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Dr. Vinay H.R

MBBS

Psychiatrist, Bangalore

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Dr. Vinay H.R MBBS Psychiatrist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vinay H.R
Dr. Vinay H.R is a trusted Psychiatrist in Laggere, Bangalore. He studied and completed MBBS . You can meet Dr. Vinay H.R personally at Spandana Health Care in Laggere, Bangalore. Book an appointment online with Dr. Vinay H.R and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 31 years of experience on Lybrate.com. You can find Psychiatrists 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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Spandana Health Care

#236/2, 29th Main,5th Block Nandini Layout, Coconut Garden, Landmark: Near Laggere Ring Road BridgeBangalore Get Directions
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Spandana Hospital

#236/2, 29th Main,5th Block Nandini Layout, Coconut Garden, Landmark: Near Laggere Ring Road Bridge.Bangalore Get Directions
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How to increase thinking power and how to focus my concentration on single thing.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, thinking power, memory and concentration depends on how you approach the things. The more your interest in things, concentration and storage increases and thinking power helps you to assimilate. I suggest you to consult a psychologist for counseling and diagnosis.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Quit smoking

Follow 5 As (Ask, Advise, Assess, Assist, Arrange)

Assessing tobacco use status during healthcare visits increases the likelihood of smoking-related discussions between patients and clinicians, as well as increases smoking cessation rates.
All smokers should be advised to quit smoking. Even brief advice to quit has been shown to increase quit rates.
For smokers who are willing to quit, manage them with combination of behavioral support and pharmacologic therapy
Behavioral intervention generally consists of brief clinician counseling in the office, but smokers should also be referred to a free telephone quit line
Smokers who fail to quit on an adequate trial of first-line pharmacotherapy may benefit from second line pharmacotherapy.
Also attempt to intensify behavioral counseling.
Patients who successfully quit but experience relapse be treated with a pharmacologic agent that previously helped the patient to achieve abstinence and was tolerable
Enhancing treatment by adding another pharmacologic agent or more intensive behavioral support can also be considered.
Smokers can also be advised about the health risks of secondhand smoke exposure to their household members and urged to commit to keeping their home and car smoke-free, especially if children are present.

5As of quitting Smoking

Ask: Implement an office wide system that ensures that, for every patient at every clinic visit, tobacco-use status is queried and documented. Repeated assessment is not necessary in the case of the adult who has never used tobacco or has not used tobacco for many years, and for whom this information is clearly documented in the medical record.

Advise: Strongly urge all tobacco users to quit in a clear, strong, personalized manner. Advice should be clear - "I think it is important for you to quit smoking now and I can help you" "Cutting down while you are ill is not enough" It should be "As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your health now and in the future. The clinic staff and I will help you" and it should be personalized. Tie tobacco use to current health/illness, and/or its social and economic costs, motivation level/readiness to quit, and/or the impact of tobacco use on children and others in the household.

Access: Determine the patient's willingness to quit smoking within the next 30 days; If the patient is willing to make a quit attempt at this time, provide assistance; If the patient will participate in an intensive treatment, deliver such a treatment or refer to an intensive intervention; If the patient clearly states he or she is unwilling to make a quit attempt at this time, provide a motivational intervention and If the patient is a member of a special population (adolescent, pregnant smoker), provide additional information specific to that population.

Assist: Provide aid for the person to quit.

Arrange: Schedule follow-up contact, either in person or by telephone. Follow-up contact should occur soon after the quit date, preferably during the first week. A second follow-up contact is recommended within the first month. Schedule further follow-up contacts as indicated.

Congratulate success during each follow-up. If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence. Remind the person that a lapse can be used as a learning experience. Identify problems already encountered and anticipate challenges in the immediate future.

Last month I got periods again after 14 days counting day one as first day. And this time it was for 10 days. 3/4 days Before commencement I used to get pinching pain only I the tip of my breasts. It went away after the period started those ended on 6th march. Again I M getting pain in the tips. Some times its really bad, I have to hold them, rub gently, press lightly for few mins. It's more on one side. FYI I am going through a lot of stress. Stress beyond my capabilities. Nowadays. Financial crises, no mediclaim. Is it due to that.. Or is this Menopause. Please help. Pleaaassseee.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Irregualr menses durin 43 years age is common because of perimenopause. During this phase hormones are on decline and along with stress menses can come like this. Brest pain is also suggestive of hormonal disturbance. As it is happening more than once you should get ultrasound done and pap test to find out the exact cause and accordingly it can be treated.
6 people found this helpful
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4 Must-Do Ways Of Coping With A Break Up

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
4 Must-Do Ways Of Coping With A Break Up

4 Must-Do Ways Of Coping With A Break Up

Breakups can be devastating. The non-availability of a person you loved dearly can give rise to emotions of anger, helplessness, emptiness, frustration and sometimes even guilt. Coping with a break up is extremely difficult for most people. So what is the best way of dealing with it? Read on...

1. Live For Yourself 

Whether it’s your sleeping habit, or tastes in food or even music preferences,  a relationship calls for a compromise in either or all of these. Since you’re free now, you can indulge in everything that you had to give up on. Even if it’s something as simple as peanuts, which gave him or her allergies, you should indulge in it by the handful. Go out; don’t keep yourself cooped up at home. Meet new people, form new bonds with the people you like and do whatever makes you happy. 

2. Vent Out

Call your friends or family and share the pent up feelings with them. Friends and family are sympathetic, and can act as a shoulder to cry on. However, make sure you are smart about your venting. It’s pretty easy to fall into the habit of crying and drinking, laying in your bed, wallowing in your misery and ignoring all your responsibilities. Venting helps, but not at the cost of the rest of your life. Make sure you aren’t succumbing to complete self-pity as this will only add to your depression. 

3. Exercise

Exercising serves two purposes. One, it helps you get back in shape so that you feel confident and healthy. Two, exercise has been proven to reduce stress, by bringing about the release of the feel-good hormones, endorphins, in your body. Regular workouts will increase adrenaline and dopamine in your system. Being mood-enhancers, these chemicals work to make you happy and keep you stress-free. 

4. Cut-off Contact 

Many people say that they want to remain friends after breaking up, but that is mostly not a good idea. So what do you do? Try cutting off complete contact for a while, at least till you heal. Whether it’s Facebook, Twitter, LinkedIn, Gmail, or Pinterest, you need to deny yourself avenues to check out either your ex-partner or your past life with them. Avoid talking on calls and texts too. Get rid of their stuff in your house. If you have a song that reminds you of the time spent with your ex-partner, don’t listen to it in the immediate aftermath of the breakup. If you can’t do this yourself, ask a friend to help keep you on track or even do it for you. 

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I am 30 Years Male, due to some family problems I am very much depressed and very much tensed about my future, how to come out of the same.

B.A. Hons . Psychology, MA Psychological Counseling, EDM Psychological Counseling, Trauma Specialist, MPhil Clincal Psychology
Psychologist, Hyderabad
Dear Lybrate user, I hear that you have been dealing with some family problems and feeling very low and tensed about your future. Depression involves feelings of helplessness, hopelessness, worthlessness and a distinct lack of interest in things that were once enjoyable. Additional symptoms include changes in eating habits (over eating or not eating) and sleep habits (early morning awakening or over sleeping). If you have been feeling any of this, then I suggest you consult a clinical psychologist who will be able to explore your symptoms and help you deal with it effectively.
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10 Tips to Help You De-Stress

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
10 Tips to Help You De-Stress

Rent a funny movie, go to a yoga class, keep a journal — these proven stress relief methods work. Not only will you feel better, but you’ll be happier.

These days it seems everyone is living and breathing stress. Trying to undo the tension can just add more stress if you take the wrong approach. But there’s no need to do that; there are many healthy, proven ways to get stress relief.

Here are some tried and true tips to get stress relief:

Exercise
“Run, do some yoga, punch a bag at the gym,”. Exercise is a way to manage stress that doesn’t have to add to your financial woes. For example, a 20-minute walk or jog around your block can yield up to 12 hours of improved mood. The main thing is to find a physical activity that you enjoy, whether it’s dancing or fly fishing.

Socialize 
Spending time with friends and family who give you a sense of belonging, purpose, and fun may provide all the stress relief you need.

Write
Dedicating a period of time every day to write about a situation that is bothering you may reduce tension and give you stress relief for the rest of the day. Keeping a journal can also help you solve problems or find positive angles amongst the stressors.

Laugh
Laughter really is the best medicine. It is proven to lower tension, and at the same time, improves blood flow and the health of your heart. Rent a funny movie or hang out with that wannabe-comedian pal, and forget about your worries for a while.

Take care of yourself
W'hen tension spikes, it can be tempting to put yourself last — but prioritizing healthy eating, physical activity, relationships, and sleep is necessary if you want to avoid making your stress worse.

Get some fresh air
If you are cooped up inside all day, take a few minutes to get outside and see the sun. A little time in the great outdoors can improve your mood and help you relax.

Be kind to yourself
Think about positive affirmations daily. Thinking negative thoughts only makes you feel bad and will increase stress. Tell yourself you are doing a good job, and believe it!

Meditate
Practice deep breathing and meditation exercises daily, and when you feel tension rising.

Be thankful
Showing thanks for your family, friends, and loved ones and being thankful for the positive aspects of your life has a calming affect. Not only does it give you perspective, it makes other people feel good, too.

Make a change
Sometimes the best way to obtain stress relief is to remove your source of tension. “for example, if you are in a job working at a certain pace in an environment that is objectively painful because of your boss, coworkers, and so on, and you’re doing it because you can earn 10 percent more money than doing something else, you could calculate that you might be better off doing something else,”.

Many people turn to unhealthy choices in an attempt to cope with tension, says goodstein. These include:

Substance abuse
Smoking
Overeating
Drinking alcohol to excess
Gambling


Even a seemingly harmless source of stress relief, such as computer games, can add to your problems if it cuts into the time you need to take care of yourself. Chances are that if you play computer games more than seven hours a week, you could be losing two hours of sleep a night — which will actually add to your tension in the long run. If you notice that you are starting to depend on unhealthy sources of stress relief and you can’t make a change on your own, seek help.

Some stressors are chronic and unremitting. “you may want to take a broad overview of your life to see if you have allowed yourself to be encumbered by factors that are making your life unpleasant.” if so, consider making a lifestyle change.

If you’ve been hiking, socializing, and taking care of yourself and you still have high levels of stress, talk to your doctor. Your tension could be a sign of another health issue.

Remember, you don’t have to live with tension. In fact, not only is tension unpleasant, but it is unhealthy. Keep trying out stress-relief techniques until you find the ones that work for you.

3 people found this helpful

Hi doctor m 32 years old. I got married in March 2016. M trying for baby from last 2 months but not able to conceive don't understand why. I n my husband both have B positive blood group, does it creates any problems in conceiving. N on my menstrual day I have very light bleeding but before marriage it comes normally n remain for 3-5 days. M in great stress not able to understand what is happening with me. Kindly help us doctor.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hello, having similar bld grps does not cause any probleems in pregnancy. The chance of you conceiving per cycle is about 20-30% even if everything is normal, so do not stress out. Make sure you do not put on any weight. If you do not conceive in another 6 months or so you cud see a gynaec who cud then run some tests.
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Speech therapy me kya hota hai, aur kitna total kharch aata hai, aur insan kitne din me poori tarah thik hota hai?

MASLP
Speech Therapist, Secunderabad
Speech therapy is a rehabilitation program for the persons who have speaking problems or speech errors. In speech therapy clinician will give therapy as per the problem is concerned. Also its a time taking task. Speech therapy requires time as per the severity of the problem to get it resolved. Cost may be dependent on how you are taking a therapy. I. E. Home visit or you r visit therapist at their workplace. Also the no. Of therapies in a week like twice or thrice as per suggested by the clinician. Basically its time taking process. But there is no other alternative for speech problems except speech therapy. Please visit your nearest slp.
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I am a 23 year male and I want to left smoking but I am not able. I smoke since last one year how much it affect to me.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Smoking is killk\ing you from inside. Stop it. Its good that you have taken the initiative. You can surely stop. We are always there for you in this endevour.
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My father eats tobacco he wants to get rid from it. He tries it many time but unsuccessful .then from which medicines they get rid.

Masters in Psychology, PGDRP
Psychologist, Delhi
He can take tobacco cessation counselling from me to get rid of it. Tell him to first set up a date in his calender when he wants to quit from. The first step is to make commitment to quit from a particular date but before he does that, make sure he tobacco proofs his surroundings completely i.e all cigarettes, lighters, ash trays should be removed from his surroundings that could possibly remind him of smoking. The next step is to recognize the coping mechanisms that would work best for him, that can be done by consulting a trained counsellor. He can always get back to me for the same.
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Testosterone Hormone

BHMS, DEMS
Homeopath, Pune
Testosterone Hormone

Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.

In the Womb

Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain.testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism.low levels of fetal testosterone may boost your chances of getting Alzheimer’s disease later in life.

Adolescence to Early Adulthood

Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.

Male   Female  
Age: T Level (ng/dL): Age: T Level (ng/dL):
0-5 months 75-400 0-5 months 20-80
6 mos.-9 yrs. <7-20 6 mos.-9 yrs. <7-20
10-11 yrs. <7-130 10-11 yrs. <7-44
12-13 yrs. <7-800 12-16 yrs. <7-75
14 yrs. <7-1,200 17-18 yrs. 20-75
15-16 yrs. 100-1,200 19+ yrs. 8-60
17-18 yrs. 300-1,200    
19+ yrs. 240-950    
Avg. Adult Male 270-1,070 Avg. Adult Female 15-70
30+ yrs. -1% per year

Testosterone and Aging

low testosterone levels can cause changes in sexual function, including:

  • reduced sexual desire, or low libido
  • fewer spontaneous erections
  • impotence (erectile dysfunction)
  • infertility
  • Other signs of decreased testosterone levels include:

  • changes in sleep patterns
  • emotional changes, such as low self-confidence or lack of motivation
  • physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density

The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL).

Other Possibilities

While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:

  • a reaction to certain medications
  • thyroid gland disorders
  • depression
  • excessive alcohol use                                                                                 
  •  
  • the best time of day to have a blood sample taken for a testosterone test is around 8 a.m.
36 people found this helpful

I can not concentrate in my study, to get better concentration what should I do? Pls help.

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Don't panic the more you work out your brain the better you process and remember information. Try to do different activities what makes you happy. Learn to play any instrument, make art, drawing, pottery. Learn dance and another language which you don't know. Try to do brain exercise. Every single activity give your brain extra challenge and want extra effort from you. This will give you a healthy brain which can do anything. And for concentration point a dot on a blank white sheet pointed it on a wall just straight to your eyes while you sit on a chair. And you can try any other concentration exercise daily.
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Respected sir, Mai pehle depression ka patient tha. Kuch mahine pehle mujhe neend aane me pareshani hone lagi Achanak se. Uske Baad ab Mujhe kuch v theek se yaad nhi rehta turant ki baat v bhool ja rha Hun aur ab Mujhe neend v bahot lagti hai 24 ghante neend bahot tez aati Rehti hai jaise ki bahot Dino se nhi Soya Hun aur kuch feel v nhi hota. Mai kitni v der so lun neend aata hi rehta hai. Office me kuch v nhi ker pata. please help.

MD - Psychiatry
Psychiatrist, Chennai
You are going through grief, which is normal after loss of a loved one. Time is the healer for the emotional and behavioral changes, however if your depression is severe enough to affect you in a significant manner, kindly consult a psychiatrist for short term antidepressant medication, depending on the complaints.
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Hi have some problem that I face so many times, that is my inner fear and low confidence ,when some one see me while I signature on paper or write some thing on papers my hand was shaking and my heart beat start fast the unknown fear come on front me, I don't understand why this problem come on me.

M.Phil clinical psychology
Psychologist, Gurgaon
Dear lybrate-user, the problem which you have shared here is psychological in nature. When you are facing such kind of difficulties, it must be difficult for you to focus, understand and think in a clear manner. As a result, avoidance is another behavioral consequence. For anxiety, you must systematically desensitize yourself and expose to situations when you are doing signature or writing and at the same time change your cognitions/ thought patterns in a positive manner. Like if you feel people would notice me and make judgments while writing something on paper, then you may replace these thoughts with" I should concentrate more on the task at hand and ignore anxious thoughts. For this also, I would suggest you to consult a clinical psychologist who can help you overcome it and understand the problem in depth.
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I feel extremely anxious at times and get very angry and irritated. Have started gym two three days back. However due to gym unable to continue. Too much pressure on me for home tasks and how things are at home which I dislike and my partner unable to understand.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (Glasgow)
Psychiatrist, Delhi
Dear lybrate-user, Welcome to the forum. There are a few things that can be done in this scenario. As you feel that your partner is unable to understand your problems, and it is important to share your feelings, it may be worthwhile to meet a counselor. If needed, a psychiatric evaluation can then be done to see if medicines are needed or not. At a later stage, it may be useful to get your partner also to therapy so that the counselor/ therapist can work on the relationship issues also. There is no short cut or simple solution to the situation. The above outlined method may appear little challenging but is the best way forward. It is advisable to exercise atleast 3-4 times per week. Do not do it for more than 20 minutes during the first one or two weeks. During the third week or so, you can increase the duration to 30-40 minutes five times a week. This will help a lot. Take care!
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Hi, I am hyperactive these days when I stopped medicine like riswel plus kind of prescription. Now I lost the job due to this.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
That is very unfortunate. What made you to stop your medication. Please see your doctor and start your medicines again. Also counselling can be helpful in hyperactivity. Do try yoga, meditation to help you feel more calmer and grounded.
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Sir, I am healthy But mind remember very bad I has checked my mind memory and fund normal If I am read or remember or study any exam or any subject so my mind some time (01hrs.) good work. Mind heat if I large time study.

C.S.C, D.C.H, M.B.B.S
General Physician,
10 Study Tips to Improve Your Learning Study Tip 1: Underlining Underlining is one of the simplest and best known study tips. It’s easy to highlight the most significant parts of what you’re reading. One key sentence per paragraph and a few important phrases here and there. You can only retain a certain amount so it’s best to retain the most important information. Study Tip 2: Make your own note and taking notes is one of the most widespread study skills out there. Essentially the aim of note-taking is to summarise lectures or articles in your own words so you can easily remember the ideas. Study Tip 3: Mind mapping A good Mind map can save you many hours of study and further consolidate your knowledge for your exams. Mind Maps are an extremely versatile tools. They can be used for brainstorming, outlining essays or study topics and for general exam preparation, ExamTime offers the ability to create Mind Maps quickly and easily which makes them the ideal tool when it comes to exams. Study Tip 4: Flash cards:- Using these are a particularly effective method of learning when trying to assimilate different facts, dates, formulas or vocabulary. Subjects such as History, Physics, Maths, Chemistry, Geography or any language are made much easier if you incorporate Flashcards in to your study. Study Tip 5: Case Studies Sometimes it can be difficult to grasp the implications of some theories. This is where studying case studies can be a big help. Case studies can help you visualise a theory and place it in a more familiar and realistic context. This is especially useful in business or law subjects. Study Tip 6: Quizzes are an excellent way to review study notes in the weeks and days before an exam. Quizzes can show where your strengths and weaknesses are, so it allows you to focus your efforts more precisely. Moreover, if you share your Study Quiz with your classmates and test each other as much as possible you can discover even more details and areas you may have overlooked. So before any exam, make sure you create and share a bunch of different Quizzes with your Friends. Study Tip 7: Brainstorming This is another study technique that is ideal for studying with friends and/or classmates. Brainstorming is a great way to expand every possible idea out of any topic. Just get a bunch of friends together and shoot the breeze, there are no wrong answers when brainstorming – just talk and capture the ideas, you can review afterward. Study Tip 8: Mnemonic Rules Mnemonics are especially useful when memorising lists and sets. Mnemonics rules basically work by associating certain concepts with other concepts that are more familiar to us. There are many different ways to make mnemonics and these can be individual to the person. Study Tip 9: ORGANISE your study One of the most effective study skills is also one of the most often overlooked; this is organising your study. Creating a TIME TABLE gives you goals and a time in which to achieve them. Having a study timetable as you study is greatly motivational Study Tip 10: Drawing Many people find it easier to recall images rather than text that is why they are better able to memorise concepts if they associate them with pictures or drawings. If you find answer helpful please click on “helpful” tab for knowing my efforts are useful
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I've always had underlying depression issues. Years fine on Prozac. Then year or so ago I aware not sleeping, anxiety, anger, loss interest in everything.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
Hi…This problem is due to irritation and inadequate nutrition of the brain. So follow few basic things …. 1) drink only 100-150 ml of water during meals …. 2) don’t drink water one hour before meals and one hour after meal… 3) avoid oily, spicy, salty, junk, fast, fermented and stale foods… 4) avoid coffee and tea… 5) try to sleep upto 10.30 pm … 6) do anuloma viloma pranayam and omkar chanting regularly early in the morning… A) eat 30-40 black currants and 1 tsf of jaggery during meals… B) take 250 ml of fresh butter milk during meals. C) instill 3-4 drops of CHANDANADI TAILA in each nostril at the time of sleeping…… Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS.
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Should we leave the smoking's and what can do for leaving it please give the suggestion about it?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have to quit cold turkey because the body and mind will torture you endlessly while attempting reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing in the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest.
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I'm having a body pain since last two days. I had started exercising. Any suggestions to help me relieve from this pain?

MBBS
General Physician, Cuttack
1.Take paracetamol 500mg,1 tablet as and when required after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest
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