How to manage Breast Pain ft. Dr. Rohan Khandelwal | Dr Anjali Kumar | Maitri

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  • เผยแพร่เมื่อ 2 ต.ค. 2024

ความคิดเห็น • 511

  • @lefthandedsurgeon
    @lefthandedsurgeon 3 ปีที่แล้ว +635

    Thank you for this opportunity ma’am. 😊

    • @drr7182
      @drr7182 3 ปีที่แล้ว +16

      So happy to see you here sir 🙏 , greetings from a student 😊

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว +10

      @@drr7182 😊
      Thanks for ma’am for covering such an important issue. Please do share the video with your friends

    • @drr7182
      @drr7182 3 ปีที่แล้ว +5

      @@lefthandedsurgeon Already did sir ! Thank you and Thank you so much Anjali ma'am ❤️

    • @spoorthia2558
      @spoorthia2558 3 ปีที่แล้ว +6

      Being your student is a blessing sir .. never could have asked for a better teacher for the surgery module thank you so much for inspiring us 🙏🏻

    • @Gaurgeous
      @Gaurgeous 3 ปีที่แล้ว +4

      I have seen your video on self breast examination. Very useful👌👌👌

  • @shareefamal
    @shareefamal 3 ปีที่แล้ว +50

    Rohan Khandelwal sir.......Amazing amazing teacher. He had taught me SURGERY in DAMS around 4 years back.....
    You have always been an amazing person.
    Thank you.

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว +2

      Thank you 😊. Please do share the video with your friends

  • @hetalmulchandani472
    @hetalmulchandani472 3 ปีที่แล้ว +318

    When Marrow's best teacher and favorite youtuber's mother collab together😀

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว +12

      😊😊

    • @rushade5140
      @rushade5140 3 ปีที่แล้ว +1

      True

    • @naziasajid3681
      @naziasajid3681 3 ปีที่แล้ว

      Suraf bary lagy period se kuch den Pahly tu Kya normal ha

    • @naziasajid3681
      @naziasajid3681 3 ปีที่แล้ว

      @@lefthandedsurgeon
      Lift breast ziyada Bary lagy tu Kya normal ha

    • @drsahilsaha9598
      @drsahilsaha9598 3 ปีที่แล้ว

      Best? Well that's subjective. But Rohan sir is very very good indeed.

  • @anirudhdabral6759
    @anirudhdabral6759 3 ปีที่แล้ว +172

    Really ladies life is so difficult... can't imagine full of pain in every stages of life..... Every man should support well in those times just like how mother take care of her child.... 🙏🙏🙏

  • @aashnanarang7075
    @aashnanarang7075 3 ปีที่แล้ว +34

    It feels like I m part of their conversation , being a student at dams we attended Rohan's sir class nd saw ma'am guest appearance in Sejal's channel .Now she made herself awesome platform maitri .😀
    I really appreciate the topics you ppl take we really need more stuff like that ☺️

  • @sonalikagupta4017
    @sonalikagupta4017 3 ปีที่แล้ว +128

    Being Rohan Sir’s student felt so proud ! Thank you for the information Anjali ma’am and Rohan sir 🙌🏼👌

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว +10

      😊 thanks. Please do share this with your friends

  • @jyotinalawade5900
    @jyotinalawade5900 2 ปีที่แล้ว +1

    Thank you for this video madam. I also suffering from light breast pain. Now my all doubts r cleared. Thanks alot.

  • @sharvanireddy1637
    @sharvanireddy1637 3 ปีที่แล้ว +11

    I think cutting down sugar has so much benifits.😶

  • @fariaahmedmoumita1020
    @fariaahmedmoumita1020 2 ปีที่แล้ว +1

    Thank you Dr. Anjali ma'am! Your contents have been very informative. And this episodes is master piece for lots of women.

  • @anjalirawat8377
    @anjalirawat8377 3 ปีที่แล้ว +4

    Thank you ma'am. Thank you sir. This was very informative. I hope we keep recieving informative videos like this in the future. May God bless you, your team and your loved ones ❤️

  • @shikha6548
    @shikha6548 3 ปีที่แล้ว +1

    Precise & accurate 👍🏻👍🏻 thank you for sharing the right information in best possible way. It really helps a lot🙏

  • @sakshiyadav6605
    @sakshiyadav6605 3 ปีที่แล้ว +6

    Im very much appreciate your hard work♥️💫

  • @rexcynivetha8454
    @rexcynivetha8454 3 ปีที่แล้ว +3

    Tq doctor ...for this educative session...keep posting more videos in future 😇

  • @purwarkrati
    @purwarkrati 3 ปีที่แล้ว +13

    Hi Ma'am,
    Can you share a short video on how bras affect our breasts? Do they actually help in some ways?
    Thanks in Advance

  • @sanjanakindalkar6193
    @sanjanakindalkar6193 3 ปีที่แล้ว +23

    Thank you mam for helping youngster for leading with these conditions

  • @Ananailschool
    @Ananailschool 3 ปีที่แล้ว +2

    This information was much needed for me. Thank you 🙏🏻 your channel is a blessing mam ❤️

  • @god563616
    @god563616 3 ปีที่แล้ว

    This was INCREDIBLE!!! I am experiencing this right now.I will change my diet!!!

  • @smitamistry9041
    @smitamistry9041 ปีที่แล้ว +1

    Best answers for all my questions in short and nice video

  • @zuriasart8182
    @zuriasart8182 2 ปีที่แล้ว +2

    Thanks for reply dr my sis 10 year older surfing from this pain first time nd only 30 min pain duration

  • @thePribs
    @thePribs 3 ปีที่แล้ว +10

    Dr. Anjali looks like a 20 something year old. Kudos to the way she takes care of herself !

    • @moonlight-mm3iw
      @moonlight-mm3iw 3 ปีที่แล้ว +2

      Sejal posted about Dr. Anjali's 58th birthday! I was shocked

  • @SwethaUmesh
    @SwethaUmesh 3 ปีที่แล้ว +4

    It was great seeing you here sir! Very informative video!

  • @akansha_t10
    @akansha_t10 3 ปีที่แล้ว +31

    Greetings from your student here, Rohan sir 🙏 .. Had been wondering for this collab to happen from some time now .. and voila!! 😋🥰

  • @sarithabalakrishna153
    @sarithabalakrishna153 3 ปีที่แล้ว

    My favorite teacher Dr.Rohan khandelwal, sir surgery is easy just because of you sir, thank you soo much😇🙏

  • @SandhyaRosa
    @SandhyaRosa 3 ปีที่แล้ว +2

    Very informative thanks 🙏

  • @akankshablueberry
    @akankshablueberry 3 ปีที่แล้ว +24

    Extremely delighted to see Rohan sir on Maitri! He is simply the best 😄

  • @navdeepgill9729
    @navdeepgill9729 3 ปีที่แล้ว

    Very nice and informative topic. This topic is usually not given much highlight. It great to see such video

  • @aimenanssari37
    @aimenanssari37 3 ปีที่แล้ว +1

    Very informative and way of talking is very nice good job

  • @Drtanujavats
    @Drtanujavats 3 ปีที่แล้ว +39

    Oh my god I can’t believe my two favorite doctors in one frame ♥️♥️♥️ rohan sir is amazing 💕😍 thanks for covering this important topic 🙏

  • @komalmehta3068
    @komalmehta3068 3 ปีที่แล้ว

    Thank u so much, I m going through this from last 2 months...

  • @madhavishinde2540
    @madhavishinde2540 3 ปีที่แล้ว +9

    Please cover topic of hairloss aswell. I am 16 years old and I have a hairfall problem so can I start taking supplements like cod liver oil ???

  • @oviyakrishna3689
    @oviyakrishna3689 3 ปีที่แล้ว +14

    Being Rohan sir student hearing wat he say is vera level feeling .. Soo proud to be student of Rohan sir

  • @DivyaKumari-td9ub
    @DivyaKumari-td9ub 3 ปีที่แล้ว

    Such a very helpful video thanks doctors 🙏🙏🙏🙏

  • @NavneetSingh-yf2bf
    @NavneetSingh-yf2bf 2 ปีที่แล้ว

    Thank you Dr. It was wonderful watching this video.

  • @aishwaryabhattacharya8215
    @aishwaryabhattacharya8215 3 ปีที่แล้ว

    Rohan sir I am your student at marrow... I am a big fan of your teaching... Wish I did a live class of yours someday 🙏

  • @nancynikita5231
    @nancynikita5231 3 ปีที่แล้ว +1

    It was so informative.. thank you

  • @rosediariez
    @rosediariez 3 ปีที่แล้ว

    Thankyou very helpful and informative 😊

  • @drcharuprasad9356
    @drcharuprasad9356 3 ปีที่แล้ว +1

    Wow Rohan sir..and mam together.🤩

  • @namratasharma7917
    @namratasharma7917 3 ปีที่แล้ว +8

    Hello ma'am ! Please post a video on Menstrual cup also. Is it advisable for unmarried women too ? What are its pros and cons ? Can Menstrual cup replace sanitary pads ?

    • @tejasveebisen1110
      @tejasveebisen1110 3 ปีที่แล้ว

      Yes mam please make a video for menstrual cups

  • @kavithajapa3044
    @kavithajapa3044 3 ปีที่แล้ว +3

    Thank you mam and Rohan sir, very informative video.

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว

      Thank you. Please do share it with your colleagues

    • @kavithajapa3044
      @kavithajapa3044 3 ปีที่แล้ว

      @@lefthandedsurgeon sure sir, thank you.

  • @Life.struggle.more9
    @Life.struggle.more9 3 ปีที่แล้ว +1

    Thank you Ma'am & Sir.. very helpful info, suffering from same problem since 2 yrs.. doctor advised for weight loss I did almost came on 70 kgs from 89 kgs. treated by 2 different gynacologists but still suffering. u answered my most of the ques in mind.. like to consult you with appointment In clinic.

  • @shambhaviranjan9249
    @shambhaviranjan9249 3 ปีที่แล้ว +3

    Oh my god.. Rohan sir.. This was the most unexpected collab to see😍😍
    Huge fan of Rohan Sir's teaching

  • @glamvibes111
    @glamvibes111 3 ปีที่แล้ว +1

    Wow such a best u Tuber ❤️❤️❤️❤️❤️ thank u 4 ur beautiful knowledge thank u a lott so beautiful can't explain ❤️❤️

  • @beenafrancis4706
    @beenafrancis4706 3 ปีที่แล้ว

    Very informative thanks doctor 👍

  • @shanthin8335
    @shanthin8335 3 ปีที่แล้ว

    Thank you mam for the useful information.

  • @Muskan_2308
    @Muskan_2308 ปีที่แล้ว +2

    Can PCOD causes breast pain ?please please answer this I m in constant anxiety?

  • @pujabhattacharyya2633
    @pujabhattacharyya2633 3 ปีที่แล้ว +2

    Thank you for this video. This is what I was looking forward to. And the advice in the end regarding home remedy is really helpful. I started taking haldi water with a little honey and a pinch of black pepper in it because that helps the absorption of haldi into the body. And it really helped. But yes I would also like to mention that earlier I was taking some other medication for a health issue I was suffering from. My medication course also ended recently. And those medications did caused hormonal imbalance in me. So that's another thing. But overall this is a natural remedy and it's really helpful.

  • @rujadahal4476
    @rujadahal4476 2 ปีที่แล้ว +1

    Thankyou mam ♥️

  • @iamnykira
    @iamnykira 3 ปีที่แล้ว

    Thank you 🌸

  • @bishnupriyamajhi7400
    @bishnupriyamajhi7400 3 ปีที่แล้ว +2

    Dr Rohan sir🤩

  • @papihadhongade6859
    @papihadhongade6859 3 ปีที่แล้ว

    Superb ma'am keep alerting us

  • @zingbling
    @zingbling 3 ปีที่แล้ว +5

    Can back pain also sometimes trigger breast pain?

  • @sujyotighosh7581
    @sujyotighosh7581 3 ปีที่แล้ว

    Mam you are doing really really great job...my request is that...kindly make a video about gynecomastia and man boobs or breast problems and how to cure and fix it at initial stages or waht are the surgery to be done to fix it...where to go and which hospital are the best for such operations and how much will it cost in India...please please please make a video on this...it would be very helpful for my son and other people who need your help🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

  • @jyotikotia5518
    @jyotikotia5518 3 ปีที่แล้ว +2

    Should one can wear sports bra rather than nrml one , is it better in any way?

  • @suzettejoycepugong7635
    @suzettejoycepugong7635 3 ปีที่แล้ว +7

    Thank you so much Dr Anjali for this video. Im so stressed today for feeling pain on my Left nipple all of a sudden. Im being paranoid of thinking if its already a sign of Breast cancer. After watching your video my anxiety was alleviated atleast. Thank you very much and may God Bless you always Dra.

    • @azelandzach902
      @azelandzach902 3 ปีที่แล้ว

      How r u

    • @Kavita2024
      @Kavita2024 3 ปีที่แล้ว

      Hi ab aap kse h plz bto kse thk hue aap

  • @dr.arohika1326
    @dr.arohika1326 3 ปีที่แล้ว +3

    Omg. Rohan sir 💖

  • @mssburr
    @mssburr 2 ปีที่แล้ว

    Which is better for breast pain or welling after being hit in the breast,
    A warm or cold compress...

  • @torkadshubhangi3492
    @torkadshubhangi3492 3 ปีที่แล้ว

    Mam plz make vedio on girls height after meastrual cycle ,and how to be increased it ,also exercise to increase height .And your all vedio is very informative to all us👍👍

  • @ronakjain2564
    @ronakjain2564 3 ปีที่แล้ว +5

    Ma'am this is really so informative and important for a common women !! But i think this would be more realistic and usefull if recorded in hinglish since majority of beneficiaries r not understanding the gist of this .......anyways thanks ma'am and sir for recording this piece if life ❤️❤️❤️

  • @BharagavaNIVI
    @BharagavaNIVI 3 ปีที่แล้ว +27

    Before periods I have a lot of pain and cramps in the breasts which causes me a lot of discomfort.😖😭 For many years in my teenage, due to shame and hesitation, I did not even tell my mother.😶😢 But ma'am and sir thank you very much, you have cleared all my confusion.🙏🏼🙆🏻‍♀️
    Really very helpful videos ...❤️

    • @ashilemarya7744
      @ashilemarya7744 3 ปีที่แล้ว +1

      I have same and exact problem during my teenage

    • @asima4464
      @asima4464 3 ปีที่แล้ว +3

      Don’t feel ashamed about anything, your pain is valid and you should be open about your discomfort. Your pain matters.

  • @eyedocchef
    @eyedocchef 3 ปีที่แล้ว +6

    Good to see you sir. Rohan Khandelwal. Missed your class in dams kolkata.

  • @aakritisrivastava7785
    @aakritisrivastava7785 3 ปีที่แล้ว +6

    Does bloating/gas also cause breast pain?

    • @themedicos2116
      @themedicos2116 3 ปีที่แล้ว

      Gas/bloating doesn't usually cause pain in the breast it causes pain in the chest which is sometimes mistaken for agina pectoris (A type of chest pain caused by reduced blood flow to the heart)

  • @FromTenkasi
    @FromTenkasi 3 ปีที่แล้ว +2

    Good evening mam
    Before 3yrs i did breast surgery due to breast cancer ..am now 34 yrs old..
    How can i maintain regular period?
    Now i take tomaxifen also..
    Can i pregnant? If i stop the tablet.
    That's ok for my health r not..
    Kindly give some advices..
    Thank u

  • @maitrisinghadd2637
    @maitrisinghadd2637 3 ปีที่แล้ว +5

    Ma'am can you please tell about non Cancer breast lumps

  • @rinjusam
    @rinjusam 3 ปีที่แล้ว +2

    Hi Sir, I have breast pain before menstruation... From few months it is like a chest pain when I lift right hand up then i get chest pain. This starts one week after my periods and last till the second or third day of my next periods.. Could you please suggest what this could be?Im 37 yr old. And working...

  • @radhikarajeshdesai
    @radhikarajeshdesai 3 ปีที่แล้ว

    Madam my daughter is 12 year old and her period starts from last 4 months but she has a problem with breast pain from last 6 months. please suggest some remedy

  • @Niksjais08
    @Niksjais08 3 ปีที่แล้ว +4

    Mam can you please make a dedicated video on breast lumps... their frequency of occurrence, feeling of heaviness in breast which leads to discomfort while wearing bra. Please

    • @ShagunRai_
      @ShagunRai_ 3 ปีที่แล้ว

      I wanna know that too

  • @Gossypol
    @Gossypol 3 ปีที่แล้ว +5

    I'm only watching this channel cause I'm Rohan sir's student.

    • @lefthandedsurgeon
      @lefthandedsurgeon 3 ปีที่แล้ว +1

      It’s a very informative channel

    • @Gossypol
      @Gossypol 3 ปีที่แล้ว

      Ofcourse sir. Surely I'll ask my both medico & non medico friends to subscribe for this channel.

  • @molikarora5494
    @molikarora5494 3 ปีที่แล้ว

    Is cyclic pain gonna cause problems in pregnancy if its not treated.

  • @rosycrasto8942
    @rosycrasto8942 3 ปีที่แล้ว +4

    Thank u maam for sharing ur information on all these things and keeping us updated every time...Keep going like this way...N giving us ur precious time😘...God bless u

  • @nikitapradhan5298
    @nikitapradhan5298 3 ปีที่แล้ว +3

    Ma'am my mom is in the phase of menopause and faces breast pain, so it it occuring because of hormones? Please reply

  • @nairitamukherjee750
    @nairitamukherjee750 3 ปีที่แล้ว +3

    Much thanks to Anajali ma'am and Rohan sir... please make more such videos related to breast lumps...

  • @richalikhyani7204
    @richalikhyani7204 ปีที่แล้ว

    make a video about metastatic breast cancer.

  • @vrushaliterekar4030
    @vrushaliterekar4030 3 ปีที่แล้ว

    Mam, I have been watching your channel and it's really nice to see a doctor discuss all these topics on a platform like TH-cam as it isn't possible for all of us to visit you and I haven't met these many gynaecologists who could have these open conversations because of the norms of society. I'd really like to suggest you talking about female masturbation and how it's important how to orgasm and help women know these processes as sex is just entitled for sexual pleasure of men and pregnancy for women a professional doctor opening a conversation about these topic would make a lot of impact on the millennial women who are watching and so far visiting you as well. Regardles the information you try to provide is commendable and we're all thankful for having someone like you.

  • @sonalibudhiraja1539
    @sonalibudhiraja1539 3 ปีที่แล้ว +1

    I want to ask one more question?
    Should we remove bra before sleep?

  • @LLCoolBeans86
    @LLCoolBeans86 2 ปีที่แล้ว +2

    This was the most helpful video I have found. I truly appreciate both of you sir and ma'am!!

  • @ankitafalke3621
    @ankitafalke3621 3 ปีที่แล้ว +1

    Mam u gave very useful information thank u so much...but mam im suffring from little bit breast pain and my breast doesn't increase what shall i do???

  • @rutabaxi
    @rutabaxi 3 ปีที่แล้ว +2

    Hello Doctor...I had a question.
    My daughter who is if nine years of age has started developing body changes.Breast started forming.
    She has breast pain which is continuous . When there is a slight touch to it ...or even when not.
    Is this common in pre puberty girls.
    Kindly advise.
    Thank you Ma'am

    • @dranjali1357
      @dranjali1357 3 ปีที่แล้ว

      Kya hmesha pain rhti hai uski weight kitni hai

  • @allenturyabanawe7105
    @allenturyabanawe7105 ปีที่แล้ว +1

    I've been having breast pain for more than 3 weeks now I've been using P2 every once a week but stopped now using monthly pill but still having the pain in both my breasts

  • @amrutaachrekar2872
    @amrutaachrekar2872 3 ปีที่แล้ว +3

    This is the so helpful. Thank you so much. Like really thank you so much. 😀😀😀

  • @venkybly
    @venkybly 3 ปีที่แล้ว

    Tq

  • @RubiscoTalks
    @RubiscoTalks 3 ปีที่แล้ว

    Rohan sir 😍

  • @ansarulhoque1462
    @ansarulhoque1462 3 ปีที่แล้ว +2

    Can breast be because of thyroid?

  • @dhakshuskingdom
    @dhakshuskingdom 3 ปีที่แล้ว +2

    Hlooo mam....iam 23 years old...I have chest pain every month before 10 days of my period date....is that Normal or any harmful mam??After completion of my period chest pain will reduce on 2 nd day night...

  • @khusboogupta5515
    @khusboogupta5515 3 ปีที่แล้ว +4

    I have diffrent size breast, one is a lot saggy n bigger, is it okay or should I get myself checked?

    • @Me_Myself013
      @Me_Myself013 3 ปีที่แล้ว

      U should need to check a doctor

  • @aadwiksworld5433
    @aadwiksworld5433 3 ปีที่แล้ว +4

    Thank you mam and sir for valuable information 🙏

  • @spearscott6813
    @spearscott6813 3 ปีที่แล้ว

    Thanks so much❤

  • @ritabill-cq5tr
    @ritabill-cq5tr 24 วันที่ผ่านมา

    Please can ulcers be releated to left breasts pain and waist pain and back pain,i have been having left breasts pain for five years now but I don't have any lumps,am so worried

  • @shabanaay5708
    @shabanaay5708 3 ปีที่แล้ว +2

    Hello Dr Kumar,
    I have breast pain during my menstrual cycle and now a days i am experiencing migraine also. Can you pls help and suggest good Dr in Bangalore?

  • @deeksharathore158
    @deeksharathore158 3 ปีที่แล้ว +1

    Hello sir , like uh said anti depressant can cause breast pain and on the other hand uh said anxiety and stress can cause breast pain ,then when the cause of breast pain is anxiety disorders and stress ,then what medication we should take .as i am suffering from the same i have anxiety disorders, gerd and i have breast pain since last 1 month, i went to the doctor and after some sort of medication for 2 weeks she came to the conclusion that i have this breast oain bcoz of my anxiety as i hve gerd because of anxiety ,then in this situation what should we do?

  • @shubhangikolte4998
    @shubhangikolte4998 3 ปีที่แล้ว +1

    Why mammogram suggest after 40 year old woman and why do not suggest before 40 year old woman

  • @saumyak1373
    @saumyak1373 5 หลายเดือนก่อน +1

    Hello i am 17 years old one day i got pain under my armpit area towards lower side of breast of left side maybe due to unfitted bra and incorrect sleeping position will it be cured normally or have to be evaluated by doctor

  • @spoorthia2558
    @spoorthia2558 3 ปีที่แล้ว +5

    Being Rohan Sir’s student is a blessing keep inspiring sir 🙏🏻

  • @nishthasindhwani
    @nishthasindhwani 3 ปีที่แล้ว +5

    Oh god i feel so relieved

    • @Monu-9-i3i
      @Monu-9-i3i 3 ปีที่แล้ว

      Same here yr

  • @navyamunisha6833
    @navyamunisha6833 3 ปีที่แล้ว +3

    Very useful information mam thank you so much

  • @afeefaqureshi9624
    @afeefaqureshi9624 3 ปีที่แล้ว +1

    Ma'am humble request🙏plz make video on nipples issue in unmarried girls.

  • @getideaswithme.4270
    @getideaswithme.4270 3 ปีที่แล้ว +1

    Mam one video of dark pubic area

  • @kigozipheonah1630
    @kigozipheonah1630 3 ปีที่แล้ว +1

    Dear mum thanks for the show i have been getting breast pain for last three months I went for a untralsound and everything was normal but the pain is not going. I sometimes feel like it is in the breast bone please help me

  • @jaishreemundkar5766
    @jaishreemundkar5766 3 ปีที่แล้ว +1

    Hello ma'am

  • @swetakhetan6440
    @swetakhetan6440 3 ปีที่แล้ว +1

    Thank you so much for this information, I have a family history of breast cancer and I get breast pain before my period so had just gotten a sonogram done and consulted my gynac as wel. But this month for the first time I am having pain after my periods as well. Should I visit my gynac again? It’s not even a month I showed her actually and the sonogram came clean.

  • @rupalibiswas2174
    @rupalibiswas2174 3 ปีที่แล้ว

    Is there any possibility to come back the ductal actesia came back sbai and again ? What is the reason behind it ?