Depression

Below, Dr Bhagavatiben C Patel answers the questions patients ask most.

What is depression?

Depressed mood, negative thinking, loss of interest, feeling lonely, agitation, and excessive thinking are all symptoms of depression. If these symptoms last for two weeks or more, we call it depression.

What causes depression?

The major causes of depression are stress, negative thinking, changes in brain neurotransmitters, environmental changes, and social or economic pressure.

Can we manage depression without medicine?

Yes. There are many things you can do without medicine, including yoga, music, exercise, dance, counselling, cognitive therapy, hypnotherapy, supportive therapy, lifestyle changes, reading books, and listening to motivational talks.

Does medicine work for depression?

Yes, medicine definitely works for depression. Your doctor will decide if and when it is needed.

Are there any side effects of the medicine?

Yes, there can be some common side effects, including acidity, sexual disturbances, excessive sleepiness, and nausea. Speak openly with your doctor about anything you notice, so we can adjust the treatment.

Pregnancy & Child Care

Simple answers to common questions about pregnancy, childbirth, and newborn care.

How do I know if I am pregnant?

A missed period, nausea or vomiting, or a positive pregnancy test all suggest you may be pregnant.

What are the symptoms of pregnancy in the first three months?

A missed period, nausea and vomiting, tiredness, heaviness in the breasts, frequent urination, loss of appetite, and a change in taste.

How do I know if my blood pressure has risen during pregnancy?

Often there are no symptoms. If you have a headache, dizziness, blurred vision, swelling in the legs, or swelling all over the body, get your blood pressure checked.

I have had two or three miscarriages before. What tests should I have this time?

As advised by your gynaecologist, get blood tests, thyroid, sugar, an ultrasound, and any other necessary investigations.

When should intercourse be avoided during pregnancy?

Avoid intercourse if there is bleeding, leaking of fluid, abdominal pain, a placenta problem, or whenever your doctor advises against it.

Can I lift heavy weights or do housework during pregnancy?

Light, everyday housework is fine, but avoid lifting heavy weights.

How do I know that labour has started?

Regular, repeating abdominal pain, leaking of water, or bleeding can be signs of labour.

When should I start breastfeeding after delivery?

If possible, start breastfeeding within the first hour after birth.

What should I do if the baby is not breastfeeding?

First, get guidance on the correct breastfeeding technique. If needed, formula milk can be given as advised by your doctor.

For which symptoms in a newborn should I consult a doctor?

If the baby is not feeding, has difficulty breathing, fever, excessive yellowness (jaundice), convulsions, or is very lethargic, see a doctor immediately.

Can it be said in advance whether my delivery will be normal or by operation?

It depends entirely on the condition of the mother and the baby. The final decision is taken at the time of delivery.

Which tests should be done during pregnancy?

Routine blood tests, urine tests, blood group, sugar test, and ultrasounds done on schedule.

My blood group is negative. What should I do?

Get your husband's blood group and the necessary blood tests done, and take the Anti-D injection as advised by your doctor.

I had a caesarean before. Can I have a normal delivery this time?

In many cases it is possible, but it depends on the previous operation and the condition of the current pregnancy.

Gynaecology

Simple answers to common questions about women's health.

I have had pain during my periods ever since they began. What should I do?

Mild pain can be normal. If the pain is severe, consult a gynaecologist.

What is PCOD? What symptoms can it have?

PCOD is a hormonal problem. Irregular periods, weight gain, facial hair, and acne are its common symptoms.

What can cause heavy periods?

Hormonal imbalance, a uterine fibroid, a polyp, thyroid problems, or other gynaecological issues can be the cause.

What can cause light or scanty periods?

Hormonal changes, PCOD, stress, excessive exercise, or changes in weight can be the cause.

What can cause pain during intercourse?

Infection, vaginal dryness, endometriosis, or other gynaecological causes can be responsible.

What can cause bleeding from the vagina after intercourse?

Infection, a problem with the cervix, or other gynaecological issues can be the cause. It is important to get it checked.

How do I know I have reached menopause?

If you have no periods for 12 continuous months, it is generally considered menopause.

What precautions should I take during menopause?

A balanced diet, regular exercise, calcium and vitamin D, and timely health check-ups.

I am unable to conceive. How should I proceed?

Both husband and wife should consult a gynaecologist and have the necessary tests done.

What can I do to prevent cervical cancer?

Have regular Pap smear tests and get the HPV vaccine.

When should the cervical cancer vaccine be given, and what is it called?

The HPV vaccine (such as Gardasil 9) is best given between ages 9 and 14, but it can also be taken at an older age on a doctor's advice.

Is bleeding from the vagina after menopause a serious matter?

Yes. Any kind of bleeding after menopause should be examined immediately.

What are the ways to remove the uterus (hysterectomy)?

The operation can be done through an abdominal incision, through the vagina, or by laparoscopy (keyhole surgery). The right method depends on the patient's condition.

What does laparoscopic (keyhole) surgery of the uterus mean?

An operation done through small incisions using a camera and special instruments.

After a uterus operation, how much rest is needed and when can intercourse resume?

Usually 4 to 6 weeks of rest, and intercourse can resume after about 12 weeks as advised by your doctor.

What is premenstrual syndrome (PMS)?

Symptoms before a period such as irritability, mood changes, breast tenderness, or bloating.

I get headaches during my periods. What should I do?

Get enough rest, drink water, and if needed take medicine as advised by your doctor.

By what age should periods begin?

Periods usually begin between ages 10 and 15. If they have not begun by age 15, get it checked.

What precautions can I take to prevent breast cancer?

Do a monthly breast self-examination, keep a healthy lifestyle, and have a mammography as appropriate for your age.

Is there any harm after the uterus is removed? What is the effect of removing it at a young age?

If the operation is needed for medical reasons, it is safe. However, if the ovaries are also removed, menopause can come early, so take the decision on your doctor's advice.

This information is for general guidance only. For specific advice, please consult your doctor.

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