RANAWADE CLINIC in ALIBAG - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Mohan Ranawade


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  • MS - Obstetrics and Gynaecology, MBBS
    Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

    Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
    Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
    Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
    Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
    Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.
  • PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
    General Physician
    Smoking increases the risk of heart disease and lung cancer, but even before those potentially deadly diseases develop, regular smokers are more likely to begin losing their teeth. A new study from britain's university of birmingham and the german institute of human nutrition determined that men who smoke are 3.6 times more prone to lose their teeth than non-smokers, while among women smokers the risk is 2.5 times higher. The researchers based their conclusions on data gathered from 23, 376 participants in a long-term study in germany. Part of the problem is that smoking is a strong risk factor in promoting tooth decay and gum disease, both of which can lead to tooth loss. The investigators noted that smoking can mask bleeding gums, a key symptom of gum disease, so that a smoker's gums may look healthier than they actually are. The good news is that quitting smoking can reverse the increased risk of tooth loss, although the researchers wrote that it could take more than 10 years for the risk to equal that of someone who never smoked.
    Ear-Nose-Throat (ENT) Specialist
    What is coblation tonsillectomy?
    Coblation is an advanced technology that uses gentle radio frequency energy with a saline solution to quickly and safely remove tonsils without causing much pain & no bleeding.

    How is cobalation tonsillectomy/adenoidectomy done?
    This surgery is done under general anaesthesia generally takes about 30 min. The surgeon uses a special cobalation wand which utlizes radio frequency energy to remove tonsil adenoids in a nearly bloodless fashion the patient can go home the same day.

    Why is coblation tonsillectomy a better choice?
    Older ways of removing the tonsils and adenoids include cold steel method of dissection. These methods could cause extensive pain, bleeding and may damage healthy tissue around the tissue that is removed. Coblation does not remove the tonsils or adenoids by heating or burning preserving healthy surrounding tissue.

    What are the benefits of coblation tonsillectomy?
    Fewer'bad days patients report a better overall experience with coblation tonsillectomy after surgery when compared to other procedures. Studies show that patient calls and visits to the doctor due to problems after surgery are significantly less with coblation tonsillectomy.
    Faster recovery coblation tonsillectomy has been shown in clinical studies to speed a child's return to normal activity and diet. On average, patients return to a normal diet in 2.4 days after coblation, versus 7.6 days after routine cold steel method.

    Less pain coblation tonsillectomy has also been shown to decrease pain and use of medications after the procedure.

    Adenoidectomy via cobalation
    Difficulty in breathing
    Obstructive sleep apnea
    Rec episodes of cough old

    Coblation adenoidectomy is a technique which works at a relatively low temperature to gently dissolve and/or shrink target tissue with minimal thermal damage to surrounding healthy tissue. Coblation technology provides ablation, resection, coagulation of soft tissue and hemostasis of blood vessels in one convenient surgical device.

    Complete removal of adenoids
    No bleeding
    Under direct endoscopic vision
    No recurrence
    Minimal pain with day care procedure
    Faster recovery.
  • M.S. Counselling and Psychotherapy
    What is stress?

    There are situations in life when a person is required to perform beyond his/her normal capacity, or situations when some expectations are not met. This creates anxiety, fear and anger. This is a situation where a person feels inadequate, under-confident and experiences loss of control. This affects a person's physical and mental wellbeing. This feeling of fear, anxiety, restlessness is commonly known as "tension or stress".

    Symptoms of Stress :

    Anger and Aggression: While under stress a person starts doubting his/her own capacity and efficiency because he/she feels inadequate or incapable of performing certain tasks. This creates a lot of anger or frustration and sometime, may result into aggressive behaviour.
    Irritability: Under stress people get irritated for no reason. There is loss of patience, loss of sense of humour.
    Sleep Disorders: A person under stress may not be able to sleep at all or in some cases sleep excessively.
    Eating Disorders: A person under stress may lose appetite or in some cases, tend to overeat resulting in harmful effects on body.
    Anxiety: Stress may cause a lot of anxiety and restlessness. The person under stress may not to able to concentrate and unable to focus on any activity, making things more complicated.
    Depression: In a few cases a person under a lot of stress may go into depression.
    High BP: Body and mind are closely connected. Hence stress in mind creates stress in the body and under stress, blood pressure may rise.
    High Sugar Level: Stress may increase the blood sugar levels.
    Headache or Unexplained Body Pains: Stress may cause headache or body aches in different parts of the body, without any physical reason for it.
    Sometimes, there may not be any symptoms for stress but the trauma manifests in the form to heart attack, Stroke etc.

    What causes stress ?

    Relationship Issues - Conflicts in relationships is a major cause of stress.
    Life style - Working for long hours, sedentary life style, unhealthy food habits, along with insatiable urge for money causes a lot of stress.
    High expectations from oneself and from others - The peer pressure, the pressure of constant deadlines builds up a huge stress. When a person has very high expectations from himself/herself without corresponding efforts, there is a fear of failure which causes lot of tension. At the same time, having unrealistic expectations from others also is a definite reason for disappointments, resulting in stress.
    Physical and Emotional Abuse - When a person is physically or emotionally abused and unable to defend himself/herself for various reasons, it causes frustration. This results in anger and stress.
    Competition - Unhealthy competitions with others create a feeling of inadequency and result in lower self esteem and sadness, thereby causing stress.
    Health Issues - Chronic and serious health issues cause lot of tension.
    Suppressed Emotions - Lack of freedom to express own emotions and feelings, amounts to stress.
    Lack of Assertiveness - Inability to say "No", when wanting to say so, inability to fight for one's own rights, causes tension and anger.
    Boredom - Lack of creative/interesting occupation may cause stress especially in old people or people with physical disabilities.
    Low self esteem, feeling hopeless and helpless - If a person has low self esteem and does not value oneself, it causes lots of negativity and stress.
    Why stress management is important?
    Body and mind affect each other's functioning. When the mind is stressed out, it gets reflected in the body in the form of high blood pressure, high sugar levels, indigestion, acidity, heartburn, ulcers, skin rashes, headache, nausea, cancer, eating disorders, psychosomatic pains etc. It may trigger asthma, migraine etc.

    Because of these harmful effects of stress, the body's capacity to function reduces. At times, it may cause serious threat to one's life. Hence, it is very important to learn to relieve and also to manage stress, in order to have a long and healthy life.

    There are a number of ways to relieve stress:

    Sleep, take rest, relax.
    Take a break from daily routine, do something different, take a short vacation.
    Go for a walk/jog/run/cycling. Practice Yoga, meditation, deep muscle relaxation, etc.
    Spend time with friends and family.
    Play with children.
    Spend time with pets.
    Pursue a hobby like reading, gardening, painting, music, dance, singing, cooking, etc.
    Recreation - Watch a movie, play, picnic, go for a drive or shopping.
    Pamper yourself with beauty treatments, massage, or your favourite food/drinks.
    How to manage Stress?
    Stress is inevitable part of life now. Right from a kid going to Pre-Nursery school to senior citizens staying alone at homes and having severe health problems; all are under lot of stress. No one can avoid stress. But there are certain ways to manage your stress-

    Self-awareness. Learn more about your own self. Understand what induces stress in you, what tasks are difficult for you, what situations are difficult for you and then try to figure out the reasons why it is so. Try to resolve or modify your thoughts and attitude.
    Identify stressors and explore options. Once you identify what is causing your stress, try to find more options to resolve your issues.
    Reasonable Expectations and Feasible Goals. Have reasonable expectations from yourself and from others. Have goals which are possible for you to achieve.
    Learn assertive techniques. Learn to express your feelings, learn to fight for your own rights, understand and respect other's rights.
    Try to minimise stress in life and lead a happy healthy life.
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  • MBBS, MD - DVL
    There are many things we do in our daily routine that can have various repercussions. The state of our skin is one of these. Starting from what we eat to how we shower and what kind of a skin care regimen we follow, there are a variety of factors that can affect the way our skin behaves. So are you showering the right way? Find out the best way to shower if you want healthy and glowing skin that retains its elasticity for a longer time.
    1. Turn it to Cold: Did you know that standing under hot water for too long can actually rob your skin of its moisture and make it look shrivelled? That s right, the temperature of the water can actually make your skin good or bad. So turn the knob to cold and enjoy an energetic shower, which will leave your skin looking dewy fresh. The water should not be completely cold, as harsh temperatures can have the same effect as extremely hot water. Instead, make sure that you find the perfect room temperature or luke warm setting with which you can shower every day.
    2. Showerhead: This may come as a surprise to you. Your showerhead actually determines the health of your skin. This showerhead is usually packed with dirt and grime that we know nothing about. Showering with this dirty showerhead can actually lead to a host of health issues in the long run including a slowdown of your immune system, as per the views of many doctors. So unscrew the showerhead and give it a good rinse in a mug of hot water. Use a toothbrush to easily dislodge the loose dirt and the grime that may have settled in layers. Take special care of the tiny jets, which should not get damaged in your cleaning spree!
    3. Shampoo and Conditioner: Remember to lather your locks in the right way by diluting the shampoo a little before spreading it evenly over the rest of your scalp. You should also do the same for your conditioner and let it stand for a few minutes before you wash it off.
    4. Exfoliation: Keep this activity to a minimum to avoid excessive abrasion of the skin. Use soft foam on a daily basis and keep the exfoliation to a minimum with one or two sessions a week.
    5. Cleansing: While the bar soap is the cleanest option, the loofah is not. So, if you are using a loofah on a daily basis, you will have to clean it up properly before you hang it to dry. Also, ensure that your bathroom has plenty of ventilation so that it may dry properly before your next use.
  • Fellowship In Fue Hair transplant, Fellowship in Hair Transplant Surgery, Fellowship in Aesthetic Medicine, Diploma in Aesthetic Medicine & Trichology
    Premature hair thinning, receding hairline, increased hair fall and various other problems are all related to your scalp are directly proportional to your psychological health. Being overly concerned about one's physical appearance does not always result from vanity. It could be the plain and simple desire of being acceptable to oneself. Today, surgeons are capable of transplanting and extracting large number of hair follicles.

    The reasons when one may opt for a hair transplant are:

    Traction alopecia: This type of hair loss occurs due to exertion of external pressure on the hair, which may cause it to fall. If the hair does not grow back then it would result in a bald patch. Thus, you may opt for a hair transplant procedure if you suffer from this disorder and experience loss of hair.
    Involutional alopecia: It is a form of alopecia where the hair growth tends to decrease due to ageing resulting in thinning and shorter hair. The follicles remain in the telogen phase (resting phase) for an extended amount of time. You may opt for a hair transplant surgery to correct this disorder.
    Trichotillomania: This is a psychological condition where a person pulls out his/her hair. If excessive hair is lost, resulting in bald spots, then you may opt for hair transplant surgery.

    Hair transplant surgery is naturally a lasting and safe treatment for hair loss, as the chances for your body to reject the intervention in the form of implanted hair is minimal. This is because the technique that is used involves taking your own hair out from the follicle roots, (mostly from areas like the neck or the back and sides of your head) where they are not needed so much and place them in specially designed holes in the bald areas. Since no external factors are involved, the body does not tend to reject the transplant.
  • Bachelors Of Physiotherapy, Diploma in Nutrition and Health Education
    From an early age we re taught that alcohol is bad for us, but is that really true? Drinking yourself silly every night can have disastrous consequences, but having one drink a day is associated with a number of health benefits. The key here is moderation. Moderate drinking can be defined as one drink a day for women and two drinks a day for men. This is a daily quote system and not to be taken as an average over time.

    Here are a few ways your body can benefit from the occasional drink:

    It boosts cardiovascular health: Many types of alcohol are rich in phenols. This helps fight stress, reduces the risk of hypertension and can protect the heart against a number of cardiovascular conditions. Moderate amounts of alcohol can also increase the amount of good cholesterol in the body and influence the clotting of blood. Higher levels of cholesterol help protect against heart diseases while by influencing the blood clotting process, alcohol can indirectly help prevent the formation of blood clots in the arteries.
    It slows aging: Some types of alcohol like wine are rich in antioxidants. This helps flush toxins out of the body and can slow down the aging process. An antioxidant called resveratrol that is found in red wine can even increase the lifespan of cells and activate enzymes that slow down the aging process. It is also said to increase DNA stability thus extending a person s lifespan.
    It can help fight diseases: Alcohol is said to lower the risk of catching a cold. A warm drink like brandy can also be used to treat sore throats and a cough. Tonic water contains quinine that is anti inflammatory and has analgesic properties. Though medication for malaria is now easily available, tonic water can be used to treat the initial phase of the disease if proper medication is not available.
    It enhances your libido: Excessive drinking can dampen your sex drive, but when consumed in moderation, alcohol can lower the risk of erectile dysfunction. Moderate amounts of alcohol also help lower inhibitions and thus encourage people to form sexual relationships.
    It improves cognitive ability: Almost all forms of alcohol contain ethanol that helps neurons resist wear and tear. This can lower a person s risk of suffering from Alzheimer s or dementia later in life. It can also enhance problem solving abilities and encourage creativity.

    All of the above benefits are applicable only if alcohol is consumed in moderation. Thus do not use them to binge drink.
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  • MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Diabetes is a chronic metabolic disorder that results in higher level of blood sugar in the body. It is assuming epidemic proportions and India has become the new diabetic capital with more than 50 million diabetic people. The main problem with diabetes is that it does not completely go away and there is a whole myriad of issues that it brings along with it. Heart attack, stroke, eyesight problems, delayed wound healing, nerve damage and impotence. Therefore, diabetes and by that we mainly mean blood sugar level has to be managed so that there is a delay in onset of the associated conditions and/or reduced in severity.

    Ayurveda refers to diabetes as Prameha (excessive urination) and Madhumeha (sugary urine) and has identified close to 20 forms of the disease. According to Ayurvedic belief, each disease is caused due to imbalance in kapha, pitta, and vata doshas and diabetes is caused by all these, predominantly by kapha. With any stream of medicine, management of diabetes involves two tracks one is lifestyle changes and the second is medications.

    Lifestyle changes include the following:

    Diet: Reduce the amount of rice, sugar, potato, sweet fruits, maida, deep fried foods, and red meat. Protein-rich foods like lentils, soya, green leafy vegetables and fish should be increased. Diet plan should change to small, frequent meals instead of binge eating.

    Exercise: Include 30 minutes of regular exercise into your daily routine if you have a diabetic predisposition.

    Others: Avoid smoking and alcohol, ensure sufficient sleep, avoid sleeping during day time, improved foot and eye care, periodically check sugar levels and manage stress levels.


    Ayurveda has a whole lot of home remedies which have proven to be very effective against diabetes:

    Jambhul: Eugenia Jambolana whether eaten raw or juice extract has been shown to have beneficial effects in managing sugar levels and cholesterol.

    Gymnema sylvestre: Used to manage diabetes for over 2000 years, it reduces sugar cravings and is being touted as the future for diabetes treatment.

    Bitter gourd (Momordica charantia): It has 3 components that give it strong antidiabetic properties. The charantin reduces blood sugar levels; the polypeptide has insulin-like effects; and lectin that again has hypoglycemic effects.

    Bel (Aegle marmelos): Also known as wood apple, leaves of the plant are shown to have antidiabetic properties. 5 to 10 leaves can be chewed on a daily basis to help control blood sugar levels.

    Fenugreek (Trigonella foenum graecum): Consuming 10 g of fenugreek seeds soaked in water increases the amount of insulin produced, thereby increasing sugar breakdown.

    Neem: Chewing about 4 to 5 leaves in the morning on an empty stomach helps to control blood sugar levels. Alternately, neem leaves powder is available which can be dissolved in water and consumed.
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Most people lose about 50 to 100 strands of hair each day. Yet, the thinning of scalp hair is almost unnoticeable owing to the simultaneous hair growth filling up the vacant spots. But permanent hair loss occurs if the cycle of shedding and growth is disrupted or the hair follicle is damaged and substituted with a scar tissue.

    Few possible causes can be-

    Genetic factors- Genetic factors bring about gradual hair loss in both the sexes; resulting in bald spots and a receding hairline in men and the thinning of hair among women. Hereditary factors also determines the age at which you could start losing hair.
    Medical conditions- Medical conditions such as hormonal imbalances attack the body s immune system, thus resulting in damaged hair follicles, scalp infections such as ringworm, skin disorders and hair pulling disorder, a psychological condition that causes people to pull out hair from the scalp, eyebrows or other parts of the body.
    Medications- Hair loss can be caused due to intake of certain drugs, such as the ones for birth control or for treating high blood pressure, heart problems, depression, arthritis or cancer. Consumption of excessive Vitamin A can cause hair fall as well.
    Stress: Physical and emotional stress can cause hair loss. Surgery, high fevers, and blood loss can cause enough stress to cause excessive shedding. Childbirth can result in hair loss for several months after delivery. As for psychological stress, the link is less well defined, but many people have reported losing hair at times of extreme mental stress or anxiety.

    Other Possible Reasons: Other reasons such as radiation therapy to treat cancer, emotional or physical trauma, surgery, extremely high fever or sudden and excessive weight loss can all contribute to hair loss. Hair styling equipment and other chemical based treatments are some of the other triggers of hair loss.

    Anemia: Anemia (insufficient red blood cells in the blood), Polycystic Ovarian syndrome (a condition marked by enlarged ovaries and the formation of tiny cysts on the outer edges of the ovaries), thyroid disorders or pregnancy can also result in hair loss.
  • MD - Paediatrics, MBBS
    Heartburn is a common symptom experienced by many people, but is often overlooked as indigestion. Besides making you uncomfortable, this can be a sign of a much bigger health problem. While the occasional heartburn can be treated with antacids, chronic heartburn can be a sign of gastroesophageal reflux disease (GERD) or acid reflux. Here are three important reasons you should not ignore heartburn.

    It can promote tooth decay:The acid regurgitated might not necessarily stop in the esophagus. It can often also make its way into your mouth. When this happens frequently it can promote tooth decay and wear out enamel. This can also leave your mouth with a sour taste. Acid reflux induced tooth erosion can easily be prevented by the early treatment of acid reflux,but in most cases is noticed only after the damage has been done.
    It can cause cancer of the esophagus:Chronic acid reflux that persists for years can lead to changes in the cells of the esophagus. This can lead to a cancerous condition known as Barrett's esophagus. The condition has no other symptoms can if left untreated can develop into cancer of the esophagus. Women are at a higher risk of this form of cancer than men. Though esophageal cancer is relatively rare, it is not something to be trifled with. The survival rate of esophageal cancer is very low in comparison to other forms of cancer. Only 15-20% patients live longer than 5 years after this condition is diagnosed.
    It can lead to breathing problems:Heartburn is caused by stomach acid flowing back into the esophagus. If it is inhaled after regurgitation, it can worsen asthmatic conditions and pneumonia. At the same time, treating acid reflux with medication like PPIs can also increase the risk of pneumonia as it can promote bacterial growth and suppress coughing. Thus, when consulting a doctor for acid reflux treatment ensure that you mention any existing asthmatic conditions so that you can be treated with your lung functioning in mind.
    In addition, acid reflux can also impact a person's health and quality of life. To prevent heartburn people often find themselves avoiding certain foods. This can impact their social lives and in turn make them withdrawing into themselves. A person's sleep can also be affected by heartburn. Hence, it is important to treat heart burn as early as possible and not wait for it to become a chronic problem.
  • MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
    Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

    Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

    Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

    A lump in either of the breasts or armpits
    Change in size, shape, or contour of either breast
    Redness of your breast or nipple
    Discharge of clear or bloody fluid
    Thickening of breast tissue or skin that lasts through a period
    Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
    One area on the breast that looks very different from the other areas
    Hardened area under the breast skin

    Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

    Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

    Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
    Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
    Age: Women over 50 are at higher risk of developing breast cancer.
    Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
    Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
    Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
    Obesity and alcohol abuse are also likely to increase a woman s chances of developing breast cancer.

    Stages: Starting from stage 0, higher stages indicate advanced disease.

    Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
    Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
    Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
    Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
    Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

    Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

    Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
    In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
    Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
    Ultrasound screening can also be given in addition to mammograms.
    Breast MRI is another way to screen for breast cancer if the risk is greater.

    Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

    Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
    Tamoxifen is used in women who are at high risk for breast cancer.
    Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
    In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

    Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.
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  • Dermatology Backed Expert Skin & Hair Care Solution
    If you have curly hair, chances are frizz is your natural enemy. And if it is summer and the weather chooses to be humid, that is when everything goes for a toss. Static build-up in winters can also cause frizzy hair. Frizzy hair occurs due to raised hair cuticles, which allow moisture to traverse and enlarge the strands. This makes your hair look frizzy and dried, instead of defined and smooth. Usually, people with curly hair have more frizz problems than people with straight hair. Frizzy hair can occur due to many reasons, some of them include:

    Inadequate water consumption
    Repeated chemical treatment of hair (Hair dyes, bleach, etc.)
    Using the wrong hair products
    Certain medications
    Wearing woollen clothes (Such as scarves or sweater which cause static)
    Improper haircare (For instance, you may be rubbing your hair too harshly as you dry it)
    Washing hair with extremely hot water
    Dry, cold winds
    Styling your hair with heated equipment

    Recommended Treatment

    Frizzy hair is a common problem during both monsoon and winter months.

    1. The best way to deal with frizzy hair is to use a leave-in hair gel that has vitamins, minerals and proteins in it. The gel also contains other active ingredients such as hibiscus, saw palmetto and gingko biloba. The gel will moisturise the strands and lock the nourishment in. It will also form a protective barrier over the hair, so environmental factors (sun, rain, wind, etc.) cannot agitate the hair.

    2. Frizzy hair is also treated by conditioners that are left in the hair for longer so they effectively moisturise each strand of hair.

    3. Using hair brushes made from plastic or boar fibres can also reduce frizz.

    4. Usually, frizz can lead to hair breakage. Thus it is important to use shampoos that have gentle cleansing and deep moisturising properties. Nourishing shampoos that contain hibiscus extracts and almond oil can be effective against hair breakage.
  • Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
    General Surgeon
    A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat. There are three types of tumors:

    Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
    Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
    Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

    The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

    What is a biopsy? How does it relate to a tumor?
    A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

    Excisional biopsy: In this method the entire lump of excess tissue is removed.
    Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
    Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

    After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.
  • M.Ch - Plastic Surgery, MS - General Surgery, MBBS
    Cosmetic/Plastic Surgeon
    One of the most common cosmetic procedures performed in the world today is that of breast augmentation or reduction. This is a fairly common surgery wherein depending on the requirement of the patients; the breasts are either made bigger with the help of implants or reduced in size by excising fat and tissue. Although a majority of these patients are female, there are an increasing number of male patients, who opt for male breast surgery as well.
    The need for male breast surgery-
    The requirement for male breast surgery arises due to the occurrence of Gynecomastia or the development of male breasts. In this condition, fat and glandular tissues are stored within the male chest in the pattern of female breasts, thus giving it a feminine look. This is a common occurrence among men and can be a cause of social embarrassment for the man as well as affecting his self esteem. Some of the causes for gynecomastia or male breasts would be
    Excessive Weight Gain.
    Hormonal changes within the body where testosterone levels drop due to conditions such as Hypogonadism (in men, the inability of the testicle s to function correctly) and estrogen levels increase.
    Medications used to treat other disorders such as certain anti -depressants, cancer medication, and anti-anxiety medications among others.
    Excess consumption of alcohol and certain drugs.
    Hyperthyroidism (excess thyroid secretion by the thyroid gland).
    It isn t always just fat!
    While many people tend to blame male breasts due to the accumulation of fat, this may not be the case always. Even skinny or people with an athletic build may notice misshapen chest that has more of a feminine appearance and thus would like to correct that. This is obviously caused by hormonal factors and genetics of body shape as well rather than just being obese or overweight.
    Types of Male Breast Surgery-
    Male breast surgery revolves around breast reduction and contouring to give it a more flat and toned look. This can be achieved in either of these ways:
    Liposuction This is a fairly common procedure and is minimally invasive; meant to suck out the fat through a small opening on the skin. With the help of liposuction, doctors can easily contour your chest to have a more masculine look by removing the excess fat. This procedure is a very popular one as it takes less time to recover and also isn t invasive. However, this is used as an option for male breast surgery when the problem isn t acute.
    Surgery to remove excess tissues and fat If the male breasts have excessive glandular tissue and the problem is acute, a more extensive form of surgery wherein the glandular tissue is excised may be required. However, this is also not very invasive and you can get back to your regular routine within a few days after surgery.
  • MD - Obstetrtics & Gynaecology, MBBS, DGO
    Vulvar cancer is an invasive and cancerous growth, which occurs in the vulva (the external vaginal or reproductive tract opening in females). The main types of vulvar cancer include:
    1. Squamous cell carcinoma: This condition gives rise to abnormal growths that generally originate from the most common forms of skin cells known as squamous cells. They are characterized by open sores, scaly red patches, elevated growths with a depression in the centre or warts which might crust or bleed. They can cause disfiguring and sometimes can prove to be fatal if their growth is allowed.

    2. Melanoma: This is a form of cancer that is known to develop cells that contain pigment called melanocytes. It is one of the most dangerous forms of cancer and is more commonly found in women.

    3. Basal cell carcinoma: Basal cell carcinoma contributes to around 1 - 2% of vulvar cancer. This form of cancer tends to be slow-growing lesions on the labia majora (external large vulvar folds), but is capable of occurring anywhere else on the vulva. The behaviour bears resemblance to basal cell cancers that occur in other locations. Their growth is local and the risk of deep invasion or metastasis (spreading of the cancer) is low. Treatment of basal cell carcinoma involves excision. However, these types of lesions tend to recur if they are not removed completely.

    Symptoms of vulvar cancer include:
    1. Itching, bleeding or burning sensation on the vulva that is not relieved.
    2. Occurrence of skin changes such as rashes or warts, on the vulva.
    3. Pain in pelvis, particularly during sex or urination.
    4. Changes in skin colour of the vulva (abnormally red or white).
    5. Lumps, ulcers or sores that occur on the vulva which do not subside

    Treatment options of vulvar cancer include:
    1. Surgery: This is the most common form of treatment wherein, the cancer is removed without affecting the sexual function of the woman. Some of the surgical procedures include:
    i. Laser Surgery
    ii. Wide local excision (small portion of the cancerous tissue)
    iii. Radical local excision (removing a major portion of benign tissues as well)
    iv. Ultrasonic surgical aspiration (tumour is broken into small pieces using fine vibrations)
    v. Vulvectomy (removal of all or part of vulva)

    2. Radiation Therapy: This treatment procedure involves using radiations such as X-rays to target and destroy the cancer cells. The two forms of radiation therapy are external radiation therapy and internal radiation therapy.

    3. Chemotherapy: This form of treatment uses oral administration or injection of chemicals into the veins so that the growth of cancerous cells is stopped, either by elimination of the cells or by prohibiting cell division.
  • Canadian Academy Of Homeopathy, VLIR Belgium, BHMS
    Pain in back, joints or in muscle can be very troublesome. And, if it continues, then it can cause a lot of discomfort as you then find it difficult to perform even day-to-day activities. Homeopathy can very effectively deals with any pain. Let us check the remedies:

    Homeopathic remedies for back pain:

    Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
    Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you are tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.

    Ways in which homeopathy can cure Joint and muscle pain:

    Moving and shifting joint or muscle pains: Many patients have this problem where they face joint or muscle pain, but instead of it being constant in one area, it moves around the body. Pulsatilla is known to effectively reduce the symptoms in these cases.
    Arthritis: One of the most common problems that many people report is that of arthritis and rheumatoid arthritis, which causes a lot of pain in many people. In many cases, the use of Natrum Muriaticum and Bryonia has been known to allay the pain.
    Tennis elbow or tendon related problems: This is a common ailment, which in many cases is caused by strenuous activities, such as sports. Rhus tox has been known to be effective in such cases.
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  • MS - Obstetrics and Gynaecology, MBBS
    The pelvic floor is a group of muscles in your pelvic area. These muscles support the organs in your pelvis like a sling. The organs in this area include the bladder, uterus (women), prostate (men) and rectum (the area at the end of the large intestine where your body stores solid waste). By contracting and relaxing these muscles, you control your bowel and bladder movements.

    What is pelvic floor dysfunction?

    When you are unable to control the muscles in your pelvic floor to have a bowel movement, it is called pelvic floor dysfunction. People with pelvic floor dysfunction contract these muscles rather than relax them. Because of this, they cannot have a bowel movement or they have an incomplete one.

    It is important to be aware of the symptoms of pelvic floor dysfunction as there is no comprehensive list of causes. However, it can be said that traumatic injuries to the pelvic area seems to have a rather higher preponderance among the causes of pelvic floor dysfunction, which is also known as PFD. While giving birth to a child is an experience that is life changing, the potential downside is that it can be one of the causes of pelvic floor dysfunction in women!

    Other symptoms include feeling the need to urinate often and then finding the process to be quite painful. Constipation which occurs in spite of a diet which contains enough roughage is a sign, as well, that it is about time that a person should schedule an appointment with the doctor.

    Medication is a possible solution and is usually in the form of a muscle relaxant of a low intensity. However, it is great for a person who has the misfortune of having pelvic floor dysfunction to know that there are solutions which are completely bereft of the need of any form of medication!

    Cure Pelvic Floor Dysfunction

    Reducing the effects of pelvic floor dysfunction can be quite simple, really. Warm baths and some exercises suggested on a subjective basis are quite common. This is a process called biofeedback.

    Biofeedback aims to retrain the pelvic floor so that there is far better functioning. The success of this method is well known to a specialist, it has vastly improved the pelvic floor dysfunction conditions of more than 75% of the patients significantly!

    The method works by observing the workings of the pelvic floor and then providing feedback regarding its coordination as it expands and contracts. Some of the many things which make this method truly great are that it is non-invasive and non-medical. As a matter of fact, taking into due account its success rate, people should really give it a shot before they try medication or surgery.


    Surgery is said to be effective in the case of rectocele. Nevertheless, this is the last resort as it is always better to sort out such problems sans having to resort to surgery. Multidisciplinary approaches which involve fields such as psychology are good options. Pelvic floor dysfunction is something that is a pain to have, but it really need not be!
       1716 Thanks
  • DNB (Psychiatry), DPM, MBBS
    Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.


    The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

    Vaginismus can be primary or secondary depending on the concerned woman s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

    Sometimes the pain might stem from underlying infections or any other underlying complications.

    The symptoms of Vaginismus are as follows:

    Severe pain during intercourse.

    Severe pain during insertion of tampons or during any medical check-ups.

    The following treatments can be useful to treat Vaginismus:

    If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

    If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don t experience any pain during sexual intercourse.

    Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.
       1053 Thanks
  • P. G. Hom (London), Post Graduate Diploma in Counselling (PGDC, 1st class, CU), BHMS, Att. Cert. of ACH (London), Att. Cert. of B.A.M.I (Kolkata), C.S.D (Mumbai), D.N.H.E
    A beautiful mane with a healthy scalp and shiny hair is something each one of us desire. However, given the multiple factors that affect its health including diet, lifestyle and environment, this desire remains a dream for many. There are good and bad sides to it. The bad thing is that hair problems, dandruff, itching, graying and hair loss are here to stay. The good news is that there are simple, easily available ways and methods that can be effectively used to control these problems.

    Homeopathy believes that most health issues have an underlying, deep seated issue and treating that can help in getting rid of the symptoms:

    Alopecia (Hair loss): Some people can have generalized hair loss, while some could have patches of balding areas develop on the head. Where other remedies have failed, some people have had successful hair regrowth with homeopathic medications like silicea, kalium carbonicum, lycopodium, Natrum muriaticum, Pulsatilla pratensis, Borax, Cinchona officinalis, and various other products are used effectively to improve hair growth.
    Dandruff: There is flaking of the scalp, and people with oily skin have a higher incidence of having dandruff. Other reasons include hormonal imbalance, poor scalp/hair health, emotional stress and poor quality hair products. Kali sulphuricum is used for profusely oily, white scaly dandruff. Thuja is used in people with white scaly flaking. If there is associated hair loss, phosphorus is used. Natrum muriaticum, Sulphur, Carboneum sulphuratum, Lycopodium, Mezereum, Ammonium muriaticum, Arsenic album, Calcarea, Medorrhinum, Heracleum sphondylium and Kali carbonicum are also used based on associated symptoms.
    Graying of hair: Various reasons for graying include stress, environmental exposure, hair products, poor diet and of course genetic. Gray hair can be treated using various homeopathic preparations depending on the associated symptoms, which might point to the likely root of the problem. Phosphoric acid is used when there is associated grief. Lycopodium is used when there is only partial graying in some areas. In anaemic or weak patients, Natrum mur is used. If digestive symptoms are also present, silicea is used.
    Scalp psoriasis: If there is a burning sensation associated with the infection, Sulphur is used. In people with excessive scratching, calcarea is used. Graphites provide relief where there is significant dryness and itching. In people with associated gastric or urinary symptoms, lycopodium is effective. If the psoriasis is worsening in cold weather, sepia is an option.

    As is evident, these hair problems and interlinked and the agents used in treatment can be used in more than one condition. Self-medication should best be avoided. The presenting symptoms have an underlying cause, and it is best that a detailed discussion with the doctor on the symptoms is done before getting these medicines prescribed.
  • MS - Counselling and Psychotherapy, Master of Arts in Psychology, Bachelor of Arts - Psychology and English Literature
    The Smartphone addiction has got all hooked. With millions of apps catering to your different needs, smileys, emoticons and memes instead of relying on words to express what you feel and getting to know the whole world at one tap, you feel severely addicted to your Smartphone. But, is that a healthy sign? On introspection, you will probably find that you spend more time over the virtual domain through the social networking sites rather than having a heart-to-heart with your family and friends.

    Of late, smartphones are being held responsible for causing depression as a result of increased isolation. Let s find out whether the theory is well propounded or not.

    One of the major signs of depression is lack of adequate sleep. Sticking to your smartphone till the wee hours of the morning affects your level of concentration, resulting in anxiety and a bad temper.
    When you spend a lot of time on the gadgets, you slowly compromise on your thinking capacity. You take everything internet serves you as granted without clarifying. With every piece of information available on the internet, there is nothing left for you to imagine or create.
    Addiction to social networking sites is taking away all your creative potentials; and on one fine day, when you discover this, you might feel increasingly disillusioned, resulting in depression.
    One of the worst causes of depression is cyber bullying. The virtual world might welcome you with all kinds of threats and humiliation and this happens majorly on the social networking sites. As a result, you feel your self-confidence is at stake, resulting in severely low self-esteem and subsequent depression.
    Abandoning your smartphone completely is utopian, because they serve needful purposes as well. But, what you can do is limit the time you spend on the device and replace it with something creative. Otherwise, it might not be too late before you start silently sliding into depression.
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