Yash Homeo Clinic in Janakpuri, Delhi - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Ritu Bahl

Yash Homeo Clinic

Practice Statement
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.

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Yash Homeo Clinic is known for housing experienced s. Dr. Ritu Bahl, a well-reputed Homeopath , practices in Delhi. Visit this medical health centre for s recommended by 76 patients.

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Clinic Address
A-3/1, Opp San Fransis School, Janakpuri, Delhi
Delhi, Delhi - 110058
Details for Dr. Ritu Bahl
  • Homeopath
    Book Appointment
  • MBBS, Master In Health Science
    * Should I be afraid of talking to the doctor?
    No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

    It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

    I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

    * Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
    Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.

    * What are the common tests used to diagnose brain diseases?
    The three tests most commonly used are:
    Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
    1. Mri (magnetic resonance imaging) scan:
    An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

    Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

    Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

    Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.

    2. Ct (computerized tomography) scan:
    The ct scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

    Ct scan has a few advantages over mri:
    (i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
    (ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

    Unfortunately, ct scanning has some significant disadvantages:
    - the picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

    - ct-scan exposes your body to radiation.
    Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

    If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

    (iii) Eeg (electro-encephalo-graphy):
    Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

    To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.

    1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
    The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

    If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

    Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.

    2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
    No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

    Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.

    3. What causes parkinson's disease?
    Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

    Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

    Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.

    4. Ok so what are other symptoms of parkinson's?
    You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
    - Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
    - They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
    - They have difficulty turning around when they are walking.
    - Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
    - In later stages, they can fall frequently.
    - Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

    All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.

    5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
    Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease.

    Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

    These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

    If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.

    6. How can you be sure that I have parkinson's disease?
    A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

    There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.

    7. So isn't there a test for parkinson's disease?
    Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and
    Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

    Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.

    8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
    you are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

    These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.

    9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
    Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

    Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. Th ese medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.

    10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
    You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.

    11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
    Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

    For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

    Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

    Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.

    12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
    Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.

    13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
    Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
    Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.

    14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

    Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

    Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

    And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

    I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

    Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
    Example of this earlier: entacapone can prolong the eff ect of levodopa.

    15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
    I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

    If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

    Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.

    16. Well. How is this surgery done?
    This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.

    17. I see. Doctor, does dbs cure all symptoms of parkinson's disease?
    No. Dbs surgery improves only those symptoms which improve after levodopa. Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs. 2. Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

    Significant, but non-dramatic, improvement in many patients.

    Two problems can become worse after dbs:
    (i) severe psychiatric problems such as severe depression and hallucinations and
    (ii) severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.

    180. Okay doctor, what are the risks of this surgery?
    Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
    - The risk of death is less than 1%
    - Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
    - A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lt 2%).

    190. Can the doctor guarantee a signifi cant benefi t after dbs surgery?
    No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

    Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here:
  • BHMS, PG Diploma In Clinical Cosmetology (PGDCC), MD - Homeopathy
    The damaging effects of the sun, old age and acne can leave your skin with wrinkles, unwanted marks and several other skin disorders. If you are seeking to reverse these skin conditions and get rid of minor facial flaws, then laser skin resurfacing could be the answer. Laser skin resurfacingis a cosmetic procedure, which helps in rejuvenation of the skin and removing wrinkles, spots, blemishes and scars. It s a safe and convenient procedure and provides great results.

    Also known as skin resurfacing, fractional resurfacing, and laser peel, laser skin resurfacing works by removing the damaged outer layers of the skin. The production of collagen and new skin cells is also stimulated. Undertaking this procedure can make the skin look smooth and young.

    During the procedure, a laser is utilized, which dissolves the molecular bonding of the damaged cells. This is continued, layer by layer, until the appearance of the skin gets smoother and more even and the damaged skin layers are peeled off.Laser skin resurfacing can be performed to different depths, according to your desired requirement. Different devices are used for laser skin resurfacing and thus, the procedure can be divided into several types. The procedure type depends on the type of laser used.

    The different types of lasers used are:

    CO2 lasers: This procedure is the highest intensity laser skin resurfacing treatment. After using CO2 lasers, the skin surface becomes tighter and much smoother. The laser restricts collagen bonds. CO2 lasers help in diminishing or eliminating scars, wrinkles, warts and birthmarks. CO2 lasers are also used in the basic stages of cancer treatment.
    Erbium lasers: Erbium lasers are capable of removing the thin layers of the skin. It is not so powerful as CO2 lasers, but the process is much more precise. This laser skin resurfacing is usually carried out in people with a dark complexion as the risk of permanent changes to skin pigmentation is less. The healing period is short. These lasers are used for treating minimal wrinkles or lines.
    Fraxel lasers: Fraxel laser skin resurfacing procedure is different from the other two laser treatment methods. This procedure is non-invasive and much fewer side effects are experienced. A patient has to undergo several sessions on this therapy for full rejuvenation of the skin.

    When to consider this process?

    If you have wrinkles in your face, especially around the mouth and eyes, and sagging skin in the lower eyelid area.
    If your face has blotchiness and age spots.
    If you have irregular colour tones on your face
    If you have scars and leathery skin

    What is achieved?
    A laser skin resurfacing enhances your skin s smoothness and tightness. All kinds of facial lines, wrinkles and scars can be removed. The overall texture of the skin also improves, which is relatively long-lasting. Skin growths like moles and warts can also be removed using this procedure. Any kind of scar resulting due to a previous surgery can also be eliminated permanently.There are different modes of this type of skin resurfacing, and you can avail the best one that fits your requirement.
  • MD, MBBS
    Impotence is embarrassing for a man. It not only affects his self-confidence, but also the relationship with his partner. It is a condition in which a man cannot achieve an erection for having sex. If you are experiencing symptoms of impotence, they are most likely due to physical issues. However, sometimes psychological issues can also be responsible for impotence.
    Here are 5 psychological factors, which may be associated with the inability to achieve an erection indicating impotence:
    Stress: To a great extent, stress affects a person s performance in bed. Due to excessive stress and pressure arising from different responsibilities and commitments, he might not be able to focus on sex. Extreme stress due to fear may leave him uneasy, thereby making it difficult for him to have an erection.
    Anxiety: After experiencing symptoms of impotency, it is likely that a man may get extremely anxious about the fact that he will not be able to perform well in bed again. This anxiety may also arise from relationship problems, sexual abuse in the past or when a person is in a new relationship. As such, during sex, anxiety may make a man self-conscious, which makes it quite difficult for him to have an erection.
    Depression: Feeling depressed or extremely sad because of any kind of issue such as a failed relationship, a poor career or recalling some past trauma may cause erectile dysfunction. Depression makes a person tired , thereby lowering his sex drive. The medicines used for treating depression may also lower libido,as a result of which a man may fail to get an erection.
    Low Self-esteem: Having a low or a negative self-esteem may cause performance anxiety. A person is likely to be worried about how he will perform in bed. Low self-esteem may arise from factors related to body image, past experiences and from an underlying feeling of guilt.
    Lack of Interest: Many conditions may divert a man s interest from having sex. The lowering of libido will make it difficult for a man to get an erection and may lead to impotence. Such lack of interest may be on account of relationship issues, certain medications or because of ageing. Anger may also make a person lose interest in having sex.
    If your sex life is getting hampered because of any such psychological factors, you must visit a doctor for seeking advice, suggestions and treatment. This will allow you to uncover and resolve the impotence-related problems, thereby letting you enjoy a healthy relationship with your partner in bed.
  • Bachelor of Unani Medicine and Surgery (B.U.M.S)
    Your love life is one of the keys to a successful relationship. With passing time, your intimate relationship with your partner may start to fade and seem uninteresting. Thus, it is even more important that you maintain the passionate side of your life, not just to keep your relation healthy, but also to keep yourself stress free and healthy.

    Here are 4 tips which can help you can maintain a passionate sex life:

    Maintain overall intimacy: Regular good sex is important as it helps you to forget your daily hustle and bustle and end up in a different kind of world. Sexual intimacy is a key factor in living up your relationship. However, you should keep in mind that intimacy is not just confined to the bedroom. To maintain your spark, you must be intimate in other aspects of life as well with your partner. Preparing a meal together, dancing together, going for vacations enable to maintain intimacy in other sections instead of just the sex.
    Maintain a playful relationship: Always maintain a playful nature with your partner. Instead of pertaining to the bed, spice up your sex by choosing different locations. Indulging in sex on your rooftop under a full moon, or buying innovative, naughty sex toys allows you to gel better with your partner. Sex is enjoyed more when accompanied with laughter and fun.
    Communicate: Tell your partner about your sexual preferences. Mention what you like and what is not suitable for you. Getting comfortable with each other is the most vital aspect in maintaining continued passion in your sex life. If you are not totally at ease with your partner, you may never find yourself experimenting or trying new moves in bed. Moreover, your partner is your counterpart and your most trusted companion. Communication at the level of friendship is also very important.
    Try Something New: While you may have heard this advice many a times, there is nothing old or dated about it. Doing something new is actually a mantra to create more excitement in your sex life. The use of toys, and new places as well as some amount of role play for a touch of fun can actually heat things up between the couple. Try a new routine or whisk each other away for a romantic dinner date.
  • Diploma in Aesthetic Medicine, Cosmetic Dermatology, Diploma in Trichology - Cosmetology, MBBS
    Acne can make people conscious of their appearance and result in low self-esteem and anxiety. It usually affects people who fall in the age group of 12-25, but sometimes older people are also affected.

    Here are five things you probably did not know about acne:

    Exfoliation: Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.
    Menstrual cycle: Acne, more often than not, rears its head with an eruption or two about five days before and a few days after, the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.
    Clogged pores: Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.
    Over treating the skin: The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run! The constant use of cleansers and moisturisers can also have a harsh effect on the skin, due to the perfume and chemicals present in such products.
    Two weeks notice: Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start switching cleansers and creams every other day, remember to use the two-week thumb rule.
  • MBBS, MS Surgery
    Cosmetic/Plastic Surgeon
    The surgical procedure to correct the appearance of eyelids is called blepharoplasty. The correction is done by removing extra skin, fat and muscle that make the eyelids droop.
    Eyelids start drooping when the muscles supporting your eyelids weaken as you grow older. Excess fat accumulates below and above your eyelids as a result, which leads to eye bags and droopy eyelids.
    Besides making you look older than your age, droopy eyelids can also affect your vision. Blepharoplasty can improve your vision and give your eyes a polished look at the same time. Some other benefits include:
    Excess deposits of fat that make eyelids look puffy are removed with the help of blepharoplasty.
    Eye bags are reduced.
    Drooping eyelids which end up revealing the sclera (the white part in your eyeballs) are fixed.
    Fine wrinkles and excess skin around lower eyelids are corrected.
    Blepharoplasty is usually combined with procedures such as skin resurfacing, face-lift or brow-lift.
    Blepharoplasty, like every other surgical procedure, has certain risks, which include
    Bleeding and infection
    Irritated, dry eyes
    Trouble closing eyes and other associated problems
    Prominent scarring
    Eye muscle injury
    Skin discoloration
    Follow-up surgery is needed
    Short-term blurry vision, or in unusual cases, loss of vision
    General risks associated with surgery such as blood clots, anaesthetic reactions, cardiac and other coronary problems.
    Before the surgery can be scheduled, a surgeon and ophthalmologist will be consulted to record your medical history and discuss your expectations about the surgery. Then, before the procedure can begin, the following steps will be followed:
    First, you will be examined physically; your doctor will test your tear ducts and take measurements of your eyelids.
    Second, your eyes will be examined and your vision will be tested.
    Lastly, your doctor will take photographs of your eyes which will facilitate and guide him/her through the course of the surgery.
    The effects of blepharoplasty are long-lasting and the corrections are permanent. Durable sun protection of the eyes helps in maintaining the corrections made.
    Although, you can get excellent results from one surgery, sometimes you may need multiple procedures to achieve the desired look.
  • DNB (Psychiatry), DPM, MBBS
    Your mother has often yelled at you for playing video games for long hours but obviously you haven t paid heed to it. Such is the obsession with video games that they don t let you rest unless you have championed all the levels in the virtual interface. Here is the source of all problems. Studies have revealed that video games have a direct relation to neurological disorders. As a result, many health experts across the world consider video game as a kind of health abuse.

    People who play action-oriented video games are at higher risks. The more you indulge in these kinds of games, the more they are going to affect the hippocampus section of your brain. It is that part of the brain which is considered to be the centre of your nervous system, memory, and emotion. This has a detrimental effect on your overall brain health.

    Let us see some of the signs which may indicate the onset of certain complications arising from an over indulgence in these games.
    1. You spend hours on the computer or related gaming devices and devote lesser hours for your family and friends.
    2. You get agitated when someone stops you midway through the game
    3. You become socially isolated and show signs of occasional mood swings
    4. You are unable to keep a track of time once you start playing
    5. You repeatedly neglect your studies, resulting in a dip in performance at school

    Why does this happen?
    All of the above signs indicate that sooner or later you might develop neurological problems. When you spend an excessive number of hours on playing and navigating through the games, the hippocampus portion of your brain shows signs of decreased gray matter. As a result, the volume of the hippocampus shrinks, causing severe nerve related disorders such as schizophrenia, Alzheimer s disease, dementia, depression, and overall general stress.

    One of the biggest reasons behind this is a lack of self-control. Most of the video games will encourage you to steal cars, run away after a theft and kill your enemies. Moreover, if you succeed, you are rewarded. This naturally unleashes a blatant urge for the gratification of all these awkward desires in your real life too. Hence, once you are encountered with the reality, you tend to show violent behavior.
  • Masters in Dietetics and Food Service Management -, B.Sc.- Dietitics / Nutrition -, Reebok Instructor Course
    Breakfast is considered the most important meal of the day, no matter which culture you belong to. The age old saying goes that you should have breakfast like a king, lunch like a prince and dinner like a pauper. Let's look at some of the menu items, which are not considered ideal for breakfast menus on a regular basis along with a few others which are.

    Some of the unhealthiest breakfast foods:

    Chole bhatture or oily pooris: These are favorite items within Indian breakfast menus. However, they are full of oil and saturated fats. Apart from contributing to diabetes and blood pressure, bloating, acidity, and heartburn are also common side effects.
    Pakoras, samosas or kachoris: Common items which are included in many breakfast and snack menus, these oily fries are major contributors to bad cholesterol, reduce good cholesterol and is are major contributors to obesity.
    Sugary cereals: While plain corn flakes are good, sugary cereals have processed sugar and are a no-no for breakfast items as they could cause elevated blood glucose levels and thus cause a host of problems.
    Medu vada: While having a medu vada once or twice is alright, having it as a daily breakfast item will add a lot of oil to your diet and so, should be avoided.
    Bakery items: Many bakery items such as doughnut, Tiffin cakes, and sweet breads usually tend to have a lot of processed sugar, refined flour and additives which can be harmful to your health.

    Some healthy breakfast foods:

    Idli: This is a staple breakfast item in southern India and is very healthy as it is prepared by steaming rice mixes. However, reduce spicy chutneys or side dishes while consuming idlis as they can be quite bad for health.
    Upma: Another export of the south, upma is now loved all over India and the world. Made with suji or rawa and very little oil, this is a great and filling breakfast alternative.
    Poha or Chivra pulao: Made from flattened rice flakes, poha, also known as chivda pulao, is a great healthy alternative and should be incorporated in breakfast diets.
    Indian veg sandwiches: As long as the bread is whole wheat, this is a very healthy option as it is usually made with vegetables like tomatoes, cucumbers and potatoes and also has chutney as the dressing.
    Dosa: Another great option from southern India, this is a great breakfast food if the sambar and accompanying dishes are cooked in less oil and have fewer spices.
    Khakra: This dish which comes from Gujarat is also a great breakfast item and can also become a low calorie snack for cravings in between meals.
  • MBBS
    Anorgasmia, also known as Coughlan's syndrome, is a form of dysfunction, which deters your performance in bed. It is defined as the inability of a patient to achieve an orgasm even with adequate stimulation. Anorgasmia may also refer to long delays in achieving an orgasm, causing significant concern or stress to the patient. This condition is more commonly seen in women, especially those in the postmenopausal age group.This is especially common in women.

    Cause of Anorgasmia
    1. Trauma to the genital or pelvic organs; this trauma can be acquired from straddle injuries, for example falling off a balance beam or a bicycle
    2. Complications of surgery in the pelvic area
    3. Gynecologic operations, difficult childbirth and prosthetic procedures
    4. Diseases, such as multiple sclerosis, spinal cord injuries and diabetes mellitus
    5. Psychological conditions such as anxiety, depression or alcoholism
    6. Certain kinds of drugs such as antidepressant medications
    7. Addiction to heroin and other opiates

    Occasionally, anorgasmia results from a combination of these causes

    Symptoms of Anorgasmia
    The primary symptom of anorgasmia is the failure to climax during sexual intercourse. Some patients may also experience a decreased intensity of orgasms, take a longer time than usual to achieve orgasms, and experience pain in lower abdomen or pelvic region during sexual intercourse. These symptoms can produce marked distress for the individual.

    Types of Treatments Available
    Anorgasmia is best managed by a sexual therapist. These experts are specialists in managing sexual dysfunction, and would initially confirm the diagnosis with several blood tests. A thorough neurological examination will be performed and hormone levels, blood sugar and genital blood flow will be evaluated.

    Anorgasmia can be treated with:
    1. Changes in lifestyle and sexual practices
    2. Minimizing stress and anxiety
    3. Trying different techniques of sexual stimulation
    4. Kegel exercises
    5. Use of several devices, such as vacuum pumps and vibrators
    5. Cognitive therapy, a form of behavioral therapy that promotes changes in a person's ideas and attitude towards sexual activity)
    6. Counseling for couples (to allow them to address any issues in the relationship, at home and in the bedroom)
  • 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.
  • MD - Dermatology, MBBS
    Don't let acne dent your confidence. Consult our expert dermatologists today.

    Call us at: +91-9911100050 (rajouri garden); +91-9911300050 (new rajinder nagar)

    #drrohitbatra #dermaworldskinclinic #delhi #rajourigarden #acne #treatment
  • Diploma In Aesthetic Medicine Cosmetologist & Dermatologists., MBBS
    Invest in your skin. It is going to represent you for a very long time:)

    #sunscreen #protection #healthy #glowing #skin #body #hair #care #skintips #quotes #clinic #delhi #appleskin

  • 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.
  • Panchkula & Delhi
    Mother and Child Care
    Congratulations, that your Urine pregnancy test is positive and white stork will be visiting you soon! So it's your fourth week and you are advised an ultrasound in the coming week. With all the questions coming in your mind on what to expect from the ultrasound in regards to a normal pregnancy, I am here to help you month-wise.
    In the First Month
    On ultrasound you will see the pregnancy sac and the doctor would describe the same as the womb-pregnancy sac. This highlights that the pregnancy is not ectopic (pregnancy outside the womb).Cheers! You will be called again a week or two later to see the further developments of the baby.
    In the Second Month
    On ultrasound you can now see a fetal node and the doctor makes you hear a typical galloping horse like sound-that's the fetal heart beat- the heart beat of your baby. You can also see a small ring like structure in the pregnancy sac which is yolk sac. It takes care in terms of nutrition until the placenta is formed
    In the Third Month
    You are asked to give your Dual test- a blood test which tests for hormones like B hcg and PAPP-A which indirectly indicate whether the baby has chromosomal abnormalities or risk of growth restriction later on. You will be told to have an 11-13 weeks scan .In this scan ,markers for chromosomal abnormalities like Nasal bone, Nuchal; translucency(fluid behind the neck) ,blood flow through the liver(Ductus venosus) , Tricuspid regurgitation along with Length of the baby and heart rate will be studied .During the ultrasound you will be shown the structure of the baby from head to toe. At the end you will be counselled whether you are a low risk or high risk for getting a baby with chromosomal abnormalities(especially Down Syndrome).
    And if all is well you are called for the next scan at 5th month.
    In the Fifth Month
    This is the anomaly scan or Level 2 scan. You will notice your baby has grown significantly since you last saw. The doctor will see the structure of the baby including the brain and heart .The location of your placenta will also be reported. It you have a quadruple test/ triple test ,the results will be interpreted and explained.
    If its a thumbs up, you are advised to follow up with your obstetrician and come for an ultrasound at 8th month if everything continues to be as expected.
    In the Eighth Month
    This scan checks the growth of the baby and the fluid around it. The medical experts check the blood flow through the essential structures like the brain,liver and umbilcal cor (fetal Dopplers ). The same is done to reassure you or decide further management. In some cases , this scan may be pre-pond starting at 7th month.
    3D/4D Ultrasound
    If along with the expertise, there is a high end ultrasound machine , you get a chance to see your baby moving/dancing/thumb-sucking in 4 dimensions. You and your hubby will surely fight over the nosy -its alike yours or your hubby's! And the experience is awesome and ever cherishing.
  • 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.
       382 Thanks
  • 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.
       1968 Thanks
    Our skin undergoes certain changes with age. A lifetime of exposure to the sun, habits such as diet and smoking leads to changes in our skin slowly, as we age. As we get older, the skin does not stay as smooth and firm like before. It may also become drier, thinner and more fragile. As we age, the skin also becomes more prone to bruises, which is a result of a smaller amount support around the walls of blood vessels.

    Major changes that can be observed in the skin due to ageing are as follows:
    1. The skin turns rough
    2. The skin develops lesions like benign tumors
    3. The skin becomes slack due to the loss of elastic tissues like elastin and collagen and tends to hang loosely
    4. The skin gets more transparent with age, which is caused as a result of the epidermis thinning down
    5. The skin slowly turns fragile. This occurs due to flattening of the area where the epidermis and dermis meet

    Over time, the harmful ultraviolet rays of the sun cause damage to fibers in the skin known as elastin. Due to the breakdown of the elastin fibers, the skin tends to sag and stretch. The ability to snap back after stretching is lost. The skin gets bruised and tears up very easily and bruises require a longer time to heal. Sun damage shows itself with ageing.

    Subcutaneous changes
    These are the changes, which occur below the surface of the skin because of aging. They include the following:
    1. Fat is lost under the surface of the skin on the cheeks, chin, nose, eyes and temples. This causes loosening of the skin, giving it a bony appearance with sunken eyes.
    2. Bone loss occurs after attaining the age of sixty, especially around the mouth and chin region. Puckering of the skin in the mouth is indicated.
    3. Cartilage loss may occur on the nose. This causes the nasal tip to droop down and the bony structure of the nose gets accentuated.

    Other changes
    Other factors such as gravity, sleeping position and facial movements also cause changes in our skin. When skin elasticity is lost, the eyebrows and eyelids may droop due to gravity. Loosening and fullness of skin is observed under the jaw, cheeks and earlobes. Facial movement lines become prominent with old age and lines appear on the forehead, temples, cheeks and at the root of the nose.

    As we become old, several changes in the surface of our skin, as well as beneath the skin are likely. This is natural and occurs in every person. However, proper skin care should be taken, irrespective of your age.
  • MD - Dermatology, MBBS
    Get a smooth, soft and shining skin in less than an hour with the hydra-facial MD treatment.
    Detoxify, rejuvenate and protect your skin.

    Call us at: +91-9911100050 (Rajouri Garden); +91-9911300050 (New Rajinder Nagar) to know more about hydra-facial MD.
  • 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.
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