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Dr. Vora J Dulari

MBBS

Gynaecologist, Mumbai

1100 at clinic
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Dr. Vora J Dulari MBBS Gynaecologist, Mumbai
1100 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vora J Dulari
Dr. Vora J Dulari is a trusted Gynaecologist in Mahim West, Mumbai. She studied and completed MBBS . You can visit her at P. D. Hinduja National Hospital in Mahim West, Mumbai. Save your time and book an appointment online with Dr. Vora J Dulari on Lybrate.com.

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P. D. Hinduja National Hospital

Veer Savarkar Marg, Mahim West. Landmark: Near Bombay Scottish School, MumbaiMumbai Get Directions
1100 at clinic
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Hinduja Hospital

Veer Savarkar Marg, Mahim West, Mahim. Landmark:Near Bombay Scotish SchoolMumbai Get Directions
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Graves' Disease - Things You Should Know About It

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Graves' Disease - Things You Should Know About It

The body has multiple chemicals called hormones, which regulate many of its functions. Increased or decreased levels of these hormones affect various functions including metabolism, growth and sexual functions. Thyroxin produced by the thyroid (situated in the front of the neck) is one such hormone, which has a significant role to play in metabolism.

Graves’ disease is one of the main causes of hyperthyroidism, where there is excessive production of thyroid hormones. Graves’ disease is an autoimmune disorder, wherein the body reacts against its own tissues. It is very common in women than men, especially after 20 years of age. Family history also has a strong correlation in developing Graves’ disease. The high levels of thyroid hormone increase the rate of metabolism, thereby altering weight, mental energy levels, physical stamina, and also mood.

Thyroid hormone is related to metabolism and more amount of it lead to higher metabolism. This causes the following symptoms.

  1. Intolerance to heat
  2. Excessive sweating
  3. Nervousness and anxiety
  4. Inability sleep, as the mind is always excited
  5. Increased appetite (sometimes despite weight loss) due to higher metabolism
  6. Irregular menstrual cycles
  7. Palpitations (rapid, loud heartbeat)
  8. Irregular heartbeats (tachyarrhythmia)
  9. Fine tremors of the extended arms
  10. Breast enlargement in men, known as gynecomastia
  11. Extreme moodiness, causing irritability and anger
  12. Inability to focus and concentrate
  13. General fatigue and shortness of breath with any exertion
  14. Increased frequency of bowel movements

In addition, the eye symptoms are quite diagnostic including:

  1. Protrusion of the eyes (exophthalmos), giving an impression that they are going to fall out
  2. Double vision
  3. Excessive tearing
  4. Increased irritation in the eyes

Diagnosis: The first symptom would be the presence of an enlarged thyroid gland (front of the neck above the collarbone), and the some of the above symptoms would be present.
In addition, tests to check for thyroid gland functioning including T3 and T4 levels would reveal increased amounts of hormone in the blood stream.
As a confirmatory test, the radioactive iodine uptake test also is done, which will indicate increased uptake by the thyroid gland. This indicates that the gland is functioning at an increased pace and requires additional iodine for the production of thyroid hormones.

Treatment: There are two approaches to it, one to control the symptoms and the other to control the thyroid gland per se.

  1. Beta blockers are very useful in controlling rapid heart rate and anxiety.
  2. Prednisone may be used to control eye irritation and swelling
  3. Antithyroid drugs are used to control the production of thyroid
  4. Radioactive iodine is given orally to control excessive thyroid production
  5. In severe cases, thyroid gland may be surgically removed partially or completely

Graves’ disease is not life-threatening and once symptoms are controlled, the patient’s quality of life improves drastically. If you wish to discuss about any specific problem, you can consult a endocrinologist.

3049 people found this helpful

I am 45 year old & wife is 39. Wife gained weight by 10 kg (now 63) in last 2 years. Her period stay for 2 or 3 days with negligible secretion. Breast becomes tender before mens. She don't have any interest in sex now & feels acute pain while inserted. Kindly suggest medication.

DGO, MBBS
Sexologist,
She needs to do blood tests Hb, TC, DC, fasting sugar, Prolactin, TSH. Check BP. For medicine ask me in private question. In open forum medicine cannot be mentioned
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I am 22 years old unmarried girl I had sex with my boyfriend one month ago. I checked from prega news pregnancy test kit and I found I am pregnant what should I do avoid my one month pregnancy. please suggest me I am very upset.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 22 years old unmarried girl I had sex with my boyfriend one month ago. I checked from prega news pregnancy test ...
Hello, Please rule out ectopic pregnancy with an ultrasound first and then opt for medical termination of pregnancy under a gynecologist at a registered MTP centre.
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I am pcod patient and if I take follihair tablet for hair fall. It causes weight gain or not and should I take this tablet or not.

DGO
Gynaecologist, Delhi
I am pcod patient and if I take follihair tablet for hair fall. It causes weight gain or not and should I take this t...
Dear Lybrate User, Follihair tablet would be useful to you, no weight gain would be due to tablet rather due to PCOD you may have weight gain, you should start treatment for PCOD rather, I would recommend to go for package for PCOD which was useful to many of my patients earlier also.
2 people found this helpful
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My tsh is 22 and I am pregnant. Doc told me I should abort the child becoz my thyroid can harm my child. USG show me that my baby is less than 5 weeks but according to my lmc I am 7 weeks pregnant. And the reports show that there is no foetus detected in uterus.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi Sangeeta uncontrolled thyroid levels can cause growth retardation of the baby and may lead to abortion. you can wait for 1week, repeat sonography after 7days mostly it won't grow but sometimes baby can have heartbeat.
2 people found this helpful
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My daughter is 2.11 years old she is active. But is not listening properly. There is mood fluctuate in her behavior. It is too tough to handle her. She wants everything do only by her. Like swiitch on ac, fan. Or she forces my mother to wear sarre everyday or when is in anger. She does not want anybody come at home. She refuses even touch her things, toys by anybody. Accept me or my mother. She always crying when is in sleep or before sleep it is third to take her outside almost she wakes up midnight or early morning and crying until she come back in good mood so please help me to come out from these situation.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My daughter is 2.11 years old she is active. But is not listening properly. There is mood fluctuate in her behavior. ...
Tantrums of a 3 years old child. Is she your only child, 1st born or jealous and insecure in a big fat joint family that believes in comparisons? anyway attention deficit etc are western concepts and have been belivers of discipline in kids but too much of it can back fire. Put her in a play school or a regular school at 3 and leave her alone to get her mind open up like a parachute, kids are a lot smarter than we presume. You will have to be around for basics but like other kids, she too needs her space, which she will get for sure, while she's away from her over protective mother for few hours a day. Don't stop communication and do get to know her friends also. Try for few days and there's no medicines for hyper behaviour of kids.
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Iam30years old I get every month 2-3 days before for my period date but this month one day before but I have period 1day only n second day little why this happens pl tells me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Iam30years old I get every month 2-3 days before for my period date but this month one day before but I have period 1...
Hello, having a change of 1-3 days is normal and the delay or early nature and also the scantiness of the flow is dependent on the hormonal level during the cycle which can be altered primarily due to stress.
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Hi missed my period for almost 1 weeks now, because I was supposed to bleed on 26th jan but till today m not having period, though having stomach aches.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi missed my period for almost 1 weeks now, because I was supposed to bleed on 26th jan but till today m not having p...
Hello, Please get a serum beta hcg test to rule out pregnancy now. though stomach pains may be related to PMS symptoms.
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When I was pregnant I am hypothyroid patient only at time of pregnancy after my delivery tsh test is do not for my baby her tsh 3 rd generation value is 21.15 their given a normal range below <20 mewlU/ml.

C.S.C, D.C.H, M.B.B.S
General Physician,
When I was pregnant I am hypothyroid patient only at time of pregnancy after my delivery tsh test is do not for my ba...
YOur baby has to be checked again and if positive he needs medication Normal” range for TSH can vary from Lab to Lab and is different for different for different labs. It is important to bear in mind the following when interpreting this test report. TSH can vary significantly at different times of the day. Although TSH is a good guide to diagnose thyroid disorder, it is not reliable parameter in itself or diagnosis nor for titrating the dose of thyroid replacement therapy. I always recommend checking FREE T3 and FREE T4 along with TSH. Sometimes low TSH could be due to pituitary causes. “NORMAL’ DOES NOT MEAN “OPTIMAL”. A large no of cases have TSH in the normal range but suffer from sub-clinical Hypothyroidism and needs to be treated. You also want to have your Free T3 and Free T4 run. They will be more accurate in measuring actual thyroid hormone. I would ask your ob to run the FT3/FT4 and then based on those results.
1 person found this helpful
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After unprotected sex, when can I do pregnancy test, to be certain about my pregnancy? Means after how many days of sex can I get a positive result of pregnancy test?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
After unprotected sex, when can I do pregnancy test, to be certain about my pregnancy? Means after how many days of s...
Hello, its particularity depends on ovulation period. If you have sexual intercourse from day 12 to day 18 of period then higher chances of getting conceive. You can do urine pregnancy test if your next period date missed.
1 person found this helpful
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I am 27 years. I am suffering from continues over bleed periodic problem from last 20 days. Can you suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, thanks for seeking help n trusting authentic ayurveda, Is the issue for this cycle or its of every cycle? This clearly share that your having pitta issues aggravated by high salt(containing foods) intake n pungent n sour taste like vinegar, continuing such food will lead you loose your tone of every muscle in your body. K fine soon be true health will reach you soon, I am considering that you didn't popped any hormonal pill. Have 2 tabs of any 1 of these patha/vasa/adhulasa/kutaj ghana for 3 days in d early morning n before food, If your having nausea n vomiting then only juice of pomegranate by sips. Your free to communicate any time.
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Excess Sugar In Body - Know How You Can Cleanse It!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), CGO
Ayurveda, Ahmedabad
Excess Sugar In Body - Know How You Can Cleanse It!

Sugar is present in all your beverages, smoothies, cookies, desserts, food items and more. But the not so sweet truth is that too much sugar in your diet can turn your life topsy-turvy. It increases your risk of obesity, diabetes, heart diseases, deters the immune system and even harms the brain function. So, in order to break the addictiveness of sugar that can rob you of your health, all you need is a clear path to detox from sugar.

Here are some pointers on how to detox your body off excess sugar:

  1. Turn away from sugar: Sugar is more addictive than cocaine. So you need to develop a strong will power to eliminate sugar completely, as you would do if you are trying to come out of alcoholism or other intoxications. You should not just avoid table sugar, but also keep away from all the sneaky sugars available in processed food and beverages. Ideally, a time period of 10 days is suggested to give up on any kind of sugar.
  2. Stack up on proteins: Eat meals that contain lots of good protein and fat. Since they are difficult to digest and take more time to absorb, it will make you feel full for a long time and sustain your energy levels. The key to balancing blood sugar and insulin levels, without much cravings can be achieved through a high protein diet.
  3. Eat the right carbs: Avoid refined carbs and starchy foods like potatoes, white bread, pasta and baked goods. Instead opt for natural carbohydrates present in vegetables like broccoli, cauliflower, leafy greens, eggplant, and artichokes. It is also good to avoid grains and beans during your detox period.
  4. No artificial sweeteners: You might be tempted to replace sugar with artificial sweeteners, but this is not really beneficial. Artificial sweeteners are just temporary solutions when weaning from sugar and we do not know about its long term benefits. In the long run, it might be just as addictive as sugar. If at all you crave for something sweet, go for natural fruits.
  5. Consume whole foods: Foods that don’t come in boxes, cans or bottles. Whole foods like vegetables, fruits, lean meat, nuts, fish, seeds and healthy fats will help a great deal to curb cravings and also keep you satiated.
  6. Sleep well: Last but not the least, get quality sleep time to beat cravings for sugar and suppress hunger hormones. Sleep your way to fight against the desire to overeat and improve your energy levels. A good night’s sleep will do wonders for your overall well-being. If you wish to discuss about any specific problem, you can consult an Ayurveda.
7032 people found this helpful

My wife complained about the pain in her breasts since last week the pain is not very severe but it is enough to cause a discomfort. I want to ask is this is normal or anything serious. Kindly guide me what should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My wife complained about the pain in her breasts since last week the pain is not very severe but it is enough to caus...
Some women have tenderness before periods and it's due to water retention due to hormones, try giving her minimal salt, lots of water to flush out toxic elements from blood by producing more urine. Exercise more according to constitution. Take more of potassium rich fruits like oranges and lemon juice, amla, fresh vegetables and fruits plus eating according to constitution. If she is overweight, reducing weight will help her besides eating well. No need to take any painkillers. If pain is bearable, get an ultrasound breast done to rule out any underlying nodes.
1 person found this helpful
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I have irregular period problem. And also having right ovarian simple cyst. Ovaries: Right ovary: 5.8 -4.2 cms Enlarged in size with simple cyst measuring 4.5 -3.8 cms Left ovary: 2.7-1.3 cms Normal in size and echotexture. Doctor suggested to use T.femilon for 3 months from day 5 -21 days. And I am using the medicine from last 10 days. Now I am getting so much of weakness and headache and getting pimple. I am taking food properly but still having those above mentioned problems. So please help me on this scenario to reduce that things. Thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I have irregular period problem. And also having right ovarian simple cyst.
Ovaries:
Right ovary: 5.8 -4.2 cms Enlarg...
Hi Lybrate user, femilon can't give you weakness. You need to check for hemoglobin. Please also see vitamin B12 and thyroid levels. Femilon can cause acne and headache. Please take symptomatic treatment as of now, it will go once you stop it.
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How can I have balanced hormone n cure my pcod. How can I get my periods regular.

MBBS
General Physician, Jalgaon
How can I have balanced hormone n cure my pcod. How can I get my periods regular.
Please Wake up early go for morning walk in greenery Do pranayam and yoga daily Do perineal and pelvic exercises daily Take Cap evecare by Himalaya 2 2 for 6 mths Lohasav 10 ml twice a day for 6 mths Ashokarishta 20 ml twice a day for 6 mths Do sonography of abdomen after 3 months Send me report on Lybrate.
2 people found this helpful
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Is it okay to make love regularly during 8th month of pregnancy? If yes, what cures and positions must be kept in mind for having safe sex?

MBBS
General Physician, Chandigarh
Is it okay to make love regularly during 8th month of pregnancy? If yes, what cures and positions must be kept in min...
You should avoid putting pressure on the abdomen of your Wife and should be very gentle in your approach
1 person found this helpful
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Hume relation bnaya period ke ek din phle but next 2 days tak period bhut hi halka tha but after 2 days regular hua or tabse 3 din ho gye regular hi hai but aisa phle kbhi ni hua. And after relation she take unwanted - 72. So now kuch samjh ni aa rha how her period regular. So yea koi problem to ni hai.

BAMS, MD, Panchakrma
Ayurveda, Nashik
Hume relation bnaya period ke ek din phle but next 2 days tak period bhut hi halka tha but after 2 days regular hua o...
its clearly due to pill that she taken . side effect of pills can prolong till 3 cycle .avoid taking pills regularly it may harm her fertility
2 people found this helpful
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Do`s and Don'ts in Rainy Season- According to Ayurveda

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Do`s and Don'ts in Rainy Season- According to Ayurveda
According to Ayurveda there are 6 ritus (seasons), out of which 3 are of aadan kala i.e. Shishir ,Vasant ,Gresham and 3 are of visarga kaal i.e. Varsha, Sharad and Hemant.
From July to September it’s Varsha ritu.
According to Ayurveda there are Do’s and Don’ts to stay healthy and free from diseases in this varsha ritu (Rainy season).
1) Digestive fire in this season is low,so to purify body, Panchkarma specially vaman,virechan, and vasti is advised according to Ayurveda.
2) Have dry,light,hot fresh food and food containing ghee.
3) Add honey, ghee, oil in your diet.
4) According to ayurvedic text , old shali rice,wheat,oats,vegitable soup should be added in diet.
5) Honey is very useful in this Varsha ritu (rainy season).
Avoid
Day dreaming, excessive liquid diet, excessive walking, exercises , sun rays, excessive intercourse.
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