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Dr. Vertika Kishore

Gynaecologist, Vrindavan

Dr. Vertika Kishore Gynaecologist, Vrindavan
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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I am nearly 70 yrs.And diabetic for the last 15 yrs. I get severe tingling pain in all left hand fingers and sole of my right foot 24/7 due to diabetic neautopathy?The suffering is unbearable. Please prescribe strong medicines in allopathy,homeopathy & Ayurveda besides any other procedures to be followed.

Vaidya Visharad
Ayurveda, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. Let me know the Blood report ie Sugar,fasting, PP, HbA1c.
1 person found this helpful
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Bachelor of Physiotherapy, Matrix Rhythemic Therepy, Athlete Biomechanics and sports analysis
Physiotherapist, Mumbai
The iliotibial-band syndrome and rehabilitation exercises

Sir I am 35 years old, doctor suggested to take NUFORCE - 3KIT for me and my wife becoz of her vagina infection, but after consuming that tablets her infection is cured but my secret area is itching and swelling, please suggest me why this is happening.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hi You are also having infection, so you need to take same tablet and avoid intercourse for about 7-10 days.
1 person found this helpful
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Hello docters mujhe bahut dar lag raha hai mere periods 3 ko regular aate hai but 6 ko meine check kia to result positive tha but second line bhut halki thi to mujhe docter ke pass kab jana chaiye aur kaun kaun si precaution leine chaiye aur mere navratre bhi chal rahe hai please give me right decision.

DGO, MBBS
Gynaecologist, Bhavnagar
Hello docters mujhe bahut dar lag raha hai mere periods 3 ko regular aate hai but 6 ko meine check kia to result posi...
You perform repeat pregnancy test with early morning sample of urine at home. Now if the second line is dark, pregnancy is confirmed. If again that line is weak, you consult a doctor.
3 people found this helpful
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Things You should Know About PCOS

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
Things You should Know About PCOS

Things you should know about Polycystic Ovary Syndrome (PCOS). I am Dr. Jyotsna gupta (Gynecologist/Obstetrician). What is Polycystic Ovarian Disease (PCOD) or Polycystic Ovary Syndrome (PCOS)? Polycystic ovary syndrome (pcos) is a health problem that can affect a woman's menstrual cycle - Ability to have children. Appearance Hormones Blood vessels Heart With PCOS/PCOD, women typically have high levels of'androgens, these are sometimes called male hormones, though females also make them. Many a times,small cysts (fluid-filled sacs) are formed in the ovaries. What causes PCOS? The cause of PCOS is unknown. But most experts think that several factors, including genetics, can play a role. Women with pcos are more likely to have a mother or sister with pcos. A main underlying problem with pcos is a hormonal imbalance. In women with pcos, the ovaries make more androgens than normal. Androgens are male hormones that females also make. High levels of these hormones affect the development and release of eggs during ovulation.High androgen levels can lead to Acne, excessive hair growth, weight gain problems with ovulation. How many women have pcos? Between 1 in 10 and 1 in 20 women having childbearing age has pcos. It can occur in girls as young as 11 years old. What are the symptoms of pcod or pcos? The symptoms of pcos can vary from woman to woman. Some of the polycystic ovary syndrome symptoms include: infrequent, absent or irregular menstrual periods. Infertility (not able to get pregnant) because of not ovulating. In fact, pcos is the most common cause of female infertility. Increased hair growth on the face, chest, stomach, back, thumbs, or toes, male-pattern baldness or thinning hair. Cysts on the ovaries, acne, oily skin or dandruff, weight gain or obesity, usually with extra weight around the waist. Skin tags excess flaps of skin in the armpits or neck area, pelvic pain, anxiety or depression Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black Sleep apnea when breathing stops for short period of time while asleep. How do I know if I have pcos? There is no single test to diagnose pcos. Your doctor will take the following steps to find out if you have pcos or if something else is causing you symptoms. Medical history - your doctor will ask about your menstrual periods, weight changes, and other symptoms. Physical exam - your doctor will measure your blood pressure, body mass index (bmi), and waist size. He or she also will check the areas of increased hair growth. You should try to allow the natural hair to grow for a few days before the visit. Pelvic exam - your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts. Blood tests - your doctor may check the androgen hormone and glucose (sugar) levels in your blood. Ultrasound (sonogram) - your doctor may perform a test that uses sound waves to take pictures of the pelvic area. It might be used to examine your ovaries for cysts and check the endometrium (lining of the womb). This lining may become thicker if your periods are not regular. How is pcos treated? Because there is no cure for pcos, it needs to be managed to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for pcos include: lifestyle modification. Many women with pcos are overweight or obese, which can cause health problems. You can help manage your pcos by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include: limiting processed foods and foods with added sugars, adding more whole-grain products, fruits, vegetables, and lean meats to your diet. This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular. Birth control pills. For women who don't want to get pregnant, birth control pills can control menstrual cycles .Reduce male hormone levels Help to clear acne. Fertility medications - Lack of ovulation is usually the reason for fertility problems in women with pcos. Several medications that stimulate ovulation can help women with pcos become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Another option is in vitro fertilization (ivf). Ivf offers the best chance of becoming pregnant in any given cycle. It also gives doctors better control over the chance of multiple births. But, ivf is very costly. Surgery - ovarian drilling is a surgery that may increase the chance of ovulation. It is sometimes used when a woman does not respond to fertility medicines. This surgery can lower male hormone levels and help with ovulation. But, these effects may only last a few months. Medicines for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Anti-androgens are often combined with birth control pills. These medications should not be taken if you are trying to become pregnant. Before taking any medicines tell your doctor if you are pregnant or plan to become pregnant. Do not breastfeed while taking this medicine. Other options include: cream to reduce facial hair Laser, hair removal or electrolysis to remove hair. Hormonal treatment to keep new hair from growing. Does pcos change at menopause? Yes and no. Pcos affects many systems in the body. So, many symptoms may persist even though ovarian function and hormone levels change as a woman is close to menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from pcos, such as heart attack, stroke, and diabetes, increase as a woman gets older. Polycystic ovary syndrome and pregnancy - how does pcos affect a woman while in pregnancy? Women with pcos appear to have higher rates of miscarriage premature delivery. Pregnancy - induces high blood pressure. Does pcos put women at risk for other health problems? Women with pcos have greater chances of developing several serious health conditions. Recent studies found that women with pcos can have diabetes or pre-diabetes at early age. Women with pcos are at greater risk of having high blood pressure. Women with pcos can develop sleep apnea. This is when breathing stops for short period of time during sleep. Women with pcos may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much. If you have pcos, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your pcos, such as problems getting pregnant. Also, talk to your doctor about getting tested for diabetes regularly. Other steps you can take to lower your chances of health problems include eating right, exercising, not smoking. How can I cope with the emotional effects of pcos? Having pcos can be difficult. You may feel embarrassed by your appearance, worried about being able to get pregnant, depressed. Managing pcos (diet and exercise) - following lifestyle and diet modifications can help manage pcos symptoms to an extent. Frequently have small meals (5-6 times a day) without fail, drink a lot of water (8-10 glasses). Try to consume 2-3 servings of fruits and vegetables every day. Stick to a high fibre diet (wholegrains/fruits/vegetables). Give preference to home cooked meals, add brightly colored and white vegetables to your diet. They have high anti-oxidants food to avoid - Fried/packaged/processed foods. Foods with high glycemic exercises, suggested work out at least 5 times every week for at least 30 minutes Running, swimming, yoga strengthening exercises . Even if you don't lose weight, exercise in pcos helps to improve things like- insulin sensitivity, frequency of ovulation, cholesterol, body composition. Getting treatment for pcos can help with these concerns and help boost your self-esteem. It is advised that you should consult gynecologist who can help you based on your symptoms and requirements to manage pcod/pcos.

8 people found this helpful

Your Parents Were Wrong: Debunking 5 Old School Beauty Myths

MBBS, MD (Skin & V.D. MAMC) - Dermatology
Dermatologist, Delhi
Your Parents Were Wrong: Debunking 5 Old School Beauty Myths

In the era of information overload, the internet is filled with thousands of beauty advices, most of which tend to do you more harm than good. It is extremely essential to do a thorough and reliable research about the pros and cons of a beauty tip that you intend to utilize.

The following are some of the most common beauty myths that have been passed down through generations:

  1. Myth- Shaving makes your hair grow back thicker: You must have heard a number of times that shaving tends to make your hair grow back coarser, thicker and darker. Scientific evidence proves this notion as a myth; it states that shaving neither affects the rate of your hair thickness nor its growth. Hair shafts are often thicker than the hair ends, which makes them appear thicker.
  2. Myth- Toothpaste aids in getting rid of pimples: Applying toothpaste on pimples is among such beauty remedies that have been doing rounds for a long time. Application of toothpaste on a pimple tends to dry your skin and irritates it. Instead of using toothpaste on pimples, it is advisable to utilize medications, which contain benzoyl peroxide or salicylic acid and are designed to treat pimples.
  3. Myth- Trim you hair to make it grow faster: It is one of the most common beauty myths that everyone is aware of. Hair does not grow from its end; it grows from its root. The appearances of split ends arise due to severe hair damage, which slowly make its way towards the top of your hair. Trimming your hair on a regular basis gives your hair a healthier and fuller appearance, but it does not accelerate the rate of your hair growth.
  4. Myth- Cocoa butter helps in preventing stretch marks: Another widespread beauty tip, which is unfortunately a myth is that application of cocoa butter on a pregnant woman's belly throughout the course of her pregnancy will prevent the appearance of stretch marks. According to research, cocoa butter has no role in the prevention or control of stretch marks' appearance.
  5. Myth- Is it possible to shrink your skin pores: No matter how much you scrub or cleanse your skin; it is not possible to shrink your pores. In fact, you cannot close or open pores even if you want to. In order to give your pores a more refined look, use cleaning devices while cleansing your pores.
4654 people found this helpful

Mam there 3 years marriage but there are no child. All checkup all tested completed. Time to time period done all are normal but there are no result. What is the reason ? My self.

DHMS (Hons.)
Homeopath, Patna
Mam there 3 years marriage but there are no child. All checkup all tested completed. Time to time period done all are...
Hello, energy, vitality to improve sexual capacity, may b optimised, depending upon the following factors, intake of nutritious diet, vitamins, meditation, exercise, avoidance of stress, anxiety & administration of homoeo medicines. * you need to consume vit' a, b, c, e. * zinc, omega3, fatty acid, anti- oxidants, protein, amino acid, folic acid, testosterone to improve blood flow to reproductive organ. * tk, apples, carrots, bananas, almonds, walnuts, oyster, eggs, spinach garlic, pumpkin- seeds, flex seeds. Black chocolates. * go for meditation for. 30 mnts to reduce your stress, anxiety, nourish cells, tissues, penile, pelvic and groin muscle to improve erectile dysfunction & premature ejaculation, resulting which enhancement of sperm count b ensured. * take, plenty of water to eliminate toxins and to regulate metabolism to absorb nutritions, vitamins, protein, minerals to provide energy to d body. * your diet b easily digestible, simple, non- irritant, on time to b digested properly, avoiding gastric disorder. * medication: homoeo medicines: gentle & rapid to act with no adverse effect @ acid phos1000-6, wkly. @ five phos 6x-4, tbs, with lukewarm water. Thrice. * avoidance: frequent masturbation, caffeine, alcohol, nicotine, junk food, polluted atmosphere, dust, smoke, scorching sun. * go, for jelqing exercise to improve d size of penise. * please, report fortnightly, your feedback will highly b appreciated for further, follow up. Stay fit and fine.
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Seven tips for healthy heart

BHMS
Homeopath, Chennai
Seven tips for healthy heart

1. Exercise at least 30 minutes daily
2. Stay active don't sit for more time
3. Diet should include more vegetables and different colour fruits, brown rice, legumes, nonvegetarian people may consume lean meat and fish instead of having red meat.
4. Have a good sleep
5. Quit smoking and alcohol
6. Cope up with stress through exercise and yoga
7. Homoeopathic constitutional treatment not only reduces the risk of chronic diseases in patients but also increases immunity against many futuristic infections too.

My wife is having 2.9x2.1x1.8cm mass lesion in left breast of birads category 5. Advised biopsy by the report. What should be the best treatment available in india. I am very much worried. An early detailed reply will be appreciated.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi don't get worried you have to undergo excision biopsy operation which is half day hospitalisation to cure your wife. Thanks regards welcome for any further queries.
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Hello sir I have done sex with my wife 49 days before. But after sex she has not period till now. So I want to know Is she pregnant or not.

MD - Medicine, Bechelors of Alternative Medicine
Alternative Medicine Specialist, Delhi
This is very easy check your home going any pharma store tell he please give me a pregnance check kit come to home arly morning your wife 1 st urin please check with kit 2 type of lane she is pregnante 1 type of lane she is not pregnant. Ok.
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I am a 26 year old female with regular periods. I have been having severe headaches and vomit sensations since past 2 years. No doctor has been able to diagnose the problem since then.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
I am a 26 year old female with regular periods. I have been having severe headaches and vomit sensations since past 2...
Hello as you asked about your problems related to your irregular periods for two years, I would like to advise you to follow regular daily routines of getting all dietary measures and daily behaviours as well as exercise and yoga and morning walk every day. Warm milk boiled with ginger and haldi including ghee and nuts every day before going to bed and at breakfast. You may use light diets and soups of carrots and beetroots and green vegetables and moong daal soups fried with cumin seeds and ghee and garlic. You may follow some ayurveda medicines as given below. 1-arogyavardhini vati. 1 tab chandra prabha vati. 2tabs rajah prawartini vati. 1 tab laxamana loh. 2tabs twice daily with warm water after meals. 2-laxamanarist. 15 ml dashmularist. 15 ml twice daily with water after meals.
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What should be the do's and don't s for a girl during periods? Is there any food that should be avoided or something that should be taken? For somebody on dieting can it be a cheat day?

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
What should be the do's and don't s for a girl during periods? Is there any food that should be avoided or something ...
Dear Lybrateuser, There is no special diet. It is better to take high protein and iron rich diet and avoid junk food.
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My wife is 4 months pregnant. Doctors checked for fetus heart beat. It showed 190 bom. Is it high or normal. Is there any problem if the heartbeat is 190 bom.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My wife is 4 months pregnant. Doctors checked for fetus heart beat. It showed 190 bom. Is it high or normal. Is there...
It is normal, remember that the fetus is rapidly developing at earlier stages, compared to 7 months and beyond when heart beat is around 120-140. But a fast growing fetus will have a faster beating heart, not to worry.
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Hello respected doctors. My cousin had Papp-a less during 1st trimester. Now her baby is 8months old but she is lean. What diet can be given to her to gain weight? Her birth weight was 2.26 kg Wight chat Day 1- 11/7- 2.26 (200 per week) 16/7- 2.04 20/7-2.22 29/7-2.44 10/8-3.00 27/8-3.6 26/9-4.5 68 7/10-4.83 67 29/10-5.0 7/11-5.1 21/11-5.5 hc - 45 height 65 17/12-5.8 26/12-5.8 11/1/16-6.2 26/2/16-6.7 What kind of diet can be given to put on weight? Thank u.:)

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Hello respected doctors. My cousin had Papp-a less during 1st trimester. Now her baby is 8months old but she is lean....
Bring on some spices (8 months old) And softly mashed, or chopped into fine pieces, fruits, vegetables, meats, pasta and dairy such as yogurt and cheeses. Pasta, veggies, and fruit should all be soft cooked and possibly mashed with a fork or masher. (Bananas need only be mashed.) Meats and proteins such as egg yolk, should be cooked and pureed or chopped into small soft bits. If offering Tofu, you need not cook it first. Remember, your baby will not have molars until sometime around the 12-18 month age range so all foods should be easily mashed between the gums. How much will your 8 month – 10 month old baby eat? Your 8 to 10 month old baby may seem to be starving herself at some point. Because you are likely offering her more finger food selections or thicker/chunkier foods, the amount of food eaten appears smaller. At this stage, your baby may be eating 3 “meals” a day and possibly enjoying a snack or 2 in between. There are some babies in this age range who will still be eating only 1 “meal” of solids so don’t feel pressured to have your baby eat 3 solid food meals per day. The important thing is to watch your baby’s hunger cues and and try to begin setting a schedule for 3 meals a day. Offer him a balanced array of foods – fruits, veggies, a protein & a grain if possible and ensure his nursing or formula feedings are adequate. Visit the Baby Menu to see an idea of some meals for this age range. What to Eat at 8 to 10 Months of Age? AGE/STAGE – 8 months – 10 months old The AAP recommends that an infant not be started on solid foods until after 6 months of age. Many pediatricians still start babies on solids around 4 months of age. This chart accommodates all ages and stages up to 12 months. CEREALS Try mixing together the grains that your baby has had without any reaction (s). Begin offering breads and muffins when baby has mastered mashing more textured foods. Pasta makes for great finger foods. FRUITS Begin making your own fruit combinations once baby has had several fruits without any reaction (s). Venture into Papaya and Melon Swirl. After 8 months old – you may wish to try offering raw ripe fruits. Soft cooked fruits make for great beginner Baby Finger Foods. VEGGIES Soft cooked veggies make for great beginner Baby Finger Foods. Try mixing up a veggie medley now. Add some grated cheese for extra temptation & yumminess. Saute or roast some onions or peppers to add to baby’s food or serve as finger foods. Make a Leek and Chicken Potato Mash. PROTEIN Once your baby has reached 8 months old, try an Egg Yolk Omelet – the perfect chance to slip in some veggies. DAIRY Get adventurous with Cheeses and Yogurts now. Soft Cheeses such as Brie pose health risks so hold off on those. Avocado mashed with a bit of cream cheese – YUM. Breakfast ¼ – ½ cup cereal or mashed egg ¼ – ½ cup fruit, diced (if your child is self- feeding) 4–6 oz. Formula or breastmilk Snack​ 4–6 oz. Breastmilk or formula or water ¼ cup diced cheese or cooked vegetables Lunch ¼ – ½ cup yogurt or cottage cheese or meat ¼ – ½ cup yellow or orange vegetables 4–6 oz. Formula or breastmilk Snack 1 teething biscuit or cracker ¼ cup yogurt or diced (if child is self-feeding) fruit Water Dinner ¼ cup diced poultry, meat, or tofu ¼ – ½ cup green vegetables ¼ cup noodles, pasta, rice, or potato ¼ cup fruit 4–6 oz. Formula or breastmilk Before Bedtime 6–8 oz. Formula or breastmilk or water (If formula or breastmilk, follow with water or brush teeth afterward).
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I am 20years old. I had a cyst on my left ovary (8.3cm). It was removed by micro surgery. Now I am well. And there is no pain and my period is normal. My question is, can it occur again? What should I do to prevent it?

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
I can certainly occur again as you have not removed the root cause of why it happened in the first place. Take thuja 200 six drops twice daily for a long time. Also have bio-chem tabs - 4 tabs daily for 6 months.
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I read somewhere it was written that" patient taking anti - tb medicine should take high dose of i-pill to protect her pregnancy" Because drugs in the medicine can minimize it's effect. Is it true? If yes then how much tablet at once will be preferable?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I read somewhere it was written that" patient taking anti - tb medicine should take high dose of i-pill to protect he...
Hello, In case of ipill it is already a high dosed progesterone and no extra dosage is required even in cases of tuberculosis treatment.
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Vitamin C Rich Super Foods

Master in Clinical Nutririon
Dietitian/Nutritionist, Ahmedabad
Vitamin C Rich Super Foods

Vitamin C is one of the most important nutrients which play an absolutely pivotal role in protecting your body from a number of diseases and disorders, such as flu and colds. Additionally, it helps in boosting the body's calcium synthesis abilities, in rebuilding of damaged blood vessels and bones as well as tissue repair and boosting of overall immunity of the body. It is an essential part of the diet and should not be overlooked in any case. 
 
Some of the major foods, which are a rich source of Vitamin C are as follows:

  1. Citrus Fruits: Citrus fruits, including limes, lemons, tangerines, oranges, grapefruits etc. are one of the most popular sources of vitamin C in the world, and are laden with a high number of good properties.
  2. Strawberries: One of the healthiest and tastiest berries, strawberries are not only rich in vitamin C, they are rich in fiber and antioxidants as well. They help in protecting the heart from excessive cholesterol and in reducing levels of oxidative stress.
  3. Papayas: One of the most excellent sources of vitamin C, papayas have been known to supply almost 100% of your daily Vitamin C needs in a single serving. Additionally, they are also a great source of Vitamin A.
  4. Kiwis: Research has found that levels of vitamin C found in kiwis are substantially higher than oranges; something which makes this New Zealand native one of the most lucrative vitamin C options on the planet. Additionally, kiwis have also been found to improve the functioning of the respiratory tract in children as well as adults and are also rich in flavonoids and minerals like potassium.
  5. Guavas: One guava contains over 250mg of vitamin C, which is approximately twice the amount of what your body requires daily. Apart from being a storehouse of vitamin C, it is also rich in folic acid, dietary fiber and minerals like manganese and potassium.
  6. Melons: Melons such as cantaloupe not only supply a high quantity of vitamin C, they are also rich in potassium and vitamin A. Other melons like watermelons also provide you with almost 112% of your regular Vitamin C requirements.
  7. Tomatoes: Tomatoes, irrespective of whether they are bright red or sun dried, provide almost 170% of your daily Vitamin C requirements in only one serving.

Related Tip: "3 Symptoms to Identify Vitamin D Deficiency"

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Hello Dr.  My lady love (unmarried), 29 years old does not have any interest in sex. I tried sexy talk, foreplay but it doesn't excite her. She shows interest once in a six months.  * from last few months I have observed that her vagina doesn't get wet or lubricated.  please suggest some remedies so that she can gain interest in sex once again.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Hello Dr. 
My lady love (unmarried), 29 years old does not have any interest in sex. I tried sexy talk, foreplay but ...
Dear Sagar, sometimes women are not very happy having sex before marriage and coupled with lack of privacy, the vagina can get dry. vaginal lubricants available commonly in the market should help.
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Cushing's Syndrome - Sign's You Are Suffering From It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Cushing's Syndrome - Sign's You Are Suffering From It!

The adrenal glands are present above the kidneys (hence the name) and produces an important hormone known as cortisol. Cortisol is responsible for regulating multiple body functions, including controlling the blood pressure, protein and carbohydrate metabolism, and anti-inflammatory response, and stress management.

Under natural circumstances, the body produces excessive cortisol in the following situations:
Physically stressing situations like illness, surgery, injury, pregnancy, etc.

  1. Emotionally stressed situations
  2. Alcoholism
  3. Athletic training
  4. Malnutrition
  5. Depression
  6. Panic disorders

Causes: Cushing’s syndrome is a group of symptoms that manifest when there is too much cortisol in the body. It is more common in women than men, in the age group of 25 to 40. Some of the common causes for Cushing’s syndrome are listed below:

  1. Consuming too much of prednisone (and other steroids) or for prolonged periods can cause Cushing’s syndrome. These are strong anti-inflammatory medications and are used in asthma, arthritis, lupus, transplants, etc., to control the body’s inflammation reaction. It is therefore advisable to use topical steroids than oral steroids or injections as their effects are more noticeable and severe.
  2. Adrenal gland tumours can cause excessive production of cortisol.
  3. Pituitary gland tumours or adenomas also can also cause excessive production of cortisol, leading to Cushing’s syndrome.

The first type is known as exogenous Cushing’s disease and the others are known as endogenous Cushing’s disease.
Signs and symptoms: Cushing’s disease produces characteristic features which are referred to as the Cushingoid appearance. These features include the following:

  1. A rounded, plump face with a pinkish hue
  2. A moon face, with fat deposits on the face
  3. A buffalo hump with fat deposits between the shoulders
  4. Stretch marks on the abdomen, thighs, and arms
  5. Weak muscles, especially in the hips and shoulder
  6. Significant weight gain
  7. Skin that gets thin and bruises easily
  8. Extreme tiredness
  9. High blood pressure
  10. High blood sugar
  11. Thin arms and legs
  12. Delayed healing of cuts and injuries
  13. Increased facial hair in women
  14. Menstrual disorders
  15. Reduced libido, infertility, and erectile dysfunction in men
  16. Emotional issues like depression, anxiety, irritability
  17. Increased thirst and urination
  18. Bone loss, and eventually fractures
  19. Affected bone growth in the developing years
  20. Increased susceptibility to infections

Complications: Untreated Cushing’s disease can lead to bone fractures, hypertension, full-blown infections, kidney stones, etc.

Treatment: This would depend on the cause. If you are on long-term steroids, the dose would need to be adjusted. This should always be done under medical supervision, as it requires constant adjustment. Underlying tumours (pituitary or adrenal) need to be diagnosed and treated. There are other hormones too which come into the picture and need to be monitored. If you wish to discuss about any specific problem, you can consult an endocrinologist..

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