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Dr. Josephine Wilson

Gynaecologist, Chennai

300 at clinic
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Dr. Josephine Wilson Gynaecologist, Chennai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Josephine Wilson
Dr. Josephine Wilson is a popular Gynaecologist in Mylapore, Chennai. She is currently practising at Dr. Josephine Wilson@St.Isabel's Hospital in Mylapore, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Josephine Wilson on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai 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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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
300 at clinic
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

FMAS, MS
General Surgeon, Gandhinagar
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
Respected lybrate-user numerous fibroids & enlarged uterus are definately going to give rise to bladder prolapse if transvaginal usg or other tests done you kindly do share all reports dear thanks regards.
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Allergens: Pollen

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Allergens: Pollen

Allergens: Pollen

  • Pollen Allergies: What You Need to Know
  • Dandelion blowing in the breeze
  • Pollen is the most common cause of allergic rhinitis.
  • Pollen is microscopic in size.
  • Pollen from trees, grasses and weeds is easily windblown and known to cause allergies.

What is pollen?

Pollen refers to the tiny egg-shaped male cells of flowering plants, including trees, grasses and weeds. Pollen is microscopic in size. It is the most common cause of seasonal allergic rhinitis, sometimes known as hay fever.

Which plants produce pollen that cause allergic reactions?

 

  • Plants that have powdery granules of pollen that are easily blown by the wind include:
  • Trees, such as oak, western red cedar, elm, birch, ash, hickory, poplar, sycamore, maple, cypress, walnut, catalpa, olive and pecan
  • Grasses, such as Timothy, Johnson, Bermuda, orchard, sweet vernal, red top and some blue grasses
  • Weeds, such as ragweed, sagebrush, pigweed, tumbleweed, Russian thistle and cockle weed
  • Most flowering plants, such as roses, have heavier, waxy pollens that are not as easily windblown.

When is pollen season?

Each plant has a pollen season. It usually starts in the spring but may begin as early as January in the southern areas of the United States. The season usually lasts until November.

Man sneezing

About 45 million Americans suffer from environmental allergies. Dr. Sandra Lin, a Johns Hopkins otolaryngologist (ENT) and allergy expert, answers some of the most commonly asked questions about treating environmental allergies.

Can allergic rhinitis in pollen season be prevented?

  • To lessen the effects of allergic rhinitis during pollen season, the American Academy of Allergy, Asthma & Immunology suggests the following:
  • Keep windows closed at night and use air conditioning, which cleans, cools and dries the air.
  • Minimize outdoor activities early in the morning (between 5 a.m. and 10 a.m.) when pollen is most prevalent.
  • Keep car windows closed when traveling.
  • Take a vacation to an area where pollen is not as prevalent, such as the ocean.
  • Take the medications prescribed by your doctor.
  • Don't spend much time outdoors when the pollen count is high.
  • Don't rake leaves during pollen season.
  • If you are allergic to grass, wear a mask or have someone else mow the lawn.
  • Don't hang bedding or clothing outside to dry.
1 person found this helpful

I am 20 years old girl. Recently on 8 january 17 I had sex with my partner. It was unprotected sex. But the semen was thrown out by my partner. It is 19 january nw. And still I do not got my periods my last period date was 8 .what should I do please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I am 20 years old girl. Recently on 8 january 17 I had sex with my partner. It was unprotected sex. But the semen was...
1 sperm is sufficient to make you conceive. The precum also has sperms. But as you has sex on the day when periods were due, may be delay in periods is due to because of some emergency pill which you might have taken. Pregnancy is unlikely if you had sex on 8th, if your periods are regular otherwise.
1 person found this helpful
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I am suffering from the problem of smelly discharge. I want to conceive the baby now. Should I pregnant? My last periods time is 24 mar to 26 mar. With 28 days cycle. Now when will I try to conceive?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am suffering from the problem of smelly discharge. I want to conceive the baby now. Should I pregnant? My last peri...
Smelly discharge you can put clingen pessary in the vagina for 3 days. And ovulation occurs 14 days before the expected date of menses. So you need to try around that time.
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When lay flat and have sex and a man cumes in a girl vagina does the cum go straight in IF she lays still for 30 minutes before getting up go to toilet.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Yes the sperms travels to cervical canal and recommended to lie still for 15 minutes after sex in order to increase chances of conception.
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Total Laparoscopic Hysterectomy

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
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Hello everybody, I'm dr. Pulkit Nandwani. I'm a consultant gynaecologist & laparoscopic surgeon at Saroj Medical Institute, Rohini. So if you are about to undergo any operation especially total laparoscopy hysterectomy for whatever the indication might be, this video would be very useful for you. Once an operation has been decided, the patient gets really scared because of the unknown factor. What will happen once you admitted in the hospital? What will happen after the operation? How will you go through it? Just knowing the basic details of the hospital and treatment will put you a lot at ease. So on the day when you're supposed to undergo total laparoscopy hysterectomy, you would be asked to come to the hospital for admission usually early morning with empty stomach. We might even ask you to have just a light diet the previous day or even liquid diet the previous day and then not take anything after that from twelve o'clock in the night and come stomach to the hospital in the morning with all your records, all the blood tests, the ultrasound reports, that would have been done previously when the operation would have been decided. Once you admitted in the hospital, a sister will be an incharge of you. You will be given a bed, you will be asked to change your dress, the area where we have to operate would be prepared by doing shaving of hair of that area and then and IV saline IV cannula will be inserted.

Following all the medications, all the glucose, all the IV fluids would be given through this cannula and you will not have any other pain except the cannula pain. After that, an anesthetist will come and have a word with you and have a pre-Anesthesia checkup will be done. Then at the scheduled time you will be shifted in the operation theatre. Once you're in the operation theatre, again through that IV cannula line itself medicines in the form of injections would be given. A mask would be put on your nose and you will be put to sleep. The whole operation which would be undertaken by a team of doctors along with a multitude of workers along with us technician, nurses and anesthetist. The whole procedure will take around one and a half hours to two hours and then post operations once we find that you're stable you would be shifted to the postoperative room where you would be kept there for another three to four hours just for extra monitoring.

Later you'll be shipped out to the room. After the operation, once you wake up you will just have little grogginess, heaviness of the head which would be for the after-effects of the anesthesia. You would not be allowed to eat at that time. All the nutrients for the body will be given By the IV fluids in the form of glucose. All the medicines in the form of injections would be given. There would be a catheter inside the urinary bladder to allow drainage of urine. This catheter we will remove most probably the next day morning itself. So we will start giving you food either in the evening or the next day morning. Liquids will also be started first and gradually the food will be started. You might be asked to get off the bed on that evening.

This is the advantage of a total laparoscopy hysterectomy. The next day you will be kept inside the hospital, but you would be eating properly you would be walking around the hospital just for observation and the amount of injectable antibiotics. You would be kept inside the hospital. The next to next day you will be discharged. We put the dissolvable sutures over that, we put waterproof dressing. So the very next day of the operation and throughout after that you are allowed to take bath, just the vaginal hygiene has to be maintained at home. Heavy weightlifting or bending a lot would be just advisable not to do but other than that routine procedures and home routine activity at home is allowed. For a checkup you will have to come after a week. I hope the video was informative for you and would put you at ease.

I'm Dr. Pulkit Dhanwani and gynecologist and laparoscopic surgeon here at Saroj Medical Institute and if you want to contact me you can contact me by Lybrate or take an appointment at the hospital at Saroj Medical Institute. Thank you.

3411 people found this helpful

I am 23 and my wife 20. During intercourse my wife does not get any pleasure. But when I do from outside means rubbing penis around vaginal opening and clitoris. She is having pleasure. So give me some solution so she can have pleasure during intercourse.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 23 and my wife 20. During intercourse my wife does not get any pleasure.
But when I do from outside means rubbin...
Hello- There are three different kind of orgasm in each women. First is clitoral. Second is vaginal and third one is G-spot stimulation. It might be possible that your wife is lacking internal lubrication so is willing or enjoying clitoral orgasm only. Use some artificial lubrication during sex and improve dietary habits of your wife. Your problem will be solved.
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Hi Doctor I won't get my period for July 10 my last period was on June 10 now it's August 3 yesterday I checked with the pregnancy tester it showing I am pregnant I am in 55 th day there is any way to abort it by using tablets, I am already having 1 year baby please kindly help me.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Hi Doctor I won't get my period for July 10 my last period was on June 10 now it's August 3 yesterday I checked with ...
Yes, There is Abortion kit available containing 5 Drugs namely one first to destroy the baby, then after 48 hours two tablets to expel dead foetus if not worked proper then repeat 2 more tablets after 6 hours to expel finally.
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My mother consumed S-Vocitica10 regularly for mental strength and mood suing, But it makes her drowsiness in daytime. Can I stop the medicine? If it can be stopped, what is the way? Is there any alternative medicine? If it will be stop now, an problem occurs in future?

MD - Homeopathy, BHMS
Homeopath, Vadodara
My mother consumed S-Vocitica10 regularly for mental strength and mood suing, But it makes her drowsiness in daytime....
Yes the best alternative is homoeopathic medicine... but don't stop the medicine right away... first consult and start homoeopathic medicine once she feels better then you may slowly tapper down the dose... If she does not have major issues.. then you may stop it.... But for best homoeopathic treatment you must consult with proper case details...
1 person found this helpful
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Prega news and I can are reliable and 100 percent treatable for pregnancy test. It gives correct result or there is a chance of any deviation. Please sir or madam share your views regarding this.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Prega news and I can are reliable and 100 percent treatable for pregnancy test. It gives correct result or there is a...
usually prega news show correct result but if you suspect for result then get a blood test serum beta hcg for confirmation for pregnancy.
2 people found this helpful
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I am 3 month pregnant I have 3 child. Doctor said 2me keep a 2 child 1 child we abort so what is the chances of my pregnancy. Or my 2 child are safe. My age is now 40 I am doing ivf.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 3 month pregnant I have 3 child. Doctor said 2me keep a 2 child 1 child we abort so what is the chances of my pr...
If there was no infections or fevers after abortion, chances with ivf are better as within the cavity of uterus adhesions, or network of fiber like substance hinders conception and implantation regarding your age at 40, doctors will give medicines for stimulate more eggs.
1 person found this helpful
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Hi, I am 7 week 1 day pregnant. I am working my office timings are 9-6 but it took almost 4 hours (2 hrs in the morning, 2hrs in the eve. I go via cab) to reach my office. Though am not having nausea, vomiting any symptom, everything is fine but still in just want to know that sitting for almost 13-14hrs will effect anyway my baby's growth or should I take leave right now till 4th month and then continue my job? Please advice on this?

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Hi,
I am 7 week 1 day pregnant. I am working my office timings are 9-6 but it took almost 4 hours (2 hrs in the morni...
Your schedule is definitely hectic. We usually advice our patients to have 8hrs night rest and 2hrs daytime rest. Try to have a break when you r in office. Baby growth is more when you r beyond 5th month pregnancy so growth is as such not a problem.
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I am becoming plumpy. Neck is getting darker. I have pcod problem, irregular menses, facial hairs. I have thyroid. Eating 12. 5 mg daily. Please do help I have knee injury so can not do walking r exercises. I lost 5 kgs but not loosing further. My skin is becoming very loose due to it.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I am becoming plumpy. Neck is getting darker. I have pcod problem, irregular menses, facial hairs. I have thyroid. Ea...
Darkening of the skin, irregular menses and facial hair is due to pcod causing hormonal imbalance, resulting in the above changes. so have you started any medication for the pcod? let me know so that i can guide you further. becoming plump could be due to uncontroled hypothyroidism, over eating, sedatory life style and lack of sufficient physical activity.knee injury should not be a hinderance to do some physical activity. so concentrate on the above mentioned issues and think of the ways to overcome them. like change your dietary habits. take small frequent meals, keeping the quantity to as small as possible, avoid excessive oil and strictly avoid junk food. for cravings for food you can snack on fruits or vegetable salads etc., if your knee is bothering you while sitting or lying down you can do frequent, regular movements of the limbs and body.basing on your situation you can practice what ever is feasible or you can come back with information enabling me to guide you further. good luck.
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I had an abortion during 10th week as baby had no growth after 6th week. Later on doc tested and said I had an rubella. Is there any treatment to cure it for my next pregnancy.

MBBS, DGO, DNB - Obstetrics and Gynecology
Gynaecologist, Delhi
Very sorry to hear about your miscarriage. Once you get Rubella infection normally antibodies develop in the body which protect future pregnancy. Don't worry. Your doctor would probably do a Rubella test again before you conceive again and look for its level in next pregnancy too.
1 person found this helpful
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How Ayurveda Helps Manage Autoimmune Disorders?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kottayam
How Ayurveda Helps Manage Autoimmune Disorders?

When the immune system of the body reacts against the tissues of its own body, it is called an autoimmune disorder. To put it more dramatically, the body becomes its own enemy. The immune system of your body keeps fighting disease causing germs and bacteria, but in rare cases, the immune system might malfunction and fight its own body causing different disorders. These disorders may be caused due to genetic issues or due to mutations. According to ayurveda, autoimmune disorders are a result of constant unhealthy lifestyle and diet. Ayurveda works at the root cause of the disease where it starts treating the malfunctioning immune system.

Here is how ayurveda treats autoimmune disorders:

  1. Toxin removal: Ayurveda starts working on removing the toxins from the body. According to ayurveda, toxins or ama in the body interfere with the proper functioning of the immune system, which often leads to autoimmune diseases. Usually shunthi, haritaki, pippali, maricha, hingu and saindhav lavan are used to detoxify the body.
  2. Metabolism correction: Not only will ayurveda detoxify the body, but it will also correct the metabolism which gets messed up when afflicted with an autoimmune disorder. Neem, guggulu, guduchi, vasa, patola patra and ghrita are used to correct the metabolism.
  3. Increase in ojus production: Ojus is the component which helps in the nourishment of the immune system. It is generally received from the food you eat. Due to dysfunctional immune system causing the impairment of metabolism, production of ojas decreases to almost nil. Hence ayurveda increases its production. Guduchi, haridra, manjishtha, amalaki, nirgundi, yashtimadhu and pippali are used to increase ojha production.
  4. Immune system correction: Lastly, ayurveda works at correcting the immune system. If the immune system is not corrected, then the above treatment procedure will just be useless. Ghrita, haritaki, bahera, amalaki, ela and dadim are used generally to calm the immune system and rejuvenate it. They help correct the immune system for normal functioning.

Autoimmune disorders may not be easily treated, but that doesn't mean you cannot expect it to cure or witness a miracle. You just need some faith and confidence alongside proper treatment and you are ready to roll. If you wish to discuss about any specific problem, you can consult an Ayurveda.

3555 people found this helpful

Nuts - Reasons Why You Must Eat Them!

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Nuts - Reasons Why You Must Eat Them!

Nuts were rediculed till a few years back by the diet-conscious population because they are high in fats. However, now they are being embraced by the very same people because of their heart healthy, anti diabetes and weight loss properties.

Recent research has transformed mindsets. Extensive studies published in reputed journals prove that nuts not only promote heart health and fight diabetes, but they also aid in weight-loss. Nuts are nutritional nuggets containing phytochemicals and unsaturated fats, which are a type of fat that promotes heart-health. They also contain high levels of Vitamin E, folic acid, magnesium, copper and antioxidants.

Promoters of weight loss
Nuts are some of the most filling food items available in your kitchen cabinets. The high fibre and protein in nuts makes you feel full faster. This means you will never binge eat on nuts, you will not reach for the pizza in the fridge and therefore, not pile on the kilos. Because of this, nuts are a dieter’s dream.

The American Journal of Clinical Nutrition says that dieters stick with their diet plan longer if nuts are included in it. In fact they don’t feel they are on a diet, if they’re allowed to eat nuts while dieting. Other prestigious studies suggest that women who eat nuts tend to be slimmer than women who don’t. Nuts like peanuts can increase your metabolic rate. So you burn up more calories and lose weight.

Nuts also stabilize your blood sugar as they are low glycemic index foods. This means they are digested more slowly and release sugar gradually into the bloodstream, as compared to food items such as rice that is a high glycemic index food. Low glycemic index food products also provide long-term energy and decrease cravings.

Nuts contain calories, but these calories come along with awesome health benefits. Since, one ounce of nuts contains 160- 200 calories, it’s important to remember not to binge on other fatty foods like ghee along with nuts. Balance is important while having these nutrient-dense foods. If you don’t do this, you will end up putting on weight instead of losing it.

Apart from portion control, nutritionists suggest that you do the following:

  1. Eat nuts along with other food items, like mix and match nuts with fruits, sprinkle nuts on soups, cheese or breads and eat them with salads.
  2. Eat small portions and avoid eating handful of nuts at a go.
  3. The nuts that are really good are walnuts, almonds, Macadamia nuts, pecans and cashews. So try to include more of these. Also, if you are allergic to peanuts, stay away from them.
  4. Avoid sweet or flavoured varieties of nuts. These contain extra doses of salt and sugar and can end up making you fat. If you wish to discuss about any specific problem, you can consult a general physician.
6137 people found this helpful

Role of Homeopathy in Treating Type II Diabetes

MD - Homeopathy, BHMS
Homeopath, Noida
Role of Homeopathy in Treating Type II Diabetes

Type II Diabetes is also known as Non-Insulin Dependent Diabetes Mellitus (NIDDM) or Adult-onset Diabetes. Diabetes mellitus is a syndrome characterized by increased level of sugar (glucose) in the blood due to deficiency or inactivity of hormone 'Insulin' that is absolutely necessary to monitor glucose metabolism of body. This is a metabolic disorder that is primarily characterized by insulin resistance, relative insulin deficiency and consecutively hyperglycemia. Diabetes is prevalent worldwide and if not attended properly, it may lead to serious complications.

Causes of Type II Diabetes:

Diabetes basically occurs due to defective insulin secretion combined with defective responsiveness of the body to the insulin (also called Insulin resistance). Due to both these factors, hyperglycemia starts occurring in the body. It is strongly associated with obesity and with increasing age. A strong inheritance pattern has been noted in cases of type 2 diabetes. Sedentary lifestyle, pregnancy, hypertension, cardiovascular diseases, etc pose as risk factors for developing Diabetes.

Type 2 diabetes can begin at any age though it is not very common in childhood. It usually begins with insulin resistance, a condition in which the body does not use insulin properly. At first, the pancreas keeps up with the added demand by producing more insulin but later it loses the ability to secrete enough insulin in response to meals. This ultimately results in Hyperglycemia (high levels of glucose in circulation).

Homeopathic Treatment for Type II Diabetes:

Diabetes is a constitutional disorder as it is an offshoot of constitutional defects (genetic factors, altered immunity) having an impact on the entire constitution of an individual. Hence it calls for an in-depth constitutional approach for its management.

Homeopathy is based on the principle that disease is a total affliction of body. Moreover homeopathy recognizes importance of the underlying causes such as genetic and inherited factors as the root of any ailment of the body. Homeopathic medicines prescribed on such criteria plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes.

When we talk about diseases like diabetes, we talk in terms of management rather than cure. Homeopathic treatment along with intake of hypoglycemic drugs and/or insulin can prevent the progress and the complications associated with this condition. Moreover timely administered homeopathic medicines help in maintaining the levels of exogenous insulin and hypoglycemic drugs at minimum possible dosage and in preventing the further progress of the disease. However, it may be noted that there is no substitute to insulin in homeopathy. The role of a healthy diet and exercise cannot be underestimated along with all the above treatment measures.

4421 people found this helpful

Emotional Disorders and Their Signs!

Masters in Clinical Psychology
Psychologist, Navi Mumbai
Emotional Disorders and Their Signs!

What differentiates human beings from the other animals is their ability to express our feelings. While other animals may be able to feel and express some amount of feelings, there is a whole gamut of feelings that humans are capable of expressing.

We are all wired differently, and so the way we respond to situations differs from person to person. Some of the common ones include depression, anxiety, sleep disorders, and anger. Let us look deeper into symptoms of these conditions and the ways to manage them.

Depression: There are days when we feel a little low, but those who are depressed feel helpless and hopeless in life. They feel like they are living in a black hole with no light at the end of the tunnel. Getting through each day can be overwhelming for them and theyexperience loss of self-worth, energy, interest, sleep, and appetite. It could be depressing to the extent that the person could feel suicidal.
There is always an underlying reason for depression in terms of family stressors, finances, employment, ill health, etc., and identifying the root cause is the first big step towards managing it. While therapy can be of big help, in some cases, even medication can be used to treat depression. Most people respond well to this combination and can almost get back to leading an enthusiastic and happy life.

Anxiety: People who are anxious are constantly worrying about what is going to happen next. While the future leaves all of us anxious to some extent, people with anxiety are constantly worried, whichgives rise to physical symptoms. The focus of worry and the intensity of it is extremely high, even for small things like keeping up with the doctor’s appointments. Symptoms include excessive worrying, excessive unwarranted fear, jumpiness, inability to cope with daily situations, constant muscle tension in the neck and shoulders, excessive sweating, gastrointestinal ulcers, and cold hands.

Insomnia: One of the major sleep disorders, a person is said to have insomnia if faced with the following situations:

  1. Inability to fall asleep
  2. Frequent waking during the night and inability to fall back to sleep
  3. Rising too early in the morning
  4. Not waking up fresh after a good night’s sleep

Any of this can lead to reduced energy levels, inability to focus and concentrate, irritability, and general fatigue. For most of these emotional problems, there is always a deep-rooted underlying cause. Identifying this root cause and working on it usually helps solve emotional problems too, which gradually disappears. In most cases, a good therapy session combined with medications can work wonders and get the person to lead a completely normal life. If you wish to discuss about any specific problem, you can consult a Psychologist.

5350 people found this helpful

Hii I am 15 weeks pregnant can I take raw milk without heating (i.e company name s good life cow milk) Wat happens if I take tis.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hii I am 15 weeks pregnant can I take raw milk without heating (i.e company name s good life cow milk) Wat happens if...
you have been taking raw milk, use packed cow milk, read carefully on pack. if it's presterilized you can drink milk of cow safely. you can digest cow milk better recently a new product has been launched and it's in a carton it's ready to drink as it is it can be kept in room temperature for a week and few days in fridge after opening the liter carton
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