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Dr. Smitha

Gynaecologist, Mumbai

300 at clinic
Dr. Smitha Gynaecologist, Mumbai
300 at clinic  ·  ₹ online
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Smitha
Dr. Smitha is a renowned Gynaecologist in Dadar West, Mumbai. You can visit her at Dhanwantari Hospital and Research Centre in Dadar West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Smitha on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 25 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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D L Vaidya Road, Dadar West, Shivaji Park. Landmark: Behind Shiv Sena Bhavan, MumbaiMumbai Get Directions
300 at clinic
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Dealing With Gastro Oesophageal Reflux Disease

MD
General Physician
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Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid produced in the stomach starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, among others.

So what does one do to deal with GERD? Here's a brief list:

- Control weight: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.

- Avoid alcohol and smoking: The LES or the muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing, in order to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.

- Go gluten free: Adopting a gluten free diet can help you cut ingredients, including grains and dairy products that contain more protein than what your digestive tract can handle.

- Other dietary measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit, so that food can pass through the digestive tract faster.

- Smaller and well timed meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing stomach acids.

- Exercise: Ensuring that you do not take a nap or lie down right after a meal and doing exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.
Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required.
Dealing With Gastro Oesophageal Reflux Disease

How to Make Sex Less Painful for a Woman

MBBS
Sexologist
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It is important that you understand and fulfil the needs of your partner and address issues that concern you both. Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner.

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

Vaginal dryness: vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.
Improper vaginal expansion: the female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.
Vaginal itching caused by infection: vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of sexually transmitted diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

However, if your symptoms vary from the common ones mentioned above, or in case you have a different query, it is always advisable to consult the doctor.
How to Make Sex Less Painful for a Woman

I have my periods early from time and had a lot of pain in stomach and at my back, does it is a symptom of any serious problem?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist
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I have my periods early from time and had a lot of pain in stomach and at my back, does it is a symptom of any seriou...
Hello It may happen at times. You can take a antispasmodic tab for menstrual pain. Archana gupta

I missed my period of this month which is held in 30th of every month I think I am pregnant. But I have to stop the pregnancy so please help me which medicine should I take to stop the pregnancy.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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I missed my period of this month which is held in 30th of every month I think I am pregnant. But I have to stop the p...
Hello, Before contemplating termination of pregnancy, please rule out pregnancy with a serum beta hcg test.

HEALTHY WINTER DIET

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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Winter is the time when your immunity is low. The body's metabolism is also low as the body wants to conserve energy.
It's that one time when you feel lazy to hit the gym and want to reach out for comfort foods like pastries or salty foods.
Try to avoid refined flours and go for whole grains like wheat, bajra, nachni.
Avoid simple sugars in excess.
Include at least 3 to 5 servings of fruits and vegetables in your diet.
Include a protein source in each meals like dal, pulses, dairy, nuts, eggs, lean meats etc.
Drink at least 2 to 3 liters of water per day.
Include healthy fats like ghee, nuts, dairy in your diet.
Include hot soups, kheer, kanjis, dal soup or pani etc in your diet.
Exercise at least 3 times a week.
HEALTHY WINTER DIET

What to do I to bring my period time at accurate date or before 1 day. My period time comes 4, 5, 6, daysbefore? Pls tell me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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What to do I to bring my period time at accurate date or before 1 day. My period time comes 4, 5, 6, daysbefore? Pls ...
Sometimes, the periods may be disturbed due to physical exertion, stress, sickness and hormonal disturbance. Homoeopathy has effective treatment for your problem without adverse effects. Take cimicifuga 200 ---once daily in the morning for 5 days 10 days after the period.

I am pregnant 6 week so I take abortion pill after taking pill bleeding 1 day so mg question is this time I am clear?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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Hi lybrate user, you should have proper bleeding with heavy flow and passage of mass which shows complete abortion. You should visit gynaecologist for examination if no bleeding.

Hi I am rosy 24 years old. I am diagnosed with pcos I have taken treatment but it was of no use. So I consulted a homeopathy doctor and he said first he will give medicine for period to come. I have taken the homeo medicine and it is nearly 10 days and my period doesn't shows. And now I notice some kind of greenish, sticky discharge from my both nipples when I press them. I am freaking out. Should I approach homeo doctor or a gynic. Please advice me. Thanks in advance.

MBBS, DGO, MD, Fellowship in Gynae Oncology
IVF Specialist
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Hi I am rosy 24 years old. I am diagnosed with pcos I have taken treatment but it was of no use. So I consulted a hom...
hello, homeopathic medicine is not effective. You should consult a gynecologist for PCOD treatment. She will prescribe you medications. Also, eat a healthy diet and do regular exercise to get relieve from PCOD.

Hi doctor. I am 20yrs, female. I have my dates on 5th every month. But this month I had some spotting on the 28th and 29th with pain for 3-4 days. Is it normal? Also will I get my dates on 5th Jan this month? I have a trip on 15th, so I need to be relieved of this thing.

MD - Obstetrtics & Gynaecology
Gynaecologist
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Hi doctor. I am 20yrs, female. I have my dates on 5th every month. But this month I had some spotting on the 28th and...
Yes you will get your period on date but it is not good go to gynaecologist for check up and treatment

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist
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Hi I am 29 years old and trying to conceive from last one year, But did not conceived yet. My all reports thyroid, sugar, PCOS all are normal. I have got HSG trigger injection too and found egg was also ruptured but not conceived, also I did follicular studies and take clomids for three months but no success. My husbands reports are good 10 on 10. Can you please suggest what could be the reason?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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Hi I am 29 years old and  trying to conceive from last one year, But did not conceived yet. My all reports thyroid, s...
About 10% of cases of infertility are unexplained where no obvious cause can be found in either partner. You can continue to try or may consider iui which increases your chances of pregnancy.

ARE YOU WALKING AROUND WITH FRAGILE BONES?

MBBS, MS, DNB, FNB (SPINE SURGERY)
Orthopedist
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ARE YOU AT HIGH RISK OF DEVELOPING A FRACTURE IN YOUR SPINE OR HIP? Read on to know more about OSTEOPOROSIS.
There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.
Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.
Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.
Osteoporosis can be detected easily by a screening test called the DEXA scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a DEXA scan. If the DEXA scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin D and supplementary calcium and vitamin D medications are also an essential part of treatment.
Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.
Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin D and adequate exercise from young age is very important to prevent osteoporosis.
Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.
ARE YOU WALKING AROUND WITH FRAGILE BONES?

My wife periods will finish yesterday night so can you please tell me what is the safe time to have a safe saex with her without using protection to avoid pregnancy even I discharge ?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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It is always better to use a reliable contraception to avoid unwanted pregnancy. However if she has very regular cycles of 28-30 days then the first week after starting of periods is safest.

Sir, Yesterday I had unprotected sex on my 6th day of menses should I take emergency pill or not?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist
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Sir, Yesterday I had unprotected sex on my 6th day of menses should I take emergency pill or not?
Dear Lybrate user. If you are sure that you are on sixth day of menses, there is no need to take any medicine. There is no chance of pregnancy. Take care.

Causes and Symptoms of Endometriosis

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Endometriosis is a disorder, which is characterized by abnormal growth of the endometrial tissue (lining of the uterus) outside the uterus. In this disorder, the abnormal tissue breaks down but is unable to exit the body. This may cause the surrounding tissue to get irritated and as a result lead to the formation of scar tissue.

Symptoms
The various symptoms of endometriosis are:
1. Pain during sexual intercourse
2. Pain during periods: one of the major symptoms of this disorder is pelvic pain, especially during periods. You may also experience lower back pain and abdominal pain.
3. Excessive bleeding: the amount of bleeding during your periods may increase.
4. Other symptoms: you may experience fatigue, constipation and bloating.
5. Infertility: inability to conceive

Causes
The various causes of endometriosis are:
1. Retrograde menstruation: in retrograde menstruation, the blood flows back into the pelvic region through the fallopian tubes instead of exiting the body. These cells may attach themselves in the pelvic cavity and cause endometriosis.
2. Embryonic cell transport: these cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
3. Immune system disorder: complications in the immune system may prevent the immune system from destroying the endometrial tissue that grows outside the uterus.
4. Surgical scar implantation: certain surgeries such as a c-section may result in attachment of endometrial cells to the incision area. The major complication of this disorder is fertility problems.
Endometriosis may prevent fusion of egg and sperm and thus impair your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder is usually confused with other disorders, such as ovarian cysts and pelvic inflammatory disease. This happens as these disorders too cause pelvic pain.

Endometriosis is sometimes accompanied by irritable bowel syndrome. In the latter condition, there is recurrent abdominal pain and diarrhoea or constipation, often associated with stress, depression, anxiety, or previous intestinal infection.
Causes and Symptoms of Endometriosis

MSPT (Master of Physical Therapy)
Physiotherapist
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Become physically active everyday which will improve your posture, muscle strength and balance and will prevent you from falling.

Hi i need your help as after missing a period i got bleeding after 5 days is this normal or have i got my period. we are planning for a baby

MBBS, MS(OBG), certified IVF specialist
Gynaecologist
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Sometimes,your periods may extend beyond your date for upto a week.However ,if this is a persistent phenomenon,please get a ultrasound pelvis done,esp. since you are trying to conceive.

Got my period on 22 Jan 2016, had protected sex on 7feb 2016. Got a lighter period on the due date, 14 feb (3-4 days light bleeding (2 pads/day) and occasional bleeding on day 5&6). Negative hpt on 27 February evening. Frequent urination, lower backache, headache sometimes Pregnancy chances?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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Got my period on 22 Jan 2016, had protected sex on 7feb 2016. Got a lighter period on the due date, 14 feb (3-4 days ...
no chances of pregnancy. you may be having an urinary tract infection now. Get a urine routine and culture sensitivity test done and take antibiotics accordingly as per doctor's guidance. Take plenty of water.

Post Pregnancy Health Care Tip

DNB, DGO, MBBS
Gynaecologist
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The first few months post-pregnancy are the most tiring for a mother. Sleep whenever your baby dozes. This will help you regain your strength.
Post Pregnancy Health Care Tip
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