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Dr. Yojana

Gynaecologist, Mumbai

1000 at clinic
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Dr. Yojana Gynaecologist, Mumbai
1000 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Yojana
Dr. Yojana is an experienced Gynaecologist in Malad West, Mumbai. You can meet Dr. Yojana personally at Malad Maternity & Surgical Hospital in Malad West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Yojana on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 44 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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Malad Maternity & Surgical Hospital

113, S V Road, Malad West,Landmark:Above Metro Shoes, MumbaiMumbai Get Directions
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Hello doctor, I am 27 years old married. From last 2-3 months I got a less bleeding during periods. Generally my period duration was 4 days.(first 3 days was normal nd 4th day less bleeding). But now first 2 days is normal nd on 3,4 day very less bleeding. please help.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor, I am 27 years old married. From last 2-3 months I got a less bleeding during periods. Generally my peri...
Hello, there is no real need of worry as the pattern keeps changing depending in stress levels. As long as menses are regular you should not be much concerned.
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My monthly cycle is happening 2 times in a month. Is it ok. I take drugs as well.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My monthly cycle is happening 2 times in a month. Is it ok. I take drugs as well.
Hello, Please mention the drugs that you are on. Its not normal to have menses in 15 days this indicates progesterone deficiency.
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I am 24 year my 2 year after my marriage i have not got pregnant. I want to get pregnant but I am suffering for thyroid problem.

DGO, MBBS
Gynaecologist, Pune
I am 24 year my 2 year after my marriage i have not got pregnant. I want to get pregnant but I am suffering for thyro...
Get your thyroid levels latest reports nd correct the problem, with medication accordingly and chances are tht you will conceive automatically.
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

I am 25 years old .i had sex 6_7 times two year ago. And after this I even not think about sex. But a little fingering some times. Now I have done hymenoplasty operation. Sir I want to know that is after this my vagina also become tight. Bcoz sir mere marriage hai 1 saal bad. So please tell me that k mere vagina apne app tight hojayegi. please help me

MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
I am 25 years old .i had sex 6_7 times two year ago. And after this I even not think about sex. But a little fingerin...
Vagina will be slightly tighter than what it was, due to surgery of hymenoplasty. Do not worry nobody can make it out.
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Dr. i am getting marriage in 1 month so do not want a baby for 2 years what is best contraception for ma intercourse and sexual contact. And how to use? Is there any problem in future.

MD - Social & Preventive Medicine / Community Medicine
Epidemiologist, Hyderabad
Dr. i am getting marriage in 1 month so do not want a baby for 2 years what is best contraception for ma intercourse ...
Get a Copper-T inserted in your wife's uterus. The latest types are very safe. It is a one time job and after a few initial hiccups you can forget it and enjoy your marital life.
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Hi I get some white discharge sometimes is it normal or I am having some problem. It's not everyday.

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
Dear Lybrate user. The transparent clear liquid which comes out of your penis while having foreplay, speaking to a girl, watching porn etc is called pre-cum. This is a natural procedure and you don't have to stop it. Pre-cum is used as a lubricant on the penis glans, when the penis enters the vagina. Please understand. This is never a health problem. Don't worry. Take care.
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I and my wife is same blood group and my wife is having sugar. So can you tell me is there any problem having child.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I and my wife is same blood group and my wife is having sugar. So can you tell me is there any problem having child.
Same blood group is not a problem but if one is anaemic Hb electrophoresis for both partners should be done to avoid having a thalassemic child. Blood sugar should be in tight control peripregnancy period.
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Once for termination pregnancy tablet taken if heartbeat of d baby is not stopped can I conceive d baby will der b any side effects please tell me now urgent.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Once for termination pregnancy tablet taken if heartbeat of d baby is not stopped can I conceive d baby will der b an...
The chances of congenital malformation in fetus after taking medical abortion tablets is very less. You can continue the pregnancy but get an ultrasound done at 12-13 weeks and anamoly scan at 20 weeks.
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Essential prenatal nutrition

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Essential prenatal nutrition
Essential prenatal nutrition first trimester folic acid rich, calcium rich, dha rich. Folic acid rich food is lean meat orange n almond. Calicum rich is milk spinach, dates. Dha rich is fish egg walnut. In second trimester protein richnut milk soybean, fiber rich, apple oat meat, iron rich dried fig n raisin, dha rich is eggs flax seed. Ln third trimester vit b rich almond, whole grain brown rice, iron rich r cashew nut corn apricot, dha rich fish cod liver oil flax seed.
4 people found this helpful

Doctor my wife Rani had her periods last month on 19th december, from that date till today she has not started her periods yet, please tell me what can be the problem with my wife.

BAMS
Ayurveda, Bangalore
Doctor my wife Rani had her periods last month on 19th december, from that date till today she has not started her pe...
Hi, If a married woman misses her regular periods, first of all, Get her urine examined for pregnancy and if it is positive, consult a good gynecologist for further treatment.
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share care

BHMS
Homeopath, Ernakulam
share care
Share your thoughts and feelings with close people. Your health will improve and greying of hair will reduce.

I am suffering from heavy bleeding during periods. First 2-3 day little bleeding after that its heavy and last 2-3 day normal. And duration of bleeding is 11-12 days.

DHMS (Hons.)
Homeopath, Patna
I am suffering from heavy bleeding during periods. First 2-3 day little bleeding after that its heavy and last 2-3 da...
Hi, you should remain in rest during menstrual flow. Tk, plenty of water to hydrate yourself and to dilute blood. Tk, homoeo medicine: @ sepia 200-6 pills, thrice a day. @thlapai bursa q-10 drops, thrice with little water tk, regular, simple, easily digestible diet on time. Go for meditation, yoga for 30 mnts. Tk, apples, mcsrrots, spinach, almonds, milk, tk care.
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Hello doctor I am 8 weeks 5 days pregnant but today mene ultrasound karaya the doctor says that only sac is seen decidual reaction in normal no fetal pole is seen sac age is 5 weeks 6 days what is the chances of viblelity of this pregnancy.

Obstetrician, Delhi
Hello doctor I am 8 weeks 5 days pregnant but today mene ultrasound karaya the doctor says that only sac is seen deci...
If no fetal pole seen till 5 weeks, highly unlikely of being a live intrauterine conception. Repeat an USG after 1 week.
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I am 24 year old female. I had sex with my hubby at 21st and 23rd July. My last period starts at 8th July. So this sex life helps for my pregnancy? And I can take folvite tablet. In this tablet helps for my pregnancy or not?

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
I am 24 year old female. I had sex with my hubby at 21st and 23rd July. My last period starts at 8th July. So this se...
Yes - there is possibility because the contact is around the possibility of ovulation. You can test the urine for pregnancy after 13-14 jul if you miss the date,
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I am 22 years old female and I have irregular menstrual cycle problem for last 7 years I consult many doctors regarding the problem every time they give me pills for 3 months and my periods comes only after I take pills now I am tired of taking pills what should I do?

D.H.M.S
Homeopath, Muzaffarnagar
I am 22 years old female and I have irregular menstrual cycle problem for last 7 years I consult many doctors regardi...
Its not a permanent treatment. You can take a homoeo medicine pulsatilla 30, 5 drops in little water thrice daily, and aletris ferinosa q 10 drops in little water twice daily for 15 days. If you feels better then consult privately for continue treatment. Your treatment will be complete in six month.
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