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Dr. Sirish Sube

MBBS

Gynaecologist, Mumbai

400 at clinic
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Dr. Sirish Sube MBBS Gynaecologist, Mumbai
400 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. Sirish Sube
Dr. Sirish Sube is an experienced Gynaecologist in Kurla East, Mumbai. He has done MBBS . You can visit him at Dr. Sirish Sube@Aryan Hospital & Medical Centre in Kurla East, Mumbai. You can book an instant appointment online with Dr. Sirish Sube on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. 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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MBBS - - -

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Aryan Hospital & Medical Centre

#D 28/29, Nehru Nagar, Kurla East, Landmark: S G Barve Road.Mumbai Get Directions
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Is it safe to have sex (with using condom & without condom) immediately the next day after the periods are over? Are there any chances of pregnancy?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
Is it safe to have sex (with using condom & without condom) immediately the next day after the periods are over? Are ...
Upto 5-7 days after period bleeding stops is safe period , you can try without condom, condition is periods should be regular & on regular timing....otherwise use condom for prevention of unwanted pregnancy.. best luck
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Boerhaave Syndrome

md general phisician
General Physician, Hyderabad
Boerhaave Syndrome

Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
 

Pathophysiology
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]

Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide. [3] a 1986 summary by bladergroen et al described 127 cases. [4] of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Mortality/morbidity

Prognosis
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
 

Morbidity/mortality
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
 

Complications
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.

I am trying to conceive from last 5 months. Due to stressing work I find I'm unsuccessful in it. Can you suggest me ways to overcome this and be relaxed when trying for baby?

PDDM, MHA, MBBS
General Physician, Nashik
I am trying to conceive from last 5 months. Due to stressing work I find I'm unsuccessful in it. Can you suggest me w...
1. Eat well – Take a balanced Diet comprising of 45% carbohydrate, 30% protein and 25% fats, plenty of green leafy vegetables, fruits. Don’t over eat. Avoid junk, spicy, oily, high calorie, cholesterol rich diet, don’t skip your breakfast. Take warm, homemade food. Avoid food and drink from outside. Don’t skip or postpone your meal. Minimize consumption of refined grains like white rice, white bread, sugary or refined food. 2. Keep hydrated- Drink 2 liters /6-8 glasses of water daily 3. Do regular exercise for one hour daily like brisk walking/Jugging etc 4. Take adequate rest- 7-8 hours of sound sleep in the night is required to remain healthy 5. Avoid stress, anxiety, depression, agitation etc 6. Find time for relaxation and enjoyments with friends and family 7. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion, improve concentration and relieve stress 8. Develop hobby, Learn new skill 9.Go for detail Annual Health check up.
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I have stretch marks around shoulders & near stomach. It is increasing as per my observations. I want to stop this & want to remove stretch marks. Please tell me how & time period for that.

MBBS
General Physician, Chandigarh
I have stretch marks around shoulders & near stomach. It is increasing as per my observations. I want to stop this & ...
The marks which you already have will not vanish to prevent further you have to take care not to gain excess weight and do regular oil message on your body
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Hi. Doctor. I am 27 years old unmarried female student. I'm living in hostel. I'm sexually active from 1 year and we use withdrawal method. We do unprotected sex even in periods. Every thing is normal my period cycle is normal of 25 days and upto 3 days but from 3 months around, blood flow is very less from normal, date stops after 3 days and one or two spots (sometimes like blood and sometimes like a drop size clot) come for next 3-4 days. Sometimes a transparent odourless nonsticky fluid is also comes during a month from 3 months. My belly size is increasing I think. I took pregnancy test and result Give me prescription like medicine or another advice. I am feeling very upset. Please help me.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Hi. Doctor. I am  27 years old unmarried female student. I'm living in hostel. I'm sexually active from 1 year and we...
Most probably you are suffering from poly cystic ovarian disease. In this problem, instead of follicle rupture and ovulation, follicle is transformed into small cystic structure along the periphery of ovaries. Regular female hormones are insufficient to maintain regular periods also causes acne pimples And hair-loss with some weight gain some times. Always be happy with your personality and enjoy your present, Avoid all types of stress. Take more fruits and vegetables, Avoid junk food (Fat fried street food with more calories) Maintain physical activities regularly Have sound  Sleep regularly  with best possible schedule. You can also have some Homeopathic medicine (if you have faith) for Fat reduction and regularise your periods (may be due to PCOS) For more help you can contact me through Lybrate personally.
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Hello sir, My bp always low and I am pregnant too what should I do? Please tell me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello sir, My bp always low and I am pregnant too what should I do? Please tell me.
Hello, low bp in pregnancy is often not harmful at all as high bp would be. Generally dehydration is the cause of low bp and also seen in hypothyroidism where basal metabolism is low. So increase your daily water intake and also get evaluated for hypothyroidism.
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Hi, Char din pehle mujhe meri right side breast per chot lagi thi, main medicine and ointment lagaya, lekin pain relief nehi ho raha hai. Please please bataiye main kya kro?

MS - General Surgery
General Surgeon, Kanpur
Use ice fomentation or barf ki sikai, and wait for some more time, you may get ultrasound mammography done.
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Is mother of 1 child married husband stays away. I strongly feel asexual, even when the urge is there I tends to deviate do you think I need medical help? I have no partner and I do it feel like I need to have .

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Is mother of 1 child married husband stays away. I strongly feel asexual, even when the urge is there I tends to devi...
Yes, you need medical help. Sex is a natural urge, without which life is incomplete, unless you want to become a saadhvi, or a Brahmakumari (laudable objectives).
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I am a 16 year old girl. I am having irregular periods please suggest me some ways for having regular periods.

Crest Affiliated Course in Advanced Reproductive Techniques, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
I am a 16 year old girl. I am having irregular periods please suggest me some ways for having regular periods.
If overweight then try to reduce weight get an ultrasound pelvis done to check for ovaries for cystic changes if your periods have just started within a year, you can wait for few more months for them to settle & be regular better seek a gynae who can prescribe needed medicines n further tests.
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I am 24 years old I dint got my period 2 and half month ago now, why and what to do?

DHMS (Hons.)
Homeopath, Patna
I am 24 years old I dint got my period 2 and half month ago now, why and what to do?
Hello, Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * 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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I am close to 33 years old female and I have history of hypothyroidism since 6 years. I conceived naturally in two months of marriage and my son was born in April 2014. I was nursing my baby till August 2016. First 14 months I didn't get periods. Went to gynaec. She gave me tablet regestrone to get period. After that also my periods didn't get regular. After 21 months (Jan 2016) of delivering a baby I was diagnosed with several immature follicles in both my ovaries and usg said I have PCOS and I have put on 9 Kgs weight and now I weight 75 kgs and I am 5.2 in height. First 4 months I took tablet Krimson 35 and then gynaec gave me tablet Bestova 100 and metformin hcl 1000 mg. And from second cycle onwards she gave bestova 150 mg and metformin hcl 1000 mg. The follicular study showed that I ovulated for the first 4 cycle but didn't conceive. Fifth cycle the doctor gave me bestova 100 mg and Emee 75 mg shot where I didn't ovulate. My weight is not getting reduced inspite of diet and mild exercise. Does this means that I won't be able to conceive naturally or with clomifene citrate. Or is there any other alternatives to conceive?

MBBS
General Physician, Mumbai
I am close to 33 years old female and I have history of hypothyroidism since 6 years. I conceived naturally in two mo...
I will suggest you to just concentrate on weight reduction and I will suggest you to do suryanamaskar daily as per your capacity for a minimum of six months and for loosing weight few tips on diet say no to maida items like toast , khaari ,naan ,white bread . can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water
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Helo Dr. Muje apne periods circul thik krne ke liye muje kon si madican lene pdege. I-pill lene se mere periods late hote h and muje diet m kya lena hoga. please suggest.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Helo Dr. Muje apne periods circul thik krne ke liye muje kon si madican lene pdege. I-pill lene se mere periods late ...
Hello, Its a lie effect of ipill to delay next 1-2 cycles . Avoid any pill for next 2 cycles and allow hormonal balance to re-establish.
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I am 29 I have one child but my periods is irreggular I want anthor child tablets use but period is not comming I have pcod problem before my child.

Advanced Aesthetics
Ayurveda, Gulbarga
You're most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it? s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there? s always sperm waiting in the fallopian tubes to meet the egg when it? s released. Sperm can live for up to seven days inside a woman? s body. So if you? ve had sex in the days before ovulation, the sperm will have had time to travel up the fallopian tubes to? wait? for the egg to be released. It? s difficult to know exactly when ovulation happens, unless you are practising natural family planning, or fertility awareness. The menstrual cycle is counted from the first day of a woman? s period (day one). Some time after her period she will ovulate, and then around 12-14 days after this she? ll have her next period. The average cycle takes 28 days, but shorter or longer cycles are normal any querries inform me.
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Started period January 19th. Had sex January 31st. He came inside of me. Then February 4th we had unprotected sex again and he pulled out. What are the chances of me becoming pregnant? Low medium high?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
High chance as your first intercourse was around the ovulation time. You should take i-pill within 72 hrs of intercourse to prevent unwanted pregnancy.
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I am 38 year old. I have been suffering from to heavy and very painful mestrual problem from the beginning. Want to get rid of this problem. Please suggest a solution.

BHMS
Homeopath, Secunderabad
Nothing to worry , in medical terminology this is called menorrhagia. We have best medicines in homoeopathy to cure this problem permanently. May I know your last menstrual period date?
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After taking lactare tablets there is no much increase in the production of breast milk please suggest me the best as I am unable to feed baby?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
After taking lactare tablets there is no much increase in the production of breast milk please suggest me the best as...
There is no medicine known to increase brest milk production.It is controlled by a complex mechanism of touch & pressure of breast leading to chain of harmones production resulting in breast milk secretion.In short it is demand & supply mechanism,more a child sucks more he gets Exclusive.Breast feed your child at least for first5-6 months.You can express milk if child is unable to take due to any reason to ensure constant supply.
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Hi, i' m 31 year old female, i' m in 6th week pregnancy, since 4 days i' m getting abdominal pain and little bleeding but it will be only during morning time. I' m taking lupigest 200mg daily twice and my dr has given sustain injection and she told me to wait for 1 more week and then get ultrasound scan through that I can get confirmed and she told me to take complete bed rest. Since i' m bleeding i' m scared. Can u please tell me what I should do?

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hello hi as per your dr told its correct, way of treatment is dr 2 dr different types, actually in 6-7 month completed up so many complications & also danger, up to 7th complete u have very careful, touch always near by good gynecologist doctor observation. K. All the best.
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Menstruating since 4 days .is it withdrawal bleed or implantation. Because I took unwanted 72 after my intercourse on 11/8 .and started to bleed on 30/8 .To prepare my periods I took turmeric in boiled water one time. Otherwise my actual date is on 4/8 which is yet to come or I need to do urine test.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Menstruating since 4 days .is it withdrawal bleed or implantation. Because I took unwanted 72 after my intercourse on...
Can cause symptoms like pregnancy symptoms, and mess up your cycle. You'll bleed when its not due and your period will be late. Its a large dose of hormones and is only meant for emergencies, NO HARM in getting test after couple of next cycles.
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Please suggest me Which is the best method for birth control and safe sex? Good and natural method.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Safe method is most unsafe method of preventing pregnancy low dose oral pills or intrauterine device will depend on your health visit recognized center of family welfare and get counseling done if family is complete, go for lap ligation or tell your husband to get vasectomy by stitchless laser method which is opd procedure and requires no abdominal procedure.
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