Doctors in Dr. Hariharan Diabetes & Heart Care Hospital
Treatment of Headaches
Treatment of Cold Cough
Treatment & Management of Stress
Treatment of Ear Pain
Treatment of Sneezing
Treatment of Sinusitis
Management of Abortion
Treatment of Mood Disorder
Laser Hair Removal
Treatment of Mouth Sores
Treatment of Flu
Treatment of Forgetfulness
Treatment of Allergic Rhinitis
Coughing Treatment & Management
Knee Pain Treatment
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Trichomoniasis is an infection that is caused by a parasite and is transmitted sexually. This disorder is characterized by symptoms of itching in the genitalia, smelly discharge from the vagina and pain while urinating. This disorder may also result in premature birth in case of pregnant women.
The symptoms of this disorder are:
1. Redness around the genitals, which may cause intense itching
2. You may experience pain during sexual intercourse and urination
3. A smelly colored vaginal discharge
4. You may experience discharge from the penis
5. A burning sensation during ejaculation and urination
6. A constant feeling of irritation in the penis
Causes behind it
The disorder is caused by a parasite known as Trichomonas vaginalis. Certain factors increase your chances of contracting this disorder; them being:
1. Engaging in unprotected sexual intercourse
2. If you have had an episode of Trichomoniasis
3. If you have been affected by STI/STDs before
4. Having multiple sex partners can certainly augment its chances
There are certain preventive measures that you can adopt to prevent this infection.
Avoid sexual intercourse till the time you are fully treated.
Use latex condoms inorder to avoid transfering the disease to your partner.
It also tends to cause an early rupture of the membranes in pregnant women; resulting in premature delivery.
The build-up of fat in the liver may lead to the development of a condition known as nonalcoholic steatohepatitis or NASH. This condition is not related to the consumption of alcohol and the inflammation is due to the buildup of fats in the liver. In most cases, there are no symptoms till the stage when the fat deposition causes inflammation and damages the liver cells. This also hinders the normal functioning of the liver and if not treated, it may lead to an extreme condition known as cirrhosis. However, NASH does not always get worse and with some precaution, it can be treated.
The cause behind the development of this disease is not alcohol consumption and it could be some environmental factor that triggers liver inflammation or heredity might be another reason. However, the risk of developing this disease is high for people who are obese, have metabolic syndrome, have high cholesterol or are resistant to insulin.
There are hardly any symptoms of NASH that are seen in the early stage of this condition. However, at a much-progressed stage, the following symptoms may be seen:
Diagnosing NASH requires undergoing several tests that include a blood test, a CT scan, an MRI scan and also an abdominal ultrasound.
Ayurvedic home remedies for managing NASH
- Turmeric: Turmeric is said to facilitate the detoxification of the liver. It also enhances the body’s capacity to digest fats and prevent it from accumulating in the liver. Boil a glass of water with one-fourth teaspoon of turmeric powder and consume this mix twice a day for a few weeks.
- Amla: Gooseberry is an extensively used ingredient in Ayurveda. This is due to its high vitamin C content. Amla is very effective in treating liver problems and the best way of consuming it is on an empty stomach, early in the morning.
- Lemon: Lemons are packed with the antioxidant, vitamin C. And, it is this vitamin C that helps the liver in producing the enzyme, glutathione, which neutralizes the toxins and detoxifies the liver of all of the toxins. Simply squeeze half a lemon into a glass of water and drink it two to three times a day.
- Green tea: Green tea contains catechins, which are known to enhance the functioning of the liver. Green tea is great for blocking the fat stored in the liver and works wonder in fighting against diseases associated with the fatty liver disease.
- Papaya: Ayurveda considers both the fruit as well as the seed of papaya effective in treating fatty liver diseases. This fruit burns the dietary fat rapidly and also improves the functioning of the liver if consumed regularly.
- Broccoli: Broccoli is a storehouse of the fat-soluble Vitamin E. And, this is known to protect your liver against the accumulation of fats and will keep your liver healthy.
Apart from including these natural ingredients in your diet, you will also have to reduce your body weight, reduce cholesterol level, control your diabetes, exercise regularly and stop consuming alcohol. However, home remedies are just supportive, but not a complete line of treatment for NASH so you cannot depend completely only on them. As mentioned NASH can disturb your normal liver functioning and if not treated it can lead to liver cirrhosis so take proper Ayurvedic treatment under the guidance of an Ayurvedic doctor.
As much as you want to avoid, there are things you have no control over. Lung cancer (Bronchogenic Carcinomas) is one such nemesis that can throw life in shambles. The malignant tumor that originates in the lungs slowly spreads onto the other distinct and vital organs as well. Thought to be mostly affecting men who are chain smokers and into severe tobacco consumption, incidences of lung cancer in women are rising at an alarming rate over the past few years. Non-smokers may also be susceptible (to a lesser extent though) to lung cancer.
Lung cancer can be either
- Non-small cell lung cancers: The NSCLC, accounting for ~85% of the lung cancer is one of the most common types of lung cancer affecting people, NSCLC may further be divided into
- Adenocarcinoma: This type of NSCLC originates mostly in the peripheral regions of the lungs and may affect (spread) the lymph nodes. Non-smokers and women are mostly at the receiving end (other than the chain smokers).
- Squamous Cell Carcinoma: Also known as Epidermoid Carcinoma, often affects men, epidermoid carcinoma may originate in the tissues that line the bronchial tubes. The lymph nodes are often affected by Epidermoid Carcinoma.
- Large-cell Undifferentiated Carcinoma: The point of origin of large-cell undifferentiated carcinoma is the surface of the lungs. They have a higher probability of spreading to the lymph nodes.
- Bronchioalveolar Carcinoma: Though rare, bronchioalveolar carcinoma originates close to the air sacs.
- Small Cell Lung Cancer (SCLC, accounting for ~25% of the lung cancer): As the name suggests, SCLC is marked by the rapid proliferation of small cells into large malignant tumors. SCLC can move throughout the body (affecting vital organs).
Radiotherapy to treat Lung cancer:
Radiotherapy plays a pivotal role in the treatment of lung cancer. The radiation therapy is mainly of two types
- External beam radiation therapy (EBRT)
- Internal radiation therapy (Brachytherapy)
In external beam radiation therapy, high-energy rays are focused on the cancer cells (thereby resulting in the apoptosis of the cancer cells) externally, from outside the body. EBRT is particularly helpful in case of Non-small cell lung cancers.
The EBRT may be of the following types
- 3D-CRT (Three-dimensional conformal radiation therapy): An advanced radiation therapy, 3D-CRT accurately marks the position of the cancer cells (using advanced computers). The treatment ensures minimum damage to the other healthy cells and tissues (energy rays are directed at the affected cells from different positions).
- SBRT (Stereotactic body radiation therapy): This is a radiation therapy used in the treatment of NSCLC, when it is at a nascent stage.
- IMRT (Intensity modulated radiation therapy): As the name suggests, in IMRT, the intensity of the radiation reaching the normal tissues and cells can be modulated. Like 3D-CRT, the radiation in IMRT is directed from different angles (for maximum results).
- Internal radiation therapy (Brachytherapy): This type of radiation therapy is generally used to deal with lung cancers that tend to block the airways. In this therapy, the radiation process is carried out through a narrow tube, thereby, shrinking and collapsing the tumor.
The effect, dosage, and duration of radiation therapy depend on the stage and severity of the condition. In some cases, radiation therapy may be given together with chemotherapy.
The words 'stress and 'anxiety' are often used interchangeably, but bear different meanings in medical terms. Stress is caused by particular situations or events in one's life that makes one feel frustrated, angry, worried or even anxious. The stress response is different for each individual such that the same event can often elicit disparate responses. For example:
Public speaking excites some but terrifies others;
Pressure from deadlines increases productivity in some but renders others paralyzed;
Difficult circumstances in family or friend settings find some eager to take control and others stricken with panic;
Social situations requiring people to voice their opinions are easy and comfortable for some but stressful for others;
Changes in the work environment are welcomed by some but not by others.
Anxiety, on the other hand, is a general feeling of apprehension or fear, the source of which is not clearly defined. Anxiety disorders are a group of psychiatric conditions that cause excessive anxiety. They include:
Generalized Anxiety: Generalized anxiety disorder (GAD) is a pattern of frequent, constant worry and anxiety over many different activities and events);
Specific Phobia: A phobia is a persistent and irrational fear of a particular type of object, animal, activity, or situation that poses little to no actual danger;
Obsessive Compulsive Disorder: Obsessive Compulsive Disorder is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviours that make them feel driven to do something (compulsions). Often the person carries out the behaviours to get rid of the obsessive thoughts, but this only provides temporary relief (not performing the obsessive rituals can cause great anxiety);
Social Phobia: Social Phobia is a persistent and irrational fear of situations that may involve scrutiny or judgment by others, such as parties and other social events.
Those suffering from anxiety disorders display such symptoms on a regular basis and thus have difficulty with daily activities and relationships. These symptoms present themselves sporadically and often without warning.
In many cases, anxiety is developed by overdue stress that is no longer linked to a specific cause.
Homeopathic Treatment for Stress and Anxiety:
Homeopaths for the last two centuries have been constantly pushing this theory of mind and physical body being deeply interconnected and about fixing the problem at a mental level that can often help the other. In homeopathy, mental symptoms of the patient are given the utmost importance. Constitutional treatment in homeopathy combines the understanding of both the psycho and the physiological profile of the patient, with the psychological profile being given more importance.
Homeopathic Medicines for Stress:
A number of homeopathic medicines are effective in treating disorders where one who has learnt the wrong way of handling or responding to stress.
Homeopathic remedies for stress - for the Classic - Type A Personality: Medicines such as Argentum Nitricum and Tarentula are very effective in controlling the accelerated behaviour of Type A people. Anxiety is very marked in such patients . Anxiety disorder is very effectively treated with homeopathy
Homeopathic remedies for stress: When Anger is the Key symptom: Stress manifests through anger in some patients .Nux Vomica and Staphysgaria are meant for the easily angered and impatient ones.
Homeopathic Medicines for stress: When grief is the cause: Ignatia and Natrum Mur where long-standing grief is a reason for stress response.
Homeopathic remedies for stress: for those who are 'Overworked': Kali phos is for a good individual who over-stretches himself physically and mentally. It is great homeopathic remedy for those have 'burnt out' their minds for over work.
How to Know If You're in Love?
A Valentine’s Day brings with it basket full of love that lasts a week and it’s time to find and express love. Falling in love is one of the best, most rewarding feelings in the world! Some of us have had the opportunity of falling in love, while others have misunderstood infatuation for love. Everyone has their own definitions of what love is and what they want it to be. However, here are a few things that will make sure you know you’re in love with someone and you don’t just have a huge crush on him/her.
1. He/she is the best part of your day
If you look forward to seeing your special person because he/she is the best part of your day; it is probably love! He/she is the first person you want to share your news with whether it is good or bad.
2. You love their imperfections
You accept that person for who he/she truly is. The smallest of imperfections don’t upset you. In fact, these imperfections make you love them even more. You look at their imperfections as the tiny things that make them unique.
3. You become a better person
He/she truly brings out the best in you. They help you deal with your negative qualities and highlight your positives. They make you a better human being just by being there with you through it all.
4. He/she is your best friend
The bond you two share is not just a normal girlfriend-boyfriend bond. Over time you’ll become best friends, partners in crime. Parties seem boring without him/her by your side, coming home becomes a lot more fun because you get to come home to him/her. You can share anything, even your deepest, darkest, most embarrassing secrets with him/her.
5. You think long term
You find it hard to imagine your future without him/her in it and you’ll do anything to make sure things between the two of you work. You understand the importance of having him/her in your life and you’re completely willing to give up on temporary satisfactions that might ruin your future with your special person.
There are tons of other ways for you to know you’re really in love with someone. When people say, “it is the little things that count”, it is these little things that they mean.
By the time a woman is 20 years of age, monthly periods become a part of her routine normal life. Most women are well-equipped to handle it without their normal life (personal or professional) getting affected. They know it is “that time of the month” and are prepared mentally and physically. However, some women find it difficult to do it, as they could be suffering from menstrual problems including irregular periods and uterine bleeding. Most often, the bleeding is abnormal and dysfunctional, when most women are not able to identify a set pattern to it.
The list below identifies the most common forms of abnormal or dysfunctional uterine bleeding:
- A normal menstrual cycle occurs with a gap of anywhere from 21 to 35 days. Anything shorter than 21 days or longer than 35 days is defined as irregular period
- Complete lack of period for up to 3 to 5 months is termed as amenorrhea
- Bleeding that is heavier or lasts longer than usual, and occurs before the due date for that month’s period
- Scanty bleeding between periods
- Spotting or bleeding after sexual intercourse
- Spotting or bleeding even after menopause
Causes: The most common causes of abnormal uterine bleeding are as follows:
- Hormonal imbalances can cause absence of period, increased frequency and amount of bleeding
- Miscarriage, bleeding is often the first sign of miscarriage
- Ectopic pregnancy
- Cervical or uterine infections
- Uterine fibroids
- Cancers of the reproductive tract
- Polycystic ovaries
- Endometrial hyperplasia
- Problems with blood clotting
Diagnosis: Menstrual problems are very common; however, most women tend to shy away from talking about it and do not come out in the open. When talking to a doctor, a detailed family history, menstrual history, and physical examination are done to come to a diagnosis. Additional diagnosis can also be done by ultrasound, hysteroscopy, endometrial biopsy.
Treatment: Identifying the problem helps in initiating the right treatment. A combination of the below is usually used in most women.
- Hormonal therapy is based on the underlying condition, and the type and dosage is determined based on it. It could be in the form of tablets, injections, vaginal applications, or released through an intrauterine device.
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs
- Polyps, cysts, and cancers can be removed surgically and cancer should be ruled out
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy is the last resort where other forms of treatment fail.
The human circulatory system is a highly complex and well-orchestrated system designed with two sets of channels. The arteries are a chain of vessels which carry oxygenated blood to all parts of the body from the heart. The venous system, on the other hand, carries impure or deoxygenated blood from each of the end organs to the heart. These start from minute branches in the distant parts of the body and gradually grow in size until they reach the heart.
These two channels do not interact unless either created artificially or in disease conditions. Naturally, these could be due to developmental anomalies or as a result of an aneurysm and would require a surgical correction. The AV fistula is, however, commonly created naturally in people who have to undergo hemodialysis.
Why an AV fistula: Generally, an artery in the forearm is sewn into a vein in the forearm. This AV fistula may take about 4 months to heal or mature, and a needle is then inserted into the vein during dialysis. When an AV fistula is created, there is a decrease in the peripheral resistance as the blood does not have to exert as much pressure as before, and there is an easy movement of blood into the veins.
How to care for it:
- There could be initial limitations on the amount of weight that can be lifted
- Keep the dressing in place for 1 to 2 days
- Do not sleep on the fistula arm
- Do not wear jewellery on the arm
- Always wash hands before touching the access
- Avoid lifting heavy objects using the hand
- Avoiding damage to the arm like cuts or bruises
- Regular checking for the pulse or thrill in the arm
- Monitoring for signs of infection (redness, blood clots, swelling, pus formation, etc.)
- Uses the body’s own blood vessels, no artificial material (as in catheter for instance)
- Reduced chances of clotting
- It provides good blood flow for dialysis
- Is more effective than other types of access (graft or catheter)
- Lesser complications compared to other access types
- Is done on an outpatient basis and are less expensive
- Usually last longer than other access methods
- Longer maturity time (sometimes up to 4 months), so are not available for ready use
- Stenosis or narrowing of the vessels is common, sometimes leading to blood clots.
- If they fail to mature, a fresh fistula may need to be created
- Usually created on the forearm, so are quite visible
Have you undergone a thyroid removal surgery recently or planning to go for one, then you should know some important things that should be kept in mind. After undergoing the surgery, it is essential that you should allow your body some time to recover. Your health care provider will educate you regarding the activities and exercises that can help in recovering from the surgery faster. It is worthy of mention here that the recovery process is dependent on the extent and type of surgery you have undergone. It would generally take a longer time to recover from traditional surgery than minimally invasive procedure.
What to do right after the surgery?
In the days following the surgery, you are required to take care of the incision area. You may or not be allowed to take a bath depending on the dressing on the wound. You are likely to experience slight swelling around the scar. Even though this is normal, you should report to your doctor without further delay. The scar may start feeling hard three weeks after the surgery, and you may apply an unscented moisturizer to prevent dryness while healing.
When to start daily activities after the thyroid gland removal surgery?
You are free to resume most of the normal activities the day following the surgery. But you should wait for at least 10 days or until your doctor allows you to engage in physically strenuous activities. Your throat is likely to feel sore for a couple of days. You can also take an over-the-counter pain medicine like acetaminophen or ibuprofen for relieving soreness. In case these drugs are not offering desired relief, your doctor may prescribe you to take narcotic pain medicine. It is a common outcome of the thyroid removal surgery to develop hypothyroidism. In case this happens to you, your doctor may recommend you to take some form of levothyroxine for bringing down the hormone levels.
Is there any physical restriction after the thyroid removal surgery?
Most surgeons recommend that patients should limit all sorts of physically strenuous works after the thyroid removal surgery. This is recommended for reducing the risk of postoperative neck hematoma and breaking open of the wound closure. These limitations are temporary and brief and are generally followed by a quick transition to unrestricted activity. You are free to take part in heavy lifting or swimming or other exercises two to three weeks after the surgery.
Is it possible to lead a normal life after the thyroid removal surgery?
Once you have recovered from the effects of thyroid surgery, you can do anything you feel like. Post-surgery your thyroid levels will be monitored through regular follow-ups. If the surgery were carried out for thyroid cancer, your doctor would also check for recurrence of cancer during your visits. It is essential to stick to this schedule and report if you notice any suspicious changes or experience discomfort so that proper care can be given and you can lead a normal life.
Alchol can it affect your intimacy level with your partner, yes! But with this you might be wondering how can that be possible when you actually sustain yourself for long, maybe longer than you should be. It is probably the “whiskey penis”. Alcohol may give you a sense of elation at one point of time, but it is essentially a nervous depressant. The over consumption of alcohol mainly has a reduced effect on sensitivity for both men and women.
How alcohol affects sex life in men: The effect of alcohol on the sex life of men is immense. In most cases, chronic and acute cases of alcohol consumption have shown to reduce the production of testosterone in men. Since testosterone is the hormone that results in the increase in libido in men, the effects of alcohol really reduce the performance in men. It has shown to reduce pleasurability and it can also reduce the intensity of orgasms. Sometimes, it can cause difficulty in ejaculation or delayed ejaculation.
How alcohol affects sex life in women: Alcohol can have a very mixed effect on women in general. While it can increase sexual arousal and desire, it can also result in low sensitivity. Women have a higher percentage of fat as compared to water in their bodies, this means that alcohol has a more profound effect on their bodies as compared to that in men. Their bodies also take longer to process and eliminate the alcohol. While some women report a heightened sense of sexual arousal and an increase in the duration of the orgasm, a large number of women also complain of lesser lubrication.
Alcohol also has a psychological effect; that is the loss of inhibition that may help in developing carnal instincts when intoxicated. This psychological effect may have a more profound effect than the physiological effects as a result of which women might claim that alcohol does indeed help in better sex.
It is really important to enlighten yourself with the meaning of the word 'cannabis'. Cannabis Sativa is a kind of hemp plant from which you derive hash, hash oil and marijuana. Cannabis is popularly known by a litany of street names like weed, pot, grass, homegrown or even ganja. Tetrahydrocannabinol or THC is a chief chemical present in the plant. This chemical has the potential to alter the way you think, feel or work and hence there is a need to know its link with psychosis. Psychosis on the other hand aims to explain mental conditions felt by a person. In most cases a stark departure from reality is noticed which is usually the case after consuming cannabis as well.
Psychotic effects of Cannabis:
- Irregular sleep patterns: The effect of Marijuana or hash can upset your sleep patterns. A check has to be exercised therefore. It can make you feel too tired and exhausted to rest for long hours.
- Increased anxiety: Many times, the hemp plant has been found to play up with your coping skills. You might feel anxious at the drop of a hat. Anxiety takes a toll on mental peace and affects your physical health.
- Problem in thinking clearly: Under the effect of Cannabis, you tend to live in a parallel universe. Your mind makes up imaginary situations thinking it to be real. This muddles up your capability to think clearly.
- Lack of innovation: Continuous consumption of the drug can also make a person repetitive; you stop conceiving new ideas.
- Reduced confidence: Studies show how you can become very nervous due to the effects of cannabis.
- Reticence: Communication can be a problem if you have been using the plant for a long time. You tend to bottle up your emotions and also your fears.
- Paranoia and suspiciousness: You might even grow suspicious of people you trusted all along. Friends, relatives, parents are doubted. Obsession with the slightest of things is also a resultant effect.
- Delusions and Hallucinations: Being 'high' is a positive effect as it helps you to relax, but if unhindered it could lead to serious hallucinations. Your existence in a hallucinated world can even turn fatal in some cases.