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Dr. J.P. Rath

MBBS

Gynaecologist, Pune

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Dr. J.P. Rath MBBS 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. J.P. Rath
Dr. J.P. Rath is a popular Gynaecologist in Sangamvadi, Pune. He studied and completed MBBS . You can consult Dr. J.P. Rath at Dr. J.P. Rath@Ruby Hall Clinic in Sangamvadi, Pune. Book an appointment online with Dr. J.P. Rath and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 42 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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MBBS - - -

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Ruby Hall Clinic

#40, Sasoon Road, B S Dhole Patil Path Near Ruby Hall Clinic, Choice Apartments C Wing 4th Floor, Above Mont Blanc Opposite Millenium Star BuildingPune Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am 28 years old female I married 1 year back. My tsh levels are 6.8,and I am having symptoms of irregular periods, weight gain, lethargy. Recently I under went for pelvic scan in that I diagnosed with mild pcos. What is the treatment to get pregnancy. Please give me suggestion.

Mbbs,, MS OBGY
Gynaecologist, Pune
I am 28 years old female I married 1 year back. My tsh levels are 6.8,and I am having symptoms of irregular periods, ...
Fertility treatments required proper evaluation under expert in that field. Can not be online. So please meet a fertility specialist at your place with all reports.
4 people found this helpful
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Please suggest. Does hempushpa syrups is good for hormonal imbalance and irregular period and pcod?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sri Ganganagar
Please suggest. Does hempushpa syrups is good for hormonal imbalance and irregular period and pcod?
Take satavari churn with milk if you hv dysmenorrhoea take rajpravartani vati syrup menstra is more effective than hempuspa.
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I had my last period on 8th of april. Few days back around 28th april I had sex wid my partner. It's been a week and still I did not had my period. I am so much worried about my pregnancy. I do not want to be pregnant. So what step should I take to prevent dis situation? Pls help asap.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had my last period on 8th of april. Few days back around 28th april I had sex wid my partner. It's been a week and ...
Hello, you next period is due only after 8th may whites yet to come so you haven't actually missed your periods but you may get a serum beta hcg test to rule out pregnancy as of now.
2 people found this helpful
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Sir Meri shadi ko 6 months ho gye h Two months s hum 2 months humne try kiya lekin wife pregnant Ni hui usse pehle hum precautions use krte the Any tips from your side.

DGO, MBBS
Gynaecologist, Satara
Sir
Meri shadi ko 6 months ho gye h
Two months s hum 2 months humne try kiya lekin wife pregnant Ni hui usse pehle hu...
U both want a pregnancy ,then avoid contraception. Even after 1 years of non contraceptive sex ,wife didn't get pregnancy then only start treatment.
10 people found this helpful
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I am having palpitation problem since last four days. I am having irregular periods since one and a half years and my gyanae told me I am having perimenopause. Today I went to a cardiovascular and he got my ecg done which is normal. He said it could be due to PMS. I problem as I got my periods yesterday after four months. He gave me an anti depressant for a week. Plshelp.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I am having palpitation problem since last four days. I am having irregular periods since one and a half years and my...
Not to worry these are perimenopausal syndrome & other symptoms include like mood swings, hot flushes for this you have to yoga & meditation & taking healthy foods & vegetables along with good lifestyle.
1 person found this helpful
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Hi myself married women now i am living with my husband for past 20 days i want to conceive how can i get it ?

MD - Maternity & Child Health
Gynaecologist, Bangalore
20 days is too less to decide on pregnancy. Give me few more details so that i can help u with faster conception as your seems to b on higher end. Stree woman health care centre bangalore
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I am trying to conceive, my cycles are regular 28 days, trying for 3 months but no success. What all I should do to get pregnant?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
I am trying to conceive, my cycles are regular 28 days, trying for 3 months but no success. What all I should do to g...
Please note since your cycles are regular you can keep relations on from day 10 - day 16 of cycle. You can do your and your husband basic investigations like hormonal tests and semen analysis.
2 people found this helpful
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Hello, My question is me and my boyfriend had an oral sex during that time he touched my vagina with his penis but it was all dry and he didn't come in. After like regular menstruation I had my cycle. Then I have got another one in the in the next month. On the third month I have got another menstruation but it did only last for two days where as my cycle is for five days. I'm confused, is that a sign of pregnancy or its just normal. Please let me know. Thanks!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Hello, My question is me and my boyfriend had an oral sex during that time he touched my vagina with his penis but it...
If you have not had sexual relation after the last normal period, then this may be a chance occurrence. But if you are unsure about that and the normal period gets delayed by over a week, do a urine test for pregnancy.
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My daughter is 3 months old. I feel to continue at least for 1 year My milk supply is very low please give me prescription to increase breast milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 3 months old. I feel to continue at least for 1 year My milk supply is very low please give me prescri...
More suckling gives more production of milk. Keep baby on breast till either baby is satisfied or breast is emptied. In case breast becomes empty and baby is still hungry, give him top feed which to be kept ready. Give exclusive breast milk till 6 months of age.
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Diabetic Nephropathy!

md general phisician
General Physician, Hyderabad
Diabetic Nephropathy!

Diabetic nephropathy refers to diabetic kidney disease (nehpro=kidneys, pathy=disease). In 2011, diabetes caused nearly 44% of kidney failure cases. This makes diabetic kidney disease the number one complication of diabetes; one that is likely to affect almost every diabetic to some extent. In nearly half the cases of kidney disease, it could lead to kidney failure as well.

Diabetes and kidneys:

The kidneys filter nearly 200 quarts of our blood every day. Diabetes is a disease of excess sugar in our blood. Read these two sentences together and the link between diabetes and kidneys becomes obvious!

Every single day of our lives, the kidneys perform these functions:

Remove waste from our body (in the form of urine) retain whatever proteins, vitamins and other nutrients we can still usebalance the fluids in the bodyhelp maintain proper blood pressure by managing potassium and calcium levelskeep bones healthyhelp make red blood cells.

Diabetes damages the kidneys and the urinary system in three main ways:

Damage to blood vessels in the kidneys: too much sugar damages the filters in the kidneysdamage to nerves: fine nerves in the hands, feet, etc. Are corroded by the extra sugar in the blooddamage to the urinary tract: nerves run from our bladder to our brain and let us know when the bladder is full and we need to go. Damage to these nerves could mean we don’t react when our bladder is full. Result: extra pressure on the kidneys. Retained urine can also allow urinary tract infections to grow and migrate back to the kidneys.

Diabetes damage to blood vessels inside kidneys: The filtering units of the kidneys are called glomerules. They have tiny blood vessels that are easily clogged and damaged by excess sugar in our blood. Damage to these vessels also causes albumin, a kind of protein to leak via the urine. Ideally, albumin should be retained in the body. It is a condition called microalbuminuria in the early stages and albuminuria in the later stages.

Diabetes damage to nerves: Diabetes can also damage nerves everywhere in the body, a condition that is called diabetic neuropathy. When this happens in our hands and feet, we lose sensation there or begin to feel ‘pins and needles’. Nerves also convey messages from the brain to the urinary bladder and back. They inform the brain when our bladder is full. However, when these nerves are damaged by excess blood sugar, the brain does not realize when the bladder is full. The pressure from a full bladder can damage our kidneys over time.

Diabetes damage to urinary tract damage: When urine is retained in the bladder for long, the risk of bacterial infections increases. Bacteria also thrive on sugar, so diabetes increases infection risk. These infections usually stay limited to the urinary bladder. However, if they last for long, they may migrate to the kidneys and damage them too.

Consider all this in an organ that is working 24×7. Now you see why diabetic kidney failure is such a real danger for diabetics over the long term.

Diabetic kidney failure: early stages and symptoms

Diabetic kidney failure is a very real threat. It is a slow but relentless process that is divided into five stages of deterioration. The last stage called diabetic kidney failure or end stage renal disease (esrd)

The 5 stages leading to diabetic kidney failure are:

Stage 1: Kidney damage with normal gfr (90 or more). Gfr or glomuler filtration rate is the most widely accepted measure of kidney function. There are often no symptoms at this stage.
Stage 2: Kidney damage with mild decrease in gfr (60 to 89). Again, most patients feel no specific symptoms till this point.
Stage 3: Moderate decrease in gfr (30 to 59). At this stage, you may be losing too much protein, calcium and other nutrients. Some patients may feel breathless (due to loss of iron and anemia). Some puffiness and water retention could also be visible in the body. Urine may turn brown in colour. Some patients feel back pain too.
Stage 4: Severe reduction in gfr (15 to 29). All of the symptoms of stage 3 will are felt even more acutely now. Some blood may be seen in the urine. Breathlessness and swelling are usually quite severe. The stage at which you will need to finalize dialysis or kidney transplant options
Stage 5: Kidney failure (gfr less than 15). The kidneys give up at this stage. You will need dialysis or a kidney transplant.

Symptoms of kidney disease in diabetic patients

Frequent urination, especially at night
• Blood or other dark discharge in the urine
• Swelling in the ankles
• Cramps in the calf muscles of the legs
• Feeling sick, feeling like throwing up, first thing in the morning
• Feeling weak, tired, breathless, looking pale
• Unexplained and consistent high blood pressure
• Unexplained urge to itch
• Lab tests: protein or albumin in the urine
• Lab tests: higher than normal levels of creatinine or bun in the blood

Diabetes and kidneys: how to protect yourself

First, you doctor needs to be sure that the underlying diabetes is the main cause of the kidney damage. Once this is done, the standard approach is to keep the kidneys working well for as long as possible. You doctor will likely add the hypertension-reducing medications called angiotensin converting enzyme (ace) inhibitors to your regimen. This is because ace inhibitors have been shown to help slow the loss of kidney function.

Here’s what diabetics can do to protect themselves from kidney damage:

• Control your blood sugar better. Don’t rely only on medications, but make changes to diet and lifestyle too. Many doctors endorse intermittent fasting to reverse diabetes today.
• Control high blood pressure. Take prescribed medicines on time. Daily moderate exercise and stress management techniques like meditation can help too.
• Watch out for and get timely treatment for urinary tract infections
• Don’t take medications like over-the-counter pain medications without telling your doctor. These may damage the kidneys, especially if you’re already at risk.
• Watch out for and take steps to prevent diabetic neuropathy. Damaged urinary tract nerves can lead to urinary retention and kidney damage. Some drugs like& metformin can contribute to diabetic nerve damage and supplements like vitamin b12 (as part of a good vitamin b complex) and alpha lipoic acid can help prevent this. Be aware and act soon.
• For people with diabetes, kidney screening once a year is mandatory. This can help to detect any protein or other substances that shouldn’t normally be in the urine.
• Use the right dietary supplements to protect your kidneys from diabetes damage.

Diabetic nephropathy: dietary supplements that help

Vitamin c (200mg- 1250mg per day)

Vitamin c is known to reduce excretion of urinary albumin. This suggests it may slow progression of diabetic nephropathy.

In a study published in the scientific journal nephron, researchers found that supplementation with vitamin c (also known as ascorbic acid or aa) reduced micro albumin loss in diabetic patients. The researchers concluded that “dietary supplementation of aa in diabetic subjects may have long-term benefits in attenuating the progression of diabetic complications”

Vitamin e (100iu-680iu per day)

Studies have found that vitamin e, when administered along with vitamin c, has the ability to reduce urinary albumin excretion. In the first study, published in the journal diabetes care, one groups was given just vitamin e and vitamin c. A second group received these and also the minerals magnesium and zinc. Both groups showed improved kidney function on lab parameters. In the second study, published in the diabetic medicine journal, type 2 diabetics took 1250mg of vitamin c plus 680 iu of vitamin e daily. In four weeks, their albumin excretion rate or aer was 19% lower compared to the placebo group.

Alpha lipoic acid (600mg per day).

Alpha lipoic acid (ala) is found in spinach, broccoli and potatoes and is a known anti-oxidant. A research study in 2001 set out to see if ala could help patients with diabetic kidney damage. The study group received 600 mg of alpha lipoic acid as a supplement. Another group received no supplement. The first group was able to maintain the same rate of urinary albumin loss, while the control group, saw their albumin loss worsen during the same period. Since alpha lipoic acid helps diabetics fight diabetic nerve damage too, it may well be a useful addition to all diabetics.

Conclusion

Everything we eat, including dietary supplements, has to be processed by the kidneys at some point of time. So do involve your doctor in your choice of dietary supplements if you have diabetic kidney disease.

Just remember: diabetic nephropathy or kidney damage is a result of the underlying diabetes. M. D. S are today saying that type 2 diabetes is reversible, through dietary and lifestyle changes. The better your control over the underlying blood sugar levels, the fewer the complications of diabetes. There are dietary supplements that are proven to help you improve blood sugar control, often without the side effects of prescription medications.

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