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Dr. Nirmal Demble

Gynaecologist, Sonepat

Dr. Nirmal Demble Gynaecologist, Sonepat
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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. Nirmal Demble
Dr. Nirmal Demble is an experienced Gynaecologist in Kundli, Sonipat. You can consult Dr. Nirmal Demble at Dr Nirmal Demble's Clinic in Kundli, Sonipat. You can book an instant appointment online with Dr. Nirmal Demble on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. Find the best Gynaecologists online in Sonipat. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I am 28 years old married woman. Recently according to the reports I am having pcod & thyroid problem. And also I am having severe hair fall! what should I do? please help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 28 years old married woman. Recently according to the reports I am having pcod & thyroid problem. And also I...
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time. use hair oil minoxidil.
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Gluten Free Diet

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
Gluten Free Diet

Allowed foods - Many healthy and delicious foods are naturally gluten-free like beans, seeds and nuts in their natural, unprocessed form fresh eggs, fresh meats, fish and poultry (not breaded, batter-coated or marinated), Fruits and vegetables, most dairy products. It's important to make sure that they are not processed or mixed with gluten-containing grains, additives or preservatives. Many grains and starches can be part of a gluten-free diet such as: amaranth arrowroot buckwheat corn and cornmeal flax, gluten-free flours (rice, soy, corn, potato, bean), hominy (corn). Millet quinoa rice, sorghum Soy, tapioca Ttff needs to be avoided.  Avoid all food and drinks containing: barley (malt, malt flavoring and malt vinegar are usually made from barley), rye Triticale (a cross between wheat and rye), wheat. Avoiding wheat can be challenging because wheat products go by numerous names. Consider the many types of wheat flour on supermarket shelves bromated, enriched, phosphated, plain and self-rising. Here are other wheat products to avoid: durum flour, farina graham flour, kamut semolina spelt avoid unless labeled'gluten-free'. In general, avoid the following foods unless they're labeled as gluten-free or made with corn, rice, soy or other gluten-free grain. Beer, breads, cakes and pies, candies and cereals, communion wafers, cookies and crackers, croutons French fries, gravies imitation meat or seafood Matzo, pastas, processed luncheon meats, salad dressing sauces, including soy sauce, seasoned rice mixes, seasoned snack foods, such as potato and tortilla chips, self-basting poultry Soups and soup bases Vegetables in sauce, certain grains, such as oats, can be contaminated with wheat during growing and processing stages of production. For this reason, doctors and dietitians generally recommend avoiding oats unless they are specifically labeled gluten-free. You should also be alert for other products that you eat or that could come in contact with your mouth that may contain gluten. These include: food additives, such as malt flavoring, modified food starch and others medications and vitamins that use gluten as a binding agent.

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Symptoms of Anxiety

Psychiatrist, Kollam
Symptoms of Anxiety
Rumination of thoughts about future
Motor restlessness like unable to sit in a place, fidgeting etc,
Headache, neck pain.
Constant worries and always having the feeling of stand in edge.
Palpitations, tremor, sweating frequently.
Difficulty in sleep.
Unknown fear.
Fear of -something bad will happen.

2 people found this helpful

I am 18 yr old girl i have dry breasts and skin gets peeled off near the areola region beasts are ichy and sometimes they pain i have applied lotion but its not healing

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Apply a generous amount of Palmer's Cocoa Butter Moisturiser thrice daily for a month. Change your soap and go for a mild moisturizing body wash like St. Ives or Olay instead of a soap bar.

What are the side effects of taking ranitidine zentec for a long period. When it should be taken. Before meals or after meals.

MBBS
General Physician, Mumbai
What are the side effects of taking ranitidine zentec for a long period. When it should be taken. Before meals or aft...
If taken for two years continuesly than it can lead to Gynaecomastia and should be taken after food.
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What Causes Acidity? Understanding its Symptoms and Causes

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
What Causes Acidity?  Understanding its Symptoms and Causes

Acidity - gastritis: understanding the symptoms and causes

Gastritis/acidity is a group of diseases or symptoms where there is excess secretion of acid by the gastric glands of the stomach.

If you have upper abdominal discomfort or pain, stomach fullness, heartburn, nausea, vomiting, indigestion, belching, waterbrash or irregular bowel movement, then you must be suffering from acidity or gastritis. It is a problem which becomes worse when an individual has poor eating habits and improper lifestyle.

Gastritis: swelling of stomach lining

Various factors like spicy food, medicines, tobacco, alcohol etc. Can cause increase in gastric acid production and disturb, weaken or damage the normal stomach lining. Gastritis occurs when there is an imbalance between the acid production and damage to the stomach lining, resulting in swelling of the stomach lining.

Gastritis a very common disorder of all age groups

Gastritis is of two types - acute gastritis (which occur suddenly) and chronic gastritis (develops over a period of time). In India gastritis is a very common disorder which occurs at any age but is more widespread in the adolescent age group (12-17 years). Adolescence is a change from childhood to adulthood, the period in which a lot of physical and psychological changes occur increasing the risk of gastritis.

Multiple factors cause gastritis

Various factors like spicy food, medicines (pain killers), tobacco, alcohol, emotional disturbance, psychological stress, smoking, alcohol intake and bacterial infection lead to gastritis.

Besides these, the three most important factors include helicobacter pylori infection (bacterial infection), use of painkiller medicines and autoimmunity (body loses its own immunity and attacks itself). These factors in the long term may even cause an ulcer (permanent breakage of the stomach lining), acid reflux disorder (food coming back to mouth after swallowing) and stomach cancer.

What does Ayurveda suggest?

In Ayurveda, agni refers to fire like activity in alimentary canal responsible for digestion of food which is influenced by the status of doshas. When samana-vata associates with kapha in turn produces weak digestive power (agni-mandya). Consuming food against the code of dietetics i. E. Ahara-vidhi vidhana and ahara-vidhi-visheshayatana (method of taking food) lead to a number of diseases related with food. Eating food before the previous food is digested, untimely food, eating too much of spicy or oily food, eating when not hungry, drinking too much water during food and at a time unless required, very hot high fatty-fried food, stale food, heavy diet, excess consumption of horse gram, vitiate all the three body humours (tridosha) also contribute to the symptoms of gastritis.

Due to the sourness of consumed food the liquidity of pitta increases further decreasing the capacity for digestion (agnimandya). Hence, rasadi-dhatu is not formed in a proper manner. This, after a certain period, manifests as amlapitta (hyperacidity).

Symptoms of gastritis vary among individuals

Symptoms of gastritis vary among individuals, and in many people even there are no symptoms. It also depends on the duration of disease, whether it is of acute (coming on suddenly) or chronic (causing symptoms over a long period of time) type.

The most common symptoms of acute gastritis include:

  • Abdominal bloating or stomach fullness,
  • Belching (expelling air from the stomach through the mouth)
  • Waterbrashes (sour fluid or tasteless saliva into the mouth)
  • Upper abdominal pain or discomfort
  • Nausea/vomiting feeling
  • Irregular bowel movement
  • Recurrent indigestion,
  • Chest burn or gnawing feeling between meals (heartburn)
  • Hiccups etc.

In addition to this, symptoms of chronic gastritis may include weight loss, continuous flatulence, black stool, loss of appetite and even anemia.

How to diagnose gastritis?

To diagnose gastritis, performs a thorough physical evaluation, and may recommend a blood test for h. Pylori screening, stool test for blood in the stool. Abdominal x-rays or barium studies (upper or lower) may demonstrate the presence of thickened stomach lining and folds that are signs of inflammation in the stomach.

Sometimes, an endoscope, a thin tube containing a tiny camera, is inserted through the mouth and down into the stomach to look at the stomach lining (endoscopy). The doctor will check for inflammation and may perform a biopsy, in which a tiny sample of tissue is removed and sent for analysis of gastric lining.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: 10 Things You Must Correct to Fight Acidity And Heartburn

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I am suffering from PCOS. I had my last periods on jan 17 to jan 21. May I know that my body is in which phase of menstrual cycle? Am I going through proliferative phase and I didn't ovulate? My reports say that I have multiple small follicles and endometrium thickness of 11mm.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am suffering from PCOS. I had my last periods on jan 17 to jan 21. May I know that my body is in which phase of men...
In pcod usually ovulation does not occur so there is no question you getting secretary phase in this cycle. As you did not had menses for 2 months with pcod, you can wait for another month for spontaneous menses. And weight reducion is the only treatment which can normalise your ovulation and menses.
1 person found this helpful
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Types and Diagnosis of Uterine Fibroids

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Types and Diagnosis of Uterine Fibroids

Noncancerous growths of the muscle tissue surrounding the uterus are known as uterine fibroids. This is a common disease which about 70 to 80% of women contract by the time they are 50 years of age. The uterine fibroids can sometimes be very big and cause heavy periods as well as severe abdominal pain while at other times, uterine fibroids give no signs or symptoms whatsoever and go away on their own. This is why it is crucial to know what type of uterine fibroids you have and how to diagnose them. Here are the types of uterine fibroids and how to diagnose them;

Types
There are three main types of uterine fibroids. They are;

1. Intramural fibroids
The most common type of uterine fibroids are intramural fibroids. They typically appear in the endometrium and may grow larger which results in your womb getting stretched.

2. Subserosal fibroids
Subserosal fibroids are called so because they form on the serosa. The serosa is the outside of your uterus. Sometimes, Subserosal fibroids may grow so large that your uterus appears bigger on one side.

3. Pedunculated fibroids
Pedunculated fibroids tumors are basically Subserosal fibroids with a stem. A base which supports the tumor is called the stem.

Diagnosis
There are a number of tests done to diagnose uterine fibroids. They are;

1. Pelvic exam
A pelvic exam is a thorough inspection of a woman pelvic area. The organs which are in the pelvic area include the cervix, ovaries, uterus and vagina. Normally, this and the next test in this article are enough to diagnose uterine fibroids.

2. Medical history
The history of your periods as well as the other symptoms you have will often be enough to diagnose the uterine fibroids. If your medical history is not enough, then you might need to undergo a pelvic exam.

3. Pelvic ultrasound
An ultrasound is when high-intensity sound waves are used to produce images of the pelvic area. This is only done when a pelvic exam and your medical history are not enough to diagnose uterine fibroids. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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I am 36 years old, when ever I do sex or masturbate after 2 -3 hours while passing urine I find clots of blood at the initial stages of urination, and later being red.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 36 years old, when ever I do sex or masturbate after 2 -3 hours while passing urine I find clots of blood at the...
Hi! dear, I recommend you to do following remedy natural home remedy using asparagus powder and milk: 1. Take 2 tsp indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day this will help with your concern, if it dosent work then you must consult ayurvedic doctor.
1 person found this helpful
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My right breast has lumps and when I touch the part that is below my nipple, I feel little pain, and in my right armpit too. There is a lump in my right armpit which is sore to touch. I am a 21 year old female. What should I do?

BHMS
Homeopath, Ghaziabad
Go for a complete checkup. I don't think there is anything to worry. After complete assesment you decide whether you want to go through homeopathic treatment or allopathic treatment. There r lots of good homeopathic medicines for this type of conditions.
1 person found this helpful
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Hello sir, my age is 23 years I just want to know that a girl can be pregnant if the watery (when we feel sex and the water comes out from our penis" not the sperm") touches vagina. Will the girl be pregnant (girl is virgin)

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hello sir, my age is 23 years I just want to know that a girl can be pregnant if the watery (when we feel sex and the...
It is known that pre coital secretions can contain sperm. Hence there is always a possibility although very small. If the girl misses her periods please do a pregnancy test. Also if it is within 72 hours of unprotected sex please have some emergency contraception tablets.
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I had a c- section delivery on 2 may 2015. My problem is that my tummy remain as it fatty after delivery. please suggest me how to loose tummy. What to eat at this stage ?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You need to do regular exercises like walking, jogging, skipping and yoga to reduce your tummy. Also follow a strict plan of diet restriction and cut down all high calorie and junk foods. You can also use a abdominal binder.
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Hi using krimson 35 for past 3 months but causing side effects like gastric problem spotting before 17 days of my periods. Also low flow in period time. Shall I use dronis 30 instead of krimson 35. Becoz already I have experience in using dronis no side effects. please help me out.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi using krimson 35 for past 3 months but causing side effects like gastric problem spotting before 17 days of my per...
Hello, crimson 35 has cyproterone which is started for pcos and dronis 30 is no replacement of crimson 35. You need to take the tablet on time else you may experience irregular spotting and lesser blood flow is also a welcome side effect of krimson 35. You need to keep your water intake high to alleviate all side effects.
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Hello doctor. .pls prescribe me medicine to delay my periods as I have to attend family function. When can I take it?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello doctor. .pls prescribe me medicine to delay my periods as I have to attend family function. When can I take it?
Hello, You can opt for starting progesterone tabs from day 22 of your cycle till as long as you wish to delay your menses. Please follow up for prescription.
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My partner & I are virgin. We have been trying to have sex for quite sometime now but she is experiencing a lot of pain when my penis is trying to enter her vagina. We try when both of us are extremely relaxed & have used various lubricants (ky-jelly, durex tingle etc.) but the pain seems to be unbearable for her & we end up not having sex. We have decided to use a vaginal numbing gel & would appreciate it if you could suggest a cream or gel that numbs the vaginal opening for until my penis enters her vagina & has no side-effects whatsoever.

MBBS
General Physician, Chennai
Hello sir sex is purely a natural process first make your partner comfortable before having intercourse you must have a complete foreplay either oral sex or by your hands make your partner horny because for both men and women there is a secretions which comes as a thin fluid which ll be acting as a natural lubricant and at that time generally all girls genitals gives way for male to enter easily for more queries if possible come private.
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Good evening sir/Madam, mein Married hoon, aur meri age 16 saal 1 month hai. Mein last 1 month se pregnant hoon. Meri Peeth (backbone) Aur Stomach me pain hoti rehti hai. 1. Maine aapse ye poochhna hai, ke kahin ye pain meri Chhoti age ki vajah se to nhi hai. 2. Kya ye bacha meri age aur weight ke according theek rahega? 3). Maan lijiye agar mein ye bacha nhi bhi lena chaahti, to Kya aage mein maa ban paaungi na? 4). Meri saas ye bacha nhi lena chaahti, wo kehti hain ke Meri age chhoti hai. Kya meri saas theek kehti hain? Please help sir.

DNB, DGO, MBBS
Gynaecologist, Ghaziabad
Good evening sir/Madam, mein Married hoon, aur meri age 16 saal 1 month hai.
Mein last 1 month se pregnant hoon. Meri...
Young age mein pregnancy maa aur bachche dono ke liye mushkil hoti hai. Kyunki maa ki apni body poori tarah se mature nahin hoti, toh bachche ke kamzor hone ke chance zyaada rehte hain. Yadi aap bachcha nahin rakhna chahti, toh ek trained gynaecologist se milkar decide karen. Is tarah aage dikkat aane ki sambhawna kam hoti hai.
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I am 6.4 weeks pregnant. In abdominal ultrasound test found that no heartbeat. Please help. Apart from this all are normal.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 6.4 weeks pregnant. In abdominal ultrasound test found that no heartbeat. Please help. Apart from this all are n...
Hello, no foetal cardiac activity means missed abortion but you may chose to wait another week before termination, just in case the cardiac actvity may arrive due to delayed fertilisation. Repeat usg again after a week. Regards.
5 people found this helpful
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Exercise that will help post pregnancy to ease weight lose? have had normal delivery?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Any exercise that you are comfortable with and can manage at least three times a week. It can be walking swimming badminton dance yoga etc.
4 people found this helpful
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HI, Yesterday I got to know that I am pregnant, My last period started at 4th of feb. Can you help me to find out in which week I am. Also in which week I have to see a doctor for respective test and all. Also that is it safe to continue sex or not?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
HI,
Yesterday I got to know that I am pregnant,
My last period started at 4th of feb.
Can you help me to find out in ...
may be 2 weeks preg. consult in 15 days & get done a sonography for foetal pole. in pregnancy if everything is ok then u can have sex i must say avoid 12 weeks. u can start ayurvedic treatment for better development of baby
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