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Sri Raghavendra Clinic

General Physician Clinic

144, 2Nd Block, 2Nd Main, T R Nagar Bangalore
1 Doctor · ₹100
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Sri Raghavendra Clinic General Physician Clinic 144, 2Nd Block, 2Nd Main, T R Nagar Bangalore
1 Doctor · ₹100
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Our medical care facility offers treatments from the best doctors in the field of General Physician . Our goal is to offer our patients, and all our community the most affordable, trustwo......more
Our medical care facility offers treatments from the best doctors in the field of General Physician . Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Sri Raghavendra Clinic
Sri Raghavendra Clinic is known for housing experienced General Physicians. Dr. B Chandra Somayaji, a well-reputed General Physician, practices in Bangalore. Visit this medical health centre for General Physicians recommended by 109 patients.

Timings

MON-SAT
09:00 PM - 01:30 PM 06:00 PM - 09:00 PM

Location

144, 2Nd Block, 2Nd Main, T R Nagar
Bangalore, Karnataka - 560028
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Doctor in Sri Raghavendra Clinic

Dr. B Chandra Somayaji

BAMS
General Physician
45 Years experience
100 at clinic
Available today
09:00 PM - 01:30 PM
06:00 PM - 09:00 PM
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Open Heart Surgery - What All Should You Know

MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Open Heart Surgery - What All Should You Know

Open heart surgery is a complicated heart procedure. Howeevr, it is still an important surgical procedure to fix critical heart ailments.

Here is a quick fact-checker about this procedure:

  • The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
  • Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
  • This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
  • The recent trend is that the doctor can achieve the same result with beating heart CABG where heart does not need to be stopped just to avoid the complications of heart lung machine Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Subsequently, the patient is taken off from the heart-lung machine.
  • The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
  • It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg.
  • The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
  • One has to usually deal with heightened emotions after an open-heart surgery. 

Pulmonary Rehabilitation - Everything About It!

Gynaecologist, Faridabad
Pulmonary Rehabilitation - Everything About It!

Pulmonary Rehabilitation is a program of exercise and education to increase awareness among patients about chronic lung conditions. Chronic lung conditions that may necessitate such programs are chronic obstructive pulmonary disease, pulmonary fibrosis etc.

The aim of such a program is to help patients rebuild strength and lead a more vigorous life. For pregnant women, pulmonary problems can endanger both the mother and the child. This is why, in the case of pregnant women suffering from chronic pulmonary problems like chronic obstructive pulmonary disease, pulmonary fibrosis etc., Pulmonary Rehabilitation is necessary. This can improve their lung function and help them carry their pregnancy better.

What Entails Pulmonary Rehabilitation

Relevant classes are held in groups. Patients get the chance to meet others suffering from similar lung conditions. They can discuss among themselves and get emotional support. The skills learned and knowledge acquired in such settings can help in managing chronic lung diseases. Patients may enhance their level of fitness. They can learn to exercise their lungs and keep their muscles more active. This may ensure better fostering for the fetus.

The Pulmonary Rehabilitation Team and Venue

Pulmonary Rehabilitation is administered by a team consisting of nurses, doctors, physical therapists, exercise specialists, respiratory therapists, and dietitians. These health professionals can together customize rehab programs that meet individual needs. So pregnant patients are offered rehabilitation differently compared to other patients.

It is an outpatient procedure and may be conducted in a hospital setting or a clinic. One can also avail it at home, if her condition so necessitates it.

For Whom Is It Ideal

Doctors recommend Pulmonary Rehabilitation for patients who suffer from lung conditions that precipitate frequent shortness of breath episodes. These patients may not be able to perform regular activities efficiently despite taking medicines. Although most patients in such rehab programs suffer from chronic obstructive pulmonary disease, other chronic lung conditions that may limit breathing and activity may also precipitate the need for such programs.

Tests Carried Out During the Program

One of the basic tests carried out during the rehabilitation program is the six-minute walk test. This test measures the percentage of oxygen in the blood. The therapist assists patients to undergo this test during the rehabilitation program. It shows how much oxygen one may need during different activities or exercises. The therapist then guides individuals through different exercises and use of oxygen during those exercises.

Rehab at Home

The program can be carried out at home, too. However, this is possible only after going through the classes and learning tips about exercising. Since it is an educational program for people with lung disease, it augurs well to take peer support and therapy support in a hospital setting initially and also at times. In between, routine activities can be conducted at home. However, pregnant women need to keep their gynecologists in the loop about various exercises advised by the therapists.

Breathlessness is common during pregnancy. This is why following an exercise regime is one of the more apt ways for pregnant women to control pulmonary or respiratory complications. This will also help for those women who are suffering from any pulmonary disease to lower the chance of getting affected by it. These exercises will calm the nervous system and lower the stress level of the mind.

Multivessel Stenting Vs Bypass Surgery - Which Is Better?

MBBS, MD - Medicine, DNB (Cardiology)
Cardiologist, Pune
Multivessel Stenting Vs Bypass Surgery - Which Is Better?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed?

Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better?

In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay.

Gastroenteritis - How Homeopathy Can Help?

DEMS, NDDY , MD Acupressure, M.Sc. Science of living & Yoga, P. G. Diploma in Yoga
Homeopath, Ahmedabad
Gastroenteritis  - How Homeopathy Can Help?

Gastroenteritis, also commonly referred to as infectious diarrhoea, is a gastric disorder. The gastrointestinal tract, which comprises of the small intestine and stomach gets inflamed. Gastroenteritis is indicated by the symptoms such as diarrhea, acute vomiting and pain in the abdomen. Fever, exhaustion and dehydration are also observed. This disease usually lasts not more than two weeks. It is also called the stomach flu. Infections caused by virus, bacteria, parasites or fungi may lead to gastroenteritis. Viruses account for this disease the most. This disease is transmitted mainly from food items and contaminated water. Important electrolytes like sodium and potassium are lost from our body.

The most common remedy in case of gastroenteritis is having ORS. However, homeopathy is also considered very effective if you have got infectious diarrhoea. Homeopathic medicines are considered very safe and result-yielding in case of gastroenteritis. Homeopathy is a form of medicine, which is always given preference by all experts, as it is natural with no side effects. After conducting various surveys, it has been proven that homeopathic treatment is far more effective than other forms of medication for gastroenteritis.

Here is a list of the best homeopathic remedies for the treatment of gastroenteritis. There are many categories of homeopathic medicines for diarrhoea each with their own significance.

-      Aconite
This must be used for diarrhea caused in the season when the days are hot, and the nights are comparatively cold. The symptoms appear in the middle of the night. Heavy diarrhoea along with high-intensity  fever occurs and anxiety.

-      Aloe
This remedy should be used in case of a continuing urge for stool because of weakness of the anal sphincter. Mucus is accompanied along with pain in the rectum area. In case of adults, this diarrhoea is also characterized by blue hemorrhoids.

-      Arsenicum album 
This medicine is used in case of food poisoning. The affected person feels cold, tired and panicky. Vomiting and diarrhoea take place after midnight. Burning pain in the abdomen is also observed.

-      Cinchona
Used in case of diarrhoea with the presence of excessive exhaustion and abdomen gas. The abdomen gets bloated up. 

-      Ipeca
When there is nausea and non-stop vomiting or your mouth gets filled with saliva, Ipeca can be used. Thirst is lost, and the color of the stool may be green or bloody.

-      Podophyllum
This medicine is usually used by tourists in case of diarrhoea.  Abdominal vibration and frequent stools are indicated. The stool is characterized by an unpleasant smell.

Homeopathy is a very effective category of medication when it comes to gastroenteritis.

Cochlear Implants - 6 Amazing Benefits You Must Know!

MBBS, MS - ENT, DNB - ENT
ENT Specialist, Delhi
Cochlear Implants - 6 Amazing Benefits You Must Know!

You should consider undertaking a cochlear implant in case you are experiencing hearing loss or are turning deaf. This is a small device that gets planted in your ear through a surgical procedure. It sends impulses to your auditory nerves directly, as a result of which sound signals get carried to your brain. Cochlear implants may not make you hear normally again, but help you with different sounds, and in the recognition of the different sounds around you like alarms, telephones, and door bells.

How it works?

  1. A cochlear implant is fit for children and adults who suffer from the sensorineural hearing loss. This condition damages the tiny hair cells in your inner ear, which is called the cochlea. Hearing becomes impaired when these get damaged.
  2. The device consists of two specific parts. The first part or the receiver-stimulator is placed under your skin via a surgical procedure. The other part of the device is the speech processor. It has to be worn around your neck in the form of a hearing aid.
  3. The external device is, however, larger in size than a usual hearing aid. The receiver gets placed under your skin, behind the ear via a small incision. It is connected to electrodes.
  4. This is inserted into the cochlea of your inner ear. The surgery requires a few hours to be undertaken successfully.
  5. The speech processor has to be placed two weeks after the surgery is undertaken. The processor can be connected to the microphone, and this can be worn around the ear.
  6. You can wear it on any other part of your body, based on your lifestyle and age.

Benefits of cochlear implant
The major benefits of a cochlear implant are as follows:

  1. You might be able to hear speech almost normally.
  2. You will be able to understand speech better, and will not have to depend on lip reading.
  3. It will be much easier and simpler for you to listen to the television and talk over the phone.
  4. You will be able to listen to music better.
  5. You may also be able to pick up various sounds around you that include soft, medium, and loud sounds.
  6. You will be able to control your own voice better. This makes other people understand you better.

If you are suffering from severe hearing loss, a cochlear implant may be able to change your life for the better. However, the results are not the same for all, and vary among people. It is possible for some people to benefit more from such an implant than others.

Homeopathy For Migraine And Other Headaches!

BHMS, CCPH
Homeopath, Delhi
Homeopathy For Migraine And Other Headaches!

Headache is the discomfort or pain beneath the scalp, forehead, or behind the eyes, or arising from the head or upper neck of the body. There are several distinct types of headache. A primary headache is caused by pain or a disorder that originates from the head itself. For example, a migraine or tension headache. A secondary headache originates outside the head, such as a headache related to nausea from the flu, or as a side-effect of hormonal fluctuations in the body. Other types of headache include cranial neuralgias, facial pain, and other headaches.

Symptoms Of Migraine

One needs to know the symptoms of Migraine in order to identify between Migraine and other headaches. A unique aspect of Migraine headaches is that such headaches usually occur on one side of the head. Other kinds of headaches mostly occur on both the sides. The other major difference between Migraine and other types of headaches is the presence of associated symptoms in Migraine. In Migraine, the sufferer is likely to have a moderate to severe throbbing pain. One may suffer from:

  • Nausea

  • Pain behind either one eye or one ear

  • Pain in the temples of head

  • Experiencing spots or flashes of light

  • Sensitivity to sound, sound or both

  • Temporary vision loss

  • Vomiting

More About Migraine

  • Doctors divide Migraine headaches in two categories: Migraine with Aura and Migraine without Aura.

  • The feeling that a person develops before experiencing migraines is known as Aura. The feeling may prevail anywhere between 10 minutes to 30 minutes before the attack.

  • Such feelings may include:

    • Less mental alertness, foggy thinking

    • Experiencing flashing lights

    • Feeling of tingling or numbness in the hands or face

    • An unusual sense of smell, taste, or touch

Other Headaches

If not Migraine headache, one may have Sinus headache, Cluster Headache, Thunderclap headache or a Chiari defect. If a person is suffering from Cluster headache, he / she may have a very painful headache which is confined to on one side of the head. Such pains come in clusters and hence the name.

Homeopathy for Migraine and Headache

Modern medicine does not always seem to have a fitting answer for Migraine or any other type of headache. However, Homeopathy can help a lot. For Migraine treatment as well as for treatment of other types of headaches, Homeopathic medicines can be good idea.

Homeopathic Doctors see through the history of Migraine and Headache of the patient, the lifestyle, and other general aspects of life. This helps them make a perfect homeopathic medical course for the patient to treat their constant Migraine or headaches.

Consulting a general Homeopathic Doctor with good experience will help patients to get rid of their Migraine and Headache from its root.

Vitamin Deficiency - 4 Signs You Should Never Ignore!

Diploma in Clinical Nutrition, Certified Diabetes Educator, Diploma in Sport & Exercise Nutrition, Diploma in Human Nutrition, Lifestyle Medicine, BSC IN LIFE SCIENCES
Dietitian/Nutritionist, Bangalore
Vitamin Deficiency - 4 Signs You Should Never Ignore!

Many of us thrive on the diet rich in processed fast foods as we hardly get time to cook a wholesome meal for ourselves in this fast-paced schedule. Moreover, the junk foods hardly have anything to contribute to our body while the baked goods strip off all the essential nutrients. These are some of the prime reasons behind vitamin deficiency. Even though that doesn’t mean that it will leave your body impaired or lead to any disease, but it can prevent some organs from functioning properly.

This is because vitamins are regarded as co-contributors for all the essential biochemical reactions within the body. Fatigueshortness of breathweight lossand irregular heartbeats are some of the well-known signs of vitamin deficiency, but you should be aware of the unusual vitamin-deficiency signs as well.

  1. White and red acne on the arms, thighs, and cheeks: This means that your body is not just deficient in Vitamins A and D, but some essential fatty acids as well. If you spend long hours in air-conditioned spaces and live in a region high in pollution, you are more likely to suffer from these deficiencies. You should eat a lot of fishes, eggs and green leafy vegetables in this case. You should consume dairy products since they contain healthy fats along with all the fresh fruits and vegetables you can think of.
  2. Tingling sensation followed by numbness in the hands and feet: This indicates that your body is deficient in B vitamins such as B12, B6, and folate or B9. It is a health issue directly connected with the peripheral nerves and their ending on the skin. These symptoms may be accompanied by depressionanemia, fatigue and even hormone imbalances. Foods like eggs, mutton, chicken, nuts, wheat germbrown rice, grains, and sprouts are an excellent source of vitamin B.
  3. Cracks at the corner of the mouth: This is a common symptom indicating a deficiency of B vitamins along with iron and zinc. This problem is mostly seen among vegetarians since they do not eat enough iron, zinc and Vitamin B12. It could also mean that you are cutting down on some proteins required for your immunity building owing to excessive dieting. You should include more poultry products, tomatoes, lentils, and peanuts. Make sure that you eat dairy products such as paneer, yogurt, and ghee or clarified butter.
  4. Muscle cramps along with throbbing pain in calves, arches of feet and back portion of the legs: If this is the case with you, then you are not just deficient in vitamin but calcium, magnesium and potassium as well. This may also happen if you are training hard since you are likely to lose more minerals through heavy sweating. Have a lot of fresh fruits, dry fruits and vegetables to fix these issues.

The key to avoiding such problems is to have a balanced meal every day.

I am doing daily masturbate if it effects on sex. And what to do to increase stamina.

BHMS
Homeopath, Gwalior
I am doing daily masturbate if it effects on sex. And what to do to increase stamina.
Yes lybrate-user it affects your health ,for stamina take sabalserrulata Q 20 drops daily and consult me on Lybrate.

फिस्टुला का घरेलू उपचार - Fistula Ke Gharelu Upchar!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
फिस्टुला का घरेलू उपचार - Fistula Ke Gharelu Upchar!

गुदा से जुड़ी बीमारी फिस्टुला को ही अङ्ग्रेज़ी में फिस्टुला कहते हैं. दरअसल बवासीर जब लंबे समय तक ठीक नहीं होता है तो यही पुराना होकर फिस्टुला का रूप ले लेता है. जाहीर है फिस्टुला के रूप में आ जाने पर बवासीर बहुत खतरनाक हो जाता है. इसलिए हमारा सलाह है कि आपको बवासीर को कभी नज़र अंदाज़ नहीं करना चाहिए. यही नहीं फिस्टुला एक ऐसी बीमारी है जिसका इलाज़ यदि ज्यादा समय तक ना करवाया जाए तो कैंसर का रूप भी ले सकता है. यहाँ आपको बता दें कि इस कैंसर को रिक्टम कैंसर कहते हें. रिक्टम कैंसर कई बार जानलेवा भी साबित हो सकता है. हालांकि इस बात के सम्भावना बहुत ही कम होती है. इस बीमारी को आप नाड़ी में होने वाला रोग कह सकते हैं, जो गुदा और मलाशय के पास के भाग में स्थित होता है. फिस्टुला में पीड़ाप्रद दानें गुदा के आस-पास निकलकर फूट जाते हैं. इस रोग में गुदा और वस्ति के चारो ओर योनि के समान त्वचा फैल जाती है, जिसे फिस्टुला कहते हैं. इस घाव का एक मुख मलाशय के भीतर और दूसरा बाहर की ओर होता है. फिस्टुला रोग अधिक पुराना होने पर हड्डी में सुराख बना देता है जिससे हडि्डयों से पीव निकलता रहता है और कभी-कभी खून भी आता है. कुछ दिन बाद इसी रास्ते से मल भी आने लगता है. फिस्टुला रोग अधिक कष्टकारी होता है. यह रोग जल्दी खत्म नहीं होता है. इस रोग के होने से रोगी में चिड़चिड़ापन हो जाता है. आइए इस लेख के माध्यम से हम फिस्टुला के विभिन्न इलाज के बारे में जानें ताकि इस विषय में जागरूक हो सकें.

1. चोपचीनी और मिस्री

फिस्टुला का इलाज चोपचीनी और मिस्री के सहयाता से भी किया जा सकता है. इसके लिए आपको इन्हें बारीक पीसकर समान मात्रा में इसमें देशी घी मिलायें. फिर इससे 20-20 ग्राम के लड्डू बना कर इसे सुबह शाम नियमित रूप से खाना होगा. ध्यान रहे इस दौरान आप नमक, तेल, खटाई, चाय, मसाले आदि न खाएं. क्योंकि इसे खाने से इस दवा का असर खत्म हो सकता है. यानि इलाज के दौरान आप फीकी रोटी को घी और शक्कर के साथ खा सकते हैं. इसके अलावा आप दलिया और बिना नमक का हलवा इत्यादि भी खा सकते हैं. यदि आपने नियमित रूप से इसका पालन किया तो लगभग 21 दिन में आपका फिस्टुला सही हो सकता है. आप चाहें तो इसके साथ सुबह शाम 1-1 चम्मच त्रिफला चूर्ण को भी गुनगुने पानी के साथ ले सकते हैं.

2. पुनर्नवा
फिस्टुला के कई घरेलू उपचार हैं जिनसे इसे ठीक किया जा सकता है. इसके लिए आपको पुनर्नवा, हरड़, दारुहल्दी, गिलोय, हल्दी, सोंठ, चित्रक मूल, भारंगी और देवदार को एक साथ मिलाकर काढ़ा बनाएँ. फिर इस काढ़े को नियमित रूप से पियें तो सूजनयुक्त फिस्टुला में काफी लाभकारी साबित होता है. पुनर्नवा शोथ-शमन कारी गुणों से युक्त होता है.

3. नीम
नीम की पत्तियों का इस्तेमाल भी फिस्टुला के उपचार के लिए किया जाता है. इसके लिए इस पत्तियों को घी और तिल की 5-5 ग्राम की मात्रा में लें. फिर उसे कूट-पीसकर उसमें 20 ग्राम जौ का आटा मिलाकर उस पानी की सहायता से इसका लेप तैयार करें. अब इस लेप को किसी साफ कपड़े के टुकड़े पर फैलाकर फिस्टुला पर बांध लें. इससे काफी लाभ मिलता है.

4. गुड़
पुराना गुड़, नीलाथोथा, गन्दा बिरोजा और सिरस की एक समान मात्रा को थोड़े से पानी में घोंटकर इसका मलहम बनाएं. इसके बाद उस मलहम को कपड़े पर लगाकर फिस्टुला के घाव पर कुछ दिनों तक लगातार रखने से यह रोग ठीक हो सकता है.

5. शहद
फिस्टुला के इलाज के लिए शहद और सेंधानमक को एकसाथ मिलाकर इसकी एक बत्ती तैयार करें. फिर इस बत्ती को फिस्टुला के नासूर में रखें. यदि आप नियमित रूप से ऐसा करेंगे तो आपको इसका निश्चित लाभ मिलेगा.

6. केला और कपूर
एक पके केले और कपूर भी फिस्टुला के उपचार के लिए बहुत सहायक होता है. आप पके हुए केले के बीच में चीरा लगा कर चने के दाने के बराबर कपूर को रख दें और फिर इसको खाए और इसे खाने के एक घंटा पहले और एक घंटा बाद में कुछ भी नहीं खाना पीना चाहिए. यदि फिस्टुला बहुत पुरानी हो गयी हो और इस प्रकार की उपाय से सही नहीं होती है तो कृपया सर्जरी का सहारा लें.

7. भोजन और परहेज
आहार-विहार के असंयम से ही रोगों की उत्पत्ति होती है. इस तरह के रोगों में खाने-पीने का संयम न रखने पर यह बढ़ जाता है. अत: इस रोग में खास तौर पर आहार-विहार पर सावधानी बरतनी चाहिए. इस प्रकार के रोगों में सर्व प्रथम रोग की उत्पति के कारणों को दूर करना चाहिए क्योंकि उसके कारण को दूर किये बिना चिकित्सा में सफलता नहीं मिलती है. इस रोग में रोगी और चिकित्सक दोनों को सावधानी बरतनी चाहिए.

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