Doctor in Dr Alka Jain
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Dr Alka JainYour feedback matters!
I have left ovarian hemorrhagic cyst and retroverted uterus. However my periods are always regular and no other problems. Is there chance to conceive.
Hello doctor, this is tania. I had suffered from pcod earlier, its not there now but I am facing water retention a lot. I go to exercise daily as well. Now the problem is people are saying you should nit take any milk products or whey protein as it can hinder your weight loss and also increase the water retention problem. I do not know wat to do. Am a vegetarian and only est eggs. So I want to take protein supplement as you have mentioned after my exercise. So shall I go for it. I do 45 mins exercise atleadt 4 to 5 times a week. Si I am asking whether I shall take it daily after exercise. Like I told you most of the people tell not to take milk and milk products. And also I cannot take soya milk as I my a hypothyroidism patient and I take 75 mcg thyronorm tab daily. Kindly suggest. Thanks a lot.
My doc suggested duvadilan retard capsule 2 times a day. I am 31 week pregnant. Please advice should i take this?
I have PCOS problem ,can conceive, I have miscarriage last year ,can PCOS be treated, with PCOS it is possible to conceive.
I am 20. Me and my girlfriend were dry humping recently. I was wearing shorts and underwear. She was wearing trousers and underwear. So there was four layers of cloth. I ejaculated in my underwear and even my shorts got a little wet. Is there a chance that she would get pregnant? I'm very afraid coz she should get her period by now but she didn't get periods. Please help me.
Why Dentist advise for No X Ray in Pregnancy for Dental Treatment. Without X Ray Extraction of root is not possible. Please advise. Thanks.
It's intimation related question. My friend and his girlfriend have intimation 2 days back. He rubbed his private area near her area but didn't ejaculated. So I have some queries about that.
Hi, We are expecting a baby for last 8 months, my wife is obese 70 kg.Please help us for getting conceive.
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.
The causes of upper gastrointestinal bleeding are as follows:
Esophageal causes (gastrorrhagia):
- Esophageal varices
- Esophageal cancer
- Esophageal ulcers
- Mallory-Weiss tear
- Duodenal causes
- Duodenal ulcer
- Vascular malformation, including aorto-enteric fistulae
- Hematobilia or bleeding from the biliary tree
- Hemosuccus pancreaticus or bleeding from the pancreatic duct
- Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:
- Hematemesis - Vomiting of blood
- Melena - Blood in the stool
- Hematochezia - Passage of fresh blood through the anus, usually in or with stools
- Syncope - Loss of consciousness (fainting)
- Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
- Dyspepsia – IndigestionEpigastric painHeartburnDiffuse abdominal pain
- Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discoloration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more
If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:
- Orthostatic blood pressure
- Complete blood count with differential counts
- Hemoglobin level
- Type and crossmatch blood
- Basic metabolic profile, BUN,
- Coagulation profile
- Serum calcium
- Serum gastrin
- Chest radiography
- Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:
- Airway management and fluid resuscitation using either intravenous fluids and or blood
- Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
- Surgical intervention
- Treating the consequences (like anemia) that the bleeding may have caused
- Precautions are taken to prevent rebleeding