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Gained lots of weight during pregnancy. How to reduce weight? Having lots of hair fall. Suggestions? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:How can I help you?
User:HI Dr. Nice to see u again
User:First of all I would like to thank u for ur advice which u have given me a yr back for my pregnancy.
User:After followed ur tips I got pregnant in a month. & now delivered a healthy baby on 1 Nov 12.
User:I was finding how can I contact u. & now see my luck I am able to find u to convey my gratitude.
User:Dr, I want to reduce my weight. I have put on lot of wt after pregnancy. I am 4.7 ft but 56 kg of wt.
Doctor:I am glad that you had delivered a healthy baby.
Doctor:May I know if you have any complications during pregnancy - any gestational diabetes or hypothyroidism?
User:No problem during preganancy
Doctor:May I know your age?
Doctor:Let me brief you.
Doctor:Weight gain post delivery is a very common complaint in most women.
User:One more thing i got ache in my body mostly on my back & legs. Cant walk & stand for long. Even if I walk for 10 mints I have severe pain in my ankles
Doctor:The weight gain is generally attributed to hormonal changes that occur during pregnancy; however nutrition and lack of exercises also contributes.
Doctor:The body aches and back aches are secondary to pregnancy and that should resolve gradually.
Doctor:I am understand you would like to shed weight.
Doctor:For this, I recommend that you follow a few steps.
Doctor:1. Get your thyroid hormones checked.
User:Ya both. I want to reduce my wt & want to reduce my body ache too
Doctor:Pregnancy usually affects thyroid hormone functions. If they are abnormal they need to be corrected.
Doctor:2. I would like to know whether your menstrual periods commenced? If yes, is it regular?
User:After delivery only once in XXXXXXX 13. till that I do not have any menstrual period
Doctor:If your periods are normal now, then you do not need further testing.
Doctor:3. Follow a strict diet and exercise pattern.
Doctor:Some tips for good diet are as follows:
Doctor:- Start your day with a glass of warm water mixed with honey as you wake up. Avoid coffee or tea at that time
Doctor:- Brisk walk, jog or involve in other cardioexercises for 20 to 40 minutes.
Doctor:- Have a healthy breakfast. Prefer to have plenty of fibre XXXXXXX breakfast. Oatmeal, kellogs, 2 idli or dosa, wheat preparations such as chapati, poori with less oil, etc can form your breakfast.
Doctor:Avoid high calorie products such as coconut chutney, sweets, etc.
Doctor:Are you following?
Doctor:- Right. Follow this up with a light snack at work. Prefer to eat some fruits (apple, orange and any other fruits)
Doctor:- Lunch should compromise of one katori of rice with 2 roti, plenty of vegetables, curd, sambar, etc.
Doctor:Avoid high calorie deserts including ice cream.
Doctor:Instead prefer salad (without mayonase) or a bowel of fruits.
Doctor:- Plan tea/lemon tea or tea with mints along with fibre biscuits can be your evening snacks.
Doctor:Alternative you may choose fruit bowel.
Doctor:- Let your dinner be light and early.
Doctor:Simple dinner consisting of roti with vegetables can do.
Doctor:You may add egg white; fish and meat (if you are a non vegetarian) too.
User:Dr i belong to a muslim family & mostly we have non veg in dinner
Doctor:prefer to have white meat and sea foods.
Doctor:chicken and red meat can be restricted to less than twice a week.
Doctor:Curry can be preferred to deep frying.
Doctor:Sleep after an hour two after dinner.
Doctor:Do not skip meal.
Doctor:Prefer to be more active during the day.
Doctor:Exercise for atleast 30 minutes to an hour; 5 times a week.
User:in day time I use to be in office. I have a siiting job from 10. to 7.00
Doctor:Take breaks from work. Brisk walk around the office when ever possible. Drink atleast 6-7 glasses of water in between work.
Doctor:In addition to the 30 minutes morning exercises.
Doctor:You may contact our dietician for a better planned diet.
Doctor:I am sure you should be able to loose some weight with a better diet and exercises.
Doctor:However you will only feel a sustained reduction after couple of months.
Doctor:So be patient and follow the diet and exercises religiously.
Doctor:If you wish, i shall place a diet request on your behalf.
Doctor:Have you followed?
User:ya plz place adiet request for me
Doctor:I would do that.
User:Also plz advice some nutrient substitutes
Doctor:You can continue iron and calcium supplement for another month. You can add zevit once a day for 3-4 weeks for added benefits.
Doctor:These supplements do not have any effects on weight.
Doctor:Have you followed?
Doctor:Do you have any other query.
User:Zevit is a tablet???
User:right now I am not taking any calcium or iron tablets
Doctor:It's available as capsule and tablets too.
User:zevit consist of both iron & calcium???
Doctor:Calcium and iron supplements are usually prescribed for 2-3 months post deliver.
Doctor:It can be continued to 4-6 months in some cases.
User:also my hairs are falling uncontrolabally. sice one month.
Doctor:Zevit doesn't contain calcium or iron. It contains all vitamins in related proportion and zinc.
Doctor:Hair fall can be related to the recent stress of delivery.
User:How could it be cured
Doctor:Telogen effluvium which refers to sudden shedding of hair is a condition that is associated with stress, infection, delivery, surgery and other stressors.
Doctor:It is a self limiting condition which improves with time.
Doctor:The time taken to see improvement is usually 3-6 months.
Doctor:It is possible that your current symptoms are related to the same.
Doctor:you can fasten the recovery by a good diet.
Doctor:Take plenty of root vegetables in your diet - carrot, radish, beet root, etc in your diet.
Doctor:Try biotin instead of zevit.
Doctor:Biotin also contains nutrients. This has additional benefits on hair.
User:how can i take biotin in aday & for how many months
Doctor:Apply a good antidandruff shampoo such as Nizoral or 8x shampoo.
Doctor:Shampooing for twice or thrice a week is advised.
Doctor:Biotin once a day for 4-6 weeks.
Doctor:Sleep regularly.
Doctor:Monitor your menstrual cycle.
Doctor:I expect your hair fall issue to be solved as you start to reduce weight and with the other measures I suggested.
Doctor:Hope it is clear to you.
Doctor:Do you have any other query?
User:Dr plz advice i do XXXXXXX have any menstrual period after 29 XXXXXXX . Is it ok. Before pregancy I had 28 days cycle.
Doctor:Are you breast feeding your baby?
User:yep in evening till morining. During day time i am in office.
Doctor:Menstrual cycles tend to be irregular during the initial stages after delivery.
Doctor:I would suggest you to watch for another couple of months.
Doctor:If irregularities continue, then you will need to get this evaluated by your gynecologist.
Doctor:Have you followed?
User:Dr my husband also facing same problem of shedding hairs
User:How could it be cured
Doctor:May I know his age and since how long is he having this problem?
User:sice two three years
Doctor:On an average, approximately how many hair strands does he lose in a day?
User:More than 100
Doctor:Does he have any medical problem such diabetes, high blood pressure, thyroid problem?
User:No Never
User:He have pain in his foot & ankle during walk.
Doctor:The hair fall issue of your husband may be related to other causes. Androgen which is a male hormone in excess can cause this problem; it may be related to genes.
Doctor:Dandruff, physical stressors and other factors could be causing his hairfall.
Doctor:you can suggest him to follow the dietary suggestion (plenty of root vegetables); biotin supplement
Doctor:along with regular sleep and daily exercise and anti dandruff shampoo.
Doctor:If the hair fall does not improve, he can try prescription medications such as minoxidil or finastride under the guidance of dermatologist.
Doctor:The drug can help him.
Doctor:If none of the measures help and the hair fall is causing cosmetic concerns, then the last option would be hair transplanation.
Doctor:The treatment for him would be step wise.
Doctor:Therefore, if my suggestions do not help him much, he can visit his dermatologist for the next steps of treatment.
Doctor:Have you followed?
User:How can he take minoxidil or finastride ?
User:Whcih anti dandruff shampoo he can use?
Doctor:These medications are associated with significant side effects - mainly on potency and fertility.
Doctor:I would not suggest him to try them without the guidance of his doctor.
Doctor:Minoxidil is available as topical solutions and finastride as oral drugs.
Doctor:He can try the same nizoral, ketoconazole or 8x shampoo.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:Can we apply medicated oil on head or we can use any oil?
Doctor:Oiling does help. Medicated oils such as herbal preparations are widely available in the market. The effects and potency of those products are beyond my expertise. A homeopath or ayurveda experts can comment on them better.
Doctor:Have you followed?
User:ok Dr.
User:Dr i want to thank u personally as by ur advice only I was able to conceive.
Doctor:I am glad that I have been helpful to you.
Doctor:Please take care of yourself and your child now.
Doctor:You can come back to us if you have any other concerns.
User:Can I have ur address .
Doctor:I am happy that XXXXXXX has been helpful to you. You can write to the customer support team for further details. I would also be pleased if you can share about our service to your colleagues and your friends.
Doctor:Is there any other query?
User:Definitely sir. How can I find u again on this portal? May be I left this organisation within two months?
Doctor:I would be available here on XXXXXXX for assistance on most weekdays.
Doctor:You can contact the customer care team to confirm my presence.
User:Dr I have one more query
User:My daughter is 4 months old now. I had a genetic problem in my teeth & height. My teeth are very weak. They are dark brown in colour & broke very easily, ( layers of my teeth chipped off on eating hard food) if having some hard food like sugarcane/grams etc. Had done crowning on my teeth in yr 2006. Though my real teeth are hidden under the crown but I am afraid if my daughter can have this genetic problem from my side. My height is also very short. it is 4.7 feet, but my husband is tall, he is 5.9 feet. I am also afraid of my baby's growth if she could not take my height. When she was born, her height was 49 cm & wt. was 3.4 kg. Dr. had given me the delivery date of 2 nov 12, & I had delivered my child on 1 Nov 12. Had completed the full pregnancy cycle. Dr plz help me, I dont want my genetic problem transfers to my daughter as I had received the genetic problem from my father as he is 5 feet tall & have same brown teeth. My father has acquired this problem from his father. My father are 8 brothers & sisters, out of them two sister have also acquired the same genetic problem. & their children also get the same problem.
User:her wt & ht when she was born. Her ht was 49 cm & wt was 3.4 kg . Now on 9 march 13 her wt - 6.35 & ht- 60.5cm
Doctor:Regarding your last concern, could we discuss this over a phone perhaps after 3 pm today. I have a few patients waiting in the emergency department.
User:ur ph no. dr??
Doctor:The customer support team of XXXXXXX will connect the call between us.
User:Ok dr, Bye for now
Doctor:If that is ok, I shall close this chat here. Thanks for consulting me.
Doctor:Bye for now.
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