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How long does it take to get Pregnant with PCOS?  - Dr. Suhasini Inamdar
There is no time frame like 1 year or 6 months like that.You have to take medication,It may take from 6 months to 2 years for a lady to become pregnant.To conceive faster with PCOS one needs to get their hormone test done get your scans done,bring your BMI to normal ,exercise regualry ,cut down on fat and fried foods.Include fruits and vegetable.Along with these take medication to bring your hormonal levels to normal.
How often should you wash your face? - Dr. Rasya Dixit
One of the most frequent questions I get asked by patients is who often do my face. My face becomes very oily even after half an hour of washing it should I wash it again or they tell me that the wash their face again and again to keep their skin looking fresh but when you normally talk about skin and skin care we usually tell you to use your face wash to 2 or maximum 3 times a day why do we say not to wash face wash more often than that whatever face wash your using even though it is a soap free products it keeps tripping the skin of the normal oil barrier under skin barrier which the skin forms every day when you wash your face more and more often you are actually striping the skin of the protective elements at it makes work hard to make for example there is a barrier which is made by the skin this is containing ceramides some sebum so when you strip your skin of this protective barrier you actually harming the skin so some people might think skin is becoming more oily so let me wash it more often but what you are creating is when you wash your face more often, your skin actually creates more oil to protect itself and therefore your intern causing the skin to damage itself so the chances of breakout or whatever skin sensitivity that you already have actually increases when you wash your face more often so how do you do or how often do you wash your face I think you need to wash your face 2 times a day once you get up in the morning and once when you before go to bed. Yes some of us travel a lot in pollution and there will definitely be excuse if they want to wash face a third time but the third time stick to just plain water or use a very gentle soap free cleanser and then don't forget to immediately hydrate your skin without water containing or high uranic acid gel which seals your barrier and prevents your skin from getting excessively dry which could next lead to other complications such as excessively sensitive skin, dry skin and rashes.
What to do when face is darker than body? - Dr. Rasya Dixit
The face and exposed part of arms are usually much darker than the unexposed part of the body. Reason for this is as these are constantly exposed to light and pollution. The skin also get darker as it is toughening itself against the environment so this is a protective mechanism which the skin is doing. Nobody wants their face dark so it is very important that you use sunscreens regularly. When you use your sunscreens a dramatic change is not going to happen within few days or weeks, the pigmentation or the constitutional tone which went darker on your face is a cumulative exposure over years so the sunscreen which is a protective mechanism by itself cannot give you all the improvement. In the night you should start some good vitamin C creams which is good skin lightening agent and very safe, you can start using it every night or every alternative night which helps in lightening your skin. Other safe creams to use are glycholic acid creams which exfoliates skin gently use them once in a week. Don't ever be harsh with the pigmented areas of the skin, when skin is already dark and sensitized to the sun if you try doing procedures like bleach, scrubbing very often the skin is going to go darker because that is how skin protects itself by becoming thicker and going darker, avoid it and be gentle with your exfoliation. Scrub and do your glycolic creams once a week. Eat healthy, eat lot of bright colored vegetables and fruits as they contain carotene's as well as bioflavonoid's these are natural anti oxidants and natural lightening agents. Vitamin C being one of the most important ones protecting your skin against the sun. If you still feel that after doing all these for 2-3 months also your skin is dark then you need expert help that's when you see your dermatologist
Can you get pregnant with precum? - Dr. Shefali Tyagi
Precum is ejaculatory fluid men secrete just before they have the ejaculation.Sperms can be presented in precum. But they are very low or dead.But there is theoretical possibility for sperm in the precum. It.It depends upon individuals also. Some can have few sperms and some can have no sperms.It is very unlikely to get pregnant with precum. Precum is a fluid which cleans out the urethra and makes the environment of the urethra more conducive for the sperms.so that they are not killed while coming out through the urethra.When a person has had ejaculation and not passed urine after that and again has erection and ejaculation in that case life sperms can be present in the urethra because of the previous ejaculation and second time precum can have live sperms which can make you pregnant but the possibility is very low so better to protect your self by using condom if you want to prevent pregnancy.
Is it okay to pull out Grey Hair? - Dr. Rasya Dixit
Its not true ,plucking of grey hair is not going to cause more grey hair. Colours also wont cause grey hair they just mask grey hair wont react with scalp.Grey are caused by inner problems.Have a healthy life style ,include protein ,exercise regularly to prevent grey hair.
5 common mistakes we all do while washing face - Dr.Amee Daxini
The common mistakes while washing the face is as follows.. 1) Use a better face wash rather than using a soap because soap is very hard and it's an alkali and that causes skin dryness. 2) Do not wash your face frequently, especially people who have oily skin. wash your face twice daily. 3) Do not use hot water to wash your face always use cold water. 4) Apply face wash start from the chin and move upwards and do the same downwards also. 5) Do not use scrubs, as a face wash daily. Use scrub weekly twice.
Tips to increase baby weight in the womb - Dr. Teji Ashok Dawane
The baby in the womb at about 5 months is about 200 to 500 grams. This is till the baby’s organs are getting formed. It is only after 5 months the baby starts putting on weight and that is when what we need to concentrate upon. For baby to put on weight for body building and muscle building we often advice a high protein diet. Whatever the body absorbs from natural sources is always 100%. So we would advice you to take a high protein diet consciously at every day. Try to incorporate some amount of protein in your food. Vegetarian sources of protein would be soya beans, soya milk, soya yogurt, chickpeas, rajma, double beans, kidney beans. Sprouts I would advice not to take raw, we probably steam it and add a little bit of lemon so that it adds a little bit of flavour. Along with that you have dals like sambar, orrdh dal, kichdi that we routinely make. Apart from that we have dry fruits like almonds, walnuts, dates. The non vegetarian sources of protein would include eggs so we would suggest two egg whites almost everyday. Apart from that you can have chicken soup, meat. You can include all these in your diet to increase body weight. Apart from these in your growth scan if you feel that the baby weight is less then we would add some medicated powders which will increase the baby weight.
What can I do to make my embryos stick? - Dr. Nirmala T S
This is a very common things that people come asking. Embryos sticking on to the uterus is such a natural and a biological process. Such a complicated process involving a lot of intrinsic factors like the quality of the embryo the adhesion factors, the growth factors the genetic profiling of the uterus lining, the blood flow, the texture and ultimately the last thing that you have , the beauty is the dialogue which happens between the mother and the embryo over there. So there is nothing that is external that could have an influence on the uterus, is what I wish to say. There are people who ask me do you than that the embryos will fall out if I walk or if I do not take rest, if I walk fast or if I climb stairs. No, there is nothing like that. Every natural cycle when an embryo is formed inside the tubes and the embryo is pushed and transported back to the uterus? Does it fall out? We are continuing to do your routine activities, we do not even now that the embryo is formed and it has come to the uterus. Does the embryo fall out so easily? It doesn’t nature has a beautiful way of holding the embryo inside her. So these extremeous factors just do not have an impact.
Things to do after a Positive Pregnancy Test - Dr. Shefali Tyagi
The first thing to do after a positive pregnancy test is to visit your gynaecologist, it is not a very good idea to keep on waiting and thinking that after 1 or 2 or 3 weeks I will go and see or test again and then see. As soon as the pregnancy test comes positive it is better to go and meet the doctor because they could be conditions where you might need to have some support from the doctor in form of medicines. Some pregnancies don't do well, some pregnancies land up in tubes which is the wrong location and they can be other medical issues which need to be sorted out as soon as you become pregnant. When you visit your gynaecologist always remember that you have to remember the date of the last period because all your dating of the pregnancy happens from that day the first day of the last period. Then you should come clean as far as the history is concerned do not hide anything from the doctor, whether you had any surgeries any other termination, any other problems, you have been taking some medicines for diabetes blood pressure, epilepsy all these have to be told very clearly because certain medicines are not allowed in pregnancy. In case you are on some medication say for epilepsy or something else on let's say blood pressure these can be changed to the safer alternatives which you can take during pregnancy. The other thing is that the folic acid has to be started soon after when you become pregnant in fact you should be taking it before you start planning. So if you are not on folic acid and you do not visit your doctor you are wasting that precious time sitting at home and not providing your baby with the adequate dose of folic acid. So as soon as you miss your periods and test positive it is important to go and get checked by the doctor and stick to the test that she prescribes.
How to apply a sunscreen? - Dr. Urmila Nischal
when you apply sunscreen right quantity is important.When you need to apply to whole face you need two to two and half Finger tip unit .When you apply sunscreen your face should be dry.
Tips to get rid of open pores in face naturally - Dr. Mini Nair
Ask Doctors - Get Video Answers in HINDI Subscribe to - https://www.youtube.com/channel/UCS1y5nTRddMYnozjN9iw0mA for HINDI videos Pores on the skin is very important because it is through these pores that our skin breathes and expels the toxins out, but as we age or because of some underlying issues like hormonal imbalances or imbalance in the food that we are taking, or in excess smoking, the skin loss it natural elasticity giving rise to prominent or open pores, these open sores on the nose, check and chin can collect lot of dust and dirt and gets inflamed and outbreaks of acne, blackheads, hyperpigmentation is seen. So what we need to do is first check the reason underlying why these pores are open. We can tighten the skin and keep the pores as close as possible. So there are lot of tips that we undertake, but try to find out what is the reason, in case of diet we need to take a balanced diet, drink lot of water and keep your skin supple, there are various methods how we can keep our skin healthy, ash your face twice daily with warm or cold water. Do not use hot water on your face because it can get your skin cleared off the natural oil that is present. We need to wash atleast twice a day to get rid of the excess oil or the other cosmetics that we are using regularly, otherwise the clogged pores can give rise to breakouts. Once it is washed thoroughly, you need to tap it dry and start using egg whites. Egg white is a natural protein and this keeps your skin tight and thereby keep the pores also closer and rejuvenates the skin. Two or there times a week you can try Egg white. Egg white helps to keep your skin smooth and nourished. Multani mitti can be applied using plain water in cases of excessive oily skin or you can mix it with cows milk or coconut milk in case with people who have dry skin. Mutani mitti is a coolant and has a natural astringent which keeps the skin tighter and keeps the pores closed and cleanses off all the dust and dirt that is settled in the pores. Once it is slight dry you can wash it or do a gentle scrub, scrubbing also helps in exfoliating the skin and clears the skin off the dead cells. Take ice cubes wrap in a cloth and run it on your face. Doing this also helps to help to tighten the skin and keeps the pores as close as possible, instead of using plain ice as ice cubes, you can squeeze in lemon into the ice trays and freeze it. And wrap the lime water ice cubes and rub it on the face. This can be done on an everyday basis and this helps the skin to tighten up an also even before you apply the cosmetic so that these cosmetics will not enter your pores and clog it and give rise to outbreaks. This way you can maintain your skin clear and radiant.
Sources of kojic acid & its benefits - Dr. Rasya Dixit
Kojic acid cream is a naturally occurring product. Kojic acid, which is a crystal derived from metabolisation of some fungi actually. It has been used in dermatology for lots of times for the treatment of mostly pigmentation as a skin lightening agent and especially for pigmentation after the acne scars are occurring and it is giving a lot of improvement to the skin. This is available as cream, lotion. It is available as a soap as well. The important thing to not about Kojic acid, it’s a mild skin lightening agent. It is not very harmful to the skin ad it is good to use the Kojic acid in a long term treatment t. there are lot of skin lightening creams in the market which have steroids as well as hydroquinone and both these products have significant side effects on the skin , therefore dermatologists like kojic acid, to prescribe kojic acid because it’s a safer alternative . With long term use there is no damage to the skin as such. But again kojic acid, you have to remember that it is an irritant to the skin. So you have to use it as recommended, preferably at bed time, at night time when you are not going out and make sure that you are using a sunscreen in addition in the morning. OS there is no sensitivity of the skin to the product and in the night use a small quantity of kojic acid on the pimple or over the pigmented area. It takes atleast 6 – 78 weeks for us to see improvement with kojic acid. So you cannot give up using the product in 2 weeks. That’s what happens to most of our patients. They use a product for 2 weeks and they say, this is not working for me. But usually in any skin regimen where we are looking at a topical cream we wait for a minimum of 6 weeks to see an improvement to be seen before we say that the treatment has been unsuccessful.
What causes white spots on face? - Dr. Rasya Dixit
White spots on the face are something called as p alba or polymorphous light eruptions. When we say p alba, they are dry patches on the skin which are ill defined. They are usually dry and scaly, that means they seem as if some powder is coming off it. This is seen in people who do not use mild face wash or moisturizers on the skin and in some people who are prone to allergic tendency like dust allergy , they are prone to p alba. Usually they will say that they had these patches right from childhood. Another is the polymorphous light eruptions, where there is a mild sun allergy. There is a mild irritation and redness of the skin when they go out in the sun. Both these conditions use a gentle soap free face wash, use of face wash which is nice and water based called as hyaluronicacid an use a broad spectrum sunscreen, use it every 3 months, whether you are indoors or outdoors. This will help to bring the problem down. Misuse of over the counter creams or fairness creams could give you patchy whiteness of the skin. This will not get better with the treatment unless you stop the treatment. If with this your white patch does not get better, then it is better to consult your dermatologist because it could be a vitiligo or a leucoderma. Stop using any home care products. Use the gentle face wash, sunscreen and moisturizers. It will resolve in 2 – 3 weeks. If it does not get better, then consult your dermatologist.
What is the best way to eat almonds? - Ms. Ranjani Raman
Almonds are nutritionally packed and should be taken regularly for maximum benefit. They are rich in healthy fats, protein, fiber, minerals such as zinc, calcium, magnesium etc. However to ensure that these nutrients are absorbed properly we have to take them in the soaked form overnight for about 8 to 12 hours, as they contain a compound called as tannins which are inhibitors, which inhibit the nutrient absorption. Apart from this, when the almonds are soaked they release an enzyme called as lipase, which helps in the digestion of fats, thereby resulting in a better digestion. Soaked almonds help in regulating blood pressure, diabetes and also helps in reducing your cholesterol levels. They are also rich in insoluble fibers. Thereby helps in preventing constipation. Also their folic acid level helps in maintaining a better nervous system and when consumed during pregnancy, helps in the good development of the fetus. Hence soaked almonds are much higher in terms of nutrient availability.
Is it safe to bleach every month? - Dr. Rasya Dixit
Lots of girls and even young boys have taken to bleaching their skin in order to make the skin look brighter. How does the bleach works? Bleach is actually a chemical which depigments the hair on the skin. It is not doing so much to your skin or lightening the color of your skin. Every time you out, a chemical on the skin, you are damaging the outer layers of the skin. So to make the skin fairer or to make your skin look more glowy, and doing it every month, it is not a very good idea as these chemicals, can damage the outer layers of the skin. They can make the skin look dry. It makes the skin more prone for acne,pimples,pigmentation and especially if you do not take good care of your skin later, like a good use of a moisturizer, a good use of a sunscreen. If you neglect all that and if you have excessive sun exposure, then you will be setting your skin for long term skin damage. Instead if you have a problem which makes your skin look dark, on you r arms, on your face, then use a sunscreen regularly. Talk to your doctor, they will give you some safe skin lightening agents without any steroids or hydroquinone or which contain more of kojic acid, or azaelic acid and these can be used as a long term treatments on the face on the sun exposed areas of the body. To prevent the skin from going dark so that you do not have to do any harsh chemical treatments on your face every month.
What causes Dark Circles under eyes? - Dr. Rasya Dixit
There are many causes of dark circles under the eyes, days of stress and sleeplessness and working for hours on the computer and when you are not working on the computer youngsters are now staring at the mobile all this causes a tremendous amount of eye strain which manifest dark circle under the eyes. The other common causes are dehydration where you are not drinking enough water, anemia where there is enough less blood because of poor eating habit, thyroid disorders which is a hormonal imbalance which would also be looking at dark circles. Most commonly when a young person comes to me with dark circles the first questions that I will ask them is how many hours of sleep are you getting if they are getting adequate 8 hours of sleep, if they are not staring at a computer or at a TV or if they are not being hydrated enough I definitely want to know what is the hemoglobin what is the thyroid and are they eating healthy enough. In spite of all these things if they do have an allergy or a condition which their nose is always blocked that could also be causing a secondary hypo pigmentation of the eyes because the eye strain through the nose. So when your eyes nose is constantly stuffed or your nose is constantly blocked the eyes tend to look a little bit more puffy or dark. The conditions where we see a lot of dark circles is people using unnecessary harsh makeup remover or constantly rubbing their eyes because they having in any kind of allergy problems, so use a gently makeup remover and avoid rubbing your eyes instead moisturize your eyes very gently and very fatty movements not very hard rubbing moments so that the skin is very delicate in this area does not get stress. The most important thing is that if you have a hereditary history of dark circles if your parents has significant dark circles and if your brother or sister have dark circles, you might also be prone to having this dark circles and in this how do you identify that you have hereditary dark circles is that the upper eyelids also pigment when you have acquired dark circles that if you did not have dark circles when you're younger but you got them when you are older the upper eyelid does not get pigment at upper eyelid is free of pigmentation. So, how do you identify how do you treat all these dark circles I think the first and most important thing is find out why you are having a dark circles. Start eating regularly on time, drink plenty of water, take adequate rest in spite of it you feel that the dark circles are increasing then i think that it is time to go with a dermatologist to find out what is the cause of dark circles, we also see eyes under area is the first area in a body to show the aging changes so we see it coming up earlier and earlier we see premature aging in people because of stress, pollution and smoking habits, in this way I think that you have to realize that as soon as this eye area show changes that means the aging has already started, so it's like a warning so that you can start making a anti-aging changes which are mostly life style changes. They are not something that you have to take a medicine or product cream for that area. The third thing that I would like to tell you is a quick depth to under eye dark circle before you head out for the party is take a used green tea bag and keep it in the fridge don't throw it away and just for a party use the green tea bag as a mask on your under the area for at least 10 to 15 minutes the cooling of the green tea pack as well as the bio flavonoids which are there in the green tea act as antioxidants the lighting the dark circle as well as they take away the puffiness in the under area.
How to manage light bleeding after 5 weeks of pregnancy? - Dr. Teena S Thomas
Any light bleeding in 5 weeks of pregnancy not responding to tablets and infections now. First thing is to get an ultrasound scan done to be sure that you are not dealing with an abnormal pregnancy like an ectopic pregnancy and you confirm that it is an intrauterine pregnancy then continue the hormones or the injections whatever the person is taking an the most important thing is to counsel the patient. If there is bleeding, there is dirty brown coloured bleeding. So that is the collected blood or the bleeding that has previously happened. So it is an implantation bleed or an early sub chorionic bleed and now coming out as brown discharge with the white discharge. So if that is the case, then nothing to worry. wait and recheck, scan after 2 weeks, viability scan to look in the heart beta of the baby. Even if it is a very ,mild red bleeding, then nothing too be done, just counsel the patient, wait and watch, avoid too much stressful things, go ahead with the second scans unless there is any problems.
Should i worry about having a C-section? - Dr. Shefali Tyagi
Should I oil my hair?  - Dr. Amee Daxini
There are two schools of thought here.The traditional school always goes with oiling the hair that gives longer and stronger hair.The latest concept is such that oiling the hair too frequently and going out will collect dust and grease which will make hair dry and brittle. The doctor's opinion is to follow the traditional way.Oiling of hair is needed.Not that everyday oiling is needed.Oiling can be done twice in a week may be night and wash it off in the morning. The benefits are while oiling the hair its actually the massaging which really helps.While oiling and massaging there is an increase in blood circulation to the scalp.That makes the roots stronger.Hair fall will reduce.When surface of hair shaft is coated with oil ,it act as a natural conditioner.While shampooing next day, there won't be too much of dryness or too much penetration of shampoo or conditioner into the shaft of the hair.So it act as a protector..
Treatment options to increase hair density - Dr. Rasya Dixit
Our hair is an indicator of health and vitality. It is also an indicator of youth. Nowadays because of the changing lifestyles and habits with increasing stress, increasing smoking in young people there is a lot of hair fall which causes the hair to lose its density. When we are talking about improving hair density things which we have to be immediately look at is the lifestyle. Make sure that you are eating enough quality of good quality proteins. Also include lot of fruits and vegetables in your diet to increase the vitamin content of your diet. If you have a strong family history of baldness in your parents, immediate relatives then you might be having a hormonal hair loss for which the treatment is a medicine called minoxidil. However minoxidil is a medicine and has to be prescribed by a dermatologist or a doctor who can examine you, make sure that you don’t have any concomitant medical conditions before they prescribe you these medicines. A lot of new peptide based medicines are now available to increase the density of the scalp. These are based on caffeine on capexil and these give you very good improvement without any side effects. These are applications on the scalp. Dermatologist is probably is the best person to guide you in these which molecule could help you the best. Taking a biotin supplement and taking food rich in iron become indispensable to quality of good health. If these treatments don’t work for you then you can always consider treatments such as platelet-rich plasma, dermaroller, low level laser therapy and mesotherapy to increase density of the scalp. Again please not try these at home. Your guide is better a professional dermatologist.
Contact Lenses vs Glasses: Which one is best for you - Dr. Sirish Nelivigi
Between the two, the contact lenses and the glasses, they are like alternatives. People used to glasses will prefer glasses and people used to contact lenses would prefer contact lenses. Each of them have their own advantages and disadvantages. Glasses have the advantage that you can take it off and put it on any time you want. There is the advantage that you never end up with infections. The disadvantage of glasses is that they give a distortion of figure at the edge of the glasses and these glasses sit on your nose and they can be a source of discomfort and ofcourse cosmetically speaking glasses may not be a good option. Whereas contact lenses have their own set of advantages and disadvantages. The contact lenses have the advantage that when you put it on to your eye it gives you the most natural vision possible, much better than what the glasses will be giving. There is no problem of glare which can be seen with the glasses. On the other hand you need to take very good care of contact lenses which you don’t need to do with glasses. Here you can take it off in the evening and put it on in the morning and you need to keep the contact lens solution to keep cleaning the contact lenses meticulously. So each have their own advantages and disadvantages. The choice between contact lenses and glasses would purely depend upon each individual to choose which advantage or disadvantage they give more importance to.
Can I travel by flight during pregnancy?- Dr. Shefali Tyagi
Lifestyles have changed and women travel all over the world when they are pregnant. Flight travel is thought to be safe during pregnancy.. It also depends on the gestation of pregnancy. In the first three months, it is safe to travel, but we have to ensure that the pregnancy is in the uterus and not outside, i.e ectopic pregnancy. . It is also better to avoid flight travel during last 4 weeks of pregnancy, i.e after 36 weeks of pregnancy, it becomes slightly unsafe to travel by flight. From eight weeks to thirty six weeks, it is safe to travel by flight until and unless your doctor says No. The doctor can say No if you have a low lying placenta, any other complications that can land you in pre-term labor or if you have sickle cell anemia.. If its a short flight, get up after 30 or 45 minutes and talk a walk in the aircraft so that the blood does not clot into your legs. Keep yourselves well hydrated. avoid coffee and fizzy drinks during the flight. If its a long flight, please discuss with your doctor. she might put you on heparin which is an anti coagulant which will not allow the blood to clot into you legs. There are also stockings available these days which do not allow the blood to clot..
How to analyse your ovulation date? - Dr. Punitha Rangaraj
Normally a females in a reproductive age, the ovary will produce an egg every month, is called ovulation. It is important to know when you ovulate. In a 28 day cycle, can ovulate between 11th to the 21st day. It is a myth that the ovulation happens on the 14th day. If your periods are irregular m it is very difficult to predict the day of your ovulation, there are certain signs to know that these are the time of you r ovulation. Just before ovulation, the vaginal discharge becomes a little excessive. if the secretion becomes a little sticky during ovulation. Take the fluid and stretch it between your hands, t forma strand that is a sign of ovulation. Sometimes there could be mastalgia or pain in the breasts, or pain in the lower abdomen. Or few drops of blood can be seen at the time of ovulation. Not all the symptoms will be there for everybody. It will be just one or few symptoms. BBT is Basic Bid Temperature. This is made as a graph when you wake up every day, as soon as you wake up you check your temperature. Continue checking tis for 3-4 months. There is a little rise from temperature when you ovulate, but it is not reliable. Ovulation kits are available. There is increase in the Leutinising Hormone just before ovulation. The most reliable in the ultrasound scanning. Do a follicular monitoring from the 8th day of the periods on every alternate day. When the follicle reaches 18 -20 mm, that means your egg is ready to come out. Normally the egg is active only for 24 hours in the body. Fortunately the sperms are alive once it is introduced into the uterus. If you are planning for a pregnancy, if you have sex one or 2 days before ovulation, still you can get pregnant. If you are planning for pregnancy you can continue to have sex for that week.
Diet & exercise to conceive with PCOS & Metformin  - Dr. Teena S Thomas
Polycystic ovarian disease is a disease in women where there are changes in the hormonal levels leading to overweight and irregular cycles. And patient has hyperinsulinemia and the patient is on metformin. So we cannot put the patient on metformin lifelong. So the lifelong treatment for Polycystic ovarian disease is diet and exercise. BMI has to be maintained between 18 to 25. BMI is weight in kgs, to height in meter square. So it has to be maintained. So the girl has to be counseled with diet and exercise. So do one to one and a half hours exercise daily and like gymming, aerobics and swimming, walking, jumping, and climbing. So the mode of exercise the girl has to take high protein diet like egg white, milk products, all types of dals, sprouts, pulses, non-veg pieces. No gravies, almonds, acrot has high proteins. The fruit which has high protein is guava. So high protein diet and daily means of exercise depending upon the BMI is very necessary to bring down a proper BMI for girl with PCOS.
How should you deal with fibroids during pregnancy? - Dr. Hema Divakar
This fibroid is one of the commonest tumours that the uterus could have, it's not cancerous. It has been there for some time, and didn't give any clues. It's called asymptomatic fibroid, and incidentally discovered. Get the fibroids out of the way, and restart the process of pregnancy all over again. This is quite common thing to happen. This doesn't interfere with the growth of the baby, well-being, and seldom interferes with the time and mode of delivery.
How long to wait for natural contractions? - Dr. Shefali Tyagi
Labor can be divided into three stages when is the first stage of labor then the second and third. The first stage of Labor is from the time that you have started with your contractions still the full dilatation of cervix the second stage means it's the time when you push out the baby we have been fully diluted and push out the baby and third stage is the delivery. So when we are talking about contraction from your point of view it is the 1st stage and important to understand when to come to the hospital. So the first stage itself can be divided into two stages one is the early Labor and then is the active phase of Labor. So early labor is still the time when you are 3 centimeters dilated and active phase is from the time you are 3 centimeters to fully dilated. In early labor contractions can be there but they can be irregular, mild and of low intensity lasting for shorter time. So it is a very common that the early labor can extend for few days so it is important to know when to come to the hospital because people panic, what you can do is to start monitoring the contraction once they are becoming more and more frequent so early contractions can trouble you for 2 to 3 hours and then they will stop and disappear of a many hours. Once the contraction start becoming regular and start coming frequently they will approximately last for 15 to 30 seconds and they will start repeating maybe once in 10 minute twice in 10 minutes like that so once the start coming 3 to 5 minutes that is the time you can actually go to the hospital, till then you can wait and watch at home counting the frequency and judging the intensity but they are going higher or not and then you can safely go to the hospital because once you go to the hospital then it is like 6 to 8 hours of labor that will undergo before you deliver.
Do bleeding after few days of emergency contraceptive indicate regular periods? - Dr. Shefali Tyagi
Emergency contraceptives are widely used nowadays and the tie you will want to use is probably when there is a breakage or slippage of condoms while having intercourse, or it is a fertile time and you have had unprotected intercourse and you have missed taking your pills, 2 to 3 days in a row. In those cases, emergency pills can be used to avoid becoming pregnant. Emergency contraceptive is not 100% safe. It can lead to pregnancy in 10% cases. That means it works upto 90%.In many women experience a little bleeding after consumption of Emergency contraceptive pills, usually 3 to 5 days after taking the pill. So you need not worry. But when will you have your next periods, that is a little difficult to answer as you will have bleeding in the middle. So the next periods can happen on the expected date of your last cycle or it can be a month from when the bleeding has happened. So you will have to wait and watch and if you have missed your periods, still do a pregnancy test, just to see that you have not conceived by chance and if it is positive, then be in touch with the doctor. If it is negative then wait on for a week or two and the consult your gynecologist.
When is surgery required for Piles and Fissures? - Dr. Rajasekhar M R
Piles and fissures are not very dangerous diseases, though they cause of pain or bleeding. They are not life threatening or harmful diseases and there is a notion that only surgery is required for this. Very few cases require surgical interventions, most of them can be treated with medical line of management and some changes in our lifestyle. So, if the patients come out early stage most of them can be manage without surgery and surgery is also not that sought of very painful procedure which we are doing in the past. Now very high technology courses are available where in we can treat even the last stages of piles in a very simple way and without much of pain. They will be able to go back to work very next day and hardly about half a day admission may be required but most of them can be managed even without surgery. And patient should visit the doctor at the earliest so that we can avoid the surgery. Surgery is required only in 3rd and 4th Stage of chronic fissure which are not responding to medical management.
What can coughing up black mucus with sore throat mean? - Dr. Satish Babu K
The commonest cause of a very thick mucus which is black in colour along with soreness in the throat and cold and cough is because of regular smoking. If you are a regular smoker, you take in a lot of carbon with chemicals, this gets deposited in the lung and in the process of healing itself the body tries to remove these carbon particles and the chemicals. So it starts pushing it out of the lungs. So it comes to the throat and it starts irritating the throat leading to inflammation, chemical induced inflammation causing soreness not as bad as what we would have during infection, but not as bad as tonsillitis or pharyngitis, but it makes you constantly clear the throat. Constant clearing will lead to this thick mucus which is back in color because of the presence of carbon particles in it. rare cause could be some bleeding inside the respiratory tract maybe because of a past infection or because of a tuberculosis or some other lung infection, there has been some other bleed inside the lungs which got stored inside in the form of blackish colour or at some point if you are coughing, it can get dislodged and come in contact with the mucus and give a black colour. If there is a constant black color excess in quantity for a long time, it is better to consult a doctor and get the problem sorted out.
Steps to prevent sperm leakage after intercourse - Dr. Mamatha Reddy YV
This is one of the commonest question asked, after sexual activity there is increase in sperm leakage, could that be the reason why I am not able to conceive? The sperm leakage or a semen leakage occurs in all individuals whenever there is a sexual activity because the semen cannot enter into the cervical canal. The semen always leaks out but the sperms are actively motile, they move up through the uterus to reach the uterus and the fallopian tubes. Only precaution what the man has to do if she is planning a pregnancy is not to wash out the semen immediately after a sexual activity because water is toxic to the sperms and then lie down for sometime, say 10 – 15 minutes and then wipe out the secretions. So do not be bothered about sperm leakage, it can happen in all individuals.
What are Platelets and when do they decrease? - Dr. Satish Kumar
Platelets are small cells in the body which help the blood to clot. There are three types of cells, red cells, white cells and platelets in the cells. These blood cells called platelets help the blood to clot. Whenever we have a small cut, it helps the blood to clot. The platelets are instrumental in forming the clot. Whenever the platelet count goes down, there is a risk of bleeding, but then again, people have a lot of myths about platelets though the normal platelet count is one lakh fifty thousand, to four lakh fifty thousand, unless and until the platelet count falls to less than 20000 or 10000. There will not be any risk of significant internal bleeding. The most common cause if low platelet count, nowadays we see is due to dengue fever. But apart from infections. The most common cause of low platelet count Is immune thrombocytopenia where our own immunity destroys our platelets. So we give medicines to suppress the immunity and to prevent the platelet destruction. That condition is called as ITP or immune thrombocytopenia. In ITP, the goal of treatment is to keep the platelet count at a safe level, which is anywhere more than 30000. The dictum of treatment in ITP is do not treat the platelet counts, treat the symptoms.
Dental do's and don’ts during pregnancy - Dr. Reney Varghese
Oral health during pregnancy is very important because change in hormones leads to dental diseases. so regular visits are necessary during pregnancy.dental cleanings during pregnancy are also very safe.second trimester is the perfect time for dental treatments like crowns.root canal etc.
Is it possible to reverse Pre Diabetes? - Dr. Sanjay Panicker
Pre diabetes is a condition where the patient is finding the blood sugar is somewhere in the borderline and he has the few symptoms of Diabetes, sugar is not high enough to call it is diabetic like for example many people do fake symptoms like they are either feeling too hungry, to thirsty or they have to go for urination very frequently but when check the blood sugar it is not that high also to call it diabetes. Normally fasting blood sugar of 100 to 125 is considered as the range for prediabetes and when the value is higher than that then only they categorised as diabetes, same way at the HbA1c test which gives an average of 3 months in that the value of 5.7 persons to 6.4 % is considered as pre diabetic, so whenever the values are like this and you find that the patient has symptoms we usually categorised as pre diabetes and prediabetes is just kind of a warning for the patient that you are heading towards diabetes. So you need to do something about this particular condition. This is the stage where the patient can definitely correct himself and thus prevent himself from developing into a full-fledged diabetic patient. So for this he has to take care of certain things and they surely reversible and surely curable, like for example the most common reason why people develop this kind of symptoms is because of the bad lifestyle either they are not exercising, they not eating the right kind of food which is rich in fibre or they don't have enough sleep, there too stressed out these are the most common reasons. So if you correct these three four things in your life style either eat well, exercise well, sleep well and cut down your stress with simple relaxation technique may be Yoga, Pranayama all this kind of techniques. Most of the patients do find that the blood sugar tips they don't need medicine sometimes but in certain patient this may be medical intervention is needed especially where this is strong family history, when there is strong family history your pre diabetes status is a little things which you should take care about because most of the Patience is a family history can head towards diabetes, so this extra care will diet, exercise and de-stressing all that is important, along with that certain homeopathic medicine also can be combined, so that they can be completely out of diabetes. So I don’t think that should be any problem that if you take care of your lifestyle and diet.
Tips for sensitive skin especially on face - Dr. Amee Daxini
If your skin turns red by application of any product like a normal face wash or a cosmetic then you are sensitive to some ingredients and also if you notice your skin turns extremely red when your around the sun. The most important thing to do is go back and check what products you were using right from your face wash to your cleanser, what products you use to remove cosmetics, you use a sunscreen or not. the first important thing here is use of a sunscreen, the prevention of sensitivity would be blocking of uv radiation troubling your skin by using a sunscreen. the second thing is use a mild cleanser or face wash generally which does not cause a lot of foam, if there is too much foaming it is more on the alkaline side which dries your skin and makes it more sensitive, so use mild cleansers or face wash. The other thing is if you are using a toner do not use a alcohol based toner use non alcohol based toner it does not increase the sensitivity. Pick up water based or mineral based makeup so they do not block your pores and do not make your skin irritable and itchy. Do not forget to protect yourself with added physical protection from uv light when you step out, an umbrella or broad brimmed hat along with the sunscreen to prevent increased sensitivity. So pick the right products, protect yourself in the sunlight and you should be fine.
Management of Rh incompatibility between Mother & child  - Dr. Rashmi Chaudhary
Rh incompatability is a state which arises when a pregnant woman is Rh negative and her unborn child is Rh positive. What problem arises in this we can understand in this way. In some cases there can be some feto-maternal haemorrhage or there can be mixing of maternal and foetal blood. Then some of the fetal RBC which is Rh positive will enter into the maternal circulation. Since the mother is Rh negative she doesn’t have that antigen and hence our immune system will trace that antigen which is a foreign body for her and will start producing antibodies for her. If the foeto-matrernal bleeding is small then there will be reaction of antigen-antibody and it will destroy then and there. But if feto-maternal haemorrhage is more than some of these antibodies will be entering into the fetal circulation and these antibodies can cause destruction of the fetal RBCs which can cause fetal anaemia, jaundice of varying severity, hepatospleenomegaly or the kernicterus which is a brain damage. In severe cases of RH immunisation in consecutive pregnancies we can see the disease status like erythroblastosis foetalis. Normally there are three stages in pregnancy where there can be some mixing of blood, like one at 12 weeks, 28 weeks, and maximum it happens around or at the time of delivery. So first born child is normally not affected because duration of exposure is very minimal. But if in consecutive pregnancy if the foetus is Rh positive then the chances of extent of damage is more. So to avoid this situation we have to immunise the woman with a passive immunity. There acn be other conditions also where there can be mixing of blood like in cases of spontaneous or induced abortion, if a woman gets bleeding in pregnancy or if theer is invasive procedures like chorionic villus sampling or amniocentesis. So prevention is the main stay of management of the Rh incompatability. So once the woman is Rh negative, husband is Rh positive we just test them with indirect Coombs test which can assess the feto-maternal bleed and if it is found to be negative which we do at 12 weeks, 28 weeks, then we immunise the woman after 28 weeks with injection anti D or immunoglobulin 300 microgram. If there is a history of abortion or anything we can immunise them earlier also. If it is below 12n weeks we can immunise them with 150 micrograms. If it is after 12 weeks we can immunise them with 300 micrograms. Once again the baby is delivered we check for the baby’s blood group and we do. If the baby is fine Rh positive once again immunisation is given with anti D immunoglobulins. These are actually fighters. If further feto maternal haemorrhage happens it will fight against that. In severe cases when the Rh iso-immunisation has already happened we can assess the pregnancy with estimation of Rh antibody titre and these babies are at a risk so very careful monitoring is required for these babies and they are given intrauterine transfusion with blood or exchange transfusion is done and early delivery is indicated.
How is low amniotic fluid treated? - Dr. Suhasini Inamdar
Low amniotic fluid is a condition in which the volume of amniotic fluid in the womb goes down. It is denoted by AFI (amniotic fluid index) which is below 8cms. It is seen in 2nd and 3rd trimester scan, and when it is diagnosed, we look into the reasons and try and treat those reasons so that it can remain whatever level it is or at least increase a bit. There is no sure method of increasing the amniotic fluid, but there are some time tested methods which are known to bring it to some considerably good levels. So that when it is lower than 8cms, we try and ask the mother to 1. Take proper rest, 2. Good nutrition which is rich in proteins, which are known to increase amniotic fluids. 3. Some amino acid preparations, which the lady can take by mouth or by IV infusions. 4. She can be prescribed some blood thinners also, which are again known to increase the amniotic fluids. 5. Drinking plenty of water and liquids which are permissible as suggested by the doctor Another reason which could cause low amniotic fluid levels, it can be of fetal origin. 1. It is seen in scan if the fetal kidneys are functioning properly, sometimes kidneys might be there, but they might not be functioning properly, sometimes fetus might have one missing kidney. 2. Lack of functioning of fetal urinary bladder, there may be some block, under these circumstances you're guided to go to a pediatric surgeon (who is a pediatric urologist), or go to an expert in fetal medicine, who can treat these conditions in utero. Another method to treat this is, putting saline in the amniotic sack through the IV line (like how we give for IV infusion). There might be chances of complications like infections, or precipitating the labour. We can deliver the baby when it is mature enough to survive outside the womb.
How soon after intercourse can you know if you are pregnant? - Dr. Teena S Thomas
Basic hormone which is required to say that a girl is pregnant is HCG human chorionic gonadotrophin so when HCG is positive and that is when we say pregnancy, basically HCG positive can be seen on in the blood and in the urine in the blood anything about 5 units is pregnancy, in the urine anything about 25 units can be seen. So a urine pregnancy test is expected to be positive when the cycles a regular to be 2 weeks after the intercourse. So if you had sex today 2 weeks from today during pregnancy test is supposed to be positive, but a negative urine test doesn't mean that it is always negative positive is positive but a negative doesn't mean because if after the egg is released it can stay for 24 hours to 48 hours and the sperm can stay to 72 hours rarely up to 7 days also. So a delayed pregnancy can still show positive during pregnancy test is usually positive 2 week from intercourse and a blood test can be positive a little earlier maybe 11, 12 or 13 day your blood test can be positive.
What happens if I have PCOS and I get pregnant? - Dr. Bala R
If you have PCOS, Polycystic ovarian syndrome is a very very common syndrome. It has become like 1 out of 5 women nowadays. They suffer with Polycystic ovarian syndrome. So if you do get pregnant with that the problem is you will have some hormonal imbalance and that will lead to first trimester miscarriage which is the miscarriage that happening under 12 weeks of pregnancy. So what we do is to give some progesterone hormonal support in the form of tablets or in the form of injections or vaginal pessaries and secondly there will be situations which is insulin resistance where you will be at very high risk of developing Polycystic ovarian syndrome. All the more pregnancy hormones are very sugargenic. So if any women is pregnant particularly of Indian origin or Asian origin then is very high risk of developing diabetes in pregnancy and particularly if you are Polycystic ovarian syndrome, the you are at more high risk. So we would be screening for diabetes in pregnancy in your case. Most of the Polycystic ovarian syndrome patients are on the overweight or on the obese sign. So I would strongly recommend a balanced diet and also regular exercises because in pregnancy you tend to put on more weight and that leads to difficulty in monitoring the baby and difficulty in you carrying on with the pregnancy like you can suffer from backache or other discomforts, pubic pains other things. So I would recommend you a well balanced diet and 30 minutes of walking on a daily basis and frequent monitoring for sugar tests as per your obstetricians advice.
Recovery time of Ankle Fractures Vs Sprain - Dr. Hanume Gowda
Ankle fractures and sprain are two different entities. Ankle injuries are one of the common injuries in orthopaedics because as you walk you may just twist your ankle that can lead to injury it can be a sprain or a fracture. A sprain is an injury to the ligament which is a connective tissue connecting two bones which forms a join. When this gets injured we call it a sprain. Bone which is connecting breaks we call it a fracture. There are two different entities which can happen for a single type of injury example when you're walking ankle might just twist and have a fall, this might either lead to a ligament injury or a bone injury which is a sprain or a fracture. Depending on your injury accordingly will be the recovering time. A sprain generally takes 3-5 weeks to heal at the end of 6 weeks you will be able to walk properly. Total recovery period meaning internal healing may take another 6 weeks so total for about to 2-3 months it will heal completely. If there is a fracture it will take longer time to heal because a bone to bone healing or union will take a longer time to recover. So the healing period is minimum 6-8 weeks and further recovery will be one and half to two months to get complete movement to do all your activities. A fracture may take 4 months to heal while sprain takes 2-3 months for complete recovery.
3rd Month - What are the symptoms during third month of pregnancy? - Dr. Shefali Tyagi
There will be an increase in nausea and vomiting during week eight, nine or ten. Increase in tiredness is also seen. You will also see increased back ache during this time. The pregnancy or uterine hormones are meant to relax the uterus and in doing that, the joints are also relaxed. Breast tenderness, frequent urination, loss of appetite will continue. You have to eat every two to three hours. You will also feel feverish and there will be some tummy cramps.
One way to prevent Preterm Delivery - Dr. Hema Divakar
Cervical Cerclage, is one way to prevent a pre-term delivery. This only means, the cervix, the neck or mouth of the uterus, is undergoing a procedure called Cerclage. Cerclage is nothing but a stitch. A purse string suture like the village women carry, or like a gunny bag tied at the neck with a thread, such that whatever is in the bag doesn't come out. Same principles are applied as there are some women who have a condition called Cervical Insufficiency or Cervical Incompetency, because cervix is not strong enough. The moment woman crosses the 3rd month, usually 1 in about 5000, have a weak cervix, in the 5th or 6th month usually the body lets the pregnancy out in an untimely manner. Once you've documented this, the next pregnancy, may be in 4th month, a suture or tightening of the uterus can be done, such that it doesn't allow baby to come out in untimely fashion. It will be cut in the 9th month as you go through the labour pain
Causes of morning heel pain and its management - Dr. Hanume Gowda
Heel pain is a very common problem mostly in females compared to me. It will be early morning pain, like you sleep in the night and wake up in the morning , you have a pain and you walk for few steps, 8 – 10 steps, then it gets better. The Same thing may happen when you sit for half an hour and get up. You may get, you may get pain. Again you take few steps, 8 – 10 steps, then your pain will go off. This condition is grouped into a condition called plantar fasciitis, also called as heel pain. Most of the times, there are no causes for this, it just happens like that. Over time, there is a heel pad fat, between the bone and the skin, which will get flattened or worn off. When it gets worn off, the bone will start taking more load. This is the commonest cause. The other one is, there is a tissue called fascia, which connects the heel one to the toes. The plantar fascia from the heel to the toe, it can get tightened, also giving rise to this pain. It happens due to multiple reasons, like rheumatoid arthritis, uric acid problems leading to gout and gout related or gout type of arthritis. Here are more types of arthritis which can lead to pain, but most times the reason is unknown.it can be an old injury like a stone or a thorn which has pricked you. The stone would have come out, but the fat part is injured, leading to long term pain. Sometimes the infection can also lead to pain. How to manage this? An easier way is by exercises, stretching of the plantar fascia, that is stretching of the foot. Secondly wearing soft footwear. Microcellular rubber, microcellular polymer slippers are available. There is silicone heel pad. For​ people wearing shoes can use the silicon cup inside the shoes and that will also help. Sometimes with all this pain doesn’t come down, give pain killers and do physical therapies in the form of ultrasonic massages. If this doesn’t work, give local injections with steroids. With one injection, more than 70 – 80 % will get relief. If it doesn’t help, then we have to operate and clear the heel. So the pressure on the heel and then the pain also comes down.
How can one get over the lump type of feel in throat?-Dr. Satish Babu K
The causes are mainly emotional stress or acid reflux. So if you control these two effectively, then definitely this lump or symptoms of lump in the throat will disappear quickly. Controlling the emotional stresses are in our hands whereas if there is significant acidity, then we can definitely take the help of medicine. Some simple medicine like omeprazole or pantaprazole can be used regularly for upto 4 to 6 weeks we give. Along with reducing the spice content, the masala content in your food and making sure that your food habits are regular. Consuming a lot of liquids in general will again help. Curd is one of our prime antiacidic measures where it is the best naturally occurring neutralizer for the acid in the stomach. So if you are able to consume a lot of curd, in any form, then it is definitely beneficial. Making sure that you eat on time so that the acid that is produced during three the bulk meal times is effectively neutralized and it doesn’t come into the chest causing the lump sensation in the throat and not thinking about it and not looking for the symptom. Not thinking about it or not looking for the symptom like generally when we have a lump sensation in the throat, we tend to swallow our own saliva regularly to see if that sensation is still persisting. That actually worsens the situation. Along with that when you are swallowing empty, just the saliva, you are going to take in a lot of air along with it which will bloat the stomach eventually resulting in acidity and when the gas that you have swallowed comes out, like in the form of burp, it tends to carry a bit of acid with it again causing the acid into the food pipe, again worsening the symptom. So please do not look for the symptom, just ignore it. Try to swallow without any food material in the mouth, then these symptoms can be reduced effectively.
Warning signs of Trigeminal Neuralgia - Dr. Srivats Bharadwaj
The oral mucosal changes for smokers is very very common. So the tissues have changes. There are bands, there are discolorations from the pink tissues changing darker, greyish, blackish. It is very important that one must visit the dentist, get the lip, the teeth checked for any signs of cancer and the most important advice is to stop smoking, it is not going to do any good to the person who is smoking or the people who are affected by passive smoking. Both are equally dangerous. It is imperative that you get an oral cancer screening done, take charge of your health. So prevention is always better than cure. Stop smoking and if you have been smoking, then visit your dentist and get yourself evaluated by an oral cancer screening device. There are digital devices available today. So there is no need of a biopsy or a surgery that needs to be done for screening purposes. So you can easily use all these technologies, screen your mouth, catch any changes in your mouth very early and treat them noninvasively.
When should one repeat 4th generation HIV test post exposure? - Dr. Ramakrishna Prasad
Typically whenever an exposure happens one of the first things to do is to get yourself tested for HIV immediately. At this time either a fourth generation antigen-antibody test may be chosen. This test constitutes what is known as the base line test. In case you have been exposed to HIV in the past many times this test will tell you whether you have been exposed or not. If it is negative and the next HIV test if it is an antigen antibody test should be done typically 4 to 6 weeks later. Special feature of the fourth generation test is by the end of about 3 weeks post exposure if HIV infection has happened it can determine that. But after a 6 week period almost always this test is bale to discriminate and tell you whether infection occurred or did not occur. So after the base line test repeat test should be done 4 to 6 weeks later.
Difference between Premenstrual and Early Pregnancy symptoms - Dr. Beena Jeysingh
You have missed your periods and your anxious whether you're pregnant but suddenly start experiencing the symptoms that you have experience previously premenstrual phase. So it is pregnancy or just another delay period. Yes, you can have the confusion because there are few symptoms occur commonly both in the premenstrual phase as well as in the early weeks of pregnancy so what are the symptoms. The most common is heaviness of sourness of breast. In premenstrual phase it typically starts about a weak prior to on sit of the periods and once the periods starts it's disappear. But during pregnancy it can extent during the early weeks of pregnancy even after end of the first trimester. The other common symptom is craving for food or aversion for food. In the premenstrual phase most of the women, cray for sugary and salty food and as you know once the period starts it just vanishes but during the early weeks of pregnancy women to experience craving but initially to one particular type of food, more than craving its more of aversion to even the taste, smell and size of food. Crapping of the lower abdomen but in a premenstrual phase it normally starts about a day or two prior to the periods during the pregnancy it can be there in milder form on and off during the first two week of pregnancy. Very rarely have we heard patient complaining about itching breast but itching breast are not commonly associated the future of premenstrual syndrome during the early weeks of pregnancy it is more an indication of dry skin. So, you have missed your periods do not go with the symptoms but rather to confirm your pregnancy with a pregnancy test.
Facts about Sex during Pregnancy - Dr. Hema Divakar
We talk about sex during pregnancy, this is something you always wanted to ask a doctor but you don't know how to ask, when to ask and you have your own myths and misconceptions and you wish the doctor would come across more approachable, more friendly rather than you being hesitant to ask this and therefore the importance of dialogue with the diwakar on the topic of sex in pregnancy. Well it is first of all to understand that it is safe in pregnancy unless you have any problems which may lead to abortion for example if you had pain or bleeding in the pregnancy or had previous abortions the doctor herself will advise you not to have sex. But otherwise by and large the baby is well protected. So it is very well cushioned all around and having sex will not hurt your baby in any manner what so ever. Well is in another matter that in the first three months of pregnancy you have vomiting, you are exhausted, you're too tired and you don't feel like it and so also in the last 3 months because your tummy is growing you may feel really uncomfortable. But overall in the middle 3 months and anytime in pregnancy it is safe to have sex.
How to plan pregnancy with Hypothyroidism? - Dr. Shashi Agrawal
In a woman with known hypothyroidism, and on medication for the same, pregnancy should be planned beforehand, abnormally high thyroid TSH levels can cause difficulty in conceiving, even if the conception occurs, it can lead to miscarriage and abnormalities in the fetus. So the pregnancy should be planned in advance. Before planning pregnancy, thyroid profile should be done, and TSH levels should be adjusted in such a way that it falls within the normal levels for pregnancy. Thyroid dose may usually be the same or even increased before planning a pregnancy. For example, if someone is on Thyronorm 50mg before pregnancy, during pregnancy it may be increased to about 62.5 or 75 according to the thyroid levels, and it usually continued throughout the pregnancy, it can be stopped depending on the TSH levels after the delivery. And should be thereafter checked from time to time.
Is it safe to travel by bus during the early pregnancy phase? - Dr. Shefali Tyagi
If Your office is around 15 to 20 km ,it is allowed to travel by bus.If you are worried by jerks ,it is fine .The baby is in a bag of water which generally absorbs all the jerks.While you are travelling by bus make sure you are carrying something to eat.And don't stand for a long time if you don't find a seat.Because the blood starts to pool into your legs and very soon dizziness can come.So keep on shuffling your legs.so that blood keeps on circulating and BP will not fall.Now for long distances like 300 to 400 km ,better to take a car or train.In bus rest rooms will be difficult to find and you will be confined to your seat.You can also have a back ache.So for long distances take a Train or car.
Tips to increase height in boys when in early 20's - Dr. Sanjay Panicker
Increasing the height in boys in their early twenties is possible to an extent but again it is depending on the genes or the genetic factors in the background of the patient. Height is determined by a gene which is there any particular person. Usually in boys the bones ossify by 21 years and after the bones ossified then it is very difficult to increase the height, so whatever height gain you have to do, you have to do it before 21, some patients you ever seen that even after 25 years that your ossification happens might be little slow in some people. So maybe 21 years or sometimes even after 25 years you may be able to do something with regard to height. So to increase the height the most common thing that anybody would you think of it is to eat well, sleep well, it is noticed that there is a research done where they say that in it everyday morning even you can check it yourself when you wake up in the morning check your height, when you go to bed check your height, your height would be a few centimetres more in the morning when you wake up that is because the body would be stressed, the vertebrae would a aligned and so that is a slight increase in height so the poster of the person is again very important in deciding how your vertebrae is a aligned and so your height can be up by few centimetres. Sleep well and body heals during sleep, if you sleep well 8 hours minimum it helps the body to grow well, eat well a nutritious diet especially high protein diet, rich in calcium, can also help you to grow taller, drink lots of water and minimum intake of 3 litre and if possible more than that should be there so that your body is toxins are flashed out and it is becomes easier for body to absorb the nutrients and so the growth also happen subsequently. Again everybody knows that we need to exercise, exercise is the most common things which can help you to grow taller and the very easy thing is that catch on do something hang. So when your body stretches the chances of your height increasing is a bit higher, your bones can grow longer because that is time when ossification is not yet happened, so as the muscle stretch, the pulling happens and so the traction so the bone grow easily longer. So stretching exercises are the best exercises, running, jogging, cycling, and swimming all these things are also very good to improve on your height. There are homeopathic medicines which can help you to increase height and this should be started preferably in your between your 15 to 20 years of age and usually the best time to work out on your height is between 15 to 20 years. Excellent homeopathic remedies are there which can improve your height and see that you grow a little more than what you would otherwise be like for example calcarea phos, symphytum, arnica these are some of the medicines which can help you to grow taller Oleum jecoris aselli is another medicine this also helps you to grow taller. If you want to grow taller see to it that you have adequate rest and you need to sleep well don't watch your TV in the night and sit instead sleep before 12 and wake up early, early to bed and early to rise makes a man healthy wealthy and wise.