Dr Agarwal Clinic in Borivali West, Mumbai - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Poonam

Dr Agarwal Clinic

General Physician
Practice Statement
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.

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Dr Agarwal Clinic is known for housing experienced s. Dr. Poonam, a well-reputed General Physician , practices in Mumbai. Visit this medical health centre for s recommended by 104 patients.

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Clinic Address
Shop No - 2, Hareshwar Niwas, Eksar Road, Koliwada, Borivali West. Landmark: Next Gowri Temple, Mumbai
Mumbai, Maharashtra
Details for Dr. Poonam
  • European Diploma in Respiratory Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD), MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , MBBS
    The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

    The rise in pollution during Diwali affects you in the following ways:

    The PM (particulate matter which is smaller than 2.5mm) enters your lungs and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
    High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
    A compound called strontium found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
    Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
    The noise pollution also rises during the festival and in extreme cases, can permanently damage one s hearing.
    However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

    Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
    Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
    Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
    Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
    Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues.
  • MD - Dermatology, MBBS
    Spending a day out at the beach or going up on a hike is something most people love to do. What they, however, do not want is the after effects of being out in the sun the sunburn. While sunscreen lotions do help to a large extent, being in the sea can wash off the sunscreen, leaving the skin exposed to the imminent damage. Also, the effect of most sunscreens wears off with time, thereby, invariably producing some damage to the skin. However, there are simple ways to reduce the damage and in some cases even reverse the damage done by the sunburn.

    Listed below simple ways with which you can treat a sunburn:

    The minute you realize sunburn has set in, reduce further damage by getting out of the sun.
    If you were out in the beach, rinse off with regular water as early as possible to clear the chlorine and sand and salt water. The salt water irritates the skin and aggravate the damage further.
    Take a pain-killer which will reduce the inflammation and control the overall effect of swelling and pain. This can also help the mild headache that can develop because of being out in the sun.
    The sun dries the skin and therefore, make sure you make an extra effort and moisturize your skin. Use creams that contain aloe vera, glycerin or hyaluronic acid. Keeping them in the fridge for a while produces an extra-refreshing effect.
    Make a compress containing egg white or green tea and skimmed milk. The green tea will reduce inflammation and the egg white will supply the necessary proteins for the skin to recover.
    Not just the skin, the sunburn also leaves you dehydrated overall. Ensure the water intake is increased and consume water rich food like watermelon, grapes, and cucumber.
    If there are sun blisters as a result of the sunburn, do not touch them. Peeling them can produce scars, which can be permanent.
    On spots that are painful after the sunburn, slices of potatoes or cucumber can be used to rub the area. This will produce a cooling effect and also reduce swelling.
    Vinegar contains acetic acid and reduces pain, swelling, and inflammation that happens subsequent to a sunburn. Towel soaked in vinegar can be used to wipe the area or vinegar can be added to the water for a bath.
    Mint is another wonderful agent to manage sunburn. Include it in tea or add peppermint oil to lukewarm water for that healing drink.
    These are some tips to treat a sunburn and reduce the damage (sometimes permanent) that can happen as a result.
  • PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
    Non-Invasive Conservative Cardiac Care Specialist
    Integrative or mind-body treatments include diet, nutrition, lifestyle modifications, counselling for mental and emotional stability, environment health and positive faith building. Integrative therapies have become very popular and sort after. A lot of research is being done to evaluate the results of drugless therapies and traditional systems of healing around the world.

    As a doctor, therapist and counsellor, we realized that the problems faced by patients range from the most common 'what to eat and what not to do' to 'why did this happen to me', or 'how does it cost so much' and most important, overcoming the fear and pain associated with diseases. Few patients want to challenge a line of treatment, but do not have the courage to ask; and many will meekly follow the doctor s advice. Things go wrong when patients are forced to follow some relatives or friends advice to take medicines that actually do them more harm than help.

    It s always better to take professional advice.

    Heart health also benefits from integrative treatments that include nutritional support from customized diet, customized exercises, mindful meditation, various self healing techniques like yogasana, acupressure, and powerful detoxification. Natural, herbal and Ayurvedic medication have proved very effective.

    Medical research has indicated, blockages that cause heart attack, stroke or deep vein thrombosis begin 80% times with wear-tear of inner lining of blood vessel. This injury gets covered with a plaque deposit that is formed initially as a self protection mechanism. This plaque deposit has a large volume of LDL cholesterol. So, wrongly, LDL cholesterol is termed as Bad, whereas, it actually deposits to fight the disease (oxdative free radicals) from doing more harm. Swelling and rupture of this plaque causes blockage of blood vessel and blood flow is hampered in smaller vessels away from the site of rupture. When this happens in delicate organs like the heart, damage of heart muscles take place (causing heart attack of heart failure) or when in blood vessels supplying nutrition to brain, causing stroke and paralysis.

    Research also confirms that unless the formation of these plaques is not retarded or reversed, new blockages keep occurring and procedures like angioplasty or bypass fail after a short time duration. This condition is called Restenosis. This can happen in same blockage area, on the stent or in new blood vessels.

    World Health Organisation has taken note of this fact and all over the world, Integrative treatment approach is gaining importance and results have also encouraged doctors and patients.

    Clinical trials conducted have shown that Non invasive, holistic, integrative approach is able to retard blockages, reduce the formation of blockages and improve blood circulation all over the body while supporting different organ functions. These therapy options can be safely taken with allopathy, before heart attack, after attack, after angioplasty, stent or CABG procedures. We recommend high risk persons to take these as precaution as well.

    At present award winning, non invasive, clinically proved treatment protocol is available and is benefiting thousands of patients.
       3 Thanks
  • MBBS, MD - General Medicine
    General Physician
    If you are in an area which has a lot of mosquitoes, any fever that is not subsiding in a couple of days is a cause for concern as it can be due to dengue. It is one of the dreadful diseases doing the rounds in the recent years and when someone complains of fever and joint pain, the first question we ask if they got checked for dengue. This is caused by a virus that is carried by an infected mosquito.

    The blood is made up of 3 types of cells mainly that are in a liquid medium called the plasma. The red blood cells are the oxygen-carrying cells and the white blood cells fight infection and provide immunity. The third type are the platelets, they are smaller than the other two and help in blood clotting. With dengue fever, both the white blood cell count and the platelet count are decreased. Normal platelet count in the body ranges from 1.5 to 4 lacs and in patients with dengue; this can go down to as low as 20,000 to 40,000. This is because of the following:

    Dengue suppresses bone marrow, which is the platelet-producing area, leading to decreased platelet count.
    Blood cells affected by dengue virus damage platelets, leading to their drastic fall in numbers
    Antibodies produced in dengue also lead to massive destruction of platelets

    Patient presents with nonspecific symptoms including a high fever that does not subside, vomiting, pain behind the eyes, headache, nausea, and severe muscular and joint pain. The eye pain and the joint pain lead to the suspicion of the dengue fever. Symptoms develop after 4 to 7 days after the bite. The fever lasts for about 5 to 7 days and is followed by a prolonged period of fatigue, joint pains, body pain, and rashes.

    For the sake of confirming the diagnosis, the doctor will run some lab tests. These include testing for antibodies IgG and IgM, PCR testing to check the virus and a complete blood count. This will reveal the decrease in the white blood cells and the platelets to a significant degree. Whether or not a person requires platelet transfusion will be decided by the doctor based on the person s age, immunity levels and severity of the disease.

    There isn't a particular level below which a person would require platelet transfusion. In aged people and with people who have other chronic diseases, platelet transfusion may be required even if the blood count is about 50,000. The doctor will decide this based on the patient s health. The right thing to do is to go for a medical consultation and discuss your situation with the doctor and identify what needs to be done for your condition specifically.
       2 Thanks
  • BUMS
    Getting to be intimate with someone is a great feeling as you can get to enjoy and explore each other s bodies, mind and spirit. However it is also important that you avoid getting infected by sexually transmitted diseases. Although you are probably aware of how to protect yourself in general circumstances, you could be mistakes in the heat of the moment and fail or forget to use adequate protection. Always be safe, never sorry.

    The following tips will help you stay safe, each time you have sex and should never be forgotten:

    Single partner and regular testing: The safest way to have sex is have a single partner and to ensure that neither of you have any form of STI (sexually transmitted infections). If you have been with multiple partners before then get yourself tested for STIs and STDs (sexually transmitted diseases).
    Bring your own condom (BYOC): Never rely on the partner to have dams, condoms or lube. It is highly recommended that you have your own supply and the expiration dates should be checked before usage.
    Contraception: In addition to condoms, other forms of contraceptives like cervical caps and contraceptive pills must be utilized to prevent unwanted pregnancy. One should also consider using female condoms.
    Lubrication: Even though friction during sex can help in elevating pleasure levels, it also increases the risks of infection. In order to prevent friction, try to use a lubricants during sex. Oil-based lube should not be used on a latex condom as it may cause breaks within. Water and Silicon based lubricants are better options
    Set personal boundaries: Having personal rules and boundaries around safe sex can be helpful in setting a standard for behaviour. Writing down what one personally approves of and doesn t is helpful in setting proper boundaries around the concept of safe-sex. In case of a history of sexual abuse, it is important to contact a therapist or somebody close and opening up to them so they can initiate the process of recovering from it.
    Drink responsibly: It is important to consider the limit of alcohol and the people one chooses to drink with. It is also necessary to understand the concept of consent. You should not be or allowed to be pressurized into having sex.

    It is important to understand the importance of safe sex and being able to speak up about sex without feeling any shame. Furthermore, it is important to understand your responsibilities in initiating safe sex and it is okay to find it difficult in the beginning. We have cultural stigmatization around sex and it is okay to be uncomfortable in the beginning, but it is equally important to develop the confidence to talk about sexual practices and safe-sex without guilt, shame or the fear of judgement.
       10 Thanks
  • BUMS
    Night fall or wet dreams is a very common occurrence in men, especially in adolescents. This condition is characterized by involuntary ejaculation of semen while sleeping at night or in the early hours of the morning. The problem can sometimes become frustrating for young men because they fail to understand the reason for it and cannot discuss it with their parents or peers out of shame. The frequency of these nocturnal ejaculations may vary from person to person. Some people only experience it in their adolescent years and some people experience it throughout their lives. Frequent night falls can cause laziness, lesser sensation in the genital regions, burning sensation after urination and low libido.

    What are the causes?
    Night fall is common at a young age when a man abstains from sex. But if they persist and become more frequent, they can create adverse effects upon the body. The major causes are stated below
    1. Weak nerves, congested prostate gland and inability to control emotions are considered as primary causes of frequent night fall
    2. Males having sex or performing self-stimulation frequently can become prone to night fall
    3. Side effects of medicines like tranquilizers, high blood pressure medicines, sedatives etc. can also increase the frequency of night falls
    4. Lethargic lifestyle, diabetes, obesity, long sitting hours, low libido, stress, anxiety and depression affect the balance of hormones, weakening the nerves and causing night fall

    How can it be controlled?
    1. Exercises and jogging keep the body fit and taking a bath before sleeping relaxes the mind and aids in sleeping, therefore reducing the possibility of night fall
    2. Urination right before going to bed can help in preventing nightfall
    3. Having yogurt twice or thrice a day can reduce the chances of getting wet dreams
    4. Refraining from watching porn or sexually explicit visuals before going to bed will keep nightfall at bay
    5. Reading books before going to sleep can reduce the possibility of getting wet dreams. However, a book dealing with sensuous themes can make it worse.
       2 Thanks
  • BUMS
    Physical intimacy is a very important part of our lives and defines how we relate to others and see ourselves. It is the attraction one feels towards a particular gender or group of people not just romantically, but emotionally and sexually. There is an increase in the number of people in today's world who identify themselves as bisexuals. Bisexuality is the romantic and sexual attraction or behavior towards people of any sex or gender i.e. both males and females. There are many factors that affect the sexual orientation of a person including environmental, hormonal, emotional and biological factors. Bisexuality is not a disorder that needs to be treated, nor are bisexuals psychologically disturbed.

    One very misleading myth is that bisexuality is just a phase and after experimentation (usually during college years) you settle for your true identity as either a homosexual i.e. attracted towards the same sex or heterosexual i.e. attracted towards the opposite sex. Bisexuality is not a transitional period. Most bisexuals may act on their desires and choose to be with one particular sex. However, it doesn't mean that bisexuals are not attracted towards the other sex. This does not mean that they are any less faithful towards their partners than other sexual orientations such as heterosexuals, homosexuals, pansexuals etc.
    Several surveys later, it has been concluded that women are more likely to identify themselves as bisexuals than males. This is because women have greater erotic plasticity as compared to men. Bisexuals are often prejudiced against and are stereotyped as highly promiscuous and sexually confused. There is also a social stigma attached to the concept of bisexuality. This is nothing more than an unfair social bias.
  • MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
    A normal healthy love life is as important as having a healthy body and mind. However, many men tend to have problems in maintaining a healthy love life due to the problem of impotence. A man is diagnosed as impotent when he experiences serious trouble getting an erection despite arousal or maintaining it during sexual intercourse.

    Physical and mental impact
    If the erectile dysfunction becomes a regular phenomenon, it can severely affect the person s relationship status, not to mention his self esteem. Sometimes, impotence might be an indication of a serious underlying condition.

    You might be suffering from male impotence if:
    1. You are experiencing recurrent and significant trouble in order to get and subsequently maintain an erection.
    2. You are suffering from a low sex drive for a long amount of time.
    3. A combination of the both.

    Either way, a consultation with the doctor might help to cure male impotence through a prescribed dosage of medications. In extreme cases, the doctor might prescribe an artificial replacement of testosterone within the body or even a surgery in order to normalize things. If male impotence occurs due to psychological factors, sessions of counseling might help to improve the condition. If diagnosed and treated efficiently, male impotence is an easily curable condition.

    Male impotence or erectile dysfunction might occur due to numerous physical or psychological factors. Some of the causes of erectile dysfunction are as follows:
    Under lying health issues, if you are suffering from major health disorders you may suffer from erectile dysfunction. Some of these could be

    High cholesterol
    Diabetes, obesity
    Alzheimer s disease
    Parkinson s disease

    Medication and treatments: Erectile dysfunction might occur due to the side effects of certain medications such as chemotherapy and blood pressure medications.

    Excessive alcohol consumption, tobacco usage or drug abuse: These elements put many harmful elements within your body and may result in prostate cancer or surgery within the pelvic area. If anyone has recently undergone surgery to treat prostate cancer or other problems of the pelvic area, it may cause impotence as well.
    Psychological trauma: Since the brain is one of the most important agents responsible for erections, any form of psychological trauma, anxiety or stress might trigger a dysfunction in the process as well.
       3 Thanks
  • Vaidya Visharad
    Premature ejaculation is a condition in which the men tend to ejaculate too early or sometime even before the deep penetration. Generally, every man will be able to do successful intercourse for two to six minute, but if the ejaculation occurs before this short duration of time the act of sex comes to an end within a short period. Ayurveda treats premature ejaculation with several herbs, but they also insist on few natural home remedies to overcome this issue.
    Natural Ayurvedic home remedies for premature ejaculation

    Asparagus powder: Boil two teaspoon of asparagus powder with one cup of milk for ten minutes. Drink this milk for two times a day regularly and this cure premature ejaculation at faster rate.
    Saffron and almond: Soak 10 almonds in water before night and next day morning peel off the skin and make them into fine powder. Mix this almond powder in one cup of cow s milk along with cardamom powder, ginger powder and one pinch of saffron. Drink this mixture daily to improve your sex.
    Ginger and honey: Mix one table spoon of honey and small piece of ginger in one cup of boiled milk. Filter the milk and drink regularly to overcome premature ejaculation.
    Garlic: Garlic is another natural ingredient which is commonly available in every kitchen. Eat two to three cloves of garlic daily to improve your ejaculation time and to treat premature ejaculation.
    Carrots: Chop the carrots finely and mix it with honey and egg that is half boiled. Eat this regularly and this is an effective form of treatment for premature ejaculation.
    Diet changes: Dietary change is much essential to treat premature ejaculation even if you are on any drugs to treat it. Include foods that contain aphrodisiac properties that help to improve the sexual desire and treat any problems related to sex. Banana, drumstick, carrot, fennel, nuts, honey, cereals and milk are to be included in daily diet.
    Life style changes: Avoid taking much coffee, tea, alcohol and smoking. Practice doing yoga specially like matsya asana, sarvang asana and hala asana helps to overcome ejaculation problems.
       1060 Thanks
  • MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
    Peer pressure is always difficult to deal with, especially when it comes to sex. Many girls feel the pressure from friends to have sex before they're ready, which is why it's so important to have the confidence to say no to something you don't feel ready to do.

    Just because your friends are having sex or say they're having sex doesn't mean that you have to as well! you might feel like everyone is doing it, but you will soon realize that this is not the case. Your friends may talk about sex in a casual manner. If you have a good group of friends, they should not be pressuring you into doing something that you're not ready to do.

    Pressure from magazines, celebrities and peers can all contribute to the pressure that you may feel. On tv, sex is displayed in such a casual way, however you should remember that sex is actually a really big deal! you need to make sure that you're completely confident and comfortable with your decision if you do decide to have sex. Think carefully how you feel yourself about having sex, as this is the first step in handling the peer pressure. It's okay to have fun when you're a teenager, but equally you need to respect yourself enough to say no I'm not ready and your peers should respect that too. When making the decision to have sex, consider whether peer pressure is influencing your decision or if it's something that you have decided that you are ready to do. Once you've had sex for the first time you can't go back, so make sure it's a decision that you won't regret.

    Remember that there is no certain age that you are expected to have sex a lot of people wait until they're married! everybody is different and will mature and feel ready at different ages, so just because your friend is doing it and feels ready now, this does not mean that you should feel that way too. Don't ever have sex just to fit in with your friends, as they will respect you more if you stick to your morals and don't do things just because you're pressured to.

    If you're worried about peer pressure, know that you're not alone. Hang out with friends who understand you and also believe that it's okay to wait to have sex. If you're going on a first date, go along with friends so it's not just you and your date. This way, if you feel worried that you might be pressured into doing something you don't want to, you won't be alone. Think of what you would say in advance if anyone tries to pressure you in the future, so that you're not caught off guard or feel like you have to do something you don't want to. You are never obliged to have sex with someone, so even if they try to make you feel guilty never do something that you don't want to do, as it's always your decision. Sex is not something that you should rush into, so take your time until you feel 100% ready to take the next step. Respect yourself, your morals and your body and when the time is right to take the next step, you will know.
       1 Thanks
  • CHSE, D.H.M, M.D. (Ayurved)
    Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

    Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

    Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

    Causes, incidence, and risk factors:
    Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

    When too much bilirubin builds up in the body, jaundice may result.

    Jaundice is caused due to following causes:
    Obstruction of the bile ducts (by infection, tumor or gallstones)
    Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
    Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
    Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
    Biliary stricture
    Alcoholic liver disease (alcoholic cirrhosis)
    Pancreatic carcinoma (cancer of the pancreas)
    Primary biliary cirrhosis
    Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
    Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
    Haemolytic anemia
    Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
    Chronic active hepatitis
    Autoimmune hepatitis

    Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

    Clinical symptoms:
    Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:

    Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown
    Yellow color inside the mouth
    Dark or brown-colored urine
    Pale or clay-colored stools

    Other symptoms depend on the disorder causing the jaundice:
    Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

    Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

    Differential diagnosis:
    When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

    Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

    Laboratory findings include:
    Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
    Serum: increased unconjugated bilirubin.
    Kernicterus is associated with increased unconjugated bilirubin.

    Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

    Laboratory findings depend on the cause of jaundice, include:
    Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
    Plasma protein show characteristic changes.
    Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

    Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

    The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

    Signs and tests:
    No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

    Other tests vary, but may include:
    Hepatitis virus panel to look for infection of the liver
    Liver function tests to determine how well the liver is working
    Complete blood count to check for low blood count or anemia
    Abdominal ultrasound
    Abdominal ct scan
    Endoscopic retrograde cholangiopancreatography (ercp)
    Percutaneous transhepatic cholangiogram (ptca)
    Liver biopsy
    Cholesterol level
    Prothrombin time

    Ayurvedic approach:
    In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

    Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

    The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

    Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

    Medicines used:
    Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
    Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
    Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
    Navrayas loh can also be given in the dose of 125mg thrice daily.
    Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
    Regular intake of guduchi juice 10gm twice or thrice a day.
    Daily intake of neem juice is also useful for jaundice
    Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

    Some routine home remedies:
    Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
    Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
    Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances

    Pathya-apathya (do's don'ts):
    Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

    Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
    Always drink water that is filtered or boiled. Do not drink raw milk.
    Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
    Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
    There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
    Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
    Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
    It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
    Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
    Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.
  • Partners in Health
    Multi Speciality
    Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.
    Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.
    Sexual Activity and Cardiovascular Disease
    Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.
    Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.
    The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).
    How is the Heart and ED Related?
    Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.
    What to do?
    If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist.
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  • Diploma in Diet n Nutrition, BHMS
    Did you know barley water is good for kidney stones?
    Barley (jau), a member of grass family, is a cereal that has been cultivated for over 13, 000 years. Packed with carbohydrates (78%), fat (1%), protein (10%) and water (10%), barley is a rich source of essential nutrients, dietary fiber, vitamins such as niacin, manganese, phosphorus and vitamin B6.

    With several health benefits to its name, barley water is termed as the elixir to good health. It has been found to be beneficial in reducing chances of heart disease, soothing bowels, reducing blood cholesterol levels, improving blood sugar regulation in the body and acts as nutritive broth for fever, cold and cough. Additionally, studies support that barley water has also been found to play an integral role in maintaining renal health.

    What is a renal stone?
    A renal stone is a solid stony piece consisting of crystal forming substances in the urinary tract. They are usually formed when the urine is abundant in substances such as calcium, oxalate and uric acid and lack substances that inhibit their accumulation. While small kidney stones can pass through the urinary system without any symptoms, a stone larger than 5 mm can result in blockages in the urinary tract causing severe pain in the back and lower abdomen.

    What causes renal stones?
    - A family history for stones, lack of adequate water in the body, high BMI, excessive intake of diets rich in protein, sodium and sugar have been found to be some of the common causes for stone formation.

    Try protein foods & supplements
    -medical conditions such as hyperthyroidism, inflammatory bowel syndrome and renal tubular acidosis have also been found to alter the digestion of calcium.

    How does barley water aid the dissolution of renal stones?
    Studies show that regular use of barley water can dissolve and eliminate existing kidney stones and prevent the occurrence of stones and other kidney problems. Use of diuretics either natural or synthetic can help speed up the expulsion of the stone.

    Diuretic in nature, barley water helps to flush toxins from the kidneys by creating bladder pressure and increasing the frequency of urination.

    - It helps maintain the PH levels in the body, making it alkaline, preventing various urinary tract issues, including kidney stones.

    - The vitamin B6 and magnesium in barley helps break down the masses of toxic calcium oxalate (primary cause for stones) in the kidney.

    Dietary fiber in barley reduces the amount of calcium that is excreted by the body through urine, restoring renal health and cleansing the kidneys.

    Ways to prepare barley water:
    - Boil 1 litre of water with a tablespoon of barley pearls and boil on a low flame for about 30 minutes or until the water has reduced to half.
    - Strain and cool this mix and drink it through the day.
    - Add lemon juice or honey to make the mix tasty

    Regular use of barley water ensures that the renal system is hydrated, healthy and free of depositions such as renal stones. So, go ahead and add this elixir to your diet to ensure a healthy renal system and a healthier you. Eat healthy, stay healthy!
    This contagious and highly itchy skin condition comes with symptoms like thin and irregular burrow like tracks containing blisters. These may be found on the affected areas of the skin. Mostly, these growths are found in the folds of one's skin and can occur for children and adults alike. The most common areas where these blisters, sores and bumps may be found include the genital areas, buttocks, the inner side of the elbows, soles of the feet, around the breasts, the waistline, the insides of the wrists and other areas. Let us have a look at the various causes of this condition.

    1. Mite: an eight legged mite is the most common cause of this skin disease. The female mites are known to burrow deep in the folds of the skin, where they leave their eggs to hatch and spread. These mites usually make a tunnel like burrow in which the eggs get deposited. The mite larvae then reach the surface the skin and cause a lot of itching once they begin to mature. This itching is mainly an allergic reaction to the larvae as well as the eggs and waste.

    2. Physical contact with infected parties: this condition is mostly caused when there is contact with an infected person or animal. This happens due to the fact that contact with an infected party can lead to a deposit of the mites on to the skin, leading to the process of burrowing, egg laying and maturing of the larvae. There has to be close and prolonged contact with an infected person or animal for this to happen. Yet, it has been observed that the mites prefer to live on the host. They do not live for too long on someone inherits the disease with contact.

    3. Scratching: there are lots of complications that can lead to the breakout or worsening of the situation. Scratching the skin can often break the same which can lead to secondary bacterial skin infections. Superficial infections like impetigo can also lead to an accumulation of these mites, which can further spread the condition.

    4. High risk groups: there are many people who are more at risk of contracting this skin disease. Patients with chronic health conditions like hiv and leukaemia can contract a severe form of scabies known as crusted scabies or norwegian scabies. Also, people who have spent long periods in hospitals and nursing facilities due to prolonged illness and treatment can contract this contagious ailment. Further, it has been found that older people living in nursing homes also often come down with this condition. The crusty and scaly patches caused by this disease can cover the entire body and may be very difficult to treat.
  • MD - General Medicine, MBBS
    General Physician
    The inflammation of the cavities around nasal passage is known as sinusitis. When the cavities are full of fluid, germs attach themselves to the fluids, which give rise to infections. Some of the causes of sinusitis are common colds, allergic rhinitis, nasal polyps and deviated septum.

    There are 4 different types of sinusitis:

    Acute sinusitis: It remains for about 4 weeks or less. It is usually characterized by a runny nose and pain in the face which will stay for at least 10 to 14 days.
    Sub acute sinusitis: It is almost like the acute sinusitis but stays longer for about 4 to 8 weeks.
    Chronic sinusitis: The inflammation in this case lasts about 8 weeks, sometimes longer than that.
    Recurrent sinusitis: In this, the sinusitis attack keeps occurring all through the year.

    At times, to clear up the blocked sinuses, a surgery is mandatory. This can be painful hence many are hesitant to go through with a surgery. If you want to control sinusitis so that it doesn't reach the limit where you have to go through a surgery, here are some tips of what you might be able to do regularly to clear your chances of controlling this:

    Take steam: This is the most common and easy way to control sinusitis. The steam helps to break down the excess mucus in the nasal passage and also reduces the inflammation of the sinuses. All you need is water. Heat it up to the required temperature and then inhale the steam. You will get a lot of relief if you do this regularly.
    Nasal Irrigation: This is basically the process of flushing the infected and stale mucus out of the nasal cavity. Take a liter of sterile water, mix one tablespoon of kosher salt and baking soda each. Then with the help of a syringe or a neti pot, wash your nostrils with the solution. The mucus will start coming out and your nasal cavity will clear out.
    Use warm washcloth: Lie down and place a warm washcloth (a washcloth dipped in warm water and wringed) on your forehead and nose region. The warmth from the washcloth will break down the mucus and clear the congestion.
  • DNB (Radio Diagnosis), MBBS
    A lower limb ulcer or a leg ulcer is characterized by the formation of a chronic sore. These sores take more than a month to heal, and tend to develop on the insides of the leg. It is characterized by symptoms of pain, swelling in the affected area and itching. The skin around the ulcer tends to harden and get discolored. A foul smelling discharge is also common.


    These sores tend to form if there is a minor injury in the leg. This tends to develop when the blood circulation inside the veins of the leg is hampered, that results in an increase in blood pressure. The high blood pressure can damage the vessels under the skin, making them fragile. The skin tends to break and form ulcers easily after a cut or a wound has been sustained.

    There are certain factors that increase the risks of lower limb ulcer; them being:

    Obesity: Being overweight can lead to an increase in blood pressure in the leg, augmenting the risk of lower leg ulcer.

    Varicose Veins: This disorder is characterized by swollen veins resulting from malfunctioning valves. This disorder of the veins increases the risks of lower limb ulcers.

    Age: Ageing increases the chances of lower leg ulcer. This is because old age and its related disorders tend to limit your movement.


    The symptoms of lower limb include discoloration of the skin, swollen ankles, a heavy feeling in the lower limbs, flaky and itchy skin and enlarged veins in the legs. A foul smelling discharge from the wound and high fever are common symptoms as well.


    The treatment begins with cleaning the affected area. Medicines are applied on the area, following which the dressing is applied on the wound. In order to treat the swelling and improve the circulation in the legs, a compression bandage is also wrapped around the area. These bandages help in easing the blood circulation and relieving pain.

    In order to facilitate quicker healing of the ulcer, it is recommended to remain active and ditch a sedentary lifestyle completely. It is advised to keep your leg elevated while you are sitting or lying down; this helps better the blood circulation. Avoid smoking and consuming alcohol as they inevitably slow down the healing process.
  • Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
    The sugar found in milk and other dairy products such as yoghurt and cheese is called lactose. An enzyme in the small intestine called 'lactase' breaks lactose into galactose and glucose. When the lactose is not digested properly by the small intestine, it passes unbroken into the colon. The bacteria in the colon break the lactose down into hydrogen and carbon dioxide. People who fail to digest lactose in their small intestines are diagnosed with lactose intolerance.

    Usually lactose intolerance only affects adults, but sometimes children do suffer from it. For children, their symptoms can be mild or very severe (for example, cramps, diarrhoea, etc.)
    Normally, parents can confuse milk allergy with lactose intolerance. They do share the same symptoms, but they are completely different medical conditions. Milk allergy is caused by the immune system while lactose intolerance is a problem with the digestive system.

    The causes of lactose intolerance include:
    1. Absence or deficiency of the lactase enzyme
    2. Infections in the gastrointestinal tract that damage the lining inside the small intestine
    3. Gluten intolerance (It affects lactase production)
    4. Genetics (Lactose intolerance can run in the family)

    When the lactose is broken down in the colon, certain gases are produced. These gases can cause symptoms such as:
    1. Abdominal inflammation and pain
    2. Excessive burping
    3. Loud sounds in the bowel
    4. Excessive diarrhoea and gas
    5. Explosive and watery bowel movements
    6. A feeling of urgency when it comes to bowel movements (In children, they might feel like they need to get to the bathroom as soon as possible or they might embarrass themselves)

    How best to treat it?
    Living with lactose intolerance usually involves dietary modifications and taking supplements such as over-the-counter lactase to aid in digestion. For instance, you can replace milk with soy milk, or take lactase before ingesting any dairy product. Or alternatively, you can consume lactose-reduced or lactose-free milk and dairy products.
    Calcium deficiency is a serious side effect of lactose intolerance. So incorporate calcium-rich foods such as broccoli, kale, tofu, almond, dried fruits, soybeans, turnip greens, collard greens and fortified orange juice in your diet.
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  • Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
    In modern day societies of intense stress and work pressure, the average diet mostly comprises of street foods, packaged fast foods and processed foods. Such stress and overexposure to a lot of toxins (present in the processed food, fast foods, and street foods) disable the liver from performing its primary function of cleansing the toxic materials through the skin, the respiratory and the digestive system. Besides, this overexposure to toxins also disrupts bile formation, which hinders the absorption of necessary nutrients, resulting in a severe disruption in health. Also, liver is responsible for the proper functioning of the eyes, the brain, the kidneys and the joints in the body. Thereby, it is necessary to include these 7 foods in your diet which help to detoxify your liver from the excessive toxins and allow it to function properly.

    Avocado: Avocados contain a rich amount of the antioxidant glutathione, which helps the liver to fight against the toxins.
    Garlic: Garlic contains a rich amount of selenium and allicin, which helps to cleanse the liver. A little amount of garlic helps in the activating liver enzymes which in turn helps to eliminate the toxins from the body.
    Green tea: Green tea contains a rich amount of the plant antioxidant known as Catechin, which help the liver to function properly. It also helps to protect the liver from the toxins.
    Beets and Carrots: Beets and carrots contain a rich amount of beta - carotenes and plant flavonoids which help to regulate the overall function of the liver.
    Turmeric: A little amount of turmeric in your daily meal helps in the cleansing the liver by helping the enzymes to get rid of the toxic carcinogens.
    Green Vegetables: Green Vegetables like spinach, bitter gourd and chicory contains a rich amount of detoxifying components, which helps in the neutralization of heavy metals which in turn regulates the cleansing ability of the liver. Green vegetables also help in the simulation of the flow of bile.
    Grape Fruit: Grape fruit contains a rich amount of vitamin C and antioxidants which initiates the cleansing process of the liver. Grape fruit also help in the formation of enzymes that destroys toxins like carcinogens.
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  • MD - Obstetrtics & Gynaecology, MBBS
    Folic acid is an important form of vitamin B which women must take during pregnancy. It is a form of man-made vitamin B known as folate. Folate plays a significant role in producing red blood cells and helps in the development of your baby s neural tube into the brain and spinal cord, preventing any kind of birth defects in your baby. Birth defects of the brain or spinal cord may occur in early stages of pregnancy. Therefore, by the time a woman discovers her pregnancy, it may become too late to prevent the defects.
    How much folic acid should be taken?
    A woman should start taking folic acid within the first three to four weeks of pregnancy, as birth defects may occur during this time. Women who start taking folic acid a year before getting pregnant produce healthy babies without birth defects.
    400 mcg of folic acid is the recommended dose for all women who are of childbearing age and also in the first trimester of pregnancy. Multivitamins with the recommended amount of folate and folic acid supplements are generally prescribed as they help the mother deliver a healthy child. From the fourth to ninth month of pregnancy, the dose must be increased to 600 mcg.
    Benefits of Folic Acid-
    Without sufficient folic acid in your body, the neural tube of your developing baby may not close properly. This may lead to neural tube defects, which include:
    Spina bifida, a condition where the spinal cord or vertebrae develop incompletely. A baby with spina bifida may be disabled permanently.
    Anencephaly, a condition that features incomplete development of the brain. Babies affected with anencephaly do not live long.
    Having a sufficient supply of folic acid prevents these neural defects from developing in your baby.
    Taking folic acid before and during pregnancy protects your baby against many other conditions. They include:
    Cleft lip and palate.
    Low weight during birth.
    Chances of miscarriage.
    Premature birth.
    Folic acid also reduces the risk of developing pregnancy complications in the mother such as heart diseases, stroke, several cancers and Alzheimer s disease.
    Folic acid is naturally found in dark-green vegetables, which you must consume in abundance. Other sources of folic acid include fortified breakfast cereals, beef liver, lentils, egg noodles and great northern beans.
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    Seasonal allergies are usually characterized by sneezing, coughing and other allergic reactions. Also known as hay fever and allergic rhinitis, the condition tends to appear only during certain seasons of the year. The disease is triggered by changes in the weather and exposure to certain allergens like dust. The allergens cause the body to release histamine into the blood thus, resulting in symptoms of allergy.

    The symptoms of seasonal allergy are:

    Congestion in the nose
    You may experience a blocked and runny nose
    You may have an itchy nose

    Ayurveda is a holistic method of treatment that focuses on improving your overall well-being. The various Ayurvedic remedies for treating seasonal allergies are:

    Restrict Dairy Intake: You need to cut dairy out of your diet as dairy products have all the characteristics of a cold food. They tend to create imbalance in the kapha dosha in the body, thus leading to various diseases.
    Ayurvedic Detox: Consider doing an Ayurvedic detoxification to cleanse the body of the various toxins. It helps in smoothing out the dosha balance and hence improves your overall well-being.
    Nasya: This process requires you to put drops of medicated oils inside your nostrils. This lubricates the nasal cavity and prevents the allergens from causing an allergic reaction in the body.
    Eat More Warm Foods: Try to eat warm and cooked foods as much as possible. Eating frozen foods is not recommended as the nutrients from the food may not be absorbed properly owing to a weak digestive system which may be the result of a bout of severe seasonal allergies. Include foods such as soups and porridge and you have a perfect dish to gorge on.
    Exercise on a Regular Basis: Make sure you exercise on a regular basis to improve your fitness levels and also to keep a check on your weight. Certain yoga poses such as the downward dog and the cobra help to improve the digestive process. Add cardio workouts such as running and swimming to improve the health of the lungs.
    Add Spices: Add spices to your cooking such as turmeric or garlic as they help in rejuvenating the respiratory system.
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