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Dr. Karthiga Sasikumar

MBBS, DNB (OG)

Gynaecologist, Pondicherry

14 Years Experience  ·  200 at clinic
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Dr. Karthiga Sasikumar MBBS, DNB (OG) Gynaecologist, Pondicherry
14 Years Experience  ·  200 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Karthiga Sasikumar
Dr. Karthiga Sasikumar is an experienced Gynaecologist in Reddiarpalayam, Pondicherry. She has been a successful Gynaecologist for the last 14 years. She is a MBBS, DNB (OG) . She is currently practising at JANANI CLINIC in Reddiarpalayam, Pondicherry. Save your time and book an appointment online with Dr. Karthiga Sasikumar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 34 years of experience on Lybrate.com. We will help you to get in touch with the best Gynaecologists online in Pondicherry. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Madurai Medical College - 2004
DNB (OG) - Indira Gandhi Government Hospital and Research Institute, Puducherry - 2008

Location

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JANANI CLINIC

No.144, Villianur Main Road, Opposite to DAMRO showroom, Reddiarpalayam, Pondicherry Get Directions
200 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Accidentally on 18 th march me and my husband are doing an unprotected sex. Within 1 hour I took a pill "unwanted 72" Today (22nd march) my period is coming but only 2 or 3 drops of blood is noticed by me. After that there is no blood is noticed. What should I do? Please help.

MBBS, DNB (Obstetrics and Gynecology), Fellowship in IVF
Gynaecologist, Amritsar
Accidentally on 18 th march me and my husband are doing an unprotected sex. Within 1 hour I took a pill "unwanted 72"...
I pill can cause problems in normal menses. But do get your urine pregnancy test done as it has failures also.
1 person found this helpful
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My wife 31years old has pregnant about 20 week. After doing ultrasound. In reports there is single umbilical arteries. But other reports r normal. Can it affect baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife 31years old has pregnant about 20 week. After doing ultrasound. In reports there is single umbilical arteries...
Occasionally, there is only the one single umbilical artery (SUA) present in the umbilical cord. Approximately this affects between 1 in 100 and 1 in 500 pregnancies, making it the most common umbilical abnormality. It is more common in multiple births. Its cause is not known. Most cords have one vein and two arteries. It may affect baby and a anomaly scan will be needed
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Hi doctor. I am on medication (abortion through pills). I had my first medicine in the morning today at 8 as instructed by my gynecologist. She also gave me a pain killer. Will I bleed after eating my first pill? My bleeding hasn't started yet.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Hi doctor. I am on medication (abortion through pills). I had my first medicine in the morning today at 8 as instruct...
Bleeding usually starts within four hours of using the pills, but it sometimes starts. Dizziness, and hot flashes or fever may occur shortly after taking Misoprostol. The bleeding will continue lightly for one to three weeks after the abortion.
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Hii sir. My friend is 1 and half month pregnant. Can she use mala n tablet for removal of pregnancy.

Gynaecologist, Pune
Hii sir. My friend is 1 and half month pregnant. Can she use mala n tablet for removal of pregnancy.
No. Mala n is not an abortion pill. It will not induce abortion. Visit a gynacologist for the abortion advise.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
15 people found this helpful

We had oral sex. We forgot to put protection. But I did not came inside vagina. But while landing my sperm, I took out my dick. Just 1 small drop land on outer part of vagina. Is there any chance of pregnancy?

PhD Human Genetics
Sexologist,
We had oral sex. We forgot to put protection. But I did not came inside vagina. But while landing my sperm, I took ou...
Extremely rare - if it happened during the safe days of her menstrual cycle (for a woman who menstruate regularly every 28-32 days, the safe days are 1 to 7th and 20th to 28th (i. E, till next menses)
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Wish you a very happy, safe and healthy Diwali!

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Wish you a very happy, safe and healthy Diwali!
8 Simple Tips For Safe And Happy Diwali ..................

Eat healthy::
Diwali is a time when people gorge on sweets and put on weight which in turn affects their health. To make this Diwali a healthy one, replace the ghee-laden deserts and sweets with a healthier alternative like fruits and low calorie sweets. You can also have some dry fruits like almonds, raisins or dates for desert, eat home-made sweets like kheer, shrikhand, etc. It is also important to snack wisely during this time as most people end up overeating. So, eat wisely and remember, just because it is a festival, there is no need to ditch your diet.

Stay hydrated:
With delicious foods all around, its obvious that we are tempted. But keeping ourselves hydrated is one of the best and effective tip to prevent after-festival health problems. A simple way to achieve this is to frequently sip water and be hydrated. In addition to cleansing waste materials from the body, staying hydrated also helps satiate your hunger pangs.

Stay away from artificial sweets:
It is advised to stay away from artificial sweeteners that contain aspartame as they are reported to cause brain tumour or cancer. In addition to this, using chemical preservatives in sweets also puts you at a higher risk of kidney or liver damage, asthma and cancer. So this Diwali, opt for sweets that are made from sugar or other healthy alternatives like jaggery and live a healthy life.

Take care of your health:
People suffering from diabetes need to be extra cautious during Diwali as they are surrounded with plenty of sweets. Apart from restricting their consumption of sweets, these people are advised to keep a check on sugar and starch intake. Also, the bursting sound and smoke liberated from crackers might cause health issues in old people and those suffering from lung problems.

Drink in moderation:
Although Diwali signifies celebration and enjoyment, it is better if you limit your alcohol intake. Excess alcohol not only causes dehydration, gives you a hangover and makes you look tired, but it also increases the risk of accidents on the auspicious day. It’s best to avoid alcohol during Diwali and instead opt for some fresh fruit juices and soups.

Keep a first aid kit handy:
With crackers and fireworks everywhere, there are chances that someone might experience health issues. Hence, it is recommended that people keep a first aid kit that includes inhalers, eye drops and creams to treat burns are very handy during this time as they may help prevent major complications in case of an eventuality.

Wear earplugs or masks:
The bustling sound of crackers might damage ear drums in some people and also cause increased heart rate in old people and those with cardiac problems. To avoid such health issues, people are recommended to wear earplugs as exposure to loud sounds during this festival is unavoidable. Also, people who have lung problems like COPD or asthma might suffer from breathlessness due to the smoke. Such patients are advised to use masks especially while going out.

Other safety tips:
Apart from the above listed health tips for a safe Diwali, other precautions include not wearing clothes made from nylon or terrycot (as they are inflammable). Sweets especially those made from perishable items like milk or khoya should be avoided as they tend to cause food poisoning if had later than its expiry date.

Follow these simple tips and celebrate this diwali with fun and frolic.

I had unprotected sex with my gf yesterday and my sperm has gone in its vagina what should I do she is still in running help me .

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
I had unprotected sex with my gf yesterday and my sperm has gone in its vagina what should I do she is still in runni...
Hi, I would like to help you but I need to know the date when your girlfriend had her periods last. Nevertheless you should take an emergency contraceptive like I pill as soon as possible if you not wish for pregnancy. Hope this information has helped you. All the best.
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Health Constitution - 6 Amazing Tips To Stay Fit!

MSc - Dietitics/Nutrition
Dietitian/Nutritionist, Bangalore
Health Constitution - 6 Amazing Tips To Stay Fit!

People who rarely fall ill and are able to undertake strenuous tasks are said to have a strong constitution. When talking in terms of health, constitution refers to a person’s physical and mental strength. The stronger your constitution, the healthier you are. Having a strong constitution also makes treatment more effective in case you do fall ill. Here are a few tips to help build a strong constitution.

  1. Eat a well-balanced dietMissing out on important nutrients may not have immediate effects, but in the long run, will cause deficiencies and harm your constitution. Not following a healthy diet is also one of the most common reasons for reduced immunity. In a day you must eat 2-3 servings of fresh fruits and vegetables and at least one serving of carbs and proteins.
  2. Drink plenty of water: It isn’t enough to give your body all the nutrients it requires, you must also drink plenty of water so that your body can absorb these nutrients. Water plays an important role in every process of the body from the digestive system to the circulatory system. Water also helps eliminate wastes and toxins from your body.
  3. Avoid processed foods: Processed foods have very little nutritional value but have a high fat content. Jams, packaged juices, breads, cakes etc. are packed with additional sugar that lead to weight gain and other problems associated with it. Instead, snack on fruits and nuts and drink freshly squeezed juice.
  4. Exercise daily: Exercise not only helps you regulate your weight, it also helps tone and strengthen muscles. Exercise also makes a person more flexible and boosts the immune system. Ideally, exercise outdoors early in the morning for half an hour a day but if that isn’t possible, break up your workout into smaller sections. Simple ways of incorporating exercise in your daily life are to use the stairs instead of the elevator or walk short distances.
  5. Meditate: Your mental health is as important as your physical health. Stress has a huge impact on your health and daily meditation is an easy way to deal with everyday stresses. Set aside time at the beginning of each day to quietly meditate and ready your mind for the day’s tasks.
  6. Get adequate sleep: Your body uses the time you are asleep to rebuild muscles and repair tissues. A person should ideally have an uninterrupted sleep of 8 hours a day. Sleep deficiency can lower your immunity, cause irritability and mood swings etc. To ensure you get a good night’s sleep, create and follow a sleep routine of going to bed and waking up the same time every day.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2801 people found this helpful

Is ecosprin 75 mg is safe in first trimester. I had my LMP at 5 Nov 2016 and my first ultrasound showed baby at about 6 weeks and heartbeat of 89 so please suggest I should take ecosprin or now my doctor has told me to take it but I am scared of its side effects in first trimester.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Is ecosprin 75 mg is safe in first trimester. I had my LMP at 5 Nov 2016 and my first ultrasound showed baby at about...
Hi No problem Ritika, you should take it. It is given for its good effects and it does not harm at all to pregnancy. If you have bleeding then may be it has to be stopped for some time.
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