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Dr. Sachin Nayak

Gynaecologist, Thane

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Dr. Sachin Nayak Gynaecologist, Thane
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sachin Nayak
Dr. Sachin Nayak is one of the best Gynaecologists in Kaushalya Medical Foundation Trust Hospital, Thane. You can visit him at Sahyog Hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Sachin Nayak on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. Find the best Gynaecologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Yeshwant Vihar Complex, Bolinj Road, Virar West, Virar, ThaneThane Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am Ashu, 27 years old. I had so much of back pain and M taking pain killer tablet but still M facing same problems. So please help me. And from last 4 months M facing irregular periods soguidefor this also.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am Ashu, 27 years old.
I had so much of back pain and M taking pain killer tablet but still M facing same problems....
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
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I took unwanted 72 for five days before after forplaying with my husband I'm very tensed about my pregnancy we did not intimated but once his penis touched my thigh region and hence I took the pill I just want to know when my period will come and is there any chance of pregnancy?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I took unwanted 72 for five days before after forplaying with my husband I'm very tensed about my pregnancy we did no...
Hello as far as pregnancy is concerned, there is no chance of getting pregnant according to your statement.
3 people found this helpful
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Hi, I do not get my periods regularly however it delays by 3 months every time from initial time of maturity, however this time its crossed 4 months.

BHMS
Homeopath, Surat
It is due to anovulatory cycle. Please go for lab investigation like cbc, s. Tsh and follow back to me with reports. With homeopathic treatment you can have regular period.
1 person found this helpful
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Weight Control During Pregnancy - Why is it Important?

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Weight Control During Pregnancy - Why is it Important?

Being able to conceive and the prospect of bringing a new life into the world is something that is highly satisfying and full of joy. Mother's-to-be generally start to take extra care of their diet and make sure they eat right when they are pregnant so that the fetus does not have to suffer. Though it is important to eat healthy during pregnancy, a lot of women and/or their loved ones tend to get carried away and end up gaining more weight than they should.

Today, where our modern lifestyle exposes us to minimal physical activity, the risk of becoming obese during pregnancy is high and some may mistake it for a healthy body. Not only does being obese has adverse effects on the pregnancy, it may also lead to the birth of an unhealthy baby, which may leave long-term negative impact on the body and health of the mother for her to struggle with, for a lifetime.

Some disadvantages of obesity in pregnant women:
In order to be able to understand the importance of controlling weight gain in pregnancy, it may be essential to know what could go wrong if the weight is not controlled or kept under check. Here’s what could go wrong:

  1. The increasing weight may be one of the biggest reasons for developing long-term health problems, such as diabetes and cholesterol that find an easy access to the body during the time of pregnancy.
  2. The chance of a normal delivery in obese women are highly minimal, as observed by experts around the world.
  3. In the case of disorders such as preeclampsia, it may become necessary to deliver the baby sooner than the regular time period and it may also put the organs of the mother at great risk.
  4. Sleepless or tired nights may be common in the case of women who suffer from obesity during pregnancy and this is something that may affect the journey and process of pregnancy as a whole.

Tackling obesity and keeping it at bay
One of the most important things to do in order to keep obesity at bay in the event of a pregnancy is to make sure that you are eating healthy. If you overtly indulge in fatty foods and junk items, you may be putting your body at the risk of gaining quick kilos. However, if you eat a balanced diet and make sure that you consult your gynaecologist for dietary advice, you may be able to keep excessive weight at bay. Light exercises, such as swimming, walking or yoga can also help but you must make sure to take expert help and suggestions before performing any physical activity that may put yourself or your baby at risk. With the right help you may be able to go through a healthy pregnancy and achieve health and happiness for your baby.

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Hi, My periods came on 3rd july. On 10th july I had sex without protection 3 times. I did not took the pills. Now I worry about the pregnancy? I might be pregnant? When I can do the pregnancy test to confirm this? Please help me I am unmarried.

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
Hi, My periods came on 3rd july. On 10th july I had sex without protection 3 times. I did not took the pills. Now I w...
Hi, if your cycles r 28-30 days then the risk of pregnancy is less by having sex on 8th day, but to confirm you can get a urine pregnency test in case you miss your period.
1 person found this helpful
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Is it possible to lactate without getting pregnant? What are the natural ways of inducing lactation without medicines.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Is it possible to lactate without getting pregnant? What are the natural ways of inducing lactation without medicines.
No it's not possible to get milk minus getting pregnant. Dome grannies do put the kid on breast, it soothes the baby only. Natural foods to enhance lactam is dates, nuts, jeera, ajwain, spoon of desi ghee and butter plus a katori of assorted nuts everyday. Drink lots of milk and curds and boiled eggs plus proteins supplements. Lactare capsules or powder is a safe medicine.
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I am pregnant of nearly 29 weeks, a recent test has shown that the level of alkaline phosphatase is very high in my body (range more than 500. What is the effect of it on my baby? Please suggest something.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am pregnant of nearly 29 weeks, a recent test has shown that the level of alkaline phosphatase is very high in my b...
Alkaline phosphatase levels normally rise in pregnancy, but rises can also occur with liver disorders and other diseases.---------------since the placenta produces additional alp in pregnancy, levels normally rise, especially in late pregnancy. Increases of 2-3 times the normal range ----------------
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For getting pregnant can we do intercourse daily in her fertile days ? What is meaning of alternate days?

Diploma in Obstetrics & Gynaecology
Gynaecologist, Junagadh
For getting pregnant can we do intercourse daily in her fertile days ?
What is meaning of alternate days?
Fertile period is 8-22 days of her cycle 8/10/12/14/16/18/20/22 do sex sperm life span is 72 hours and ovum (female cell) required for pregnancy have life span only 24 hours do alternative days ok.
1 person found this helpful
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I am 48 years old both of my ovaries were removed recently what health problems shall I have in future.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Here you did not mention the reason for what, you have undergone the surgery, but after removing the ovaries, obviously, that shows impact on imbalance of the natural hormones secreted by other organs, but here of course, you r anyway nearing the usual menopausal age], but even after you get natural menopause also, because of lack of secretions from that particular female organs, that impact will show on the other organs which secrete other hormones which balance mutually. The symptoms, you can expect are weight gain, mood swings, hair thinning, lack of appetite, drowsiness, weakness, jt pains, etc. But you can take precautionary measures in food intake, following exercises, like walking, yoga, engaging yourself in some work, meditation, practicing pranayama regularly, to avoid stress, to get peace of mind, takin plenty of water irrespective of your thirst, all will help to avoid the risks in future to max extent.
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MS - ENT,MBBS
ENT Specialist, Kolkata
When my little girl was 1 year old we travelled to Jaipur by plane.Among many travel worries I was specially thinking about ways to keep her awake and ear pain free while travelling.I knew all the basics but it was still a challenge.So that’s when I decided to write a post for all of you mommies who travel by plane with children.I think when we know why things happen we are much more effective at preventing unwanted events.And prevention of aeroplane ear runs top of my list during air travel.

What you will find here

What is this condition?

Why do your ears get blocked in an Aeroplane?

Who is more likely to get Aeroplane Ear?

What can you do during the flight to prevent blocked ear?

How can you prevent very young children from getting aeroplane ear?

How can you unblock your ears after the Flight?


When should you visit a Doctor?
What is Aeroplane Ear?

Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear

Why do your ears get blocked in an Aeroplane?

I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.

So what happens in the ear during Flying?

Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.

The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.

What happens during Ascent?

Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.

What happens during Descent?

Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.

Barotrauma occurs during flying due to:

1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.

It may also occur in:

Divers
Hyperbaric oxygen chamber
Decompression and compression chambers


Who is more likely to get Aeroplane Ear?

Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Rhinosinusitis
Nasal allergy
Vasomotor Rhinitis
Malformation of nose
Nasopharyngeal tumour.
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.


How will you know whether you are developing aeroplane ear?

Symptoms ( most common)

Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Severe complaints

Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear

If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..

What will your doctor See?

An ENT surgeon may do an otoscopic examinations to see your ear drum.

Signs on otoscopy:



Invaginated/retracted ear drum


Congested ear drum


Solitary or multiple blood filled blisters on your ear drum


Haemotympanum


Signs of serous otitis media


Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.

Are there any long term complications ?



Rarely the ringing sound in ear or tinnitus may be permanent.


If inner ear barotrauma occurs hearing loss may not improve


What other tests can you do?



Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.

Aeroplane ear:How to prevent it during flights

Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.


What can young children do to prevent aeroplane ear?

Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.

Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?

Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.


What your doctor may advice?

Nasal spray; decongestants/steroids
Oral decongestants
Oral antihistamines
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.

If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.

If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.

Write to me at dramrita@healthwealthbridge.com or comment below to let me know how your ears fared this time.
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