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Apex Hospital

General Physician Clinic

Pune Nashik Highway, Rajgurunagar,Landmark: T- Khed, D- Pune, Pune Pune
1 Doctor
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Apex Hospital General Physician Clinic Pune Nashik Highway, Rajgurunagar,Landmark: T- Khed, D- Pune, Pune Pune
1 Doctor
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Apex Hospital
Apex Hospital is known for housing experienced General Physicians. Dr. Vinayak Gavali, a well-reputed General Physician, practices in Pune. Visit this medical health centre for General Physicians recommended by 43 patients.

Timings

MON-SAT
09:00 AM - 09:00 PM

Location

Pune Nashik Highway, Rajgurunagar,Landmark: T- Khed, D- Pune, Pune
Rajgurunagar Pune, Maharashtra
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Doctor

Dr. Vinayak Gavali

General Physician
Available today
09:00 AM - 09:00 PM
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Sir inside my pennies on skin small white patches are coming why can you please tell me about the problem.

DHMS (Hons.)
Homeopath, Patna
Sir inside my pennies on skin small white patches are coming why can you please tell me about the problem.
Hello, Its a sort of fungal infection need to be cleaned, locally. Homoeo medicine:@ Echinacea Q -20 drops with 1/4 cup of water, apply, locally. Avoid, junk food, alcohol, nicotine & caffeine. Tk, care.
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Hi. In the morning while going to work I feel myself feel stronger and comfortable and after that while coming to home I feel headache and uncomfortable and feeling sleepy and body ache my age is 23 years male pls give the wt I have change myself to come out from this plm.

Diploma in Diet and Nutrition, PG HOM (London), CCH, CGO, BHMS
Homeopath, Mumbai
Hi. In the morning while going to work I feel myself feel stronger and comfortable and after that while coming to hom...
lybrate-user, there can many reasons for this. • Have heavy, balance breakfast • Have small frequent meals • Drink lots of water • Drink lemon water • Have 7 hours sound sleep • Have balance meal • Take deep breath through nose and exale through mouth.
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Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Gestational Surrogacy

Gestational Surrogacy

We will help you evaluate the benefits of gestational surrogacy and provide you with information about cost, legal issues, and treatment protocols.

In traditional surrogacy, the surrogate is pregnant with her own biological child, but this child will be raised by others. In gestational surrogacy, the surrogate becomes pregnant via embryo transfer with a child that is not biologically her own. The surrogate mother may be called the gestational carrier.

Once a suitable surrogate has been identified, and the screening process is complete, the cycle can begin. Timing depends on the surrogate’s and intended parents/donors menstrual cycle .

Surrogacy Cycle Overview

Evaluation Cycle

The surrogate needs to prepare her uterus for implantation with natural estrogen and progesterone. Because each woman is a little different, the dose, duration, and method of administering these hormones may need to be individualized. This can be determined ahead of time by conducting an evaluation cycle. This is a “dry run” in which we duplicate each part of the cycle except the actual transfer of embryos in order to determine how to maximize the chances of success. The evaluation cycle can be completed anytime before the actual procedure. In some circumstances, the evaluation cycle can be waived when the response of the uterus to hormonal stimulation is well known. This is fairly common for women who have undergone many treatment cycles in the past.

Cycle Synchronization

It is necessary to synchronize the menstrual cycles of the surrogate and the intended parent in order to obtain mature eggs and embryos and transfer these back into a perfectly prepared endometrium (uterine lining) to maximize the chances of pregnancy success. This is done using a variety of hormonal manipulations .We will determine which technique will work best for each circumstance. Once both women’s (surrogate and intended parent) ovarian function is suppressed and their cycles synchronized, they can begin the process of preparing for pregnancy.

Hormonal Therapy

On about the same day, the surrogate and intended parent will begin hormonal therapies to prepare the appropriate target for pregnancy success. The surrogate will begin taking estrogen to stimulate endometrial (uterine lining) growth and the intended parent will begin taking FSH to stimulate egg production. These treatments are monitored with ultrasound and blood estrogen levels until the eggs are ready to be retrieved and the uterus is ready to accept an embryo. Usually these treatments will take approximately two to three weeks and require five office visits for ultrasounds and blood tests.

Subsequently IVF and embryo transfer is done.

Pregnancy Success!

In successful cycles, the hormonal supplements are continued through the first trimester (12 weeks) of the pregnancy. Once the first trimester is completed and the placenta has matured to the point where it can provide for all the hormonal needs of the pregnancy, no further supplements are required. We will monitor blood levels of estrogen and progesterone at the end of the first trimester and taper off the hormone supplements gradually. Once the hormone supplements are stopped, the rest of the pregnancy is indistinguishable from any other pregnancy!

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My job is a sitting job and for last 11 months I am suffering from piles. Some time veins comes out when ever I suffer from constipation and I am very anxious about it. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
My job is a sitting job and for last 11 months I am suffering from piles. Some time veins comes out when ever I suffe...
Drink warm water, take dinner early, healthy food. Avoid - overeating, drinking lot of water & sleeping immediately after taking food ,oily, fast,spicy, bakery products, foods kept in fridge, junk food, outside food/water, chilled water, cold drinks, hot drinks ,excessive tea ,coffee. Avoid seating continuously for longer duration, take 10-15 seconds gap during office time every hourly.
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I have problem of premature ejaculation it causes lot of depression, I have been operated 1s piles and 1s fistula in 2009 due to which I feel muscles has been weaken I can't hold urine and toilet for to long pls suggest medication.

BHMS
Homeopath, Secunderabad
I have problem of premature ejaculation it causes lot of depression, I have been operated 1s piles and 1s fistula in ...
You may simply need some reassurance as it is not a major problem. You can take Homeopathy for your complaints of weakness of muscles which you have mentioned. You can contact me regarding Homeopathic treatment. You should also focus on daily exercise and increase the tone of your muscles and increase the overall stamina. Avoid all bad habits. Eat regular home made food which is balanced in nature.
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Coffee is more healthier for health or common tea. As some are saying that it increases blood pressure and it contain drug. Is it really true. So please confirm this. thanks.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
Coffee is more healthier for health or common tea. As some are saying that it increases blood pressure and it contain...
A cup of coffee contain more caffeine, compare to a cup of tea, but a cup of coffee and 1-2 cup of tea is advisable to take. If you will take more than that then both coffee and tea will show harmful effect in our body.
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I am suffering from erectile dysfunction and premature ejaculation. How to treat it. What are main causes for both.

MBBS
Sexologist, Gurgaon
I am suffering from erectile dysfunction and premature ejaculation. How to treat it. What are main causes for both.
Hi mr due to week of sexual stamina you have suffering In diseases . First you start level exercises and
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I am suffering for dry cough in my chest and I am eating like cool next day morning feel tonsil and pain my ear.

M.D. (Ayurveda )
Ayurveda, Patiala
I am suffering for dry cough in my chest and I am eating like cool next day morning feel tonsil and pain my ear.
take , mahalakshami villas rasa tabs, 2 tabs twice a day after meals. Take guduchyadi kwath, 20 ml , twice a day before meals. Stop cold water and other cold eatables. REdcue the diet intake. Avoid sleeping during the day time. Stop milk products. Continue the regime for 2 weeks. good luck
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Bad Night Sleep

Post graduate in counselling psychology
Psychologist,
Bad Night Sleep

Do you know one night’s bad sleep is enough to make adults age faster as they lack sleep which directly impacts the biological aging of the body? According to scientific findings, sleep deprivation boosts the molecular processes involved in growing older -- may be connected to a greater risk of diseases.

So if you’re following a bad sleep routine or finding difficulty in sleeping adequately and efficiently every night:

Develop your biological clock for sleeping: The first step to beat bad sleeping habit and even insomnia is to develop your biological clock. Initially, if you cannot sleep on time, then at least set your wake up time same each day. Develop this routine every day and avoid temptations like sleeping late on weekends even if you have had poor sleep during the week. Such temptations further disrupt the sleeping clock of the body and put a person on vicious circle of bad sleep routine.

Do not eat or drink right before going to bed. Eating a late dinner or snacking before going to bed can activate the digestive system and keep you up. If you suffer from gastroesophageal reflux or heartburn, it is even more important to avoid eating and drinking right before bed since this can make your symptoms worse. In addition, drinking a lot of fluids prior to bed can overwhelm the bladder, requiring frequent visits to the washroom that can eventually disturb your sleep.

Allot a specific time to plan your next day: Generally, people have the tendency to think about the incidences that have happened today and keep worrying about tomorrow when they put their head on a pillow. Avoid doing it by allocating a dedicated time, perhaps next day morning to review yesterday and to plan for today. Remember at end of the day, human brain reaches it maximum exhaustion level and the brain’s possibility to find the solution is weakest whereas converting worries is at its peak.

Reduce stress If you find yourself too stressed when you put your head on the pillow then it’s a good practice breathing exercises and meditation before going to bed. Even playing melodious music is good that can reduce your stress levels too and help you to get a sound sleep.

Put your mobile phone in an airplane mode before you go to sleep: A major reason for a lot of people to suffer sleep deprivation and insomnia in today’s time is their habit to play with their smartphones, texting, chatting or checking Facebook updates in bed.

5 people found this helpful

I have d vitamin deficiency. Frequently I feel leg shivering weakness /cramps in lower leg. Pin pricking in toe. I had HB of 10.6 but now improved 13.6.pl tell me the remedy.

BHMS
Homeopath, Secunderabad
I have d vitamin deficiency. Frequently I feel leg shivering weakness /cramps in lower leg. Pin pricking in toe. I ha...
Have more of fruits and and vegetables everyday. Have a balanced diet. This will ensure that your diet is not deficient of any nutrients. Add milk and curds along with seeds and nuts. Exercise ever day and do some yoga. Avoid all bad habits as they can cancel all the good habits that you follow. Go for regular medical checkup. Check BP and blood sugar. Other tests like thyroid tests, renal profile, liver profile etc can be done once. If the complaints are persistent then it requires a detailed study to diagnose the problem. You can take the help of Homeopathy after that. You can contact me for a private consultation for Homeopathic treatment.
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What is the symptoms of dengue if I will suffering from dengue then what medicine I will take.

MD - Internal Medicine
General Physician, Bharuch
What is the symptoms of dengue if I will suffering from dengue then what medicine I will take.
Fever bodyache joint pain rashes. U should consult a physician whenever you get fever U can take tab. Dolo650 for fever sos.
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Seasonal Influenza: Current Updates and Health Tips

MBBS, DNB - Pulmonary Medicine, Allergy & Sleep Disorders
Pulmonologist, Noida
Seasonal Influenza: Current Updates and Health Tips

Influenza is characterized by fever (temperature of 100°F [37.8°C] or greater) with cough and/or sore throat.

Influenza viruses spread from human to human via aerosols created by coughs or sneezes of infected individuals .The incubation period of influenza ranges from 18-72 hours. Viral shedding occurs at the onset of symptoms or just before the onset of illness (0-24 h). Shedding continues for 5-10 days. Young children may shed virus longer, placing others at risk for contracting infection with the virus. Shedding may persist for weeks to months in highly immunocompromised persons.

The presentation of influenza virus infection varies; however, it usually includes many of the symptoms shown here. Patients with influenza who have preexisting immunity or who have received vaccine may have milder symptoms. Abrupt onset of illness is common. Fever may vary widely among patients, with some having low fevers (in the 100°F range) and others developing fevers as high as 104°F (40°C). Sore throat can be severe and may last 3-5 days. In children diarrhea may be a feature.

Findings of standard laboratory studies, such as a complete blood cell count and electrolyte levels, are nonspecific but helpful in the workup of influenza. Leukopenia and relative lymphopenia are typical findings in influenza. Thrombocytopenia may be present.

Most frequently, hospitalization is necessary when influenza exacerbates underlying chronic diseases. Some patients, especially elderly individuals, may be too weak to care for themselves alone at home. On occasion, the direct pathologic effects of influenza may require hospitalization; most commonly, this is influenza pneumonia.

Patients with influenza generally benefit from bed rest, and most patients recover in 3 days; however, malaise may persist for weeks.[1] After the development of influenza, antiviral agents can reduce the duration and severity of illness. To be effective, the medications must be administered within 40 hours of symptom onset. Oseltamivir is taken orally (75 mg bid for 5 d).

The influenza vaccine is recommended by the World Health Organization and United States Centers for Disease Control and Prevention for high-risk groups, such as children, the elderly, health care workers, and people who have chronic illnesses such as asthma, diabetes, heart disease, or are immuno-compromised among others.

2 people found this helpful

Is masturbation frequently (I.e. Every other day) harmful Wil there be problem in future.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Is masturbation frequently (I.e. Every other day) harmful
Wil there be problem in future.
Hello- Masturbation is a natural sexual activity that most people do at some point in their lives. Some people masturbate more than others. There is no “normal” frequency, but if a person masturbates so much that it affects daily life, that is a cause for concern. If you are facing backache, continuous vaginal discharge/irritation, burning urination, abdominal cramps and loss of appetite, you must reduce your frequency to once in a week.
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Is having low blood pressure causes any major effect on health, if yes then what needs to be done to avoid such conditions?

DHMS (Hons.)
Homeopath, Patna
Hello, low BP causes lithargic attitude, Dizziness or lightheadedness. Fainting Lack of concentration. Blurred vision. Nausea.Cold, clammy, pale skin. Rapid, shallow breathing. Fatigue. Tk, healthy diet. Apples, cheese, ripened mangoes, milk. Go for meditation. Tk, saline water to improve BP. Tk, care.
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I consume black coffee (without sugar or milk). The weight of instant coffee powder I use is 3g. It's nutritional information is given to be 270kcal per 100g. Am I consuming too many calories? As per my calculations it's just 8.1 calories. Does 270 kcal means 270000 calories?

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
I consume black coffee (without sugar or milk). The weight of instant coffee powder I use is 3g. It's nutritional inf...
If you are taking only one cup of coffee in a day then this is advisable to take. You are not consuming more calories. You should avoid more then 1 cup o coffee because of caffeine intake calories is the secondary thing.
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If I have problem of critical constipation. Can I eat 2 bananas daily at morning.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
If I have problem of critical constipation. Can I eat 2 bananas daily at morning.
My Lybrate user, take water minimum 3 ltrs perday. At morning 1st you take plain water half to one ltr. Then you eat banana with home made bread. If you hv big problem for your constipation just you contact with me for good medicine for your permanent solution. Otherwise in future you would be sufered with Piles.
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I having headache and I think it's because of summer so please can you tell some instructions.

Homeopath, Anand
I having headache and I think it's because of summer so please can you tell some instructions.
Homeopathic remedies are very effective in sun headache. Drink lots of water. Take watery fruits like watermelon, oranges. Take coconut water regularly. Don't take sugar items as it may aggravate your condition.
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I have white discharge from my private part. How many time in a weak it is normal? And also can you please tell me why is it happen?

BHMS
Homeopath, Mumbai
I have white discharge from my private part. How many time in a weak it is normal? And also can you please tell me wh...
Its call leucorrhea. If it is contineous ghan it should be treated. Dn use any soap to cleans it. Wash with water.
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Processed Foods - Why They Are Harmful for You?

Certificate In Food / Nutrition
Dietitian/Nutritionist, Dehradun
Processed Foods - Why They Are Harmful for You?

Do you like to eat processed foods, and gorge on them a lot to stay away from cooking? It is important for you to know that processed foods are bad for your health and it is best that you avoid consuming them. Although all food items we eat are mechanically processed in certain ways, chemical processing, which is the primary feature of processed food items, is hazardous for your health.

Here are the major reasons why you should not eat processed food items.

  1. Processed food contains high amounts of sugar and fructose corn syrup: It is a known fact that excessive consumption of sugar in any form is not good for your health. Processed food products are loaded with sugar in huge amounts and also contain high fructose corn syrup, which is equally harmful in excess. Sugar basically has empty calories, which contain no important nutrients. Sugar also has dreadful effects on your body metabolism and may lead to high triglycerides, increased cholesterol levels, insulin resistance, and excess accumulation of fat in your abdominal cavity and liver.
  2. Processed food is hyper rewarding in nature and over consumption gets likely: Processed food items, because of their high content of sweet and fat, become a sort of addiction for many people. The reward centers of your brain acknowledge them, and as a result, you develop a constant craving for such food stuff.
  3. Processed food contains harmful artificial ingredients: It is likely for you to not understand the names of ingredients, which processed foods are made of. This is because of the reason that maximum of these ingredients are not actually natural, but are artificial chemicals which get added for several purposes such as preservation, maintaining aroma and much more. These chemicals are associated with several harmful effects on your health. The common ingredients of highly processed foods include the following:
    • Chemical preservatives for preventing processed food from rotting
    • Chemical colourants, which induce attractive and unique colours to processed foods
    • Chemical flavors for giving specific flavours
    • Texturants for proving a particular, specific texture to processed foods

The hyper rewarding nature of processed food can lead to severe consequences in many people. It is possible for you to become addicted to processed foods, and lose total control over your consumption rate. This problem of addiction to processed fast foods is a major problem in today’s world. It is an important reason for obesity, which is a prominent health concern today all over the world.

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