ela science, Health, Uncategorized

Jayam Hospital and GFC Fertility

Dr. Jayam Kannan is a prestigious Gynecologist in Kodambakkam, Chennai. Specialist is as of now rehearsing at Garbarakshambigai Fertility Center in Kodambakkam, Chennai. Book an arrangement online with Dr. Jayam Kannan on elawoman.com.

Dr. Jayam Kannan went to Madurai Medical College where she acquired her Diploma in Gynecology and Obstetrics and Thanjavur Medical College where she finished her MBBS degree. Indeed, even as an understudy, she as of now demonstrated her sense of duty regarding brilliance by winning the lofty President of India’s Best Student in Medicine Award, the University First Rank in MD, and the honor for the best MD postgraduate in gynecology and obstetrics.

One of the main gynecologists of the city, Dr. Jayam Kannan Gynecologist in Kodambakkam has set up the center and has picked up an unwavering demographic in the course of recent years and is likewise as often as possible went to by a few VIPs, trying models and other decent customers and global patients also. They likewise anticipate expanding their business further and giving administrations to a few more patients attributable to its prosperity in the course of recent years. The productivity, commitment, exactness and sympathy offered at the center guarantee that the patient’s prosperity, solace and needs are kept of best need.

Perceived as a specialist in her picked field, she has displayed different papers in India as well as in gatherings held in England, Malaysia, the United States, Hong Kong, Singapore, Japan, Germany, France, and other real Middle Eastern and European countries.

Beside helping ladies enhance their odds of getting pregnant, Dr. Kannan’s fields of intrigue likewise incorporate social issues that influence ladies and religion. She is right now the leader of Free Legal Aid Center for Women at Trichy.

Dr. Kannan is an individual from the Federation of Obstetrics and Gynecological Societies of India (FOGSI), the American Fertility Society, the European Society of Human Reproduction and Embryology (ESHRE), New York Academy of Medical Sciences, and the Indian Medical Association.

Embryo Donation

Numerous individuals have understood their fantasy of parenthood on account of a generally better approach for family building– embryo gift. On the off chance that you might want to wind up a parent, you may get embryos gave by guardians who wish to help different couples battling with barrenness develop their family. This way gives imminent guardians the potential chance to encounter pregnancy and labor.

The Decision to Donate

Endless families have encountered precisely what you’re experiencing, the powerful urge to have a family and ability to find a way to do as such. Guardians who have effectively imagined through IVF (In Vitro Fertilization) and finished their family regularly wind up deciding what to do with their staying solidified embryos. Numerous give them to another couple battling with barrenness. It is an extremely passionate choice. We perceive the multifaceted nature of this choice and can give direction and guiding as you figure out what’s best for your family.

Embryo Donation Guidelines

Particular practice rules for embryo gift have been produced by The American Society of Reproductive Medicine (ASRM). On the off chance that embryo gift is something you wish to investigate, make certain to check with us as not every single solidified embryo are qualified for gift.

Embryo donation occurs when a patient or couple donates their remaining embryos from a successful IVF cycle to another patient or couple, so that the recipient(s) can have a baby of their own.  The recipient mother has the embryos transferred to her uterus. The resulting child is genetically related to the donors, yet is carried and raised by the recipient parent(s).

Our Goals

The UCSF Embryo Donation Program serves our patients in two important ways.  For recipients, we are able to provide another family-building option to our fertility patients.  For donors, we are able to provide our former IVF patients with a very special option for the disposition of their unused embryos.

Embryo Recipient Profile

Embryo recipients must be or have been patients at the UCSF Center for Reproductive Health.  Your doctor will help you decide whether or not you are a good candidate. Embryo donation is a lower cost option than traditional IVF.  Types of patients who might consider embryo donation include those with male and female factor infertility, previous failed treatments, or very low chances of success with other fertility treatments.

Embryo Donor Screening

Donors are carefully screened by our Embryo Donation Program team.  In screening donors, we adhere to the guidelines from the American Society for Reproductive Medicine, the United States Food and Drug Administration, and to the university’s institutional ethics board. To determine if embryos are eligible for donation, the UCSF team reviews the patient’s chart and the laboratory information to determine whether the embryos can be offered to potential recipients.

Screening factors include patient’s psychological readiness to make a donation, family genetic history, and age of the female donor – the egg donor’s age must have been 39 or younger at the time when the embryos developed.

Full screening includes:

Detailed review of health, medical history, and fertility history

Detailed review of cycle characteristics and embryo quality

Screening laboratory tests to rule out presence of infectious diseases (HIV, HTLV, Hepatitis B, Hepatitis C, Gonorrhea, Chlamydia)

Genetic screening for family history of birth defects or hereditary diseases via a comprehensive family history intake and assessment, where possible

Genetic testing for blood type, cystic fibrosis and hemoglobinopathies, and other genetic testing as appropriate (please refer to the embryo donor genetic counseling letter for details)

Psychological screening, including in-person clinical interview

To assess these factors, each patient meets with our team psychologist to discuss their decision to donate, their background and history, meets with our genetic counselor to review family genetic history (embryo donors may not have any serious genetic diseases) and takes a set of screening blood and saliva tests.

Our careful screening process is the cornerstone of our program yet there are limits to the routine screening program.  We cannot guarantee the success of the thawing and transfer process, nor can we guarantee the health of any child that might result from the donation.

We offer all recipients the opportunity to meet with the program’s genetic counselor to review the embryo donors’ family history, genetic testing status and other optional genetic tests.

Donor Information

You will receive many types of information about the donors and their background, including physical characteristics (e.g., height, hair and eye color), ethnic background, blood type, family medical and genetic history, educational background, and personality characteristics.  Some donors also share photographs of themselves and/or their children.

Success Rates

Because our program is new, we have limited data to offer statistics of success rates for this specific program. We estimate, however, the success rates will be similar to that of frozen embryo transfer success rates in our practice in general, which is about 30-40% per cycle.

Meeting your Donor

Embryo donors are often open to meeting the recipients.  If patients would like to meet the donors, our coordinator, Sandra Abdel-Ramirez can arrange this with willing donors.

Jayam Hospital and GFC Fertility is known for lodging experienced Gynecologists. Dr. Prashitha Panneerselvam, an all around presumed Gynecologist, hones in Chennai. Visit this medicinal wellbeing community for Gynecologists prescribed by 82 patients.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Shalini Hospital with Dr. Balamba Gynecologist

One of the main, Dr. P. Balamba Gynecologist of the city in Domalguda-Himayat Nagar has built up the facility in 2006 and has picked up a steadfast customer base in the course of recent years and is likewise as often as possible went by a few VIPs, trying models and other fair customers and worldwide patients too. They likewise anticipate growing their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The effectiveness, devotion, accuracy and empathy offered at the center guarantee that the patient’s prosperity, solace and needs are kept of best need.

Shalini Hospital is a multi-claim to fame therapeutic focus built up in 1983 arranged in the core of the city of Hyderabad. The medicinal services focus gives high caliber and financially savvy therapeutic administrations to cook the necessities of all segment of the general public. Every single current office and advanced therapeutic hardware are accessible with the goal of giving extensive medicinal services under one rooftop. The Hospital is kept an eye on by a profoundly prepared, dynamic and achieved group of medicinal and para therapeutic experts.

Perhaps you’re extremely anxious to get pregnant, or possibly you’re wanting to have a child at a specific season. Here are five approaches to help your odds of considering rapidly and additionally a few rules on when to be worried about a conceivable ripeness issue.

  1. See your human services supplier

ave a fruitful pregnancy when your body is up to the assignment. Lay the foundation for a solid pregnancy by planning a previously established inclination checkup with a specialist or birthing specialist to see if you’re in your best infant making shape – and to realize what changes could help.

You will be unable to determine any medical problems quickly, yet making these strides at the earliest opportunity sets you up for a sound pregnancy.

  1. Plan for a sound pregnancy

Start taking folic corrosive no less than one month before you begin attempting to imagine. This supplement can drastically decrease the danger of certain birth surrenders.

Other solid counsel that may enable you to consider a sound child: Kick any unfortunate propensities (like drinking, smoking, or utilizing drugs), get yourself to a sound weight, and point of confinement your caffeine admission to under 300 milligrams per day (around 16 ounces of espresso).

Discover what else you can do early to give your child a sound begin.

  1. Make sense of when you ovulate

The way to getting pregnant rapidly is making sense of when you’ll ovulate, or discharge an egg from your ovary.

You ovulate just once each menstrual cycle. In the event that you can tell when you’ll ovulate, you and your accomplice can time intercourse for the most obvious opportunity with regards to getting pregnant that cycle.

You can utilize a couple of various strategies to decide when you ovulate. Our article on foreseeing ovulation strolls you through them.

(On the off chance that you have unpredictable periods, pinpointing ovulation could be troublesome. Approach your supplier for counsel.)

  1. Have intercourse at the ideal time

When you know your time period for ovulation, plan to have intercourse amid your most rich window, which is a few days before ovulation during that time you ovulate.

In case you don’t know when your prolific period will be, expect to engage in sexual relations consistently or each other day amid the second and third long stretches of your cycle. That way you’re probably going to have solid sperm in your fallopian tubes at whatever point your body discharges an egg.

Another tip: If you and your accomplice are holding up to have intercourse until your most ripe time, ensure you haven’t experienced too long of a drought previously. Your accomplice should discharge at any rate once in the days just before your most fruitful period. Generally there could be a development of dead sperm in his semen.

(Note: Many vaginal ointments, including locally acquired items and in addition natively constructed variants like olive oil, can back off sperm. On the off chance that you need to utilize one, request that your supplier prescribe one that is ripeness inviting.)

  1. Give sperm a lift

Solid, sound sperm have the most obvious opportunity with regards to treating an egg. Your accomplice can complete a few things to endeavor to enhance his fruitfulness:

Skip tobacco and recreational medications.

Point of confinement mixed beverages to close to three daily.

Get to a solid weight if altogether overweight.

Get enough of certain key supplements – like zinc, folic corrosive, and vitamin C – that assistance deliver solid and ample sperm.

Try not to utilize hot tubs and saunas or scrub down on the grounds that warmth executes sperm. (Balls work best at 94 to 96 degrees Fahrenheit, a few degrees cooler than ordinary body temperature.)

The sooner your accomplice rolls out these improvements, the better: Sperm require a significant stretch of time to develop, so any upgrades now will yield better sperm examples in around three months.

To what extent to attempt before getting help

In case you’re more youthful than 35 and haven’t gotten pregnant subsequent to striving for a year, it’s an ideal opportunity to see a ripeness authority. In case you’re 35 or more established, converse with a master after you’ve striven for a half year with no good fortune.

Obviously, on the off chance that you know there’s a reason you or your accomplice will probably have a ripeness issue, it’s a smart thought to see a pro even before you begin attempting.

In Hyderabad, Shalini Hospital is a perceived name in persistent care. It was incepted in the year 2000. They are one of the notable Gynecologist and Obstetrician Doctors in Barkatpura. Supported with a dream to offer the best in understanding consideration and outfitted with innovatively propelled social insurance offices, they are one of the up and coming names in the human services industry. Situated in , this hospital is effortlessly open by different methods for transport. A group of all around prepared restorative staff, non-therapeutic staff and experienced clinical experts work round-the-clock to offer different administrations . Know more about Dr. Balamba Gynecologist Reviews at elawoman.com.

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Dr. Nikita Trehan Gynecologist with Sunrise Hospital

Dr. Nikita Trehan Is an eminent Gynecologist and Laparoscopic Surgeon. After her post-graduation in Gynecology Dr. Nikita Trehan finished her association in Endoscopic Gynecology under the capable direction of Dr. Hafeez Rahman and has been devoted to Gynae Endoscopy and Minimally Invasive Gynecology at “Sunrise Hospitals, INDIA, and Sunrise IMH, Dubai”. She is the Managing Director of Sunrise Hospital, Delhi, Mumbai and International Modern Hospital, Dubai.

Dr. Nikita Trehan Gynecologist has sorted out and directed a few CME’s for the advancement of Minimally Invasive Gynecology under the pennant of “Sunrise Keyhole Surgery Foundation” of which she is the Vice president. She has likewise prepared numerous Indian and International Doctors in Minimally Invasive Gynecology and has been a Training Surgeon for negligibly obtrusive Gynecology.

As a major aspect of her undertaking to advance insignificantly obtrusive systems in Gynecology and finishing the CSR(Corporate Social Responsibility)she has sorted out many ‘Free Surgical Camps’ for poor patients at Sunrise. She has added to numerous parts in Gynecology Endoscopy Surgery books and is effectively associated with different scholarly exercises of instructing and new research and has numerous papers in different worldwide diaries amazingly.

Dr. Nikita Trehan Gynecologist is a standout amongst other Gynecologists in Kalindi Colony, Delhi. She is at present honing at Dr Nikita Trehan’s Clinic in Kalindi Colony, Delhi. Try not to hold up in a line, book a moment arrangement online with Dr. Nikita Trehan on elawoman.com.

She has the record for the biggest fibroid evacuate laparoscopically in the UAE at 3.05 KGS and has as of late entered the Guinness Book of World’s Record for the most seasoned patient worked on the planet at Sunrise IMH, Dubai the Lady was 107 years of age.

Dr. Nikita Trehan is a famous Gynecologist and Laproscopic Surgeon. After her post graduation in gynecology, Dr. Nikita Trehan finished her association in Endoscopic Gynecology under the capable direction of Dr. Hafeez Rahman and has been devoted to Gynae Endoscopy and Minimally Invasive Gynecology at Sunrise Hospital for as long as 8 years.

In Vitro Fertilization (IVF): What Is It?

In Vitro Fertilization is a helped conceptive innovation (ART) ordinarily alluded to as IVF. IVF is the procedure of treatment by extricating eggs, recovering a sperm test, and afterward physically consolidating an egg and sperm in a lab dish. The embryo(s) is then exchanged to the uterus. Different types of ART incorporate gamete intrafallopian exchange (GIFT) and zygote intrafallopian exchange (ZIFT).

Why is IVF utilized?

IVF can be utilized to treat fruitlessness in the accompanying patients:

Blocked or harmed fallopian tubes

Male factor fruitlessness including diminished sperm check or sperm motility

Ladies with ovulation issue, untimely ovarian disappointment, uterine fibroids

Ladies who have had their fallopian tubes evacuated

People with a hereditary issue

Unexplained fruitlessness

What is included with in vitro treatment?

There are five essential strides in the IVF and developing life exchange process:

Stage 1: Fertility medicines are endorsed to empower egg generation. Different eggs are wanted in light of the fact that a few eggs won’t create or prepare after recovery. A transvaginal ultrasound is utilized to look at the ovaries, and blood test tests are taken to check hormone levels.

Stage 2: Eggs are recovered through a minor surgical methodology that utilizations ultrasound imaging to direct an empty needle through the pelvic pit to evacuate the eggs. Drug is given to lessen and expel potential inconvenience.

Stage 3: The male is solicited to deliver an example from sperm, which is set up for joining with the eggs.

Stage 4: In a procedure called insemination, the sperm and eggs are combined and put away in a lab dish to support treatment. At times where there is a lower likelihood of preparation, intracytoplasmic sperm infusion (ICSI) might be utilized. Through this methodology, a solitary sperm is infused straightforwardly into the egg trying to accomplish treatment. The eggs are observed to affirm that treatment and cell division are occurring. When this happens, the treated eggs are thought about developing lives.

Stage 5: The incipient organisms are typically moved into the lady’s uterus three to five days following egg recovery and treatment. A catheter or little tube is embedded into the uterus to exchange the developing lives. This technique is easy for most ladies, albeit some may encounter gentle cramping. On the off chance that the methodology is effective, implantation normally happens around six to ten days following egg recovery.

Symptoms of in vitro treatment

In spite of the fact that you may need to relax after the method, most ladies can continue ordinary exercises the next day.


Fertilization can be attempted using two common methods:

Insemination. During insemination, healthy sperm and mature eggs are mixed and incubated overnight.

Intracytoplasmic sperm injection (ICSI). In ICSI, a single healthy sperm is injected directly into each mature egg. ICSI is often used when semen quality or number is a problem or if fertilization attempts during prior IVF cycles failed.

In certain situations, your doctor may recommend other procedures before embryo transfer.

Assisted hatching. About five to six days after fertilization, an embryo “hatches” from its surrounding membrane (zona pellucida), allowing it to implant into the lining of the uterus. If you’re an older woman, or if you have had multiple failed IVF attempts, your doctor might recommend assisted hatching — a technique in which a hole is made in the zona pellucida just before transfer to help the embryo hatch and implant.

Preimplantation genetic testing. Embryos are allowed to develop in the incubator until they reach a stage where a small sample can be removed and tested for specific genetic diseases or the correct number of chromosomes, typically after five to six days of development. Embryos that don’t contain affected genes or chromosomes can be transferred to your uterus. While preimplantation genetic testing can reduce the likelihood that a parent will pass on a genetic problem, it can’t eliminate the risk. Prenatal testing may still be recommended.

Embryo transfer

Embryo transfer is done at your doctor’s office or a clinic and usually takes place two to six days after egg retrieval.

You might be given a mild sedative. The procedure is usually painless, although you might experience mild cramping.

The doctor or nurse will insert a long, thin, flexible tube called a catheter into your vagina, through your cervix and into your uterus.

A syringe containing one or more embryos suspended in a small amount of fluid is attached to the end of the catheter.

Using the syringe, the doctor or nurse places the embryo or embryos into your uterus.

If successful, an embryo will implant in the lining of your uterus about six to 10 days after egg retrieval.

After the procedure

After the embryo transfer, you can resume your normal daily activities. However, your ovaries may still be enlarged. Consider avoiding vigorous activity, which could cause discomfort.

Typical side effects include:

Passing a small amount of clear or bloody fluid shortly after the procedure — due to the swabbing of the cervix before the embryo transfer

Breast tenderness due to high estrogen levels

Mild bloating

Mild cramping


If you develop moderate or severe pain after the embryo transfer, contact your doctor. He or she will evaluate you for complications such as infection, twisting of an ovary (ovarian torsion) and severe ovarian hyperstimulation syndrome.

Sunrise Hospital is known for lodging experienced Gynecologists. Dr. Beena Tiwari, a very much presumed Gynecologist, hones in New Delhi. Visit this therapeutic wellbeing place for Gynecologists suggested by 108 patients.

Dr. Nikita Trehan is an eminent Gynecologist and Laparoscopic Surgeon. After her cooperation in laparoscopic surgery (under Dr. Hafeez Rahman) she has been performing “Propelled Gynecology Laparoscopic Surgeries” in Gynecology throughout the previous 10 years with unique mastery in expelling expansive fibroids laparoscopically (6.5 kgs evacuated by laparoscopy) alongside other ripeness upgrading laparoscopic and hysteroscopic surgeries. Likewise shockingly is a Limca Book of Records for the “Most seasoned individual to have a surgery”. She is a general showing staff at all real workshops in India and abroad. She additionally attempts cooperation course where in 1 year association for post graduates is led for preparing in laparoscopy.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Maharaja Agrasen Hospital with Dr. Sadhna Gupta Gynecologist

Dr. Sadhna Gupta is known for lodging experienced Gynecologists. Dr. Sadhna Gupta, a very much presumed Gynecologist, rehearses in Delhi. Visit this therapeutic wellbeing community for Gynecologists prescribed by 85 patients.

One of the main gynecologists of the city, Dr. Sadhna Gupta (Flex Medical Center) in Paschim Vihar has set up the facility and has picked up an unwavering customers in the course of recent years and is additionally every now and again went by a few VIPs, yearning models and other noteworthy customers and worldwide patients too. They additionally anticipate extending their business further and giving administrations to a few more patients attributable to its prosperity in the course of recent years. The proficiency, devotion, accuracy and empathy offered at the facility guarantee that the patient’s prosperity, solace and needs are kept of best need.

Dr. Sadhna Gupta Gynecologist is a Gynecologist and Obstetrics from Delhi in Delhi. Dr.Sadhna Gupta finished MBBS from Lady Hardinge Medical College New Delhi in 1982 MD – Obstetrics and Gynecology from University of Delhi in 1987. Dr. Sadhna Gupta ability in contraception exhortation, pcod or pcos treatment, cervical tumor inoculation, pre and post conveyance mind, vaginal contamination treatment, well lady healthcheck, obstetrics and antenatal care, laparoscopic surgery obs and gyn, womens wellbeing, menopause guidance, hysteroscopy, restorative end of pregnancy mtp, gynae issues, pap spread, infections in pregnancy.

Swallowing seems simple, but it’s actually pretty complicated. It takes your brain, several nerves and muscles, two muscular valves, and an open, unconstricted esophagus, or swallowing tube to work just right.

Your swallowing tract fgoes from the mouth to the stomach. The act of swallowing normally happens in three phases. In the first phase, food or liquid is contained in the mouth by the tongue and palate (oral cavity). This phase is the only one we can control.

The second phase begins when the brain makes the decision to swallow. At this point, a complex series of reflexes begin. The food is thrust from the oral cavity into the throat (pharynx). At the same time, two other things happen: A muscular valve at the bottom of the pharynx opens, allowing food to enter the esophagus, and other muscles close the airway (trachea) to prevent food from entering the airways. This second phase takes less than half a second.

The third phase starts when food enters the esophagus. The esophagus, which is about nine inches long, is a muscular tube that produces waves of coordinated contractions (peristalsis). As the esophagus contracts, a muscular valve at the end of the esophagus opens and food is propelled into the stomach. The third phase of swallowing takes six to eight seconds to complete.

A wide range of diseases can cause swallowing problems, which your doctor may call “dysphagia.” These include:

Disturbances of the brain such as those caused by Parkinson’s disease, multiple sclerosis, or ALS (amyotrophic lateral sclerosis, or Lou Gehrig’s disease)

Oral or pharynx muscle dysfunction such as from a stroke

Loss of sphincter muscle relaxation (termed “achalasia”)

Esophageal narrowing such as from acid reflux or tumors

Dysphagia facts


Dysphagia means difficulty swallowing.

Swallowing is a complex action involving the muscles and nerves within the pharynx and esophagus, a swallowing center in the brain, and nerves that connect the pharynx and esophagus to the swallowing center.

Dysphagia should be differentiated from odynophagia and globus sensation.

General causes of dysphagia can be grouped as either oropharyngeal or esophageal. Specific causes include physical obstruction of the pharynx or esophagus, diseases of the brain, diseases of the smooth muscle of the esophagus, diseases of skeletal muscle of the pharynx, and miscellaneous diseases.

Symptoms of dysphagia may be swallowing-related or non-swallowing-related.

The differential diagnosis of dysphagia includes odynophagia and globus sensation, tracheoesophageal fistula, rumination syndrome, gastroesophageal reflux disease (GERD), and heart disease.

Evaluation and diagnosis of the cause of dysphagia includes history, physical examination, endoscopy, X-rays, esophageal manometry, esophageal impedence, esophageal acid testing, and tests for the diagnosis of muscular dystrophy and metabolic myopathies.

The treatment of dysphagia depends primarily on its cause.

Newer diagnostic procedures for the evaluation and diagnosis of the cause of dysphagia include high resolution or 3D manometry and endoscopic ultrasonography.

What is dysphagia?

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Dysphagia is the medical term for the symptom of difficulty swallowing, derived from the Latin and Greek words meaning difficulty eating.

Mechanism of swallowing

Swallowing is a complex action.

Food is first chewed well in the mouth and mixed with saliva.

The tongue then propels the chewed food into the throat (pharynx).

The soft palate elevates to prevent the food from entering the posterior end of the nasal passages, and the upper pharynx contracts, pushing the food (referred to as a bolus) into the lower pharynx. At the same time, the voice box (larynx) is pulled upwards by muscles in the neck, and, as a result, the epiglottis bends downwards. This dual action closes off the opening to the larynx and windpipe (trachea) and prevents passing food from entering the larynx and trachea.

The contraction of the muscular pharynx continues as a progressing, circumferential wave into the lower pharynx pushing the food along.

A ring of muscle that encircles the upper end of the esophagus, known as the upper esophageal sphincter, relaxes, allowing the wave of contraction to push the food from the lower pharynx on into the esophagus. (When there is no swallow effort, the muscle of the upper sphincter is continuously contracted, closing off the esophagus from the pharynx and preventing anything within the esophagus from regurgitating back up into the pharynx.)

The wave of contraction, referred to as a peristaltic wave, progresses from the pharynx down the entire length of the esophagus.

Shortly after the bolus enters the upper esophagus, a specialized ring of muscle encircling the lower end of the esophagus where it meets the stomach, known as the lower esophageal sphincter, relaxes so that when the bolus arrives it can pass on into the stomach. (When there is no swallow the muscle of the lower sphincter is continuously contracted, closing off the esophagus from the stomach and preventing contents of the stomach from regurgitating back up into the esophagus.)

After the bolus passes, the lower sphincter tightens again to prevent contents of the stomach from regurgitating back up into the esophagus. It remains tight until the next bolus comes along.

Considering its complexity, it is no wonder that swallowing, beginning with the contraction of the upper pharynx, has been “automated,” meaning that no thought is required for swallowing once swallowing is initiated. Swallowing is controlled by automatic reflexes that involve nerves within the pharynx and esophagus as well as a swallowing center in the brain that is connected to the pharynx and esophagus by nerves. (A reflex is a mechanism that is used to control many organs. Reflexes require nerves within an organ such as the esophagus to sense what is happening in that organ and to send the information to other nerves in the wall of the organ or outside the organ. The information is processed in these other nerves, and appropriate responses to conditions in the organ are determined. Then, still other nerves send messages from the processing nerves back to the organ to control the function of the organ, for example, the contraction of the muscles of the organ. In the case of swallowing, processing of reflexes primarily occurs in nerves within the wall of the pharynx and esophagus as well as the brain.)

The complexity of swallowing also explains why there are so many causes of dysphagia. Problems can occur with:

the conscious initiation of swallowing,

propulsion of food into the pharynx,

closing of the nasal passages or larynx,

opening of the upper or lower esophageal sphincters,

physical blockage to the passage of food, and

transit of the bolus by peristalsis through the body of the esophagus.

The problems may lie within the pharynx or esophagus, for example, with the physical narrowing of the pharynx or esophagus. Dysphagia also may be due to diseases of the muscles or the nerves that control the muscles of the pharynx and esophagus or damage to the swallowing center in the brain. Finally, the pharynx and the upper third of the esophagus contain muscle that is the same as the muscles that we use voluntarily (such as our arm muscles) called skeletal muscle. The lower two-thirds of the esophagus is composed of a different type of muscle known as smooth muscle. Thus, diseases that affect primarily skeletal muscle or smooth muscle in the body can affect the pharynx and esophagus, adding additional possibilities to the causes of dysphagia.

Odynophagia and globus sensation

There are two symptoms that are often thought of as problems with swallowing (dysphagia) that probably are not. These symptoms are odynophagia and globus sensation.


Odynophagia means painful swallowing. Sometimes it is not easy for individuals to distinguish between odynophagia and dysphagia. For example, food that sticks in the esophagus often is painful. Is this dysphagia or odynophagia or both? Technically it is dysphagia, but individuals may describe it as painful swallowing (i.e., odynophagia). Moreover, patients with gastroesophageal reflux disease (GERD) may describe dysphagia when what they really have is odynophagia. The pain that they feel after swallowing resolves when the inflammation of GERD is treated and disappears and is presumably due to pain caused by food passing through the inflamed portion of the esophagus.

Odynophagia also may occur with other conditions associated with inflammation of the esophagus, for example, viral and fungal infections. It is important to distinguish between dysphagia and odynophagia because the causes of each may be quite different.

Globus sensation

A globus sensation refers to a sensation that there is a lump in the throat. The lump may be present continuously or only when swallowing. The causes of a globus sensation are varied, and frequently no cause is found. Globus sensation has been attributed variously to abnormal function of the nerves or muscles of the pharynx and GERD. The globus sensation usually is described clearly by individuals and infrequently causes confusion with true dysphagia.

Maharaja Agrasen Hospital Is Providing Round the Clock Services in the Department of Imaging, Laboratory, Accidental and Emergency and Critical Care Ambulance. The Department of Radiology Is Equipped With State of the Art Latest 1.5 Tesla MRI for Whole Body Screening, Spectroscopy, Angiography and Csf Flow Studies, Multislice Ct Scanner With Pressure Injector With Facilities for CT Guided FNAC, Angiography, and so forth 3-D and 4-D Color Doppler, 3D Mobile C-arm System, Digital OPG, X-beam With CR System, Image Intensifier, Bone Densitometer and Mammography and so on. This Hospital Can Boast of a Fully Automated Computerized Laboratory With Facilities for Histopathology, Cytology, Microbiology, Serology, Hematology and Biochemistry. The Blood Bank Is Equipped With Latest State of the Art Equipments to Collect and Process Whole Human Blood Along With Various Blood Components Including Facilities for Plateletpheresis. Hospital Is Providing Most Advanced Treatment and Care for Cardio-vascular Disease and Coronary Ailments Including Facilities for Angiography, Angioplasty and by-pass Surgery Etc. By a Team of Reputed Medical Professionals and the Services Are Comparable to Those Found in Most Advanced Countries of the World.

Hospital Has a State-of-the-workmanship Labor Room Cum Neonatal Nursery Complex Fully Equipped With the Latest Monitors, Ventilators, Cardiac Tocometers and a Number of Other Equipments to Monitor High-chance Pregnancies and Deliveries. the Neonatal and Pediatric Nursery Is One of the Best in Delhi. Other than This an Infertility Center (IVF Center for Test Tube Babies) Has Been Developed With Latest Equipments and Providing Best Facilities for the Couples to Have Children by Artificial Methods.

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Kailash Hospital with Dr. Nandita Gusain Barthwal

Kailash Hospital is a Multi Speciality center in Sector 27, Noida. The facility is gone to by specialists like Dr. Neelam Benerjee (PT), Dr. Neelu Mittal and Dr. Amit Sharma. The timings of Kailash Hospital are: Mon to Sun: 12:00 AM-11:05 PM. A portion of the administrations gave by the facility are: ECG, Transurethral Incision of The Prostate (TUIP), Valvuloplasty, Urinary Tract Infection (UTI) and Permanent Pacemaker Implantation. Tap on guide to discover headings to achieve Kailash Hospital.

Subject matters: High hazard pregnancy; Laparoscopic surgery – incorporates LAVH/TLH Ovarian blisters; Ectopic pregnancy; Endometriosis and Diagnostic for barrenness.

What is transurethral incision of the prostate (TUIP)?

Transurethral incision of the prostate (TUIP) is a procedure to treat an enlarged prostate gland.

The prostate gland is part of a man’s reproductive system. It is about the size of a walnut and located between the bladder and the penis. The prostate gland surrounds the upper part of the urethra, the tube that carries urine from the bladder out through the penis. It makes fluid that nourishes sperm and helps carry it out of the body during sex.

When is it used?

When the prostate gets bigger than normal, it may put pressure on the urethra and cause problems with urination. You may have trouble passing urine, and you may feel the need to urinate more often, sometimes even at night. The need to urinate can come on suddenly. In severe cases, you may not be able to pass urine. This can cause kidney damage if it is not treated promptly.

TUIP is a possible treatment if your prostate gland is not severely enlarged. It’s best to have this procedure before urine symptoms become severe or the prostate gland gets too large. Ask your healthcare provider about your choices for treatment and the risks.

How do I prepare for this procedure?

Make plans for your care and recovery after you have the procedure. Find someone to give you a ride home after the procedure. Allow for time to rest and try to find other people to help with your day-to-day tasks while you recover.

Tell your provider if you have any food or medicine allergies.

You may go home with a catheter for a few days after the procedure. A catheter is a small tube used to drain urine from the bladder. It’s best to learn about the catheter and urine collection bag before your procedure. Ask your healthcare provider about this.

You may or may not need to take your regular medicines the day of the procedure. Tell your healthcare provider about all medicines and supplements that you take. Some products may increase your risk of side effects. Ask your healthcare provider if you need to avoid taking any medicine or supplements before the procedure.

Your healthcare provider will tell you when to stop eating and drinking before the procedure. This helps to keep you from vomiting during the procedure.

Follow your provider’s instructions about not smoking before and after the procedure. Smokers may have more breathing problems during the procedure and heal more slowly. It is best to quit 6 to 8 weeks before surgery.

Follow any instructions your healthcare provider may give you.

Ask any questions you have before the procedure. You should understand what your healthcare provider is going to do. You have the right to make decisions about your healthcare and to give permission for tests or procedures.

What happens during the procedure?

This procedure is usually done at a surgical center or hospital.

You will be given medicine to help you to relax. The medicine can make you drowsy or you may fall asleep before the procedure.

You will be given medicine called anesthesia to keep you from feeling pain during the procedure. You may have:

Regional anesthesia, which numbs the lower part of your body.

General anesthesia, which relaxes your muscles and you will be asleep. A breathing tube is usually put in your throat when you have general anesthesia.

Your healthcare provider will pass a thin, lighted tube through the urethra and into the bladder. Fluid will be passed into the bladder to stretch the bladder and help your provider see the area better. With the scope, your provider will be able to see the area where the enlarged prostate is causing problems.

Your provider will make several deep cuts through the bladder neck and into the prostate gland to relieve the pressure on the urethra. Then, while you are still numb, your provider will insert a catheter into the penis and the urethra and then into the bladder. The catheter will help the bladder drain and flush out any blood clots that may have formed. The urethra will swell after the surgery and the catheter will help it stay open.

What happens after the procedure?

After the procedure you may stay in a recovery area for at least a few hours. You may be able to go home the day you have the procedure or you may stay in the hospital overnight.

You will likely have some pain or discomfort in the area over your bladder, as well as at the base of your penis. The catheter in the urethra normally needs to stay in for 2 to 3 days. Do not try to remove the catheter. Your healthcare provider will remove the catheter.

Ask your healthcare provider:

How long it will take to recover

If there are activities you should avoid, including lifting, and when you can return to your normal activities

How to take care of yourself at home

What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.

What are the risks of this procedure?

Every procedure or treatment has risks. Some possible risks of this procedure include:

You may have problems with anesthesia.

You may have infection, blood clots, or bleeding.

It may be harder for you to have an erection. Also, when you have an orgasm, semen may not come out of your penis. Instead it may flow backward into your bladder.

Rarely, you may have trouble controlling your urine.

Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.

Transurethral incision of the prostate (TUIP) may be done to treat benign prostatic hyperplasia (BPH). The surgeon uses an instrument inserted into the urethra that generates an electric current or laser beam to make incisions in the prostate where the prostate meets the bladder. Cutting muscle in this area relaxes the opening to the bladder, decreasing resistance to the flow of urine out of the bladder. No tissue is removed. It is done under either general or spinal anesthetic.

What To Expect After Surgery

TUIP is a much less invasive procedure than transurethral resection of the prostate (TURP). You are typically able to go home after surgery. You may not be able to urinate and may need to have a catheter to drain your bladder. For most men, this lasts for a week or less.

Why It Is Done

TUIP may be a good option for men who have only slightly enlarged prostates and who are bothered a lot by their symptoms.

TUIP may be chosen instead of TURP by men who:

Are at higher risk for complications from surgery and anesthetic, including men with serious health problems. TUIP involves less blood loss and can be done more quickly than TURP.

Want to avoid the risk for retrograde ejaculation, a condition in which semen flows backward into the bladder. This side effect is more common with TURP than with TUIP.

How Well It Works

Symptoms improve after TUIP in about 8 out of 10 men.1 Men notice about a 73% improvement in their American Urological Association (AUA) symptom index scores.1 For example, if you have a symptom score of 25 (severe), it could be reduced to about 7 (mild).

Short-term improvement in BPH symptoms is about the same for TUIP as for TURP. Studies comparing the two types of surgery suggest that the outcomes are similar. Men who have had TUIP generally are less likely to develop retrograde ejaculation than men who have TURP. But men who have TUIP are more likely to need a second surgery.2

Transurethral Incision of the prostate (TUIP)

TUIP is for men who are experiencing obstruction problems and have a relatively small prostate. The procedure takes about 20 minutes, under general or epidural anaesthetics. As with a TURP, an instrument will be passed up through the penis up the urethra. Here a TUIP differs from a TURP, as one or two small cuts are made in the neck of the bladder and in the prostate. This allows the bladder neck to spring apart and urine to flow more freely.

After the incision, you will be catheterised at the end of the operation. This allows urine to drain away freely. The catheter will be removed after 24-48 hours and you will normally leave hospital after urinating normally.

Potential complications of TUIP:

Retrograde ejaculation-This is where semen passes backwards into the bladder into the bladder during orgasm, rather than out through the penis. This is not harmful; you will pass the semen mixed with urine next time you urinate.

Retrograde ejaculation may reduce your fertility, though it does not make you sterile.

Dr. Nandita Gusain Barthwal is a put stock in Gynecologist in Sector-27, Noida. Specialist has helped various patients in his/her 23 years of experience as a Gynecologist. Specialist contemplated and finished MBBS, DGO, MD – Obstetrics and Gynecology . Specialist is presently honing at Kailash Hospital IUI IVF Clinic in Sector-27, Noida. You can book a moment arrangement online with Dr. Nandita Gusain Barthwal on elawoman.com.

For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Dr. Bani Kumar Mitra Surgery Centre

One of the main gynecologists of the city, Dr. Bani Kumar Mitra in Rash Behari Avenue has set up the facility and has picked up a devoted demographic in the course of recent years and is additionally every now and again went to by a few big names, trying models and other respectable customers and universal patients too. Dr. Bani Kumar Mitra Surgery Centre one of the best centre . They additionally anticipate extending their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, accuracy and empathy offered at the facility guarantee that the patient’s prosperity, solace and needs are kept of best need. The facility is furnished with most recent sorts of gear and gloats very progressed surgical instruments that assistance in experiencing careful surgeries or strategies.

Surgy Center IUI IVF Clinic

Dr. Bani Kumar Mitra is Top Gynecologist in Rash Behari Avenue, Kolkata. Dr. Bani Kumar Mitra hones at N G Medicare and Calcutta Hope Infertility Clinic, 123 A, Rash Behari Avenue, Kolkata . Dr. Bani Kumar Mitra is DGO, DNB, MRCOG(Lon) . You can Book Online Appointment, Consult with Dr. Bani Kumar Mitra on elawoman.com.

One of the main gynecologists of the city, Surgy Center in Biren Roy Road West has built up the facility and has picked up a dependable customer base in the course of recent years and is likewise as often as possible went by a few big names, yearning models and other decent customers and universal patients too. They likewise anticipate extending their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The effectiveness, commitment, exactness and empathy offered at the center guarantee that the patient’s prosperity, solace and needs are kept of best need.

In vitro fertilization, or IVF, is a specialized procedure to help you get pregnant when other fertility treatments are unsuccessful or unavailable. You may want to consider IVF if you’re dealing with:

Failed standard infertility treatment.

Prolonged infertility (more than three years).

Severely damaged or absent fallopian tubes.

Male factor infertility (low sperm count or low motility).

Endometriosis (severe or failed prior treatment).

Unexplained infertility.

Cervical factor infertility.

The technique involves collecting eggs from the ovaries, fertilizing eggs in the laboratory with partner or donor sperm and then placing developing embryos into the uterus.

Step 1: Induction of Multiple Ovulations (Eggs)

To increase IVF effectiveness, you’ll receive medications to stimulate production of multiple eggs and to inhibit the release of those eggs, a process called ovulation induction. Drugs called GnRH agonists suppress your body’s own hormonal response so that we can directly control the ovarian production of eggs. Other drugs, called human gonadotropins, induce multiple eggs’ development and maturity. Your doctor will administer these drugs (oral or injections) in a set sequence. You’ll continue these medications until it is time to induce ovulation.

Step 2: Egg Retrieval

When your doctor verifies two or more mature, preovulatory follicles, you will be scheduled for egg retrieval 32 to 35 hours after you’ve received the hCG injection. Using ultrasound to guide the procedure, your doctor will pass a needle either through the vagina or abdominal wall into the follicles to collect the eggs. This technique takes 20 to 30 minutes under a light anesthesia, with very little discomfort.

Potential risks do exist; the most common risks include bleeding, either at the puncture site or from the ovaries, infection or failure to obtain eggs. If bleeding from the ovaries persists, an extremely rare event, an operative procedure may be necessary.

Step 3: Sperm Preparation

On egg collection day, you’ll also need a semen sample. Abstinence for 48 hours is required prior to collection. In some situations, your doctor may also ask for a sperm sample prior to the IVF cycle to freeze as a backup in case there’s some problem on egg collection day. Lab technicians will process the sperm sample using specialized techniques to collect the most motile (active) sperm.

Step 4: Egg Fertilization

Retrieved eggs undergo examination by a gamete biologist for maturity and viability. We then place the eggs into a special incubation fluid to complete the final steps of development necessary for fertilization. At a specific time, the specially processed sperm are added to the eggs.

Step 5: Embryonic Growth in the Lab

Approximately 24 hours after retrieval, a gamete biologist performs a fertilization check on the egg(s). If one or more are fertilized, the pre-embryo(s), also called zygotes, are checked at different times to determine adequate growth and development. Typically, embryo(s) grow in the lab for three to five days after egg collection. All aspects of the embryo growth are carefully monitored and controlled.

Step 6: Transfer of Embryos into the Uterus

Once normal growth and development occurs, embryo(s) go back into the uterus, typically three to five days after the egg retrieval. Using abdominal ultrasound to monitor the process, your doctor transfers the embryos through a very fine catheter passed through the cervix and into the uterus. No anesthesia is required although you may receive a mild sedative prior to the transfer. Afterwards, you may need to stay in bed for two hours and rest for the first 24 hours, with no exercising for 14 days.

Ovulation Stimulation

In-vitro fertilization (IVF) is a process that involves the administration of medications to stimulate the development, growth, and maturation of eggs on the ovaries. This process of egg recruitment typically starts with a medication called Lupron which helps us control the menstrual cycle by decreasing your body’s production of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). After the Lupron is administered for 12 to 14 days, we then start the administration of injectable medications to stimulate egg development.

Egg Development

The egg development will be followed closely with a combination of ultrasound monitoring and blood work. When the eggs have reached optimum maturation (typically after 10 days of medications) human chorionic gonadotropin (HCG) is administered to start the sequence of ovulation.

Egg Retrieval

Approximately 35 hours after the HCG administration you are given anesthesia and your eggs are harvested from your ovaries with a needle guided by ultrasound. After the eggs are removed from the ovary they are placed in culture media designed to mimic the conditions of the fallopian tube (where fertilization typically takes place).


The eggs are then combined with the sperm and the resulting embryos are nourished in an incubator that is maintained at precise temperatures to mimic the conditions in the human body. Embryo development is then observed assessing embryo morphology, cell count and growth velocity.

Embryo Transfer

At the appropriate stage of development the embryos are placed into the uterus through a very simple procedure similar to a pap smear. A pregnancy test is then performed approximately 10 days later.

Blastocyst Transfer

Normally, fertilization of the egg occurs in the fallopian tube where the embryo spends three days developing to the 8-cell stage. This embryo then travels into the uterine cavity where it grows to a blastocyst (140 cells) by Day 5. At this point, on either Day 5 or 6, the embryo breaks through the outer membrane (hatching) and attaches to the wall of the uterus where it continues to grow into a baby.

Prior to 1998 most IVF programs transferred three to four embryos on day 3 at the 8-cell stage. The incidence of triplet pregnancies became unacceptably high, accounting for 10 to 15% of pregnancies. Fortunately, a technique which divided the culture process into two steps was developed by Dr. David Gardner, permitting IVF laboratories to grow embryos to Day 5 and thus transfer only two embryos while maintaining high pregnancy rates without the risk of triplet pregnancies or greater.

Blastocyst transfer is an important cornerstone of our IVF program as it allows us to evaluate the embryos over an extended period of time prior to embryo transfer. Not all patients are candidates for a blastocyst transfer, however, and we prefer to select the day of transfer based on the judgment of our embryologist regarding the best chance of a single or twin pregnancy.

Coastal Fertility Specialists also offers a variety of modifications to the standard IVF process to help patients with specific disorders. We offer intracytoplasmic sperm injection (ICSI) for couples with male factor infertility, preimplantation genetic diagnosis (PGD) for couples with genetic disorders and assisted hatching for patients with repeat IVF failure.

Surgy Center IUI IVF Clinic in Kolkata treats the different afflictions of the patients by helping them experience top notch medications and methods. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears – Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.

For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Mitr Hospital Kharghar with Dr. Nandita Dubey

In Delhi, Mitr Hospital Kharghar is a recognized name in patient care. It was incepted in the year 2014. They are one of the well-known Hospitals in Sector 35. Backed with a vision to offer the best in patient care and equipped with technologically advanced healthcare facilities, they are one of the upcoming names in the healthcare industry. Located in , this hospital is easily accessible by various means of transport. A team of well-trained medical staff, non-medical staff and experienced clinical technicians work round-the-clock to offer various services . Their professional services make them a sought after Hospitals in Delhi. A team of doctors on board, including specialists are equipped with the knowledge and expertise for handling various types of medical cases.


The hospital’s architecture has a welcoming design from the outside as well as in the lobby and other areas inside resembling a five star hotel instead of a conventional hospital building.. The hospital offers complete Surgical, Internal, Neuro, Ortho, Gynae and Pediatric care. The hospital encompasses a well equipped Diagnostic wing comprising of CT Scan, Ultrasound, Color Doppler, X-ray and a fully Computerized Radiography system in the Department of Radiology & Imaging and a full fledged Pathology Lab and Non Invasive Cardiology set up of TMT, ECG and Echocardiography.


Mitr Hospitals is regarded as one of the most promising healthcare centre providing a comprehensive yet diligent care in

multiple specialties all under one roof in Delhi-NCR region.

Mitr Stands for :

  • Empathy – We understand your pain and won’t let you stand alone in it.
  • Care – We are always at your constant aid and assistance.
  • Collaboration – We collaborate to create a patient-centric holistic healthcare hub.
  • Companionship – We strive to build a deep rooted relationship.
  • Protect – Our moto of service is ‘Your Life, Our Responsibility’.
  • Compassion – We serve our patients with love and tenderness.

Mitr Hospitals has a rich heritage and is a part of the Triage Group that owns Clarks Inn- Cytrus Hotel. Thus the hospital’s.


genesis has a strong backing of a well- reputed group company with a sound knowledge of hospitality and understanding of customer servicing, which is generally seen as a lacking trait in the Indian Healthcare Industry.


Mitr Hospitals is a 100 bed specialty destination that is divided into a deluxe category of both single and double beds as well as a modern, hygienic and well-maintained general ward category. To offer world- class services the hospital has modular operation theatres, surgical and medical ICUs, NICU, Labour suites and LDR beds.


Dr. Nandita Dubey Gynecologist is one of the best Gynaecologists in Sector-21, Navi Mumbai. You can meet Dr. Nandita Dubey personally at MITR Healthcare Hospital – Advanced Urology & Laparoscopy Centre in Sector-21, Navi Mumbai. Book an appointment online with Dr. Nandita Dubey on elawoman.com.


The hospital’s architecture has a welcoming design from the outside as well as the lobby and other areas inside resembling a five star hotel instead of a conventional hospital building. The hospital structure ensures full utilization of natural light and air circulation with a pleasant view so that our patients heal faster in serenity.


What is an endoscopy?


An endoscopy is a procedure in which your doctor uses specialized instruments to view and operate on the internal organs and vessels of your body. It allows surgeons to see problems within your body without making large incisions.


A surgeon inserts an endoscope through a small cut or an opening in the body such as the mouth. An endoscope is a flexible tube with an attached camera that allows your doctor to see. Your doctor can use forceps and scissors on the endoscope to operate or remove tissue for biopsy.




Why do I need an endoscopy?


Endoscopy allows your doctor to visually examine an organ without having to make a large incision. A screen in the operating room lets the doctor see exactly what the endoscope sees.


Endoscopy is typically used to:


help your doctor determine the cause of any abnormal symptoms you’re having

remove a small sample of tissue, which can then be sent to a lab for further testing; this is called an endoscopic biopsy

help your doctor see inside the body during a surgical procedure, such as repairing a stomach ulcer, or removing gallstones or tumors

Your doctor may order an endoscopy if you’re having symptoms of any of the following conditions:


inflammatory bowel diseases (IBD), such as ulcerative colitis (UC) and Crohn’s disease

stomach ulcer

chronic constipation



unexplained bleeding in the digestive tract



blockage of the esophagus

gastroesophageal reflux disease (GERD)

hiatal hernia

unusual vaginal bleeding

blood in your urine

other digestive tract issues

Your doctor will review your symptoms, perform a physical examination, and possibly order some blood tests prior to an endoscopy. These tests will help your doctor gain a more accurate understanding of the possible cause of your symptoms. These tests may also help them determine if the problems can be treated without endoscopy or surgery.




How do I prepare for an endoscopy?


Your doctor will give you complete instructions on how to prepare. Most types of endoscopy require you to stop eating solid foods for up to 12 hours before the procedure. Some types of clear liquids, such as water or juice, might be allowed for up to two hours before the procedure. Your doctor will clarify this with you.


Your doctor may give you laxatives or enemas to use the night before the procedure to clear your system. This is common in procedures involving the gastrointestinal (GI) tract and the anus.


Prior to the endoscopy, your doctor will do a physical examination and go over your complete medical history, including any prior surgeries.


Be sure to tell your doctor about any medications you’re taking, including over-the-counter drugs and nutritional supplements. Also alert your doctor about any allergies you might have. You may need to stop taking certain medications if they might affect bleeding, especially anticoagulant or antiplatelet drugs.


You may want to plan for someone else to drive you home after the procedure because you might not feel well from the anesthesia.


Dr. Nandita Dubey is experienced gynecologist practicing for more than 19 years in Navi Mumbai. She is renowned laparoscopic endo-gynae surgeon. The surgeries performed by her are laparoscopic vaginal hysterectomy, laparoscopic myomectomy and many other.


What is upper endoscopy?


Upper endoscopy is a procedure that enables the examiner (usually a gastroenterologist) to examine the esophagus (swallowing tube), stomach, and duodenum (first portion of small bowel) using a thin, flexible tube called the upper endoscope through which the lining of the esophagus, stomach, and duodenum can be viewed using a TV monitor.


How do I prepare for endoscopy?


To accomplish a safe and complete examination, the stomach should be empty. The patient will most likely be asked to have nothing to eat or drink for six hours or more prior to the procedure.


Prior to scheduling the procedure, the patient should inform his or her physician of any medications being taken, any allergies, and all known health problems. This information will help the doctor determine whether the patient may need antibiotics prior to the procedure, and what potential medications should not be used during the exam because of the patient’s allergies. The information will provide the individual scheduling the procedure an opportunity to instruct the patient whether any of the medications should be held or adjusted prior to the endoscopy.


Knowledge whether the patient has any major health problems, such as heart or lung diseases, will alert the doctor of possible need for special attention during the procedure.


Dr. Nandita Dubey has practiced in both private practice settings, providing comprehensive care to her patients as well as at academic centres instructing resident physicians in minimally invasive surgery. Her desire is to explore and contribute to the future of women’s health care.


For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008




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