Gayatri Homeo Dispensary in Bhachhi, Madhubani - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Indra Shekhar Jha

Gayatri Homeo Dispensary

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Gayatri Homeo Dispensary is known for housing experienced s. Dr. Indra Shekhar Jha, a well-reputed Homeopath , practices in madhubani. Visit this medical health centre for s recommended by 89 patients.

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Clinic Address
loha near library
madhubani, Bihar - 847211
Details for Dr. Indra Shekhar Jha
A N Magadh Medical College, Gaya
Professional Memberships
(FPA) Family Physicians Association Bangalore
Alumni Online Community (AOC)
Past Experience
Physician & Surgeon at All India RED CROSS SOCIETY ,MADHUBANI
  • BHMS
    Consultation Charges: Rs 300
    1 Recommendation · 13 people helped
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  • BHMS
    Looking for the path toward a healthier you? it's not hard to find. The journey begins with some simple tweaks to your lifestyle. The right diet, exercise, and stress-relief plan all play a big role.

    Follow a heart-healthy diet
    There's an easy recipe if your goal is to keep away problems like heart disease and strokes.

    Eat more fruits and veggies.
    Choose whole grains. Try brown rice instead of white. Switch to whole wheat pasta.
    Choose lean proteins like poultry, fish, beans, and legumes.
    Cut down on processed foods, sugar, salt, and saturated fat.
    When eating healthy, flexibility often works best, says joyce meng, md, assistant professor at the pat and jim calhoun cardiology center at uconn health. If you like to follow a strict diet plan, go for it. If not, it's ok" find what works for you"

    Stroke survivors may develop seizures
    Tricia montgomery, 52, the founder of k9 fit club, knows first-hand how the right diet and lifestyle can help. For her, choosing healthy foods and planning small, frequent meals works well" I don't deny myself anything" she says" I still have dessert -- key lime pie, yum! -- and I love frozen gummy bears, but moderation is key"

    Exercise every day
    The more active you are, the better, meng says. Exercise boosts your heart health, builds muscle and bone strength, and wards off health problems.

    Aim for 2 and a half hours of moderate activity, like brisk walking or dancing, every week. If you're ok with vigorous exercise, stick to 1 hour and 15 minutes a week of things like running or playing tennis. Add a couple of days of strength training, too.

    If you're busy, try short bursts of activity throughout the day. Walk often. A good target is 10, 000 steps a day. Take the stairs. Park your car far away from your destination.

    Women's health tips for heart, mind, and body
    Montgomery exercises every day, often with her dog. By adding lunges, squats, and stairs to a walk, she turns it into a power workout" I also am a huge pilates fan" she says.

    Lose weight
    When you shed pounds you'll lower your risk of heart disease, type 2 diabetes, and cancer.

    Aim for a slow, steady drop. Try to lose 1-2 pounds a week by being active and eating better.

    " it doesn't have to be an hour of intense exercise every day" meng says" any little bit helps"

    As you improve, dial up the time and how hard you work out. If you want to lose a lot of weight, try for 300 minutes of exercise a week.

    " eating a healthy diet will go a long way" meng says. Start by cutting sugar, which she says is often hiding in plain sight -- in store-bought items like salad dressing, packaged bread, and nuts. Try to avoid soda and sugar-laced coffee drinks, too.

    Visit your doctor
    Get regular checkups. Your doctor keeps track of your medical history and can help you stay healthy. For example, if you're at risk for osteoporosis, a condition that weakens bones, he may want you to get more calcium and vitamin d.

    Your doctor may recommend screening tests to keep an eye on your health and catch conditions early when they're easier to treat.

    Keep the lines of communication open" if you have questions, ask your doctor" meng says" make sure you understand things to your satisfaction" if you're worried about a medication or procedure, talk to him about it.

    Cut down your stress
    It can take a toll on your health. You probably can't avoid it altogether, but you can find ways to ease the impact. Don't take on too much. Try to set limits with yourself and others. It's ok to say no.

    To relieve stress, try:

    Deep breathing
    Healthy eating
    Talking to a friend, family member, or professional counselor
    Create healthy habits
    If you make the right choices today, you can ward off problems tomorrow.

    Brush your teeth twice a day and floss every day.
    Don't smoke.
    Limit your alcohol. Keep it to one drink a day.
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  • BHMS

    Simple, effective oral health tips

    According to the world health organization (who) oral health is a state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, birth defects such as cleft lip and palate, periodontal disease, tooth decay and tooth loss, and other diseases and disorders that affect the oral cavity"

    Follow the tips below to keep your teeth and gums clean and healthy.

    Brush your teeth regularly. The main cause of tooth decay is plaque, a film of bacteria that clings to the teeth and gums. Cleaning after meals will help to get rid of it and also reduce stains.

    Floss regularly. Using a gentle back-and-forth motion, pass the floss between two teeth. At the gumline, curve the floss in a c-shape against one tooth, then scrape downward on the upper teeth, upward on the lower teeth.

    Consider investing in an electric toothbrush. Although it costs more, over time it is more effective than a regular toothbrush in removing plaque from your teeth.

    Gargle regularly with cold black tea. The tannin in tea acts as an astringent, strengthening gums.

    Massage your gums. Using your fingertip or a patented rubber gum massager (available from chemists) gently massage your gums in small circular movements several times a week to improve circulation and boost oral health.

    Add 2 drops tea-tree oil to water to make a powerful antiseptic gargle (but make sure you don't swallow it). Or try gargling with salt, a general antiseptic. Salty water also soothes a sore throat.

    To help reduce inflammation and fight plaque, stir 1 teaspoon aloe vera gel into warm water and gargle.

    Treat a mouth ulcer by rinsing your mouth out with a solution of 1 teaspoon 3 per cent hydrogen peroxide in 50 ml water. This will disinfect your mouth, clean up bacteria and speed healing. Finally, to put a protective coating on the ulcer, dab it with vegetable glycerine.

    For bleeding gums, gargle with 1 teaspoon witch hazel in 50 ml water. Alternatively, use 1 cup warm water with 1/2 teaspoon salt and 6 drops goldenseal tincture.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Common examinations for blood pressure changes contact me on lybrate for proper treatment & medicine or take appointment blood pressure monitoring - your healthcare provider may take your blood pressure when you visit the office to check for changes in blood pressure. Quit smoking exercise most days of the week, for at least 20 to 30 minutes at a time. Try to reduce the amount of stress in your life by following relaxation techniques. Eat a diet that is low in saturated fat and cholesterol, low in sodium, with lots of fresh fruits and vegetables. Lose weight if you are overweight. Avoid alcohol use. Limit caffeine intake. Again, with low blood pressure, safety and treating the underlying cause is the greatest concern. Try to reduce the amount of stress in your life. Use relaxation techniques to decrease the amount of anxiety you have. If you feel anxious, place yourself in a quiet.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Please consult me for proper medicine as an actual diet doctor, i've spent the past decade helping people lose weight, and i've learned a lot in the process. Many of my patients were successful, many regained weight, and some didn't lose much weight at all. In the process, I learned a lot about successful long-term weight loss in the real world -- not tv weight loss; not celebrity weight loss, which usually includes private chefs, trainers and nannies, but rather weight loss for real (often stressed out and overworked) people trying to lose weight while living their lives. This kind of weight loss includes monthly challenges like holidays, vacations, loss of motivation, and even changes in the weather that affect exercise. In addition, working as a part-time writer, diet and nutrition media expert, and tv host that evaluates almost every diet out there, i've also realized that there is no one-size-fits-all when it comes to dieting -- most diets will work for some people some of the time. So rather than tell you what to eat, I thought I would share what I believe are seven of the best tips for losing weight, and keeping the weight off, no matter what diet you choose to follow. Pump up the volume of meals. We eat approximately the same volume of food every day,[1] so including foods with lower calorie density (calories per gram) is essential unless you eat very small portions (like the french). Foods that have lower calorie densities are high in water (fruits, vegetables, soup, low-fat or fat-free dairy), high in fiber (whole grains, beans, fruits, and vegetables) and lower in fat. Foods that do not contain water, like dry salty snacks, crackers, and dense baked goods have a higher calorie density even if they are fat-free, and portions need to be carefully controlled. By permanently modifying meals and recipes to include more low-calorie-density ingredients, you don't have to cut portions to lose weight and keep it off, and eating well is much more live-able. Limit liquid calories. Our body simply doesn't register liquid calories like calories from solid food, so it is very easy to consume too many calories each day drinking extra-large lattes (even if they are fat-free), sugar-sweetened beverages (including sweetened tea, sports drinks, and even juice, which has naturally occurring sugar but is still loaded with calories), and alcoholic beverages. Downsize your morning latte, limit intake of sugar-sweetened beverages as much as possible, drink juice out of old-fashioned juice glasses (which used to be 6 or 8 ounces), and if you drink alcohol, avoid sugary mixers and cut calories from elsewhere in your meal if possible.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    This is your personal problem, so I can not suggest any medicine to you without any appointment make a appointment on lybrate from me lowest fee.
    1 Thank
  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Aloe vera juice is the latest health and beauty craze and it’s easy to see why. The benefits of the stuff seem endless. After all, the Sanskrit name for aloe vera is kumari, which means ‘princess’, attesting to its ability to help you maintain youthful beauty and a healthy glow. Sounds good, right? Sebastian Pole, co-founder of Pukka Herbs and an expert in herbalism, says: ‘Aloe Vera is renowned as a ’heal-all’ that is good for many conditions, both internal and external. ‘It is a great rejuvenator and can help in some of life’s big transitions, from cleansing teenage skin to cooling menopausal hot flushes and soothing dryness.’ Here, Sebastian breaks down the benefits of aloe vera juice: 1. Detoxifying Aloe vera juice is crammed full of amino acids, vitamins and minerals making it one of nature’s most effective cleansers. ‘It can help strengthen digestion and rid the body of any nasty waste, thus detoxifying the body naturally,’ says Sebastian. ‘Its main property is to be soothing, cooling and moistening which helps to clear inflammatory and irritating heat, such as in menopause, plus inflammatory skin and digestive problems, such as acne, rosacea and IBS.’ 2. Supports the immune system Aloe vera is packed full of immune-boosting polysaccharides which help the immune system to behave properly. ‘Too much inflammation in the body can cause problems within the immune system and can cause conditions like asthma, eczema and Crohn’s disease. Soothing herbs like aloe vera juice can slow the inflammatory cascade and help reorder the immune response to prevent these conditions.’ 3. Lowers cholesterol and blood sugar There is some evidence to suggest aloe vera lowers cholesterol and has a positive effect on blood sugar levels, meaning it can be useful for treating diabetes and obesity. 4. Excellent for digestion It's worth trying for anyone who suffers with digestion problems like IBS. Its healing and soothing properties can help with the painful symptoms. 5. An easy way to boost your vitamin and mineral intake Aloe vera juice is packed with vitamins A, C, E, B1, B2, B3, B6, B12 and folic acid. It’s also rich in minerals like calcium, magnesium, zinc, iron, selenium and potassium. Sounds pretty good, right? 6. Hair growth Full of natural vitamins and enzymes that can directly promote healthy hair. 7. Good for burns, acne and hydrating skin When used topically aloe vera can soothe inflamed skin and enhance collagen and hyaluronic acid to help rejuvenate skin. It sounds amazing, but are there any side effects you should know about? 'There are no negative side effects if you use a pure aloe vera inner leaf juice, Sebastian. 'If you use an aloe vera leaf product it may have high aloin levels and aloin is a laxative which can cause diarrhoea if too much is used. Of course, you should always consult your doctor before undergoing any complementary or alternative treatments for health problems. How much aloe vera juice should should we take? It depends on the potency of the aloe vera. Sebastian recommends taking 3 – 6 tablespoons of Pukka’s Aloe Vera once or twice a day. Mix it in fruit juice or smoothies, or drink on its own.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Your skin (or parts thereof) feels like it is burning and/or itching even though there isn’t any visible reason for it to be burning and/or itching, such as burn marks or dry, cracked, flaky, or broken skin. This burning itching skin sensation can be mildly noticeable, moderately bothersome, or severely problematic. The skin can be burning so much that it feels like a major sunburn even though you haven’t been in the sun. And sometimes you can scratch and scratch, even to the point of injuring the skin, yet your skin is still itching and/or very itchy. Generally, this burning and itching skin feeling doesn’t have any visible reason for it to feel that way. It appears the skin is itching and burning for no apparent reason. This burning itching skin sensation can occur anywhere on the body, such as the hands, face, feet, back, neck, lips, and scalp, to name a few. This burning itching skin sensation can come and go rarely, occur frequently, or persist indefinitely. For example, you may have severe skin burning and itching once and a while and not that often, feel it off and on, or feel the burning and itching all the time. This burning itching skin sensation may precede, accompany, or follow an escalation of other anxiety sensations and symptoms, or occur by itself. This burning itching skin sensation can precede, accompany, or follow an episode of nervousness, anxiety, fear, and elevated stress, or occur ‘out of the blue’ and for no apparent reason. This burning itching skin sensation can range in intensity from slight, to moderate, to severe. It can also come in waves, where it’s strong one moment and eases off the next. This burning itching skin sensation can change from day to day, and/or from moment to moment. All of the above combinations and variations are common. What causes the burning itching skin anxiety symptom? There can be many causes for burning itching skin. It’s best to discuss this symptom with your doctor to rule out all other causes. NOTE: Allergic reactions and adverse reactions to medications are also common causes of burning and itching skin sensations. Be sure to discuss this symptom with your doctor to rule out those potential causes. If your burning and itching skin sensation has been attributed to anxiety and stress, behaving apprehensively (worrying, fretting, being anxious) causes the body to activate the stress response, which brings about specific physiological, psychological, and emotional changes in the body to enhance the body’s ability to deal with a threat—to either fight with or flee from it. Due to the nature of these changes, the stress response is often referred to as the fight or flight response. Due to the extent of changes the stress response brings about, stress responses stress the body, and especially the nervous system. The nervous system is responsible for sending and receiving sensory information to and from the brain, including sending and receiving sensory information from the nerve endings in the skin. When the body isn’t overly stressed, the nervous system and sensory organs perform normally. But when the body becomes overly stressed from too frequent and/or dramatic stress responses (which we call stress-response hyperstimulation), the body, nervous system, and sensory organs can ‘misbehave’ and cause a wide range of nervous system and sensory symptoms, such as exhibiting a burning and itching skin sensation. Because anxiety and stress caused burning and itching skin sensations are only related to elevated stress and not some other medical condition, they aren’t harmful. Therefore, this burning and itching feeling isn’t a reason for concern.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    An ectopic pregnancy is a pregnancy implanted in an abnormal location (outside of the uterus). During the past 40 years its incidence has been steadily increasing concomitant with increased std rates and associated salpingitis (inflammation of the fallopian tubes). Such abnormalities of the tubes prevent normal transport of the fertilized egg to the uterus. The most common site of ectopic implantation is the fallopian tube. Other sites such as the abdomen, ovary, or cervix are far less common but are associated with higher mortality. This higher mortality is due to greater detection difficulty and to massive bleeding that can result if rupture occurs at these sites. Epidemiology how many women suffer from an ectopic pregnancy? ectopic pregnancy occurs at a rate of about 1-2% of pregnancies and can occur in any sexually active woman of reproductive age. The increase in incidence in the past few decades is thought to be due to two factors: increased incidence of salpingitis (infection of the fallopian tube, usually due to a sexually transmitted disease (std), such as chlamydia or gonorrhea), and improved ability to detect ectopic pregnancies. There is a marked increase in ectopic pregnancy rate with increasing age from 6.6 per 1000 pregnancies in women aged 15 to 24, to 21.5 per 1000 pregnancies in women aged 35 to 44. Most ectopic pregnancies occur in women who have had more than one pregnancy. Only 10% to 15% of ectopic pregnancies occur in women who have never been pregnant before. In the united states, the rates are higher for non-white (about 30 in 1000, or 3 in 100, pregnancies) than for white women. Summary summary: about 1-2% of pregnancies are ectopic. Ectopic pregnancy can occur in any sexually active woman of reproductive age. More are being seen because (1) more salpingitis and (2) better ability to detect ectopic pregnancies. Rates of ectopic pregnancy are higher in women who (1) are older, (2) have had multiple pregnancies and/or (3) are non-white.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Once you know what the movement feels like, do kegel exercises 3 times a day: make sure your bladder is empty, then sit or lie down. Tighten your pelvic floor muscles. Hold tight and count to 8. Relax the muscles and count to 10. Repeat 10 times, 3 times a day (morning, afternoon, and night).
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Exercise stress test (also called treadmill test) is an important investigation not only in patients with suspected cad but also in established cad. In the former group, it helps us to exclude cad in patients with chest pain and in the later group, it helps us to assess functional capacity, risk stratification and to detect any additional (new or residual) ischemia. Stress test being a physiological test, has a huge advantage of assessing the adequacy of myocardial blood flow without even knowing the coronary anatomy, while coronary angiogram (cag) has a zero physiological value* in spite of excellent assessment of the coronary anatomy! it is an irony, in the assessment of angina we are expected to assess the physiological adequacy of myocardial blood flow, we have kept coronary angiogram as a gold standard over and above the much neglected physiological stress test. Of course, the limitation of stress test is that, it has only 75% specificity (to rule out cad) and about 80% sensitivity (to detect cad. In simple terms stress test is likely to miss 20% times to miss a cad in patients with cad and 25% of times falsely diagnose cad in patients without cad. In the above statistics, coronary angiogram was considered gold standard. The problem with this data is that, cag is not the real gold standard, but it was nominated as a gold standard. We now know normal coronary angiogram is not equivalent to normal coronary arteries and vice versa. While both test have limitations, it is logical to believe cag has an edge over stress test since it visualises the anatomy. But, once an obstruction is demonstrated by cag, stress test scores over in assessing the physiological impact of the lesion.
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  • Dr. Indra Shekhar Jha
    answered 2 months ago
    Advice for avoiding pimples and acne don't touch pimples and acne with naked hand or fingers. Drinks sufficient water as needed use herbal facewash or use chiraita (ayurvedic herb)
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