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Sukhda Hospital

General Physician Clinic

Shopping Centre, Near R - Block,Landmark : Near Harkishan Public School, Delhi Delhi
1 Doctor · ₹800
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Sukhda Hospital General Physician Clinic Shopping Centre, Near R - Block,Landmark : Near Harkishan Public School, Delhi Delhi
1 Doctor · ₹800
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Sukhda Hospital
Sukhda Hospital is known for housing experienced General Physicians. Dr. N. Bhardwaj, a well-reputed General Physician, practices in Delhi. Visit this medical health centre for General Physicians recommended by 72 patients.

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MON-SAT
09:00 AM - 11:00 AM

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Shopping Centre, Near R - Block,Landmark : Near Harkishan Public School, Delhi
Delhi, Delhi
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Dr. N. Bhardwaj

General Physician
800 at clinic
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Hives!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Hives!

Hives, also known as urticaria, is a kind of skin rash with red, raised, itchy bumps. They may also burn or sting. Often the patches of rash move around. Typically they last a few days and do not leave any long-lasting skin changes. Fewer than 5% of cases last for more than six weeks. the condition frequently recurs.

Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. Psychological stress, cold temperature, or vibration may also be a trigger. In half of cases the cause remains unknown. risk factors include having conditions such as hay fever or asthma.diagnosis is typically based on the appearance. Patch testing may be useful to determine the allergy

Prevention is by avoiding whatever it is that causes the condition. treatment is typically with antihistamines such as diphenhydramine and ranitidine. in severe cases, corticosteroids or leukotriene inhibitors may also be used. keeping the environmental temperature cool is also useful. for cases that last more than six weeks immunosuppressants such as ciclosporin may be used.

About 20% of people are affected. cases of short duration occur equally in males and females while cases of long duration are more common in females. cases of short duration are more common among children while cases of long duration are more common among those who are middle aged. hives have been described at least since the time of hippocrates. the term urticaria is from the latin urtica meaning" nettle. 

Sign n symptoms

Welts (raised areas surrounded by a red base) from hives can appear anywhere on the surface of the skin. Whether the trigger is allergic or not, a complex release of inflammatory mediators, including histamine from cutaneous mast cells, results in fluid leakage from superficial blood vessels. Welts may be pinpoint in size, or several inches in diameter.

Angioedema is a related condition (also from allergic and nonallergic causes), though fluid leakage is from much deeper blood vessels in the subcutaneous or submucosal layers. Individual hives that are painful, last more than 24 hours, or leave a bruise as they heal are more likely to be a more serious condition called urticarial vasculitis. Hives caused by stroking the skin (often linear in appearance) are due to a benign condition called dermatographic urticaria.

Cause-

Hives can also be classified by the purported causative agent. Many different substances in the environment may cause hives, including medications, food and physical agents. In perhaps more than 50% of people with chronic hives of unknown cause, it is due to an autoimmune reaction.

Medications- Drugs that have caused allergic reactions evidenced as hives include codeine, sulphate of morphia, dextroamphetamine, aspirin, ibuprofen, penicillin, clotrimazole, trichazole, sulfonamides, anticonvulsants, cefaclor, piracetam, vaccines, and antidiabetic drugs. The antidiabetic sulphonylurea glimepiride, in particular, has been documented to induce allergic reactions manifesting as hives. Drug-induced hives has been known to have an effect on severe cardiorespiratory failure.[medical citation needed]

Food- The most common food allergies in adults are shellfish and nuts. The most common food allergies in children are shellfish, nuts, eggs, wheat, and soy. One study showed balsam of peru, which is in many processed foods, to be the most common cause of immediate contact urticaria. A less common cause is exposure to certain bacteria, such as streptococcus species or possibly helicobacter pylori. Infection or environmental agent 

Hives including chronic spontaneous hives can be a complication and symptom of a parasitic infection, such as blastocystosis and strongyloidiasis among others.The rash that develops from poison ivy, poison oak, and poison sumac contact is commonly mistaken for urticaria. This rash is caused by contact with urushiol and results in a form of contact dermatitis called urushiol-induced contact dermatitis. Urushiol is spread by contact, but can be washed off with a strong grease- or oil-dissolving detergent and cool water and rubbing ointments.

Dermatographic urticaria 

Dermatographic urticaria (also known as dermatographism or" skin writing") is marked by the appearance of weals or welts on the skin as a result of scratching or firm stroking of the skin. Seen in 4–5% of the population, it is one of the most common types of urticaria, in which the skin becomes raised and inflamed when stroked, scratched, rubbed, and sometimes even slapped.

The skin reaction usually becomes evident soon after the scratching, and disappears within 30 minutes. Dermatographism is the most common form of a subset of chronic hives, acknowledged as" physical hives.

It stands in contrast to the linear reddening that does not itch seen in healthy people who are scratched. In most cases, the cause is unknown, although it may be preceded by a viral infection, antibiotic therapy, or emotional upset. Dermographism is diagnosed by taking a tongue blade and drawing it over the skin of the arm or back. The hives should develop within a few minutes. Unless the skin is highly sensitive and reacts continually, treatment is not needed. Taking antihistamines can reduce the response in cases that are annoying to the patient.

Pressure or delayed pressure 

This type of hives can occur right away, precisely after a pressure stimulus or as a deferred response to sustained pressure being enforced to the skin. In the deferred form, the hives only appear after about six hours from the initial application of pressure to the skin. Under normal circumstances, these hives are not the same as those witnessed with most urticariae. Instead, the protrusion in the affected areas is typically more spread out. The hives may last from eight hours to three days. The source of the pressure on the skin can happen from tight fitted clothing, belts, clothing with tough straps, walking, leaning against an object, standing, sitting on a hard surface, etc. The areas of the body most commonly affected are the hands, feet, trunk, abdomen, buttocks, legs and face. Although this appears to be very similar to dermatographism, the cardinal difference is that the swelled skin areas do not become visible quickly and tend to last much longer. This form of the skin disease is, however, rare.

Cholinergic or stress 

Main article: cholinergic urticaria
Cholinergic urticaria (cu) is one of the physical urticaria which is provoked during sweating events such as exercise, bathing, staying in a heated environment, or emotional stress. The hives produced are typically smaller than classic hives and are generally shorter-lasting.[13][14]

Multiple subtypes have been elucidated, each of which require distinct treatment.[15][16]

Cold-induced 

Further information: chronic cold urticaria
The cold type of urticaria is caused by exposure of the skin to extreme cold, damp and windy conditions; it occurs in two forms. The rare form is hereditary and becomes evident as hives all over the body 9 to 18 hours after cold exposure. The common form of cold urticaria demonstrates itself with the rapid onset of hives on the face, neck, or hands after exposure to cold. Cold urticaria is common and lasts for an average of five to six years. The population most affected is young adults, between 18 and 25 years old. Many people with the condition also suffer from dermographism and cholinergic hives.

Severe reactions can be seen with exposure to cold water; swimming in cold water is the most common cause of a severe reaction. This can cause a massive discharge of histamine, resulting in low blood pressure, fainting, shock and even loss of life. Cold urticaria is diagnosed by dabbing an ice cube against the skin of the forearm for 1 to 5 minutes. A distinct hive should develop if a patient suffers cold urticaria. This is different from the normal redness that can be seen in people without cold urticaria. Patients with cold urticaria need to learn to protect themselves from a hasty drop in body temperature. Regular antihistamines are not generally efficacious. One particular antihistamine, cyproheptadine (periactin), has been found to be useful. The tricyclic antidepressant doxepin has also been found to be an effective blocking agent of histamine discharge. Finally, a medication named ketotifen, which keeps mast cells from discharging histamine, has also been employed with widespread success.Solar urticaria 

Solar urticaria-
This form of the disease occurs on areas of the skin exposed to the sun; the condition becomes evident within minutes of exposure.

Water-induced 

Water urticaria- 
This type of urticaria is also termed rare, and occurs upon contact with water. The response is not temperature-dependent and the skin appears similar to cholinergic form of the disease. The appearance of hives is within one to 15 minutes of contact with the water, and can last from 10 minutes to two hours. This kind of hives do not seem to be stimulated by histamine discharge like the other physical hives. Most researchers believe this condition is actually skin sensitivity to additives in the water, such as chlorine. Water urticaria is diagnosed by dabbing tap water and distilled water to the skin and observing the gradual response. Aquagenic urticaria is treated with capsaicin (zostrix) administered to the chafed skin. This is the same treatment used for shingles. Antihistamines are of questionable benefit in this instance, since histamine is not the causative factor.

Chizzola maculae is a very specific skin lesion due to fluoride exposure. The size of a coin, these lesions may resemble small blue bruises or be wholly pink. Doctors george waldbott and v. A. Cecilioni named the lesions after a town in italy, where they were common in young women and children. According to waldbott, chizzola maculae are early symptoms of fluoride intoxication.

Exercise 

The condition was first distinguished in 1980. People with exercise urticaria (eu) experience hives, itchiness, shortness of breath and low blood pressure five to 30 minutes after beginning exercise. These symptoms can progress to shock and even sudden death. Jogging is the most common exercise to cause eu, but it is not induced by a hot shower, fever, or with fretfulness. This differentiates eu from cholinergic urticaria.

Eu sometimes occurs only when someone exercises within 30 minutes of eating particular foods, such as wheat or shellfish. For these individuals, exercising alone or eating the injuring food without exercising produces no symptoms. Eu can be diagnosed by having the patient exercise and then observing the symptoms. This method must be used with caution and only with the appropriate resuscitative measures at hand. Eu can be differentiated from cholinergic urticaria by the hot water immersion test. In this test, the patient is immersed in water at 43 °c (109.4 °f). Someone with eu will not develop hives, while a person with cholinergic urticaria will develop the characteristic small hives, especially on the neck and chest.

The immediate symptoms of this type are treated with antihistamines, epinephrine and airway support. Taking antihistamines prior to exercise may be effective. Ketotifen is acknowledged to stabilise mast cells and prevent histamine release, and has been effective in treating this hives disorder. Avoiding exercise or foods that cause the mentioned symptoms is very important. In particular circumstances, tolerance can be brought on by regular exercise, but this must be under medical supervision

 Diagnosis-

The cause of chronic hives can rarely be determined. In some cases regular extensive allergy testing over a long period of time is requested in hopes of getting new insight. No evidence shows regular allergy testing results in identification of a problem or relief for people with chronic hives.[29][30] regular allergy testing for people with chronic hives is not recommended.

Acute versus chronic 

Acute urticaria is defined as the presence of evanescent wheals which completely resolve within six weeks. Acute urticaria becomes evident a few minutes after the person has been exposed to an allergen. The outbreak may last several weeks, but usually the hives are gone in six weeks. Typically, the hives are a reaction to food, but in about half the cases, the trigger is unknown. Common foods may be the cause, as well as bee or wasp stings, or skin contact with certain fragrances. Acute viral infection is another common cause of acute urticaria (viral exanthem). Less common causes of hives include friction, pressure, temperature extremes, exercise, and sunlight.
Chronic urticaria (ordinary urticaria) is defined as the presence of evanescent wheals which persist for greater than six weeks. Some of the more severe chronic cases have lasted more than 20 years. A survey indicated chronic urticaria lasted a year or more in more than 50% of sufferers and 20 years or more in 20% of them.
Acute and chronic hives are visually indistinguishable.

Homeopathic remedies- 

  • Apis mell: The hives consist of isolated patches that are painful, tender, itch at night, feel like bee stings, become purple. There is burning pain, slight fever, and warmth of the surrounding skin. It is worsened by changing weather and exercise, causing severe itching and burning. The patient may already have asthma.
  • Arsenic album: The urticaria is caused by eating shellfish and causes burning and restlessness. The condition gets worse being at the seaside and by getting into sea water. Arsenic is also useful to treat urticarial symptoms during the recession of the lesions. The person also could be down emotionally with depression, despair, indifference and irritability. If the lesions are more severe, the restlessness is also severe. It is worse after midnight, from 1 to 2 a. M.
  • Rhus toxicodendron: Prepared from the leaves and bark of the plant poison ivy, rhus works on multiple body systems including skin, joints, eyes, extremities, and overall vitality. In addition to urticaria, it is also used in cellulitis, arthritis, fevers, etc. It is effective if the urticaria has a burning sensation, inflamed reddened rash that is worsened by cold and improved by warmth.
  • Urtica urens: Made from a plant called stinging nettle, which itself has a tendency to produce urticaria, it is used when there is urticaria from bee stings or after eating shellfish. The lesions are red with severe burning and itching, recurring every year, could be associated with weather changes.
  • Natrum muriaticum: The common salt sodium chloride is potentized, and its inner healing power activated. It is used for chronic urticaria, where the lesions develop after severe irritation
  • Dulcamara: The lesions develop followed a general prickly sensation setting in and at night when it is cold and damp. The hives are irregular white patches surrounded by a red area that itch badly. The hives are associated with violent cough, swelling of the lymph nodes, fever, restlessness, sleeplessness, decreased appetite, nausea, vomiting, bitter taste, and intense aching in pit of stomach. 

Premature Ejaculation!

Doctor In Unani Medicine(D.U.M.B.I.M)
Sexologist, Delhi
Premature Ejaculation!

 

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it does not cause for concern. However, you might be diagnosed with premature ejaculation if you:

  • Always or nearly always ejaculate within one minute of penetration
  • Are unable to delay ejaculation during intercourse all or nearly all of the time
  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result
  • Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

Symptoms- 

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

Lifelong (primary)- Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.
Acquired (secondary)- Acquired premature ejaculation develops after you've had previous sexual experiences without ejaculatory problems.
Many men feel that they have symptoms of premature ejaculation, but the symptoms don't meet the diagnostic criteria for premature ejaculation. Instead, these men might have a natural variable premature ejaculation, which includes periods of rapid ejaculation as well as periods of normal ejaculation.

10 Unknown Facts About Tooth Whitening!

BDS, MDS Prosthodontics
Dentist, Bangalore
10 Unknown Facts About Tooth Whitening!

There is a myth that whitening erases all the damage they’ve done to their teeth over their lifetimes. The opposite is true — the better you’ve cared for your teeth, the greater the results. If you have kept up on your dental appointments, brushed and flossed regularly,  and avoided damage and discoloration, the whiter your teeth will appear after treatment.  

Too much whitening gel too fast will permanently damage teeth.  Over-whitening can make them look translucent or discolored 

Ultra-violet (UV) light is a frequency of light that works by accelerating the whitening gel to act faster.  This process is FDA regulated and only offered under dentist supervision. Caps and veneers will neither whiten nor stain.  Immediately after whitening (regardless of the product you use),  your teeth are more susceptible to restaining. The pores in your teeth are slightly more open and can more easily allow stains in.

 Teeth Whitening

Know Before You Go-If you have extrinsic discoloration (i.e. staining from things like coffee and tea) it can be removed by cleaning the teeth with professional teeth cleaning. Bleach will not work well on extrinsic discoloration. If you have intrinsic yellowing, no amount of stain-removing toothpaste can lighten the intrinsic color of the tooth. You’ll need to whiten your teeth using a bleaching gel that is held up against the teeth.

What we think & what happens actually 

After whitening treatment  it is completely normal for sensitivity to occur.  The teeth become temporarily dehydrated which reduces their ability to insulate the nerve from changes in temperature. Sensitivity will disappear 12-36 hours after whitening. To prevent soft tissue irritation use gingival barrier.

 

 

1 person found this helpful

I have piles problem since 1 months please suggest me treatment.In how much time piles problem is cured permanently by medicines.

BHMS
Homeopath, Noida
I have piles problem since 1 months please suggest me treatment.In how much time piles problem is cured permanently b...
Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation Maintain active life style Avoid fast foods, spicy n fried foods Drink lot of water. For this homeopathic treatment is very effective For more details you can consult me.
1 person found this helpful
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5 years back I suffered from tuberculosis. I was medicated. But even after complete treatment of it I have cough. I always sense some cough in my throat and there is vistling sound when I cough.

BHMS
Homeopath, Noida
It may be because of bronchitis or asthma or allergy 1. Do saline gargles daily. 2. Whenever possible do steam inhalation also. 3. Cover your nose and mouth with hanky for at least 30 sec when you go in dusty areas also when you go in and out of AC. As our nose is the most sensitive part of our body, When there is temperature difference between two rooms or inside n outside, then if we not protect our nose, it gets affected. 4. Drink Hot Liquids --Hot liquids relieve nasal congestion, prevent dehydration, and soothe the uncomfortably inflamed membranes that line your nose and throat. 5. Sleep With an Extra Pillow Under Your Head-- Elevating your head will help relieve congested nasal passages. If the angle is too awkward, try placing the pillows between the mattress and the box springs to create a more gradual slope. 6. Treat That Stuffy Nose With Warm Salt Water-- Salt-water rinsing helps break nasal congestion, while also removing virus particles and bacteria from your nose. 7. Blow Your Nose Often (and the Right Way)-- It's important to blow your nose regularly when you have a cold rather than sniffling mucus back into your head. But when you blow hard, pressure can carry germ-carrying phlegm back into your ear passages, causing earache. The best way to blow your nose: Press a finger over one nostril while you blow gently to clear the other. Homeopathic treatment has very encouraging results and gives relief in long term please ask for consultation with detailed information so that I can help you better.
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Aatif wife is not happy with him because she is not fully satisfied with him. His penis is slim nd small. In 2 min he is falling. After doing sex just 2 times, he is become to be tired. Now tell me, what he can do?

MD- Psychiatry
Psychiatrist, Aurangabad
Aatif wife is not happy with him because she is not fully satisfied with him. His penis is slim nd small. In 2 min he...
Penis size does not matter at all. To increase ejaculation time he needs to learn some techniques. Nothing to worry at all.
1 person found this helpful
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My wife wants to do sex but she is being scared of pain of loosing virginity I tried many times bt she can't please doctor help me out We want a baby We want to do sex with each other.

MD - Homeopathy
Homeopath, Hyderabad
My wife wants to do sex but she is being scared of pain of loosing virginity I tried many times bt she can't please d...
Your wife may be fearful o pain vaginismus is her condition use lubricants counsell her if still not helping her use homoeopathic medicine if you need that consult me at private chat.
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How do I recover from my P.C.O.D problem without taking much of medicines naturally. I went to the doctor and she advised me to take medicines for about 3 months. I want to recover it quickly without doing the 3 months course.

BHMS
Homeopath, Noida
How do I recover from my P.C.O.D problem without taking much of medicines naturally. I went to the doctor and she adv...
PCOD/PCOS is a common hormonal disorder in women which can lead to weight gain and irregular periods. While most women depend on pills to deal with it, these simple changes in your lifestyle will help you deal with the condition in a better way. 1. Nutritional approach: Deficiency of micronutrients contributes to insulin insensitivity and compromise ovarian function. So, •Completely stay away from processed/ refined cereals (which have a high glycemic index or GI). Switch to wheat, rice, jowar, ragi, barley (which have low GI) and enjoy your roti, parantha, pulao, biryani, dosa, poha, upma etc. •Eat an adequate amount of lean proteins like dal, milk, eggs, fish, yogurt, cheese, paneer, lassi, sprouted legumes. •Include good sources of omega-3 and omega-6 present in nuts, seeds, ghee, olives, coconut etc. Our body needs essential fatty acids for absorption of fat soluble vitamins like A, D, and E. •Alpha-lipoic acid improves glucose uptake in cells, promotes weight loss and improves the health of ovaries. It is found in flaxseeds, walnuts, spinach, broccoli, peas, Brussels sprouts etc. •Micronutrients like selenium, zinc, chromium, magnesium, niacin, and riboflavin improve sugar control and promote hormonal balance. These can be obtained from a variety of whole grains, nuts, green leaves, fresh fruits and veggies, egg, seafood etc. •Vitamin B12 is essential to support the function of ovaries. So include dairy (especially curd, paneer), eggs, seafood, and sprouted/fermented items. •Calcium in abundant supply helps to overcome premenstrual cramps. •Include supplements of above-mentioned nutrients as diet may not provide enough because their requirement is above normal. •Most importantly, eat local, seasonal, freshly prepared food items, stay away from food items that have long ingredient lists as they are 'processed' and have a number of additives (preservatives, artificial colors, flavor enhancers et al). 2. Exercise strategies: Regular workouts are non-negotiable. They are essential to burn off fat stores for hormonal balance and regular ovulation. A minimum of 150 minutes a week is recommended. Divide your time between strength training, cardio exercises and yoga for optimal results. Just like a diet, your exercise must be balanced too. 3. Sleep: Adequate sleep is non-negotiable too. Sleeping at a more or less fixed time every day and for an adequate number of hours is a prerequisite to keep hormones in sync. 4. De-stress yourself: Love yourself more than anyone else, prioritize your health, learn to say no, take time out to exercise and relax. Pursue your favorite activities, learn a new skill, and never ignore your body signals. Wishing you all lots of patience, self-discipline and persistence as you endeavor to adopt these changes for good! For more details you can consult me.
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Mera ling sex Khada hi nai hota jade Der tak .mai achi Tarah Se sex nai kar pata.

BHMS
Homeopath, Noida
Mera ling sex Khada hi nai hota jade Der tak
.mai achi Tarah Se sex nai kar pata.
The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example: Work with your doctor to manage diabetes, heart disease or other chronic health conditions. See your doctor for regular checkups and medical screening tests. Stop smoking, limit or avoid alcohol, and don't use illegal drugs. Exercise regularly. Take steps to reduce stress. Get help for anxiety, depression or other mental health concerns.
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