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Dr. Saruka

Gynaecologist, Thane

400 at clinic
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Dr. Saruka Gynaecologist, Thane
400 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Saruka
Dr. Saruka is a renowned Gynaecologist in Naupada, Thane. Doctor is currently associated with Wapat Nursing Home. in Naupada, Thane. Book an appointment online with Dr. Saruka on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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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Hindi

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Wapat Nursing Home.

Panchpakhadi, A K Vaidya Road, Naupada-Thane West. Landmark: Near Carporation Buliding, ThaneThane Get Directions
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Why 20 days are above from period date. No periods are there. 20 days above from date. Please give solution.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Why 20 days are above from period date. No periods are there. 20 days above from date. Please give solution.
If you are sexually active then get the pregnancy test done first. If not then visit a doctor and take withdrawal medicine.
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I'm a girl. Actually after puberty, I didn't get my periods regularly. It always takes place after every irregular period of 3-4 months. I'm tensed. I'm 19 years old.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I'm a girl. Actually after puberty, I didn't get my periods regularly. It always takes place after every irregular pe...
Hello Ayushi... The most common cause for it is PCOD.. With homoeopathic treatment it can be cured and the periods can be regularised.
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A Short Resume of CBT- Read & Correct Yourself

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
A Short Resume of CBT- Read & Correct Yourself

A Short Resume of CBT-Read & Correct Yourself

  1. Tension problems - can have somatic, psychological, social dimensions. headaches, bodyaches, abdominal complaints, palpitations, depressions, worry, suspicions, obsessions, fears, sleeplessness, anger etc
  2. And tension thoughts cause >Feelings and Behaviors.
  3. Based on assumption or guess that most emotional and behavioral reactions-wrong habits are learned.
  4. Benefit of remaining calm or at least neutral when faced with difficult situations. (If you are upset by your problems, you now have 2 problems: 1) the problem, and 2) your tension about the problem
  5. "Rational thoughts." –are Facts and not assumptions
  6. Most emotional and behavioral reactions are learned.That is bad learning
  7. What is irrational thinking? It is wrong thinking
  8. I need love and approval from those around to me.
  9. I must avoid disapproval from any source.
  10. To be worthwhile as a person I must achieve success at whatever I do.
  11. I can not allow myself to make mistakes.
  12. People should always do the right thing. When they behave badly, unfairly or selfishly, they must be blamed and punished.
  13. Things must be the way I want them to be.
  14. My unhappiness is caused by things that are outside my control – so there is nothing I can do to feel any better.
  15. I must worry about things that could be dangerous, unpleasant or frightening – otherwise they might happen.
  16. I must avoid life’s difficulties, unpleasantness, and responsibilities. You will try but not always succeed
  17. Everyone needs to depend on someone stronger than themselves.
  18. Events in my past are the cause of my problems – and they continue to influence my feelings and behaviours now.
  19. I should become upset when other people have problems, and feel unhappy when they’re sad.
  20. I shouldn’t have to feel discomfort and pain.
  21. Every problem should have an ideal solution.

Ego disturbance:

  1. Emotional tension resulting from the perception that one’s ‘self’ or personal worth is threatened – and lead to other problems such as avoidance of situations where failure, disapproval, etc. might occur.
  2. Looking to other people for acceptance; and unassertive behaviour through fear of what others may think. 
  3. Discomfort disturbance:
  4. Results from demands about others (e.g. ‘People must treat me right’) and about the world (e.g. “The circumstances under which I live must be the way I want”).
    • Self-help exercises
    • Experiential activities
    • Discussing
    • Thought Stopping
    • Intentional Reframing

The process:A →B → C Understand the

· A = Activating Event of tension.

· B = Beliefs, Thoughts, Attitudes, Assumptions of tension.

· C = Consequences, Feelings, Emotions, Behaviors, Actions of tension.

I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.
Hi lybrate-user, their could be local lesion that might be irritating you, please keep area dry apply soframycin cream for soothing effect.
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Gud afternoon sir actually I want to know that I hve a pain in my stomach which is resemble to menstrual pain bt periods aye nhi nd date is almost gone so what it means.

Ayurveda, Mumbai
Gud afternoon sir actually I want to know that I hve a pain in my stomach which is resemble to menstrual pain bt peri...
You need to get some tests done which might confirm the problem. Also you need to check if you have gained unexplained weight. Rule out pregnancy and seek appropriate advice.
1 person found this helpful
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Premature Menopause - 8 Impacts On Female Health

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Premature Menopause - 8 Impacts On Female Health

During the natural course of events, a women's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. In some cases, for various reasons including medical, the ovaries stop functioning earlier, and this is medically termed early or premature menopause. Menopause that occurs before 40 years of age is termed premature menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women.  If it occurs between 45 to 50 years, it is termed early menopause.
Causes: Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.
Effects: Estrogen and progesterone have a lot of beneficial effects on a women's body. Reduction in their levels leads to some of the below changes:
- Emotional changes like mood swings, irritability, and in some cases depression, especially in premature menopause.
- Irregular cycles before complete cessation of the menstrual cycles.
- General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
- There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
- For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
- Osteoporosis - Bones lose their density and get weak and are more prone to fracture.
- Cardiovascular health - Post menopause, women are more prone to heart attacks and stroke. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
- Accelerated ageing - Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.
There is also a good news, that after menopause women are at lesser risk of cancer - especially breast and ovarian. 
It is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it - especially if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.
It is easier said than done, but one of the key ways to handle premature menopause is an open discussion. In case you have a concern or query you can always consult an expert & get answers to your questions!

5139 people found this helpful

Breast Reduction - Procedure and Recovery

Mch - Plastic Surgeon , MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Breast Reduction - Procedure and Recovery

Breast reduction or breast reduction surgery is a form of cosmetic surgery where the size of disproportionately large breasts is reduced.

Extra large breasts may cause neck pain, back pain and several other physical symptoms. Many women undergo a breast reduction to make life easier. This surgery provides effective results.

The procedure of breast reduction surgery-

Breast reduction surgeries can be conducted in an outpatient facility. You may have to stay for one night at a hospital as well. While performing this surgery, a patient is given general anaesthesia, which will make the patient asleep during the process.

Breast reduction surgery requires about two to five hours to be completed successfully. During the process, the surgeon will create a cut around the nipple and then on the breast. The cut is made in the shape of a keyhole. Extra skin, tissue and fat will be removed from the breast through the keyhole-shaped incision. Drainage tubes are also utilized for removal of excess skin and fat. After the removal is complete, and enough skin has been removed, the breasts are stitched. They are then wrapped in a special gauze. Sometimes, a surgical bra is required to be worn by the patient during the surgery.

Recovery from breast reduction surgery-

After a breast reduction surgery is performed, the patient must take a minimal one week off from any kind of work or school. Some women require two weeks or more to recover. However, this varies from patient to patient, but not more than three weeks are required for recovery. It is important to see the surgeon if you come across any problem. 

You will be having follow up appointments with your surgeon, where the bandages and stitches on the breasts are removed.

As a part of the recovery process, a woman must abstain from all kinds of physical activities for one month following the surgery. After the surgery, it is likely for a patient to feel tired and experience breast pain. However, this is normal and you can have oral pain killers prescribed by your surgeon to get relief and ease. Heavy lifting should be strictly restricted.

Some women experience emotional reactions such as depression after the surgery. This too is normal, but you should talk to your surgeon about it.

Breast reduction surgery is an efficient cosmetic surgery, which enables women to reduce their breast size and volume. The results of such a surgery are quite satisfactory.

2740 people found this helpful

First Vaccine Again Dengue

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
First Vaccine Again Dengue

Dengvaxia - First vaccine against dengue:

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

 

Read more:-

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

 

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: Dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: Children less than 9 years of age should not receive the vaccine.

 

Side effects:

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: If any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10,000 people), after receiving any vaccine.

Other side effects: The following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): Injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): Infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): Uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: Uncommon (may affect up to 1 user in 100), Itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: If the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

 

Interactions:

Using other medicines and dengvaxia: Dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

 

Caution for usage:

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1:1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

 

Storage

Store in a refrigerator (2°c-8°c). Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

 

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

 

Mechanism of action:

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - First vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

 

Sanofi pasteur - Dengue vaccine frequently asked questions

10 Food Items You Must Eat Everyday for Healthy Skin

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
10 Food Items You Must Eat Everyday for Healthy Skin

You may have preferences when it comes to which skin care products you want to use on your skin, but the actual nourishment is received from within. Hence it is very important to eat healthy food in order to keep your skin healthy. Although it is not possible to maintain the 'healthy' food notion every day, here are some food items which you must eat regularly to maintain healthy skin:

1. Olive oil:
Olive oil is one of the healthiest oils you can use in your everyday meals. This is because almost 75% of the fat in olive oil is monounsaturated fatty acids. It also contains antioxidant polyphenols which help to keep the skin healthy. Olive oil also plays a major role in controlling signs of aging. If you consume olive oil regularly for at least a few weeks, you will suffer from 31% less signs of aging.

2. Tomatoes:
When consumed with olive oils for a few weeks, tomatoes provide almost 33% more protection against suffering from sunburns. This is because tomatoes contain the antioxidant lycopene which helps in improving the natural SPF of the skin.

3. Dark Chocolate:
In spite of the common belief that it is a weight gaining food, dark chocolate is actually very beneficial to the skin. It contains a compound called "cocoa flavanols" which hydrate skin and also improve blood circulation in the body.

4. Green Tea:
Green tea has an antioxidant called EGCG which improves blood circulation and oxygen flow in the body, while delivering vital nutrients to the skin which is required for its health. Green tea makes the skin more elastic and smooth, softer and supple. It also reduces sun damage by a quarter.

5. Water:
Water is very important for the skin to remain hydrated. Drinking enough water everyday makes the skin appear plumper and less wrinkled.

6. Coffee:
Regular consumption of coffee reduces the risk of non-melanoma skin cancer by 11%. If you drink 6 cups of coffee every day, it reduces the risk by 30%, but it causes other health problems; hence is not advised.

7. Carrots:
Carrots contain "carotenoid" which gives a natural glow to the skin. Carotenoid provides more yellow tones to skin giving it a healthier look.

8. Pomegranate:
Pomegranate has the most antioxidant content amongst fruits. It has an inflammation fighting antioxidant which helps in fighting aging signs.

9. Sunflower seeds:
Sunflower seeds are full of Vitamin E which makes the skin supple and helps to protect the skin from the Sun.

10. Beetroot:
This red root is loaded with Vitamin A, potassium, sodium, calcium, magnesium and Vitamin E. It has skin clearing properties, and is essential for healthy skin and epidermal healing. It acts as an all-round body cleanser. It also helps eliminate toxins and lowers cholesterol level. If you wish to discuss about any specific problem, you can consult a Dermatologist.

3344 people found this helpful

My mother had breast cancer and her left breast was removed due to this. What are the chances that I may have the same problem. I am 48 years old.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
hi. thats a very good question. see if first degree relative had breast cancer then your risk increases by 10 to 15 times. so do regular breast self examination and get a mammography done if you are above 40 yrs. Do not ignore symptoms like breast lump, irregular menstrual cycles , unprecedented wt loss or loss of appetite.
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