Routine Eye Checkup
Computed Corneal Topography Procedure
Bach Flower Aroma Therapy
Age-Related Macular Degeneration Treatment
Treatment of Cone Biopsy
Treatment of Rheumatic Complaints
Visual Field Testing
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I am 27 years old female. I am getting blood in my urine n my stools. I dun knw whats happening. Could you please help me with it.
Mene ek anjaan girl se sex kar liya bina protection ke, 8 day after my penis ke andar tej jalan wala dard hone laga at the time ,mene a dermatologist ko dikhaya after 1 month test HIV and vdrl negative nikla after 3 month HIV and vdrl negative hai, after 5 month hsv-2 negative ,vdrl negative, HIV negative, mene kayi Dr. ko dikhaya par jalan kam to ho gayi par Jo infaction hai WO puri tarah nahi ja raha hai kon sa infaction hai ye bhi pata nahi chal raha urine me smell aati hai smell bhi khatm nahi hui mujhe kya ho sakta hai and headche.
Patients having chronic nasal problems along with sinusitis often complains of headache.
They most of the time describe the headache as throbbing pain in the cheek bones, over nasal bridge and over the forehead. Which sometimes exacerbates after sudden change in position or straining.
These headaches can be confused with the migraine and hence complete examination and determining the cause of headache is very necessary.
Now what exactly leads to sinus headache. It is the sinus infection or the nasal infection or the allergy leading to congestion in the nose and the draining pathways of the sinuses causing accumulation of the fluid. This fluid in turn causes pressure and inflammation of sinuses, leading to headache.
Sometimes this fluid can get secondarily infected and then patient may experience fever, body pain etc.
Treatment for this headache is just relieve the congestion of nose and form a patent channel for the sinus fluid to drain.
This will include medications like antibiotics, antihistamines, decongestant, nasal local decongestants. Steroid sprays etc. The treatment is tailor made according to the symptoms.
Home remedies include inhaling the steam.
The bottom line is to differentiate the headache cause complete examination and sometimes investigations like ctscan or x-rays are also required and hence we should get ourselves completely evaluated and then start the medication.
When your body is broken, you have no problem in seeking doctors help but when your mind is broken, why are you hesitant? Your mind is no holier than your body.
Always seek doctor's help but never destroy your precious life.
I have a headache. I took medicine then it down but after 30 mnts again it starts. What is its reason?
Is there any chance to re occur dengue within 10 days after the treatment. That to my dengue report is widely reactive.
Dear sir, My wife's blood pressure is very high at normal condition and that is about 140 - 180, (sometimes it goes above 200). Her weight is approximately 40 kg. Our marriage life up to 10 years and no child means six times delivery about 6 to 7 months due to low weight of baby (600 to 700 gm). Doctor says proper blood supply not goes to baby. Then gynecologist says first you take treatment of blood pressure then you put pregnancy. After last delivery June 2015 she use copper T (Two years copper T) from June 2015. Currently one man says you do TORCH Test. We do the test and result is positive. Then what I do, sir. Or can you treatment on her. Please give me your most important advise. I am waiting to your advice. Regards, Raghunath Patil. Boisar. Tal.
Is there any harmful effect on hair if I apply egg white, egg yellow, lemon, and coconut oil. I am suffering from premature white hair and dandruff. Does this help in that.
I am doing masturbation from long period and I am facing eyes problem I feel my eyes are dry. Please advise me any prescription for this problem.
I have high systolic bp 158/72 and irregular heart beat feeling discomfort it occurs only sometimes Please suggest me some medication. My age is just 21 yr.
Well, very tough one to answer. There can be no right or wrong answers. Most parents will wish their kids to abstain till marriage and youngsters will always question it with lots of reasoning. Some will argue to have grown up enough to take appropriate decisions and with easy availability of contraceptives, "what's the big deal"they may ask ? They will always label their parents and those in favour of abstinence as old fashioned persons always giving unsolicited advice because it is their life after all ! Why should they listen to anyone?
Sweet sixteen is a very tender age when lots of hormonal changes take place. Surge of chemicals in the body make you feel very different like never before. There is a strong but sweet attraction to someone of the opposite gender you knew for quite some time. Your friends tell you a lot of interesting and romantic stories about their own life , some of them may be a work of fiction . You may feel aroused while watching some intimate scenes in a movie. Many of you try to calm down by masturbating , which is perfectly safe way to experience ultimate pleasure in absence of the "real one" .During one of "those" discussions with your friends, their may be a mention of virginity and wish to try the real thing. I find lots and lots of youngsters to have tried that real thing but is it appropriate?
One thing is sure. As you grow up, there are a lot of mile stones or possible goals to be achieved like doing well in studies, working hard for a good career, achieving both emotional, social and economical independence and of course experience this pleasure which will inculcate intimacy and help you mature as a person. Making babies is a very minor mile stone and many may not opt for this but other goals are inescapable.
Now what ever your parents want , they can't accompany you all the time . It is you and only you who will decide what you want to do with your life . You need to set your priorities right. No one can stop you from experiencing the "real thing " at the time you chose . You can argue that you are mature enough to focus hard on studies, prepare for career and experience "that thing"
In my opinion , it may become too much of a multi tasking. I know for myself I am not good at it. I have also been through all these chemical "locha " There was a strong urge to experience "that joy" with someone changing each day in fantasies . Probably I didn't have the courage to ask someone for a date so waited till marriage Fine, that may have been a blessing in disguise if I look back on all those wonderful years of my school and college. It was not this common as well those days ,as it is today but I could focus very hard on my studies and today, I am what I am. Really, was it something so great I wish I should have done it earlier? It was great and still is , but studies is the real asset I Accumulated to reach here. All people are different so others may be more efficient in multitasking but There is a chance that you are driven more by the raging chemicals and start focusing on it more than it deserves. Really, if by any chance, it so happens, you lose lots of time and may not achieve your potential. This chance to work for career will not come twice . Still you may be capable of doing everything perfectly but it becomes a high risk path. You want to tread a safer approach or walk on a superhighway is your choice. At the end of the day, people will judge you by what you have achieved . It is of no importance at what age you lose virginity.
So decide for yourself what is right for you at which age. My job is to tell you positives and negatives
Both males and females suffer from acne.
Acne means a condition when you have blackheads, white heads ( small white bumps on skin giving uneven look ), pimples that may eventually lead to pus filled painful large pimples that leave marks and scars on face.
It can occur due to improper diet, hormonal fluctuations, using inappropriate cosmetic products and sticky creams, humidity, sweating and dead skin collection causing blocked pores or due to some medicines.
Its your over all diet and exercise routine, with proper sleep and water intake, under guidance of a skin doctor that will help you get a permanent solution for acne. There are 3 steps of acne treatments.
First to stop and heal the acne, then to take care of the marks and spots, and lastly to get rid of scars to get a smooth skin. A combination treatment is required including oral medicines, vitamins and antioxidants, creams and sunscreen, chemical peels, medical facials, resurfacing and rejuvenating lasers and PRP. 6-8 months are required for complete recovery.
Do not touch, press or rub the pimples.
Do not use hair products, creams and cosmetics without doctor’s advice.
Always remove your make up before going to bed.
Use non sticky sunscreen that suits your skin.
Use mild pH balanced cleansers for your face.
Apply ice on painful pimples, it will help in reducing pain and redness.
If you have acne, consult a dermatologist and get complete treatment following proper protocol.
Cholangiocarcinoma (Bile duct cancer), like any other cancer, leaves a person physically, mentally and emotionally drained. It has been mostly found to affect people above 60 years of age. The signs and symptoms associated are so common that very few people consult a physician. A delayed diagnosis implies delayed treatment. This goes on to aggravate and complicate the situation further. One needs to be a little alert. Any symptoms, no matter how common, should not be taken lightly. Look for the early signs and symptoms and bile duct cancer can be fully cured.
Signs and symptoms associated with Cholangiocarcinoma:
Bile duct cancer can be Extrahepatic (occurs in the duct outside the liver) or Intrahepatic (cancer develops within the smaller ducts inside the liver). It must be noted that Intrahepatic Bile duct cancer and Liver cancer are different.
- Bile duct cancer results in blocking the bile duct. This blockage severely effects the secretion of bilirubin and bile from the liver. Thus, the secretions (bile and bilirubin) which are supposed to flow into the intestine move back into the bloodstream. An elevated level of bilirubin in the blood gives rise to a condition, known as Jaundice (a condition resulting in yellowing of the eyes and the skin). The problem lies in the fact that many other factors can equally contribute to Jaundice. Consulting a physician at the earliest is the best resort.
- A sudden or drastic weight loss and loss of appetite is an alarming sign of Cholangiocarcinoma.
- Excessive itching can be an indication of something as big as bile duct cancer. Itching can be an outcome of the increased bilirubin (blood) reaching the skin.
- At an advanced stage of Cholangiocarcinoma, a patient may experience severe abdominal pain.
- At times, the tumour in the bile duct might exert immense pressure on the nearby organs. This can give rise to an enlarged abdominal mass. Bloated feeling is also very common amongst the patients.
- An unusual change in the colour of the stool and urine should not be neglected. The elevated bilirubin level from the intestine is usually eliminated out of the system through the urine. Thus the stool appears lighter and the urine a shade darker.
- A cholangiocarcinoma patient can, at times feel nauseated. Fever is also a common but an extremely important indication.
Bile duct cancer or cholangiocarcinoma can lead to many other complications. Click below to know every minute detail associated with Cholangiocarcinoma.
Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.
1. Type: lung cancers can present as one of the following types:
- Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
- Large cell carcinoma
- Squamous cell carcinoma (SqCC) (Epidermoid)
- Adenocarcinoma – accounts for majority of the NSCLC.
- Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
- Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.
2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.
3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.
4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below
1. Difficult/ labored breathing (Dyspnea)
2. Chest pain
3. Palpable chest wall mass
4. Discordant chest wall expansion
5. Weight loss (Cachexia)
6. Loss of appetite (Anorexia)
7. Night sweats
Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis
8. Chronic cough
9. Difficult/ labored breathing (Dyspnea)
10. Chest pain
11. Blood stained sputum (Hemoptysis)
13. Weight loss (Cachexia)
14. Loss of appetite (Anorexia)
16. Bone pain
17. Pleural or pericardial effusion
18. Superior vena cava syndrome
19. Brachial plexopathy
20. Neurologic pain
21. Hypercalcemia of malignancy
Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below
Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:
23. Horner syndrome
5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.
6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:
- Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
- Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
- Biopsy: It clinches the histologic diagnosis, and the nature of the disease.
7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.
8. Prognosis: preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.
9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.
Myopia is a common refractive error of the eye that makes it difficult to focus on far away objects. People who are nearsighted will see objects close to them clearly, while those further away appear blurry. Myopia is natural. An overall longer shape of the eye usually causes myopia, so it is a naturally occurring visual problem that cannot be prevented. Nearsightedness tends to run in families, but you don't need to have a myopic parent to develop it. Myopia begins at an early age and worsens in the teenage years, but generally stabilizes in adulthood.
Here are the most common signs and symptoms of myopia:
- Objects far away, like a chalkboard or road signs, appear blurry
- Persistent need to squint or close eyelids to see clearly
- Headaches due to eyestrain
- Difficulty seeing while driving a vehicle, especially at night (night myopia)
- Need to sit closer to the television, movie screen or the front of the classroom
- Holding books very close while reading
- Not able to notice distant objects
Causes of Myopia
Nearsightedness happens when your eye is longer than normal, or, less often, when your cornea is too curved. It’s a problem in the focusing mechanism of the eyes. However, the exact cause of myopia is not known. Research about myopia supports two key risk factors:
- Family history. If one or both parents are nearsighted, the chance of their children developing it increases.
- Working up close. Myopia may be helped along by how a person uses their eyes. Intense detail work, long hours in front of a computer or reading can also increase the chances of developing myopia.
Treatment Options for Myopia (Nearsightedness)
When treating myopia, the goal is to help your eyes focus on far away objects. The most common way to achieve this is through
- Corrective glasses
- Contact lenses
- Refractive eye surgery, such as LASIK, is available for adults and those with moderate to high levels of nearsightedness
Adults who have developed cataracts may also have their myopia corrected with an intraocular lens (IOL) that replaces the human lens during cataract surgery. The most appropriate treatment depends on your eyes and your lifestyle. Nearsightedness can also be corrected as part of the cataract surgery procedure.
- Contacts and Glasses: Eyeglasses and contact lenses can correct myopia. However, they cannot stop the eye from growing longer or cure the irregular curve of the cornea that causes your blurry vision.
- Surgery: Surgery can decrease or eliminate dependency on eyeglasses and contact lenses. LASIK surgery is the most common type of surgery to correct myopia.
- ICL (intraocular collamer lenses) or phakic lensesIn adults with cataracts, is an option for those myopic patients who are not suitable for lasik surgery due to either less corneal thickness or very high myopia.
- Orthokeratology: A new type of treatment which offers an alternate solutions to people who are suffering from myopia. This is also known as Ortho-K. As a part of this procedure a person has to wear specialized lens overnight, to correct the vision for the next day. Orthokeratology is a process that uses specially designed GP contact lenses to temporarily reshape the contour of the cornea to reduce myopia (nearsightedness). In addition to the benefit of lens-free daytime vision, orthokeratology is starting to be appreciated for its ability to slow the progression of myopia. A number of published clinical studies have found that orthokeratology lens designs inhibit the growth of the eye's axial length, which determines the degree of myopia. If you wish to discuss about any specific problem, you can consult a ophthalmologist.