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Dr. Vivek Ramkumar

Dermatologist, aminjikarai after mr hospital

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Dr. Vivek Ramkumar Dermatologist, aminjikarai after mr hospital
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Nowadays I am staying at hostel and we get chlorinated water here. And due to this I'm facing hair fall problems. I don't have any hereditary baldness issue. Would you please suggest me a natural solution to this issue so that I could put a stop on this hair fall issue.

MD - Homeopathy
Homeopath, Aurangabad
Nowadays I am staying at hostel and we get chlorinated water here. And due to this I'm facing hair fall problems. I d...
Hair fall is common now a days. Due to stress and eating habits. And some illness, like anemia, thyroid and hereditary problems. Take following homoeo medicine. Acid hydroflouric 30 (30 ml sbl company). 1 drop 3 times per day x 14 days on tongue. Do not take anything 15 min before after medicine. ALSO use arnica montana Q 30 ml + 100 ml pure coconut oil mix and use before wash twice weekly. Use arnica homoeopathic shampoo take plenty water 3 to 4 liters per day. Eat proper food, carbohydrate, protein, minerals, fruits. Avoid outer food. Dr. raj bonde you may contact me on this site. And check my package and get customized medicines.
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I am having curly hair. I am having some dandruff in my hair does washing my hair and dandruff has any connection? Is it necessary to wash my hair daily?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
I am having curly hair. I am having some dandruff in my hair does washing my hair and dandruff has any connection?
Is...
Use a medicated shampoo atleast twice weekly. This will help in cleansing the scalp properly and the medicine in the shampoo will decrease the dandruff.
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My skin getting tan how to reduces plzz help It is too much bad I was feeling odd due to this.

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
My skin getting tan how to reduces plzz help
It is too much bad I was feeling odd due to this.
Use Photostable Gel SPF40 Sunscreen half an hour before Sun exposure. And Biluma cream for application once daily at night for one month.
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Why You Break Out - 13 Surprising Causes of Acne

Dermatologist,Cosmetologist,Venerologist &Sexologist
Dermatologist, Visakhapatnam
Why You Break Out - 13 Surprising Causes of Acne

What makes you prone to Acne?

Acne is a disorder which is characterized by small red bumps on the skin or occluded pores in the skin such as blackheads. It can make people conscious of their appearance and result in low self-esteem and anxiety. It usually affects people who fall in the age group of 12-25, but sometimes older people also get affected.
 
There are various factors that makes the skin prone to acne. Acne occurs when overactive sebaceous glands (glands that produce oil in the skin) produce excess oil and the dead skin cells clog the pores of the hair follicle present in the skin. Inflammation occurs in the clogged hair follicle resulting in acne.
 
Some causes that makes your skin prone to acne are: 

  1. Diet: Following a proper diet is a key factor in keeping your skin healthy. Food usually doesn't cause acne directly but can cause other problems such as greasy skin that are linked with acne. However, foods high in iodides such as seaweeds consumed over time can cause acne. 
  2. Stress: Stress is another major cause that makes your skin prone to acne. When the body is stressed, it produces excessive testosterone (a sex hormone) resulting in excessive oil production. Stress also impairs the immune system of the body so that it becomes vulnerable to acne. 
  3. Cosmetics: Some cosmetics (usually oil based) tend to clog the pores of the skin which may result in acne. Using harsh cleansing agents can dry and irritate the skin. Also, gentle washing of the skin is recommended to avoid breakouts. 
  4. Hormones: Changes in hormonal balance can cause acne especially in the beginning of puberty. In some cases, women are affected by acne when the menstrual cycle stops. The acne caused by hormonal changes may also be genetic in nature.

I'm 25 years old guy. I have dark dry patches on my face. These started cause I never liked to use a cold cream in winters but now I can't get rid of them, now the skin of my face is uneven please guide me what should I apply to get rid of dark patches.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I'm 25 years old guy. I have dark dry patches on my face. These started cause I never liked to use a cold cream in wi...
It is alright. Start moisturising your skin with Vitamin E enriched cream. Scrub your skin once in two days to remove dead skin. At bedtime, apply kojic acid cream daily.
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I have pimple face on before three month in case dust contact is increase pimple. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have pimple face on before three month in case dust contact is increase pimple. What should I do?
Homoeopathic treatment GLOW CARE CREAM ( LORDS) Apply during daytime REPL No 11 ( REPL ) 20 drops in 1 spoon water 3 timess daily AQUIPLUS CREAM ( HAPDCO ) apply thick coat on face at night CLEANO FACE WASH ( LORDS ) Wash face with this face wash before applying creams 6-8 glass water daily 2 glasss milk daily Avoid fast food,Junk food,Fried food,Chocklates,Dry fruits,Ketchups,Cold drinks Take nutritious diet nd exercise regularily
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Medicine for fair skin. Day by day I my skin tone is getting dark. Plzz sugest me. Medicines.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Medicine for fair skin. Day by day I my skin tone is getting dark. Plzz sugest me. Medicines.
Soak 4-5 almonds in milk overnight. In the morning make a paste of them and apply it on your face and rinse it off after an hour or two. You will definitely feel the glow on your face in less then 15 days.
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I want Long facial hair as soon as possible . Will you please give me some natural remedies or diet I don't wish to intake medicine.

BHMS
Homeopath, Faridabad
I want Long facial hair as soon as possible . Will you please give me some natural remedies or diet I don't wish to i...
Hello. Start immediately with homoeopathic medication - sulphur 200/ one dose daily in the morning for a week and 10 drops of arnica montana q in 1/2 cup of water and apply on the face on the beard and the mustache area with a cotton swab. Then use the razor. Repeat the above process every 3rd day for few months. There are certain nutrients that you can add to your daily routine that can help encourage faster, more effective hair growth. Promote thicker hair with folic acid. This is necessary for the growth and repair of hair, take follihair/ 1 tablet daily for 3 months. You can also try increasing the amount of folic acid in your diet. Folic acid can be found in whole-grain breads and cereals, leafy green vegetables, peas, and nuts. Increase your biotin intake. Biotin is an important water-soluble b vitamin, necessary for the the formation of fatty acids and glucose, as well as for metabolizing amino acids and carbohydrates. A biotin deficiency can lead to hair loss, so making sure you are getting the recommended amount is well worth the effort. Biotin is found in liver, oysters, cauliflower, beans, fish, carrots, bananas, soy flour, egg yolks, cereals, yeast, and other foods. Management: -exfoliate your face. Hair follicles can become blocked with dirt and prevent your hair from growing. Once a week, wear an exfoliant mask with eucalyptus. It's great for your skin, and can help promote hair growth. -massage your hair follicles. A gentle massage can help stimulate your hair follicles. Use your finger tips, and gently massage your face in circular motions for about two to three minutes. Try applying a facial moisturizer to create a smoother massage. -take in vitamin a. This vitamin stimulates the production of sebum, which keeps your hair follicles and skin hydrated. You can find vitamin a in eggs, meat, cheese, liver, carrots, pumpkin, broccoli, and dark green leafy vegetables. -get plenty of vitamin e, which has long been recognized as key for healthy skin, and can increase blood flow, which leads to an optimal environment for hair growth. Foods rich in vitamin e include oils, leafy vegetables, nuts, and beans, and most people get plenty of vitamin e when eating a normal diet. -boost circulation with vitamin b3. Healthy circulation may have a positive effect on hair growth. Reports find that b3 is even more effective when taken with biotin. -take in vitamin b5. This is also known as pantothenic acid. It not only helps the body use fats and proteins, necessary for healthy hair, it also has been reported to help reduce stress; and stress can definitely inhibit hair growth. Vitamin b5 occurs naturally in brewer's yeast, broccoli, avocado, egg yolks, organ meats, duck, milk, lobster, whole-grain breads, and more.
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I have suffered from hair dandruff. I have tried all types of shampoos like clinic plus, clinic and clear. But there is no result. Please suggest me that what type of medicine should I use.? Please please reply.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I have suffered from hair dandruff. I have tried all types of shampoos like clinic plus, clinic and clear. But there ...
Medicine german reckeweg heper sulph 200, single dose (4-5 drops in mouth) morning. Buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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I am 16 year boy. I am getting pimples. Those marks are remaining like that only. What I should do to remove those pimple marks?

BHMS
Homeopath, Raebareli
I am 16 year boy. I am getting pimples. Those marks are remaining like that only. What I should do to remove those pi...
Thank you for writing to us. Please note the following in respect to your queries: apply some apple cider vinegar: directions for use: wash your face with water and pat dry. Using a ratio of 1 part vinegar to 3 parts water, dip a cotton ball into vinegar and apply it directly to the blemish. Leave on for at least 10 minutes, or overnight. Reapply several times a day, washing face thoroughly after each time. Make sure to use a moisturizer afterwards as well if you feel like your skin is getting dry.
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I had thick beautiful hair. I have been suffering from severe hair loss for 3 years. How do I stop hairfall and grow my hair?

MD - Homeopathy
Homeopath, Aurangabad
I had thick beautiful hair. I have been suffering from severe hair loss for 3 years. How do I stop hairfall and grow ...
Hair fall is due to many reasons now a day it is common due to stress and busy life check your haemoglobin level if less then take hamatinic any multinational company take proper diet (dal vegetables sprouts fruits) and do exercise minimum 15 min if possibles do yoga for 10 min increase water intake minimum 3 to 4 litres per day also take homoeo medicines homoeo medicines are known for to stop hair fall and it actually happens phosphrus 30 (30 no glouble) 2 tds x 2 weeks and reply also comb your hair gently and 2/3 time per day wash with homoeopathic shampoo (sbl or any company) twice a week preaper oil by mixing arnica montana q 30 ml + any regular hair oil and apply before wash you may consult me privately on this site check my economical packages on this site.
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I am suffering from severe hair fall and it is leading ball head. Is there any solution for this please suggest.

Trichologist
Dermatologist, Mumbai
I am suffering from severe hair fall and it is leading ball head. Is there any solution for this please suggest.
There are various reasons for hair fall. It varies from nutritional deficiency to stress. Nutritional deficiency, weather change, water change, lack of proteins, are few other reasons. It is important to understand the cause and then treat it. Oiling is important as it gives conditioning effect on scalp. Washing every alternate days is must to keep scalp healthy and clean. All this will help to condition the scalp. Diet rich in minerals, protein and iron is must for hair. Sprouts, beans, nuts, soya are good source of proteins. Drink 3 lit of water/day. For treatment consult trichologist.
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I have hair fall with in 8-10 days so what I do please tell me and my hair are so damage nd dry.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have hair fall with in 8-10 days so what I do please tell me and my hair are so damage nd dry.
Homoeopathic treatment HAIR GROWTH OIL ( Wilmar Schwabe India) Apply twice weekly at night.Leave overnight 6-8 glasss extra water daily 2 glas milk daily Take nutritious diet Avoid junk nd spicy food,fast food,cold drinks
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Hi. My mother suffers from allergy problem. Symptoms are itching in eyes, face, body, sneezing, difficult in breathing. Few years back she had same problem .took homeopathic medicine. It stopped. Now again it started. She takes cetrizine or okacet whenever it starts. Wat to do.

BHMS
Homeopath, Chennai
Hi. My mother suffers from allergy problem. Symptoms are itching in eyes, face, body, sneezing, difficult in breathin...
In Allopathy, anti-histaminics or immunosuppressant medicines like steroids are used which only give temporary relief, with the problem returning once the medicine is stopped. On the other hand, during Homeopathy treatment of allergy is cured by strengthening the immune system and the symptoms subside on their own. At the same time, it needs to be understood that this is purely natural allergy treatment. No steroids or anti allergic medicines are used. The immunity is strengthened by Homeopathy instead of being suppressed as happens with allopathic treatment. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Know Everything About Hypothyroidism

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Know Everything About Hypothyroidism

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam’s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types – T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body’s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

  • Heartbeat
  • Body temperature
  • Breathing
  • Body weight
  • Metabolism of fat
  • Menstrual cycles in females
  • Functioning of Nervous system
  • Digestion
  • Burning calories etc.

What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

  1. Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
  2. Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
  3. Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
  4. Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
  5. Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
  6. Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
  7. Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.
  8. Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
  9. Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
  10. Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel.

What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

  1. Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
  2. Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.

Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

  1. Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
  2. Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.

Who are at risk of developing Hypothyroidism?

  1. Women have a higher risk of suffering from hypothyroidism than men.
  2. Older people are at increased risk.
  3. People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.
  4. People with psychiatric conditions such as bipolar disorder
  5. People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.

What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

  1. Depression
  2. Constipation
  3. Hair loss
  4. Dry hair
  5. Dryness of the skin
  6. Tiredness
  7. Body pains
  8. Fluid retention in the body
  9. Irregular menstrual cycles
  10. Increased sensitivity to cold
  11. Reduced heart rate
  12. Increase in size of the thyroid gland – called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
  13. Weight gain
  14. Carpal tunnel syndrome
  15. Hoarse voice
  16. Infertility
  17. Loss of libido/sex drive
  18. Confusion or memory problems especially in the elderly

What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

  1. TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
  2. T4: A low level of thyroxine indicates hypothyroidism.
  3. T3: these levels are generally not needed to diagnose hypothyroidism
  4. Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
  5. Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
  6. Ultrasound of the neck is done if the patient presents with a thyroid swelling.

What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

  • Heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
  • Obesity
  • Infertility
  • Joint pains
  • Depression
  • A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
  • Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma. If you wish to discuss about any specific problem, you can consult an endocrinologist.
3124 people found this helpful

I asked this question so many times on Lybrate but I did'nt got any proper response I am asking this again so please give me answer because I am very much irritated. I am 21 and still my beard and mustache is not growing properly. Pls. Tell me what should I do?

MD - Dermatology
Dermatologist, Delhi
I asked this question so many times on Lybrate but I did'nt got any proper response I am asking this again so please ...
Beard growth is under hormonal control but if hou have a specific patch where hair is not growing then advice you to get it checked.
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My hair fall is increasing day by day. Also I have lots of white hair. Please give me a good suggestion also there are plenty of dandruff.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My hair fall is increasing day by day. Also I have lots of white hair. Please give me a good suggestion also there ar...
Homoeopathic medicine lycopodium 30 (dr. Reckeweg) drink 5 drops in 1 spoon fresh water daily night hair aid drops (bakson) the above pack contains 2 type of drops hair aid internal -drink 10 drop in 1 spoon fresh water twice daily hair aid external-apply 40-45 drop after mixing in 1-2 spoon oil (any oil mustard or coconut) on scalp 30 minutes before bath twice weekly report after 3 months.
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I am having problem of hairfall and I am fedup of it what to so please tell me or let me know that why this is so. Can you please give some measures to solve this problem.

MD(Ayu), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhavnagar
I am having problem of hairfall and I am fedup of it what to so please tell me or let me know that why this is so. Ca...
For hair fall solution, we have to stop causative factors like improper diet acidity & gas more exposure to sun spicey sour n salty food to much curd day sleep lack of vitamins & other nutrients anger & stress due to previous illness etc. 1st try to avoid these factors use cow ghee & milk in diet avoid sour buttermilk & curd use trichup shampoos & medicated oil avoid direct sun & air take proper diet we generally start 3 treatment together 1. Medicine for root cause & hair tonic 2. Shirodhara with medicated oil 3. Nashya tretment.
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I am suffering from itching of my hands and the itching occurs wen some work is done like holding something or lifting vessels and the itching occurs below d skin of the hand its terrible and after itching my hands are swollen up wats d solution.

MBBS
General Physician, Jalgaon
I am suffering from itching of my hands and the itching occurs wen some work is done like holding something or liftin...
Please Take Tab allegra 5 1 Tab medrol 5 8 mg Half tab twice a day Tab zentel 1 1 stat Avoid oily spicy and fast food, non veg food, processed food, rice for few days Change your cooking oil.
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I have acne on my face since 3years. It looks like a small holes on my face. How to get rid of it? Please help me out.

BHMS
Homeopath, Amritsar
I have acne on my face since 3years. It looks like a small holes on my face. How to get rid of it? Please help me out.
Take silicea3x 5-5-5 tablets thrice a day before meal berberis aquifolium q 10-10-10 drops thrice a day after meal both homoeopathic but take it in germany company only from the market. And one more suppliment. Take world best suppliment lasa spiruline 1-1 tablet twice daily
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