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Dr. Swetha Pilankar

Gynaecologist, Mumbai

400 at clinic
Dr. Swetha Pilankar Gynaecologist, Mumbai
400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Swetha Pilankar
Dr. Swetha Pilankar is an experienced Gynaecologist in Andheri East, Mumbai. She is currently associated with Sunita Hospital in Andheri East, Mumbai. Book an appointment online with Dr. Swetha Pilankar 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 26 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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Nirman Vihar Rajmata Jijabai Road, Andheri East, Landmark: Opp to Punjab National Bank, MumbaiMumbai Get Directions
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I am 58 years old but I am energetic as 40 yrs. My girlfriend is 28 yrs. Old and I have sex with him. Have any chance of pregnancy?

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
a male even when old can be a father so far so his sperms are active and motile.So always take protection for sex
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My girlfriend is pregnant and I don't want that we have sex before 15 days tell me medicine so that she could have periods.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My girlfriend is pregnant and I don't want that we have sex before 15 days tell me medicine so that she could have pe...
Hello, please visit your gynecologist for ultrasound first and then advise on termination of pregnancy.
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Will 5 gm of ashvagandha powder taken every day by a woman in 50s already passed menopause will add to her weight and that's too substantially. Gudica Mahesh.

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist, Gurgaon
Will 5 gm of ashvagandha powder taken every day by a woman in 50s already passed menopause will add to her weight and...
I will suggest not to take as you are having high BP, ashvagandha is no your reason of weight gain, its insulin resistance which is increasing your weight
1 person found this helpful
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This month my menstrual flow was less what does it means, was it normal to have scanty in flow or any problem?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
This month my menstrual flow was less what does it means, was it normal to have scanty in flow or any problem?
Hello, The scanty blood flow this month can be due to stress induced hormonal imbalances and you must watch your menstrual pattern for at least next 3 months to reach a conclusion.
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I am 19 years old I suffered from pcos problem so, I have pimples all over my face and the scars and hair fall also. I couldn't bear it please tell me the best solution.

BHMS
Homeopath, Secunderabad
Hi , homoeopathy is the permanent solution for your problem. Better to apply papaya to scars, leave 15-20 mins and wash with cold water. Do this one every alternate day along with medicines. How long are you suffering from this problem?
2 people found this helpful
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My wife is pregnant .during pregnancy if we do the kissing ,romance and sex then due to this our child affected by this activity.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My wife is pregnant .during pregnancy if we do the kissing ,romance and sex then due to this our child affected by th...
Don’t Fear Sex There are many different issues that can arise during pregnancy and every woman’s circumstances are different; with that being said, you should always check with your health care provider to find out what is safe for you. Once you get the "green light, it’s important to trust your doctor and not let fears or myths stop you from having a healthy and enjoyable sex life throughout your pregnancy! Also, try Kegeling (naturally tightening and relaxing the muscles, which form part of the pelvic wall regularly); the exercise has many wonderful benefits that: * Help you to be more orgasmic * Enhance sexual enjoyment for both partners * Prevent prolepses of pelvic organs * Condition muscles making birth easier, and help prevent tears and episiotomies * Help prevent leaking urine when you sneeze or cough.
4 people found this helpful
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I have pcod and I got married on 2013 now I want to conceive. But I cant. Please suggest me.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Control parameters of pcod. Check the fertility factors in you and your husband. Pcod patients usually respond well to infertility treatment. If we can pinpoint the cause of infertility, the treatment will give you the baby. Good luck.
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Gave birth to 4 through caesarean section. 29 years old. I am diagnosed with hydronephrosis. But under control. Have cramps on my leg. I feel dizzy at times and sometimes vomit. Have severe headache. I always feel drowsy. Weight 37 kgs. Please help. Bp around 100/70 - 80/60.

BUMS
Gynaecologist, Mumbai
Gave birth to 4 through caesarean section. 29 years old. I am diagnosed with hydronephrosis. But under control. Have ...
4 c section n weight 37. Horrible pay attention on your diet calcium n iron n protein preparation. Threptin biscuits you can have with milk. Fresh fruits. Plenty of water. That's it.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Faridabad
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
2 people found this helpful

I have pain and irritation on anus opening after going stools. I am 6 weeks pregnant. Please help.

MBBS
Sexologist, Panchkula
I have pain and irritation on anus opening after going stools. I am 6 weeks pregnant. Please help.
You have pain and irritation in anal area. I advise you to take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily avoid garlic and red chilly and non veg and eggs. Take lots of fibres like in fruits and vegetables and avoid constipation.
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Can we use I pill to prevent pregnancy. If we have a doubt of pregnancy occurrence.

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, Palakkad
Can we use I pill to prevent pregnancy. If we have a doubt of pregnancy occurrence.
Dear user. The I-pill is to be taken soon after unprotected sex. It should be taken preferably within 24 hours and before 72 hours or else the pill may turn useless. Emergency contraceptive pill is 95 per cent effective only if taken in time. Take care.
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I am 39 years old male. I am in the process of divorce (mutual consent). Some time I am unable to get deep sleep during night. Some disturbances are there every one or two hours during night sleep by the way of thoughts. Is it normal in this period? How to avoid it? What shall I do? How to free my mind.

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
I am 39 years old male. I am in the process of divorce (mutual consent). Some time I am unable to get deep sleep duri...
Please seek help from a psychologist. You definitely need help through this phase of life. You need to make a new beginning and getting out of past would be extremely difficult and may leave lifelong scars. So, if you can afford, start seeing a psychologist immediately.
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I have hyper acidity for the last 20 years I did my endoscopic test as well as barium swallow test the result shows Hiatal hernia, I am taking antibiotics omezprazol 10 mg for the same period of 20 years, advice some treatment asap.

General Physician, Hyderabad
I have hyper acidity for the last 20 years I did my endoscopic test as well as barium swallow test the result shows H...
Definite Treatment for hiatus hernia is surgery . If it does not cause much problems then only symptomatic treatment is enough . Take care .
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Super Fact of the Day: The iron content in your body is enough to make a metal nail!

MBBS
General Physician, Mumbai
Super Fact of the Day: The iron content in your body is enough to make a metal nail!
One of the most essential minerals found in the body is iron. It is needed to make oxygen-carrying haemoglobin. If the iron in our body is collected together, we can create a nail that is 3 inches long!

Would you like to share this interesting fact with family or friends? go ahead and share!
648 people found this helpful

Hello sir, my name is ishika And I am form bhubaneswar I have a problem My period no happen properly What should I do.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Hello sir, my name is ishika
And I am form bhubaneswar
I have a problem
My period no happen properly
What should I do.
Medicine german reckeweg pulsatilla 200, 4-5 drops orally, single dose morn, empty stomach mixed fruit juice daily evening.
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I am married since 7 years. Age 30, F.I am Pcod (on Glycomet 850 & Normoz, folic acid). Undergone 7 follicular studies not positive in these 7 years. Husband s test are normospermia. Please advise I could go for IUI. Thanks.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Since you are 30 years and also have pcod, so yes you should go for iui. Also get an hsg done before going for iui to look for the patency of tubes whether or not.
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Both my daughter in laws didn't conceive so far. First married 7 years back and second three years back. First is in oversaes and the second is with us in chennai. Her tsh level is 0.08 and she had been put on eltroxin 125 mg. Tabs. By her gynaec. Chances of our getting a grand child!

BHMS
Homeopath,
Sir you had to evaluate the reason by some test then go for intervention ivf or conventional homeopathy. Decision is your both had good results.
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Missing periods from 35 days. Negative in 3 pregnancy tests after 21 days, 25 days and 32 days after missing periods. Did protected sex before 15 days of actual period date. Still is there any chance of getting pregnancy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Missing periods from 35 days. Negative in 3 pregnancy tests after 21 days, 25 days and 32 days after missing periods....
Hello, Get a serum beta hcg test to conclusively rule out pregnancy as urine pregnancy test is sensitive only after 8 days post missed periods.
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I am 4 months pregnant and during night time I have breathing problem and Running nose. Which disturb my sleep.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
I am 4 months pregnant and during night time I have breathing problem and Running nose. Which disturb my sleep.
Stuffy nose is a common problem in pregnancy. Use a high pillow under your head and put saline drops in your nose
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Hey. My niece is 13 and her breasts are getting too big. My aunt is very depressed nd wants her to have a surgery to reduce her breasts. Can you please help me. If not surgery, r there other ways of reducing her chest. Plzz help her mother is very worried.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hey. My niece is 13 and her breasts are getting too big. My aunt is very depressed nd wants her to have a surgery to ...
Take 2 cups of water in a saucepan. Add the neem leaves to it and boil it in low flame for 10 minutes. Strain the tea and add the turmeric powder to it. Also, add the honey and stir well. Drink this tea hot. Take this tea daily till you get desired results in reducing the breast size.
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