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How Much Water Should You Drink During Pregnancy? Listen carefully and you’ll hear a collective sigh of relief from pregnant women everywhere as we lay the “eight glasses of water per day” myth to rest. It has no proven benefit by itself—and no woman’s bladder, already pressured by a growing baby, welcomes two litres of water on top of the requisite milk, juice and other drinks. A pregnant woman needs, on average, approximately 10 cups (2.3 liters) of fluid per day. This includes the recommended three to four glasses of milk or calcium-fortified soy beverage. Fluid requirements can also be met Subscribe to our Pregnancy by Week newsletterYOU’RE PREGNANT! Sign up to get weekly email updates on your baby »with a glass or two of fruit or vegetable juice, herbal tea, soup, rice drink or any other non-alcoholic refreshment. Coffee and regular tea also count, in spite of their diuretic qualities, but should be consumed sparingly because of the caffeine. Drinking water—either bottled or tap water—is a great way to rehydrate during or between meals. In addition, your body will derive water from food, especially fruit, vegetables and semi-liquid foods like yogurt. To give it credit, the eight cups a day rule is helpful if it results in water replacing a habitual, equivalent intake of pop or other sweetened drink. Beware! Eight cups of “fruit punch, ” “cocktail” or soft drink might quench thirst, but they also deliver more than a cup of sugar, or about 800 empty calories. Of course, with exercise and hot weather, it is important to drink additional fluid. Make sure you carry water along with you, but don’t feel you have to be sipping constantly. For activities that last longer than one hour, take diluted juice or a sports drink. Listen to your thirst signal and enjoy a quick smoothie, a few slices of watermelon or a delicious, tall glass of water! Gyne doctor in Jalandhar Gynecologist in Jalandhar
Pre-Pregnancy Health 1. Take your vitamins every day It is recommended that women take 0.5mg folic acid supplements daily for at least three months before pregnancy and for three months into the pregnancy. This reduces the risk of neural tube defects (most commonly spina bifida) in babies. Other supplements are usually not necessary if your diet is adequate, however taking a multi-vitamin specifically for pregnancy or ovulation may benefit your overall health. Some of these multi-vitamins include folic acid. 2. Watch your diet A balanced diet is important for your overall health – make sure you include plenty of leafy green vegetables for folic acid. 3. Check your weight If you are significantly overweight or underweight, it can adversely affect your chance of getting pregnant. Use a Body Mass Index (BMI) calculator to check if you have an appropriate body weight. If you have a high BMI, you can improve your fertility dramatically with just a 5-10% reduction in weight. 4. Regular moderate exercise Walking, jogging and other moderate exercise, are good for maintaining a healthy lifestyle. However, there is evidence that you should not do strenuous exercise more than four times a week during pregnancy. 5. Quit smoking now Active and passive smoking is detrimental for your health, and can affect fertility in both men and women. Women who smoke tend to reach menopause earlier than non-smokers. There is also strong evidence that female smokers not only have reduced fertility, but also have a higher miscarriage rate. Smoking during pregnancy has adverse effects on the growing baby, and can contribute to many childhood illnesses. There is also strong evidence that a child born to a male smoker is four times more likely to develop cancer in childhood. It is strongly recommended that you do not smoke during treatment or throughout pregnancy. 6. Alcohol The impact of alcohol on a woman’s reproductive system is unknown, however heavy intake in men is known to affect sperm production. Reduce your alcohol intake during the second half of your menstrual cycle, where pregnancy could be a possibility. The weeks following a positive pregnancy test are an important stage of development for the baby, and abstinence from alcohol is recommended. 7. Caffeine High caffeine intake has been linked with female infertility in some research studies, but the reason for this is not obvious. It is worth considering a moderate coffee intake (no more than two cups per day) if you are trying to get pregnant. Be aware that caffeine is present in other beverages and food, such as Cola drinks and chocolate. Lady Specialist Doctor in Jalandhar No.1 Gynecologist in Jalandhar
Why thyroidectomy is done? A thyroidectomy may be recommended for conditions such as: Thyroid cancer. Cancer is the most common reason for thyroidectomy. If you have thyroid cancer, removing most, if not all, of your thyroid will likely be a treatment option. Thyroid treatment in Jalandhar Goitre (Noncancerous enlargement of the thyroid Removing all or part of your thyroid gland is an option if you have a large goitre that is uncomfortable or causes difficulty breathing or swallowing or, in some cases, if the goitre is causing hyperthyroidism. Overactive thyroid (hyperthyroidism).Hyperthyroidism is a condition in which your thyroid gland produces too much of the hormone thyroxine. If you have problems with anti-thyroid drugs and don't want radioactive iodine therapy, thyroidectomy may be an option. Thyroidectomy specialist in Jalandhar Risks Thyroidectomy is generally a safe procedure. But as with any surgery, thyroidectomy carries a risk of complications. Potential complications include: Bleeding Infection Airway obstruction caused by bleeding Permanent hoarse or weak voice due to nerve damage Damage to the four small glands located behind your thyroid (parathyroid glands), which can lead to hypoparathyroidism, resulting in abnormally low calcium levels and an increased amount of phosphorus in your blood. What you can expect Before the procedure Surgeons perform thyroidectomy during general anaesthesia. You may have a drain under the incision in your neck. This drain is usually removed the morning after surgery. After a thyroidectomy, you may experience neck pain and temporarily hoarse or weak voice. You'll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or your doctor may recommend you stay overnight in the hospital which provides you best medical services in the hospital for patients in Jalandhar . When you go home, you can usually return to your regular activities. Wait at least 10 days to two weeks before doing anything vigorous. Results The long-term effects of thyroidectomy depend on how much of the thyroid is removed. Partial thyroidectomy If only part of your thyroid is removed, the remaining portion typically takes over the function of the entire thyroid gland, and you might not need thyroid hormone therapy. Total thyroidectomy If your entire thyroid is removed, you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Levoxyl, Synthroid, Unithroid). This hormone replacement is identical to the hormone normally made by your thyroid gland and performs all of the same functions. Dr Rupinder Bhargava Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE In Jalandhar
WHAT IS THE TREATMENT ADVOCATED IN STAGE 3 OF BREAST CANCER? Stage 3A breast cancer means that the cancer has spread to four to nine axillary (armpit) lymph nodes, or has enlarged the internal mammary lymph nodes. The primary tumour may be any size. It can also mean the tumour is bigger than 5 centimetres, and small groups of cancer cells are found in the lymph nodes. Finally, stage 3A can also include tumours greater than 5 centimetres in size with involvement of one to three axillary lymph nodes or any breastbone nodes. Stage 3B means a breast tumour has invaded the chest wall or skin and may or may not have invaded up to nine lymph nodes. Stage 3C means cancer is found in 10 or more axillary lymph nodes, lymph nodes near the collarbone, or internal mammary nodes. Treatment for stage 3 breast cancers is similar to that of stage 2.
LAPAROSCOPIC ABDOMINAL PERINEAL RESECTION Laparoscopic abdominoperineal resection(APR) is a surgery to treat cancer low in the rectum or in the anus, close to the sphincter muscles. The surgery, which removes the anus, rectum, and sigmoid colon, uses the laparascopic technique that calls for four to five small incisions.Laparoscopic techniques eliminate need of long abdominal incision used in open/classical APR, thereby minimising postoperative pain and hence fast recovery. BHARGAVA HOSPITAL is pioneer in the region for laparoscopic cancer operations and offers wide range of advanced minimal invasive operations. Cancer Surgery in Jalandhar Laparoscopic Cancer Surgery in Jalandhar Advanced Laparoscopic surgery Jalandhar
Types of cancer (uterine cancer) Uterine cancer also called Endometrial cancer, Uterine sarcoma, or Ureteral cancer.Uterine cancer or womb cancer is any type of cancer that emerges from the tissue of the uterus. It can refer to several types of cancer, with cervical cancer (arising from the lower portion of the uterus) being the most common type worldwide and the second most common cancer in women in developing countries. Endometrial cancer (or cancer of the inner lining of the uterus) is the second most common type, and fourth most common cancer in women from developed countries. Risk factors depend on specific type, but obesity, older age, and human papillomavirus infection add the greatest risk of developing uterine cancer. Early on, there may be no symptoms, but irregular vaginal bleeding, pelvic pain or fullness may develop.If caught early, most types of uterine cancer can be cured using surgical or medical methods. When the cancer has extended beyond the uterine tissue, more advanced treatments including combinations of chemotherapy, radiation therapy, or surgery may be required. Uterine cancer treatment in Jalandhar Cancer Specialist in Jalandhar
Pregnancy Tips Average labor length for a first-time mom is about 12 to 18 hours, but there's a lot of different factors that go into this. And some women go faster, some take longer, and most of all, it's because your body has never done this before, and so when you start contracting, it takes a little bit longer for your cervix to change. And things go more slowly between the time of being 1 centimeter to 4 centimeters, and things usually start to pick up from 4 centimeters on. It' s typical to go about a centimeter per hour during labor after you hit that 4 centimeter mark. Now once you get to 10 centimeters, you have to push the baby out, and average pushing time for a first-time mom is 1 to 2 hours, and so if you've never heard that, that's a huge news flash. And it takes a while, because the baby has to stretch all of those tissues that are holding them back, and so it just takes good, hard pushing during contractions in order to stretch the tissues and help the baby come out. But second labors, third, fourth labors (however many kids you've had after your first) typically go much faster, because once you start to go into labor, your body is like "Oh I remember this, I've done this before". And your labor length is usually at least half the length of what it was the first time, and when it comes time to push, you usually don't have to push that much. Usually it's just a few contractions worth of pushing to get the baby to come through the pelvis and then come out. So it goes much faster. These principles have a couple of different applications. For one, say a woman had a vaginal delivery on her first, and then she had to have a C-section on her second for whatever reason, and then on the third, wanted to attempt a vaginal birth after the C-section, her doctor would talk to her and see if she was a good candidate. But if the doctor said she was, she would be more likely to have a successful VBAC, because she'd had one previous successful vaginal delivery on her first, meaning a baby has actually come through the birth canal, everything has worked well once before, and it's likely to work well again. Some women want to know if a history of miscarriage will affect their first labor length when they have a live delivery. And it won't. It will still be the typical 12 to 18 hours, give or take, depending on the circumstances. Gyne Doctor in Jalandhar Gynecologist in Jalandhar