Dr. Manna Sera Jacob

Shrinking of hands is because of loss of subcutaneous fat'muscle atrophy of hands and dermopathy' all due to advanced diabetes leading to neutopathy: needs good blood sugar control and if on oral drugs then insulin will be better anyway get assess by an good diabetolosist to look for diabetic complicstions.

For a girl in general its a 28 day menstrual cycle and If we consider first day of bleeding as Day 1 than from day 10 to 20 is considered unsafe because of ovulation and rest all days are safe days

1. Apply panderm plus ointment twice daily 2. Avoid using soap in the thigh. 3.Keep it dry and sweat free, 4.Use loose cotton under wear instead of synthetic 5.maintain personal hygiene

Yes, it is dangerous. Always remember to use condom during sex to avoid pregnancy and STD or AIDS.

I will suggest her to take complete bed rest and eat liquid diet only like tomato juice, amla juices, sugar cane juices, lemon water etc and also to do ice fomentation over the upper right portion of her abdomen.

You can do masturbation two times a week, more than this harmful. Do masturbation when there is need for it, don't make it your addiction.

you may be having perforation of tympanic membrane of the ear or some defectsbin the bony structure of middle ear. consult a EN T specialist.

Details about piles. Piles are haemorrhoids that become inflamed. Haemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers. Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4 cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common. Symptomatic haemorrhoids affect at least half the population at some time in their lives before the age of 50. In the majority of cases, piles are effectively treated with over-the-counter medications, a good fluid intake, and by following a diet high in fibre. In severe cases, the piles may have to be surgically removed. About 10% of patients who go and see their doctor about piles eventually require surgical intervention. Internal haemorrhoids are classified into four grades. Grade 1 - there are small inflammations, usually inside the lining of the anus. They are not visible Grade 2 - larger than grade 1 haemorrhoids, but also inside the anus. When passing a stool, they may get pushed out, but return unaided Grade 3 - often called'prolapsed haemorrhoids'; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with their finger Grade 4 - these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time. External haemorrhoids are called perianal hematoma. These are small lumps that are located on the outside edge of the anus. They are very itchy and can be painful if a blood clot forms inside (thrombosed external haemorrhoid). Thrombosed external haemorrhoid requires medical treatment straight away PILES OCCUR when the blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (haemorrhoids) can develop when pressure increases in the lower rectum. This may be due to: Chronic constipation9 Chronic diarrhea10 Lifting heavy weights11 Pregnancy12 Straining when passing a stool. 13 The tendency to develop haemorrhoids may also be inherited. The risk of developing piles grows with age Treatments for piles In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience. Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran. Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good. Simple things you can do yourself to help prevent piles: 10 Try not to strain when you go to the toilet Avoid laxatives Exercise. Ointments, creams, pads and other OTC medications - there are some over-the-counter (OTC) medications which help soothe the redness and swelling around the anus area. Some of them contain witch hazel, hydrocortisone, or some other active ingredient which can relieve symptoms of itching and pain Surgery - used for particularly large piles, or grades 3 or 4 haemorrhoids. Generally, surgery is used if other procedures were not effective. Sometimes surgery is done on an outpatient basis - the patient goes home after the procedure.

Retinal holes and tears are small breaks in the retina. The retina is light-sensitive tissue at the back of the eye. Usually holes and tears do not mean you will have serious vision problems right away. However, retinal holes and tears may cause problems if they allow fluid to seep behind the retina.In either case, the fluid that has replaced the shrunken vitreous can then seep through the hole onto the macula, blurring and distorting central vision. Macular holes can also occur in other eye disorders, such as high myopia (nearsightedness), injury to the eye, retinal detachment, and, rarely, macular pucker

Stop alcohol amd smoking firstly. Avoid medication causing gas. Avoid foods like beans and specific dals causing gas. Better lifestyle for the healthier life. Regular excercise.

Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.

take tab. dolo 650 mg twice a day. tab. lcz 5 mg at night. drink take plenty of water. juice,protein diets.

You may do an ultrasound of testes and blood tests hb, tc, dc, fasting sugar. This will give a clear picture. Did you have any trauma to testis or wore very tight jeans etc. Or had any fever?

after TB generally the health become so weak ur face vill glow by ur diets so eat 6 raisins wid out seeds BD and take pomegranate daily and take milk mix wid honey wid 6 dates Khajure regularly for 2 months the result vil definitely come.

It appears that you are ignorant about basics of HIV and sexuality. If you are using proper barrier method precaution and other related care chances of infections can be minimal but can not be Zero. Also TB cure need to certified by the treating doctor before starting close sexual relationships. Better contact expert sexologist one to one for all answers and quality sex. Connect me or anyone nearby to be sure and safe.

If it is a long lasting problem, she may be suffering from allergic rhinitis. A clue to that would be other family members including parents or grandparents also suffering from some type of allergy. If so we would need anti allergy medicine, either orally or as nasal sprays.

Please Go for morning and evening walk daily Do yogasanas and pranayam daily Do meditation regularly Take Cap tagara by Himalaya 2 daily Continue your current medicine for epilepsy Reconsult after 15 days

hi. it can be simple acidity only. avoid spicy oily food . drink adequate water . you can take an antacid. for medications plz consult online.

Well, hari chest pain can be due to many causes as cardiac/respiratory/git/musculo skeletal. So we need to know about your chest pain in details to come to a proper diagnosis.

Cut down your fat and sugar. Add Flax seed early morning empty stomach 2 teaspoon daily. If you want any suggestions or help for reducing triglycerides than you can contact me at Lybrate profile online.