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Be Well Hospital

Multi-speciality Hospital (Pediatrician, General Surgeon & more)

#5A, Vijaya Raghava Road, T Nagar. Landmark : Near 10 Downing Street Hotel. Chennai
18 Doctors · ₹100 - 1000
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Be Well Hospital Multi-speciality Hospital (Pediatrician, General Surgeon & more) #5A, Vijaya Raghava Road, T Nagar. Landmark : Near 10 Downing Street Hotel. Chennai
18 Doctors · ₹100 - 1000
Book Appointment
Call Clinic
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About

We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Be Well Hospital
Be Well Hospital is known for housing experienced Pediatricians. Dr. Humayun, a well-reputed Pediatrician, practices in Chennai. Visit this medical health centre for Pediatricians recommended by 77 patients.

Timings

MON-SUN
09:00 AM - 09:00 PM

Location

#5A, Vijaya Raghava Road, T Nagar. Landmark : Near 10 Downing Street Hotel.
T.Nagar Chennai, Tamil Nadu - 600017
Get Directions

Doctors

Dr. Humayun

MBBS, MD - Paediatrics
Pediatrician
Available today
15 Years experience
500 at clinic

Dr. M. Kodeeswaran

MBBS, Membership of the Royal College of Surgeons (MRCS), MCh - Neuro Surgery
Neurosurgeon
Available today
17 Years experience
500 at clinic

Dr. Ananth

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist
Available today
15 Years experience
500 at clinic

Dr. C Ilamparuthi

MBBS, MS - Urology, MCh - Urology/Genito-Urinary Surgery
Urologist
Available today
34 Years experience
100 at clinic

Dr. B Harriprasad

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist
Available today
14 Years experience
500 at clinic

Dr. V Arun Ramanan

MBBS, MD - Radiotherapy, DM - Oncology
Oncologist
Available today
12 Years experience
500 at clinic

Dr. S.Gurumurthy

MBBS, Diploma in Radio Therapy
Oncologist
Available today
25 Years experience
500 at clinic

Dr. S.Gurumurthy

MBBS, Diploma in Radio Therapy
Oncologist
Available today
25 Years experience
500 at clinic

Dr. Selvaganesh

MBBS
General Physician
Available today
28 Years experience
400 at clinic
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Knee Pain

MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Knee Pain

1. Overweight

Over weight is one of the largest risk factors for knee pain. The knee supports much of the body’s weight, and too much weight taxes the joint and increases the likelihood of pain. Anterior knee pain, which develops at the front and center, is one of the more common types of knee pain associated with carrying extra weight. Inactivity or muscle weakness, both associated with being overweight, can exacerbate the condition.Obesity stresses the structure of the knee, including the patella—the medical term for the kneecap. 

2. Muscle weakness

The knee connects the thighbone—also known as the femur—to the shinbone—also known as the tibia. Having strong quadriceps muscles helps to stabilize the knee joint and keep it healthy.And improving muscular fitness can be one of the best ways how to prevent knee pain, even if you’re older. However, strong quadriceps and hamstring muscles can help insulate the knee from stress.

3. Inactivity/lack of mobility

A cause of muscle weakness and obesity—inactivity—is also another factor for knee pain. People who are inactive are less strong, less flexible, and more sedentary. When the time comes to move and exercise, there is a greater risk of injury. Inactivity has also been found to make knee pain from arthritis worse. Being sedentary results in muscle deterioration that weakens the knee and increases pain

4. Not resting after injury

Injured people who don’t rest their knees for a long enough period of time increase their risk of re-injury. Although recovery periods can last anywhere from several weeks to several months, taking the time to allow the body to adequately repair and heal is critical for allowing the knee to regain its strength.Resting is particularly difficult for athletes and other active people, but spending some quality time on the couch will go a long way to keeping the knees healthy and protecting against future injury.

5. Smoking

Smoking increases the risk of a host of health problems, and knee pain can be added to the list. Quitting smoking is one of the best ways how to prevent knee pain when you get older. smoking increased the risk for both cartilage loss and knee pain in men who had developed osteoarthritis in the knee. Because smoking affected the amount of cartilage the men had in their knees, it increased the amount of pain they experienced.

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सायटिका (Sciatica)

MD- Ayurveda
Ayurveda, Ujjain
सायटिका (Sciatica)

चलने का नाम ही जीवन है, परंतु कुछ रोग ऐसे हैं, जिसमें रोगी का चलना फिरना दुर्लभ हो जाता है और वह दूसरों की तरफ सहायता के लिए दयनीय भाव से देखता रहता है। ऐसा ही एक रोग है ''सायटिका”, जिसमें जब मनुष्य को असहनीय दर्द होता है तो वह ईश्वर से मृत्यु तक की प्रार्थना करता है।

इस रोग का अधिक परिचय देने की आवश्यकता नहीं सामान्यत: सभी इस नाम से परिचित रहते हैं। यह कमर से निकलने वाली सायटिका नाड़ी (नर्व) की सूजन अथवा इस पर किसी प्रकार का दबाव पडऩे से यह दर्द उत्पन्न होता है, जो कि कमर से लेकर पुट्ठे (Buttock) से होता हुआ टांग के पिछले हिस्से से पैर के अंगूठे तक जाता है तथा इस दर्द के साथ ही प्राय: रोगी को सुन्नता अथवा सुई चुभने जैसी पीड़ा होती है। यह दोनों टांगों में हो सकती है, परंतु प्राय: एक ही तरफ के रोगी अधिक मिलते हैं। इस विशेष प्रकार के दर्द के कारण सामान्य व्यक्ति भी कह देता है कि यह सायटिका का दर्द है। इस दर्द से रोगी को न बैठने से राहत मिलती है, न चलने से और न ही लेटने से आराम मिलता है। इसलिए रोगी बैचेन होकर कभी लेटता है, कभी उठता है, कभी चलता है तो कभी बैठता है, परंतु उसे दर्द से राहत नहीं मिलती तथा फिर इस दर्द के डर से रोगी मानसिक तनाव में आने लगता है, जिससे इस तनाव से दर्द और बढ़ जाता है। इस प्रकार रोगी को दर्द के डर से तनाव और तनाव से फिर दर्द, इस प्रकार दोनों ही बढ़ते चले जाते हैं।

दर्द के इसी डर से रोगी चलते समय एक विशेष प्रकार की चाल से चलने लगता है, जो गिद्ध (गृघ्र - Vulture) की चाल जैसी होती है, इसलिए आयुर्वेद में इस रोग को “गृघ्रसी” कहा जाता है। आयुर्वेद के अनुसार वात दोष के प्रकोपक विभिन्न प्रकार के आहार-विहार के कारण यह रोग होता है। आयुर्वेद के प्राय: सभी ग्रंथों में इसकी विभिन्न प्रकार की चिकित्सा का वर्णन है, जिसमें विभिन्न प्रकार की औषधियों के साथ ही रक्त मोक्षण का भी उल्लेख मिलता है।

चक्र दत्त के ग्रंथ में पारिजात (हारसिंगार) पत्र के क्वाथ का वर्णन किया गया है। इसी उल्लेख के आधार पर हमने पारिजात, जिसे शेफालिका या हारसिंगार भी कहते हैं तथा जिसका वैज्ञानिक नाम Nyctanthes arbortristin है, के पत्रों का क्वाथ बना कर १८ रोगियों को एक माह तक प्रयोग करवाया, जिसके परिणाम निम्र रहे-

१. १८ रोगियों में से अधिकांश की आयु ४० वर्ष से कम थी।

२. महिला तथा पुरुषों में यह सामान्य रूप से पाया गया।

३. गरीब वर्ग के व्यक्तियों में यह रोग कुछ अधिक पाया गया।

४. शहर की तुलना में ग्रामीण क्षेत्र के रोगी कुछ अधिक पाये गये।

५. नौ महिला रोगियों में से सात गृहणियाँ थीं।

६. लगभग ९० (नब्बे) प्रतिशत रोगी हिन्दू पाये गये।

७. रोग के कारण को देखा जाय तो १८ में से ३ रोगियों के गिरने से चोट लगने के बाद, दो रोगियों को भारी वजन उठाने के कारण तथा नौ महिलाओं में से तीन को सामान्य प्रसव के पश्चात भी यह रोग हो गया।

८. एक माह तक पत्तों का क्वाथ पिलाने पर लगभग ८० प्रतिशत रोगियों को विभिन्न लक्षणों में लाभ देखा गया।

इसी प्रकार हमने कई अन्य रोगियों में विभिन्न वात शामक आयुर्वेदिक औषधियों के साथ ही रक्त मोक्षण की क्रिया की जो कि शीघ्र प्रभावकारी प्रमाणित हुई। हमने औषधियों के साथ ही कटि वास्ति, नाड़ी,स्वेदन, अलावू तथा रक्त मोक्षण आदि प्रक्रियाओं को किया, जिसमें से रक्त मोक्षण की प्रक्रिया से रोगी को शीघ्र परिणाम मिले।

रक्त मोक्षण आयुर्वेद की पंचकर्म चिकित्सा के अंतर्गत होने वाली एक प्रक्रिया है, जो कि जलौंका (लीच), शृंगी, अलावू, घटी यंत्र आदि के द्वारा प्रच्छान्न करके की जाती है। हमने इनका अत्यंत प्रभावकारी रूप में प्रच्छान कर एक कांच के ग्लास में नकारात्मक दबाव उत्पन्न कर रक्त मोक्षण (खून निकालना) की प्रक्रिया की।

 

चिकित्सक साथियों से निवेदन है कि यदि उपरोक्त प्रक्रिया बारे में कुछ और जानना चाहे तो Lybrate के माध्यम से सम्पर्क कर सकते हैं। रोगियो से निवेदन है कि किसी अनुभवी आयुर्वेद विशेषज्ञ से संपर्क कर इस शीघ्र परिणामदायी चिकित्सा का लाभ लें !

डॉ. राम अरोरा, एम.डी. (आयुर्वेद),

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I am 21 years old, but my skin looks like my age was 30 years old ,so my face looks like an aged person and I am white in color and fair and other thing is that my face is somewhat enlarged when compared with my friends my face looks larger, so what should I do without loosing my white ness my skin glow should like a normal Person and my head and face should decrease in size ?//please give me the solutions, I will use what ever the tablets and creams also and any other food also when matters.

BHMS
Homeopath, Solan
I am 21 years old, but my skin looks like my age was 30 years old ,so my face looks like an aged person and I am whit...
Hello lybrate-user, Drink plenty of water every day. Use natural home made mask of honey, lemon, turmeric, milk once or twice a week. Use Alovera gel as a night mask daily. Along with the above you can start Homeopathic medicines there are no side effects of these medicines. These are natural and their are no side effect of these. Regards
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Good afternoon Dr. my mother is having Gastric problem and it from long years. Few years back we did Gastrscopic and after that with medication it was little better. But from last few years she has again started with again. Doesn't feel like eating any thing, After food long degree comes. If medicines of allopathic is taken burning sensation and vomiting occurs. We tried with Ayurveda and Allopathic but no release. Dr. please suggest what steps can be taken. She is 69 years old. On taking omex and Pan she feels better for some time.

BAMS, MD (AM) , Panchakarma, Yoga
Ayurveda, Gurgaon
Good afternoon Dr. my mother is having Gastric problem and it from long years. Few years back we did Gastrscopic and ...
Hi Mr. lybrate-user you didn't mention whether she is getting continous burning sensation in her stomach now. Pls tell her to take aloeveera wt fiber 25 ml twice daily in empty stomach n drink lots of water. N do yoga n meditation if she is having stress related problems. N follow a good diet.In Ayurveda we are having good treatments for gastric problems.
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Sir mene pahle khatti chije, awale ka churne bhahut bhi khaya jis wajah se abhi muje chronic gastic problem or normal diarrhea problem ho gayi hai ek sal se problem hai sb test karvaye normal aa rahe hai. Pls solution sir is problem se body ki skin loose ho gayi hai. Age 25 hai hemoglbin 15 .liver test normal sonograpy normal stool test normal.

BHMS
Homeopath, Solan
Sir mene pahle khatti chije, awale ka churne bhahut bhi khaya jis wajah se abhi muje chronic gastic problem or normal...
Along with this If you are suffering with any kind of mental anxiety or stress then it may be a case of IBS But certain things should be noted down that is their any mucus in stool or diarrhea alternate with constipation or not. We can easily differentiate IBS from any other disease condition.In IBS there is no blood in stool, cramps are less as compare to other diseases, but gastric complaints such as bloating, eructations are more. Don't worry your condition is easily curable with homeopathic medicines.
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Is that good to have fruits daily in breakfast? usually I take pomegranate, apple, banana, grapes, oranges and mask mellon. I heard having fruits in breakfast increases sugar level. And after breakfast I walk also. So should we eat fruits daily in breakfast?

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
Is that good to have fruits daily in breakfast? usually I take pomegranate, apple, banana, grapes, oranges and mask m...
Hi lybrate-user, After whole night fast our body needs good source of Carbohydrate and Protein in our diet. Fruits are rich in Carbohydrate, Vitamins and minerals. But they get digested very rapidly and can raise sugar level if you are prone to hyperglycemia. Thus need to add some Protein source too. Soaked nuts/ seeds/ Dry fruits / Curd/ Paneer / Eggs. Or take some complex carbohydrate in form of Breakfast cereals.
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How Berberis Aquifolium3O should be used for improving complexion? What will be the dosage? How many drops daily and for how many days?

BHMS
Homeopath, Solan
How Berberis Aquifolium3O should be used for improving complexion? What will be the dosage? How many drops daily and ...
Yes, You can also use its ointment (cream, and mother tincture morning and night 10 to 15 drops in water. Regards
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Hello doctor. I am 21 years male boy. My question is that my doctor advised me to insert pentasa suppository in rectum and at least for remain it inside for 10 hours but on next morning when I go for motion .the medicine comes out in the form of liquid with potty. It is normal or not.

BHMS, MD - Homeopathy
Homeopath, Vellore
Dear lybrate-user! Do not worry about cosntipation 1. Eat very mild food, avoid hard spicy and oily food. 2. DRINK HOT WATER AFTER EVERY MEALS your constipation will be normal 3, Take robust banana if you feel more constipated. 4. If you experience more difficulty consult the near by homeopath immediately. Homeopathy can cure your problem very quickly without any side effects. Divine Thanks
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Diabetes and Dental Care

BDS, Certified endodontics
Dentist, Guwahati
Diabetes and Dental Care

- It is usually found that the occurance of dental caries and gum diseases are more common in diabetic patients.
- Studies shows that untreated dental problems mixed with diabetes can cause damage body organs.

Diabetic dental care:
 - Brush twice daily, if possible brush after each meal.
 - Do dental checkups every 6 months.
 - Do not let calculus, tartar deposit on your tooth, if needed get it cleaned immediately.
 - Use teeth and gum care medicine as prescribed by doctor.

Before undergoing any dental treatment procedures, inform the doctor if you are diabetic.

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I have developed rough and blackish skin on the upper part of my hands at the joints present in the fingers. Any solutions?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
I have developed rough and blackish skin on the upper part of my hands at the joints present in the fingers. Any solu...
You just start good quantity of Ghee. And if you can take then start 2 spoon of Panchtikt Ghrit in morning empty stomach. Tab Haematab 1-1.
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Dr. when ever I make love to my partner I could not hold pleasure for a long time ps advise me as how it can be possible and what I have to do to improve my love life.

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
Dr. when ever I make love to my partner I could not hold pleasure for a long time ps advise me as how it can be possi...
Dear, donot worry, it is curable in Ayurveda, avoid salty n spicy food ,eat fresh fruit, do kegel exercise, apply alMond oil on penis from upward direction, give me detailed history for proper diagnosis and treatment, consult me in Private consultation or take our powerplus package.
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My friend is diagnosed to a bad habit of masturbating. Her day is not completed until she do it thrice What could be done?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
My friend is diagnosed to a bad habit of masturbating.
Her day is not completed until she do it thrice
What could be ...
Share this with your friend: Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives.
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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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Alcohol - How It Can Induce Sleep Disorders?

M.D Psychiatry , MBBS
Psychiatrist, Gurgaon
Alcohol - How It Can Induce Sleep Disorders?

Sleep disorders are often associated with substance abuse. The problems in sleep arise as a result of direct effects of a particular substance. Substance induced sleep disorders can be caused by many drugs, regardless of whether or not the substance is medically prescribed, legal or socially acceptable. It can also be caused due to alcohol abuse.

If you experience problems in sleep on not having resorted to any substance or even if you are trying to quit, it is called ‘withdrawal’. The severity of the sleep disorder depends on the type of substance used, and not much on whether or not the drug is illegal. A number of prescription as well as non-prescription drugs are capable of causing sleep disorders. However, the severity of the sleep disorders tends to vary among individuals.

Problems in sleep that can be caused due to prescription drugs such as:

  1. Hormonal drugs e.g. oral contraceptives
  2. Drugs for high blood pressure e.g. beta blockers
  3. Inhalable respiratory drugs
  4. Steroids, such as prednisone
  5. Medications for attention deficit hyperactivity disorder
  6. Diet pills
  7. Seizure medications
  8. Some antidepressants

Non-prescription drugs that can cause problems in sleep:

  1. Medications along with caffeine: These may include many cold and cough medications.
  2. Pseudoephedrine
  3. Illegal drugs such as cocaine, amphetamines as well as methamphetamines.
  4. Nicotine is capable of disrupting sleep and reducing the total sleep time.

Alcohol is often regarded to be a calming drug or a sedative. While alcohol is capable of inducing sleep, the quality of sleep tends to be fragmented during the second half of the sleeping period. Consumption of alcohol usually tends to increase the number of times you wake during the latter part of the sleep. This is because the relaxing effect of alcohol wears off eventually. Alcohol tends to keep you in the lighter sleep stages more and thus, is at fault of not inducing the much required deep sleep.

If you consume alcohol just before you go to bed, the sleep inducing capacity might decrease as the effects that are disruptive continue to increase. The alcohol induced sleep disorders may lead to sleepiness and fatigue during the daytime. With age, these problems tend to grow in severity. Consumption of alcohol before bedtime, among the elderly, might lead to unsteadiness while walking with a higher risk of injuries and falls.

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Nose Surgery - Why Should You Consult Your Doctor Before Opting For It?

M.Ch (Plastic)
Cosmetic/Plastic Surgeon, Chennai
Nose Surgery - Why Should You Consult Your Doctor Before Opting For It?

A nose surgery (rhinoplasty) is performed to alter the structure and shape of your nose and improve its function and or appearance. Here are a few things you should know about nose surgeries: 

  1. Consult your doctor: Before deciding on undergoing a nose surgery, speak with your doctor regarding issues with your nose. Your doctor will check your problems and judge whether or not surgery is a feasible option. It is only with your doctor's confirmation that you should go for the surgery.
  2. Procedure:
    • The surgery is done either with local anesthesia (your nose and surrounding areas will be numbed) or general anesthesia (you will fall asleep).
    • The surgeon will make incisions in your nostrils and base of the nose and alter the shape, structure and position of the cartilages in your nose for appealing shape and better functionality. Polyp removal is also done by rhinoplasty.
  3. Recovery after the surgery: You will be required to wear a nose splint. You can expect swelling around the eyes, which will begin to subside after the third day. Swelling in the nose will go away after six months. Therefore, do not expect to see your results immediately, final condition of your nose will be apparent after the recovery period is over. You should avoid strenuous activity for 3 to 6 weeks. Do not smoke or drink alcohol during recovery. Smoking slows recovery time and alcohol reduces normal effects of drugs.


Type of rhinoplasty you can opt for

  1. Closed rhinoplasty: Incisions are made inside the nostrils and hence there is no scarring.
  2. Open rhinoplasty: An additional cut is made along the columella and this may result in scarring. However, the position of the scar is such that it is almost unnoticeable.


Risks associated with it 

Any surgical procedure has certain risks. These risks associated with nose surgery include:

  1. Infection
  2. Adverse effect to anesthesia
  3. Unfavorable outcomes
  4. Visible scarring
  5. Numbness
  6. Difficulty breathing
  7. Chronic nosebleeds
  8. A perforated septum
  9. Hematoma
  10. Burst blood vessels
  11. Nervous damage
  12. Possibility of revision surgery
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Lupus (Skin Rash) - How It Can Be Treated?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Lupus (Skin Rash) - How It Can Be Treated?

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

  1. Excessive exposure to sunlight
  2. Susceptibility towards infections
  3. Certain anti-seizure, blood pressure and antibiotic medicines

Symptoms
The symptoms are neither distinct nor regular. However, some common symptoms could be-

  1. Fatigue and fever
  2. Pain in the joints, stiffness and swelling
  3. Ring-shaped facial rash
  4. Skin lesions on exposure to the sun
  5. Chest pain and shortness of breath

What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

  1. Kidney damage and failure
  2. Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
  3. Anemia, blood clotting, vasculitis etc.
  4. Increased susceptibility to pneumonia
  5. Increased risk of heart attacks and other cardiovascular diseases

Treatment
Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

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Hello my friend is complaining that he is bored of masturbating in same way and said he searched for sex toy online but he is not getting so can you please help him where he can buy sex toy in Karnataka.

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
Hello my friend is complaining that he is bored of masturbating in same way and said he searched for sex toy online b...
If your friend wants to have a normal family life, it is suggested not to go for addictions like sex toys. There is no end of such addictions. He may become so habitual of them that his sexual life may be affected. It is a perversion, not a normal thing. You can ask him to channelize the same energy in intensive sports, his profession or arts or the things that he loves to do. It makes sense.
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I am porn and masturbation addict I am very sexual weak cnt do anything cnt concentrate inn restless pls help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I am porn and masturbation addict I am very sexual weak cnt do anything cnt concentrate inn restless pls help me.
You should spend more time with your family and loved ones. Exercise regularly and have a balanced food. Play outdoor games. Say goodbye to your smart phone. Visit a religious place daily. Moreover stop feeling guilty about masturbation. It's ok to masturbate occasionally. If you feel sexual weakness, it's easily treatable. Consult privately through Lybrate for that. All the best.
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