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Dr. Tushar.S.Mangeshkar

Gynaecologist, Mumbai

Dr. Tushar.S.Mangeshkar Gynaecologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Tushar.S.Mangeshkar
Dr. Tushar.S.Mangeshkar is a trusted Gynaecologist in Mumbai, Mumbai. Doctor is currently associated with Dr.Mangeshkar Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Tushar.S.Mangeshkar on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 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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No 8, Madhav Niwas, Laburnum Road, Grant Road, MumbaiMumbai Get Directions
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Dengue Fever - Causes, Treatment, and Management

MD
General Physician, Mumbai
Dengue Fever - Causes, Treatment, and Management

Dengue fever is a painful infection transmitted by the bite of one of the 4 closely related viruses that are carried by a type of mosquitoes known as Aedes mosquitoes. The infection is not directly from one person to another.

Symptoms: After the mosquito bite, symptoms set in about 4 to 6 days and can last up to 10 days (as noted below). Most are general symptoms which can be seen with any viral infection and therefore most dengue cases can go undetected.

  1. Sudden high temperature
  2. Pain behind the eyes
  3. Severe headache
  4. Swollen lymph nodes
  5. Severe bone and muscle pains (this can lead to suspicion of dengue)
  6. Fatigue
  7. Nausea and vomiting
  8. Skin rash that appears 3 to 5 days after the onset of fever
  9. There could be in some cases gum bleeding, easy bruising, or nose bleeding

The dengue triad of symptoms is fever, headache and the skin rash. This could lead to suspicion and blood tests that can lead to diagnosis.

The acute phase lasts for about 2 weeks in most cases and there is no antibiotic (it is a viral infection) cure for it. The treatment is therefore symptomatic, aimed at reducing fever and pains.

If left untreated, especially in children, a severe case called as Dengue Hemorrhagic Fever (DHF) can occur, which affects children under 10 years of age and can cause failure of the circulatory system. This can also occur when a person is developing dengue for the second time. This is a serious form and can even lead to death; therefore the symptoms should be taken seriously and attended to immediately.

Diagnosis: Confirmation of dengue is through a blood test, where the virus is tested for.

Treatment: Being a viral infection, antibiotics are not effective against dengue. Pain killers with acetaminophen are preferred. Aspirin is avoided, as it can worsen bleeding. Complete bed rest, hydration and good nutrition are essential parts of the treatment. Being under medical supervision also helps watch out for complications. There is a vaccine under development that could become available in the next couple of years.

Prevention:

  1. Always use mosquito repellents, even indoors
  2. While being outdoors, use clothes that cover the arms and legs fully
  3. Use a mosquito net if your area is highly infested with mosquitoes
  4. Ensure the windows and doors are closed during the evening
  5. If you are suspicious of having dengue, reach out to the doctor
  6. Reduce chances for mosquitoes breeding by keeping the house clean
  7. If there are family members with dengue, protect yourself and them from mosquitoes

Preventing dengue is the best way to manage it; however, if once infected, the person develops immunity to it. Reduced immunity can put the person at risk of developing the condition again.

6032 people found this helpful

Im 4 months pregnant. At 16 weeks I had a ultrasound and doc told me I have an anterior low lying placenta which is 7mm away from os. What precautions should I take and what exactly does this mean. Are there any complications?

MBBS
Sexologist, Panchkula
Im 4 months pregnant. At 16 weeks I had a ultrasound and doc told me I have an anterior low lying placenta which is 7...
Avoid sex during pregnancy as this can rupture the placenta. Don't worry, there will not be any complications.
6 people found this helpful
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Health tips for healthy lifestyle

BHMS
Homeopath, Solan
80 people found this helpful

Recently she undergone ultra sound early pregnancy scan and the result is" cardiac activity faintly seen" when was the right time to go this scan. She entered into third month. When can we see cardiac function properly. Would like to take any precautions for this.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Recently she undergone ultra sound early pregnancy scan and the result is" cardiac activity faintly seen" when was th...
By 7 weeks cardiac activity should be clearly seen, if it is faint at end of 2 nd month, she shd b on rest, and gynae consultation progesterone supplemnts, necsry investigations shd b done asap . Usg shd b repeated after a week.
1 person found this helpful
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Hi. I am 27 years old. Am diagnosed with Bilateral Polycystic ovaries. So I have been prescribed Regumet 500 mg (twice) tablets for 30 .I have been married since 8 months now. Will I be able to conceive? How long it will take for me to get pregnant? Please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Hi. I am 27 years old. Am diagnosed with Bilateral Polycystic ovaries. So I have been prescribed Regumet 500 mg (twic...
Hi, do not worry. You can conceive surely if your menstrual cycles are ovulatory. Ovulation may be predicted by the use of urine tests that detect the preovulatory LH surge, called ovulation predictor kits (OPKs). However, OPKs are not always accurate when testing on women with PCOS] Charting of cervical mucus may also be used to predict ovulation. Ovulation may also be confirmed by testing for serum progesterone in mid-luteal phase.Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercours. So wait for your turn to come and do some lifestyle modifications like regular exercise, low calory diet ect.
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I am 25 year old. I had a stoke of seizure in Jan-16 and my neurologist put me under medication of Levera XR 750 (once a day). As per him, these tablets are to be continued for 2 years. Then I tried to conceive in Aug-16 but had to abort as recommended by my gums due to absence of heart beat after 3 weeks. Now again I am planning to conceive and already taking COR-3 and Ecosprin-75. Now on recommendation by going, I am starting fertile F instead of Ecosprin-75. Is it safe to have Levera XR 750 during pregnancy. Pls. Note that my blood group is O negative and had Anti-D dose during abortion of previous pregnancy. Pls. Advice, is all these are enough to avoid any complications again?

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
I am 25 year old. I had a stoke of seizure in Jan-16 and my neurologist put me under medication of Levera XR 750 (onc...
Hi lybrate-user Sorry about your early pregnancy loss. Lets list out the issues. A) Epilepsy b) Rh Negative c) 1 early pregnancy loss d) Medication confusion Now for my advice. A) You had a seizure, and have been put on LEVERA XR. It is very important that you do not stop the medicine without consulting you neurologist. Suddenly stopping it can cause seizures. It can be taken during pregnancy, but may need dosage adjustment. You gynaecologist and neurologist should decide management together. SO please continue taking it. B) Good you had the AntiD. Make sure the antibody levels are monitored through pregnancy. C) 1 early pregnancy loss is not a cause for concern. Nature tends to remove unhealthy embryos before they grow. You need to worry after 3 consecutive losses. D) Ecospirin is given for women with repeated pregnancy losses and having blood clotting disorders. Stopping Ecospirin is ok. Fertile F is a multivitamin combo, and again upto you to take it. COR 3 is folic acid tablet, and is necessary before getting pregnant and in early pregnancy. More so, since you have Seizure problem. It will help in baby brain development. LEVERA XR is VERY VErY IMPORTANT. And finally, relax, stay positive and look forward to a healthy pregnancy. All the best
1 person found this helpful
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Hi. I am 31 year female having problem in conceiving. I have balanced translocation of 2 and 4 with large break points. Kindly suggest what can be done in my case. I am trying to conceive from 4 years.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi. I am 31 year female having problem in conceiving. I have balanced translocation of 2 and 4 with large break point...
Hi, The balanced translocation between 2 and 4 is very rare. Normally for any parental translocation infertility, miscarriages and baby getting affected are slightly more than the normal population. The Genetic counselling doctor will be able to give you the details. If they predict that the baby will be affected then you have to go for donor egg with husband sperm IVF program. If they predict only some percentage will be affected you can rry IVF with pre implantation genetic analysis where they put only the genetically healthy embryos into your uterus after IVF. Please consult a good geneticist in your area and then consult an IVF specialist.
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I am 25 years I got period last month may now this month not came. I was taking pills upto march novelon I stopped in march and from last fifteen days back pain is also very much what is the reason? Please help me.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 25 years I got period last month may now this month not came. I was taking pills upto march novelon I stopped in...
You have to take puls 200 / 5 drops in little water thrice a day for one week. Do one latest ultrasonography of whole abdomen and send the final impression of the report. On that basis, I can suggest you the reason of this problem.
1 person found this helpful
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She got more pain at the time of her menstrual period can you give some suggestions for this?

BHMS
Homeopath, Faridabad
She got more pain at the time of her menstrual period can you give some suggestions for this?
Hello. Give her homoeopathic medicines - Mag. Phos. 6x and Colocynthis 200 - every 2 hrly. during the time of menses. And take Five Phos. and Alfaalfa Tonic - thrice daily for 1 month. Revert me back.
1 person found this helpful
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The delicious and cleansing ??Green Juice?

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition, Post Graduate Diploma in Health and Family Welfare
Dietitian/Nutritionist, Chandigarh
The delicious and cleansing ??Green Juice?

This is a light, frothy green juice with a lot of flavour. I only added one cup of chopped spinach to the recipe but if you want to bulk up on minerals, feel free to add more.

High in vitamins and low in calories, spinach is one of the most nutrient-dense foods. When combined with sweet pineapple, this juice becomes the perfect mid-afternoon pick-me-up or a great way to start the morning.

32 people found this helpful

When I go for preconception consultation will I be ordered ultrasound or sonography? Does it happen intravaginal or just external? Please let me know.

MBBS
General Physician, Chandigarh
When I go for preconception consultation will I be ordered ultrasound or sonography? Does it happen intravaginal or j...
There are both type of ultrasounds transvaginal as well as abdominal it depends upon what is it required for
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My wife period start 28 april and end 3 may. 4 may I physical relation to her. There are any chance she can pregnant?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife period start 28 april and end 3 may. 4 may I physical relation to her. There are any chance she can pregnant?
The chances of pregnancy from the physical contact on 4th may are minimal. It is very less likely that she can be pregnant.
3 people found this helpful
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I done unprotected intercourse with my gf 2 day before and I give I pill one dose after 15 hour of intercourse. And she get pain in stomach now what's tha chance of pregnancy? Or what I do to avoid pregnancy? Can I give one more dose of I pill? Or when prega news gave the result? please help me what to do.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I done unprotected intercourse with my gf 2 day before and I give I pill one dose after 15 hour of intercourse. And s...
Its not good to have Ipill sofrequently. One I pill is enough. Chances of pregnancy is less, do urine pregnancy test 15 to 20 days after intercourse or if misses periods.
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Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever food she was eating she has vomited. After intercourse I gave her a unwanted 72 i-pill. She has even vomited 3 hours after taking i- pill. Now my concern is that the i- pill worked or not.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Me and my girlfriend had intercourse 2 days ago. 1 day before intercourse she was suffering from vomiting. Whatever f...
It was wrong to have had intercourse when the girl was having vomiting. On top of it you gave unwanted 72 without getting her treated. You are worried about ipill rather than the girl and her vomiting. Don't worry about pregnancy. Take her to the hospital and get her treated.
1 person found this helpful
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M 20 year old. Last month I got period twice day was bcz I took I pill twice. So doctor prescribed me novaleon medicine. Nw dis month I didn't get periods. N m a smoker also.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
M 20 year old. Last month I got period twice day was bcz I took I pill twice. So doctor prescribed me novaleon medici...
Sometimes after taking IPILL ,periods gets distuirbed for 1-2 months.So dont worry it will be normal but avoid taking these kind of medicines as these have some serious health hazard.
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C.S.C, D.C.H, M.B.B.S
General Physician,
5 Dangerous Side-Effects While Sleeping With Smartphones

These days a life without a smartphone seems impossible. It has created a world of constant involvement for each of us .We all admit to the fact that we use our smartphones throughout the day from early in the morning till bedtime to ingest information.

This revolutionary device has substituted many traditional alternatives such as night watches, alarm clocks, calendars, flashlights, nightstand books, etc. Hence, most of us leave our smartphones to charge at night, right beside us on bed, for ease of accessibility. A time even when we donot accept to stay away from it. But this is not advisable for many reasons.


Reasons not to sleep with your smartphones on the bed

Substantially less sleep

Studies show that our constant need and ability to stay connected creates stresses of its own. These studies provide evidence to show that the radiation smartphones emit affects the quality of our sleep.

Let?s read through the various reasons why smartphones could adversely affect our quality of sleep.

Smartphones emit a certain type of ?Blue Light?, which is known to significantly affect the production and effectiveness of the sleep inducing human hormone called Melatonin.
This may be because blue light emits wavelengths similar to daylight, which can make our bodies think its daytime, at any time.
Much like standard light bulbs or fluorescent strips, mobile LED lights too aggravates the production of sleep producing Melatonin and stimulates the pigments called melanopsin within the cells in the retina, passing on signals to the brain.
Even a pulse of light lasting for as less as 0.12 seconds could delay the body clock and trigger the body into an alert mode thereby affecting the relaxation needed for Sleep.
Better yet, keep your smartphone in another room while you slumber. Radiations interfere with our body?s ability to repair itself from any damage suffered throughout the day.
Increase in irritability and stress

Anything that disrupts the quality of our sleep impacts our attentiveness and irritability in the short and long term. In fact, sleeping with smartphones is especially bad for kids and teenagers who typically need more sleep than adults, (and who statistically sleep with their phones close to their heads more than adults). It can cause mood and personality changes, ADHD-like symptoms, and depression in kids.

Chances of a fatal fire

A teen in Texas woke up, choking with the burning smell. Her Samsung Galaxy S4 smartphone was on fire, which was tucked beneath her pillow. The culprit was the non-Samsung phone battery, the phone?s manual made it very clear that using of incompatible phone battery and chargers can be risky. Therefore, the moral of the story is better to stick with phone accessories from the original manufacturer and never keep your phone under your pillow or thick materials.

The health risks of cell phones

There?s been no research that verifies cell phone use source cancer; in fact, the relations to any kind of health risk aren?t yet clear. In general, cell phones are said to emit such small doses of electromagnetic radiation?which is also emitted from X-rays and microwaves and can lead to tumour growth. Still, the World Health Organization warned in 2011 that usage may be possibly carcinogenic to humans, especially in children, whose scalps and skulls are thinner than adults?, and more vulnerable to radiation emitted by smartphones. So if you?re at all worried about the possible cancer risk, try to text instead of call, hold the phone away from your ear, or use an earpiece or the speakerphone setting as much as possible?and definitely don?t sleep with the phone next to your head.

A sabotaged Sex life

A loved one is definitely more cuddly and sexy than a smartphone. Nevertheless the current wave of cell phone obsession has severely affected the sexual elements of a relationship. A recent survey reveals that a whopping 72% Americans keep their cell phones within 5 feet of their bed and keep checking for any updates, even in the midst of a Sexual Intercourse.

Some mandatory Precautions to be taken

Most experts around the globe have repeatedly highlighted the importance of constraining ourselves for over-usage of smartphones, especially during bed-time. Not only does the practice help in better sleep quality but also keeps the body away from radiations, at least during the night time.

Limit the number of calls you make before sleep.
Limit the length of your calls soon before bed time.
Use hands-free devices (wired cell phone headsets or wireless ones like Bluetooth) , in case a bed time call is absolutely unavoidable.
If you are not using a hands-free device, put the cell on ?speaker phone? or hold the phone away from your ear.
If you have a habit of listening to music or playing games on the mobile phone during leisurely night time, put your phone on ?airplane mode? when possible. Airplane mode means email, Internet, and phone can?t be used, but you can listen to music or play games on the phone.
Prefer messaging, instead of talking, before going to sleep.
Go over these guidelines with your children and limit their cell phone use during sleep time.
No doubt, the matter of sleeping with our smartphones is part of a larger issue we face as a society by being engaged to all our devices 24/7. But, productive sleep in particular is important in helping our bodies recover from the stresses of the day. Being concerned and checking our phones before and during sleep, along with the fact that phones emit radiation, means that attaining a state of deep sleep is difficult. Henceforth, little by little, we should make a conscious effort to limit the negative effects of sleeping close to our phones every night.

20 people found this helpful

Me and my Wife last had sex on 18th May, her period was due on 24th May, We suspected that the condom broke and So I gave her an I-pill. The period arrived on 26th May. Now, we'll be having sex on 18th July. Just in case, will It be safe to still Give her an I-pill this time. (One Cycle has passed since last intercourse)

BHMS
Homeopath, Faridabad
Me and my Wife last had sex on 18th May, her period was due on 24th May, We suspected that the condom broke and So I ...
Hello, theses are the side effects of i- pill:- skin sensitivities, weight gain, changes in mood, changes in menstruation, reproductive damage. Keeping these side effects in the view you should not repeat it frequently, you can take it once in a blue moon.
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Dear doctor I have delivered a baby girl three months ago. I feel pain in my left breast. and sometime the pain was unbearable what can I do for it. Is it normal or have some problem.

DGO, MBBS
Sexologist,
Dear doctor I have delivered a baby girl three months ago. I feel pain in my left breast. and sometime the pain was u...
It may be related to breastfeeding, but if the pain is much then you will need clinical examination and treatment. Also ultrasound of breasts may be needed depending on clinical examination.
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After delivery . First child Cesarean in next baby when will be consume. please tell when we can sex sir thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi lybrate user, you should plan for baby after 2years of Caesarean section. you can have intercourse after 2months of the Caesarean section but use some contraceptives.
2 people found this helpful
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