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Dr. Neelesh

Gynaecologist, Pune

Dr. Neelesh Gynaecologist, Pune
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Neelesh
Dr. Neelesh is a renowned Gynaecologist in Karve Nagar, Pune. You can visit him/her at Srujan Maternity Home in Karve Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Neelesh on Lybrate.com.

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.

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Vibhawari Apartment, Manmohan Society, Karve Nagar. Landmark: Near Sahawas Society, PunePune Get Directions
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Zika virus

Advanced Aesthetics
Ayurveda, Gulbarga
Zika virus

Key facts

  •  Zika virus disease is caused by a virus transmitted by aedes mosquitoes.
  •  People with zika virus disease usually have a mild fever, skin rash (exanthema) and conjunctivitis. These symptoms normally last for 2-7 days.
  •  There is no specific treatment or vaccine currently available.
  •  The best form of prevention is protection against mosquito bites.
  •  The virus is known to circulate in africa, the americas, asia and the pacific.

Introduction

Zika virus is an emerging mosquito-borne virus that was first identified in uganda in 1947 in rhesus monkeys through a monitoring network of sylvatic yellow fever. It was subsequently identified in humans in 1952 in uganda and the united republic of tanzania. Outbreaks of zika virus disease have been recorded in africa, the americas, asia and the pacific.

  •  Genre: flavivirus
  •  Vector: aedes mosquitoes (which usually bite during the morning and late afternoon/evening hours)
  •  Reservoir: unknown

Signs and symptoms

The incubation period (the time from exposure to symptoms) of zika virus disease is not clear, but is likely to be a few days. The symptoms are similar to other arbovirus infections such as dengue, and include fever, skin rashes, conjunctivitis, muscle and joint pain, malaise, and headache. These symptoms are usually mild and last for 2-7 days.

During large outbreaks in french polynesia and brazil in 2013 and 2015 respectively, national health authorities reported potential neurological and auto-immune complications of zika virus disease. Recently in brazil, local health authorities have observed an increase in zika virus infections in the general public as well as an increase in babies born with microcephaly in northeast brazil. Agencies investigating the zika outbreaks are finding an increasing body of evidence about the link between zika virus and microcephaly. However, more investigation is needed before we understand the relationship between microcephaly in babies and the zika virus. Other potential causes are also being investigated.

Transmission

Zika virus is transmitted to people through the bite of an infected mosquito from the aedes genus, mainly aedes aegypti in tropical regions. This is the same mosquito that transmits dengue, chikungunya and yellow fever.

Zika virus disease outbreaks were reported for the first time from the pacific in 2007 and 2013 (yap and french polynesia, respectively), and in 2015 from the americas (brazil and colombia) and africa (cape verde). In addition, more than 13 countries in the americas have reported sporadic zika virus infections indicating rapid geographic expansion of zika virus.

Diagnosis

Zika virus is diagnosed through pcr (polymerase chain reaction) and virus isolation from blood samples. Diagnosis by serology can be difficult as the virus can cross-react with other flaviviruses such as dengue, west nile and yellow fever.
Prevention

Mosquitoes and their breeding sites pose a significant risk factor for zika virus infection. Prevention and control relies on reducing mosquitoes through source reduction (removal and modification of breeding sites) and reducing contact between mosquitoes and people.

This can be done by using insect repellent; wearing clothes (preferably light-coloured) that cover as much of the body as possible; using physical barriers such as screens, closed doors and windows; and sleeping under mosquito nets. It is also important to empty, clean or cover containers that can hold water such as buckets, flower pots or tyres, so that places where mosquitoes can breed are removed.

Special attention and help should be given to those who may not be able to protect themselves adequately, such as young children, the sick or elderly.

During outbreaks, health authorities may advise that spraying of insecticides be carried out. Insecticides recommended by the who pesticide evaluation scheme may also be used as larvicides to treat relatively large water containers.

Travellers should take the basic precautions described above to protect themselves from mosquito bites.

Treatment

Zika virus disease is usually relatively mild and requires no specific treatment. People sick with zika virus should get plenty of rest, drink enough fluids, and treat pain and fever with common medicines. If symptoms worsen, they should seek medical care and advice. There is currently no vaccine available.
Who response

Who is supporting countries to control zika virus disease through:

  •  Define and prioritize research into zika virus disease by convening experts and partners.
  •  Enhance surveillance of zika virus and potential complications.
  •  Strengthen capacity in risk communication to help countries meet their commitments under the international health regulations.
  •  Provide training on clinical management, diagnosis and vector control including through a number of who collaborating centres.
  •  Strengthen the capacity of laboratories to detect the virus.
  •  Support health authorities to implement vector control strategies aimed at reducing aedes mosquito populations such as providing larvicide to treat standing water sites that cannot be treated in other ways, such as cleaning, emptying, and covering them.
  •  Prepare recommendations for clinical care and follow-up of people with zika virus, in collaboration with experts and other health agencies.
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We loved each other for 3 yrs. 1 year lot of quarrel & misunderstanding and then We married last year in june15. She was from chennai. Took her to bangalore with me. She is not interested in intercourse now. She is avoiding with some reasons like not interested. Take me out I do not like this place & family. But she was interested in sex 3 years before. Can you suggest me some medicine to indulge feelings in her and make interested in sex.

MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Pune
We loved each other for 3 yrs. 1 year lot of quarrel & misunderstanding and then We married last year in june15. She ...
Hi there, sexual feelings are not something that can be induced by any medicines. There could be a lot of reasons why she could be avoiding sex, ranging from pain or discomfort during sex, incomplete satisfaction, or some interpersonal problems between you two. Instead of looking for instant solutions, communicate with her patiently, ask her what's wrong. An open communication is very crucial between partners, and your overall relationship has a huge bearing on your sexual relationship. I recommend you both to see a psychiatrist who practices sexology, to get to the root of the problem. Good luck.
4 people found this helpful
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Health Benefits

BHMS, DEMS
Homeopath, Pune
Health Benefits

If you’re looking for fiber, potassium, or copper, look no further than dates. While dates are rich in many vital nutrients and therefore offer many health benefits, the fruit is so small that you’ll need to consume a larger quantity to intake the necessary amount.

The following nutritional data outlines some of the key nutrients found in dates, and is based on a 100g serving of the fruit.        

  • Fiber – 6.7 grams. 27% RDA.
  • Potassium – 696 milligrams. 20% RDA.
  • Copper – 0.4 milligrams. 18% RDA.
  • Manganese – 0.3 milligrams. 15% RDA.
  • Magnesium – 54 milligrams. 14% RDA.
  • Vitamin B6 – 0.2 milligrams. 12% RDA.    
  • Note: Dates are high in sugar content – coming in at a whopping 66.5 grams per 100 gram serving of the fruit. It is recommended to lessen sugar consumption as much as possible, even when the sugar is being consumed from fruit.

A Summary Of Dates Health Benefits: Dates Are Great For:

  • Weight loss
  • Relieving constipation, supporting regular bowel movements
  • Promoting heart health, reducing heart disease risk
  • Diarrhea
  • Iron-deficiency anemia
  • Reducing blood pressure
  • Impotence
  • Promoting respiratory and digestive health
  • Pregnancy deliveries
  • Hemorrhoid prevention
  • Chronic conditions such as arthritis
  • Reducing colitis risk
  • Preventing colon cancer.

1.Constipation: Dates are often categorized as a laxative food. This is why they are so frequently eaten by people suffering from constipation. In order to achieve the desired laxative effect of it, you should soak them in water over night. Then, eat the soaked dates in the morning like syrup to get the most optimal results. Dates havehigh level of soluble fiber, which is essential in promoting healthy bowel movements and the comfortable passage of food through the intestinal tract, which can relieve symptoms of constipation.

2. Anemia: Dates have a high mineral content, which is beneficial for many different health conditions, but their impressive levels of iron make them a perfect dietary supplement for people suffering  from anemia. The high level of iron balances out the inherent lack of iron in anemic patients, increasing energy and strength, while decreasing feelings of fatigue and sluggishness.

3. Sexual Weakness: Studies have shown that dates are even beneficial for increasing sexual stamina. Soak a handful of dates in fresh goat’s milk over night, then grind them in the same milk with a mixture of cardamom powder and honey. This mixture becomes a very useful tonic for increasing sexual endurance and reducing sterility caused by various sexual disorders. The science behind this phenomenon is largely due to traditional usage which stimulated formal research. the effects of date palms and their oil on sexual functioning and found that the high levels of estradiol and flavonoid components of dates are what increase sperm count and motility, as well as promoting increased testes size and weight. So, if you are looking for a masculine boost, eat some dates, because they are a great natural aphrodisiac!

1 person found this helpful

I was having sex and my condom breaks and now I am worried about hiv virus can you tell me what should I do now to prevent hiv.

Vaidya Visharad
Ayurveda, Narnaul
Dear lybrate user- these test are after 3 months when she infected with hiv so chances are more more otherwise no chance of hiv.
5 people found this helpful
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Sometimes, little bit of White fluid comes out of my friend's (girl) nipples. Some say it's nipplegasm. Please tell us what is this.

BHMS
Homeopath, Raebareli
Sometimes, little bit of White fluid comes out of my friend's (girl) nipples. Some say it's nipplegasm. Please tell u...
A discharge from your breast (s) could mean that your breast (s) are infected, that a breast duct is dilated (widened), or that you have a hormone imbalance. The discharge can be on just one side or from both breasts. Your body could be making extra amounts of a hormone called prolactin, which can cause this white discharge from your nipples.
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M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
List Of Foods High In Antioxidants :

• Allium sulphur compounds: Leeks, onions, garlic

• Anthocyanins: Eggplant, grapes, berries

• Beta carotene: Pumpkin, mangoes, apricots, carrots, spinach, parsley

• Catechins: Red wine, tea

• Copper: Seafood, lean meat, milk, nuts, legumes

• Cryptoxanthins: Red peppers, pumpkin, mangoes

• Flavonoids: Tea, green tea, red wine, citrus fruits, onion, apples

• Indoles: Cruciferous vegetables such as broccoli, cabbage, cauliflower

• Lignans: Sesame seeds, bran, whole grains, vegetables

• Lutein: Corn, leafy greens (such as spinach)

• Lycopene: Tomatoes, pink grapefruit, watermelon

• Manganese: Seafood, lean meat, milk, nuts

• Polyphenols: Thyme, oregano

• Selenium: Seafood, offal, lean meat, whole grains

• Vitamin C: Oranges, berries, kiwi fruit, mangoes, broccoli, spinach, peppers

• Vitamin E: Vegetable oils, nuts, avocados, seeds, whole grains

• Zinc: Seafood, lean meat, milk, nuts
2 people found this helpful

M 29 years old female n weight us 60 kg. My due date of period was 9 n last period was 8 april. I went fir the hcg test n result was positive. How many days of pregnancy is going on and what kind of precaution should I take? Plz suggest me.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
M 29 years old female n weight us 60 kg. My due date of period was 9 n last period was 8 april. I went fir the hcg te...
If you have had regular cycles, then according to your last menses you are today 1 month and 4 days pregnant. You need to take a lot of care in the first 3 months--- no intercourse, no exertion, no travelling, no self medications, no weight lifting, no severe heat exposure etc.
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Sir/mam m having lower body pain n feeling some sound in vagina n also having increase in white discharge. Is there any serious problem or what please help me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, You are likely to be suffering from a vaginal fungal infection, please get a gynecological examination done.
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My mom is feeling tickling sensation in thighs from last 2 years. Asking our personal doctor he advised that it is because of deficiency of complex so he prescribed nurokind next and trysin H. It worked also but when she stop taking pills it again starts. I want to ask whether it is really because of complex or it is something else because she is continuously taking pills from long time. Her age is 58. Please revert soon.

DHMS (Hons.)
Homeopath, Patna
My mom is feeling tickling sensation in thighs from last 2 years. Asking our personal doctor he advised that it is be...
Hello, lybrate user, please, give her homoeo medicines @ ignatia 30-6 pills, thrice a day. @ five phos 6x-4 tbs, thrice. *to hydrate herself she should take 4/5 glass of water. *go for meditation to reduce her stress and to calm her nerve to ease her problem. *her diet be easily digestible, simple, on time. *she should ensure sound sleep for 7 hrs, at least *avoid, junkfood, excessive use of caffiene, fried, spicy intake. *report, fortnightly, your feedback is solicited for further follow up. Tk care.
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My wife is pregnant and she is suffering from to much body pain. I can give him pain killer.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife is pregnant and she is suffering from to much body pain. I can give him pain killer.
Hello, Its important to get a complete blood profile done first to look for any infection , which may be the cause of body pain or a simple UTI needs to be ruled out first.
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I am 23 y old house wife. I have pregnant from 1.5 month for some day before I am feeling twisted in my stomach (like that marode) & feeling less hunger. Today I have use acilo 150 mg tablet, after tablet use I am going toilet every after 5 minute & feeling cool.

MBBS, MS - Obstetrics and Gynaecology
Obstetrician, Warangal
I am 23 y old house wife. I have pregnant from 1.5 month for some day before I am feeling twisted in my stomach (like...
Sunil, first 3 months of pregnancy there is increase in frequency of urine, loss of apetite they are normal signs of pregnancy. Don't worry and you need not take any medications for it.
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I am nisha 24 years old I suffering last two month with reducing monthly periods problem. Reducing the 4 to 2 days.

I am nisha 24 years old I suffering last two month with reducing monthly periods problem. Reducing the 4 to 2 days.
Helo dear due to weakness, mentalstress. Take health diet. Juices. Amla. Avoid excertion. Constipation. Stress. Live happily good luck.
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How can a person be infected with STD like AIDS ? I want to know every case by which this can happen , by sex or anything else ?

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hello, it can be transmitted by unprotected sexual intercourse, anal sex, any contact with body fluids, by improperly screened blood transfusion, by sharing of needles amongst drug addicts, sharing of sex toys.
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My last period was on 6 dec 16 I had sex on 27 dec 16 I have cycle of 26 to 28 days what are the chances of getting pregnant.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
My last period was on 6 dec 16 I had sex on 27 dec 16 I have cycle of 26 to 28 days what are the chances of getting p...
U haven't told when did ur bleeding stop.ten days after the stoppage of bleeding is considered safe period.if u have 4 days of bleeding then 16 the December is not q safe period.u can msg me on my consult for more details
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Menopause and Homeopathy

BHMS, MD - Homeopathy
Homeopath, Delhi
Menopause and Homeopathy

The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue. While hormone replacement therapy is the most common procedure to provide relief from menopausal symptoms, natural homeopathic remedies can also be used for the same. These remedies are completely safe as opposed to hormone replacement therapy which has a number of side effects.

The following homeopathic medicines and remedies can be used to treat menopause:

  1. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly.
  2. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc.
  3. Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful.
  4. Amylenum nitrosum can provide relief from profuse sweating, shortness of breath and palpitations.
  5. Phytoestrogen or dietary estrogen is a compound found in foods such as soybeans, oats, barley, carrots, fenugreek, rice etc. Phytoestrogen can provide natural relief from menopausal symptoms.
  6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.
  7. Aconitum napellus (wolf's bane) is a flowering plant and its extracts can reduce panic attacks, heat flushes, over excitability and depressive symptoms.
  8. Argentum nitricum is a nitrate compound of silver which is used to control excessive bleeding in the pre-menstrual stages.
  9. Belladonna (deadly nightshade) is beneficial for a large number of symptoms such as headaches, fatigue, insomnia, frequent urination, osteoporosis, abnormal weight gain and other nervous disorders.
  10. Bryonia alba, a flowering plant, is used as a remedy for vaginal infections, rashes and vaginal dryness that are common during menopause.
  11. Natrum muriaticum, in small amounts, helps to reduce stress. Stress can cause problems in thyroid function, cognitive functioning, digestive system functioning and it can elevate blood pressure levels rapidly.
  12. Nux vomica (strychnine) is a common homeopathic medicine for nausea, vomiting and indigestion. These problems are seen frequently in menopausal women, especially after meals at night.

Related Tip : "Is Postmenopausal Bleeding Normal??"

3730 people found this helpful

I had sex with my bf before 2 days of my periods and now am not getting my periods now its 6th day till now I didn't got my periods what should I do now?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had sex with my bf before 2 days of my periods and now am not getting my periods now its 6th day till now I didn't ...
Hello, Please get a serum beta hcg test done to conclusively rule out pregnancy first. If negative then the delay can be termed as stress induced.
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My wife is at her first month of pregnancy. She is not at all feeling well. She is tired all the time and not able to sleep for the last 10-15 days. She hardly take food. whatever the things to be taken care of.

MS GYNE
IVF Specialist, Jaipur
My wife is at her first month of pregnancy. She is not at all feeling well. She is tired all the time and not able to...
first TVs and routine pregnancy test,LFT and KFT done.pt feel nausea so take iv fluid and injection to cure nausea.take glucon C,coconut water or more liquid diet
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I take birth control pill like I pill then I have start brown color bleeding mean I am pregnant?

C.S.C, D.C.H, M.B.B.S
General Physician,
I take birth control pill like I pill then I have start brown color bleeding mean I am pregnant?
I pills cannot be taken like this irregularly and commonly and brown colour is not the diagnostic sign of pregnancy
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I want to delay my periods in the coming month. I have been having a cycle of 32 days since January. I got my last periods on 1st April night, and I am expecting the next one around 3rd June. Which medicine should I take? I want my periods to begin from either 5th or 6th June. I have thyroid under control the tsh level is 2.790 and I am taking thyrox 50 mg for the same. And how should I take the medicine? How many times a day. And will it have any side effects?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I want to delay my periods in the coming month. I have been having a cycle of 32 days since January. I got my last pe...
Hello, you may start progesterone tab like primolut n 5mg tiwice a day from day 22 of your cycle and continue it as long as you don't wish to get your menses. Once you stop menses shall return in next 7 days.
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