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Dr. Kundan V Ingale

MBBS, DGO, DNB

Gynaecologist, Pune

19 Years Experience  ·  400 at clinic
Dr. Kundan V Ingale MBBS, DGO, DNB Gynaecologist, Pune
19 Years Experience  ·  400 at clinic
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Personal Statement

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. Kundan V Ingale
Dr. Kundan V Ingale is an experienced Gynaecologist in Mumbai Pune Road, Pune. He has helped numerous patients in his 19 years of experience as a Gynaecologist. He is a qualified MBBS, DGO, DNB . You can meet Dr. Kundan V Ingale personally at Nirmiti Clinic in Mumbai Pune Road, Pune. You can book an instant appointment online with Dr. Kundan V Ingale 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.

Info

Specialty
Education
MBBS - Bharati Vidyapeeth medical College and Hospital, - 1998
DGO - - 2002
DNB - - 2004
Languages spoken
English
Hindi

Location

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Nirmiti Clinic

#224-226, 2nd floor, Mayur Trade Centre, Mumbai Pune Road, Chinchwad. Landmark: Opp. Unique Hospital, PunePune Get Directions
400 at clinic
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Mere chehre pe muhanse ho gye h me pregnent hu colour b bhut kala ho gya h phle se Me kya karu.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Mere chehre pe muhanse ho gye h me pregnent hu colour b bhut kala ho gya h phle se
Me kya karu.
Hello, You may use neem soap and face wash for acne. Please do not use any antibiotics especially doxycycline.
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My girlfriend has not got periods since 1 month. This has happened before too. What could be the reason?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My girlfriend has not got periods since 1 month. This has happened before too. What could be the reason?
She needs to get a urine pregnancy test first to exclude pregnancy. If negative she needs to do a few tests to exclude a condition called Polycystic ovaries and hormonal pills to induce a period.
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Ovulation study day 16 Endometrium size : 9.0 mm Left ovary: 16*1 Right ovary : msf It is possible to get pregnant with this dimensions.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD-GYNEC
Gynaecologist, Mumbai
Ovulation study day 16
Endometrium size : 9.0 mm
Left ovary: 16*1 Right ovary : msf
It is possible to get pregnant wi...
Hello there, seems like your wife is suffering due to pcod. Advance panchkarm nap therapy can cure pcod. You need to see ayurvedic gynecologist. With the help of yoga, pranayam, basti chikitsa, lifestyle modifications, & ayurvedic medicines your wife will get excellent results for anovulation.
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I am having pain in both the legs and knee when I stand or walk from last 6 month. L took gemcal for 2 months and gemcal plus for additional 1 month but I didn't find much relief. Can I take calcirol sachet 60000 IU and gemcal. When and how should I take it.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having pain in both the legs and knee when I stand or walk from last 6 month. L took gemcal for 2 months and gem...
Tk muscle relaxant medicine and stretching exercise of legs and do quadriceps exercise with this calcium supplements.
2 people found this helpful
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Boerhaave Syndrome

md general phisician
General Physician, Hyderabad
Boerhaave Syndrome

Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
 

Pathophysiology
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]

Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide. [3] a 1986 summary by bladergroen et al described 127 cases. [4] of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Mortality/morbidity

Prognosis
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
 

Morbidity/mortality
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
 

Complications
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.

Hello I have a question my wife is just 21 and I am 24 she want to intercourse with her daily and also she is very seductive and also she want to force me do rough sex is there is any problem if I doing these things.

MBBS
General Physician, Jalgaon
Hello I have a question my wife is just 21 and I am 24 she want to intercourse with her daily and also she is very se...
No problem please spend more time in foreplay with her you take cap kapikachhu by himalaya 1 1 cap ashwgandha by himalaya 1 1 youvan churna by patanjali 2tsf 2 times with milk all for 3 months minimum to maintain your vigour.
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I am 24 weeks pregnant. My cervical length at 19 weeks 2 days was 4.1 cm. And now at 24 weeks cervical length is 3.2 cm. Am I at risk. What measures can I take to increase the length.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 24 weeks pregnant. My cervical length at 19 weeks 2 days was 4.1 cm. And now at 24 weeks cervical length is 3.2 ...
Hello, You can not increase the cervix length. 3.2 cm cervical length is normal. As your pregnancy proceeds, your cervix length shortens.
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I had sex on 27 the day of period. I took an ipill the same day. I had very light bleeding after 5 hrs of the pill. What does it mean.

MBBS
Sexologist, Panchkula
I had sex on 27 the day of period. I took an ipill the same day. I had very light bleeding after 5 hrs of the pill. W...
Light bleeding is due to disturbances of periods due to I pill. As this is hormonal pill and cause hormonal imbalance. Don't worry, normal periods will come.
4 people found this helpful
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I am trying to conceive I just turn to 33 years please help me I am taking gestofit 100 mg as doctor suggested to insert inside vagina from 17th day to 15 day and check pregnancy test, my cycle is regular on 27th day, if I conceive I be very happy but if not then when will get my date coz I heard many saying gestofit delay periods please tell me. But my cycle is always in time, please tell me when the date of mine will come or it will come in 27 day of cycle please help me.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am trying to conceive I just turn to 33 years please help me I am taking gestofit 100 mg as doctor suggested to ins...
Hi lybrate-user, wish you good luck hope you conceives after this cycle, once you do pregnancy test then only you know that you are pregnant or not. You should do pregnancy test on day 30th of your period. Once you stop Gestofit then only you will get periods.
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My periods are 20 days late .I did a home pregnancy test from prega news pregnancy test kit 5 days back but it came negative. I took an I pill last month on 21 sept and had my last period on 6 September. What can b done so that I get my periods.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My periods are 20 days late .I did a home pregnancy test from prega news pregnancy test kit 5 days back but it came n...
Missed or late periods happen for many reasons other than pregnancy. Common causes can range from hormonal imbalances to serious medical conditions. There are also two times in a woman's life when it's totally normal for her period to be irregular: when it first begins, and when menopause starts. The remedies for late periods will depend on the reason that your period is late in the first place. If it is because of stress, then you will get your period once you are not so stressed anymore. If you have lost oodles of weight or are overweight, you’ll get your period when your weight returns to normal. If it’s a thyroid problem or a hormonal imbalance, you may have to take medication or undergo other therapies.
1 person found this helpful
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I am pregnant nd right now in the starting of 2nd tri semester, so I can travel in domestic flight from Srinagar to Jammu and the duration of this flight is about 50 minutes.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am pregnant nd right now in the starting of 2nd tri semester, so I can travel in domestic flight from Srinagar to J...
Yes should be okay provided you have been well this pregnancy so far. Ensure you carry your health records with you, remain well hydrated and mobilise your legs at times.
1 person found this helpful
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Brown Bread or White Bread - Is There Any Real Nutritional Difference Between the Two?

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
Brown Bread or White Bread - Is There Any Real Nutritional Difference Between the Two?
Brown bread or white bread- Which of the two wins the age-old nutrition war?

Bread is a very versatile food variant and finds its place on most breakfast platters. Be it white, brown or whole grain, mass produced quality or home-baked artisan kind, bread is almost indispensable in modern Indian household. There has been incessant debate over which carries the most health benefits and nutritional value, read on to explore…

Why brown or whole wheat bread is good for you?

1. Whole wheat grain

Flour is prepared from wheat berries made out of the bran, the germ and the endosperm they in combination are filled with nutrients. Whole grain or wheat bread intake decreases LDL, or the bad cholesterol, it also helps you retain a healthy body weight due to low carbohydrate content and has a lower glycaemic index that keeps your blood sugar steady.

2. Smooth bowel movements

The fibrous quality provides you relief from irritable bowel syndrome. The bran and germ improves your bowel by increasing the bulk of stools, making it easier to pass through the intestines. If you are prescribed laxative medications all you need to do is have enough brown or wheat bread.

3. Nutrients and vitamins

Breads labelled whole grain contain a large amount of nutrients. One of the most important features of brown bread is that it contains most of B vitamins -including riboflavin, thiamine and niacin -- that helps your body acquire energy from food. Whole wheat breads are also rich in vitamins E, K, pantothenic acid and folate.
Tip – With only a slight difference in taste and texture, wheat bread adds as a great accompaniment with any dish. You can even double it up as a healthy sandwich by adding fresh veggies and cottage cheese, with only minimal preparation.

Why white bread is bad for you?

1. Low fibre content

White bread is low in fibre, an essential in lowering your levels of bad cholesterol and checks the smooth functioning of your gastrointestinal tract. An average slice of white bread consists only 0.5 grams of fibre with the whole wheat bread providing up to 2 grams of fibre.

2. Refined grains

The whole grain is stripped of all its bran and germ for it to be refined where it loses all elements that hold fibre, magnesium, zinc, vitamins and minerals. White bread is made from these refined grains. Even though bread-makers attempt to add some vitamins back in, fibrous whole grains prove to be the clear winner.

3. High glycemic index

This index measures how rapidly food affects your blood sugar and insulin levels compared to pure glucose. White bread has a high glycaemic index due to which it gets rapidly absorbed during digestion, causing sharp spikes in blood sugar and insulin levels. A diet comprising of high-glycaemic foods increases your chances of weight gain, type-2 diabetes and heart problems.

Replace the white bread with the equally tasty, wheat-made variant to score high on the fitness meter!

If you would like to consult with me privately, please click on 'Consult'.
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She has been suffering with back pain in her period time. She needs to get Ayurveda treatment.

BAMS
Ayurveda, Bangalore
She has been suffering with back pain in her period time. She needs to get Ayurveda treatment.
Hi, Take Uteract tablets 2-0-2 after food for 3 months continuously and tab. Gynovedan 1-1-1 from 1st day of the cycle to the 5th day of the cycle and repeat it for 3 cycles.
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I am 37 weeks pregnant. Lmp was 14th april 2016. I had sonography which told me that placenta is grade 3 and mature is there any kind of risk due to mature placenta?

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
I am 37 weeks pregnant. Lmp was 14th april 2016. I had sonography which told me that placenta is grade 3 and mature i...
Hi At 37 wks, your placenta should be mature. If it is not then, baby is also not mature. It is normal. No need to worry.
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My wife period start on 20 and ends on 21 of the month which is the day to have unprotected sex and not a chance of pregnancy.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
This method is called safe period method which practically is unsafe if couple wants to avoid pregnancy for sure. Pregnancy can occur around ovulation day so depending on interval between two periods calculations can be done, I am not sure from your question what is interval between cycles. If it is 30 days then days 1 to 12 and 19-30 are considered as safe.
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Its been 15 days now. No periods. As well as no positive pregnancy test. I am very depressed. I want to get pregnant soon. Doctor please help me. Im trying for the baby since 1 year. This is the first time when my periods went irregular for 15 days. please help me.

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
Its been 15 days now. No periods. As well as no positive pregnancy test. I am very depressed. I want to get pregnant ...
A minimum period of 40 days elapse is required for confirmation of pregnancy since you haven't mentioned your LMP please wait a minimum period of 40 days for pregnancy test. You might be pregnant already.
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I am 36 yrs old female.Can I take calcium tablets and multivitamins daily. I am a vegetarian.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
I am 36 yrs old female.Can I take calcium tablets and multivitamins daily. I am a vegetarian.
Dear madam, there is nothing wrong in taking multivitamin and calcium tablet everyday, for your fungal infection please consult a skin specialist.
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hello doctor my wife got pregnant 3 months ago and got miscarriage may be blighted ovum. Doctor said to wait two months again to conceive. Now its third month we tried this month but can not conceive.. If it possible that I hv les sperm count or what the problem is? please reply.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
hello doctor my wife got pregnant 3 months ago and got miscarriage may be blighted ovum. Doctor said to wait two mont...
It may take time for conception, try during fertile period of your wife i. E. From 8th day of periods. Try for 2-3 months naturally, if not able to conceive then go for tests required for infertility.
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I am not sure if my girlfriend is pregnant we had sex 11 hours ago and I'm not sure if I came a little. Just for the precaution I'm telling her to take an i-pill. Will that help? And does it have any side effects? Also will she have any change in her menstrual cycle? And last. Will that affect her future pregnancy?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I am not sure if my girlfriend is pregnant we had sex 11 hours ago and I'm not sure if I came a little. Just for the ...
Hormonal medicines have all the probable side effects if you use these indiscriminately. Better to get preg test done twice consequently in two weeks.
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