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Dr. Sowmya Shetty

Gynaecologist, Mumbai

500 at clinic
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Dr. Sowmya Shetty Gynaecologist, Mumbai
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sowmya Shetty
Dr. Sowmya Shetty is a renowned Gynaecologist in Parel, Mumbai. You can consult Dr. Sowmya Shetty at Rotunda Fertility Clinic and Keyhole Surgery Center in Parel, Mumbai. Save your time and book an appointment online with Dr. Sowmya Shetty on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 37 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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Rotunda Fertility Clinic and Keyhole Surgery Center

#601, 6th floor, trust house, 35dr.e.borges road, Parel. Landmark: Shirodkar High school, MumbaiMumbai Get Directions
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Pulmonary Hypertension - What Type Of Treatment Is Given?

MD , MBBS
Pulmonologist, Delhi
Pulmonary Hypertension - What Type Of Treatment Is Given?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
8 people found this helpful

Dear Dr. What are the chances that through partner I can have uti infection. How to prevent it? Secondly, I have heard that eating too much lemon have adverse effect on sex life. I love lemons and I eat half lemon / day. Is it true?

BHMS
Homeopath, Noida
if ur partner is having any infection u might get infected. precaution like use of condom, proper hygiene etc . drinks plenty of water. u can eat lemon but not in excess amount half lemon daily is good .
1 person found this helpful
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My female friend have irregular period times and she suffers from irritation at private parts time to time, where also some times a pimple occurs. And moreover she often had secretion of fluid from vagina more than usual. Due to these problems she had body ache & got tired very often and not able to do much physical activities please give suggestion to identify and cure these problems.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
My female friend have irregular period times and she suffers from irritation at private parts time to time, where als...
Most likely these are related to hormonal problems. Ask her to reduce weight if she is overweight. Check hormone levels by blood tests and get USG done. Avoid using ordinary soaps in genital area and try medicated soaps. Maintain hygiene. Consult gynecologist as we need to diagnose the cause and treat the cause.
4 people found this helpful
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Dear sir/ma'm, I was about to have sex with my gf, who is a virgin. I am disturbed and afraid bcz of many reasons. When I inserted into her with a slight force, it went inside and she felt huge pain. Since then it has been 3 days, she is not well, feeling headache, fever and lower stomach pain. After 3 months we're going to marry, I am 25 and she is 23. please help me. And then I will meet any sexologist if needed.

MBBS
General Physician, Chennai
Dear sir/ma'm,
I was about to have sex with my gf, who is a virgin. I am disturbed and afraid bcz of many reasons. Wh...
Slight pain during the first sex is common try to use alubricant oil for eg have a prolonged foreplay so tat she is prepared for the entryand well lubricated talk to her before the act about what is going to happen do not insert at one shot do it little by little she should be fine.
6 people found this helpful
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I am married and having 1 year old kid. We decided to for next kid after 3 years. I am using condom for sexual intercourse. My partner some times have hitching problem. Any other advice for avoiding pregnancy. Also during sexual intercourse sperm comes immediately during penetration. Pls advice for having increased time for sexual intercourse.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am married and having 1 year old kid. We decided to for next kid after 3 years.
I am using condom for sexual interc...
The best ayurveda herb for your case is Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This will help with your concern, if it dosent work then you must consult ayurvedic doctor.
4 people found this helpful
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Eating oily like ghee butter and milk in last trimester is not good for my baby pls tell . I am 7 month pregnant and my 8 will soon started .will it harden my uterus and pls tell is it not good for normal delivery .

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
Eating oily like ghee butter and milk in last trimester is not good for my baby pls tell . I am 7 month pregnant and ...
Lots of ghee or butter doesn't help . It will unnecessarily leads to excessive weight gain . But you can have in moderation
1 person found this helpful
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Am a 24 year female. I have 2 children and now I want not get the pregnancy what is the best and safe way to control the pregnancy.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Am a 24 year female. I have 2 children and now I want not get the pregnancy what is the best and safe way to control ...
There are lot of contraceptive methods you can have. You can use ocps, multi-load it for 5 years, or can get sterilization done, or ask your husband for vasectomy, and there are barrier methods as well.
1 person found this helpful
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I had sex, took a contraceptive tablet after that. I got my first period on exact date but was for 3 days only (normal 4-5 days). Now 2nd period is getting delayed last month date was 23rd jan. Very much worried am I pregnant? Please help.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I had sex, took a contraceptive tablet after that. I got my first period on exact date but was for 3 days only (norma...
Hello it should not be pregnancy according to your history. You can get a pregnancy test done after a week.
1 person found this helpful
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Hello lyb. Doc. To get conceive. On what alternate days. We have to do intercourse. My period usually. My cycle is 31-34 days. We are planning for baby. please suggest.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello lyb. Doc. To get conceive. On what alternate days. We have to do intercourse. My period usually. My cycle is 31...
Your fertile days will be around day-10 till day- 20 of your cycle. In this duration there is maximum chance of getting pregnant.
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Doctor can prega news be used after 5-6 days of intercourse. Actually I had wet humping. But I am doubtful that if I am pregnant. Doctor please suggest me what shall I do?

BHMS
Homeopath, Delhi
Doctor can prega news be used after 5-6 days of intercourse. Actually I had wet humping. But I am doubtful that if I ...
Humping, doesn't often result in pregnancy provided ejaculation has not been done into vagina. But in wet humping, don't take a chance and go for the test.
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I am trying to conceive from last 4 months but I am unable to conceive. What should I do? I have been married for 5 years and have a baby boy of 4 years I gave birth to son under C Section.

DGO, MBBS
Gynaecologist, Bangalore
I am trying to conceive from last 4 months but I am unable to conceive. What should I do?
I have been married for 5 y...
Continue trying for another 6 months and if you are still not getting pregnant, consult your gynaec.
1 person found this helpful
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I have married 4 months ago my wife is very horny she insist me to have 3 times a day morning, evening and night as from one month she is doing it but from one week I am having a slight continues pain in my right side of kidney please help me is it safe and now what can I do to stop pain?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello, Excessive sex done without consumption of aphrodisiacs definitely going to deteriorate your health. Semen apart from its giving birth function is responsible for tissue production in the body,excessive loss will hamper this production leading to serious health problems. There is no harm in excessive sex but it should be supported by the correct nutrition,thn only you are going to enjoy a safe sexual life ahead.
2 people found this helpful
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Undescended testis:Must know this

MD - Paediatrics
Pediatrician, Kolkata
Undescended testis:Must know this

Ideally, undescended testis should be surgically replaced before 1 year of age .

After birth if testis is not in the sack then chances of malignant changes increase with every passing month.

Initially, hormonal therapy may be attempted but if no descent then surgery recommended before 1 year age.

Surgery+hormonal therapy us the best approach to management.

Risk with No Descent of Testis
*Risk of testicular malignancy*this persists to some extent even after descent
*Risk of infertility
*Psychological distress to the child

Successful detection before puberty though doesn't decrease risk of malignancy but helps in detecting changes if any easily.

1 person found this helpful

My friend has prob of luekoria. From like 1 week. Would like to take homeopathy or ayurveda medicine for it.

BAMS
Ayurveda, Bangalore
My friend has prob of luekoria. From like 1 week. Would like to take homeopathy or ayurveda medicine for it.
Hi, Take cap. Lucogyl 1 cap 3 times a day and Ashotone syrup 2 tsf twice daily diluted with equal quantity of water. Use Panchavalkala lotion thrice a day to keep the genital area clean. Use all these medicines for about a week or 10 days.
1 person found this helpful
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Lemon and Weight loss

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Lemon and Weight loss
Lemon is packed with vitamin c which helps fat metabolism. It also absorbs iron. People with low iron content tend to feel tired and sluggish and reach our for sugary high calorie snacks. So squeeze some lemon on to your salads to help squeeze the fat out of your cells
1 person found this helpful

Is ssg or hsg test is painful? Doctor has recommend for ssg test. I am very anxious about that. I am trying to conceive for 6 months but there is no result yet. My periods are regular . All medical tests and husband's semen test is okk. Is any kind of anesthesia is done for this test. ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is ssg or hsg test is painful? Doctor has recommend for ssg test. I am very anxious about that. I am trying to concei...
In anxious women some sedatives like i/v calmpose injections are given or a short anesthesia. The test is not painful, rather an awake woman tells us about shoulder pain when dye is injected (good positive sign) but we take no chances as an anxious woman can move while doing the test. It takes less than 5 minutes to inject the dye through mouth of uterus with the help of a tiny but special pipe & radiologist clicks pictures from abdomen to see the dribbling dye if tubes are open. Good luck.
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I got cancer of breast 1 year back since then m not able to concentrate on anything, please help.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi I would strongly suggest to do meditation for atleast 30 minutes a day to relieve your body from stress of those things & yoga is best for that & above all have faith & confidence inside you & god. Your destiny cannot be changed by your worry right? so why to ruin your future in worrying about the passed time ok so get set ready for new future in front of you & daily see new hopes in your future as soon as you get up. Thanks regards & hope for your best health today & always.
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Hello Dr, I wanna know why after intercourse my semen comes out from vagina we are trying to conceive. Its now 1 year we got married. Why am facing this problem .and how can we conceive in right way. I discharge in 50 sec some times in 1 min. I gain weight 97 my height is 5.7.its also becoz of heavy weight or any other reason please guide me.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Hello Dr, I wanna know why after intercourse my semen comes out from vagina we are trying to conceive. Its now 1 year...
Some fluid is bound to come out of the vagina it is normal.it is not because of your weight,though you need to loose weight for your own health.
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I have completed my periods on 21 but still when I control my toilet I bleed little only when I control it why this is happening also I had abortion previous month. please give me a solution for that

International Academy of Classical Homeopathy, BHMS
Homeopath,
I have completed my periods on 21 but still when I control my toilet I bleed little only when I control it why this i...
Take hi giv her arnic 3c liquid 2drops below tongue 2hrly til bleeding decreases murex 12c 3tims day for 13 days china off 12c 3tims a days for 15 days helon 12c 2tims day for 10 days millefo 30 once a day for 5 days inform mr progress
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