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Dr. M V Thombare

MBBS, Diploma in Obstetrics & Gynaecology

Gynaecologist, Nagpur

30 Years Experience  ·  200 at clinic
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Dr. M V Thombare MBBS, Diploma in Obstetrics & Gynaecology Gynaecologist, Nagpur
30 Years Experience  ·  200 at clinic
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Personal Statement

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. M V Thombare
Dr. M V Thombare is a trusted Gynaecologist in Hanuman Nagar, Nagpur. He has been a practicing Gynaecologist for 30 years. He is a qualified MBBS, Diploma in Obstetrics & Gynaecology . You can visit him at Suhasini Nursing Home in Hanuman Nagar, Nagpur. Book an appointment online with Dr. M V Thombare on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 25 years of experience on Lybrate.com. You can find Gynaecologists online in Nagpur 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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Education
MBBS - Indira Gandhi Medical College, Nagpur - 1987
Diploma in Obstetrics & Gynaecology - Indira Gandhi Medical College, Nagpur - 1991
Languages spoken
English
Hindi

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Suhasini Nursing Home

480, Proffesor Colony, Manewada Road, Hanuman NagarNagpur Get Directions
200 at clinic
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HEALTHY EATING...

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate in Child Health, Certificate in Skin Diseases, Certificate in Veneral Diseases, Certificate in Gynecology & Obstetrics, Post Graduate Diploma in Emergency Medical Service (P.G.D.E.M.S)
Ayurveda, Mumbai
HEALTHY EATING...

Ayurveda includes ahara (food) as one of the trayopasthambha, one of the three pillars to keep the body healthy. The term ahara stands for the healthy eating habits. The disciplined eating habit will nourishes and keep a person healthy, on the other hand undisciplined eating habit can lead to serious health issues.
Virudhahara (incompatible food) is the main output arising from the undisciplined eating habit.
It can be consider as one of the major thread for the new age diseases.

 - Viruddha (incompatibility)
What is viruddha?
Those substances which cause the imbalance of doshas in the body but do not expel them out are known as viruddha and so they remain antagonistic to the dhatus. When foods with different qualities, heating or cooling properties and different post digestive effect are combined in one meal they suppress the digestive fire (agni) and lead to accumulation of toxins in our body.

Bad effect of viruddha:
The use of viruddha food will produce boils, swelling, toxicity, abscess, tumors, cancer, weakness, loss of vigor loss of strength, loss of memory, loss of sense perception and intellect. Also causes fever, hemorrhagic disorder, skin diseases, diabetes etc.

Solution:
Avoiding the incompatible food combination from the food habit is the first line to prevent the bad effect arising from virudhahara. If a person already in the habit of taking foods which is incompatible, advised to reduce the quantity of such foods gradually from the diet rather than stopping it suddenly. Ayurveda explains the panchakarma (5 purificatory therapy - vamanam, virechanam, vasthi, nasyam and raktha mokshanam) as a real solution to expel out the toxins accumulated in the body.

 - Viruddha ahara (incompatible food)
By combination:
Milk with fish, horse gram, black gram, salt, sour things, bananas, meat, melons, curd, bread containing yeast, cherries
Meat of aquatic animals with honey, jaggery, sesame, milk, black gram, raddish, germinated grains
Lakucha with curd, jaggery, honey, ghee
Banana with curd, buttermilk, fish, meat, melons, curd, sour fruits, bread containing yeast, cherries
Leafy vegetables with butter
Melons with dairy, eggs, fried food, grains, starches, cheese
Equal quantity of honey and ghee
Equal quantity of honey and water
Beans with fruit, cheese, eggs, fish, milk, meat, yogurt
Eggs with fruit (especially melons), beans, cheese, fish, milk, meat, yogurt
Hot drinks with mangos, cheese, fish, meat, starch, yogurt
Lemon with cucumbers, milk, tomatoes, yogurt
Potato with melon, cucumber, dairy products
Radish with bananas, raisins, milk
Tapioca with fruit, especially banana, mango, beans, raisins, jiggery
Yogurt with fruit, cheese, eggs, fish, hot drinks, meat, milk, potato
Chilies are incompatible with, yogurt, milk, melon, cucumber
Yogurt is incompatible with milk, sour fruits, melons, hot drinks, meat, fish, mangos, cheese
Mangos are incompatible with yogurt, cheese, cucumbers
Corn is incompatible with dates, raisins, bananas

By preparation:
Pigeon meat prepared in mustard oil, honey after heating
By activity:
Drink hot water immediately after honey intake, cold water immediately after ghee intake, immediate exposure of extreme hot to cold and vice versa, cold drinks put down the digestive fire especially when taken with the meals, intake of milk when the body is heat, intake of food immediately after physical work

 - Ayurveda offers some advice concerning eating habits:
There should be at least 6-hours interval between the meals.
Do not drink water one hour before and one hour after eating. It is advisable to have like warm water along with the meal.
Do not eat many items in one meal.
Eat according to your own digestive capacity.
Do not mix fruits with your meal. Substitute one of the meals with fruits or eat them between the meals.
There should be at least 4 hours between the last meal and going to bed.
Sleeping in day time especially immediately after a meal is harmful.
A short walk after a meal helps digestion.
Do not eat when you are worried or depressed.
Do not eat if you are not hungry.
Eat in a clean and pleasant environment.
Do not read a newspaper or watch the tv while eating
Do not eat too fast or too slow

 - Taste and food: according to ayurveda there are six basic tastes: sweet, sour, salty, pungent, bitter and astringent. They are composed of the five principal elements.
1) water and earth - sweet taste.
2) earth and fire - sour taste.
3) water and fire - salty taste.
4) fire and air - pungent taste.
5) air and ether - bitter taste.
6) air and earth - astringent taste.

Tastes not only influence digestion, but they also have a profound influence on our doshas. A basic principle in ayurveda is similar increases similar.

1) sweet taste is composed of water and earth element. It increases kapha dosha which is composed of the same elements, but reduces vata and pitta dosha. Sweet foods are bread, rice, milk, sugar and most of the fruits. They are necessary for every constitutional type, but in excess they increase kapha and lead to overweight, increase of the mucus secretion in the nose and sinuses, increase of the mucus in the lungs, create e feeling of
Heaviness, laziness and causes diabetes.

2) sour taste is composed of the elements fire and earth. Sour foods are mostly beneficial for vata dosha. Small quantity may be used by kapha and a very small by pitta dosha. Sour foods are citrus fruits, yogurt, vinegar, cheese, all foods produced by fermentation. Used in moderation they stimulate appetite and salivation, improve digestion and refresh one's mind. Used in excess they cause thirst, burning sensation, indigestion and may help progression of different diseases.

3) salty foods are used in small quantities by all types, but are mostly beneficial for vata and increase pitta and kapha. Salty foods are sea salt, rock salt, kelp. Salty taste has laxative effect, reduces spasms in the colon, supports the electrolyte balance, stimulates salivation, improves the taste of foods and helps digestion and elimination. Used in excess it may disturb the balance of pitta and kapha. It causes hypertension, deterioration of heart conditions, skin diseases and causes early formation of wrinkles.

4) pungent taste is mostly beneficial for kapha, may be used in small amounts by vata and in very small quantity by pitta dosha. Pungent foods are many varieties of peppers, onion, radishes, garlic and ginger. They improve digestion, clean the sinuses, stimulate nasal and eye secretion. Excessive use may cause burning sensation, thirst, ulcer, skin diseases, diarrhea and insomnia.

5) bitter taste is good for all doshas in small quantities. It is mostly beneficial for pitta dosha. Bitter foods are coffee, aloe, curcuma, salads. Bitter improves the taste of foods in combination with other tastes. It is considered antitoxic. It cleans the body and the liver from toxins. It relieves the burning sensations and itching in skin diseases, reduces the fever and improves digestion. It has a drying potency and causes reduction of the adipose tissue. Excessive use is not recommendable. It causes dryness of the skin, weight reduction and sexual disturbances.

6) astringent taste should be used in pharmaceutical quantities. It may be used by all doshas in small amounts, but pitta and kapha a little bit more than vata dosha. Astringent are pomegranates, beans, cherries and foods rich of tannins. Astringent is constricting, reduces secretions, helps wound healing and reduces bleeding. Excessive use may cause
Dryness in throat and mouth, constipation, gas, weight loss.

 - Advise according to dosha
People with vata dominant constitution should avoid bitter, pungent and astringent foods. Good for them are sweet, salty and sour foods. Light, dry and cold foods are not recommendable. It is good if everything is cooked, warm, with oil because vata dosha is light and dry.
People with pita dominant constitution should avoid sour, salty and pungent foods like citrus fruits and pickles. Beneficial for them are sweet, bitter and astringent foods. They must not be warm and with a lot of oil, but only with a small amount of sunflower oil or ghee.
People with kapha dominant constitution should avoid sweet, sour and salty foods. Beneficial for them are bitter, pungent and astringent foods. They have to be warm, with only a small amount of oil, mainly sunflower or corn oil.
We hope that this article will improve your eating style and health too.

Keep enjoy healthy eating:)

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1 person found this helpful

Me and my wife plan for a baby, we got married from last 2 years, but then we do not plan for baby, s we used precautions like use condoms but last 2 months we try for a baby, we usually sex thrice in a week, please let me know what we should do? When? Any problem in us?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Me and my wife plan for a baby, we got married from last 2 years, but then we do not plan for baby, s we used precaut...
To get pregnant you need to have regular sex i. E. 3-4 times a week for one full year before you start seeking medical help. If you want to make her pregnant fast then you can follow this calender method. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26 days) minus 18 days = 8th day. The longest cycle (31 days) minus 10 days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period.
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Cesarean Section (C-Section) - Birth and Delivery

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Cesarean Section (C-Section) - Birth and Delivery

Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Cesarean section, but the ultimate goal is to safely give birth to a healthy baby.

C-section or Cesarean section is a surgical procedure to remove baby through an incision in the mother’s abdomen and then a second incision in the uterus. It may be a necessity in certain situations, such as delivering a very large baby in a mother with a small pelvis, or if the baby is not in a heads-down position and efforts to turn the baby before a woman gives birth have been unsuccessful.

Sometimes the decision by an obstetrician to perform a C-section is unplanned, and it is done for emergency reasons because the health of the mother, the baby, or both of them is in jeopardy. This may occur because of a problem during pregnancy or after a woman has gone into labor, such as if labor is happening too slowly or if the baby is not getting enough oxygen.

Some C-sections are considered elective, which are planned by the treating doctor for medical reasons. The patient may choose to deliver by CS due to previous unpleasant experience or to avoid the pain of normal labour. In such cases also it is called elective CS.

Reasons for a C-section may include:

  1. Health problems in the mother
  2. The mother carrying more than one baby
  3. The size or position of the baby
  4. The baby’s health is in danger
  5. Labor is not moving along as it should

The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

How You Might Feel

You won’t feel any pain during the C-section, although you may feel sensations like pulling and pressure. Most women are awake and simply numbed from the waist down using regional anesthesia during a C-section. That way, they are awake to see and hear their baby being born. A curtain will be over your abdomen during the surgery, but you may be able to take a peek as your baby is being delivered from your belly. However, women who need to have an emergency C-section occasionally require general anesthesia, so they’re unconscious during the delivery and won’t remember anything or feel any pain.

Recovering from a C-section

After a C-section, a woman may spend two to four days in the hospital, but it may take her up to six weeks to feel more like herself again. Her abdomen will feel sore from the surgery and the skin and nerves in this area will need time to heal. Women will be given narcotic pain medications to take the edge off any post-surgery pain, and most women use them for about two weeks after ward.

A woman may also experience bleeding for about four to six weeks after a surgical birth. She is also advised to not have sex for a few weeks after her C-section and to also avoid strenuous activities, such as lifting heavy objects.

2620 people found this helpful

Know More About Delayed Periods

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Mumbai
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How to manage delayed Menstrual Cycle?

I'm Dr. Jyotsna Patel, practicing gynecologist and obstetretician at Uma Maternity and Surgical Nursing Home, Andheri East, Mumbai.

Today would like to talk on a topic which I encounter practically everyday in my practice that is young patient in the age group of 18-30yrs coming with the problem of delayed periods.

Now, delayed periods is something which bothers everybody. Again delayed period, first thing we need to rule out pregnancy. I've now encountered a lot of young girls, even unmarried girls who're now sexually active and they come with a history of delayed periods and they're very anxious and panicky. Now, once you've a delayed period first thing you need to see if you're sexually active is rule out pregnancy, and that thing can be done with either urine test or there are blood tests available for that. Once that has been ruled out then comes as to why the periods have been delayed and how often have you been getting this delayed periods.
If it's one of the random episode you're having then you need not bother, you just need to maintain a menstrual calender and see that how often your periods are delayed.

Now mind you in periods, plus or minus 8 days is considered normal. So 3-4 days of delay or 3-4 days of getting early period should not bother you. And once you're sure that the urine pregnancy test is negative and it is becoming a regular pattern that you're getting everytime 10 days delay, then 15 days delay then in that case you need to undergo some investigation or consult a gynecologist as to whta is the reason of delay, because most cmmon reason of delay is hormonal imbalance which we're finding very common because of the lifestyle changes that is happening- lot of stress, lots of junk food, then having obesity, this all is giving rise to hormonal imbalance causing the delayed periods as well as menstrual irregularities. So you'll need to undergo some hormonal tests specially thyroid tests, FHM, LH test and there are a lot of other hormones that you need to check and consult gynecologist. The second as I said, the first thing you need to do is rule out pregnancy, again if the pregnancy test is positive it's mandatory that you consult an obstetrician or gynecologist and don't try t get rid of the pregnancy, specially if you're not married by you know, listening to your friends, or going to quax out of fear.

For anything else you need to know about this you need to contact me on Librate.com .

3510 people found this helpful

I have too much of hairfall and also my periods get delayed for long time what should I do to prevent both?

BHMS
Homeopath, Faridabad
I have too much of hairfall and also my periods get delayed for long time what should I do to prevent both?
Hi. It's normal to loose up to 100 hair per day, and in most people, those hairs grow back. But many men -- and some women -- lose hair as they grow older. You can also lose your hair if you have certain diseases, such as thyroid problems, diabetes, or lupus. If you take certain medicines or have chemotherapy for cancer, you may also lose your hair. Other causes are stress, a low protein diet, a family history, use of bore water, or nutritional deficiencies. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg., eggs (it's loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids in large amounts and biotin) , different pulses & legumes, sprouts, nuts (sp. walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Cover your head with scarf or cap while stepping outside. Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200 & Alfalfa Tonic twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. Investigations advised: Get your blood tested for (empty stomach) - CBC, S. Iron, S. Folic acid, S. Ferritin, S. Calcium, S. Vitamin D3, S. Vitamin B12. If there is any family history of Thyroid dysfunction, get Thyroid function test done as well. For Delayed periods: Is it happening for the first time? Since how long you have been suffering from this problem? Is there history of the same in your past as well? Any associated symptoms or complaints? Any medical condition do you have? Have you been to a gynaecologist and got any investigations done (if yes, share the reports with me)? Answer all these questions for proper diagnosis and proper treatment. Any nutritional deficiency can also lead to delayed menses. Also, if you are married and you do have active sexual life, get the pregnancy test done first and share the report with me. Meantime, suggesting you general tonics which will supply your body with calcium and iron - Five Phos. - thrice a day daily for 1 month.
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I am having 4 months child but from last two months not having normal period and having white discharge. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Diploma In Panchkarma Professional
Ayurveda, Nagpur
I am having 4 months child but from last two months not having normal period and having white discharge. Please suggest.
Please check it HB n Calcium present start support Lohasav Syp Dashmularestha 3 tsf two times a day pushyanug Churna 3 GM twice a day with rice water for detail call via Lybrate your problems is minor you need proper guidance.
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Dear Doctor, I am 21 years old I have a problem in ovaries that is PCO and the doctor says I cannot give birth and also there is no treatment for the pco as well as the report states that there is high stroma follicles in both the ovaries.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Dear Doctor,
I am 21 years old I have a problem in ovaries that is PCO and the doctor says I cannot give birth and al...
Hello, Please get your AMH LEVELS done and astral follicular count. Pcos can be controlled and its not that pcos patients cannot conceive. You can. Please follow up with your reports directly. :)
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I Am conceived and taking arip mt 5 nd qutipin, 25 And in blood test report during 12, weeks in interpretation they hav given negative risk of down syndrome 1: 26479. Screen negative downs risk in this preg. Am so much worried. Pls help me.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I Am conceived and taking arip mt 5 nd qutipin, 25 And in blood test report during 12, weeks in interpretation they h...
You should continue with folic acid hope you are taking that, screening test is negative for down syndrome but their could be another congenital abnormalities to be ruled out, get nt scan done with good apologist.
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I have irregular periods from the very beginning of my menses. Now i’m 24 and the çase has remain altered except 4 years back when I was on medication prescribed by a gyne for the same. The reports showed hormonal disturbance but I was not comfortable with taking pills everyday so I discontinued it. Please suggest me other possible way.

BHMS, MD - Homeopathy
Homeopath, Vellore
I have irregular periods from the very beginning of my menses. Now i’m 24 and the çase has remain altered except 4 ye...
Dear lybrate user! greetings! the irregular periods may be due to pcod or hormonal troubles. 1. Immediately start to reduce your weight 2. Avoid eating too much fatty or oily food 3. Avoid eating too much chicken 4. Start eating vegetables and egg daily 5. Take homoeopathy medicine, you can get normal within 3 months, thank you elaveni homeo clinic, vellore.
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My wife age 49 years ,her period is not properly, she thrice in a month, she has no taken any medicine yet kindly advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jamnagar
My wife age 49 years ,her period is not properly, she thrice in a month, she has no taken any medicine yet kindly adv...
Hello it's due to increase of pitta according to ayurved. You have to take medicines for this conditon. For medicines you can ask in personal chat. Advice 1) don't take any spicy food 2) take boild food only for 1 month. 3) avoid green or red chilli 4) take kheer in diet with roti Thank you.
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Doctor my 16th day follicular study reports shows that the left ovary- no progress, right ovary- 22. 1*23. 2mm, et 11. 2 mm, and there is no free fluid. Can you pls explain about my report doctor and also I have some questions, kindly please answer to this also. When is my ovulation day? can I conceive this month? please help me doctor am ttc for nearly 1 year.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Hi , here the reports you showed are not clear. Moreover, you didnt mention about your menstrual h/o in general in brief. What other c/o. You hsv other than this. These all weigh more in assessing your fertility. In general ovulation period is in b/w 2nd n 3rd wk. But varies from person to person as per their cycle and circumstances. Here you find not mention anything about your usual cycle etc all details. So personally I suggest you to get opinion of a gynaecologist n b under her supervision for a while. Based on diagnosis, you can consult any homeopathic doctor also.
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Hi Doctors, Is coconut oil is good to massage the Penis. I am having a thinner penis and it is easily inserting into the vagina. When the vagina is dry then it is difficult to insert but in wet vagina it is inserting very easily. Please let me know how to increase the girth of the Penis.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi Doctors, Is coconut oil is good to massage the Penis. I am having a thinner penis and it is easily inserting into ...
Hello- Yes, coconut oil is good for penis health. In order to improve penile girth, you must Try ginseng. ... Stop Smoking. Exercise regularly. Exercise your pelvic floor. Lose Belly Fat.
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HiI am 51 male. My wife is 45 year. From last 3 month my wife period is not coming yet . Which tablet I can give her for period. Her wight is 80kg and height 163cm. She is not taking any medicine.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
HiI am 51 male. My wife is 45 year. From last 3 month my wife period is not coming yet . Which tablet I can give her ...
Any thyroid prob? german natrum mur 1m, 4-5 drops orally single dose morn report me after 1 month / period food dry coconut 30 gms daily 25 pcs kismis daily 5 pcs khejur 4 spoonful glucose daily mixed fruit juice daily evening water 3-4 ltrs a day my specialty =================================== bronchial asthma bleeding piles fistula tumours/ ovarian tumours. Skin diseases non stop bleeding in females irregular period.
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In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
In Blood pregnancy test reports comes in negative or positive or in values.Please tell sir.
Blood is tested for hcg hormone which is the pregnancy hormone and it gets positive before the period is due right after conception occurs. There is spurt in value of this hormone as pregnancy advances and there are charts to find out if weeks of pregnancy coincide with the level of hormone so that the risk of miscarriage can be explained to mother and injection hcg can be given. In tubal pregnancy, if fetus is dead the levels of this hormone keeps falling and woman can be saved surgical intervention, medical treatment can be carried out to treat a case of tubal pregnancy.
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Hi Dr. My wife is 4 month pregnant and have stones in both kidneys and one 11 mm stone block the urine in left kidney. But at that time she is fine, if any time she gets pain what pain killer recommended to eat.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hi Dr. My wife is 4 month pregnant and have stones in both kidneys and one 11 mm stone block the urine in left kidney...
Whatever medicine given to your wife get sure that medicine is safe for pregnancy and not cause any side effect on fetus. So, always do follow -up while taking medicine during pregnancy for stone or any other diseases.
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My girlfriend had unprotected sex with me but I did not ejaculated inside her. She is not getting periods even after 9 days of the last mensuration cycle that was 22/03/16 what should we do.

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 girlfriend had unprotected sex with me but I did not ejaculated inside her. She is not getting periods even after ...
Get urine pregnancy test done first. Most likely there is no pregnancy as you did not ejaculate inside. There are numerous causes of not having periods. If pregnancy is negative, go for blood test and usg to find out the cause and get the cause treated.
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Diabetic Nephropathy!

md general phisician
General Physician, Hyderabad
Diabetic Nephropathy!

Diabetic nephropathy refers to diabetic kidney disease (nehpro=kidneys, pathy=disease). In 2011, diabetes caused nearly 44% of kidney failure cases. This makes diabetic kidney disease the number one complication of diabetes; one that is likely to affect almost every diabetic to some extent. In nearly half the cases of kidney disease, it could lead to kidney failure as well.

Diabetes and kidneys:

The kidneys filter nearly 200 quarts of our blood every day. Diabetes is a disease of excess sugar in our blood. Read these two sentences together and the link between diabetes and kidneys becomes obvious!

Every single day of our lives, the kidneys perform these functions:

Remove waste from our body (in the form of urine) retain whatever proteins, vitamins and other nutrients we can still usebalance the fluids in the bodyhelp maintain proper blood pressure by managing potassium and calcium levelskeep bones healthyhelp make red blood cells.

Diabetes damages the kidneys and the urinary system in three main ways:

Damage to blood vessels in the kidneys: too much sugar damages the filters in the kidneysdamage to nerves: fine nerves in the hands, feet, etc. Are corroded by the extra sugar in the blooddamage to the urinary tract: nerves run from our bladder to our brain and let us know when the bladder is full and we need to go. Damage to these nerves could mean we don’t react when our bladder is full. Result: extra pressure on the kidneys. Retained urine can also allow urinary tract infections to grow and migrate back to the kidneys.

Diabetes damage to blood vessels inside kidneys: The filtering units of the kidneys are called glomerules. They have tiny blood vessels that are easily clogged and damaged by excess sugar in our blood. Damage to these vessels also causes albumin, a kind of protein to leak via the urine. Ideally, albumin should be retained in the body. It is a condition called microalbuminuria in the early stages and albuminuria in the later stages.

Diabetes damage to nerves: Diabetes can also damage nerves everywhere in the body, a condition that is called diabetic neuropathy. When this happens in our hands and feet, we lose sensation there or begin to feel ‘pins and needles’. Nerves also convey messages from the brain to the urinary bladder and back. They inform the brain when our bladder is full. However, when these nerves are damaged by excess blood sugar, the brain does not realize when the bladder is full. The pressure from a full bladder can damage our kidneys over time.

Diabetes damage to urinary tract damage: When urine is retained in the bladder for long, the risk of bacterial infections increases. Bacteria also thrive on sugar, so diabetes increases infection risk. These infections usually stay limited to the urinary bladder. However, if they last for long, they may migrate to the kidneys and damage them too.

Consider all this in an organ that is working 24×7. Now you see why diabetic kidney failure is such a real danger for diabetics over the long term.

Diabetic kidney failure: early stages and symptoms

Diabetic kidney failure is a very real threat. It is a slow but relentless process that is divided into five stages of deterioration. The last stage called diabetic kidney failure or end stage renal disease (esrd)

The 5 stages leading to diabetic kidney failure are:

Stage 1: Kidney damage with normal gfr (90 or more). Gfr or glomuler filtration rate is the most widely accepted measure of kidney function. There are often no symptoms at this stage.
Stage 2: Kidney damage with mild decrease in gfr (60 to 89). Again, most patients feel no specific symptoms till this point.
Stage 3: Moderate decrease in gfr (30 to 59). At this stage, you may be losing too much protein, calcium and other nutrients. Some patients may feel breathless (due to loss of iron and anemia). Some puffiness and water retention could also be visible in the body. Urine may turn brown in colour. Some patients feel back pain too.
Stage 4: Severe reduction in gfr (15 to 29). All of the symptoms of stage 3 will are felt even more acutely now. Some blood may be seen in the urine. Breathlessness and swelling are usually quite severe. The stage at which you will need to finalize dialysis or kidney transplant options
Stage 5: Kidney failure (gfr less than 15). The kidneys give up at this stage. You will need dialysis or a kidney transplant.

Symptoms of kidney disease in diabetic patients

• Frequent urination, especially at night
• Blood or other dark discharge in the urine
• Swelling in the ankles
• Cramps in the calf muscles of the legs
• Feeling sick, feeling like throwing up, first thing in the morning
• Feeling weak, tired, breathless, looking pale
• Unexplained and consistent high blood pressure
• Unexplained urge to itch
• Lab tests: protein or albumin in the urine
• Lab tests: higher than normal levels of creatinine or bun in the blood

Diabetes and kidneys: how to protect yourself

First, you doctor needs to be sure that the underlying diabetes is the main cause of the kidney damage. Once this is done, the standard approach is to keep the kidneys working well for as long as possible. You doctor will likely add the hypertension-reducing medications called angiotensin converting enzyme (ace) inhibitors to your regimen. This is because ace inhibitors have been shown to help slow the loss of kidney function.

Here’s what diabetics can do to protect themselves from kidney damage:

• Control your blood sugar better. Don’t rely only on medications, but make changes to diet and lifestyle too. Many doctors endorse intermittent fasting to reverse diabetes today.
• Control high blood pressure. Take prescribed medicines on time. Daily moderate exercise and stress management techniques like meditation can help too.
• Watch out for and get timely treatment for urinary tract infections
• Don’t take medications like over-the-counter pain medications without telling your doctor. These may damage the kidneys, especially if you’re already at risk.
• Watch out for and take steps to prevent diabetic neuropathy. Damaged urinary tract nerves can lead to urinary retention and kidney damage. Some drugs like& metformin can contribute to diabetic nerve damage and supplements like vitamin b12 (as part of a good vitamin b complex) and alpha lipoic acid can help prevent this. Be aware and act soon.
• For people with diabetes, kidney screening once a year is mandatory. This can help to detect any protein or other substances that shouldn’t normally be in the urine.
• Use the right dietary supplements to protect your kidneys from diabetes damage.

Diabetic nephropathy: dietary supplements that help

Vitamin c (200mg- 1250mg per day)

Vitamin c is known to reduce excretion of urinary albumin. This suggests it may slow progression of diabetic nephropathy.

In a study published in the scientific journal nephron, researchers found that supplementation with vitamin c (also known as ascorbic acid or aa) reduced micro albumin loss in diabetic patients. The researchers concluded that “dietary supplementation of aa in diabetic subjects may have long-term benefits in attenuating the progression of diabetic complications”

Vitamin e (100iu-680iu per day)

Studies have found that vitamin e, when administered along with vitamin c, has the ability to reduce urinary albumin excretion. In the first study, published in the journal diabetes care, one groups was given just vitamin e and vitamin c. A second group received these and also the minerals magnesium and zinc. Both groups showed improved kidney function on lab parameters. In the second study, published in the diabetic medicine journal, type 2 diabetics took 1250mg of vitamin c plus 680 iu of vitamin e daily. In four weeks, their albumin excretion rate or aer was 19% lower compared to the placebo group.

Alpha lipoic acid (600mg per day).

Alpha lipoic acid (ala) is found in spinach, broccoli and potatoes and is a known anti-oxidant. A research study in 2001 set out to see if ala could help patients with diabetic kidney damage. The study group received 600 mg of alpha lipoic acid as a supplement. Another group received no supplement. The first group was able to maintain the same rate of urinary albumin loss, while the control group, saw their albumin loss worsen during the same period. Since alpha lipoic acid helps diabetics fight diabetic nerve damage too, it may well be a useful addition to all diabetics.

Conclusion

Everything we eat, including dietary supplements, has to be processed by the kidneys at some point of time. So do involve your doctor in your choice of dietary supplements if you have diabetic kidney disease.

Just remember: diabetic nephropathy or kidney damage is a result of the underlying diabetes. M. D. S are today saying that type 2 diabetes is reversible, through dietary and lifestyle changes. The better your control over the underlying blood sugar levels, the fewer the complications of diabetes. There are dietary supplements that are proven to help you improve blood sugar control, often without the side effects of prescription medications.

How many days to stop sex in pregnancy and eggs, almonds it's can be eat in pregnancy and which food is good for in pregnancy.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
How many days to stop sex in pregnancy and eggs, almonds it's can be eat in pregnancy and which  food is good for in ...
Eat all healthy foods. There is no restriction. Except for salt. Sex can be continued till almost 8 months of pregnancy.
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I inserted copper- t 3 years ago after the birth of my 2nd son. Last month I have some business tours and due to stay aside from my husband during those long days I had lost my control upon myself and did some unusual sexual activity for three consecutive days with an unmarried boy known to me .sorry to confess I did anal sex too for the first time. Will this mishappening affect my sexual life later on. I am not to repeat the same and don't want to confess it to my husband. please guide me.

MD - Psychiatry
Psychiatrist, Chennai
It won't affect your future life. Sometime we have sexual urges, impulses and fantasises which we try with others. Consensual sex between adults is not wrong, so don't worry or feel guilty. Anal sex also gives a different kind of sexual pleasure for both males and females. As you said better keep this a secret. All the best
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