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Dr Kanan B Bhandari's Clinic

Gynaecologist Clinic

J-153, New Bhandari Hospital,Rajouri Garden New Delhi
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Dr Kanan B Bhandari's Clinic Gynaecologist Clinic J-153, New Bhandari Hospital,Rajouri Garden New Delhi
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
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Dr Kanan B Bhandari's Clinic is known for housing experienced Gynaecologists. Dr. Kanan B Bhandari, a well-reputed Gynaecologist, practices in New Delhi. Visit this medical health centre for Gynaecologists recommended by 97 patients.

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J-153, New Bhandari Hospital,Rajouri Garden
Rajouri Garden New Delhi, New Delhi - 110027
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Know About Complications During Laparoscopic Surgery!

M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
General Surgeon, Pune
Know About Complications During Laparoscopic Surgery!

Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby the lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
4. Anesthesia-related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
5. Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract: Proper protocol must be followed by the doctor to avoid such complications as much as possible.

What Are The Common Symptoms Of A Brain Stroke?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
What Are The Common Symptoms Of A Brain Stroke?

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

  1. Treatment depends on the type of stroke.
  2. Ischemic strokes can be treated with 'clot-busting' drugs.
  3. Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  4. The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

  1. Remember Every second Loss means brain cells die.
  2. Rush to the nearest Stroke Centre whenever you experience such symptoms.
  3. U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures 
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which  trained doctors try  removing a large blood clot by  sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

  1. High blood pressure,
  2. Cigarette smoking,
  3. Diabetes
  4. Atrial fibrillation and
  5. Physical inactivity.
  6. More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

Low Ovarian Reserves - Knowing The IVF Protocol!

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Low Ovarian Reserves - Knowing The IVF Protocol!

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages.

A woman starts with 25,000 to 5,00,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreasesChromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.

Uterine Fibroids - Causes, Symptoms & Treatments!

Dermatologist, Delhi
Uterine Fibroids - Causes, Symptoms & Treatments!

Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urinationpain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

  1. Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

  2. Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

  3. Substances which help the body maintain its tissues trigger fibroid growth as well.

  4. Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin Dobesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

  1. Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

  2. Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

    • Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

    • Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids

    • Tranexamic acid to ease excessive menstrual periods

    • Progestins or oral contraceptives to regulate menstrual bleeding

    • Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids

Surgeries to Treat Fibroids:

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

  1. Hysterectomyremoving the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

  2. Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

  3. Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

  4. UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.

  5. Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.

Myelopathy - Types, Causes And Symptoms

MBBS, DNB (Orthopedics)
Orthopedist, Srinagar
Myelopathy - Types, Causes And Symptoms

Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy. Here are the causes and symptoms of myelopathy.

Causes are as below :

1. Injury

This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.

2. Spinal stenosis

This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.

3. Degenerative disc disorders

As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.

4. Tumor

It is a little known fact that tumors very often do cause myelopathy.

5. Multiple sclerosis

There are many other diseases which may cause myelopathy and multiple sclerosis is one of them .

Symptoms are as below :

There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them :

1. Changes in coordination

What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.

2. Sudden muscle weakness

It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.

3. Decreased hand-eye coordination

This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.

These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.

 

10 Tips For Mind-Blowing Oral Sex!

MBBS
Sexologist, Ahmedabad
10 Tips For Mind-Blowing Oral Sex!

Oral sex is the sexual activity in which the mouth and tongue of one partner stimulates the genitals of the other partner. Oral sex is supposed to be pleasurable and fun for both the partners. However, you must keep in mind that HIV and sexually transmitted diseases may spread through oral sex; so consider using a condom. Also, it is not compulsory for you to let him ejaculate in your mouth.

Mentioned below are a few ways you can blow your partner's mind in bed without even having sexual intercourse:

1. Take Control
While giving a blow job is fun, exploratory and playful, it is also very empowering. You are in charge and in control of his pleasure. Before taking him in your mouth, touch him sensually and spread some flavored lube on his shaft that is safe to consume.

2. Let Yourself Linger
Do not be in a hurry. Savor it and make him squirm. Dirty talk is a great idea and heightens the excitement and pleasure. 

3. Avoid Gagging
Unlike pornography, research concludes that couples enjoy a lot more when they avoid gagging or deep throating. Gagging puts both the partners out of mood.

4. Explore Underneath
It is very important that you stimulate the frenulum which comprises of a bundle of nerves. Flick it slowly with the tip of your tongue and halt every time you hit the erogenous spots. 

5. Take a Lick
Sexologists believe that licking the penis (just like you lick a popsicle) is incredibly arousing and gets him worked up. It also sustains the excitement.

6. Be Enthusiastic
It is important to convey your genuine enthusiasm. If you are enjoying the act, let him know so he can receive more pleasure.

7. Spice it up
Get a bit naughty and he will worship you in return. Studies say that with increase in arousal, pain tolerance also increases. Dig your fingernails into him or tighten your mouth's grip around his arousal to intensify the act.

8. Try Teeth
Gently scrape his shaft with the surface of your teeth and trail it with your tongue. This is unbelievably sexy.

9. Pop an Ice
Create a tingly sensation in him by drinking cold water or sucking on an ice cube just before you take him in your mouth.

10. Make Some Noise
Not only does moaning turn him on, but it also adds to your excitement. Vibrations too create a pleasurable sensation.
 

How to Prepare Well For An Examination?

MD - Homeopathy, BHMS
Homeopath, Akola
How to Prepare Well For An Examination?

"I have a severe stomach ache, I feel like vomiting ... Mom, please!! I can't go for exam." 
"I read it! I knew it all ... But I just blacked out." 
"I just couldn't write! My hands were trembling." 
"I messed up this question! I can do nothing right... I can never succeed in life!!" 

It's not uncommon for students to experience such problems before/ during an exam.

Most of us suffer from some degree of anxiety when we prepare or sit for an examination. Examination usually leads to a lot of tension and anxiety commonly known as examination phobia. Examination phobia or Examophobia is a mental disorder found in most of the students. When exams arrive, students become extremely worried and make plans about how to study, how to perform better and get good grades. Some students find exams so difficult that the phobia makes them sick as they simply find themselves unable to cope up with the exam fear. There may be sweating, palpitations that disturb so much that one cannot think straight and end up messing up the paper. Also, in subsequent exams, it becomes worse and the fear intensifies. The person may end up feeling a failure, feeling guilty and may even be suicidal! 

Anxiety is a normal human feeling that is part of life and can often serve as a good form of adrenaline. However, in few people, this adrenaline rush exceeds normal limits and at times may lead to some negative consequences.

Exam anxiety is:

1. Excessive worry about upcoming exams 
2. Fear of being evaluated 
3. Apprehension about the consequence 
4. Experienced by many normal students

POSSIBLE CAUSES 
(I) Environmental Causes

1. High expectations of parents 
2. Parents imposing their ambitions on children 
3. Parents competing for higher social status through child's scores 
4. Constant comparison with other kids 
5. Fear of teachers 
6. Insulting remarks from teachers

(II) Poor studying styles: 
1. Inefficient:

1. Irregular coverage of the entire syllabus 
2. Trying to memorize the course book 
3. Binge learning 
4. Studying all-night right before exams

2. Ineffective:

1. Reading without understanding the topic 
2. Unable to recollect the material 
3. Not making revision notes 
4. Not revising

(III) Psychological factors:

1. Feeling little or no control over the exam situation (rather than knowing and applying exam strategies) 
2. Negative thinking and self-criticism 
3. Irrational thinking about exams and outcomes 
4. Irrational beliefs "If I don't pass, my (family/boyfriend/girlfriend/friends) will lose respect for me" 
5. Irrational demands "I have to get at least 98% or I am worthless." 
6. Catastrophic predictions "I'll fail no matter what I do—there’s no point." 
7. Low Self-esteem 
8. Fear of failure

SYMPTOMS OF EXAM ANXIETY 
The symptoms can range from minor nervousness to a panic attack, which can ruin the test. But whatever the level of your anxiety, learning to keep yourself calm and managing the fear of sitting for an examination is what it takes to come out with flying colors.

1. Physical symptoms. Headache, nausea, diarrhea, excessive sweating, shortness of breath, rapid heartbeat, lightheadedness and feeling faint can all occur. Test anxiety can lead to a panic attack, which is the abrupt onset of intense fear or discomfort in which individuals may feel like they are unable to breathe or having a heart attack
2. Emotional symptoms. Feelings of anger, fear, helplessness and disappointment are common emotional responses to test anxiety. 
3. Behavioral/Cognitive symptoms. Difficulty concentrating, thinking negatively and comparing yourself to others are common symptoms of test anxiety.

HOW TO PREPARE WELL FOR AN EXAMINATION 
Fortunately, there are several methods that you can adopt to reduce your examination stress, which will not only help you to get higher grades but also improve your overall mental health.

1. Regular Studies Develop good study habits- ATTEND classes regularly, finish all the assignments on time, make notes properly and be an actively engaging student in school. Leave plenty of time to revise so that you don't have to do last minute cramming. Giving yourself adequate time will help to boost your confidence and reduce any pre-exam stress as you know you have prepared well. Instead of waiting for the eleventh hour, start studying as and when the academic year commences. With a good amount of time before hand, you will certainly feel more relaxed as you have plenty of time to give-in your best. 
2. Exercise Matters - It is of paramount importance to maintain mental, psychological and physical health to ace any exam. Exercising regularly, deep breathing and ‘pranayama’ help in improving one’s cognitive faculties, that results in lesser anxiety and simultaneously better grades in the tests. 

3. Don’t Undermine the Importance of Diet - Be careful about your diet during the exams. A diet lacking in essential nutrients can put a major dent in your preparations; make you feel nauseated, SLEEPY OR overstressed during the crucial hours. 
4. SLEEP WELL - Adequate sleep is also vital. SLEEPING TOO LESS OR TOO MUCH CAN ALSO HAMPER YOUR ABILITIES 
5. Support - Take short breaks in between and spend some quality time with your family; share your feelings and state of mind with them. Spending time with the family can turn out to be a major stress booster. 
6. Set a Study Time: Lastly, drawing up a schedule will help you make the most of your study time. Set aside a time for your studies and follow it meticulously. Keep it flexible so that you can make the necessary adjustments. 
7. Stay focused: Concentrate on your studies, not others during the examination time. Avoid talking with other students about the subject before an examination. 
8. Use Mnemonics: Mnemonics are the techniques of memorization. You can make chart, rhymes or phrase to memorize your lessons. 
9. Practice Deep Breathing Regularly - Meditation is one of the best medicine that can reduce your anxiety. Make a habit to Meditate at least 10 minutes per day. It surely increases your concentration power. 
10. Consult Psychologist: If your anxiety becomes uncontrollable, don’t hesitate to consult a psychologist or therapist. CBT (Cognitive Behavioural Therapy) is pretty effective in treating anxiety disorders. It helps to change your thought process and negative beliefs. Performance or test anxiety is highly treatable so you can get absolutely get a better result.

 

HOW TO ATTEMPT THE EXAMINATION IN BEST POSSIBLE WAY 
(I) ON THE DAY OF EXAM

1. Get a restful, uninterrupted sleep the night before so you wake up refreshed and revitalized the day of the exam. 
2. Have a healthy breakfast but strictly avoid oily and heavy food 
3. Recheck your required stuff (pen, pencil, compass box, eraser, admit card, watch etc) before leaving home. 
4. Take the water bottle along with you to the examination hall. 
5. Avoid touching new/left-out topic at the last moment. 
6. Aim to reach the examination hall well in time. 
7. Avoid being part of Before-exam peer discussions on How well-prepared or unprepared others are! The classic "Tera kitna ho gaya" question followed by undue comparisons can be a complete confidence killer. So Beware !! 
8. If feeling tensed, take deep-long breaths and engage in positive self-talk; reminding yourself that you prepared best to your ability and tell oneself " I CAN DO IT "

(II) IN THE EXAMINATION HALL

  1. First of all, fill the required information on the answer sheet. 
  2. Read the instructions carefully to figure out if you have a choice of questions, no. of questions to be attempted etc. 
  3. Read the question paper thoroughly before u begin writing and mark the questions under 3 categories: (a) Easy (b) Manageable (c) Difficult 
  4. Manage your time: This is where you strictly need to stick to the plan:
    1. Before you begin, allocate time for each question based on the marks it carries and difficulty level. 
    2. If you are not able to complete an answer within planned time-frame, leave some space and move onto the next question. 
    3. Always divide time in such a way that you are left with some time at the end to go back over incomplete answers and revise/recheck. 
    4. Always try to attempt all the questions. 
    5. Attempt the Easy questions first, followed by Manageable and Difficult questions at last. That way you stay secure, calm and confident. 
    6. Avoid writing too lengthy answer just because you know it well.

5. Presentation:

a. Handwriting should be neat & readable. 
b. Instead of very long paragraphs, put your answer point-wise. 
c. Wherever possible, illustrate the information via Flowcharts/diagrams etc. 
d. Highlight: underline or highlight the main points using pencil / coloured markers but you should keep it for last spare moments.

(III) TIPS FOR PARENTS: 
Encourage your kids! Parents have the ability to address underlying fears that may be present with test-taking. At a deep level, even subconsciously, a student may fear failure for a variety of reasons. There could be a fear of looking dumb to friends, of not getting into the best school, or of not meeting parent’s expectations. A great help is for parents to reinforce their unconditional support and encouragement to the child. Parents, let your children know that their grade does not determine their worth. Believe in your child. 

Help them get over the myth that "Success in exam is a predictor of success in life". 

Good marks = Great job. 
Poor marks = End of life!!

In short, "There are no secrets to success. It is the result of Time Management, Hard work and Learning from mistakes"

Lumps - Know Reason Behind It!

MBBS, MS - General Surgery
General Surgeon, Pune
Lumps - Know Reason Behind It!

Lumps are usually harmless and do not raise serious concerns. However, if the lump persists for more than two weeks, it may be a serious issue. Lumps are categorized based on their place of occurrence and each of them demand separate treatment. Learn the signs of danger related to lumps and take action accordingly.

Reason behind formation of Lumps

Injury is one of the major causes behind lumps. If the lump is painful, one must consult a doctor immediately. There can be various other causes behind lumps, which depend upon its place of occurrence.

  1. Epidermoid and pilar cysts (sebaceous cysts) appear as small smooth lumps under the surface of one’s skin. Such cysts are non-cancerous, hence, can be treated easily.
  2. Swollen lymph glands generally occur in neck or in groin or under the armpit. Usually, any infection results in swollen lymph glands. However, in certain cases it may be caused by cancer.
  3. Skin abscess is a term given to collection of pus. e.g. boils. Symptoms of abscess consist of redness and swelling.
  4. Style or Chalazion causes swelling on the eyelids.
  5. Lump in the salivary glands happens due to mumps
  6. Swelling in the thyroid glands may cause lump in the neck region. This lump may encompass the entire third gland or a part of it.
  7. Breast lumps occur in both men and women. Generally, they do not indicate breast cancer. Any abnormal swelling in the breast must be immediately shown to the doctor.
  8. Hernia or enlarged lymph gland may result in a lump in the groin.
  9. If a person experiences swelling in the scrotum, he must immediately consult a doctor.
  10. Lump in the anus can be caused due to piles. The small vessels engulfing the anus may get swelled piling up more blood than usual. Other than a pile, abscess could also be the reason behind lump.
  11. Lump on the hand, wrist, finger may occur due to ganglion. Such cysts may develop around joints or tendons.

Signs which indicate you must get your lump checked by a doctor

  1. If the lump gets hard or firm
  2. If the lump gets sore
  3. If the lump gets enlarged
  4. If the lump doesn’t vanish within few days
  5. If your body temperature rises more than normal
  6. If you experience abnormal loss in weight
  7. If you experience any such abnormalities
  8. If the lump reappears post removal

If any of the above sign occurs, it is better to consult a doctor and get your lump checked. In most cases, lumps are harmless and non-cancerous. But it is better to take precaution.

Hirsutism In Women - Effective Ways To Get Rid Of Them!

MD, MBBS
Dermatologist, Delhi
Hirsutism In Women - Effective Ways To Get Rid Of Them!

Are you growing hair in unusual places where you do not want them to be such as on the neck, chest, chin and back? Hirsutism is a medical term, which refers to excess body hair and facial hair in women. It occurs because of an increased production of androgens or male hormones. The increased sensitivity of the androgen receptors in the skin follicles also causes hirsutism.

Diagnosis
Hirsutism is diagnosed using two methods:

  1. The Ferriman Gallwey model involves the visual inspection for detecting the presence of excess hair. The amount of hair growth in nine areas of your body is quantified in this model. However, this is not an ideal method as many women shave or pluck their hair.
  2. Blood test for excess androgens is another method for diagnosis of hirsutism. The different tests include free testosterone, total testosterone and DHEAS or dehydropiandosterone sulphate. Women with PCOS (polycysticovarian syndrome) are likely to have increased levels of free testosterone in their body because of the absence of enough sex hormone binding globulin.

Removing excess hair
There are several ways by which you can get rid of excess body and facial hair. They are as follows:

  1. Plucking is a way of hiding hair during early stages. It is an easy fix. However, plucking from the follicle may lead to the distortion of the follicle, which may cause hair to thicken and turn darker.
  2. Depilatories is another way of removing excess hair due to hirsutism. Depilatories remove excess hair by the use of a chemical which dissolves the hair.
  3. Waxing is also effective for removing excessive hair. In waxing, warm wax is spread over the affected areas; a strip of cloth is placed over it, and rubbed on the wax. After holding the skin tight, the cloth is pulled off.
  4. Several medicines are used for dealing with hirsutism in women such as oral contraceptives, which help in removing the amount of androgens in the body. The androgen production may decrease as a result of oral contraceptives. The amount of circulating concentration of androstenediones and total testosterone are also reduced. Anti androgen medicines are also prescribed in some cases.
  5. Electrolysis is opted as a measure of managing excessive hair. In the process, a needle gets inserted along the hair shaft. After this, an electric pulse is sent to the root. This makes the hair release from the follicles and they are pulled out.

Laser hair removal is the final option for hirsutism treatment. In this method, light from the laser eliminates several hairs in the affected area. The pigment present in the hair absorbs the energy from the laser and gets destroyed.

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कपूर के फायदे और नुकसान - Kapoor Ke Fayde Aur Nuksaan!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
कपूर के फायदे और नुकसान - Kapoor Ke Fayde Aur Nuksaan!

आज कपूर हमारे दैनिक जीवन का हिस्सा बन चूका है. इसके औषधीय और गैर औषधीय दोनों तरह के इस्तेमाल हैं. चाइनीज और भारतीय प्राचीन काल से ही कपूर का उपयोग बीमारियों के इलाज और धार्मिक उद्देश्यों के लिए करते आ रहे हैं. उस समय उनका मानना था कि कपूर में गहरी चिकित्सा शक्तियां हैं लेकिन आज यह सिर्फ एक लोकप्रिय लोककथा न होकर हकीकत बन चुका है. आयुर्वेद में, कपूर को जलाना मानव मन और शरीर के लिए उपचार माना जाता है. कपूर सिनामोमस कैफ़ोरा नामक एक पेड़ से मिलता है. इस पेड़ के चीन, जापान में सबसे पहले उगाए जाने के संकेत मिलते हैं. भारत में यह देहरादून, सहारनपुर, नीलगिरि और मैसूर आदि में उगाया जाता है. आइए इसके फायदे और नुकसान को जानते हैं.

1. जोड़ों के दर्द में-
जोड़ों और मांसपेशियों के आसपास दर्द का सामना करने वाले लोग कपूर के इलाज से इसे ठीक कर सकते हैं. कपूर तेल एक वार्मिंग सेंसेशन पैदा करता है, जिसके परिणामस्वरूप नसों के विचलन होता है, जो आपको दर्द से राहत देता है. ऐंठन के लिए, आपको गर्म तिल के तेल में कपूर को मिक्स करके इस्तेमाल करने से राहत मिलती है.

2. खुजली में-
कपूर को खुजली वाली त्वचा में राहत प्रदान करने के लिए जाना जाता है. इसकी ख़ास बात ये है कि यह रोम छिद्रों द्वारा अवशोषित हो जाता है जिससे आपकी त्वचा को ठंडक मिलता है. इसके लिए एक कप नारियल तेल में पिसे हुए एक चम्मच कपूर को मिक्स करके इस मिश्रण को खुजली वाले क्षेत्र में 1-2 बार लगायें.

3. त्वचा को ठीक करने में-
कपूर आपकी त्वचा को टाइट करने के अलावा बैक्टीरिया निर्माण से मुक्ति पाने में भी मदद करता है. ये एक एंटी इंफेक्टिव एजेंट के रूप में कार्य करता है. एक अध्ययन के अनुसार कपूर तैलीय त्वचा वाले लोगों के लिए विशेष रूप से फायदेमंद है जिससे यह मुँहासे उपचार के लिए बहुत उपयोगी है.

4. मच्छरों भगाने के लिए-
यह एक प्राकृतिक मच्छर रिपिलन्ट. यह पारंपरिक रूप से पतंगों से छुटकारा पाने के लिए इस्तेमाल किया गया है. अपने कमरे के कोने में एक कपूर टैबलेट जलाएं. इससे मच्छर दूर होते हैं.

5. जलने के उपचार में-
अगर आपकी त्वचा कही से हल्की सी जल जाएँ तो उसके लिए कपूर का उपयोग करें. यह जली हुई त्वचा को ठीक करने में मदद कर सकता है. न केवल यह आपको दर्द या जलन बल्कि घावों से मुक्त करता है. इसका नियमित आवेदन भी निशान को हल्का कर सकता है. इसका कारण यह है कि कपूर तेल तंत्रिका को उत्तेजित करता है, जिसके बदले में त्वचा को ठंडक मिलती है.

6. खाँसी के उपचार में-
कफ को दूर करने के लिए कपूर सबसे लोकप्रिय लाभों में से एक रूकी हुई छाती और नाक को साफ करने की क्षमता है. कपूर तेल में एक मजबूत गंध है जो एक भीड़भाड़ वाले श्वसन पथ को खोलती है. स्वीट आयल और कपूर का एक समान भाफ मिलाकर छाती पर धीरे से रगड़ें.

7. बालों के लिए-
नारियल के तेल के साथ कपूर की मालिश करने से स्वस्थ बाल विकास को प्रोत्साहित किया जा सकता है. हालांकि, नारियल के तेल ने बालों के नुकसान को रोकने, रूसी को कम करने और कंडीशनर के रूप में काम किया है.

8. कपूर के अन्य फायदे-
तुलसी के पत्तों के रस में कपूर को मिला कर दो दो बूँद को कान में डाल लें. इससे आपके कान का दर्द दूर होगा. कपूर, जायफल और हल्दी को बराबर मात्रा में मिला कर उसमें थोड़ा पानी डालें. इस मिश्रण को पेट पर लगायें और आपका दर्द कम हो जाएगा.

कपूर के नुकसान-
* इसे सीधे-सीधे त्वचा में लगाने से जलन हो सकती है इसलिए किसी भी वाहक तेल के साथ कपूर तेल को मिक्स करके इस्तेमाल करें.
* 2 वर्ष से कम उम्र के बच्चों के लिए कपूर का उपयोग नहीं करना चाहिए.
* गर्भवती या स्तनपान कराने वाली महिलाओं को कपूर से बचना चाहिए.
* कपूर को मौखिक रूप से न लें क्योंकि यह अत्यधिक जहरीला होता है.

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