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Dr. Smile Wadugula

Gynaecologist, Mumbai

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Dr. Smile Wadugula Gynaecologist, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Smile Wadugula
Dr. Smile Wadugula is an experienced Gynaecologist in Opera House, Mumbai. You can visit her at Ashwini Clinic in Opera House, Mumbai. Book an appointment online with Dr. Smile Wadugula 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 29 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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Ashwini Clinic

Sandhurst Building, Opp. Tiwari Brothers,Mithaiwala Shop., 524 S V P Rd ,2nd Flr,Above Shree-Krishna Hotel, Opera House, Mumbai - 400004, MumbaiMumbai Get Directions
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Hello, I have 1 child, we are not ready for second child. We need temporary solutions for 1 year. We will plan after 1 year second for baby. Please suggest what is best solution? Any medicine? Anything?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hello, I have 1 child, we are not ready for second child. We need temporary solutions for 1 year. We will plan after ...
You can take oral contraceptive pills ,or go for copper T insertion ,when ever you want to plan next pregnancy you can get it removed .or you can use condoms.
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I have heavy bleeding during three days of my periods and I even can not manage to take pads. I mean I have to use cloth for frst 3 days. Its heavy. What can I do so that I can use pads and my bleeding is reduced.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have heavy bleeding during three days of my periods and I even can not manage to take pads. I mean I have to use cl...
If this bleeding is heavy for 3 days then you need to take treatment. If this thing is happening regularly then you can start 3 months course of oc pills like novelon or femilon to correct the problem. If this has happened once or twice it can occur with hormonal imbalance or stress which does not need any treatment.
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Blood Clotting During Pregnancy - Why is it Dangerous?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Blood Clotting During Pregnancy - Why is it Dangerous?

Clotting of blood is important for us in case of an injury or wound. It prevents the blood to ooze out of the body from any opening. Our blood releases cells called blood platelets, which initiate the process of clotting. However, the clotting of blood inside the veins is not a good thing to happen. This condition is called thrombosis. Moreover, clotting during pregnancy is a serious condition that poses threat to the health of both the mother and the child. In case of pregnant women, clotting of blood starts in the deep veins. These veins are usually the ones in the legs or the pelvic region. This condition is termed as deep vein thrombosis (DVT).

Why there is a clot during pregnancy?
Blood can clot during pregnancy due to multiple reasons. Clotting occurs to prevent too much loss of blood at the time of labour. 

How will you know that it’s DVT?
DVT comes along with certain symptoms. Some of these have been listed below:

  1. The pregnant woman may notice tenderness or swelling in one of her legs. She might feel the pain in one of the legs.
  2. The skin colour of the woman starts reflecting changes. The skin might turn a little reddish.
  3. The patient’s skin will be warmer at the site of clot.
  4. The veins in the affected region might look dilated or larger in size.

What are the dangers linked to this clotting?
Whatever may be the reason, clotting during pregnancy is always attached to some dangerous consequences. If the blood clot is left unattended and untreated for long, it may have some serious consequence. The clot may start shifting from your legs to one or both of your lungs. This condition is called pulmonary embolism (PE). It is acute condition that can cause death of the patient as well. The symptoms of PE are as follows:

  1. The patient suffers from sudden breathlessness.
  2. The patient may feel that there is some tightness around the chest.
  3. The patient may find blood in her cough.
  4. The patient may show signs of collapse.

Clotting of blood can also prove detrimental to the baby’s health and growth. The blood is supplied through placenta to the baby and a clot in the mother’s vein can decrease the amount of blood supplied to the baby. Sometimes, the blood supply to placenta might be entirely snapped, leading to the death of the child inside the womb. However, blood clotting at the time of pregnancy happens to only a few women. It has been found that one or two in thousand die due to clotting of blood during pregnancy. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2625 people found this helpful

Hi, After missed period when can do pregnancy test at home. This pregnancy test kit will provide correct results or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
Hi, After missed period when can do pregnancy test at home. This pregnancy test kit will provide correct results or not.
Hi lybrate-user the test shows almost 80% correct results. After 1 week you can do check. In early morning urine sample only. Recheck again after 2 days by same method.
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Footwear with heels and their biomechanical impact on heel pain

Bachelor in Physiotherapy, Msc Advanced Sports Therapy and Rehab Science (UK), honorary Doctorate
Physiotherapist, Chennai
Footwear with heels and their biomechanical impact on heel pain
Introduction

Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).

Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.

Consequences of wearing footwear with heel

Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.

A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.

Prevention

Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.

Stretching Exercises

Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.

Tips

Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.

Softer insoles can reduce the impact on the knees.

Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.

Stretch your muscles as many times as possible during the day and while during rest.

Difference in Radiographs between High Heels and Normal Footwear

Conclusion

Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.

I am 25 years old and married for 2 years. We are trying to conceive for past 4 months but not successful.. We try to have sex every alternate day but sometimes I am very dry which leads to difficulty in penetration and thus conceiving.. Please advise how to avoid the dryness. PS - we do have lot of foreplay but nothing helps.

MBBS, DGO
Gynaecologist, Ahmedabad
I am 25 years old and married for 2 years. We are trying to conceive for past 4 months but not successful.. We try to...
To conceive one thing you should know that contact during ovulation only results in pregnancy, ovulation period is 14days prior to menses date. If your cycle length is 28_30 days you should have contact from12_17th day of your cycle. For your vaginal dryness, it may be due to excessive contact and you are very stressed for the pregnancy, take it easy.
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I am having pcod and having weight 65 kg recently I am taking medical and seoxy antioxidants recently I got heavy periods n had a severe lower back pain what you suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am having pcod and having weight 65 kg recently I am taking medical and seoxy antioxidants recently I got heavy per...
Thanks for expecting Healthier fitness solutions with Ayurved, its unfortunate that ur dealing but pcos patients do encounter such heavy menses. Plz note its life style issue it demands ur transformation in every aspect. Routine, Diet, Drink, Exercise DETOX n Rasayan Therapy will make u fit n fine
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I am 38 yr old. My follicle is not grown up to 18 mm. What is the solution for this?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Since how many months u r having this condition ? needs detail. U can take puls303 hrly for 9 days inform me after usg. T. C.
1 person found this helpful
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

I have sex with my girl frend before 4 days period time. I need to know it will confirm pregnant. I don't want pregnant. What I do?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
I have sex with my girl frend before 4 days period time. I need to know it will confirm pregnant. I don't want pregna...
Hi lybrate-user having unprotected sex at any time of period may lead to unwanted pregnancy. When your partner misses her period, get a pregnancy test done at home after a week of missing period and proceed accordingly.
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I do not enjoy sex. It has been 5 months passed to our marriage and I do not enjoy sex even on single day. I enjoy foreplay alot but not sex. And very much confused why it is happening. I hv pcos but there is little imbalance in my hormones can it be reason of not enjoying sex. My husband's age is 25. please guide me. I will be thankful.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
I do not enjoy sex. It has been 5 months passed to our marriage and I do not enjoy sex even on single day. I enjoy fo...
Dear patient, yes due to female sex hormonal imbalance this type of condition occurs. As you said you r newely married, so you shoud treat your problem soon to enjoy your married and sexual life to fullest. We provide some best natural and herbal sexual boosters and will treat your hormonal changes properly to make your sexual desires and sex enjoyble with your partner. You can consult me back for proper guidance and treatment.
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I am 7 week pregnant. .taking folvite nosic ,duvadilan and vitamin atoz gold. .is there any side effect.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 7 week pregnant. .taking folvite nosic ,duvadilan and vitamin atoz gold. .is there any side effect.
no, none of them have hormones duvadilan relaxes uterus so that baby cam grow others are vitamin supplements
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Hi, I had unprotected sex 4 days ago and im already experiencing all the early pregnancy symptoms, such as vomiting, spotting, peeing alot, headache, strong sense of smell and taste, weight loss and fever. Can I do the pregnancy home test now or should I wait?

MD - Maternity & Child Health
Gynaecologist, Bangalore
No u need to wait at least for 10 days and the do test. U might be apprehensive about getting pregnant so feeling all symptoms.
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Copper t is very harmful And most side effect are occurs So tel me sir best contraceptive method in now a days.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
Copper t is very harmful
And
most side effect are occurs
So tel me sir
best contraceptive method in now a days.
Condom is most safe method. It depends upon your age and number and age of children. Tubal ligation or vasectomy are permanent method, very safe. Short term use of oral contraceptives pills also safe. You need to choose best for you.
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I had a brown discharge now , but the pregnancy test is positive, last time i had a miscarriage in 3 months. What should I do now?

Bachelor of Unani Medicine and Surgery (B.U.M.S), C.G.O
Gynaecologist, Mumbai
Don't strain your abdomen, do bed rest, get the Usg, TORCH done, ASAP consult your doctor and start the necessary treatment if require.
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Dhatt mean safed pani bahut jayada aata hai or period mei bahut jayada dard hota hai sath kamar dard bhi hota hai jiske lia harbar pain killar khana padta hai ye purani long time se ho raha hai.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dhatt mean safed pani bahut jayada aata hai or period mei  bahut jayada dard hota hai sath kamar dard bhi hota hai ji...
Your problemis pid (pelvic inflammatory disease) - homoeopathic medicine----------------- adel-15 drops (adel) drink 10 drops in 20 ml fresh water 3 time daily------------- cimicifuga-30 (adel) drink 2 drop direct on tongue 2 times daily----- leucorin (wheezal) drink 2 spoon 3 times daily-------- consult me after 15 days------- try to avoid sexual intercourse a much ass you can during the treatment-----------
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Benefits of drinking good amount of water

MD - Physiology, MBBS
General Physician, Bangalore
Benefits of drinking good amount of water
1. It clears away the toxins from the body.
2. Gives a healthier and younger looking skin.
3. Prevents constipation.
4. Maintains the internal environment of the body.
5. Helps in dieting for calorie conscious individuals.
6. Prevents kidney or ureteric stones
3 people found this helpful

I have pcos, cysts in my left ovary, doctor has prescribed evacure for 3 months. Ibhave bot had my periods for two months now. It has been 3 days I started taking evecare. When should inexpectnmy next period from taking evecare tablets?

MBBS, MD (PSM), M.F.Hom (London)
Homeopath, Nagpur
I have pcos, cysts in my left ovary, doctor has prescribed evacure for 3 months. Ibhave bot had my periods for two mo...
lybrate-user PCOS is menstrual irregularity problem. It is very much related with stress. Homeopathy is best as it covers mental and physical symtoms of the disease and restore normalcy by immuno modulation. Physician should be experienced who take the details of the case.

Walking 6,000 Steps a Day May Improve Knee Arthritis

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Walking 6,000 Steps a Day May Improve Knee Arthritis

Walking 6, 000 steps a day may improve knee arthritis

The benefits of walking are widely known and continually proven. Adding to the vast body of literature touting the benefits of walking, a recent study found that walking 6, 000 steps a day - the equivalent of 1 hour - may help improve knee arthritis and prevent disability.

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