Dr. Shilpa Devanand

Wrinkles appear as we grow older and they are an inevitable part of the natural aging process. As we become older our skin becomes thinner, drier and less elastic and the skin’s ability to protect itself from damage is also reduced as we age. Vitamin C and Vitamin E are really effective in the reduction of wrinkles and fine lines.

You may be having alopecia areata. This is an autoimmune condition due to the attack of lymphocytes​ against hair roots. It results in the formation of bald patches on the scalp. It can affect any hairy area of the body also like eyebrows and beard. It has to be treated properly for long duration until the immunity comes down. Once the immunity is controlled, hair grows back over the patches. Please call me or contact me with photos using online consult option for accurate diagnosis and treatment.,

Dear , The sensitivity to cold is a common problem after tooth cleaning. It is not due to the procedure but due to the exposure of the sensitive part of tooth (Root), which takes place after the removal of calculus (Tartar in common language). Anyhow lets treat it. Buy Colgate Sensitive Pro Relief or Sensodyne or Sensodent KF or Thermoseal RA (either of them) toothpaste. Apply the paste, with the help of finger, to the outer and inner surfaces of teeth (especially in the teeth with sensitivity) and let it be there for 15- 20 minutes. Then take your toothbrush, wet. As paste is already there in mouth, brush your teeth with very soft hand. It is just like everyday brushing, only difference being that you have apply the paste for some time before you brush your teeth. As the paste already there, no need of applying paste to the brush. It will take almost three to 4 weeks, for the sensitivity to completely subside. It can subside early also, but if doesn't wait for 4 weeks. If you don't get relief upto 4 weeks, then go to a Periodontist. Now I will come to the harder part. In your case, I feel Periodontitis (Pyorrhea) has set in.As a result only scaling (cleaning of teeth) won't suffice. You have to seek the opinion of a Periodontist (Gum specialist) is definitely required. The reason being Pyorrhea being a very slow destruction of bone supporting your teeth, you will realize the actual difficulty when no or minimal bone will be left and your teeth becoming loose. At that stage saving your natural teeth will not be possible or in a compromised state. On the other hand if you undergo complete treatment, and follow the instructions properly then, you will never loose your teeth. Just make sure you consult a Periodontist. Till the Good Luck and Good Bye.

You have tarter and calculus deposited on teeth surface and between gums and teeth surfaces. Due to that infaction is spread on gums and leads to swellown and bleeding gum problems. You require through scaling and polishing followed by further examination of periodontal pocket and require opg xray to rule out status of bone. Kindly consult dentist or periodontist regarding treatment of your problems.

Fever with body pain and joint pain are few symptoms of dengue and to be confirmed by a blood test and See to it that there is no stagnation of water in your house and nearby locality for more than seven days because these are the breeding grounds for mosquitoes

Is your hair loss accompanied with greying of hair and have they become very thin? your hair needs a very high protein well-rounded diet. Hair and nails are the last organs to get nutrition in the body, hence only if all the organs get sufficient nutrition and proteins, only then the remaining nutrition would be used for hairs. A strand of hair is composed of mostly protein, which means your hair needs protein to grow. Hence a therapeutic diet prescribed by a registered dietitian can help a lot in hair growth. Besides diet excessive stress, current/past dandruff and some medication are conclusively known to retard hair growth and promote hair loss. - cut down on the use of hair spray, hair gels, and styling creams that contain harsh chemical ingredients, which can dry out the scalp and cause the formation of flakes. Also harsh treatments such as perms, colours, relaxers etc take a toll on the health of your hair. - avoid changing your shampoo and conditioner constantly. Stick to one good mild cleansing shampoo for six months before changing. - excessive exposure to the sun, pollution, rain water and dust without proper protection makes the hair dry, brittle and limp. Use a live in conditioner during the rains to protect it from the humidity and wash and oil it regularly to maintain a healthy scalp. I may also prescribe medications like biotin or minox. That are proven to help in hairgrowth and repair I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.

Knee advice. Avoid sitting cross legged. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Hams stretching. Sports taping hot fomentation.

According to your height your ideal weight should be 57 kgs. You need to reduce 8 kgs. Take high fiber low fat diet. Drink lot of water everyday. Take small and frequent meals at regular intervals of 2-3 hrs. Avoid outside food completely. Ask me privately for customized diet plan for you.

Do consult neuro physician for medications and neuro physio for 12 days followed by strengthening exercise.

Dear patient, 1.I suggest you some natural antioxidant with Vitamin C combined diet like.. green tea with lemon juice,Sprouts with slice of ginger and lemon, Lemon juice with lukewarm water that will help you weight reduction and protection from skin damage. 2. But green tea and lemon water not to take at empty stomach. 3.Avoid oily food, spicy foods,jam jelly,ghee, honey, salt, sweets, fried foods, junk foods. 4.Green vegetables, fresh fruits, Skin less fish, chicken add in your diet chart. 5.Do not be at fasting more than 3 hours 6.take low amount of food at regular interval. 7.Do brisk walk for 45 min in a day at any time. Thanks..