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Max Multi Speciality Center - Panchsheel Park

Dietitian/Nutritionist Clinic

N-110, Panchseel Park. Landmark: Near Panchseel Club & Near Hauzpauz Metro Station, Delhi Delhi
1 Doctor
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Max Multi Speciality Center - Panchsheel Park Dietitian/Nutritionist Clinic N-110, Panchseel Park. Landmark: Near Panchseel Club & Near Hauzpauz Metro Station, Delhi Delhi
1 Doctor
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Max Multi Speciality Center - Panchsheel Park
Max Multi Speciality Center - Panchsheel Park is known for housing experienced Dietitian/Nutritionists. Dt. Cheenu Prashar Vig, a well-reputed Dietitian/Nutritionist, practices in Delhi. Visit this medical health centre for Dietitian/Nutritionists recommended by 49 patients.


02:00 PM - 05:00 PM


N-110, Panchseel Park. Landmark: Near Panchseel Club & Near Hauzpauz Metro Station, Delhi
Delhi, Delhi
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Dt. Cheenu Prashar Vig

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8 Ayurvedic Herbs To Treat PCOD!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), N.D.D.Y, F.A.N
Ayurveda, Gurgaon
8 Ayurvedic Herbs To Treat PCOD!

Are you suffering from polycystic ovarian syndrome and are looking for an ideal remedy? Polycystic ovarian disease or PCOD is a common female health condition. It is a complex disorder and involves several factors which include insulin resistanceobesity, irregular menstrual bleeding, insufficient ovum production, and abnormal menstrual cycles. PCOD commonly occurs during the reproductive age of a woman and accounts for being a major cause of infertility.

According to Ayurvedic principles, PCOD occurs primarily due to the imbalance state of your doshas. The dosha vaishanmya is linked to the symptoms of PCOD, and the relationship between the doshas and lakshans is permanent.

PCOD is associated with stri beeja and rajah formation, along with medhodhantu to some extent. These should be attended to while the condition is being treated. The Ayurvedic treatment of PCOD aims at providing ideal care by correction of the ama dosha. By this, you achieve koshta shuddi, which in turn regularizes your tridoshas. The way or approach towards Ayurvedic treatment for PCOD includes the following:

  1. Treatment of agnimandya at both dhatwagni and jataragni levels.
  2. The alleviation of sroto avarodha is an essential part of PCOD treatment using Ayurveda. You should undertake purificatory therapies which are based on the grade of your doshic vitialation, and the exact area of affliction. These should be followed by rasayana drugs, which are free radical scavenging agents.
  3. The regularization of the apana Vata is essential as well. You must firmly avoid vihara and kaphkara ahara.
  4. Yoga and meditation are very important for the Ayurvedic treatment of PCOD. You should perform yoga asanas regularly. Some of the ideal postures for PCOD management include sarvangasana, matyasana, and shavasana.
  5. It is also very important for you to work out regularly, undertake different physical exercises. This will make your overall life much healthier.
  6. You must follow a healthy, balanced diet regularly, which should consist of fresh vegetables and fruits.

Ayurvedic herbs for the treatment of PCOD

  1. The varuna crataeva nurvala is an effective herb which helps in the clearance of channels, which reduces your cyst’s size.
  2. You can try hareetaki because of its amazing laxative effects, which reduce the morbidity of your body.
  3. Bilva or aegle marmelos heps in reducing the size of your growth, via its digestive effect.
  4. Strotasshuddhi is required and herbs likes Punarnava, kaphhar medicines are advised.
  5. Phytooestrogen sources and female tonic Shatavari is very much advised.
  6. Agnimantha, similar to lions. Lake er dhareyjata
  7. Guduchi is another effective remedy for PCOD and has a rejuvenating effect.
  8. Kanchnar is the drug of choice for Thyroid as per AYURVEDA, Strotasshuddhi is done by using Trikatu, Punarnava and other medicines. Rasayan like Shatavari are advised for enhancing female hormones.

If you are experiencing any symptom of PCOD, it is recommended for you to consult an Ayurvedic practitioner. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.

Effective Ways To Deal With Hereditary Heart Disease!

DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
Effective Ways To Deal With Hereditary Heart Disease!

Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.

Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.

Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.

Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:

  1. Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.

  2. Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.

  3. Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.

  4. Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.

We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.

How To Prepare Yourself For A Surgery?

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
How To Prepare Yourself For A Surgery?

The thought of undergoing a major surgery worries most people as they stress about the possible surgical complications, outcomes of the procedure or just get scared with the idea of getting an incision. But, following a few simple steps before the surgery may enable you to not only lessen your fears but also accelerate the recovery process.

Here are some of the most effective tips to prepare yourself in a way that ensures a stress-free surgical procedure.

1. Acquire knowledge about the surgery beforehand

Keep yourself thoroughly informed about the surgical procedures you will undergo. Ask your surgeon about the time required for complete recovery, your stay at the hospital, hygiene standards of the hospital etc. Also, talk about the surgical complications that you may experience and the measures to be taken from your side to deal with them.

2. Inform the doctor about your prevalent health issues
Talk to your doctor if you are suffering from any medical conditions currently like diabetes, hypertension, heart disease, arthritis etc. Also inform him if you are under any kind of medications or allergic to any particular drug.

3. Enquire about the types of anaesthesia available
Knowing about your anaesthesia choices always help you prepare better for an operation. While some surgery requires specific types of anaesthesia for other you can decide whether you want a local, regional or general anaesthesia. Local anaesthesia is used for affecting a small area while the regional one is used for numbing a larger part and general, your entire body.

4. Be prepared to deal with the post-surgery pain
You might experience post-surgery pain depending on the type of procedure followed. Ask your doctor for suggestions on the type of medicines you should do to curb this pain. Generally, most doctors recommend drugs, hot or cold therapy, massage etc.

5. Look for a caregiver in advance
You will require some support and care after the surgery while you recover. Seek the help of your family and friends in this regard and ensure that someone can stay with you for at least a day after you return from the hospital.

6. Follow the pre and post surgery instructions given by the doctor
Follow all the instructions given by the doctor regarding the kind of diet to be followed, restriction from consuming certain things like alcohol or any other lifestyle changes required to keep you healthy before and after the surgery.

Few Things You Need To Know Before Opting Breast Augmentation Surgery

DNB (Plastic Surgery), MCh, MBBS
Cosmetic/Plastic Surgeon, Surat
Few Things You Need To Know Before Opting Breast Augmentation Surgery

Over the past decade, many women have opted for Breast Augmentation Surgery. It is a surgical process to improve the aesthetics of one's breast. Apart from giving a much needed lift to the bust size, the augmented breasts can lift up your confidence. Breast Augmentation Surgery, if gone wrong, can create a havoc. The outcome of the surgery can be influenced by a number of factors. Thus, before going under the knife, some important and vital points need to be taken care of.

  1. It is advisable to avail the services of an experienced surgeon, who has a higher success rate. A lot of confusions and apprehensions may arise during course of the surgery. An experienced surgeon will ease out the tension to a great extend and guide you better.
  2. Breast Augmentation is no child's play. Do not embark on breast augmentation surgery if you are below 18 years of age. It can result in serious health complications. Surgery can wait, but health once lost, will be gone forever.
  3. Know the type of implants to be used. Saline and Silicone implants are commonly used in breast augmentation. Both the implants come with their own sets of merits and demerits.

Being softer and smoother, Silicone implants give the augmented breasts a very natural feel. The chances of scalloping (the skin around the breasts appear wavy) are negligible in case of Silicone implants. However, the Silicone implants come pre-filled. Thus, a bigger incision is needed to get it inserted. Though approved by the FDA, leakage of the silicone implants into the body has been reported. The leakage can affect the health seriously. Interference of Silicone implants with the mammogram can also pose a serious threat.

The Saline implants, on the other hand, are not pre filled. Thus, a small incision is all it takes to get the implants inserted. Once inserted, the implants are filled with saline solution. The saline implants can also leak into the body, without any serious implications. The biggest limitation of saline implants is in the fact that it gives the breasts a very hard feel. Scalloping cannot be ruled out either.

Things to take care of:

  1. Do not go for breast augmentation surgery if you are planning to start a family in 1-2 years of time. A weaning or lactating lady should also avoid the surgery.
  2. The exact location of the implant is an important factor to ponder upon. One can go for an under the muscle or over the muscle implants.
  3. One can opt for a round implant or a tear shaped implant. The biggest USP of tear shaped implant lies in the fact that it gives a very natural feel to the augmented breasts. The round implants, on the other hand, are much safer to use.
  4. Go for the surgery only when you are physically, mentally and emotionally fit and healthy.

I want to increase my weight at least 15 kg, please tell me how can I increase my weight.

B.A.M.S, MD (Ayu.) Kayachikitsa
I want to increase my weight at least 15 kg, please tell me how can I increase my weight.
Dear Thanks for contacting with your health concern Tonics and injections alone are not enough to help build the body mass, good food and exercise must accompany the medicines for a substantial gain in weight. A.Before starting medicine following guidelines should be incorporated into your daily lifestyle i.Make powder of raw mango seed and take 250 mg with yogurt or water empty stomach in morning for three days and start practicing Yogasanas, [of your choice] and Surya-namaskar ii.Avoid: heavy, slimy food along with fetid odor and unpleasant sight and TAKE old brown rice, green gram, fresh green vegetables, banana, pomegranate, garlic, ginger, raisins, black pepper, clarified butter, buttermilk, with regular brushing of teeth and tongue cleaning, bathing, lemon, salt,mint, morning walk. Iii.Eat a variety of nutrient-rich food but who have some added advantage like. Cabbage (cholesterol-lowering benefits. Carrot (helps in liver detoxification. Cauliflower (ideal against abdominal problems. Dates (best for muscle development), and onions (contains flavinoids which protect against cardiovascular disease), garlic (has broad-spectrum antibiotic properties) iv.Take protein rich diet: legumes, sprouted pulses/cereals, milk with protein v.Take vitamin A, B, C, E in the diet which helps in strengthening the immune system. B.Take self-expressed juice of white onion 6 ml with honey in morning and good sleep after meals. [In Ayurveda we hold that people when doing everything right, takes SLEEP regularly and that too after food he becomes FAT, so have a good stress free sleep after meals to gain weight]. C.Principle is to have well balanced diet with more of proteins and more Calories with exercise, take more of cereals, legumes, daal, egg, and eat fresh fruits regularly with sweet pulp like (banana, mango, chickoos, and grapes) D.Take banana, black grapes, orange,spinach, ginger,tomatoes, curd, take diet rich in vitamin C (Citrus fruits) and vitamin E (sunflower seeds, almonds, apricots,peanuts) which are rich in anti oxidants and thus helps in improvement of Thymus function (associated with Immunity.) E.Eat mixture of amla powder ½ spoons with 4 spoons of honey. DAILY REGIME: i. Don’t skip breakfastàTake your lunch between 12 -1 PM which is the peak period of Pitta (responsible for digestion)àhave your dinner 2 hours before sleeping. PS. For medicine to increase weight gain kindly book an appointment so that I can guide you further.
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Mommy Makeover - What To Expect!

MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Ahmedabad
Mommy Makeover - What To Expect!

Bringing a child into this world is one of the most wonderful phases of a woman's life. At the same time, this involves a lot of body changes - physiologically, physically, chemically, and emotionally. Mommy makeover refers to one or a combination of procedures that are done to alter the appearance after delivery, especially relating to one or more of the following:

  1. Tummy that is sagging (no fat, just loose skin) with stretch marks
  2. Breasts that are altered in size and shape, sometimes the enlargement could be completely disproportionate with the body and cause back pain
  3. Undefined thick waistline with irregular fat accumulation
  4. Fat deposits on the abdomen, thighs, hips, and trunk that do not reduce with dietary changes and exercise
  5. Skin changes on the face and around the eyes, giving an aged appearance
  6. Post cesarean, there is excessive skin around the surgical scar


  1. Reduces tummy size
  2. Gives a more youthful appearance
  3. Alters breasts to the desired shape and size


  1. Weight loss, if happens, could affect the results
  2. Subsequent pregnancies don't have any complications with tummy tuck but with another pregnancy the effects may be lessened or reversed.
  3. Since surgery is involved, the risk of unforeseen complications always exists (for instance, in breast implants, there is capsule formation or capsulitis, in rare cases rupture may require removal.)

Mommy makeover is not a single step procedure, but a combination of plastic surgical procedures that are done depending on the problem you present with.

Tummy tuck - If there is abdominal sagging, the tummy is tucked back into position by removing the fat and excessive skin and reworking on the belly button.

Liposuction - Excessive fat deposits in the hips, thighs, trunk area can be removed by sucking out the fat deposits. Most commonly done in the hips and trunk area.

Breast lift - Sagging uneven breasts, drooping nipples, reduced volume are all indications for a breast lift. During the surgery, the breast tissue is repositioned to reproduce a better shape and size and reposition the nipples if required.

Breast reduction - Large breasts are a common problem, and breast reduction is one of the most requested for procedures.

Breast augmentation - Either saline implants or silicone are used to restore breast size and shape to the desired results. Usually, breast lift is combined with breast augmentation.

Facial corrections - From dark circles to sagging skin to wrinkles, facial appearance can be changed based on the presenting symptoms.

These are very brief descriptions of the various procedures that are done as part of mummy makeover. A detailed consultation with your plastic surgeon regarding costs, subsequent pregnancies, aftercare, recovery, healing, and limitations and risks is to be had ahead of the surgery.

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I have Vitamin D, D3 & Vitamin B12 deficiency. Please let me know how to increase those vitamins. CLINICAL NUTRITION and DIETETICS
Dietitian/Nutritionist, Delhi
I have Vitamin D, D3 & Vitamin B12 deficiency. Please let me know how to increase those vitamins.
Hello lybrate-user. Just need to tell you that stop worrying much for this dear. And for Vit D the richest source is Salmon fish liver oil that will available for you from the intake of OMEGA 3 [NUTRILITE] and for Vit B12 introduce dairy products in your diet and you can also introduce Vit B12 supplement.
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Bone Marrow Transplant

MBBS, MD (General Medicine)
Hematologist, Gurgaon
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How Blood cancer can be treated?

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7 Effective Tips For First Time Parents!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
7 Effective Tips For First Time Parents!

Taking care of a newborn is indeed difficult; you need to be alert all the time. In the first few months, the baby needs more care than anything else. You have to sacrifice your sleep over your child to just make sure that the cotton ball like an infant is all right. Though the first few weeks and the months seem chaotic for the first-time parents, the happiness and the joy of being a parent overrides the pain.

As a first-time parent, you need to understand a few things which are crucial for you as well as your baby and here are seven tips for the first-time parents.

#1. Your Health Is Baby’s Wealth
As your baby will feed on you for the first few months, you need to hone your health first. Maybe this tip seems little off track. However, the fact that if you don’t eat properly or you have nutrients deficit in your body you can’t provide the required nutrition to the little one justifies the point. Keep your blood sugar under control, maintain a proper diet with a maximum quantity of vitamins, proteins and minimum amount of salt in it.

#2. Consult Your Doctor And Prepare For Breastfeeding
The primary way to deliver the nutrients and food to your baby is breastfeeding. The doctor recommends breastfeeding till the baby is six months old and in those six months, you shouldn’t use artificial baby food. Consult with your gynecologist and child specialist when you should start breastfeeding and how many times a day you can feed your baby. Doctors will also guide you in producing the maximum amount of milk for your baby.

#3. Wiping It Out
No, you don’t need to buy the costly wipes when your baby in just feeding on your milk. Rather it is better to wipe the little creature with damp cotton or soft cloth. It is more suitable for the newborn as the chances of having rashes are quite low.

#4. Sterilize It All
Yes, you need to keep the germs and the bacteria away from your child, and the best way to do that is to clean all the products that you use on your baby. It might be just a spoon or the feeding bottle or the items with which your child plays.

#5. Diaper For Long Sleep
Choose the diaper wisely for the baby. For long sleep like in the night, you need to use the maxi diapers so that neither your child nor you have to wake up in between your sleep and change it.

#6. Don’t Panic
Babies need to cry, don’t panic every time! This is the way they connect and communicate so stop bothering yourself thinking what you are doing wrong.

#7. Love and Care
The last but the most important tip is that you need to care for your baby which you would obviously do. But don’t become an overprotective parent, let the child grow according to the nature rules.

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Peritoneal Dialysis - How Is It Performed?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Peritoneal Dialysis - How Is It Performed?

No Blood, No needle, No visit to hospital, you can do yourself at home with sterile fluid. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one-two weeks before performing the procedure. 

The catheter has numerous holes in order to facilitate the infusion of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can be performed after a short training period and this can be done anywhere in a clean private place like hotels, home and even in office

Procedure followed during Peritoneal Dialysis 

All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections. 

Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheter and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen 
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time 
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when an adequate amount of fluid is drained. 
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing. 
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution. 

Make sure you perform without giving way for infection by following the procedure.

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11 Best Fruits That Are Low In Sugar Content!

General Physician, Nashik
11 Best Fruits That Are Low In Sugar Content!

The first commandment of healthy living is to eat plenty of fresh fruits. However, did you know that some fruits are healthier than others? Fruits do not have any added sugars but many fruits are rich in natural sugar. Lychees, figs, and avocados are three such fruits and should be consumed in limited amounts. However, here are 11 fruits with the lowest sugar content.

  1. Limes and lemons: Limes and lemons are known as sour fruits. While they are rich in vitamin C, they do not contain a lot of sugar. Freshly squeezed lime juice and hot water are the perfect drink to curb your appetite and raise metabolism.
  2. Raspberries: Raspberries are rich in fiber but have only a little more than a teaspoon of sugar per cup. This makes them the perfect fruit to start the day with.
  3. Strawberries: Strawberries may taste sweet but a cup of fresh strawberries that only about 7 grams of sugar. However, a cup of strawberries has enough vitamin C to take care of your daily requirements.
  4. Blackberries: A cup of these berries also has minimal sugar. Along with fiber, these fruits are also rich in antioxidants. These berries also help lower the risk of type 2 diabetes, cardiovascular diseases, and other such conditions.
  5. Kiwi: Did you know that kiwis are technically berries? Each kiwi has less than 6 grams of sugar but is very rich in vitamin C.
  6. Grapefruit: A grapefruit is a perfect breakfast. These citrus fruits are rich in fiber and low in sugar. Half a grapefruit contains only 52 calories and minimal sugar. They are also rich in vitamin A, vitamin C, and potassium.
  7. Avocado: Avocados are naturally low in their sugar content. One raw avocado has less than a gram of sugar. However, they are full of vitamin C, vitamin K, folate, and potassium.
  8. Watermelon: Summer would be incomplete without watermelons. Though they taste sweet, watermelons are very low in sugar. A cup of watermelon has less than 10 grams of sugar.
  9. Cantaloupe: Cantaloupes are rich in vitamin A but a cup of this fruit has only about 14 grams of sugar. They are also rich in vitamin B, magnesium and fiber.
  10. Oranges: Eating an orange is the best way to boost our vitamin C levels and keep infections away. One orange typically contains less than 70 calories and 12 grams of sugar.
  11. Peaches: A medium sized peach has less than 13 grams of sugar. This is an example of how taste can be deceptive when it comes to calories.

Given the sugar content in these fruits, it would be a great idea for the diabetics and weight watchers to include them in their diet and have a healthy and hearty meal. If you wish to discuss about any specific problem, you can consult a General Physician.

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Foot Pain Due To Diabetes - 6 Ways To Deal With It!

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Foot Pain Due To Diabetes - 6 Ways To Deal With It!

If you have numbness or tingling sensation in your feet, then you could be suffering from diabetic peripheral neuropathy. It can have an impact on your sleep, mood and overall quality of life. Besides taking the prescribed medications, there are effective ways of dealing with foot pain stemming from high blood sugar as explained below.

  1. Taking over-the-counter medicines: Medicines such as aspirin, naproxen, acetaminophen and ibuprofen can help to serve mild to moderate pain stemming from diabetic nerve damage. But before taking these medicines, you should consult with an expert since they can raise the risk of heart attack and kidney problems.
  2. Quit smoking: Smoking may cause the blood vessels to constrict and impair the circulation. This indicates that the peripheral nerves will not get an adequate amount of nutrient-rich blood which can pave the way for more pain.
  3. Have control over your blood sugar levels: With the passage of time, the excess blood sugar levels can cause damage the peripheral nerves. When you have blood sugar levels within a healthy range, you can substantially reduce your risk of nerve damage. You should eat a lot of fruits and vegetables and low-fat dairy and whole grains.
  4. Take more Vitamin D: Even though it is hard to get the desired 600 IU of this vitamin from food, you can get it in the form of supplement. A study found that people with diabetic neuropathy can take the supplement once in a week to curb the symptoms of feet pain. Vitamin B complex plays a crucial role in improving nerve health. You should get it in right amounts so that the brain can produce certain chemicals which are required for sending information through the body channels.
  5. Take Alpha-lipoic acid supplement: The human body has the natural ability to produce little amounts of antioxidants. When you take them in recommended quantities it can regulate the blood sugar levels and ease the pain in the feet and palms. A per a study, people taking more than 600 milligrams of antioxidants on a regular basis experienced 19 percent improvement in the diabetic neuropathy symptoms within 5 weeks.
  6. Indulge in daily workouts: Regular workout can help you to combat pain in a variety of ways. It can regulate the blood sugar levels and slow down nerve damage. Exercise can surge the flow of blood to the legs and arms and it can also enliven your mood and offer relief from stress.

Note that a nerve damage can lead to loss of sensation in the feet which means that you may not realize any cut or scratch in your feet until much later which could prove fatal. Hence it is essential for you to prevent the loss of sensation. Using the methods suggested above you can deal with the foot pain related to diabetes.

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Enlarged Prostate Surgery - What To Expect?

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Enlarged Prostate Surgery - What To Expect?

Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.

What is Radical Prostatectomy?

This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed. The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.

How To Recover From The Surgery?

Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days. Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.

Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly.

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Hello Doctors, I am having a deficiency of Vitamin D3. How shall I overcome this by including any specific diet? Is it good to take supplements for this? If yes, those which are available in Amazon/Flipkart are worth buying? Will it be having any side effects which I have to take care? Please advise. Regards Shyamjith.

MBBS, MD - General Medicine, Diploma in Cardiology
General Physician, Delhi
Hello Doctors, I am having a deficiency of Vitamin D3. How shall I overcome this by including any specific diet? Is i...
The most effective treatment is either a intramuscular injection every 4-5 months or syrup. Depura 60k 1ce a week x 12 weeks no other supplement is required please avoid them ALWAYS CONSUME LIQUID FORM OF D3.
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As per my previous question how to gain weight, I was suggested to eat a diet with protein but I am a vegetarian. So I can't eat meat, fish ,egg and chicken also. What are the other things which contain protein, I should eat?

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
As per my previous question how to gain weight, I was suggested to eat a diet with protein but I am a vegetarian. So ...
You can take all milk and milk products, pulses, sprouts, nuts, tofu, rajmah, chole, soyabean, paneer etc. Ask me privately for customized diet plan for you.
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Management and Diagnosis of Asymptomatic Neoplastic Pancreatic Cysts

MBBS, M.S., MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist, Agra
Management and Diagnosis of Asymptomatic Neoplastic Pancreatic Cysts

The diagnosis as well as management of pancreatic cystic lesions is a general problem. Nearly 1% of the patients in the chief medical centers have been observed to have pancreatic cystic lesions on cross sectional imaging. It has also been observed that a quarter of all pancreas scanned in an autopsy series contain pancreatic cysts. Earlier, these cystic lesions were regarded benign but with increasing evidence made available from the cystic lesions, they are regarded as origin of pancreatic malignancies.

Information on Asymptomatic Neoplastic Pancreatic Cysts: The most vital medical tools that are used in the diagnosis and management of pancreatic cystic lesions include the endoscopic ultrasound and cross sectional imaging. These are used to distinguish non-mucinous cysts from mucinous cysts. The identification of pancreatic cysts creates a lot of anxiety for the clinicians as well as the patients related to the probable presence of a fatal tumor. The findings of a macro cystic lesion that enclose viscous fluid loaded in CEA are helpful in the analysis of a mucinous lesion. 

The most common pancreatic cysts are the non-neoplastic inflammatory pseudo cysts, and they can be detected easily by imaging. The identification of pancreatic irregularity with probable association with malignant cells is a vital source of referral for the specialist. The set of guidelines that have been proposed for the management and diagnosis of patients with asymptomatic neoplastic pancreatic cysts are based specifically on the analysis of the quality of the data. It is also designed to address the most important and frequent clinical scenarios. The diagnostic suggestions are provided based on the clinical problem as well as the risk of malignancy.

Imperative Guidelines to Follow: To achieve accurate diagnosis of asymptomatic neoplastic pancreatic cysts is indeed a great challenge. It is all the more important to find the reproducible methods that can be used to stratify threat of cancer for the patients. The main guidelines include a two year screening interval of cysts that can be of any size as well as stopping observation after 5 years, in case there is no change.  The new guidelines, for the most part, recommend surgery if more than one concerning feature is confirmed on the MRI by use of endoscopic ultrasound. The new guidelines even suggest discontinuation of inspection after the surgery if no dysplasia or invasive cancer is identified. The guidelines have mainly been developed by use of Grading of Recomendations Assessment, Development and Evaluation.

Uterine Prolapse - 8 Risk Factors

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Chandigarh
Uterine Prolapse - 8 Risk Factors

The uterus, or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina, or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.

Healthy Habits - Why They Are A Must?

Post Graduate Diploma in Holistic Healthcare, PG Diploma Clinical research, Diploma in Medical Writing, MSc Biotechnology
Dietitian/Nutritionist, Bangalore
Healthy Habits - Why They Are A Must?

Eating healthy food item like fruits, green leafy vegetables, salad etc. We have always been hearing this from our elders about how a healthy body is key to a healthy mind. Trying to define health in a sentence is possible, but not justifiable because it is an umbrella term for a lot of aspects of our life. Being healthy is that state of our existence where we are happy, content and at the epitome of our fitness. Life is too short to fret over things that make us unhappy, so taking decisions that would make us content mentally and physically is the first step to attaining a healthy lifestyle. Now, one could easily start a debate here stating how eating unhealthy food or indulging in unhealthy habits also make people happy. Yes, they do, but that is a momentary gratification and with one single life, it is essential to think long-term.

This article will have certain tips that could help an individual fall right on track if he/she wants to jumpstart their healthy lifestyle.

  1. Eating healthy food items, should not feel or look like restriction. It should be a mentality, a lifestyle rather than being a meaningless difficult regimen.
  2. In order to avoid unhealthy snacking, it would be a good idea to keep those kinds of food away from the visual arena.
  3. It is not necessary to entirely cut off the love for sweets. It would be great to eat strategic sweets like dark chocolate to fulfil the cravings and not feel guilty about it.
  4. Carrying homemade lunch is a very good idea to keep oneself away from unhealthy restaurant food. The best part about this is that a lot of money is saved.
  5. Proper strategies can definitely get us going. For example, the veggies we eat do not necessarily need to be tasteless. In fact, adding some spices or sauces (made from vinaigrette and different seasonings) can not only make the food taste great, but also help bring out the innovations inside us.
  6. One great way we can keep ourselves motivated is by talking about the dietary plans and goals with a friend and discussing the major healthy lifestyle changes that have already been taken care of.
  7. Keeping a journal about the progress and also rewarding oneself on reaching small goals are amazing ways to keep going.

There are numerous tips for a healthy lifestyle, but one important advice is to avoid alcohol and also other addictive substances like nicotine (which means smoking cigarettes). If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.

Amla Churna Ke Fayde In Hindi - आंवला चूर्ण के फायदे

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Amla Churna Ke Fayde In Hindi - आंवला चूर्ण के फायदे

कुदरत ने हमें कुछ ऐसी चीजों से नवाजा है जो अनाज की तरह हमारा पेट नहीं भरते और ना ही मसाले सब्जियों की तरह हमारे भोजन का स्वाद बढाते हैं, बल्कि वह तो औषधीय गुणों से परिपूर्ण होकर हमारे गलत खान-पान, अनहेल्दी लाइफस्टाइल के रिजल्ट में हुई शारीरिक तकलीफों से निजात दिलाने में हमारी मदद करता हैं जिनमें से एक है आंवला। जी हां आंवला में हैं कई बीमारियों से निपटने की शक्ति। आंवला में भरपूर मात्रा में एंटी ऑक्सीडेंट पाया जाता हैं। और आंवले  में पोटासियम , कार्बोहायड्रेट , फाइबर, प्रोटीन्स, विटामिन्स ‘ए’, ’बी काम्प्लेक्स, मैग्नीशियम, विटामिन ‘सी’, आयरन युक्त होने के साथ ही यह विटामिन ‘सी’ से भरपूर होता है।

आंवला चूर्ण, अचार जूस आदि किसी ना किसी रूप में लगभग हम सभी के घरों में मौजूद होता है। आंवला की सबसे बड़ी खासियत यह है कि इसे किसी भी रूप में खाया जाए यह अपने गुणों फायदा ही पहुंचाता है। हमारे यहां आंवले का चूर्ण खाने का काफी प्रचलन है क्योंकि इसे घर पर बनाना या बाहर से लाकर महीनों रखकर खाना किसी और तरीके से बेहतर है क्योंकि ना खराब होने की टेंशन ना ज्यादा महंगा जबकि इसके फायदे कई दूसरे ऑप्शन्स से कहीं ज्यादा महंगे हैं। आंवला चुर्ण के फायदों की लंबी फेहरिस्त है जिनमें से आज हम जानेंगे कुछ खास होने वाले स्वास्थ्य संबन्धी फायदों की।

शरीर के विभिन्न हिस्सों को आंवला चूर्ण से होने वाले लाभ 

1. मेटाबोलिज्म 
आंवला मेटाबोलिक क्रियाशीलता को बढाता हैं। मेटाबोलिज्म क्रियाशीलता से हमारा शरीर स्वस्थ और सुखी होता हैं। आवला भोजन को पचाने में बहुत मददगार साबित होता हैं खाने में अगर प्रतिदिन आवले की चटनी, मुरब्बा, अचार, रस, चूर्ण या चवनप्रास कैसे भी रोजमरा की जिन्दगी में शामिल करना चाहिए। इससे कब्ज की शिकायत दूर होती हैं पेट हल्का रहता हैं। रक्त की मात्रा में बढ़ोतरी होती हैं। खट्टे ढकार आना, गैस का बनाना, भोजन का न पचना, इत्यादि में 5 ग्राम आवला चूर्ण को पानी में भिगों कर सुबह शाम खाएं इससे अम्लीय पित्त के बुरे प्रभाव से छुटकारा मिलता हैं।

2. डायबिटीज
आवला में क्रोमियम तत्व पाया जाता हैं जो डायबिटिक के उपयोगी होता हैं। आवला इंसुलिन होरमोंस को को सुदृढ़ करता हैं और खून में सुगर की मात्रा को नियंत्रित करता हैं। क्रोमियम बीटा ब्लॉकर के प्रभाव को कम करता हैं, जो की ह्रदय के लिए अच्छा होता हैं ह्रदय को स्वस्थ बनाता हैं।आवला खराब कोलेस्ट्रोल को ख़त्म कर अच्छे कोलेस्ट्रोल को बनाने में मदद करता हैं। डायबिटिक आंवले को चूर्ण, जूस या किसी न किसी रूप में अपनी दिनचर्या में शामिल करें। 

3. पीरियड्स प्रॉब्लम
महिलाओं में पीरियड्स संबन्धी पीरियड्स देर से आना, ज्यादा ब्लीडिंग होना, जल्दी जल्दी पीरियड्स आना, कम आना, पेट में दर्द का होने जैसी कई समस्यां होती रहती हैं। इसलिए उन महिलाओं को यह जानना काफी जरूरी है कि अब चिंता ना करें क्योंकि आंवला के सेवन से वे इन तकलीफों से राहत पा सकती हैं। दरसल आवला में मिनिरल्स, विटामिन्स पाया जाता हैं जो महावारी में बहुत आराम दिलाता हैं इसलिए नियमित रूप से आप आंवला और खासकर चूर्ण का सेवन करना शुरू कर दें इससे आपको महावारी की समस्याओ से छुटकारा मिल जाएगा।

4. प्रजनन समस्या
आंवला प्रजनन के लिए बहुत ही उत्तम हैं महिलाओ और पुरुषो के लिए आंवला के सेवन से पुरुषो में शुक्राणु की क्रियाशीलता और मात्रा बढती हैं और महिलाओं में अंडाणु अच्छे और स्वस्थ बनते हैं साथ ही माहवारी नियमित हो जाती हैं। इस तरह दोनों को ही अपनी प्रजनन क्षमता में सुधार और दोषमुक्त करने के लिए नियमित आंवला चूर्ण का सेवन करना चाहिए।

5. हड्डियों की मजबूती 
आंवला के सेवन से हड्डियाँ मजबूत और ताकत मिलती हैं। आंवला के सेवन से ओस्ट्रोपोरोसिस और आर्थराइटिस एवं जोरो के दर्द में भी आराम दिलाती हैं। इए रोजाना आंवला चूर्ण खाने की आदत डालें।

6. तनाव से मुक्ति
आमला खाने से तनाव में आराम मिलता हैं अच्छी नींद आती हैं। आवला के तेल को बालों के जड़ों में लगाया जाये तो कलर ब्लाइंडनेस से छुटकारा मिलता हैं।सर को ठडा रखता हैं।और राहत देता हैं। इसलिए अपनी दिनचर्या में आंवला चूर्ण को स्थान दें।

7. हार्ट प्रॉब्लम
आवला हमारे ह्रदय के मांसपेशियों के लिए उत्तम होता हैं। आमला हमारे ह्रदय को स्वस्थ बनाने में कारगर हैं।आमला ह्रदय की नालिकाओ में होने वाली रुकावट को ख़त्म करता हैं।खराब कलेस्ट्रोल को ख़त्म कर अच्छे कलेस्ट्रोल को बनाने में मदद करता हैं।।आवला में एंटी ऑक्सीडेंट तत्व प्रचुर मात्रा में पाया जाता हैं। जो शरीर में फ्री रेडिकल को बनाने ही नहीं देता।एंटी ऑक्सीडेंट के रूप में एमिनो एसिड और पेक्टिन पाए जाते हैं।जो की कलेस्ट्रोल को नहीं बनाने देता हैं और ह्रदय की मांशपेशियों को मजबूती देता हैं।आवला का रस या चूर्ण रोजाना ग्रहण करना काफी फायदेमंद है।

8. आँखों 
आंवला का चूर्ण आँखों के लिए बहुत फायदेमंद हैं। आंवला आँखों की दृष्टी को या ज्योति को बढाता हैं। मोतियाबिंद में, कलर ब्लाइंडनेस, रतोंधी या कम दिखाई पड़ता हो तो भी आंवला का सेवन किसी भी रूप में करें लाभ होगा। आखों के दर्द में भी काफी फायदा होता हैं।

9. संक्रमण से सेफ्टी 
आंवला में बक्टेरिया और फंगस से लड़ने की क्षमता होती हैं और ये बाहरी बीमारियों से भी हमें बचाती हैं। आंवला शरीर को पुष्ट कर उसे रोगप्रतिरोधक क्षमता को बढाती हैं, और टोक्सिन को यानी विषाक्त प्रदार्थ को हमारे शरीर से निकाल देती हैं। आंवला अल्सर, अल्सरेटिव, कोलेटीस, पेट में संक्रमण, जैसे विकार को  खत्म करता हैं। आंवला का रस या पाउडर रोजाना लेने से बहुत फायदा होता हैं।

10. वजन घटाए
आंवला के रस का सेवन करने से वजन कम करने में मदद मिलती हैं। आंवला हमारे मेटाबोलिज्म को तेज कर वजन कम करने में मदद करती हैं। आंवला के सेवन से भूख कम लगती हैं और काफी देर तक पेट भरा हुआ रहता हैं। 

11. नकसीर
अगर किसी को नकसीर की तकलीफ हैं तो उन्हें आवला का सेवन करते रहना चाहिए। रोजाना एक चम्मच आंवला पाउडर को पानी में मिलाकर पीने से नाक से खून आने की आदत से आराम मिलता है।

12. उग्रता व उत्तेजना से आराम
आंवला  के सेवन से हमेशा आने वाले उत्तेजना से शांति मिलती हैं, अचानक से पसीना आना, गर्मी लगना, धातु के रोग, प्रमेय, प्रदर, बार बार कामुक विचार का आना इत्यादि चीजों से आराम दिलाता हैं।इसलिए रोज आंवला चूर्ण की खुराक लें।

13. उल्टी या वमन से राहत
आंवला का पाउडर और शहद का सेवन करें या आवला के रस में मिश्री मिलाकर सेवन करने से उल्टियों का आना बंद हो जाता हैं।

14. रोग प्रतिरोध 
आंवले में एंटी ओक्सिडेंट होते हैं जो शरीर की रोगप्रतिरोधक क्षमता को बढाता है और ये मौसम में होने वाले बदलाव के कारण होने वाले वाइरल संक्रमण से भी बचाता है। इसलिए आंवला चूर्ण का भरपूर सेवन करें।

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