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Dr. Darshana S Bobade

Gynaecologist, Pune

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Dr. Darshana S Bobade Gynaecologist, Pune
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Darshana S Bobade
Dr. Darshana S Bobade is one of the best Gynaecologists in Market yard, Pune. She is currently associated with Bobade Accident Hospital in Market yard, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Darshana S Bobade on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 43 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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Indapur Road, Baramati. Landmark: In front of Market Yard, PunePune Get Directions
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My son age is 9+ Month. But I' M pregnant again. So I am wash. So which medicine are unpregnent.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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My son age is 9+ Month. But I' M pregnant again. So I am wash. So which medicine are unpregnent.
Hello, Please get an usg done first to localise the pregnancy and then you may opt for medical termination of pregnancy depending if the previous delivery was a vaginal delivery.

DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist
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What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:


Coughing during or right after eating or drinking
Wet or gurgly sounding voice during or after eating or drinking
Extra effort or time needed to chew or swallow
Food or liquid leaking from the mouth or getting stuck in the mouth
Recurring pneumonia or chest congestion after eating
Weight loss or dehydration from not being able to eat enough


As a result, adults may have:


Poor nutrition or dehydration
Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
Less enjoyment of eating or drinking
Embarrassment or isolation in social situations involving eating


Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:


Swallowing therapy
Dietary changes and
Feeding tubes


Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:


A nasogastric tube - a tube that is passed down your nose and into your stomach
A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach


Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

My sis is pregnant. 6-7 months. She is having swollen legs during evening n night time. And also having cough from long time. please help us n tell us d reasons for this?

DGO, MBBS
Gynaecologist
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My sis is pregnant. 6-7 months. She is having swollen legs during evening n night time. And also having cough from lo...
Hi. First about swollen legs. Normally as preg advances ,leg swelling increases because of gravide uterus pressure and some physiological changes that may cause same complaint. Avoid long time sitting on chair n standing. Have daily morning or evening walk on plain ground .prefer to sit on floor or sofa with legs fold. Stil your sister complaining increased swelling go through BP monitoring by obstetrician. And for cough you can take opinion of MD medicine as it's long lasting.

I am 42 years, and i am undergoing treatment to get conceived from past 1 year, is there is any possibility that i get conceived

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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The possibility is always there. But depends on actual factors like age, cause of infertility, the treatment received etc. Depending on those, we can actually predict the exact chance. Never lose hope. All the best.

I am 26 year old. Trying to conceiving. I do yoga or surya namaskar? Did these exercise can effect for conceiving?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 26 year old. Trying to conceiving. I do yoga or surya namaskar? Did these exercise can effect for conceiving?
Yes it will effect on conception it give strength to uterus bu you should consult yoga teacher personally and learn yoga properlly.

I am 22 years old. I had sex with my bf so then I came to know that I have became conceive then I took microprostol tablet after taking that I got sever bleeding finally I got admitted for hospital they have done that d&c [dilatation and curettage] on 20th last month. Now I am ok with my health but doctor has told that in blood hemoglobin content was very less. Now I have question that for when my periods will happen like previously & my next pregnancy I will not get any problem. Now I can have sex or not it will happen any problem or what. Please give me answer to my question doctor.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist
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I am 22 years old. I had sex with my bf so then I came to know that I have became conceive then I took microprostol t...
1 For low haemoglobin take treatment I am sure your gynaecologist must have advised. Later repeat haemoglobin report to confirm. 2 Next period first may be little delayed or as usual.\ 3 Next pregnancy mostly no problem, very rarely problem yes that is why abortion should be avoided. 4 You can have sex but important to use family planning method which fails the least or to have celibacy.

I am 45 years old female Every month after my periods ie after 3 rd day I am getting pain in my lower abdomen left side. The will continue for 10 days please suggest remedy for this.

BAMS
Ayurveda
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I am 45 years old female Every month after my periods ie after 3 rd day I am getting pain in my lower abdomen left si...
Dear, stomach pain occurs during periods is due to contraction of muscles of uterus. For take relief follow these methods: * take i/3 rd piece of ginger boil it in one glass of water, when half glass water remain then take it with one teaspoon of ajwayin. * use warm water bottle put it on your stomach area with wrap in the towel. * take rest properly do not do hard work. *do running and jogging daily for 5 to 10 minutes. Do not do running and jogging before 7days from periods coming date. * do massage with lukewarm mustard oil around area below stomach and back.

I am 21 years old unmarried girl. My menstrual cycle is irregular from beginning. I have done ultrasound. There are follicles around my ovary. Should I take medicine?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am 21 years old unmarried girl. My menstrual cycle is irregular from beginning. I have done ultrasound.  There are ...
You should surely start a homoeopathic medicine as these are safe and can treat you 100% without any side effects.consult me

Recently have a urine test results show as no bacteria and have a hiv test result show as negative and they took a blood test and it shows normotic normochromic blood picture! still possible to get STD.

Doctor of Medicine
General Physician
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Recently have a urine test results show as no bacteria and have a hiv test result show as negative and they took a bl...
Sexually transmitted disease can only be possibly when exposure is there, if the test is negative then it is nothing to worry but this does not ruled out the possibility of any infection if exposure is there, if you want to save from infection then be safe as long as coitus is concern.

Please suggest some medicine for vaginal odour.

MBBS
Sexologist
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You are having problem of vaginal odour. I advise you for private consultation from me where I will tell you medicine for vaginal odour.

Cough Hygiene

C.S.C, D.C.H, M.B.B.S
General Physician
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When you cough or sneeze, you tend to expel out respiratory waste, which can be droplets (larger than 5 microns) or airborne droplets less than 5 microns; both have different implications.
Droplets remain suspended in the air only for a limited period and exposure of less than 3 feet is usually required for human to human transmission of droplet–borne respiratory organisms. In flu, this can be upto 6 feet. The examples of droplet infections are patients with meningitis, influenza, rubella (German measles) etc.
No precautions need to be taken by a person, who is at a distance of 6–10 feet away from the patient. But, if a person is sitting or working even at a distance of 3–6 feet, the non–coughing person should wear simple mask.
In contrast, airborne droplet nuclei, which carry respiratory secretions smaller than 5 microns can remain suspended in the air for extended period and can cause infections to people who are standing even more than 10 feet away. The example of airborne droplet nuclei infections are TB, measles, chickenpox and SARS.
Patients with these diseases need to be placed in an isolation room. And, all those people who are looking after these patients must use a safe N95 mask.
In normal house with open windows, there is a constant exchange of air, which prevents spread of infections but in rooms with air conditioners (ACs) with no air exchange, infections can spread from one person to another.
When sitting in an air conditioned atmosphere, the setting of the AC should be such that the same air is not circulated and fresh air is allowed to exchange. Split ACs, therefore, are more dangerous than the window ACs.
In an office with split AC, if one employee is suffering from any of the droplet nuclei disease, he/she can transmit infection to others. Therefore, patients with confirmed TB, measles, chickenpox and SARS should not be allowed to work in offices with split ACs.
Cough Hygiene

Actually I had sex with my girlfriend by using condom & she got pregnant and had miscarriage. Is condom not safe for sex? What was the reason to become pregnant. Please advise.

MBBS
General Physician
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nirodh might have ruptured and leaked inside. nirodh is safe if not ruptured or use double nirodh or good quality nirodh. thanks

I am a 28 year old unmarried girl. My periods are regular since the beginning. Last one was 21aug-24aug, 2016. I have no gynaeco-problem as well. But, Since a week only my left nipple is paining. There is no swelling, no lumps are felt, no discoloration of nipple area, nothing is abnormal in looks. Only a mild pain is there 24x7. I feel discomfort and much worried. Kindly help me. What can be the problem? What should I do? Please reply.

D.C.A.H, F.C.G.P., P.G.D.I.H, F.I.C.A. (USA), M.B.B.S.
Psychiatrist
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I am a 28 year old unmarried girl. My periods are regular since the beginning. Last one was 21aug-24aug, 2016. I have...
Some pains and discomforts could be simple as well. I know You are concerned because this is related to nipple, but if you have no other problem, no discoloration, no swelling, no lumps and breast is normal then ignore this mild pain for a while i.e. For about a week and after that if you still feel pain in the nipple then best way to consult some expert either online or in person. At present just cool down, be calm, come out of nipple focus and concentrate on important aspect of your life. I feel you are thinking too much. All the best.

I'm 19 years old female. My husband just touched his with mine. Not inserted. This happened approx 15 days ago. I'm missing my periods now. As I was to have at about date-10. Can I use the tablets. mifepristone n Misoprostol. Plzs help. M scared.

BHMS
Homeopath
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I'm 19 years old female. My husband just touched his with mine. Not inserted. This happened approx 15 days ago. I'm m...
If he has not inserted and ejaculated in you, then there is hardly a chance that you are pregnant. But if you still have a doubt, you may check it by pregnancy kit available in chemist stores. It will almost confirm that if you are pregnant or not.

I am 23 year old girl and I am Having irregular periods and has cyst in the right ovary plus gaining weight also. How to overcome from this situation?

BHMS
Homeopath
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Hi, due to hormonal imbalance your periods are irregular and gaining weight. Homoeopathy is the permanent solution for these problems. With these medicines symptoms donot appear in future also. Please provide more details.

Hi sir. I am 31 years old and I am married and had a one year. Old baby. I want to know the safe day of an woman in her period cycle (28 days cycle) on which day she can do unprotect sex. I tried to know it from internet before, but cant understand. Sir please explain in briefly and with example with date. Thanks.

MBBS
Sexologist
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You can do sex from when menses stop to 7th day from start of bleeding then from 18th day to start of next menses.

She has risk of breast cancer as her mother has breast cancer. Is der any premedication or vaccine available to prevent this cancer. Hope you wil answer.

MS- Gynaecology, MBBS
Gynaecologist
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No vaccine fr breast cancer . u can get Braca gene testing . regular self exam of breast daily. Once reach more then 35yr mammography annually .

1. If a couple want child then what is the best time they should try morning/evening or what? 2. Does position matters? which position will help them? 3. Which day is best after female monthly cycle? 4. If enjaculation us done once at a time and process repeats many times many days. Can a female gets pregnent more then one time. If yes then how the couple may know to avoid enjaculation in?

Advanced Aesthetics
Ayurveda
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1. If a couple want child then what is the best time they should try morning/evening or what? 2. Does position matter...
Folic acid If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. The best time to get pregnant You?re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it?s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there?s always sperm waiting in the fallopian tubes to meet the egg when it?s released. For treatment consult privately.

Hi one of my friend had a sex with his girl friend one month ago ,now she miss her period ,her period date was 15 July but the issue is she tested her pregnancy with preganews and there are negative so now I wanna to know how much time period has miss and it is really necessary to consult with doctor or will have to wait some days more .

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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Hi one of my friend  had a sex with his girl friend one month ago ,now she miss her period ,her period date was 15 Ju...
Lybrate-user. Repeat the test again with an early morning sample of urine. If still negative visit a doctor soon or consult one online to get a prescription for her to resume her periods.

I am pregnant second time. First baby was with c section. Pls advise for normal delivery thid time.

BHMS
Homeopath
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I am pregnant second time. First baby was with c section. Pls advise for normal delivery thid time.
There is nothing one can advice because it depends upon what are the circumstances. In the scenario, when labour stops, or baby's heart rate is affected or oxygen supply have been disturbed by the prolapsed cord. You need to visit gynaecologist, although gynaecologist may advise you to go for c-section as it is the safest method and moreover you have undergone c-section earlier too.
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