Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 35 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.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Khambatta Maleka ZafarYour feedback matters!
Hi my husband sperm count is low is between 8-11 million/ml & also abnormal range is high from 97%-99% so shld I take his sperm for ivf treatment or should we use donor sperm for treatment & he don't take any medicine for it so please let me know. His age is 42 yrs.
Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Usually, most of kids are dry by day 2-3 yrs and dry by night by 3-5 yrs. Daytime control is usually achieved first, while nighttime control comes later.
The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.
Factors that affect the age at which wetting is considered a problem include the following:
- The child's gender: Bedwetting is more common in boys.
- The child's development and maturity
- The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
No one knows for sure what causes bed-wetting, but various factors may play a role:
- A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
- Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
- A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
- Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
- Urinary tract infection: This infection can make it difficult for your child to control urination.
- Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
- Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.
- Wetting during the day
- Frequency, urgency, or burning on urination
- Straining, dribbling, or other unusual symptoms with urination
- Cloudy or pinkish urine, or blood stains on underpants or pajamas
- Soiling, being unable to control bowel movements
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.
Consult your child's doctor if:
- Your child still wets the bed after age 7
- Your child starts to wet the bed after a few months or more of being dry at night
- Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
- Self-Care at Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful
- Reduce evening fluid intake.
- The child should urinate in the toilet before bedtime.
- A system of sticker charts and rewards works for some children.
- Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a pediatrician.
On the last day of period she had sex. After ,period again comes for two days .she had taken unwanted 72 after 43 hours of sex but no period or blood comes.
I am 38 married since 10 year & had 2 miscarriage & infant death. Recent miscarriage was 3 months before. I have undergone APLA test last year now triquilar tab taken foe 2 months. Can I try for pregnancy or further tests required for rubella, chic, TORCH. Please help me. Thanks
My age is 24 years I missed my period it was on 25 jan but it did not happened. My abdomen feels tender. What should I do to get instant periods?
Hiee sir I have sore throat problem and somehow its not getting any better .and also keep on sneezing .usually when I get up in the morning I have running nose .and almost every time idk why .it is like I have a problem that I catch cold very easily. .i do not know whether it is some kind pf allergy or not. Presently I am on a homeopathy treatment for PCOD and the aforesaid problem Wherein the doctor advised me 2 stop eating junk food bcoz I hav gained weight and not having periods regular. I usually avoid eating outside food .bt today my cousin forced me 2 hav bit .and now I have this pain in my throat. Idk what to do .it is paining allot .and also I am afraid that did eating junk affected my treatment or not.
Sir,My husband working in army i want to be get pregnent next week he will come 30 holiday please suggest and help?
Hello, everybody. I am Dr. Ashish Acharya specialist, and sports medicine specialist at Sir Gangaram Hospital, New Delhi. Today I am going to speak on shoulder pain.
Shoulder pain is one of the very common complaints being faced by the general masses. If you don’t have an injury and still you have pain, the usual cause of shoulder pain is weakness in your muscles around the shoulder or imbalance in them which can easily be treated with certain specific medications or exercises very specific to the shoulder being conducted under the supervision of the shoulder specialist and being supervised by the shoulder surgeon. Now coming to a group of people who only complain of neck pain. Shoulder pain can and definitely in some cases present only as neck pain. Hence it is most commonly misdiagnosed as the cervical cause of pain rather than a shoulder as the main cause of the pain.
If you have neck pain persisting in spite of medications and exercise and physiotherapy and precautions being prescribed by your doctor then you should consult shoulder specialist near your area so that he can distinguish the root cause of your pain and can advise you certain specific shoulder rehab and certain specific medications which will then get rid of your the pain in the neck which is actually originating from your shoulder. I would like to emphasize that group of people who have sugar or diabetes patients. They are more prone to shoulder pain or stiffness than the general public. So they should keep their sugar level strictly under control and keep exercising for their shoulder with simple exercises like shoulder wheel or the pulley exercise which are available commonly in all the parks around your living place.
If you still have pain or persistent stiffness or decrease in movement of your shoulder in spite of regular exercise then you should consult with the doctor or the shoulder specialist near your place so that he will then give you proper medications and some other specific exercises which will get rid of your pain rather than neglecting that pain and coming to the specialist in the last stage when you have a completely stiff shoulder and we have to intervene surgical methods are advised for you.
Patients who are having shoulder dislocations should consult with proper orthopedic surgeons or a shoulder specialist even after two or three or four dislocations. As at this stage they can be managed arthroscopically minimally invasive procedure so that it will be successful at this stage but if you wait when you have 20 or 30 dislocations you are actually eroding your bone which will vacant an open, bigger, bony procedure which has a longer rehab period and which is completely avoidable if you would have come earlier after second, third or fourth dislocation.
If you have any other further queries or if you need to consult with me, then consult me through Lybrate website.
I am 31 years old unmarried female. My periods are irregular and scanty. I have been doing homeopathy treatment. I also got my ultrasound done which was normal. Still my periods are irregular and scanty. I got the following test done S.tsh , S.fsh , S. Prolactin and Haemogram and all reports are ok except that RBC count is 4.98 whereas the highest value is 4.80. Pls advise.
Research has shown that sitting for prolonged durations has many dangerous effects on our body in the long term.
1) On your back -
The problem: sitting for long hours can cause muscle aches and pains. It can also lead to abnormal bending of your spine which may make one more prone to have long term back pain.
The solution: keep your back straight and maintain proper posture.
2) On your weight -
The problem: according to a recent research, people who say they watch television frequently are 40 per cent less likely to exercise than non-tv watchers.
The solution: get up and get moving.
3) On your brain
The problem: researchers recently found that prolonged session of watching tv before going to bed makes it harder to fall asleep, reduces sleep, and makes one groggy the next day, even after clocking eight hours of sleep. The reason is that the blue light which the television emits, inhibits the release of melatonin, a hormone that helps you go to sleep.
The solution: limit your tv viewing to two hours after work.
4) On your lungs
The problem: among the many health hazards it causes, sitting for long hours can also shrink your lung capacity by a third, so you get less oxygen, which causes a decrease in mental focus the second you sit on the couch.
The solution: sit on a chair with a pillow behind your lower back. It is a position that helps open your lungs.
5) On your heart
The problem: An international study found out that on an average, every single hour of television watching after 25 reduces life expectancy by close to 22 minutes.
The solution: researchers have discovered little mortality risk for people who watch less than an hour a day. Pick a show that's a real brain numbing deal, so you're more likely to need time between episodes.
Modern hectic schedule at home as well as workplace has led to the popularity of strategic snacking. Nutrition and Snacking habits have a direct relation on energy level, mental sharpness and motivation. One must identify the right snacks that will not only fill one up without triggering the craving for more snacks.
A snack is considered to be healthy if it is packed with nutrients and its calorie level lie between 100 and 150 calories. Strategic snacking is a great way to keep a check on one's appetite maintaining the energy levels keeping the body balanced.
The following ten snacks are a powerhouse of nutrients which will keep one full and satisfied:
- In order to have a 100 calorie nut pack, make packs of 15 to 20 Almonds, Walnuts or Pistachios. The nuts are rich in protein, fiber and cholesterol-lowering unsaturated fats, which makes one feel full and have powerful antioxidants, like vitamin E.
- One can try out one medium-size raw sliced red pepper or, twelve pods of sugar snap peas or baby carrots with a snack-size 2-ounce container of hummus.
- A cup of high protein yogurt, blueberries, cherries, raspberries or strawberries will give 50 calories coupled with 100 calories worth 6 ounces of nonfat yogurt.
- Nutri bars comprise of protein, fibre and healthy fats and a single bar can give 150 calories per bar. They contain nuts and dried fruit, which help minimize the calories keeping the belly full for a longer period.
- Apples and peanut butter are high in fibre and peanut butter is high in protein and unsaturated fat and spoonful of peanut butter can stabilize blood sugar and quell hunger.
- Light cheese is packed with protein, which our body digests slowly so it helps one to stay full for hours. Most cheese packs contain a lot of fat and calories, so only light cheese recommended as it provides 150 calories and 18 grams of protein.
- Avocados are full of Omega-3 fats and antioxidants and having an avocado with a sprinkle of olive oil and sea salt will last for the whole afternoon.
- Multigrain corn tortilla chips are made with stone ground corn, flaxseed, quinoa, brown rice and chia seeds which are digested very slowly helping belly to stay full for a longer duration.
- The serving of five to ten Olives is a good source of the antioxidant vitamin E, which reduces the risk of cardiovascular disease.
It is extremely important these snacks proportioned so that one does not have to count or measure them while at work. These will keep one's belly full reducing the hunger urges and moreover, these are healthy. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.