 month, Please reply me. Will it happen during pregnancy.

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
I am suffering from vomiting, nausea from 5 days, I got my periods last month 07th, why I am getting vomiting, feelin...
Hi yes it can happen during pregnancy. But to be sure that you r pregnant or not you need to get urine pregnancy test done after 7 to 10 days of delayed periods.
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Doctor my 16th day follicular study reports shows that the left ovary- no progress, right ovary- 22. 1*23. 2mm, et 11. 2 mm, and there is no free fluid. Can you pls explain about my report doctor and also I have some questions, kindly pls answer to this also. When is my ovulation day? can I conceive this month? pls help me doctor am ttc for nearly 1 year.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It shows that no development in folliclesin left ovary but r. Ovary is normalwith normal follicles. It shows that although you r having some problem in yr l. Ovary but it doesnot mean that you cant conceive. You have normal chances of conceiving.
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