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Dr. Smita Orke

Gynaecologist, Mumbai

600 at clinic
Dr. Smita Orke Gynaecologist, Mumbai
600 at clinic
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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. Smita Orke
Dr. Smita Orke is an experienced Gynaecologist in Kurla West, Mumbai. You can consult Dr. Smita Orke at Kohinoor Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Smita Orke on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 31 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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Ali Yavar Jung, Kirol Road, Premier Colony, Kohinoor City, Kurla West. Landmark: Opp LBS Marg, MumbaiMumbai Get Directions
600 at clinic
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I am 35 weeks pregnant. I wanted to know that what to expect during normal delivery with epidural as its my first pregnancy so bit confused and scared. My Dr. planned normal delivery with epidural. Thanks.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 35 weeks pregnant. I wanted to know that what to expect during normal delivery with epidural as its my first pre...
Hello, Epidural shall help you relieve the labour pain, not completely but 80 percent as in followed, simply to keep the would be mothers alert during labour. This is in a way safe and acceptable way of delivery if normal labour sets in and progresses naturally.
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My age is 23. I was diagnosed with a cyst formation. Epidydimal cyst of 7*8mm. Is there any homeopathic treatment for this instead of operation.

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
Epididymal cyst by itself means nothing, unless you are any additional problems, like unable to procreate, or pain, fever, etc. Hence there is no need for any treatment, let alone homeopathic.
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Hello doctor Can I do complicated yoga poses like kobra pose, bow pose, child pose, noka aasan, and any kegel exercise during periods.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello doctor
Can I do complicated yoga poses like kobra pose, bow pose, child pose, noka aasan, and any kegel exercis...
Hello- As you are asking about yoga postures, I am going to tell what ayurveda has to say on your question. Ayurveda states that any kind of physical exertion yoga/exercise/running can obstruct the flow of menses and can cause the re-absorption of the toxic menstrual blood in the body causing gynecological problems (like PCOD, fibroid) or skin problems. Due to over sensitive nature of uterus at the time of bleeding, improper dietary intake such as fast foods ,spicy foods etc also can cause problems in future. So I advice you not do yoga/exercise during your menses.
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Dear sir In my breast many pain and small round spot here what am do, what is this please explain.

DGO, MBBS
Sexologist,
Dear sir In my breast many pain and small round spot here what am do, what is this please explain.
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 and you can feel a round spot so you need to do ultrasound examination of breasts. Wearing a well fitting bra may help. Most commonly due to fibrocystic breast disease cause pain which can be controlled with medicines.
1 person found this helpful
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I am 43 years old. Want to know what is the right time to do the pregnancy test. Is it after I c the symptoms or should I wait for the period date to be missed.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am 43 years old. Want to know what is the right time to do the pregnancy test. Is it after I c the symptoms or shou...
wait periods date if you have tried natural pregnancy. if you undergone iui or ivf before getting periods if you have symptoms you can check
1 person found this helpful
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I'm 18 year old and my bodyfriend ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I had the i pill period after 5-6 days but then from that day till today I have not had my period. It's been more than 1 month. I had some bloating and cramping also. Also I had acne problem but it's all improving also having some back ache. I just want to get my period as soon as possible cause I'm very stressed please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 18 year old and my bodyfriend  ejaculated on my pant. To be on the safer side I had an ipill within 20 minutes. I...
As you already had menses after the ipill, you can not be pregnant and ejaculation on the pant can not make you pregnant. As you r already having backache, means your menses are round the corner, no need to hurry for menses as it can disrupt the next menses also. And you r not 100% pregnant.
8 people 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 been having periods lasting for 2-3 days in the past month and this month I have been having it for a month. For the past 6 months I have seen clots in my period blood. Sometimes I have cramps and back pain. I have not taken any medicine or gone to the doctor. Please can you help me.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
I have been having periods lasting for 2-3 days in the past month and this month I have been having it for a month. F...
It is called menorrhagia. Get an ultrasound pelvis done. You need to visit a gynaec for finding out the cause of this problem. Do not worry. Once the cause is found it can be treated accordingly. Also you need to take iron supplements as you r loosing so much of blood. Else you will be become anemic. Best is to visit a gynaec soon. Do not hesitate.
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Hi doctor. I delivered a baby girl 22 days back. She is my second baby n caesarian too. From last night I'm feeling pain internally in stitches and when urine is pass lil bleeding is also there. Im not able to sit to feed the baby. I'm taking body massage from last 12 days too n holding my stomach with cloth tightly in day time. I want to ask is there any problem with internal stitches. Pls help me.

BPTh/BPT
Physiotherapist, Hyderabad
Hi doctor. I delivered a baby girl 22 days back. She is my second baby n caesarian too. From last night I'm feeling p...
As for as internal stitches are concerned, they heal with adhesions. Or on common terms it is called knot's or ghant ban Jana. Therefore you need 2 min of massage over healed stitches to break adhesions.
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I have sex with my wife on daily basis without using any precautions but my wife is not getting pregnant.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I have sex with my wife on daily basis without using any precautions but my wife is not getting pregnant.
If you r married since more than a year with regular sex (3-4 times a week) that is the time you should seek medical help. There r 2 basic tests which r needed in such case. Semen analysis (15 million/ml is normal count) and hsg to find out about the fallopian tube potency. If both r normal which is usually the case next treatment is with climiphene citrate for 5 days with follicular monitoring.
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What vaccinations are needed during pregnancy? And when ultrasounds are needed in pregnancy please tell me time spell? Iron tablets are needed during pregnancy if HB level is good. And other type of special protein and vitamins are needed.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
What vaccinations are needed during pregnancy? And when ultrasounds are needed in pregnancy please tell me time spell...
Hello, Generally calcium, iron, folic acid supplements are recommended for first two trimester and there are a lot of physical and mental developments taking place with the baby. Even if the to be mother is not deficient in any of the nutrients she is advised to take supplements to ensure there is no scope of deficiencies to occur in the later stages. From a diet prospective its very important to know that a fresh home cooked meals loaded with all the important nutrients are taken. Remember there can be no comparison between the food which is cooked and consume against supplements. Supplements cannot replace healthy meals. Take care.
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IVF - How Does it Work?

Health and Medical ARC Fertility
IVF Specialist, Chennai
IVF - How Does it Work?

In vitro fertilisation, commonly known as IVF, is the process of fertilising single or multiple eggs outside the body. This treatment can be performed by either using your own egg and sperm or using donated egg or sperm or sometimes both. The resulting sperms and eggs are evaluated for quality and then one or more of them are positioned properly in the uterus through the cervix. IVF is regarded as one of the most commonly opted treatment plans, and it accounts for more than 99% of assisted reproductive technology processes.

Who are suitable for IVF?
IVF can be helpful for you in case you have some issues with the egg quality or ovulation, fallopian tubes that are blocked in some way or endometriosis. It can also help you get pregnant if your partner has problems with mortality and reduced sperm count and when you have opted for donor eggs. About 1.5% of babies in the United States are conceived through the IVF process.

How does IVF work?
There are several steps through which IVF process works and the timeline follows the following steps:

  1. Stimulation for ovary: You will have to take a special kind of fertility drug for 8 to 14 days near the start of your menstruation cycle. This drug aids in the stimulation of your ovaries for developing multiple mature eggs to fertilise instead of a single one. You may also need to take an artificial hormone-like cetrofelix and leuprolide for keeping your body from releasing eggs very early.
  2. Development of follicle: When you are under all these medications, you will have to visit your doctor’s office often for checking the hormone levels as well as ultrasound measurements for the ovaries.
  3. Getting the trigger shot: Once the follicles are ready, you are likely to receive a trigger shot, which is an injection causing the eggs for maturing fully and becoming capable of being fertilised. Your eggs are ready for being retrieved after about 36 hours of receiving this shot.
  4. Gathering the eggs: At this stage, you are likely to receive an aesthetic or ultrasound probe that is inserted through the vagina for checking the ovaries and identifying the follicles. Normally, about 8 to 15 eggs are retrieved through the insertion of a thin needle.
  5. Fertlisation: This is the most vital step, where an embryologist is going to examine the eggs before they are combined with the sperm and incubated overnight. Fertilisation happens at this particular time, but abnormal eggs are not fertilised.

Then the embryos slowly develop and are planted on the basis of your age and clinical condition. When the treatment is working, an embryo is implanted in the uterine walls and starts developing. 

3920 people found this helpful

Too Much Screen Time - How it Affects Your Health?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Too Much Screen Time - How it Affects Your Health?

A great amount of research has been done on the negative implications of screen time on children and adolescents, but even adults are greatly affected and may suffer from certain health problems due to screen addiction.

The following are a few health implications that one should be aware of when it comes to screen addiction

  1. Restructuring of the brain: This health impact is as complex as it sounds. An increased amount of screen time definitely does affect the grey and white matter which form the brain. Restructuring of the brain generally takes place in hard core electronic device users, although those who do not use electronic devices very frequently may also be at an increased risk. Excessive screen addiction can lead to shrinkage of the grey matter and can hinder the effective functioning of white matter.
  2. You are more susceptible to diabetes, high BP and obesity: The long hours of sitting in front of the computer or watching videos on your tab can affect the metabolic syndrome of the body, resulting in bad health. In fact, your metabolic syndrome may still be affected even though you partake in physical activity such as walking or running after hours of sitting still.
  3. You may suffer from eye strain: There is a very common saying that goes ‘too much TV will make your eyes go square’, although this is not true, too much screen time does lead to severe eye problems, the most common of which is eye strain. It can also lead to retina damage and research shows that use of electronic devices such as phones and tabs at night hinders with sleep too.
  4. Increases mortality rate and risk of cardiovascular disease: Long hours of playing video games or working in front of the laptop does increase the chances of cardiovascular disease. Moreover, a recent study reveals that an unhealthy amount of screen time increased the chances of death to 52%. Even if you do diligent exercise, the damage to your health is more due to excess screen time, whereas exercise reduces mortality risk only up to 4%.

Thus, it is very important that you manage your screen time strictly and continue to live a happy and healthy life. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5619 people found this helpful

We had unprotected sex on the last day of my periods and its been a month I still dint get my periods. I took this I pill within 48 hrs. Am I pregnant.

MBBS
General Physician, Jalgaon
We had unprotected sex on the last day of my periods and its been a month I still dint get my periods. I took this I ...
Please No chance of pregnancy Wait for 3 days Check your urine for pregnancy after 3 days If positive Consult nearby gynaecologist in person immediately.
1 person found this helpful
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She didn't get periods for one month after checking Dr. Told der is one month pregnancy how it possible till she not married nd don't get contact to other.

MBBS
Sexologist, Panchkula
She didn't get periods for one month after checking Dr. Told der is one month pregnancy how it possible till she not ...
If she is not married and did not have sexual contact, then it is not possible that she is pregnant.
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Hi my husband sperm count is low is between 8-11 million/ml & also abnormal range is high from 97%-99% his age 42, so as we r going for ivf treatment & he don't take any medicine for that so is it OK to take his sperm for my pregnancy or not bcoz if it not helpful shld I go for donor sperm please let me know.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Get his sperm test done again and it will let you know the quality of his sperms. The best ones are picked for ivf. If some amount of sperms is healthy, you can take husbands sperms else go for donor.
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If my partner is HIV positive. Then is it possible to have children. I mean then I hav to do sex without using protection. And I will be suffering from HIV too. How to avoid it.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
If my partner is HIV positive.
Then is it possible to have children.
I mean then I hav to do sex without using protec...
Hi. Having children even if your partner is hiv positive is definately possible. You can opt for artificial insemination of your sperm in your wife's uterus.
3 people found this helpful
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HIV/AIDS - How It Is Transmitted

FHM FELLOWSHIP IN HIV MEDICINE, MD, MBBS
General Physician, Hyderabad
HIV/AIDS - How It Is Transmitted

No matter how much information there is available about AIDS and HIV, the thought of it makes a person shudder. The Human Immunodeficiency Virus or HIV is the virus responsible for AIDS or Acquired Immune Deficiency Syndrome. This virus attacks the immune system and over time leaves the body defenseless against other infections and types of cancer. Till date, there is no cure for HIV or AIDS. However, what we do know is how the disease can be transmitted from one person to another. Knowing this enables us to control the transmission of the disease. 

Unlike other viruses, HIV cannot be transmitted through air, water etc. This virus can only be transmitted through:

  1. Blood: Receiving blood transfusions from an HIV positive person is sure to put you at risk of suffering from the disease as well. For this reason, it is essential to only take blood from registered blood banks that run HIV screening tests. This holds true for organ and tissue transplants as well. Being stuck with an HIV infected needle can also put you at risk of coming in contact the virus. In some cases, direct contact between broken skin, wounds and mucous membranes can also lead to the transferring of HIV cells from one person to another. HIV does not spread through saliva, however, if while kissing, both partners suffer from bleeding gums and one partner is HIV positive, there is a risk of the transference of HIV from one person to the other.
  2. Bodily fluids such as semen and vaginal fluids: The only way to prevent the transmission of the HIV virus from one partner to another while having intercourse is by using a condom. This creates a barrier between the bodily fluids of both partners and keeps them safe. A condom is needed even if the couple is engaging in anal sex. In fact when comparing anal and vaginal intercourse; anal sex puts HIV negative partners at a higher risk of getting in contact the virus than vaginal sex. Theoretically, this virus can be transmitted even through oral sex is a HIV positive man ejaculates into the woman's mouth. However, this is a rare occurrence.
  3. From a mother to an unborn child: A HIV positive mother can transmit the virus to her child when pregnant, at birth or while breastfeeding. However, if the mother follows HIV treatment, the chances of her passing on this virus to her child are significantly lowered.

The above are the only three ways HIV can be transferred from one person to another. HIV cannot be transmitted by sharing utensils, drinking the same water, through mosquito bites or by shaking hands etc. Thus, there is no reason to ostracize an HIV infected person.

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I am 24 years old and I got married before two months. My problem is that my period time is 15th to 18th day of month but after one of marriage my period came on date 9th day of month means it had come only in 20 days. What about this? please reply me very soon I am worried about that.

BAMS, YIC, DEC
Ayurveda,
Hi, after marriage cycles changes it will get post or preponed due to body and hormonal changes as you r with you partner some few people have delayed cycles to due emergency pills r and other contraceptive pills so don't worry.
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