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Dr. Sheela Chakravarthy

General Physician, Bangalore

450 at clinic
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Dr. Sheela Chakravarthy General Physician, Bangalore
450 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sheela Chakravarthy
Dr. Sheela Chakravarthy is a trusted General Physician in HAL, Bangalore. She is currently practising at Fortis Hospital - Bannerghatta Road in HAL, Bangalore. You can book an instant appointment online with Dr. Sheela Chakravarthy on Lybrate.com.

Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 35 years of experience on Lybrate.com. You can find General Physicians 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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English

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Fortis Hospital - Bannerghatta Road

#154/9, Sahyadri Layout, Bilekahalli, Bannerghatta Road. Landmark: Opp. IIMBBangalore Get Directions
450 at clinic
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Can you please tell me the symptoms of typhoid fever. Nd what are the precautions to be taken to protect ourselves from typhoid fever.

MBBS
General Physician, Cuttack
Symptoms of Typhoid 1.Continuous high fever of long duration 2.Headache, Body ache,Lethargy 3.Loss of Appetite, Pain Abdomen 4.Diarrhoea or Constipation 5.Intestinal bleeding and perforation in severe cases Prevention Typhoid is due to fecal contamination of food ,milk and water. It can be prevented by 1.Avoiding contaminated food and water/milk from out side sources like junk food etc 2 Use purified drinking water and have warm home made food, 3.Avoid fly contamination of food, maintain food hygiene 4,Properlyl wash your hands before taking food 5. Wash vegetable, Fruit before consuming
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I am 64 year old with constipation problem for last more than 5 years. My thyroid test is ok and I take one tablet of 100mcg eltroxin daily. Also I take one tab each of covomlo and riometod500 to keep my blood pressure and sugar level in range. I am vegetarian, teetotaler and non-smoker. I also take fibre rich food in my meals daily. I have found 'Kayam" helpful in getting the bowel movement but do not want to be dependent on it for life. I have tried Softovac and it was also helpful in removing the constipation so long as I take it. What other measure or medicine you suggest for permanently curing me from constipation. I live a active life with morning and evening walk and moving during the day for the work.

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
If anybody wants CURE for their problems ,we have to identify the root causes, till then temporary measures as you tried some causes of constipation in the age group above 60yrs Factors that predispose older adults to constipation are not a direct consequence of normal aging, though are often closely associated with it. A majority of people over age 65 take one or more medications that affect nerve conduction and smooth muscle function, such as opioids, anticholinergics, NSAIDs, calcium-channel antagonists and calcium supplements. Other factors that increase the risk of constipation in older patients include low-fiber diets, limited fluid intake, impaired mobility and cognitive disorders. Studies have also shown that distinct physiological changes affecting colonic motility can occur in older people. They include myenteric dysfunction, increased collagen deposits in the left colon, reduced inhibitory nerve input to the colon's muscle layer and increased binding of plasma endorphins to intestinal receptors. Diminished anal sphincter pressure or degeneration of the internal anal sphincter, loss of rectal wall elasticity, and, in older women, an increased degree of perineal descent also are well documented.

My height is 5'4 and weight 73 kgs, which I gained from the last year. I have mild PCOD and very irregular periods. Am I too overweight? I feel lazy and what should be my ideal weight?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My height is 5'4 and weight 73 kgs, which I gained from the last year. I have mild PCOD and very irregular periods. A...
You are over weight and control PCOD and do exercises and reduce diet to be normal in your height.
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Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Hi am 25 yrs n I have a 10 months baby. After delivery I am suffering from so many problem concipation, hemorrhoids, back pain, urine infection, falling hairs.

MD , MBBS
General Physician, Aligarh
There occurs many changes in boby post delivery. Female very drastically gain wt. Eat balanced diet with more water, avoid red meat. And stress more on vegetables and fresh juices. Take lactulose syrup or better add roughage to your diet. In form of salads and isabgol u get in market. Once u r healthy all problems will be okey. Medicine is not solution to every problem. Life style modifications is must.
2 people found this helpful
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I have deviated nasal septum. I have breathing difficulties. My 1 side nostril always remain blocked. Should I use nasal spray. To get it unblocked? After that will my breathing get easy?

DORL, MBBS
ENT Specialist, Faridabad
I have deviated nasal septum. I have breathing difficulties. My 1 side nostril always remain blocked. Should I use na...
Deviated nasal septum blocks the normal path of air into nose this will change the aerodynamics of the nose hence leads to sinusitis, this is a major issue, get ct scan of the nose done, this helps us in getting the point where exactly you having the blockade.
1 person found this helpful
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I am 18 years old male, and my father 52 yrs old diabetes since last year, 180. What should I do? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 18 years old male, and my father 52 yrs old diabetes since last year, 180. What should I do? Please help me.
1. Include whole grains in the diet, such as wheat bread/pasta and brown rice. 2. Cheese and yogurt prepared with skimmed (nonfat) milk may be taken. 3. Use garlic, onion, bitter gourd, spinach, raw banana, and black plum. 4. Make a flour mixture of 1 part barley, 1 part black chickpeas, and 4 parts whole-wheat flour and use this to form pancakes and bread. 5. Avoid sweet, sour, and salty foods, potatoes, sweet potatoes, colocasia (taro), yams, fresh grains and pulses (legumes), whole yogurt (high in fat), and heavy, oily and spicy foods. 6. Avoid sweet fruits like pineapple, grapes, mangoes, etc. 7. Start doing some light exercise, such as brisk walking. Build up to a brisk walk of 30-40 minutes in the morning and again in the evening. 8. Avoid sleeping during daytime 9. Visit your physician every month.
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My mother has diabetes. What are the chances of me getting it. What are the measures I need to take.

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
My mother has diabetes. What are the chances of me getting it. What are the measures I need to take.
Now-a-days, there are chances that a person will get diabetes whether or not there is family history of diabetes. Anyways, the possibility increases in case of positive family history. You need to live a stress-free healthy lifestyle which will include some form of daily exercise with a balanced diet to prevent diabetes.
1 person found this helpful
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I ate an entire radish, now I have no taste in the front part of my tongue, it's been around 48 hours since this happened. What should I do?

BDS, MDS
Dentist, Gorakhpur
Put sugar crystals on the front part of the tongue. If you can feel the sweet taste, there is no problem it will return to normal once taste buds get sensitized again. If not, poke your anterior tongue with sharp instrument/ needle carefully. See if you can feel the sensation. If you can it is against ok. If not, you can contact me personally. THANK YOU.
2 people found this helpful
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In every late night I feel uneasy and feel critical and my body totally sweat in full body.

MBBS, cc USG
General Physician, Gurgaon
This seems to be due to severe anxiety/ stress/ depression This problem can be solved by meditation i can give you address of Rajyoga meditation center near your house (this is free of cost) Tell me name your city than i will give you address of centre consult Psychiatrist for further management
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