Doctor in Dr Rajeev Kaushik
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Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
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Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids. There are easier ways of dealing with this issue on an everyday basis, as follows.
* Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.
* Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.
* Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.
* Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain.
* Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.
* Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.
Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.
Having a kidney disease can make it feel as if your life has spun out of control. But having some knowledge about your kidney disease can save you the stress and trauma that you might experience. Knowledge about the same can also help you take better control over your condition.
- Blood pressure levels to be monitored at least once a year
- Urine analysis to check protein levels
- Creatinine level in your blood
2. What can we do to take care of our kidneys?
The most important thing is to ensure that your blood pressure and blood sugar are under control. Essential lifestyle changes can help keep your kidneys working longer.
3. How long can I live with Kidney disease?
Many people think that if their kidneys fail, it is the end of their life. But with modern advances in health care, this is not the case. How long you live depends on age, your overall health and how involved you are in your care. Even if you reach kidney failure you can continue to live for a long time with dialysis or kidney transplants.
4. What can be done for fatigue when you have kidney disease?
Fatigue is a common symptom of kidney disease, but there are medications to deal with it. Talk to your doctor to assess your condition and deal with it.
5. Is kidney disease hereditary?
Genetical factors can contribute to kidney disease and around 10% of kidney failures are caused by hereditary factors.
6. Do I need dialysis?
If your kidneys don’t perform their function and the serum creatinine levels reach a certain point, dialysis can be done. The dialysis machine will take over the kidney function of filtering out the impurities from your blood.
7. How long can you stay on dialysis while waiting for a transplant?
There is no set upper limit for the amount of time spent on dialysis. Some patients have gone over 25 years and it all depends on your health condition.
8. What questions should I ask my doctor?
No two people are same. Asking questions is the best way to find where you stand. So, discuss with your doctor on what percent of kidney function you have and what can be done to improve.
9. Can Dialysis be done at home?
Yes, discuss with your doctor to know how it can be done and whether it is good for you.
10. Do kidney stones lead to kidney disease?
No, they don’t lead to kidney failure. But long term obstruction of the kidney can cause kidney failure.
Proper and sound hearing is essential for healthy living. If you are suffering from lack or loss of hearing, chances are that you are missing out on life itself. Therefore it is imperative that you undergo treatments in case you are suffering from any kind of hearing ailment. There are various reasons that contribute to the loss of hearing.
Some of the common causes are-
2. Increasing noise
3. Genetically inherited
Over the years various surgical and non-surgical methods have surfaced that repair hear loss and damage. Among the other branches of medicines, Ayurveda is the eldest and ancient method. It uses natural herbs in order to correct and treat hearing loss. This has proved to be extremely beneficial and potent and it cures hearing ailments by various natural methods. Some of them are:
1. Lukewarm mustard oil or sesame oil
If you are suffering from earache or loss in hearing, try putting a few drops of warm mustard oil and sesame oil in your ear and hold it with index fingers. At the same time store the air in your mouth and let your cheeks contract and bulge for a minute or so. This ayurvedic tip considerably improves hearing and reduces ear pain.
2. Radish juice and sesame oil
If you are suffering from sores and hearing problems, a mixture of the two can be beneficial. In this method, a small quantity of radish juice should be boiled with a small quantity of sesame oil until the juice absorbs the oil. This mixture should be administered twice a day in order to experience the results.
3. Applewood oil
A variety of ingredients are required in order to create the resultant oil. Initially, cow's urine should be boiled and the applewood powder must be added to it. This mixture should then be filtered and further added with sesame and goat's milk. This concoction then should be boiled and the resultant oil should be stored and applied with cotton daily. This improves hearing a great deal.
4. Mixture of neem and turmeric
In this method, turmeric and neem leaves are boiled together. The steam should be taken as well as the water must be applied to the ears and surrounding areas. This has proved to be an extremely effective remedy in treating puss in the ears and consequent hearing loss.
5. Mixture of raddish juice, turmeric, sesame oil and ajwain seeds
All these ingredients must be taken in selective quantities and boiled to get the resultant oil. This oil must be stored and used to treat hearing loss and other ear diseases.
Peyronie's disease is a male genital problem predominantly found in 3-9% of adult men, especially after 40 years of age. In the disease, scar tissue is formed in the outer layer of the penis called Tunica Albuginea. Scar tissue is a just plaque inside the penis.
Peyronie's disease causes the penis to bend sideways or upwards and can make sex become difficult due to deformity and erection may be a painful process. It is usually associated with erectile dysfunctions, severe anxiety and reduced testosterone levels. It is worth noting that there are treatments for Peyronie's disease, however, the pain often goes away on its own, generally, in 6-18 months of onset, but the deformity stays.
Here is everything you need to know about this disease:
It is not known exactly what causes Peyronie's disease, however, there are some factors, which make it more likely than others. Here are those factors:
1. Trauma: This is the most common factor which causes Peyronie's disease. It is believed that when someone suffers from tiny bleeding of the penis, which is very common in patients of Diabetes, the plaque starts to build up. The injury or trauma, which causes the bleeding may go unnoticed as well.
2. Genes: Genes are also a possible cause of Peyronie's disease.
The symptoms of Peyronie's disease vary, such as:
1. Pain on Erection: There is usually a pain in erection during the initial phase.
2. Bent penis: When the penis becomes hard before sex, it may bend downwards or sideways by more than 15 degrees, so the vaginal entry becomes impossible or is painful for the partner.
3. Scars: Tissue may form on other parts of the body, as well including the hand and feet. In fact, it has been said that men who have scarring in the hand, which affect the fingers are more likely to contract the disease as well.
One may see extensive scarring in hands in a disease called Dupuytren's Contracture.
1. Wait & Watch: It is worth noting the acute phase with pain is treated by the wait and watch, controlling contributory factors like diabetes, low testosterone and psychogenic factors. Antioxidants are useful. A large number of cases are relieved of the pain in 1 to 1.5 years.
2. Intralesional injection: If the bend is significant enough to interfere in sexual functioning, It can be treated by injecting medicines in the plaque. The medicine, Xiaflex is currently not available in India and other medicines are given are not very effective.
3. Surgery: This is the last option when Peyronie's disease has not gone on its own and medicines are not helping either. The two most common procedures performed are removing the plaque and putting a tissue graft in its place and also removing the tissue opposite the plaque to counter the bending effect. The results are fairly good.
Going for a Penile implant is the last option, which is a permanent solution and is commonly done in India. And, the success rate for Penile implant is also very high.
The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue. While hormone replacement therapy is the most common procedure to provide relief from menopausal symptoms, natural homeopathic remedies can also be used for the same. These remedies are completely safe as opposed to hormone replacement therapy which has a number of side effects.
1. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly.
2. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc.
3. Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful.
6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.
7. Aconitum napellus (wolf's bane) is a flowering plant and its extracts can reduce panic attacks, heat flushes, over excitability and depressive symptoms.
9. Belladonna (deadly nightshade) is beneficial for a large number of symptoms such as headaches, fatigue, insomnia, frequent urination, osteoporosis, abnormal weight gain and other nervous disorders.
11. Natrum muriaticum, in small amounts, helps to reduce stress. Stress can cause problems in thyroid function, cognitive functioning, digestive system functioning and it can elevate blood pressure levels rapidly.
Popping pills is something we cannot do away with completely. But something that should be borne in mind that every drug is used for one of its particular property which is healing, but on the other hand, it also has, almost always, the not-so-nice effects. These side effects could sometimes be as simple as nausea or itching to something as serious as shooting up blood sugar levels.
Talking of side effects, do you know that Viagra was originally used for pulmonary hypertension and its side effect was improved performance in patients with erectile dysfunction (ED)? Viagra thus became the famous magical blue pill for patients with ED. On the other hand, there are quite a few drugs that can lower your libido levels. Listed below are some of the regularly used medicines that can impact your sexual life.
Antihypertensives - Medications that are aimed at reducing blood pressure (diuretics and alpha and beta adrenergic blockers) have a negative effect on the sexual life. Switching drugs after medical consultation is an alternate.
Antidepressants - With depression on the rise, more and more people are prescribed anti-depressants, especially the selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). Both these increase the mood but lower the libido, in up to 50% of the patients. Added amount of cardio workout could be a work-around for patients on SSRIs. Reducing the dose of TCAs could help improve sexual function.
Proscar - Benign prostatic hypertrophy (BPH) is a common condition seen in aging men, and finasteride is used for its treatment. This prevents conversion of testosterone to its active form and thereby reduces sexual function. Surgical correction of BPH could be an alternative.
Antihistamines - Common cold cures like diphenhydramine and chlorpheniramine affect sexual life too. The good news is that these drugs are cleared out of the system within 24 hours and the side effect does not last long either. In patients who might need these chronically, this side effect should be borne in mind.
Anti-seizure drugs: Drug like terbetrol which is used to cure seizure does the same for the sexual act, which is physiologically akin to a seizure -impulse traveling slower along the nerve. If noticed, an alternative medication should be used.
Opioids - For severe chronic pain, Vicodin and OxyContin are used but these reduce testosterone levels and thereby reduce sexual drive too. Use of testosterone creams could be a substitute.
In all these cases, the key is to have a discussion with your doctor as soon as you realize it could be affecting your sex life.