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Dr. Ritez Kumar is the best doctor I have ever known. I have visited him a few times and his advice has helped me immensely. Highly recommended!
Dr Ritez Kumar is one of the best doctors I have ever consulted. His advice has helped me a lot and I would highly recommend him..
I found the answers provided by the Dr. Ritez Kumar to be very helpful, knowledgeable, thorough, well-reasoned and sensible.
sir thank you very much for your quick advice upon my querry it was really very helpful to my wife
Vishnu Shankar Lahase
Dr. Ritez Kumar provides answers that are very helpful. Your answer satisfied me thanks
I found the answers provided by the Dr. Ritez Kumar to be very helpful. Thank you sir!!
I found the answers provided by the Dr. Ritez Kumar to be very helpful. very helpful
Dr. Ritez Kumar provides answers that are caring. I like advice given for uric acid
I found the answers provided by the Dr. Ritez Kumar to be very helpful. Good answer
I found the answers provided by the Dr. Ritez Kumar to be very helpful.
Dr. Ritez Kumar provides answers that are very helpful. Thanxxc dr
Absolutely right treatment for my complicated diabetes
Trouble in urine passing feeling so much pain during peeing. Feeling something is stuck while doing pee.
Food is one of the most common ways of getting an infection, and so the stomach is more prone to infections than other body parts. Whether it is eating raw or uncooked foods or unhygienic foods, the stomach bears the brunt of one’s bad food practices. The only consoling factor is that it is equally easy to treat a stomach infection if some simple measures are adhered to.
Read on to know some of the easiest and most effective ways to treat a stomach infection.
- Drink it right: What you drink and how you drink makes a lot of difference to the way your stomach infection will respond. The vomiting, diarrhoea and sweating is robbing the body of a lot of fluids, and so replenishing this fluid along with minerals is very essential. Ensure you drink a lot of clear liquids like water, coconut water, clear soups, sports drinks, and other energy drinks. Electrolyte replacement can be added to improve their efficacy. Herbal teas like ginger tea and peppermint tea are highly recommended to soothe the stomach too. At the same time, avoid caffeine, strong black tea, alcohol, and chocolate as they are detrimental to the already affected stomach.
- Eat right: Even on a regular basis, you are what you eat. So, when your stomach is already infected, eating right assumes a lot more importance. Go easy on the stomach and give it something easy to digest, yet of high nutritional value. Banana, rice, apple, and toast (abbreviated as BRAT) is very easy and packs in good nutrition for the recovering stomach. Avoid a lot of fibres, fatty foods, greasy foods, sugars, and dairy products which are hard for the stomach to digest. Eat small meals, but eat a lot more frequently than you otherwise would.
- Rest well: With the body losing a lot of fluids and nutrition along with it, the body would naturally feel very tired and fatigued. Let the body run its course, and give it the rest it demands. In the next couple of days, once the virus has run its course, this will resolve.
- Medications: Stomach infection is usually caused by a virus, and so antibiotics do not play a curative role here. However, if you have high fever or body aches, Tylenol or acetaminophen can be used sparingly. If diarrhoea or vomiting is severe, loperamide or promethazine can also be used. However, this should be substituted with sufficient rest and nutrition (solid and liquids).
If these are not helping and you are not able to keep the food down, visit the doctor. Sometimes, a day or two in the hospital may be required for complete cure and recovery.
Hypertension or high blood pressure is very common disease. One is labeled as having hypertension when the patient's BP is more than 140/90.
Hypertension is of generally 2 types.
- Essential hypertension: No particular reason is found. This is the most common type And usually due to life style habits.
- Secondary hypertension: Here the BP goes up because of some other disease And once the main disease is treated the bp also becomes better.
Some causes of secondary hypertension are
- Kidney diseases
- Hormonal problems like thyroid disease, cushing's syndrome
- Certain medications
- Some rare tumors like adrenal tumors, pheochromocytoma etc.
- Alcohol abuse
- Drug addictions
Uncontrolled hypertension for long period can cause life threatening diseases like
- Heart attack.
- Paralysis due to brain stroke
- Kidney failure
Treatment consists of two parts.
- Lifestyle changes
Lifestyle changes include
- Low salt diet
- Eating fresh fruits and salads as at least one third of you diet as these are rich in potassium which helps to maintain low blood pressure.
- Exercise daily, such as walking for at least 45 minutes everyday.
- That would depend whether you have essential or secondary hypertension.
- In essential hypertension, No one medicine is for all. Your doctor will individualize the medicines as per your blood pressure, your blood report results and any Co existing disease like diabetes or kidney problem etc.
Goal of treatment
- Is to keep your blood pressure below 130/80 at all times And to prevent complications.
- Remember hypertension is deadly. However it can be easily managed. Lifestyle changes And medications complement each other. They do not substitute each other.
- With proper individualization of lifestyle changes And medications you can enjoy a normal and healthy life. If you wish to discuss about any specific problem, you can consult a general physician.
Diabetes has become a modern lifestyle disease. Younger age groups are affected by it, and with changing lifestyles, it is only poised to get worse. While this may sound scary, the news to cheer about is that it can be controlled to a large extent. By making lifestyle changes, altering diet, and improving foot care, diabetes control can be planned effectively. Both the onset of the disease and disease progression and complications can be controlled to a large extent.
Read on to know some changes in terms of lifestyle, diet and foot care to improve diabetes:
- Diet: You are what you eat, so it is advisable that you plan your meal carefully. Eat healthy and you will stay healthy. Include a lot of fiber in the form of whole grains, fresh fruits and vegetables. Reduce oils, sugar, salt, white rice, refined flour, etc. Increase unsaturated fatty acids and reduce saturated fatty acids. Ensure you get the right amount of antioxidants, vitamins, and minerals. Ensure ample hydration for the body. Get into a pattern of eating small, frequent meals and avoid binge eating. This goes a long way in controlling sugar levels in the body.
- Lifestyle: Engage in exercise, both to keep your weight under control and to improve the function of insulin. This also helps to keep body fat under control. Talk to your doctor about what routine would work for you. Whether it is jogging, running, cycling, swimming or plain walking, take a pick and regularly do it. Your goal should be to spend 30 to 45 mins every day on brisk walking (at least 5 days a week). This helps the function of insulin and also helps in reducing complications arising from diabetes. If you are a smoker, this is the time to quit – the hazards and the benefits are way too many. A healthy lifestyle with exercise also helps to manage stress, as the exercise helps in stress management and weight management too. Reduced severity of diabetes induces a feeling of well-being too.
- Foot care: One of the main complications of diabetes is known as diabetic neuropathy, where the nerves are affected. There is loss of sensation in the extremities and therefore a blister or a corn on the foot can go unnoticed and continue to grow. This may develop into an ulcer, which may then require extensive repair and heal at a slow pace because of diabetes. Diabetic people are advised to watch and wash the feet regularly, dry it nicely, watch between the toes, keep the toenails trimmed, smoothen out the calluses and corns, and use proper footwear. Go for foot exams once in six months or a year. Any small wound should be attended to by the doctor.
These are some simple ways to combat diabetes, which can be planned into your daily routine.
Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are:
- Chronic cough with or without sputum.
- Fever more in the night time.
- Poor appetite.
- Unintentional weight loss.
Read on to know about other common causes of chronic cough and how to manage them.
- Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
- Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
- Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
- Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
- Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
- Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
When was the last time you got vaccinated.
Probably when you were a kid. Or after an injury you might have got a tetanus shot.
However with evolving medicine vaccinations in adults have a major role to play.
Who should take what?
Well that depends on what other diseases you have like diabetes or respiratory conditions or kidney disease or liver disease etc.
However routine adult vaccinations that almost any adult should take are
1. Seasonal influenza vaccine or flu shot. This saves you against swine flu and 2 other common influenza virus strains.
Frequency- once a year
2. Typhoid vaccine - it has been around for some time. But there is a newer version. Which has much more effectiveness in preventing typhoid.
Frequency-once in 3 yrs
3. Pneumococcal vaccine- the newer vaccine prevents you against multiple strains of pneumococci and as the name suggests it will prevent you from severe pneumonia.
Frequency-once in a life time.
4. Hepatitis b- if you have not taken it already then this the time to take. Prevents against hepatitis b. If hepatitis b occurs it can cause chronic liver disease and even liver cancer. The disease can even be spread by sexual routes or contaminated blood transfer. It is about thousand times more easily spread than compared to HIV.
Frequency - 0, 1, 6 months. Booster dose after 10 yrs.
In conclusion as we all know-how prevention is better than cure.
Upcoming vaccine-dengue vaccine, very eagerly awaited.