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Dr. Raksha Ravishankar

Ophthalmologist, Bangalore

100 at clinic
Dr. Raksha Ravishankar Ophthalmologist, Bangalore
100 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Raksha Ravishankar
Dr. Raksha Ravishankar is a trusted Ophthalmologist in Ramakrishna Hospital, Bangalore. She is currently practising at Jnanakshi Eye Clinic in Ramakrishna Hospital, Bangalore. Book an appointment online with Dr. Raksha Ravishankar on Lybrate.com.

Find numerous Ophthalmologists in India from the comfort of your home on Lybrate.com. You will find Ophthalmologists with more than 41 years of experience on Lybrate.com. You can find Ophthalmologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#280, 9th Main, Jaya Nagar 2nd Block. Landmark: Opp. Sri Rama VidyalayaBangalore Get Directions
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I have pain in my eyes, my eyes become red, pain in head and I can not see from long distance properly. Then what should I do?

MBBS
General Physician,
I have pain in my eyes, my eyes become red, pain in head and I can not see from long distance properly. Then what sho...
You may have acute conjunctivitis take some antibiotic eye drop like ciprx eye drop three times daily and you have to maintain the eye hygiene by cleaning regularly by cleal water and use sun glasses when you go out.
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I have red eyes from 3 days and pain in my eyes some times water will come from eyes if I uses phone.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes from 3 days and pain in my eyes some times water will come from eyes if I uses phone.
This condition is called Eye strain, or asthenopia,in which the eyes get tired from excessive or intense use. It can be annoying, but it tends to disappear with rest. Although it’s not often a serious condition, eye strain could be a symptom of an underlying problem. Eye strain is known to cause fatigue, difficulty concentrating, and headaches Eye strain may lead to other problems, such as: • Headaches • Difficulty Concentrating • Irritability • Burning Sensation • Watery Eyes • Dry Eyes • Photophobia • Eye Pain While using mobile for long intervals continuously,eyes get exhausted. While using Mobile make sure that the lightening in room is proper to reduce and negate the effects.You can also reduce the intensity of the Mobile screen by attaching a filter or by getting an eye-friendly screen. Above all, one must try to reduce the amount of Mobile usage or take frequent breaks. Dont use mobile continuously for more than 5 minutes and most important dont use mobile with low battery.The bright light of the mobile screen gets more focused on our eyes and this causes dryness of the eyes and thus causing weakness of vision and eye and head pain. Homoeopathic medicine CINELUBE EYE DROPS ( HAPDCO) Pour 2 drops 3 times daily.
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I have red eyes till seven days, the left eye is too much red and slightly painfully. What am I do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I have red eyes till seven days, the left eye is too much red and slightly painfully. What am I do?
Hello dear there are many causes for redness of eyes mainly allergy, infection, inflammation and dry eyes etc. 1. Redness + itching: allergy 2. Redness + pain+ watering + decreased vision: infection 3. Redness + pain: inflammation 4. Redness+ foreign body sensation: dryness if there is only redness then it is normal as slight exposure to dust, temperature or air or eyes may be red in morning. Stress may also cause redness. I usually do not treat when there is only redness, you can 1. Blink a lot 2. Wash eyes with fresh water 3. Cold compresses 4. Use lubricating eyedrop like flogel these measures will help to keep your eyes healthy but it will not have any effect on redness (treating generalredness alone is not necessary also) having said that you should consult local ophthalmologist for proper examination and treatment.
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Last year I was detected with demyelination, now since 3 months my legs are having severe pain and I feel difficult in walking. My eye sight has become blurry. Please suggest remedy.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Last year I was detected with demyelination, now since 3 months my legs are having severe pain and I feel difficult i...
Dear lybrate user, you may take at present mag. Phos 12 x thrice a day four tablets at a time with hot water for three days and report back. Let me know the details about you like when do you feel pain in legs and how you r getting relief. It will be better if you send me the details.
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I am 50 year's old. For best vision i am using +3.5 no. lens in googles. Can i rectifying it by only medicines. I don't want any surgery or laser treatment ?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
After age of 40 almost everyone develop cataract in there eyes. Anyways there is no medicinal treatment for correcting refractive error. But if you undergo cataract surgery then at that time this can be rectified.
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He has a problem that cannot see in nights. Kindly suggest.

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist,
Defective night vision could indicate vitamin a deficiency / some geneticc problems like retinitis pigmentosa/ high myopia. Kindly consult an eye specialist for a complete evaluation and definitive diagnosis.
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Dear Doctor Please help I am suffering from PE problem what is best advice or medicine or homeopathy or ayurvedic need to be taken to get out from this. Also request you to advice the name of the medicine along with the number of days to be taken Still not married age 27.

PDDM, MHA, MBBS
General Physician, Nashik
Dear Doctor
Please help I am suffering from PE problem what is best advice or medicine or homeopathy or ayurvedic nee...
First thing you should do is to get rid off anxiety and stress as those are main offenders in many. You can try any of the following methods. You can do squeeze and stop technique. You can stimulate your partner to maximum before getting yourself stimulated. You can deviate your thought to something nonsexual when you about to near ejaculation. You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation. Hope this may help you. Let me know if you have any further query.
3 people found this helpful
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I have constipation in my stomach and irritation in my eyes and throat. I have red eyes along three days.

MBBS, cc USG
General Physician, Noida
I have constipation in my stomach and irritation in my eyes and throat. I have red eyes along three days.
Hello, I am giving you some tips to prevent constipation: 1. Take 6-8 glass of water in a day 2. Regular physical activity keeping mobile and active will greatly reduce your risk of getting constipation. Ideally do at least 150 minutes of physical activity every week. 3. You should have about 30 g of fibre a day. You can increase your fibre intake by eating more: I am giving you list of some fibre containing food fruit vegetables wholegrain rice whole wheat pasta wholemeal bread seeds oats 4. Toilet habits never ignore the urge to go to the toilet consult physician for further management.
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My friend has a lazy eye syndrome in left eye. He is 32 years old. Can it be reversed by any surgery or otherwise?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My friend has a lazy eye syndrome in left eye. He is 32 years old. Can it be reversed by any surgery or otherwise?
Hello....there is no treatment at this age... having said that there is new research and by binocular therapy one can gain vision at this age also...so cheers
1 person found this helpful
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I am having 4 to 5 hours of driving in day and night time because of this my eyes have too much pain and also I am suffering from headache may be because of this. So what should I do to stop eye pain and headache?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am having 4 to 5 hours of driving in day and night time because of this my eyes have too much pain and also I am su...
Hi take pranacharya no tens capsule 1_1 twice a day...1-1 drop of cow ghee in both nostrils at night time before sleep...take shirshooladi vajra ras twice a day with honey....avoid tea and coffee
2 people found this helpful
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I hage red eyes for 15 days what's the problem I don't no what should do please tell me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I hage red eyes for 15 days what's the problem I don't no what should do please tell me.
Eyes appear red because the vessels at the surface of the white portion of the eye (sclera) become swollen. Vessels may swell due to: • Eye dryness • Too much sun exposure • Dust or other particles in the eye • Allergies • Infection • Injury Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily Wear Goggles in Sunlight/Polluted areas.
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Hello Doctor! I have a mole under my eyes (Bumpy) Can you suggest me any home remedy or any cream to remove that mole permanently without surgery.

MBBS
General Physician, Faridabad
Hello Doctor! I have a mole under my eyes (Bumpy) Can you suggest me any home remedy or any cream to remove that mole...
Garlic is one of the most effective home remedies for moles because it contains enzymes that help break down the clusters of pigment-producing cells. Plus, it helps lighten the dark pigmentation. 1. Crush a fresh garlic glove and place it on the mole. 2. Secure it with a bandage and leave it on overnight, or at least for four hours. 3. Do this daily for a few days. The mole will then fall off naturally. This method is said to give positive results with merely five days of daily application. Make sure to disinfect the area with rubbing alcohol or another disinfectant before repeating the process daily. Plus, to protect the skin surrounding the mole, apply some petroleum jelly or oil. Warning: Applying garlic on skin can cause redness and irritation.
113 people found this helpful
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Sir my left eye lid is flickering continuously from last 20 days and sometimes my left arm is also flickering. I'm having high blood pressure and diabetes too. Few days before I consulted a doctor he said that I'm suffering from depression. He gave me anti-anti - depression tablets. Is anything serious? Sir, Kindly reply soon. regards Mehtab Alam. Age-30.

MBBS, DOMS
Ophthalmologist, Hyderabad
Sir my left eye lid is flickering continuously from last 20 days and sometimes my left arm is also flickering.
I'm ha...
As is evident, good control of diabetes & blood pressure is very important. Take adequate measures to reduce stress in your life, in general eyelid flicker could be a sign of tiredness, lack of sleep, overwork, too much travel, inadequate or inappropriate food, and so on. Usually, it is a minor & vague sign of general debility. Correct the above states, if any, in your present lifestyle. In addition, wash your closed eyes gently with cold (not chilled) water, eat well (as appropriate for your diabetes & blood pressure) and get some rest. Inform if there is no improvement with these measures.
12 people found this helpful
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I will use computer and mobile phone. After a 5 minute of use then I have head ache and I will very tired. What is the cause of this problem?

MS - Ophthalmology
Ophthalmologist, Rewa
I will use computer and mobile phone. After a 5 minute of use then I have head ache and I will very tired. What is th...
Dear:- you r suffering from refractive error, you need urgently complete correction of refractive error. Keep anti u-v screen on computer & put on same quality specks to avoid harmfull effect on cornea.
2 people found this helpful
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I have sight of 1.0. I want to improve my vision. Can you suggest me some useful methods to get rid of my spectacles completely. Please!

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have sight of 1.0. I want to improve my vision. Can you suggest me some useful methods to get rid of my spectacles ...
Being a homoeopath, I will advise you to undergo homoeopathic treatment as homoeopathic medicine along with exercises aand a diet plan are very effective combination for improving eyesight.
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Today I checked my eyes he said my no. 0.75 and the goggle permanent never remove what can I do for best eye performance I am only 18 plzz suggest me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Today I checked my eyes he said my no. 0.75 and the goggle permanent never remove what can I do for best eye performa...
There is no medication or food for improving eyesight or to get rid of glasses. If not interested in glasses then you can try a. Contact lens b. Lasik laser as your age is now 18 years so your number will not increase now whether you wear glasses or not as number becomes stable at age of 18-20 yrs. Having said that I advise you to eat balanced diet including green vegetables and seasonal fruits for keeping eyes and body healthy. As you are not comfortable with contact lens then go for lasik. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik.
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I have red eyes for over 3 days. What should I do?

MS - Ophthalmology, MBBS
Ophthalmologist,
I have red eyes for over 3 days. What should I do?
You need to get your eyes checked for any infection/inflammation wash you eyes with clean cold water.
1 person found this helpful
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I have lost 14 kg weight last year by dieting and exercise in 45 days. Later I became very week . Than I left all activities to loose weight and but now I have eye problem my eye no is -3 and -2.5 in both eyes, some hearing problem and hairfall till now a year passes in nov my eye has -2 no but in may its -3 . I am worried please suggest me what I have to do.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
I have lost 14 kg weight last year by dieting and exercise in 45 days. Later I became very week . Than I left all act...
Kindly avoid crash dieting as it gives temporary results with long term damage, Instead take help of a certified health professional to lose weight in a healthy way as correct food & diet is the foundation of our body.
2 people found this helpful
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My 2 years old son having red eye corner in his right eye for 8 days. No discharge coming and no swelling found. And redness increase only if he put his fingers twitching his eye. Will it be cured by itself or I have to consult a doctor.

FICO-1, DOMS
Ophthalmologist, Delhi
My 2 years old son having red eye corner in his right eye for 8 days. No discharge coming and no swelling found. And ...
Lybrate-user please get your son's eye check up done the redness can be just a sign of something important like allergy or glass power requirement etc twitching and rubbing of eyes also indicate this only.
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