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Dr. Muralidharan

Ayurveda, Chennai

200 at clinic
Dr. Muralidharan Ayurveda, Chennai
200 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. Muralidharan
Dr. Muralidharan is an experienced Ayurveda in Valasaravakkam, Chennai. Doctor is currently practising at Vasantham Fertility research center in Valasaravakkam, Chennai. You can book an instant appointment online with Dr. Muralidharan on Lybrate.com.

Lybrate.com has an excellent community of Ayurvedas in India. You will find Ayurvedas with more than 42 years of experience on Lybrate.com. You can find Ayurvedas 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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No 6/1, Arcot main road Medical college rd, Valasaravakkam,Landmark:-Near Corporation Office, ChennaiChennai Get Directions
200 at clinic
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Hi , I have been following a bad diet routine for last 6-7 months . Always eating outside. Last week I did a normal Cholesterol check and found it to be 237. Then I consulted a doctor. We did a full lipid profile where LDL found to be 182 and HDL to be 32. Alos the blood pressure was 139/88 in first reading . The second reading was 140/100 but it was taken the next day after office hours and travel . The doctor has prescribed one medicine for Cholesterol and one for BP . My question is that should I follow the medicine or there is still chance of lowering the blood pressure by lifestyle changes.

MBBS, D.Card(PGDCC)
Cardiologist, Greater Noida
Hi ,
I have been following a bad diet routine for last 6-7 months . Always eating outside. Last week I did a normal C...
Dear lybrate-user, looks like all bcz of inappropriate life style. To claim an asymptomatic person having high bp, one must have two reading of high bp 24 hrs apart. If you have already started medicine, stick to it & modify your lifestyle which includes healthy diet, regular routine & daily 40 minutes exercise.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I have gastric problem since April 2015 and I could not able to eat anything; feeling vomiting sensation. What can I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have gastric problem since April 2015 and I could not able to eat anything; feeling vomiting sensation. What can I do?
Take tablet pantocid-DSR twice daily before meals ... Take light meals .avoid maida products in food ...avoid chillies in food Drink plenty of water
3 people found this helpful
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Hai sir I am doing gym regularly so can I use protein shake that have any other steroid problem in future and present life .what is the difference of protein and steroid.

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Hai sir I am doing gym regularly so can I use protein shake that have any other steroid problem in future and present...
You can take protein shake or whey protein post workout. There is a huge difference between protein and steroid proteins are building blocks of our body and steroids are artificial components which are designed to build body which may result in serious side effects.
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I am 23 years old male. I am getting blood from my mouth Whenever I brush my teeth. I changed brushes and pastes but no changes.

BDS
Dentist, Bangalore
I am 23 years old male. I am getting blood from my mouth Whenever I brush my teeth. I changed brushes and pastes but ...
There are so many causes of bleeding gums - - brushing too hard - poor oral hygiene. - vitamin deficiency - taking blood thinners or other medications - bleeding or clotting disorders - mouth sores - other medical problems, including diabetes, heart disease, leukemia or scurvy Few advice to stop bleeding gums-- - visit to a dentist for professional cleaning once in a year - use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water to keep the area clean. - Avoid mouthwashes that contain alcohol, which can dry out your mouth.
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I have gastric stomach ache. so, please suggest how to get rid of it.?

MD - Internal Medicine
General Physician,
I have gastric stomach ache. so, please suggest how to get rid of it.?
Hi eat food at correct time, never skip meals, avoid non veg and spicy food, avoid alcohol. You can use rabeprezole 20mg before breakfast for 3-4 days.
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I have tropical infection what should I do? I have problem in groin what should I do? what should I do for fare skin?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
HOMOEOPATHIC TREATMENT WHITENING CREAM ( BIOVALLEY)Apply in circular fashion in morning nd at night WHITENING SOAP ( BIOVALLEY ) Wassh face with this face wash before applying whitening cream SUNCARE CREAM ( BAKSON ) Apply 30 minutes before going outsside nd again reapply after 3-4 hrss after washing with whitening soap PAPAYA PACK ( BAKSON) Daily apply on face directly in evening when u think u r not going outsside now nd wash face after it is dry. FERRUM SIP SYRUP ( SBL) 2 spoons twice daily DIET Daily Cucumber in salad 1 apple /200 gm papaya/500 gm watermelon daily Consume Lots of water daily 2 glass milk daily
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I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.

MBBS
General Physician, Jalgaon
I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.
Please Your weight is too much Please reduce It Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads, vegetable juices and soups more Avoid oily spicy and fast food Avoid outside food totally Avoid non veg food Continue your current diabetes treatment Take Cap ayurslim by Himalaya 2....2 after food Tab supradyn 30 1 Reconsult after 15 days.
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My weight is 105 Kg and I am just 21 years old. My height is 6.1' so I have started this thing to before a week lose my weight. I rise up and do some exercise. After that I used to take half warm lemon water at 7 am. After that I take my breakfast like some sugar free biscuits and a glass of water also at 8: 30 am. At 10: 30 am I take 1 route with mix vegetable.(except potato. At 1 pm I take 2 route with mix vegetable or fish curry and after take my lunch I used walk close to 10 minutes. I am take a snap at 3 pm till 5 pm. After taking snap I take a cup of red tea with sugar and after that I take 1 route with vegetables at 7: 30 pm. I take 2 route with vegetables as my dinner at 9 pm after take my dinner I walk at list 10 minutes. I used to sleep 11pm and I rise up at 6: 30 am daily. Is it right for me to reduce my weight? What you think. I need an advice and I reduce my fat as soon as possible. Please help me to get a superb fitness.

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
My weight is 105 Kg and I am just 21 years old. My height is 6.1' so I have started this thing to before a week lose ...
Along with this avoid fast foods, junk foods, processed foods etc. Eat lots of vegetables, whole fruit. Eat whole wheat, brown rice, brown bread, oats etc. Eat protein rich foods for long term weight loss program like fish, soy products, tofu, mushroom, cottage cheese, nut, peanuts, lean meat etc. Avoid sugar, sweetened juice like soft drinks, fruit juice, tea/coffee with sugar etc. Use food fats like fish oil, olive oil, refined vegetable oil etc. Drink lots of water about 3lit/day. Regular exercises like yoga, swimming, skipping, plank, push ups, sit ups etc. Use lukewarm water 5 mins after meals.
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I am suffering stomach pain last 1month but still I am facing this problem. My treatment is going on but there is no relief with my problem. Can you please suggest me a good doctor?

MBBS
General Physician, Cuttack
I am suffering stomach pain last 1month but still I am facing this problem. My treatment is going on but there is no ...
Your problem could be due to hyper acidity 1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days. 9.Consult me for further advice
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I Am 34 years old I have been facing problems related to my bones and joints. Particularly when I am walking or running am getting pain under my knee of my left leg while walking. Its painfully to fold my fingers in my right hand. Please suggest the treatment and medicines for this.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I Am 34 years old I have been facing problems related to my bones and joints. Particularly when I am walking or runni...
It might be of muscle strain or of pathological reasons do check vitamin D 3 S.Alk.phosphate zinc vitamin B 12 from nabl lab do consult Neuro Physician and Neuro Physiotherapist and take appropriate Therapy best wishes
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I want to loss 15 kg weight in 30 days. It much important for my future please help mi.

PGD Clinical Nutrition & dietetics, Certified Diabetes Educator
Dietitian/Nutritionist, Mumbai
I want to loss 15 kg weight in 30 days. It much important for my future please help mi.
Hello lybrate-user, I appreciate that you have decided to be fitter and healthier. However, would like to explain you that 15 kgs of weight loss in a period of 1 month is hypocritical. Anyone who guarantees you with weight loss of 15 kgs in mere period of 1 month consider it to be fake. The ones who does this would only put you on crash diets and make your health status worse. Weight loss should not ever lend you up in deficiencies or make you feel tired, giddy and loose your immunity. Here are few suggestions to help you loose weight. 1. Eat at frequent intervals-every 3 hrs. 2. Nourish your body with good food- avoid junk, sugary and fried stuff. 3. Sleep well- 7-8 hrs 4. Drink lot of water to keep you hydrated. 5. Move more- exercise for 30 mins atleast 4-5 days a week.
2 people found this helpful
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I am having less menstrual flow for 2 months. I was under a lot of stress and had sleeping problems. Can this be the reason? I got worried.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I am having less menstrual flow for 2 months. I was under a lot of stress and had sleeping problems. Can this be the ...
Hello lybrate user- oligo mennhorea or less flow during menses might occur due to two causes, first if you have developed anaemia (low hb count) or you have experienced sudden gain in your weight. Another factor responsible is pcod. Try these medicines, it will improve both your menses flow and your headache. 1) dadimadi ghrita 1 tsp twice daily. 2) kuberaksha vati 1 tab twice daily.
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I'm getting blood spot nd burning sensation after urine. Abdominal pain and back pain can you help me whats wrong with me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I'm getting blood spot nd burning sensation after urine. Abdominal pain and back pain can you help me whats wrong wit...
Your symptoms showing urinary tract infection. 1.drink plenty of water. 2. Drink soda water and coconut water daily. 3. For medication and get quick relief consult with me online on Lybrate.
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My skin has been darkening on a daily basis. Please help me select a good fairness cream as well as some skin fairness home remedies, to improve the skin tone.

Homeopath, Rajkot
My skin has been darkening on a daily basis. Please help me select a good fairness cream as well as some skin fairnes...
Fairness creacan damage your skin. Instead rejuvenate your skin by applying coconut oil. Washing your skin for 4-5 times a day, a least and good nutrition may help. Please watch for any symptoms may require medical treatment, if you are having medical problem.
4 people found this helpful
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I am 31 yrs old. Most of the time I am on field. I have to travel a lot almost 120km per day on bike. By the time I reaches home I am totally exhausted n feeling tired. How to remove this problem? Muscles of legs pain. Please advise me to remove all this problem.

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Dear you really need to focus on calcium intake & food choices, avoid outside food by carrying some good food always with you such as fruits, nuts and many more. And do take low fat milk & milk products in your diet so to have healthy bones & muscles.
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I have a weak digestion, tendency for constipation but soft mucus stool. Gas & bloating after lunch. Heavy stomach after meals. Acidity sometimes & lethargy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have a weak digestion, tendency for constipation but soft mucus stool. Gas & bloating after lunch. Heavy stomach af...
Consult with more details to me meanwhile try jeera 1 tsp, ajuvine 1 tsp, asafotida 1 pinch mix & crush all take 1 sppon before food 3 times.
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For e. G have a desk job and in the last 2 years. My weight has gone up from 75-kgs to 85 kgs. I want to lose weight. Please help.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
For e. G have a desk job and in the last 2 years. My weight has gone up from 75-kgs to 85 kgs. I want to lose weight....
1) Take 10 ml of fresh lemon juice and ginger juice along with 1 tsf of jaggery along with 60 ml of water early in morning on empty stomach and after meals, 2) do regularly BHUJANGASANA, UTTANPADASANA and PAVANMUKTASAN regularly early in the morning on empty stomach for 15 minutes…. Do this for 30 days…it gives you good result…THANKS.
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I have stone in my left kidney. Tell me the precautions?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have stone in my left kidney. Tell me the precautions?
Tips for removing kidney stones:: 1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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I have pain in my head also fever from over six days and feeling weakness. Then what should I do?

BHMS
Homeopath, Delhi
I have pain in my head also fever from over six days and feeling weakness. Then what should I do?
Hello, you can take homoeopathic medicine belladonna 30 (4 drops in little water) thrice a day for a week and update.
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