Doctors in Manipal Ankur Andrology & Reproductive Services
Treatment of Depression
Treatment & Management of Stress
Treatment of Anxiety
Management of Abortion
Treatment of Alcohol Addiction Disorder
Treatment of Mood Disorder
Treatment Of Male Sexual Problems
Treatment of Eating Disorders
Treatment of Anxiety and Depression
Treatment of Overeating Disorders
Treatment Of Anxiety Attacks
Treatment of Panic Disorders
Caesarean Section Procedure
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Treatment of Schizophrenia
Treatment of Bipolar Disorder
Anger Management Therapy
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Do you have a habit of getting too anxious about minor matters? Is your severe anxiety hampering the smooth functioning of your daily life? Is anxiety giving you headaches, causing insomnia and making you paranoid? All these conditions imply that you are suffering from anxiety disorder. There are several types of anxiety disorders with various symptoms, and there are effective treatment procedures for curing them as well.
Signs and symptoms of severe anxiety/ anxiety disorder: The signs of anxiety disorder vary from person to person, but one common major symptom is severe fear, tension and worry even in petty situations.
The common emotional symptoms except fear and tension include the following:
- Feelings of great apprehension or a dread feeling
- Problem with concentration
- Feeling overly tensed
- Always anticipating the worst in any situation
- Feeling restless and irritable
- Watching out for danger signs in everything
- Feeling mentally blank
Anxiety is much more than being just a feeling and several physical symptoms are observed as a result of the body's response to severe anxiety. The most common physical symptoms are as follows:
- A pounding heart
- Excessive sweating
- An upset or dizzy stomach
- Enhanced urge for urination and diarrhea
- Breathing problems
- Muscle tension
- Feeling twitches and tremors
- Severe headache and excess fatigue
- Sleeplessness or insomnia
In order to cope with anxiety disorder, you should follow these tips:
- You should connect with other people as being lonely or isolated may trigger your anxiety. Meet friends or join support groups. You should share your feelings with a loved one to ease the anxiety.
- You must start undertaking relaxation techniques such as mindfulness meditation, progressive muscle relaxation or deep breathing. These help in reducing your anxiety and make you feel relaxed.
- Regular exercise and work out is a natural stress buster and relieves anxiety. Practice different types of exercises strictly every day.
- You must get sufficient sleep as lack of sleep boosts your feelings of anxiety and tension. You should get nine hours of undisturbed sleep every night.
- You should reduce your intake of alcohol and caffeine products, which worsen your anxiety.
- You must train your mind to stay calm. The habit of needless worrying must be brought under control. You can undertake strategies such as creating a worry period, challenging the thoughts of anxiety and accepting uncertainty in life.
The self-help strategies for coping with severe anxiety can be quite effective. In some cases, fear and anxiety attacks become very severe and cause great distress in a person's life. In such cases, professional help is required. Certain behavior therapies can be undertaken for eliminating severe anxiety.
In–vitro fertilization of IVF is a medical process through which a woman’s egg is fertilized with the sperm in a test tube, petri dish in a laboratory. IVF is not just useful for getting pregnant, it also helps in curing a lot of other conditions as well.
Conditions which can be treated by IVF
IVF may not be able to completely cure certain medical conditions but they can treat these conditions to a huge extent. Such medical conditions are:
• Treatment for people with genetic deformities - There are a lot of people out there who suffer from a huge risk of having genetically deformed babies but IVF can help prevent that. In such circumstances, the concerned people can choose the embryos, which do not contain such deformities, and the process through which this is done is called preimplantation genetic diagnosis. This treatment can also be performed on people who have consistent miscarriages.
• Ovulation problems - Women whose ovaries have difficulties in producing eggs on a normal basis can be helped by the IVF treatment.
• Vaginal and cervical complications - Sometimes, certain surgeries can cause injuries and extreme scarring on top of the vagina and also cervix problems. IVF can solve this problem by placing the embryo straight in the uterine cavity, avoiding the cervix.
• Multiple factors causing infertility - Sometimes both male and female infertility can be caused by several factors. In case there is a slight scarring of the fallopian tubes accompanied by a sperm problem, IVF can be used to remedy this and hikes up the chances of conception and fertilization.
• Damage in fallopian tubes or tubal damage - When a woman’s fallopian tubes are extremely damaged that surgery also cannot remedy it, IVF comes into play. This is because IVF circumvents the fallopian tubes and does the job. But before considering this treatment, consult your gynaecologist because if the fallopian tubes are slightly injured then the IVF treatment is not necessary.
• Endometriosis - Endometriosis is a type of condition in which the uterine lining develops outside the uterus. Even though it is not the only option for dealing with this condition, IVF does help in remedying it to some extent.
• Unclear reasons for infertility - When it becomes very difficult to find the reasons causing infertility, IVF helps in diagnosing it. In this matter, the success rates are quite high for IVF.
Even though IVF is hardly used as the first mode of treatment in case of fertility complications, you can consider it as your next best option. IVF is known all around the world for it’s benefits and usage. But before going for any IVF treatments, make sure to go and consult your doctor and take his opinion about whether you really need it or not.
Vulvodynia refers to a chronic pain in the vulva, a condition suffered by most women. Triggered generally by an unidentifiable cause, the pain was not considered as a real pain syndrome until of late. The ambiguity of the condition is such that many who do suffer from it fails to realize its complications.
There are primarily two types of Vulvodynia:
1. Generalized Vulvodynia: This is when the pain is all over the vulva, however different parts may pain at different times. It may be a constant pain or may occur occasionally.
2. Vulvar vestibulitis syndrome: The pain is in the vestibule area or the entrance of the vagina is known as vulvar vestibulitis syndrome. This kind of pain mostly exhibits a burning sensation and is triggered even by a slight touch. During intercourse the pain manifolds to extreme severity.
Although the cause of Vulvodynia is not known, doctors suspect the following reasons to be the contributing factors:
1. Nerve injury
3. Yeast infections
4. Sexual abuse in the past
5. Muscle Spasm
6. Hormonal changes
1. Burning sensations
2. Aching or soreness
No well versed cure is available for Vulvodynia, although certain self care treatments can bring relief. Among the many, you need to figure out which method suits you best and choose accordingly. To discern the best method, you might have to try various different combinations. At the same time, it is extremely important to educate yourself about Vulvodynia and have a thorough knowledge about what it is all about. It is advisable that you maintain a record of the treatments which according to you suit you the most in order to avoid confusion.
Some of the methods are given below:
1. Avoid products which might act as potential irritants near the vulva.
2. Do not put much pressure on the vulva. Avoid activities which might exert direct pressure on it.
3. Whenever it pains, try to soothe the area by soaking it in lukewarm water or applying ice on it.
4. Use medications like lidocaine to relieve pain.
5. Certain exercises might also help relax the area.
6. Biofeedback also helps relax the vaginal muscles and bring some relief.
I am 24 years old and have pcos. I had irregular periods thus was under treatment for 6 months for pcos. I do exercise regularly. I had not been using medicines since november. I got periods twice in december. I am planning to have a baby. Do I need to worry about it?
Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.
Causes of Epilepsy
The cause of this condition isn’t very evident; however, most medical practitioners attribute epileptic seizures to brain injury, tumours, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.
- Repeated seizures
- Impaired memory
- Bouts of fainting
- Short spans of blackout
- Sudden bouts of blinking and chewing
- Inappropriate repetitive movements
Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.
There are three types of seizures an epileptic person usually encounters.
- Idiopathic: This kind of seizure has no apparent cause
- Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
- Symptomatic: These seizures occur due to a reason.
- Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
- Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.
Five facts about epilepsy you need to know:
- Epilepsy is not psychosis or madness and can be treated easily
- Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc.
- Woman with epilepsy can have a normal pregnancy
- Newer medicines for epilepsy are effective and very safe
- Surgery can cure epilepsy in some patients.
Life is constant game of changes and people who can adapt to it and move on generally tend to find their pockets of happiness. From bad finances to lack of love to a near ones loss, each of us constantly face struggles that can leave us drained and depressed. People often work on these external factors to find their happiness. Those who suffer from depression as an illness though find it taking over multiple spheres of their lives disabling them from doing routine tasks with ease. Depression, like other diseases, can also have a biological origin.
Several theories concerning the biologically based cause of depression have been suggested over the years. Simply put, chemical imbalance in the brain can be a trigger to depression. As the 'command center' of our body, the brain uses a number of chemicals as messengers to communicate with other parts of itself and with the nervous system. These chemical messengers, called neurotransmitters are released and received by the brain's nerve cells called neurons. Neurons are constantly communicating with each other by way of exchanging neurotransmitters. This communication system is essential to all of the brain's functions.
Among the biological causes of depression, the most prominent and widely researched is the monoamine hypothesis. The three main monomine triggers of imbalances that trigger depression are neurotransmitters called serotonin, norepinephrine and dopamine. Serotonin regulates functions like sleep, aggression, eating, sexual behavior, and mood. Similarly, the catecholamine hypothesis suggests that a deficiency of the neurotransmitter norepinephrine (also known as noradrenaline) in certain areas of the brain was responsible for creating depressed mood. Norepinephrine helps our bodies to recognize and respond to stressful situations.
Dopamine plays in important role in helping each of us seek out our 'high' or 'pleasure' from rewards. Low dopamine levels may in part explain why depressed people don't derive the same sense of pleasure out of activities or people that they did before becoming depressed.
Another leading cause of clinical depression is focused on the endocrine system. The endocrine system is responsible for making hormones and releasing them into the blood to regulate processes like reaction to stress and sexual development. Hormonal irregularities may lead to depressive symptoms like loss of appetite and sleep. It is further observed that those who have particular endocrine disorders sometimes develop depression, and some individuals who are depressed develop endocrine problems despite having healthy glands.
In a research done among depressed individuals, over half had a hormone called cortisol in excess in their body and abnormal times of secretion.
Depression can have many triggers and origins and it is important to see the right doctor who can treat the cause, triggers and symptoms in addition to the disease. Depression has a genetic predisposition. Also, the faulty thought pattern alters the physiology by upsetting the hormonal balance. Psychological professional help should be a priority in depression and its role should not be under emphasized.
What is salt and sodium?
Salt is made of sodium (40% by weight) and chloride (60% by weight). Sodium is a crucial electrolyte in the body. Sodium is an essential nutrient necessary for maintenance of plasma volume and blood pressure, acid-base balance, transmission of nerve impulses and normal cell function.
Different types of salt?
- Table salt or common salt
- Sea salt
- Himalayan rock salt (sendha namak and black salt)
The primary advantages of various types of salts other than common salt is having trace minerals (in very small amounts) and lack of processing and additives.
How salt intake normally?
WHO recommends that adults consume less than 5 g (just under a teaspoon) of salt per day. This goes around 2300mg of sodium per day. But, most Indian people consume too much salt - on average 9-12 grams per day.
What are health hazards of high salt intake?
How high intake of sodium cause kidney disease?
High salt intake is associated with kidney disease by two mechanisms:
Causing hypertension, vascular injury and proteinuria.
FOOD containing high salts?
Fast foods, preserved and packaged foods like:
- Bread products
- Salted and dry-roasted nuts
- Salt fish
- Smoked meat and fish
- Soy sauce
- Stock cubes
Many snack foods - chips, crackers, and pretzels - contain several hundred milligrams of sodium per serving.
Conditions where low salt is beneficial?
How to reduce sodium (salt) intake?
- Not adding salt during the preparation of food
- Not having a salt shaker on the table
- Limiting the consumption of salty snacks
- Choosing products with lower sodium content
- Remove salt from recipes whenever possible
- Use salt substitutes wisely
- Eat more fresh fruits and vegetables and low-fat dairy
- Use onions, garlic, herbs, spices, citrus juices and vinegars in place of some or all of the salt to add flavour
- Drain and rinse canned beans (like chickpeas, kidney beans, etc.) and vegetables
- Combine lower-sodium versions of food with regular versions. This will not differ much in taste. This works especially well for broths, soups and tomato-based pasta sauces.
- Cook pasta, rice and hot cereal without salt
- Cook by grilling, braising, roasting, searing and sautéing to bring out natural flavors. This will reduce the need to add salt
- Incorporate foods with potassium like sweet potatoes, potatoes, greens, tomatoes.