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Dr. Hemal Juriwala

MS

Gynaecologist, Surat

21 Years Experience
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Dr. Hemal Juriwala MS Gynaecologist, Surat
21 Years Experience
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Hemal Juriwala
Dr. Hemal Juriwala is one of the best Gynaecologists in Athwa, Surat. She has helped numerous patients in her 21 years of experience as a Gynaecologist. She is a qualified MS . She is currently practising at City Light Hospital & Maternity Home in Athwa, Surat. Save your time and book an appointment online with Dr. Hemal Juriwala on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Surat and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MS - Veer Narmad South Gujarat University - 1997
Languages spoken
English
Hindi

Location

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City Light Hospital & Maternity Home

101, Bhagwati Ashish Apartment No 2, Above Janta Ice Cream, City Light, City Light Road, AthwaSurat Get Directions
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I got marriage at the age of 22 and that time my wife was 20. As a newly married couple we lead to a pleasant sex life. After a year she conceived and fell from staircase and miscrage 12 weeks baby & after that unable to conceive. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I got marriage at the age of 22 and that time my wife was 20. As a newly married couple we lead to a pleasant sex lif...
If your semen test is normal, your wife can go for hsg test or laparoscopy to see if the tubes were affected during the miscarriage or thereafter. If all is well and her periods are also regular, it may not be too difficult to achieve pregnancy with help of few medicines.
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Me and my wife had sex. But we don't want child now. We should sex twice in a week. But we don't want pregnancy. When should we have to sex. And which day is better to sex to avoid pregnancy.

MBBS, DGO, FCPS
Gynaecologist, Pune
If you don't want even an accidental pregnancy, use any Low Dose Oral Contraceptive Pill on regular basis. U can use these pills till you don't want pregnancy. Pills are the best mode of reliable contraception to delay 1st pregnancy. Intrauterine contraceptive devices like Copper-T or Multiload are the best for spacing between two pregnancies. Calender method is not reliable at all. Usually ovulation occurs on 14/15 day of menses in a female who has regular menses of 28-30 days, but it can occur anytime between 11-18 day. So better to avoid sex on these days. But, you can never be sure about ovulation. There have been many cases of erratic ovulation outside this fertile period and of accidental pregnancies.
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I am 38 yr old. My follicle is not grown up to 18 mm. What is the solution for this?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Since how many months u r having this condition ? needs detail. U can take puls303 hrly for 9 days inform me after usg. T. C.
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Tsh level is 5.68 Planning for pregnancy Is that level is dangerous what care should I take.

BHMS
Homeopath, Anand
Tsh level is 5.68 Planning for pregnancy Is that level is dangerous what care should I take.
You should first try to control tsh level. After that only you should plan for healthy child. Relax. Start deep breathing yoga and meditation it helps a lot in controlling thyroid level. Start homeopathic medicine which supports your main medicines and help you in conceiving.
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Benefits of Greens in Diet

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Benefits of Greens in Diet
Benefits of Greens in Diet

Eating green leafy vegetables can help keep your mental abilities sharp. It also offers simple affordable and non-invasive way of protecting your brain from dementia. With studies proving that the people who ate one to two serving of green leafy vegetables a day had the cognitive ability of a person 11 years younger than those who consumed none. It was also found that nutrients linked with slowing cognitive decline are vitamin k, lutein, folate and beta carotene.
43 people found this helpful

10 Ayurvedic tips For Summer

Bachelor of Ayurveda, Medicine and Surgery (BAMS), CGO
Ayurveda, Ahmedabad
10 Ayurvedic tips For Summer

How to have fun in the sun - and keep your the pitta in check with this life-giving summer routine.

According to ayurveda, the qualities of summer are hot, sharp, and penetrating. That's why our pitta dosha - the subtle energy that controls metabolism and can cause us to overheat - tends to flare up when the temperatures rise. Pitta-related imbalances include sunburn, hot flashes, exhaustion, acne, and diarrhea. Emotionally, excess pitta can manifest as anger, jealousy, and impatience. Sound familiar? try the following tips to keep your cool all summer long.

Try ayurvedic sunbathing
Take a 10-to-15-minute walk at sunrise, when the gentle rays that fall on your face and skin will stimulate sadhaka pitta
Take a 10-to-15-minute walk at sunrise, when the gentle rays that fall on your face and skin will stimulate sadhaka pitta - an energetic principle that, according to ayurveda, is a mood lifter similar to serotonin and melatonin and promotes creativity and joy. Sunlight also helps stimulate the body's production of vitamin d - a fat-soluble vitamin that plays an important role in calcium absorption, which in turn leads to stronger bones.

Stay hydrated
Summer's intense heat saps moisture from plants, the earth, and our bodies. That's why it's okay to add an extra pinch of salt in your food in the summer to compensate for sweating and to prevent fatigue. Also, drink at least six 8-ounce cups of water per day.

Eat cooling foods
Some of the best pitta-pacifying foods are leafy greens, coconut, cucumber, cantaloupe, and watermelon. The best dairy products are yogurt, milk, and ghee (clarified butter). Garnish salads and other dishes with cooling cilantro, parsley, and alfalfa sprouts, and avoid hot drinks, spicy food, alcohol, caffeine, and chilies.

Moisturize daily
After showering, mix one teaspoon each of organic, unrefined coconut oil and castor oil in a glass bottle with a cap. Place the bottle in hot water until the oil is lukewarm (not hot!). Apply to your whole body to keep your skin supple, soft, and cool. You can also use this treatment before you swim to protect your skin from salt water or chlorine.

Try aromatherapy
Dab one drop of sandalwood essential oil on your temples, eyebrow center, throat center (at the hollow of the throat), wrists, and belly button. According to subtle ayurvedic principles, your whole aura will be charged with a sweet fragrance that pacifies pitta.

Adjust your bedtime routine
You can go to bed a little later on summer nights, around 11 p. M. When some of the sun's heat has dissipated. Sleep on your right side to open your left nostril, which corresponds to the ida nadi, the subtle energy channel that corresponds to the cooling moon.

Natural solutions for summer bummers
 

Sunburn
Rub preservative-free aloe gel on your skin. Or juice a few ounces of fresh cilantro and drink two teaspoons three times a day. Apply the cilantro pulp to your sunburn; it's cooling and soothing.

Jet lag
Mix together one part each of cumin powder and dried mint, and one-fourth part ginger- root powder. Fill 00-size vegetable capsules with the mixture and take one or two of them an hour before your flight.

Skeeter bites
Apply equal parts tea tree oil and neem oil (available online) to itchy bug bites. You can also use neem oil as a natural bug repellant.

A soothing summer meditation
For thousands of years, yogis have begun their day with spiritual practices that honor the sun: Surya namaskar (sun salutations); Surya trataka (a master practice that involves gazing at the sun); and a walk at sunrise to absorb the early morning rays. The sun is the source of all life. That's why summer is the perfect time to recite the gayatri mantra, the vedic song of sunlight, during meditation.

I am having a lot of vaginal discharge. What do I do to stop it and what is the cause of it?

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi You should get yourself examined by gynaecologist first to find out reason of discharge. Also you should do fasting blood sugar levels done as this problem is more if patient has diabetes.
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I have PCOS problem due to which I am not able to conceive, but I have very regular periods. My gums had put me on clomid for 6 cycles and on gonadotrophin injections for 4 cycles and did IUI for 2 cycles. For this month I am not taking any medications as suggested by my gums. But she has told me to take Chirocyst Tablet (contains Chromium Picolinate, D-Chiro-Inositol, Myo-Inositol, N-Acetylcysteine, and Vitamin D3 as active ingredients). How is it going to help me? I am due to my period but still no signs. Am I pregnant? As I heard many stories which says after coming off clomid we can conceive naturally. I really need a professional advice please.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have PCOS problem due to which I am not able to conceive, but I have very regular periods. My gums had put me on cl...
Chirocyst tablet is used in women with PCOD. It is an ovarian sensitising agent and improves hormonal ratios and reduces insulin resistance. This helps in achieving ovulation and pregnancy. Yes it is true that a few women can conceive naturally after coming off clomid. This is related to a healthy lifestyle, weight control and correction of hormonal imbalance and insulin resistance in PCOD. If you have missed a period please do a serum b-HCG which a blood test to see if you have conceived!
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DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
DYSPHAGIA (SWALLOWING PROBLEM) IN BRIEF AND IT'S MANAGEMENT

What are some signs or symptoms of swallowing disorders?

Several diseases, conditions, or surgical interventions can result in swallowing problems.

General signs may include:

 

  •     Coughing during or right after eating or drinking
  •     Wet or gurgly sounding voice during or after eating or drinking
  •     Extra effort or time needed to chew or swallow
  •     Food or liquid leaking from the mouth or getting stuck in the mouth
  •     Recurring pneumonia or chest congestion after eating
  •     Weight loss or dehydration from not being able to eat enough

As a result, adults may have:

 

  •     Poor nutrition or dehydration
  •     Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
  •     Less enjoyment of eating or drinking
  •     Embarrassment or isolation in social situations involving eating

Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.

Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).

The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.

Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.

High (oropharyngeal) dysphagia

High dysphagia is swallowing difficulties caused by problems with the mouth or throat.

It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.

There are three main treatments for high dysphagia:

 

  •     Swallowing therapy
  •     Dietary changes and
  •     Feeding tubes

Swallowing therapy

You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.

An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.

Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.

Dietary changes

You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.

An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.

Feeding tubes

Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.

A feeding tube can also make it easier for you to take the medication you may need for other conditions.

There are two types of feeding tubes:

  1.     A nasogastric tube - a tube that is passed down your nose and into your stomach
  2.     A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach

Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.

Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.

Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.

Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.

You should discuss the pros and cons of both types of feeding tubes with your treatment team.

Low (oesophageal) dysphagia

Low dysphagia is swallowing difficulties caused by problems with the oesophagus.

Medication

Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus. 

Botulinum toxin

Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.

It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.

Surgery

Other cases of low dysphagia can usually be treated with surgery.

Endoscopic dilatation

Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.

Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.

An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.

Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.

You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.

Find out more about gastroscopy.

Inserting a stent

If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.

A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.

The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.

Congenital dysphagia

If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.

Cerebral palsy

Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes. 

Cleft lip and palate

Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery. 

Narrowing of the oesophagus

Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus. 


Gastro-oesophageal reflux disease (gord)

Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.
 

Hello I want to know about my pregnancy I do intercourse on 18 mar I feel laziness vomiting white milky discharge my last period is on 5 mar can I pregnant please tell me.

MBBS
General Physician, Cuttack
Hello I want to know about my pregnancy I do intercourse on 18 mar I feel laziness vomiting white milky discharge my ...
There is a risk of pregnancy since you had sex during unsafe period. Do a pregnancy test and consult doctor for advice.
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I am 2 months pregnant so I am suffering from vomiting after eating food, tea, water, and so please suggest me.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am 2 months pregnant so I am suffering from vomiting after eating food, tea, water, and so please suggest me.
You may take Ipecac 30 three drops daily once for three days and see the results. Call back for further course of medicine.
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We tried for baby many time she got pregnancy but after a month or one and a half month later she got periods when she ate chicken egg something what it is please tell.

MBBS
Sexologist, Panchkula
We tried for baby many time she got pregnancy but after a month or one and a half month later she got periods when sh...
Chicken and eggs won't cause abortion. Keep trying for baby during the fertile days of period under supervision of doctor. She will get pregnant again.
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I have been diagnosed of a cervical fibroid in an ultrasound report. The report states as follows - There is evidence of well defined hypoechoic lesion measuring 38.3 mm × 26.8 mm seen in cervix. The lesion appeared to be connected with endometrium - s/o? Polyp? Cervical Fibroid. I am 32 years of age and married for 4 years and have been suffering excessively high bleeding with huge clots during my periods since last 2-3 years. My periodical cycle is normal and occurs within 25-28 days. However, because of the excessive bleeding I am suffering a lot. My hemoglobin has been extremely low all these years and in my latest report it is 7.2. This has been making me suffer a lot. I would like to know the various options that I may have including surgery, types of surgery and options other than surgery. I would want the fibroid to dissolve naturally, however I am still open to all options. I have never conceived till date and I also have thyroid and I am taking 100 mg of Thyronorm currently. Please advise. Thanks.

DHMS (Hons.)
Homeopath, Patna
I have been diagnosed of a cervical fibroid in an ultrasound report. The report states as follows - There is evidence...
Hello, Lybrate user Polyp on cervix can very well b managed in homoeopathy, povided.you r required to give ample time to get it disolved. Tk, plenty of water to dilute your blood & hydrate your body. Go for meditation to reduce your concerned stress, & to noursh your cells, tissues including cervix to b more flexible ,improving haemoglobin level. Avoid, junk food, caffine alcohol ic intake. All d best n.
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Me and my gf had sex using condom but accidentally we touched reproductive part and there was some liquid on both the reproductive part so we she took ipill after 24 hr and she got her periods 3 days late from usual date and now she is not getting her periods n its almost two day late and she is not feeling any symptoms of getting periods like cramps and all. Is she pregnant? please help me out.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
In order to be sure of pregnancy do a Urine pregnancy test, and wait patiently ,as periods can also be delayed due to stress or delayed after effects of ipill ,for further advice on this you may get back to us on an online consulting.
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My girlfriend drinks my sperm and it entered into her buttocks. Is she will be pregnant?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My girlfriend drinks my sperm and it entered into her buttocks. Is she will be pregnant?
no she won't be pregnant better learn more about reproductive health through simple books available
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Ayurveda and Hysterectomy

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Ayurveda and Hysterectomy

A surgical procedure, in which a woman's uterus is removed is referred to as a hysterectomy. The need for this operation can arise due to various reasons, which include:

  1. Development of uterine fibroids that are painful and accompanied by bleeding and other associated symptoms
  2. Uterine prolapse, which is characterised by a shifting of the position of the uterus, wherein it enters the vaginal canal
  3. Ovarian cancer, cervical cancer or endometrial cancer
  4. Vaginal bleeding that cannot be characterised as normal
  5. Endometriosis
  6. Development of a condition, in which the uterus thickens and is known as adenomyosis
  7. Chronic pain in the pelvic region

In Ayurveda, the uterus is associated with the Pitta dosha (fire element), and is considered to be a storehouse of metabolic fire. In fact, this is the reason why after a hysterectomy is performed, a woman generally loses the zest for life along with her creativity and feels demotivated, depressed, sentimental or lethargic. But Ayurveda can help in regaining your vitality post hysterectomy. Here's how:

The role of Ayurveda in hysterectomy:

In Ayurveda, the greatest healer of hysterectomy is the herb Shatavari (asparagus racemosus). This herb is known to balance out the Pitta Dosha, which is associated with the uterus. Not only that, this herb, whose name roughly means "a woman who has a 100 husbands," is extremely vital in reducing stress and in increasing Ojas (or vitality). It also helps in building stamina and increasing strength post surgery, while helping in maintaining a normal hormonal balance. A woman will also experience an increase in her Sattva (or positivity) with the help of this herb. 

However, just after surgery, a woman is advised to have arjuna and turmeric as they are enriched with healing properties. A combination of other herbs along with Shatavari can help in calming the mind and keep fluctuating emotions in check. These other herbs include saffron, aloe vera, calamus, gotu kola, bhringraj, and brahmi rasayana or jatamansi.

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I have irregular periods. I have been gone through a surgery for dermoid cyst three years ago for the right ovary. After that my menstrual cycle is not regular. Now it's almost three months .Please advice me on this.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have irregular periods. I have been gone through a surgery for dermoid cyst three years ago for the right ovary. Af...
Hello, She needs to get evaluated for PCOD, hypothyroidism and hyperprolactinemia which can be other common causes for delaying menses after pregnancy has been ruled out.
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