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Dr. Ram

Gynaecologist, Pune

200 at clinic
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Dr. Ram Gynaecologist, Pune
200 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ram
Dr. Ram is an experienced Gynaecologist in Khed, Pune. Doctor is currently practising at Unicare Hospital in Khed, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ram on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 37 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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Nanekarwadi Road, Chakan, Landmark: Taluka Khed, PunePune Get Directions
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Chronic Pain - Is it Linked to Our Emotions?

MBBS, MD, FIPP
Pain Management Specialist, Delhi
Chronic Pain - Is it Linked to Our Emotions?

If you suffer from chronic pain of any kind, it is important for you to know that it is associated and linked with your emotions. Other than your physical activities and personal relationships getting hampered, unwanted feelings like resentment, stress and frustration are also common. These emotions and feelings are capable of making your chronic pain condition more worse. 

The Relationship between your mind and body: Your mind and body work together and cannot be separated. Your mind controls all your thoughts and also affects the way in which pain is controlled or perceived by the body. Pain and the fear of pain may lead you to avoid activities. This may reduce your physical strength and cause disruption in the functioning of your body.

Stress: Stress affects your body both physically and emotionally. It may lead to an increase in your blood pressure, breathing rate, heart rate and muscle tension may also occur. These may lead to fatigue, appetite changes and sleep disruption. Stress also causes depression, anxiety, make you dependent on drugs and make you dependent on other people.

Depression: Depression is common among chronic pain patients. Chronic pain can make cases of existing depression much more worse and the existing pain is also worsened. There are chances of developing depression from chronic pain if depression runs in your family or genes. 

Symptoms of Depression are as follows:

  1. Feeling sad, angry, worthless and hopeless frequently
  2. Lack of energy
  3. Lack of interest in regular activities
  4. Difficulty in sleeping
  5. An increase or decrease in appetite, which may lead to major weight gain or weight loss
  6. Difficulty with concentration
  7. Having suicidal thoughts and thoughts about dying or harming oneself

How to Handle your Emotions during Chronic Pain: A common therapy, which people with chronic pain undertake is called Cognitive Behavioural therapy. You should seek the help of a therapist. In this therapy, you will learn about thinking in a positive way instead of drowning in negative thoughts. Your fear of pain will be reduced and you will learn how to strengthen important relationships. You will be able to develop a sense of freedom from chronic pain. 

If your chronic pain occurs due to an accident or emotional trauma, you may be assessed for post-traumatic stress disorder (PTSD) by your healthcare provider. Many patients suffering from PTSD cannot deal with their pain until the emotional stress is dealt with. If you feel depressed and cannot control your emotions, you need to consult a doctor. If you wish to discuss any specific problem, you can consult a pain management specialist.

3988 people found this helpful

We had sex first time with my fiancé and it was unprotected. We didn't have sex for very long only a couple minutes because I was scared, night my periods I just wanted to know what I should think/know abt I vil get pregnant if I take pill any side affects who to now need helps.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, If menses have not arrived, and its been a week, then get a serum beta hcg test done to rule out pregnancy first. If its just 72 hrs, then take an emergency contraceptive pill.
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What should pregnant lady take food and healthy and fair baby for what should the pregnant lady take food?

MBBS, DGO (cal)
General Physician,
What should pregnant lady take food and healthy and fair baby for what should the pregnant lady take food?
1) consult a g&o specialist and have a regular checkup. 2) let her do normal domestic work which do not involve weight lifting or squatting and also not very laborious. 3) normal healthy nutritious diet with high protein. 4) 8 hrs at night and 2 hours at noon after lunch = total 10 hours rest daily. Colour of your baby shall be determined genetically.
10 people found this helpful
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Is 100% chances of pregnancy is there if I had a relation with my husband after follicles have been ruptured.

MSc
Dietitian/Nutritionist, Hyderabad
Is 100% chances of pregnancy is there if I had a relation with my husband after follicles have been ruptured.
Normally once ovulation has occured, the egg can survive for 24 hours. So, once the rupture started, the next 2 days are considered to be fertile. So, it is advisable to have planned relations for 2-3 days around the time of ovulation. Hope this information was useful to you.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Exercise: 7 benefits of regular physical activity

You know exercise is good for you, but do you know how good? From boosting your mood to improving your sex life, find out how exercise can improve your life.
Want to feel better, have more energy and perhaps even live longer? Look no further than exercise. The health benefits of regular exercise and physical activity are hard to ignore. And the benefits of exercise are yours for the taking, regardless of your age, sex or physical ability. Need more convincing to exercise? Check out these seven ways exercise can improve your life.

No. 1: Exercise controls weight

Exercise can help prevent excess weight gain or help maintain weight loss. When you engage in physical activity, you burn calories. The more intense the activity, the more calories you burn. You don't need to set aside large chunks of time for exercise to reap weight-loss benefits. If you can't do an actual workout, get more active throughout the day in simple ways ? by taking the stairs instead of the elevator or revving up your household chores.

No. 2: Exercise combats health conditions and diseases

Worried about heart disease? Hoping to prevent high blood pressure? No matter what your current weight, being active boosts high-density lipoprotein (HDL), or "good" cholesterol and decreases unhealthy triglycerides. This one-two punch keeps your blood flowing smoothly, which decreases your risk of cardiovascular diseases. In fact, regular physical activity can help you prevent or manage a wide range of health problems and concerns, including stroke, metabolic syndrome, type 2 diabetes, depression, certain types of cancer, arthritis and falls.

No. 3: Exercise improves mood

Need an emotional lift? Or need to blow off some steam after a stressful day? A workout at the gym or a brisk 30-minute walk can help. Physical activity stimulates various brain chemicals that may leave you feeling happier and more relaxed. You may also feel better about your appearance and yourself when you exercise regularly, which can boost your confidence and improve your self-esteem.

No. 4: Exercise boosts energy

Winded by grocery shopping or household chores? Regular physical activity can improve your muscle strength and boost your endurance. Exercise and physical activity deliver oxygen and nutrients to your tissues and help your cardiovascular system work more efficiently. And when your heart and lungs work more efficiently, you have more energy to go about your daily chores.

No. 5: Exercise promotes better sleep

Struggling to fall asleep? Or to stay asleep? Regular physical activity can help you fall asleep faster and deepen your sleep. Just don't exercise too close to bedtime, or you may be too energized to fall asleep.

No. 6: Exercise puts the spark back into your sex life

Do you feel too tired or too out of shape to enjoy physical intimacy? Regular physical activity can leave you feeling energized and looking better, which may have a positive effect on your sex life. But there's more to it than that. Regular physical activity can lead to enhanced arousal for women. And men who exercise regularly are less likely to have problems with erectile dysfunction than are men who don't exercise.

No. 7: Exercise can be fun

Exercise and physical activity can be a fun way to spend some time. It gives you a chance to unwind, enjoy the outdoors or simply engage in activities that make you happy. Physical activity can also help you connect with family or friends in a fun social setting. So, take a dance class, hit the hiking trails or join a soccer team. Find a physical activity you enjoy, and just do it. If you get bored, try something new.

The bottom line on exercise

Exercise and physical activity are a great way to feel better, gain health benefits and have fun. As a general goal, aim for at least 30 minutes of physical activity every day. If you want to lose weight or meet specific fitness goals, you may need to exercise more. Remember to check with your doctor before starting a new exercise program, especially if you haven't exercised for a long time, have chronic health problems, such as heart disease, diabetes or arthritis, or you have any concerns.
Regarding online consultation there are certain points which all should know and follow.
1) The description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking Metformin cannot help a discerning doctor a scientific advice.
2) Your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (For example if there the climate is warm or cold and many other factors)
3) It is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to.
4) For personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. Www.Lybrate.Com/drsajeev

If you are willing to accept me as your regular health care giver / doctor I can give you regular, prompt,
well studied and scientific answers for all your medical problems, which you ask me privately in this site. Sorry to say I will ask for a small payment for my efforts and intelligently studied answers. Regards. Www.Lybrate.Com/drsajeev
Ask privately. It is essential and useful to have a doctor answer your doubts online as it time spent in going to a clinic. Majority of diseases can be treated by online by consultation with an experienced doctor and does not need physical examination. You can use this site and ask me privately



16 people found this helpful

I am 29 years old female. I have delivered second baby before 4 months by c-section. After delivery I got mummy tummy that's diastasis Recti. How to recover from this Recti problem.

MBBS
General Physician, Chandigarh
I am 29 years old female. I have delivered second baby before 4 months by c-section. After delivery I got mummy tummy...
First of all you have to apply a tight bandage on the abdomen as abdominal splint to hold the muscles together and make sure there is no pressure on the abdomen like even lifting a small baby can put pressure on abdomen your sitting standing moving all movements have to be care full make sure you are not constipated and yiu don't strain while passing urine or stool second thing is learn exercises from a physiotherapist particularly for this problem and last of all it can be corrected with surgery for which you need to consult a surgeon.
1 person found this helpful
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My periods has missed for last two months. Pregnancy test is negative. For last one week I am getting blood mixed with stool, sometimes blood with stool. However I don't get any pain. Kindly suggest why this is happening and what should I do?

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
My periods has missed for last two months. Pregnancy test is negative. For last one week I am getting blood mixed wit...
It seams to me a coincidence for the two to happen together. Missing your periods is a separate issue. As far as bleeding with stool is concerned, it could be due to number of causes but looks like piles in your case. Avoid constipation would help in that case. Take plenty of fluids, fibre and fruits. Additional fibre like ispabagole 3tsf with a glass of water will help. In case it doesn't help, please have yourself examined by a surgeon. Thanks.
1 person found this helpful
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In april I got periods on 14th .and in may its 10 days early i.e on 4th may .and in june its still not. I hd protected sex with my bf. And urine pregnancy test is negative. I have taken ipill when I hd sex thats 5 months back .whats the problem.

MBBS
Sexologist, Gurgaon
In april I got periods on 14th .and in may its 10 days early i.e on 4th may .and in june its still not. I hd protecte...
Hi miss nothing worry tab I pill disturb Harmon so your periods up diwan aromatic 5 to 6 month normal ok avoid pills , always use condom ok
1 person found this helpful
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Mam I am suffering from vaginal itching and also feeling pressure in lower abdomen. Tomorrow my 32th week of pregnancy will be completed please help.

MBBS, DGO
Gynaecologist, Gurgaon
Apply oint candid in your vagina. But must show to a gynaecologist as you have pressure in lower abdomen also.
1 person found this helpful
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Hi, I am a 25 years old unmarried female. I have been having watery loose motions (diarrhoea) for the past 4 days, along with nausea and unnecessary headache and lower backache. I have also been taking medicines like norflox 400 and zintec but it's not helping. Everytime I eat anything, I usually have to rush to the washroom. I google my symptoms and somehow I came across lots of articles which indicated that I might be pregnant. That these symptoms might be of early pregnancy. I last had unprotected intercourse with my fiancé on 5th August after which I took an ipill. My dates are usually within the span of 18th-21st days of the month. On the 4th day of the diarrhoea I experienced some spotting too, and I thought that my date came early this month but these spotting were irregular not like periods. I even took a pregnancy test, and it was negative. I am still unsure what is it that's happening. Request you to advice and help me out of this dilemma and discomfort.

MBBS
General Physician, Trivandrum
Hi, I am a 25 years old unmarried female. I have been having watery loose motions (diarrhoea) for the past 4 days, al...
You are most probably suffering from irritable bowel syndrome. In this condition the frequency and urge to go to toilet increases especially just after meals. Ibs can be caused due to many reasons out of which stress is one important cause. When your life and body are stressed, it can lead to ibs. You need to practice deep breathing and relaxation techniques. If your symptoms are not improved, you need to take prescription medication for a period of time.
1 person found this helpful
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Sir, I have 3 months baby. Last week my mensuration cycle got started. Now I can't give breast milk which is very low. Now I take lactare tablet for 2 days. Is it increase breast milk? Can I again breast feed to my baby? Say possible answer for me.

MBBS, DGO
Gynaecologist, Hyderabad
Sir, I have 3 months baby. Last week my mensuration cycle got started. Now I can't give breast milk which is very low...
Hi yes you can breastfeed your baby tak lactare capsules n you can regain breastfeed. Tak lot of water n milk even tat helps.
1 person found this helpful
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Hello doctor I am suffering pink discharge before two days .and my periods irregular.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor I am suffering pink discharge before two days .and my periods irregular.
Hello, These may be the start of your menses. please wait a few days to allow the flow to start unless you have been sexually active and suspecting pregnancy.
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Recurrent Miscarriages or Abortions

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
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Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.

A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.

What is recurrent abortion or recurrent miscarriage? 

If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.

So, why does an abortion occur?

In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.

Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.

What happens to a person carrying a translocation?

If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.

IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.

The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.

  • Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
  • Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
  • Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
  • Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
  • Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.

So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.

If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.

Thank you.

 

 

1 person found this helpful

If parents are O+ whether there is any chance baby can be O-. Required suggestion.

C.S.C, D.C.H, M.B.B.S
General Physician,
If parents are O+ whether there is any chance baby can be O-. Required suggestion.
If your genetic type is ++ or +-, your blood type will be Rh positive. Only if your genetic type is — will you be Rh negative. This means that if both parents have Rh+ blood with the +- genes, they could have children who are ++, +-, or –. In other words, their children could be either Rh positive or Rh negative. Children who are Rh negative can have parents who are either Rh positive or Rh negative.In the very simplest terms, you inherit a positive or a negative Rh type from each parent. So, you could wind up with two positives, two negatives or a positive-negative mix. The positive gene dominates, so a positive-negative combination will result in a positive type as well as having two positives. Only two negatives will produce a child with a negative type.
1 person found this helpful
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What is the precautions for getting menstrual cycle early because my menstruation had not came from last 3 months?

BHMS
Homeopath, Faridabad
What is the precautions for getting menstrual cycle early because my menstruation had not came from last 3 months?
Take pulsitila 1M ,5 drops daily morning empty stomach for 7 days. take ferrum phos 6x, 5 tabs thrice a day. If u get the periods within 7 days then stop pulsitila and if not then get a USG lower abdomen done. Revert me with report.
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After delivery . First child Cesarean in next baby when will be consume. please tell when we can sex sir thank you.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi lybrate user, you should plan for baby after 2years of Caesarean section. you can have intercourse after 2months of the Caesarean section but use some contraceptives.
2 people found this helpful
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I'm 27 years old female having a 7 year old boy who is still breastfeeding. I got a pain on my left breast at the side of the breast near the armpits for 2 days. Is it serious? Do I seek medical attention for this?

MBBS
Sexologist, Panchkula
I'm 27 years old female having a 7 year old boy who is still breastfeeding. I got a pain on my left breast at the sid...
You can do mammography test and upload report, if there is no history of injury due to rough handling of breast.
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I am worried about the fact that is there any risk of getting my second baby due to stillbirth of my first child. I mean does still birth increase the chance of having another stillbirth. What nutrition I hv to follow for proper healing nd quick recovery.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am worried about the fact that is there any risk of getting my second baby due to stillbirth of my first child. I m...
Yea there remains a risk of repeating the same... You can take Homoeopathic treatment to prevent and get healthy baby without any complications..
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