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Dr. Ambalal Gurram

Gynaecologist, Pune

300 at clinic
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Dr. Ambalal Gurram Gynaecologist, Pune
300 at clinic
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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.
More about Dr. Ambalal Gurram
Dr. Ambalal Gurram is a trusted Gynaecologist in Thergaon, Pune. He is currently associated with Ashwinii Nursing Home in Thergaon, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ambalal Gurram on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Ashwinii Nursing Home

Sonigara Laxmitara Market D Wing 1st Flr, Tathwade Rd, Thergaon. Landmark: Opp Thergaon Jakat Naka, PunePune Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

During pregnancy, is it possible to check the 1. Baby's position of heart (left or right) 2. One or two kidney,3. VSD in heart.

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Yes. Anomaly scan should be performed between 22 and 24 weeks. Sometimes, small VSD may be missed on USG.

My daughter got married 3 years ago but no good news received. It is suspected that problem is from husband side. As a result there is always clashes between them. If there is no physical relationship between them, then there wouldn't be any reason to be happy. I am seeking an expert advice from experienced psychologist in this concern. Please provide help. Regards.

MBBS
General Physician, Chandigarh
My daughter got married 3 years ago but no good news received. It is suspected that problem is from husband side. As ...
Instead of blaming each other both of them should get themselves investigated for infertility cause can be with either of them and there are treatments available for every problem this should not become an issue to fight but both of them should together work on finding a solution tension in relationship itself is a big reason for not conceiving.
4 people found this helpful
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Hi, My age is 21. I use to work in night shift from the past 2 years. I am getting periods every month. But it's not bleeding much only having two or three drops of bleeding. Due to this am gaining more and more weight. Is there any permanent solution for this to reduce my weight and to bleed well.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Hi, My age is 21. I use to work in night shift from the past 2 years. I am getting periods every month. But it's not ...
These tips will help you lose weight. 1. Have small frequent meals at 2-3 hrs intervals. 2. Avoid junk/ fried/ sugary foods& drinks, alcohol. 3. Have healthy snacks in between main meals - whole fruits, coconut water, nuts, oilseed, soup, dal chila, dhokla, sprouts. 4. Include salads in lunch ,& dinner. 5. Take stairs instead of lift & walk instead of hiring transport. 6. Drink 3 litres water daily. 7. Take 15 mins light walk post main meals. 8. Eat slowly chewing each bite well. 9. Reduce oil/ ghee/ butter consumption for cooking. 10. Exercise daily for 1 hr. 11. Avoid eating out, packaged & processed foods. Consider getting a test for pcod done.
1 person found this helpful
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Age: 31 yrs, Health Issue: PCOD Period missed: I am in 38th day Symptom: No Symptom of pregnancy like vomiting, tiredness, nausea. What could be the reason? Is that pcod stopping my periods or something else.

MBA (Healthcare), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
Age: 31 yrs,
Health Issue: PCOD
Period missed: I am in 38th day
Symptom: No Symptom of pregnancy like vomiting, tired...
First of all you do pregnancy test. If negative then wait for one week. If again negative after one week then you should treatment of pcod then conception will be easier. If positive consult doctor for the same.
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Please can you advise that is it safe to do sex in pregnancy in first month starting phase. If yes than please tell us how we can do safe sex without any complications. Please suggest us the precautions and advise from your end also.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Dear, you should avoid this for first 3 months. Later you can do it once in 15 days. If pregnancy is complicated it is not at all safe.
3 people found this helpful
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Main ne apni girl friend se sex Kia hai. Aur condom phat gia aur ab uski period ki date pe period nai aa rahy. Is bt ko 10 din huye hain. please mujhy pregnancy khatam karny ki medicine bta dain. Plz.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Main ne apni girl friend se sex Kia hai. Aur condom phat gia aur ab uski period ki date pe period nai aa rahy. Is bt ...
First confirm pregnancy by a urine pregnancy test. Even if pregnancy test is positive a ultrasound is must before going for abortion.
5 people found this helpful
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My wife's period circle is 29 days. Today 33 days. Period not comes. She is pregnant or not. How we know? What is the symptoms of pregnancy in 34 days.

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
My wife's period circle is 29 days. Today 33 days. Period not comes. She is pregnant or not. How we know? What is the...
Hi lybrate user, if she has missed her periods you can do a urine pregnency test at home n confirm, initial symptoms r vomiting sensation, vomitings, giddinessn fatigue but sometimes they r not seen so early.
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List out the foods which I supposed to avoid eating because m in conditions like obesity osteoporosis joint pains pcod white hair hair fall.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
List out the foods which I supposed to avoid eating because  m in conditions like obesity osteoporosis joint pains pc...
Hi lybrate user, please avoid junk food like pizza, sandwich, bread, white floor products. Avoid sugar, potato, rice. High protein diet like pulses, egg whites, milk.
3 people found this helpful
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Hlo meri delivery abhi hui h or mujhe aesa lg rha h meri uterus shyd khul si gai h matlb bdi si ho gai hai. M ky kru. Ky ye normal bt h ya nhi.

MD-Pharmacology, MBBS
Sexologist, Delhi
Dear lybrate-user, It is very common that after delivery uterus size increase. It's natural solution is to start feeding your baby exclusively for 6 months. As it is a reflex action, your uterus will come to its normal size. Take good care of your health n baby. If there is a single problem related to your health or baby's health, consult your gynecologist immediately. Avoid local medication or advice. For more information or suggestions you can also visit our private questions. Thanks.
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I am 4th month pregnant. In third month my hb was 13.2%,and in 20 days now its reduced to 8/ only. What should I eat to increase hb? I am feeling dizziness and so stressed. Please suggest thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am 4th month pregnant. In third month my hb was 13.2%,and in 20 days now its reduced to 8/ only.
What should I eat ...
hi better to take iron injections and diet rich in protein and iron like sprouts, pulses, salad, non veg, lots of green leafy vegetables.
1 person found this helpful
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Mai 20 year ki hu. Mera period ka date 28/8/17. Ko tha. Jo nhi Aya .Muje lgta hai maine boyfriend ke sth sex Kiya tha is Karn period miss ho gya hai. Mam muje please aise tblte btye jisse 1 din me period AA jye pls help me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Mai 20 year ki hu. Mera period ka date 28/8/17. Ko tha. Jo nhi Aya .Muje lgta hai maine boyfriend ke sth sex Kiya tha...
Pahle to urine pregnancy test karke pregnancy hai ki nahi check karo. Baad me turant Gynecologist ko milo kyonki koi bhi dava vahi doctor de sakta hai jo aapko check karte hai.
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How can normal regular periods like always, be same as implantation or decidual or any other kind of bleeding?

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
How can normal regular periods like always, be same as implantation or decidual or any other kind of bleeding?
Its not entirely same except when u already have scanty menses. The implantation bleeding is not heavy, and the colour of implantation bleeding is also little brownish or pinkish and not deep red like menstrual blood. Also implantation bleeding can be in form of just spotting
4 people found this helpful
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I am 15 year old, 10th standard girl but I still not started menstruation cycle Kindly advise is there any problem later stage?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 15 year old, 10th standard girl but I still not started menstruation cycle Kindly advise is there any problem la...
If your breast and hair development are normal, then you can wait until 16. If not, consult gynecologist soon.
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I want to do safe sex with my partner. She got menses at 11-15 of Aug .so what is the safe dates to do sex with my partner.

MBBS
General Physician, Jalgaon
From 1st day of menstrual cycle to 10 th day of menstrual cycle is safe From 11th day of menstrual cycle to 20th day is unsafe, as ovulation occurs during this period From 21st to 30 th day of menstrual cycle is safe.
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Hi I am newly married I married on 11th may but I do not have sex with my wife because I am feeling very shy to be naked in front of her I want to do it tonight please advice what to do how should I ask for sex to her.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Theni
Hi I am newly married I married on 11th may but I do not have sex with my wife because I am feeling very shy to be na...
You do not need to be 100% naked while having sex. Also it is not necessary to have sex in a lighted room. It can also be done in an abolute darkness too. You better have a good chat with your wife before going to bed. Just imagine yourselves as lovers and engage in foreplay activities, for example kissing, fondling, hugging etc. You will soon lose your shyness and hesitation and have best times in your love life.
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I am 23 years old un married girl, i'm suffering from pcos, I have a hair loss problem, unwanted hair on my upper lip, dec 2012 on words I'm taking crimson 35 tablets, this month I didn't take tablets even though I got my period on the next dsy of my regular period date, should I need to try for getting period without tablets? please tell me, I'm also loosing weight by doing regular exercise and drinking luke warm water.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)and Dip inYoga and Naturopathy
Ayurveda, Ludhiana
Hi. Did you got your tsh and s. Prolactin levels checked? try tb hyponidd (charak pharma) with syp evecare. Rest you can talk personally after getting your hormones checked. Do not worry or panik in todays world every third girl is having pcod in some phase of her life. Bpositive think positive and do positive.
4 people found this helpful
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Hello Dr. .mujhe thyriod h tsh 5.8 hai weight 67 hai .aur ovary me toda swelling hai .mai last 4 month se baby plan kar rahi hu .but nai ho pa rah h .mai thyriod k liye 25 mg ki medicine le rahi hu .mujhe period regular aate h .dr ne harmony F medicine lene ko kaha h .dr kya meri problm bahut badi h jisse mujhe baby concieve nai ho payega.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Dr. .mujhe thyriod h tsh 5.8 hai weight 67 hai .aur ovary me toda swelling hai .mai last 4 month se baby plan k...
Thanks for the query. It is good to know that you are looking for a baby. For that please understand that it is absolutely essential to achieve a very good control of hypothyroidism. Your TSh should be maintained around 2 mU/L, for conception to occur and even during the pregnancy too TSH has to be maintained around that, for proper development of the fetus and healthy expected out come of the pregnancy. So you will have to increase the dose of thyroxine to 50 mcg, then check TSH after 6 weeks. If it has come down o the level mentioned above, then it is good. If not there has to be a further increase in the dose. Simultaneously you need to exercise and take a restricted diet, so that you are able to loos at least 5 to 7 kgs of weight, before conception sets in. If you have any doubts please do come back. Thanks.
2 people found this helpful
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My 2 months baby refuse to take mother's breast feed. We are trying hard to feed him but he refuse to take, while he is enjoying to take breast feed from others women. I wanted to know long consequences for the same. We are giving him formula milk. Should we give some additional supplement or any other techniques can we apply for breast feed. We require valuable input.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 2 months baby refuse to take mother's breast feed. We are trying hard to feed him but he refuse to take, while he ...
If you give formula in bottle the will be breast and nipple confusion. There may be crack or extra lager areola in mother. You can try putting a nipple shield and see. Do not feed in bottle and feed with a spoon after giving breast.
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Facts of Coffee

MBBS, D.P.H
General Physician, Gurgaon
Facts of Coffee

Facts of Coffee:

Coffee is consumed by about 50% of adults and second most consumed beverage used worldwide and a leading contributor of caffeine of diet. As per available records coffee has been enjoyed for over 500 years.

 

Nutritional facts:

  • coffee is a better option in the energy drinks like soda, and sweetened teas or juices in view that it’s calories is very low in comparison to other energy drink.

  • One eight –oz cup provides

Calories

2-4

Carbohydrate

0.0 g

Fat & Fatty acid (omega 6 fatty acid)

2.4 mg

Protein

0.3 g

Vitamin b2 (Riboflavin)

0.2 mg

Vitamin K

0.2 mcg

Pantothenic acid

0.6 mg

Niacin

0.5 mg

Choline

6.2 mg

Calcium

4.7 mg

Manganese

0.1 mg

Magnesium

7.1 mg

Phosphorous

7.1 mg

Potassium

116 mg

Sodium

4.7 mg

Fluoride

215mcg

Caffeine

94.6 mg

 

Benefits of coffee:

Coffee from ground beans contains 95 to 180 milligrams of caffeine in a tall regular cup while a cup of green tea provides about 44 milligrams caffeine. Coffee has following benefits:

Antioxidant: Coffee is a high source of Antioxidant. Coffee provides 70% of total amount of important antioxidant in diet. Antioxidants in coffee are Polyphenols, chlorogenic acid and caffeic acid, Cafestol and Kahweol.

 

Antioxidant in coffee plays following role:

  • Neuro degenerative disease: Coffee works as natural anti aging beverage. Antioxidants protects against Parkinson’s disease, dementia. Coffee acts as natural Alzheimer’s disease treatment and also has protective qualities against Depression in some people.

  • Coffee is effective at “Fighting free radical damage”: Because it increases antioxidant in the blood (Plasma antioxidant capacity).

  • Cancer protection and as an anti inflammatory food: Inflammation which is the root of most diseases is reduced. Coffee lowers oxidative stress because of its ability to induce mRNA and protein expression. Caffeine found in coffee also has an impact on metabolites and lipid fraction that act as a safeguard against some malignant cells by modulating certain detoxifying enzymes.

  • Coffee prevents Cardiovascular disease and improves heart health. Antioxidant cafestol and kahweol are diterpene compounds which have cholesterol –balancing effects of coffee. Coffee intake is associated with lower risks of heart failure and stroke and also reduces the heart arrhythmia.

  • Help to prevent Diabetes: Antioxidant chlorogenic acid reduce the absorption of glucose from sugary or high carbohydrate foods. This could slow the release of sugar into the bloodstream after a meal and be beneficial for preventing insulin resistance, thus help to prevent diabetes.

  • Increase Physical performance and endurance: Caffeine increases the capacity for bodily and mental labor especially by eliminating fatigue.

  • Coffee increases energy and concentration.

  • Helps in asthma control.

  • Coffee lower risk of select gastrointestinal diseases.

  • Coffee may protect against alcoholic liver disease (It has been observed that 20% reduction in alcoholic liver syndrome by consuming one cup of coffee a day up to four times daily).

 

Disadvantage of Coffee:

  • Effect on Hydrochloric acid: Regular consumption of Coffee effects the availability of HCL in the stomach especially protein based food which passes into the small intestine before being properly broken down . undigested protein results variety of health problem like Bloating and gas, IBS, Diverticulitis and even colon cancer.

  • Ulcers, IBS and Acidity: Regular consumption of Coffee( Caffeine and various acids present in Coffee) irritate the stomach & lining of small intestine which is necessary for H. pylori to take hold initially , due to that Helicobacter pylori bacteria causes Ulcers, gastritis, IBS and Crohn’s disease. It also irritate the lining of small intestine which leads to Abdominal spasm, cramps, and elimination problem due to that diarrhea and constipation occurs.

  • Heart burn problems: Caffeine in Coffee relax the Esophageal sphincter due to that stomach content come back in stomach and burn the delicate lining of esophagus by HCL thus contribute the Acid reflux and Heartburn

  • Coffee as a laxative: coffee stimulates peristalsis thus promote the gastric emptying , whereby the stomach’s contents are quickly passed into the small intestines , before digesting food which makes it difficult for nutrients to be absorbed from your food. It also increases the chances of irritation and inflammation within the gastrointestinal tract.

  • Effects the Mineral Absorption: In heavy drinkers of coffee Iron absorption in stomach is effected and particularly effects the ability of kidney to retain calcium, magnesium and othe important minerals which plays vital role for good health

  • Acrylamide in coffee: Coffee contains the Acrylamide which is carcinogenic substance (cancer causing)

  • Stress and tension: Excessive consumption of caffeine in coffee release the stress hormones ”Cartisol, Epinephrine an Nor epinephrine” which increases the heart’s rate, blod pressure and tension levels. Stress hormones with a cup of coffee also interferes with the digestive process, caffeine in coffee also interfere with GABA metabolism. Gamma-amino butyric acid is a neurotransmitter involved in regulating mood and stress levels, it also affect the GIT.

“Mood and digestive system are interrelated, thus when you drink a lot of coffee the high levels of caffeine in it negatively affect both of them”.

 

How much coffee is safe to drink:

  • For healthy adult 500 mg. of caffeine /day (approximately 5 cups).

  • For pregnant women 200 mg. /day.

  • Ideally 1-2 cup of coffee /day has no associated negative effect but beneficial for people.

  • If associated with problem of stress a, tension, digestive problem it should be avoided.

 

What is the best time of consumption of coffee :

  • Morning 10 am to noon

  • Evening 2pm to 5pm

  • Early morning stress hormone “Cartisol” level in our body is very high and consuming caffeine when cortisol level are high creates two problems:

  • Caffeine interferes with the body’s production of cortisol which is released in response to stress and low glucose. The body ends up producing less cortisol and depends more on the caffeine to compensate.

  • It increases the person’s tolerance to caffeine because it replaces the natural cortisol – induced boost instead of adding to it.

Thus early morning is the worst time for coffee.

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