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Dr. Manju Sinha

Gynaecologist, Noida

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Dr. Manju Sinha Gynaecologist, Noida
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Manju Sinha is a trusted Gynaecologist in Sector-6, Noida. She is currently associated with Dr Manju Sinha's Clinic in Sector-6, Noida. Don’t wait in a queue, book an instant appointment online with Dr. Manju Sinha on has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 38 years of experience on Find the best Gynaecologists online in Noida. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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Appendectomy - Long Term Complications Associated With It!

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
Appendectomy - Long Term Complications Associated With It!

What is an Appendectomy?

An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.

How is Appendectomy Performed?

Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.

However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.

Conventional Open Appendectomy

In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.

Laparoscopic Appendectomy (LA)

While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.

Recovery Time For Appendectomy

The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.

Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.

Risk and Long Term Consequences of Removing the Appendix-

While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.

Other rare complications may include lack of intestinal peristalsis (ileus), gangrene of the bowel, injuries to the internal organs and infections in the peritoneal cavity (peritonitis).

Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar.

4 people found this helpful

My pregnancy ke liye try Kari hoo Kay my periods Ko rok ne ke liye tablet Kah Sakti hoo kay.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My pregnancy ke liye try Kari hoo Kay my periods Ko rok ne ke liye tablet Kah Sakti hoo kay.
Hello, it is not recommended to take tabs for stopping menses as that shall irregularity your menses.
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Thumb Walking

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Thumb Walking

Starting from top of the thumb press all points downwards and move towards the base of index finger. Move upwards by pressing all points till top and come towards base of index finger. Similarly press other fingers also. Also press all points in the palm. You can press with blunted edge of a pen. Do the same with other hand daily twice. The benefits are many. All sorts of pains go away. 

I am 30 years old .me and my wife had sex during her period of 5th day. Without using safety and I should not on her vagina outside the vagina is there any chance to get pregnancy.

Gynaecologist, Delhi
I am 30 years old .me and my wife had sex during her period of 5th day. Without using safety and I should not on her ...
The chances of pregnancy are from day 10 to day 18 only. So any unprotected sex on other days is pretty safe.
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I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. please tell me what medicine or vitamins I should take to get pregnant fast.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
I am 27 year old married woman. I want a baby, I am trying since 6-7 months. But couldn't conceive. I am frustrated. ...
Please read the following article Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”. What is needed for pregnancy? In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina. In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm. It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy. Thus, to summarise, pregnancy requires 1.Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes 2.Transport of these sperms through the sperm conducting ducts from testes to penis 3.Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina 4.Transport of these sperms from vagina through cervix to the uterus and the tubes 5.Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries 6.Pick up of the eggs by the tubes 7.Approximation of eggs and the sperms to form the embryo 8.Transport of embryo from the tubes into the uterus 9.Acceptance of the embryo by the uterus and its growth What is Infertility? Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor. It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%. The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage. What causes Infertility? Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned. Thus the common causes may be 1.Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes. 2.Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress. 3.Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out. Treatment of Infertility To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress. In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.
1 person found this helpful
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Maintaining a diet doesn't mean cutting down on food

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Maintaining a diet doesn't mean cutting down on food
Maintaining a diet doesn't mean cutting down on food. It is about having frequent healthy portions.
104 people found this helpful

A Funtastic Bond With Food

MD- Homoeopathy
A Funtastic Bond With Food

A fun-tastic bond with food

Quite contrary to popular belief, children between 2 and 12 years of age do not require much nutrition as the growth rate is the lowest. Your child will explore as much as you will encourage, so these are testing times for both – children as well as parents.

The second phase of childhood life, as far as nutrition is concerned, includes toddlers, preschoolers and young school-going children – the children between the age of 2 years and 12 years years. Your child, unlike the early days of infancy and adolescence, does not grow rapidly; there are occasional growth spurts this phase of your child’s life is not as nutritionally demanding as the other two phases.

Heredity plays a vital role in the growth of your child. However, your child must receive optimum nutritional support to ensure they reach their potential to grow physically and mentally. This nutritional phase plays a vital role in your child's growth so pay close attention to what you are going to read hereafter. 

Keep up with your child’s nutritional needs

Children in this are typically very active. They run. They play. They follow you. They explore things around them. They are, therefore, in need of a constant supply of energy. They require a balanced diet with four to five mid-sized meals a day instead of three large meals like we adults prefer. Your child in this age group also needs vitamin c, and a. One serving of citrus fruits, tomatoes, guava will meet the requirement for vitamin c and carrots, papaya, sweet potatoes, and leafy greens such as spinach will serve your child vitamin a that it will need.

Let the meals be a fun activity

Beginning when the child learns to sit upright and walk, the child can pick things up and put it in the mouth. That's where you should start allowing the child to self-feed, and by the age of two years, your child should be able to self-feed. It will be messy in the beginning – fruit juices and pieces of food dribbling from the mouth, hands and arms covered in food and your child trying to eat off the plate.

Allow your child to participate in the journey of its food – take your child to the market for shopping of food items; let them help you in preparing the food at home, and make the process fun for your child. Children love to make dough balls, help mash potatoes, or knead the dough. Be a sport and let the child develop a relationship with its food. Your child will develop likes and dislikes, but support your child in choosing at least one food item from each group, every day. Feeding the child should be fun and not a chore for your child and you or its caretaker. 

Your child is turning into a ‘person’

Your children in this age group may not want to eat all the time; however, they may want to eat wrong food all the time. Fussy eating creeps into our lives at this age. It is therefore essential to help your child make a choice and a healthy choice at that. Present your child a variety of healthy food options and let your child choose. The key here is presenting healthy food options and not what you think is right for the child. For example, let the child choose between dry fruits and fruits and a sugar candy.

Remember, the food at home should be in keeping with your tradition and culture. It is essential to experiment while staying relevant. Cook and serve home-cooked, locally available, fresh and colourful food to your child. It is best to make food appealing to the child – different colours, textures, and a bit of surprise too will help in keeping your child engaged at the mealtimes. Try smaller frankie rolls instead of serving roti and sabzee on the side, or kheer with natural sweeteners such as fruit pulps instead of sugar, for example. Or make salad balls with small portions of salads wrapped in green leaves – blanched spinach wrapping warm, peas-tomato-carrot salad. Your child will enjoy eating such foods.

You will not need any form of nutrition-supplements if your child eats a balanced diet daily. Remember, it is your responsibility to give your child a balanced diet. If your child builds a positive and fun-filled bond with food, it will eat a balanced diet and learn to make healthy food choices early in life.

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