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Dr. Pratibha Tiwari

Gynaecologist, Nainital

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Dr. Pratibha Tiwari Gynaecologist, Nainital
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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. Pratibha Tiwari
Dr. Pratibha Tiwari is an experienced Gynaecologist in Haldwani, Nainital. You can consult Dr. Pratibha Tiwari at Dr Pratibha Tiwari's Clinic in Haldwani, Nainital. Don’t wait in a queue, book an instant appointment online with Dr. Pratibha Tiwari on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. Find the best Gynaecologists online in Nainital. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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B-136 Krishna Hospital & Research Center, Guru Nanak Pura HaldwaniNainital Get Directions
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Hi I am taking Novelon 21 day pill from june. Missed second last doubled with the last, break of 6 days from 2-7 july. Menses from 5-7july. New pack from 8th july. Protected intercourse but condom used thrice on 9th july (first timw intercourse) Next fully protected on 14th july (last intercourse) Missed 21st july pill doubled 22nd july night. Light bleeding on 22nd july morning (breakthrough bleed or implantation bleed?) Pill ended on 28th july menses from 1-6 aug. Negative hpt at 4,5,6,7,8,11,12 weeks all negative hpt done with first morning urine with different brands. No pills or intercourse after 1-6aug. Periods due on 1st sept as it dint came did a usg and hcg beta on 8th sept (10 weeks from first and 9 weeks from last intercourse) Hcg was 0.11 and usg shows pcod (no mention of pregnancy) Dr. Prescribed deviry 2 tab for 5 days for withdrawal bleed. But after taking just a single dose bleeding started from 11-16th sept. It was heavy. On 21st sept morning when I woke up I can feel my pelvic bone in the front (can it be due to exercises like crunches leg rise etc with weight loss? I was 72 in july 70 in aug and now I am almost 68 kgs) and after continuous touching I made it hurt. Scared went for usg on 21st sept (12 weeks ftom first and 11 weeks from lasr intercourse) Usg only showed bulky ovaries with pcod. I asked him if my uterus was normal he said its absolutely normal. Usg was transabdominal. The hardness yet not gone. Moreover m fln gassy all the time and I cn feel sensation under my rib and back and m passing lots of gas. M worried too. Finally ve taken an hpt with first morning urine at almost 12 weeks 6 days. And its negative. Can their still be risk of pregnancy? My menses was due on 11th october and it is now delayed by 5 days. I did not have any intercourse after 14th july. M not experiencing any pms symptoms. Moreover egg white cervical mucus is seen at various point of the cycle. Moreover m having runny nose. Suddenly. Is their any risk of pregnancy? Do I need to redo hpt or BHCG test? M I 100% safe?

MBBS
General Physician
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Hi I am taking Novelon 21 day pill from june.
Missed second last doubled with the last, break of 6 days from 2-7 july...
As per the information provided you are not pregnant for now and wait for the periods to come on its own.

I am 25 years old and my wife in 6+ month of pregnancy so I didn't have sex from last 2 month. Can I sex with other girl and woman.

Fellow,European Committee of Sexual Medicine, Diploma in Psychological Medicine, M.B.,B.S
Sexologist
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Hello you can have sex with anyone with consent. You don't need to justify your craving for sex after 6 months away from sex. Just think about the possible guilt of betrayal with your wife otherwise medically, no problem

I have delivered a baby on 16 feb by force vacumm delivery I am very tensed about my stitches how do I come to know my stitches are healing or stitches have broken. What is a difference between menstrual cycle blood and bleeding. How do I come to know that its m. C. Blood or bleeding. Please reply I will be very thankful.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I have delivered a baby on 16 feb by force vacumm delivery I am very tensed about my stitches how do I come to know m...
If you are having burning pain in the stitch area, particularly after washing or passing urine, or if that part is hard and painful, then only it need attention. Otherwise, don't worry. Menstrual bleeding may take 2-3 months after delivery. It is usually dark and liquid, and slows down and stops in 3-5 days. Other types of bleeding do not come in a flow, but can continue as fresh bleeding for shorter or longer spells, depending on the cause.

Hello Doctor, How to regular my menstrual. My age us 21 and weight is 90 kg. Please suggest me.

DHMS (Hons.)
Homeopath
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Hello Doctor,
How to regular my menstrual. My age us 21 and weight is 90 kg. Please suggest me.
Hello, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, pcod. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to ease your problem. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion. * tk, apple, carrots, cheese, milk, banana, papaya, spinach, almonds, walnuts to improve your haemoglobin to release your flow. * tk, homoeo medicne, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 20-6 pills, thrice a day. @ sepia200-6 pills, thrice a day. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion. Tk, care.

Mam, My wife is always drinking my sperm after our sex session is it harmful for her or is it hazardous for her to get pregnant..

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist
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That sounds healthy right. No need to worry or panic about the health. But you got to know semen can carry STI too. If your both disease free and fit there is no harm. All the best.

I had sex with my wife on 5 th day of her menstrual cycle and I ejaculated inside her and she peed later on. Her cycle is of 28 days What are the chances of conception? She had headache for 2 days from that day. How can I confirm the pregnancy.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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I had sex with my wife on 5 th day of her menstrual cycle and I ejaculated inside her and she peed later on.
Her cycl...
Nil chances. Still if she misses her periods than get her urine tested for pregnancy. Pregnancy testing kit are available at chemist shop you yourself can test not a very big problem.

My mother has tumor in her breast and doctor says operation. But she is not ready for that is their any other way?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist
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I would advice you to do as your doctor has suggested or take a second opinion as your mother would need to be examined and all her investigation reports seen.

HYPERHIDROSIS

PGD IN MEDICAL LAWS ÐICS, DHA, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, MBBS
General Physician
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It is a condition characterized by abnormally increased of sweating in excess of that is required for regulation of body temperature.
Hyperhidrosis can be generalised or localised. Hands, feet, armpits and groins are the most active areas.
Aluminium hydrochloride is used in regular antiperspirant in much higher concentration in solution or gel forms.
Drugs called anticholinergics are sometimes used.
Injection of botulinum toxin type a can be used for neural control of sweat glands,
Sweat glands removal or destruction is one option available for excessive under arm perspiration.
Affected people are aware of their condition and try to modify their life style to accommodate their handicap. This can be disabling in professional, academic and social life.
It affects both genders equally.
HYPERHIDROSIS

I'm 16 years old. Nd I have problem in my boobs. One boob is bigger than the other. Give me some suggestions to solve this problem.

MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon
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I'm 16 years old. Nd I have problem in my boobs. One boob is bigger than the other. Give me some suggestions to solve...
Assymetric breasts are common. Either the smaller can be enlarged by breast implant or fat grafting or the bigger can be reduced by reduction mammaplasty.

French Fries are Worst for Diabetics

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist
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french fries are worst for diabetics:

French fries as" little carbohydrate sponges soaked in fat" at 25 grams of fat, 500 calories, and over 63 grams of carbohydrates, a large serving of french fries can wreak havoc on blood sugar. The american diabetes association notes that starchy foods like potatoes, corn, and peas are" great sources of vitamins, minerals, and fiber" but recommends skipping those with added fat or sodium. You can test your blood sugar two hours after eating to find out what effect any particular food has on your blood sugar.

Have this instead: fries are usually the default option when ordering a burger or sandwich, but most restaurants will swap in fresh fruit or a side salad if you ask.
French Fries are Worst for Diabetics

My baby is of 2 years and feeds his mother but he is very habitual of feeding and does not want to eat anything so how to keep away from feeding.

MD Paediatrics, MBBS
Pediatrician
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Its difficult to stop breast feeding so easily, just try to feed him top milk / bottle milk. Give more of solids. It may take time to completely stop breast feeding.

5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist
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5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)

If you tell people that their diet or lifestyle or habits make them unhealthy, and chances are that they’d believe you. Not only that, they’d even agree with you wholeheartedly. But if you tell them that the same makes them dumber, then they’d either laugh at you or fight with you. However, its true. Certain things really lower your IQ. Read on to find out.

1. Group projects or meetings: Being a part of group projects or meetings can greatly drain your brain reveals a recent study. The reason for that is that when you’re in a group you have to concentrate more on behaviour and interaction, as a result of which your brain’s performance reduces and you end up making more ‘silly mistakes.’ In fact the situation worsens in a mixed sex group. Research found out that 14% men fare poorly at mental tasks when they feel that women are watching them. Best performance on the other hand is guaranteed when you work alone.

2. Jetlag: Jetlag can cause permanent problems in learning and memory. Research carried out by the University of California revealed that frequent jet lags are equivalent to a hangover that lasts way too long. This can cause you trouble in learning new things. In fact the same study also revealed that the effect of frequent jet lags can last more than a month, making you stupider in the long run. This is because constantly resetting your body clock can alter the anatomy of your brain. That’s the reason why flight attendants are found to suffer from severe memory loss.

3. Being spanked as a child: A research conducted by the University of Hampshire showed that children who were hit as punishment suffered from trauma that hampered their mental growth, and as a consequence led to lower IQs. This post-traumatic stress disorder faced by children who were spanked was the same that soldiers go through when watching heads being blown off. Not only that, even letting babies cry can cause lower IQs in them as the stress experienced is the same. In fact, letting babies cry can cause permanent brain damage which can also lead to trust issues. However, conflicts among family members has a positive impact in decision making, executive function of the child.

4. Junk food: A study found out that kids who eat plenty of junk food at the age of 3 can suffer from low IQs at the age of 8 as compared to those who followed a healthier diet. Eating junk food led to underdeveloped cognitive, behavioural and social skills in children due to lack of nutrition required by the brain to develop properly. In fact sugary foods can have the same effect on adults as well. Overdose of sugar can make your body resistant to insulin which interferes with the way your brain cells work, making you more stupid as a result.

5. Being a city dweller: Living in a city can be the reason why you suffer from poor memory, inattention and learning problems. The reason behind is that living in a city is very taxing for your brain, and your attention is divided between all the multitasking you have to do. This can lead to exhaustion, which as a result can lead to poor memory since your brain is just too tired to recall things. On the other hand, greener environments have the exact opposite effect and can help your brain in functioning more efficiently.

If you would like to consult with me privately, please click on 'Consult'.
5 Unbelievable Things That Lower Your Intelligence Quotient (IQ)

हल्दी के औषधीय गुण

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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हल्दी के गुण अनंत हैं। हल्दी पर रोज नए शोध हो रहे हैं। भारतीय आहार शैली में यह आदिकाल से शामिल रही है। किसी समय इसे रंग के तौर पर भी इस्तेमाल किया जाता था। यह एक सर्वगुण संपन्न एंटीबायोटिक्स तो है ही, प्राकृतिक चमत्कार के रूप में भी इसकी ख्याति है। यह कैंसर से लेकर अल्झाइमर्स तक कई बीमारियों को ठीक करने के लिए इस्तेमाल की जाती है। इन २० कारणों की वजह से हल्दी को अपने आहार में जरूर शामिल करना चाहिएः
1. यह एक प्राकृतिक एंटिसेप्टिक एवं एंटिबैक्टेरियल एजेन्ट है। हल्दी का पावडर जले और कटे अंग पर लगाने से संक्रमण का जोखिम कम हो जाता है।
2. हल्दी को फूलगोभी के साथ मिलाकर खाने से प्रोस्टेट कैंसर की आशंका जाती रहती है। इसके अलावा अगर प्रोस्टेट कैंसर हो तो उसका बढ़ना रुक जाता है।
3. हल्दी स्तन कैंसर को फेफड़ों में जाने से रोक देती है।
4. हल्दी से मेलानोमा यानी काले तिल उभरना रुक सकता है। इसके अलावा हल्दी त्वचा का रूप निखारने के लिए सदियों से भारत में इस्तेमाल की जाती रही है।
5. बचपन में होने वाले ल्यूकेमिया यानी रक्तकैंसर का जोखिम कम हो जाता है।
6. लिवर शुद्धि के लिए यह एक प्राकृतिक छन्नी है।
7. हल्दी मस्तिष्क में बनने वाले एम्लोयड प्लॉक की वृद्धि एवं निर्माण रोककर एल्जाइमर्स की बढ़त पर रोकथाम कर लेती है।
8. यह कई प्रकार के कैंसर की वृद्धि पर रोकथाम लगाती है।
9. यह दाह और जलन को दूर करने का एक प्राकृतिक पदार्थ है। यह कई एंटी-इन्फ्लेमेटरी ड्रग्रस से बेहतर काम करती है और इसके कोई साइड-इफेक्ट्स भी नहीं होते।
10. यह प्राकृतिक दर्द-निवारक है।
11. हल्दी मल्टीपल स्क्लेरोसिसस की रोकथाम करने में समर्थ है।
12. यह वजन कम करने के साथ फैट मेटाबोलिज्म में मदद करती है।
13. अर्से से इसे अवसाद दूर करने के लिए इस्तेमाल किया जाता रहा है।
14. हल्दी आर्थ्राइटिस और रिह्यूमेटाइड ऑर्थ्राइटिस का प्राकृतिक निरोधक है।
15. हल्दी कीमोथैरेपी में इस्तेमाल की जाने वाली दवा पैक्लिटेक्सेल के प्रभाव को बढ़ा देती है और इसके साइड-इफेक्ट्स को कम कर देती है।।
16. पैंक्रियाज ग्रंथि के कैंसर पर हल्दी के प्रयोग पर हुए शोधों के नतीज़े सकारात्मक आ रहे हैं।
17. किसी भी ग्रंथि में नई रक्त नलिकाओं के निर्माण को हल्दी सफलतापूर्वक रोक देती है।
18. घाव को जल्दी भरने के साथ-साथ यह क्षतिग्रस्त त्वचा को भी ठीक करती है।
19. सोरायसिस सहित त्वचा की कई बीमारियों के इलाज़ में हल्दी से मदद मिलती है।
20. कच्ची हल्दी पर हुए प्रयोगों से पता चलता है कि इससे शराब के कारण क्षतिग्रस्त हुए लिवर को ठीक करने में मदद मिलती है।

सावधानियाँ...
पित्ताशय की पथरी एवं पित्त की रुकावट के मरीजों को हल्दी का प्रयोग नहीं करना चाहिए। गर्भवती महिलाएँ हल्दी का खूब उपयोग करती हैं लेकिन इससे गर्भाशय की प्रक्रिया भी तेज होने लगती है इसलिए किसी स्त्री रोग विशेषज्ञ की सलाह से इसे इस्तेमाल करना चाहिए
हल्दी के औषधीय गुण

Married 24 years old. I have some itching problem in labia minor. There is papilla like projection onto it. They are not painful. Non irritating for micturition. What is the problem. Its also not due to fungal infection. My problem has gone 5 years. N non continuous. After 2 month or 4 month or 6 month I experience this problem..

MD - Obstetrtics & Gynaecology
Gynaecologist
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You should go to gynaecologist they may be wart due to HPV Infection which is the cause of cervical cancer take HPV vaccine

Anaemia and How It Can Affect Your Health

MBBS
General Physician
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The lack of red blood cells or hemoglobin in the blood is termed as anemia. You may also be diagnosed as anemic is your red blood cells do not have a high enough hemoglobin count. Since hemoglobin is responsible for the amount of oxygen in our blood, being anemic results in a decreased flow of oxygen in the blood.

There are 5 different types of anemia. These are:
1. Iron deficiency anemia: when the iron levels of the blood are lower than normal.
2. Sickle cell anemia: when the red blood cells are shaped like a'sickle' and hence more fragile. This is an inherited condition.
3. Thalassemia - when the body does not produce enough red blood cells or hemoglobin. This is also an inherited condition.
4. Megaloblastic anemia - when the blood does not have enough vitamin b12 and hence cannot transport hemoglobin through the body.
5. Hemolytic anemia - when the red blood cells are rapidly removed from the blood due to an infection, medication or disease.

Lack of oxygen can have a serious effect on the organs of the body. Hence the symptoms of anemia are also the effects of the disease.
Some of these are:
Lack of energy
Fatigue
Dizziness
Chest pain
Difficulty breathing
Abnormal heartbeat
Reduced attention span
Numbness of the hands and feet.

Anemia can also lead to a number of major health problems such as:
1. Heart disease: anemia is directly linked to heart disease. When the blood carries less oxygen, the heart needs to work harder to pump it to the rest of the body. Thus, people who are anemic are at a higher risk of having a heart attack than a non anemic person. Anemia can also lead to arrhythmia or a condition where the person suffers from an irregular heartbeat.

2. Pregnancy complications: one of the first and most vital supplements prescribed to a pregnant woman is iron. Iron is essential not only for a healthy baby, but also for your own body. Anemia caused by a lack of iron can result in premature birth and a number of other complications at the time of pregnancy.

3. Increased risk of infections: lack of oxygen in the blood can affect your immune system by lowering its ability to fight infections. This makes the body vulnerable to diseases.

4. Cognitive damage: anemia in children can result in a greatly reduced attention span and weaken their memory. Sometimes, even when treated, this can result in permanent scarring and reduced iq levels.

Fighting anemia is not hard. Consult your doctor instantly if you recognize any of its symptoms and start eating food rich in iron to fight this disease.
Anaemia and How It Can Affect Your Health

Both ovary me small cysts ho to kya ye cysts khatam ho sakte hain. Pcod ki diet kya honi chahiye. Ya fertility badhane k liye kya diet leni chahiye. Ye problem solve ho sakti hai kya jis se pregnant ho saku.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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Both ovary me small cysts ho to kya ye cysts khatam ho sakte hain. Pcod ki diet kya honi chahiye. Ya fertility badhan...
Hi lybrate-user PCOD keep liye aap Ko high protein ,low carbohydrates diet leni chahiya daily exercise for 40 minutes is must. Cyst medicine de ja sakte hai.

Exact on my date m getting symptoms of period like (loose motion, cramps) but no period at all. N after 6 7 days I got period. This happening to me from last month. Again today is my date but no period only pain n sore breast.

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Exact on my date m getting symptoms of period like (loose motion, cramps) but no period at all. N after 6 7 days I go...
hi afreen while looking your question it look like you have pcod is poly cystic ovarian syndrome... you may go with Dadimadi ghrita early morning 2tsf with leukowarm water ashokarishta 3tsf afternoon and night after meal... go with yoga, do aorobics try to put off weight do not eat junk food... sleep early wake early. . thank you

I am 20 years old female, I had sex last night without protection. I am worried, Should I take I-pill? will it be useful and help me not to get pregnant?

D.C.A.H, F.C.G.P., P.G.D.I.H, F.I.C.A. (USA), M.B.B.S.
Psychiatrist
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I am 20 years old female, I had sex last night without protection. I am worried, Should I take I-pill? will it be use...
Yes you can take I pill but would suggest you to meet a sexologist nearby to understand properly. Your health is at stake.

I m 30 week pregnant. Now suffering from tonsil of grade 2. Not able to eat and drink properly. Kindly suggest any medicine which is safe during my pregnancy.

MS, MBBS
Gynaecologist
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I m 30 week pregnant. Now suffering from tonsil of grade 2. Not able to eat and drink properly. Kindly suggest any me...
Saline gargles thrice a dayis very safe and useful rinse mouth after every meal for medicine you have to physically consult doctor.

I am 32 now. 2 years of marriage. And 2 times abortion in 5th week. Consulted gyneac. Done with tests like karyotyping, genetic study, chromosomes study and scanning. Except scan all reports are normal. Scan shows a heamoharrgic cyst of 3 cm. Wbc count is high. Doc says its due to infection. Is surgery only solution for removing cyst n to proceed for conceiving. Please suggest.

MD
Gynaecologist
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I am 32 now. 2 years of marriage. And 2 times abortion in 5th week. Consulted gyneac. Done with tests like karyotypin...
If it is hemorrhagic cyst, it is likely to resolve with or without medications. Wait for a couple of months and rescan again. Generally it is not the cause of recurrent abortions like in your case. Did you do tests like thrombophilia profile? recurrent abortions require a detailed workup and at times the cause may still be difficult to know. Most of the times there is no problem with conception and only fetal growth is the issue.
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