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Dr. Preeti Bhalgat

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Dr. Preeti Bhalgat is one of the best General Physicians in Chinchwad, Pune. You can consult Dr. Preeti Bhalgat at Mayur Hospital in Chinchwad, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Preeti Bhalgat on Lybrate.com.

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  • M.Sc, Internship From AIIMS - Diploma in Diet and Nutrition, Diploma in Diet and Nutrition

    Festivals without sweets are unheard of in India. Think of Diwali and you’re sure to conjure visions of ‘mithai’, dried fruits and ‘laddus’. These sweetmeats are rich not only in taste, but also in calories. This makes festival food a big problem for weight management. Thankfully, there are ways to have a sweet celebration without putting on excess weight.

    Here are a few tips.

    1. Eat in moderation: It is impossible to completely avoid sweets during this festive season. However, you can keep a check on the amount you eat. Limit yourself to one or two pieces of mithai instead of gorging on them. Avoid second helping of sweets at all costs.
    2. Pick your sweets carefully: Not all sweets have the same calorific value. Sweets that are deep fried such as gulab jamuns have a higher calorific value than rasgullas. Similarly homemade sweets are usually much lower in fat content than store bought ones. If you are making sweets at home, try replacing the sugar with jaggery to lower the fat content. Eating dry fruits over sweets can also help minimize your calorie intake.
    3. Do not skip your meals: Eating heavy sweets may make you want to skip your regular meals, but this is a terrible idea. Do not miss out on your regular servings of fruits, vegetables and carbs. Do not replace your normal meals with snacks and dried fruits. If necessary, lower your portion size and have a light soup for dinner instead of your regular meal.
    4. Avoid sweet drinks: Since you cannot avoid eating sugar, skip drinking sugar. Avoid sweetened drinks such as colas and processed juices. Instead, pick light drinks such as buttermilk, lemonade and jaljeera. Green tea is also a good option during Diwali. If possible, avoid alcohol.
    5. Stay hydrated: When eating such rich and heavy food, it is important to drink plenty of water through the day. This keeps the body hydrated and helps flush toxins from the body. Drinking water also reduces the urge to snack and can help keep a control over your food intake.
    6. Eat mindfully: Chew your food and mithai slowly while eating. This will ensure that you thoroughly enjoy it and will keep you satiated for longer. Avoid eating on the go. Mindful eating also reduces the urge to snack excessively and hence controls your food intake.
    7. Exercise: Do not make Diwali an excuse to not exercise. Set aside half an hour at the beginning of the day to exercise and kick start your metabolism. Breathing exercises such as Pranayam and anulom vilom can also help clear your respiratory passages and help prevent problems sue to the pollutants in the air.
  • BAMS, MD Ayurveda

    A night out with its fair share of drinks is enjoyable, but it is the morning after which tends to have the after affects. Hangovers are a problem with anybody who has had a drink too much the night before and it might leave you in an incapacitated state due to nausea, headaches and dehydration.

    Here are some of the known homemade remedies which can cure hangovers:

    1. Make sure you take a lot of water and fluids: After you have woken up after a night out where you had lots to drink, you are bound to have a hangover as alcohol is known to dehydrate the body. Thus it is advisable that you drink plenty of water and other fluids. Only water isn’t going to be enough as water can hydrate you but many of the other nutrients will only be supplied by juices, rehydrating drinks, sports drinks or other such. Thus it is important to consume a variety of these fluids.
    2. Eat a hearty breakfast: The longer you are with an empty stomach, the longer it is going to take the hangover to go away. Eating a hearty and filling breakfast will relieve the hangover to a great extent. However, eat foods which are easy to digest, such as cereals and toast. Avoid greasy and oily foods in the morning as they may add to the nausea.
    3. If you have nowhere important to be, go back to bed: If you have the time and nothing to do, then it is advisable to sleep a little longer while you keep rehydrating yourself whenever you wake up. This is going to give your body the fluids it needs while resting is going to give it plenty of opportunity to heal itself.
    4. Eat ginger, both before and after drinking: Ginger has been used as a home remedy across cultures for centuries to treat nausea. It is thus wise to eat crystallized or candied forms of ginger, both before and after consumption of alcohol as it will lessen its effects on the body. You can take ginger the night after as well to reduce the nausea that comes with hangover.
    5. Stretch out and exercise a little: Between naps it may not be a bad idea to stretch out and exercise a little, which will help you release endorphins to make you feel better. However, ensure that it is light exercise so that the nausea and headaches are not exacerbated.
  • MBBS, PG Diploma (HIV Medicines)
    General Physician

    Signs symptoms

    What are the symptoms of hiv?
    The symptoms of hiv vary, depending on the individual and what stage of the disease you are in.

    Early stage of hiv: symptoms
    Within 2-4 weeks after hiv infection, many, but not all, people experience flu-like symptoms, often described as the  worst flu ever. this is called acute retroviral syndrome (ars) or primary hiv infection and it's the body's natural response to the hiv infection.

    Symptoms can include:
    Fever (this is the most common symptom)
    Swollen glands
    Sore throat
    Muscle and joint aches and pains

    These symptoms can last anywhere from a few days to several weeks. However, you should not assume you have hiv if you have any of these symptoms. Each of these symptoms can be caused by other illnesses. Conversely, not everyone who is infected with hiv develops ars. Many people who are infected with hiv do not have any symptoms at all for 10 years or more.

    You cannot rely on symptoms to know whether you have hiv. The only way to know for sure if you are infected with hiv is to get tested. If you think you have recently been exposed to hiv if you have had oral, vaginal or anal sex without a condom with a known hiv positive person or a partner whose hiv status you do not know or shared needles to inject drugs get an hiv test. Traditional hiv tests detect hiv antibodies. But during this early stage your body is not yet producing these antibodies. A new hiv test was approved in 2013 that can detect the presence of hiv in your body during this early stage of infection. So no matter where you get tested, it is very important to let your provider know that you may have been recently infected with hiv and you would like to be tested for acute hiv.

    It is important to remember that with or without symptoms, you are at particularly high risk of transmitting hiv to your sexual or drug using partners during this time because the levels of hiv in your blood stream are very high. For this reason, it is very important to take steps to reduce your risk of transmission.

    The clinical latency stage
    After the early stage of hiv infection, the disease moves into a stage called the clinical latency stage.  latency means a period where a virus is living or developing in a person without producing symptoms. During the clinical latency stage, people who are infected with hiv experience no hiv-related symptoms, or only mild ones. (this stage is sometimes called asymptomatic hiv infection or chronic hiv infection.

    During the clinical latency stage, the hiv virus reproduces at very low levels, although it is still active. If you take antiretroviral therapy(art), you may live with clinical latency for several decades because treatment helps keep the virus in check. (read more about hiv treatment.) for people who are not on art, this clinical latency stage lasts an average of 10 years, but some people may progress through this phase faster.

    It is important to remember that people in this symptom-free period are still able to transmit hiv to others even if they are on art, although art greatly reduces the risk of transmission.

    Again, the only way to know for sure if you are infected with hiv is to get tested. Tests are available that can detect the virus at this stage.

    Progression to aids: symptoms

    If you have hiv and you are not taking hiv medication (antiretroviral therapy), eventually the hiv virus will weaken your body's immune system. The onset of symptoms signals the transition from the clinical latency stage to aids (acquired immunodeficiency syndrome).

    During this late stage of hiv infection, people infected with hiv may have the following symptoms:
    Rapid weight loss
    Recurring fever or profuse night sweats
    Extreme and unexplained tiredness
    Prolonged swelling of the lymph glands in the armpits, groin, or neck
    Diarrhea that lasts for more than a week
    Sores of the mouth, anus, or genitals
    Red, brown, pink, or purplish blotches on or under the skin or inside the mouth, nose, or eyelids
    Memory loss, depression, and other neurologic disorders.

    Each of these symptoms can be related to other illnesses. So, as noted above, the only way to know for sure if you are infected with hiv is to get tested.

    Many of the severe symptoms and illnesses of hiv disease come from the opportunistic infections that occur because your body's immune system has been damaged.

  • BHMS, MD - Homeopathy

    I don't last very long during sexual intercourse. How do I improve my staying power?
    Saving yourself (and your pride) from the great unexpected flood is not as hard. Yes, premature ejaculation can be embarrassing, especially as your partner tries to soothe your punctured male ego" never mind, it was still good, honey" how can you're explain to her that it could have been stress, anxieties caused by high expectations, or even just over stimulation? or that an astonishing one-third of men under the age of 25 are prone to pe?

    Firing too soon is very common, and doesn't mean there is anything'wrong' with your (most women usually need twice as long to climax anyway). Assuming conditions are relaxed, you're comfortable with your lover and not sublimating personal problems, it's just a question of learning to get it right. Because you can master techniques until you have multiple, ejaculation-free orgasms, which also enhances your levels of sexual energy.

    A simple method is the stop-start one, which helps build an awareness of gauging the sensations leading to release. As the pirelli ad goes what's power without control? simply put, your partner stimulates your genitals, and stops as you feel orgasm, approach. As you defuse, the stimulation is restarted, and so on. Another is the pause- squeeze technique. Withdraw as your climax builds, and have your partner (on top) firmly squeeze your organ for a few seconds with thumb and forefinger, where the glans meets the shaft. This gradually leads to ejaculatory control.
    Relax your body as ejaculation nears, starting with an erotic massage. Breathe deeply, in rhythm together. Pressure on the perineum (about midway) also works. Move your sexual energy away from your genitals. Be vocally expressive, and let your hands foam your partner's body. Switch positions and experiment with which makes you last longer. Out of bed, exercise your pubococcygeal (pc) muscles, the ones that control urine flow, with alternate contractions and relaxations. You can do this anywhere, be it while driving a car or watching tv.

    Finally, remember it's all in the head. The one with ears! communicate your feelings. Sometimes women actually don't want the guy to be banging on on, to prove his'manhood. And if you think of sex as a task, half the battle is already lost. Express yurt love, be vulnerable and abandon yourself to it, and the rest will follow.

  • Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda

    Self stimulation or pleasuring your self which will help you in achieving that ultimate pleasure is what defines male masturbation. The most common way of male masturbation is by jerking the penis while stimulating oneself in the best way possible with the help of visuals. On regular days, a five minute jerk before attaining an orgasm is okay, but on other days when you want to last longer, you can practice edging (slowing down right before an orgasm) for a heightened climax.

    There is no proper time to masturbate during the day, but it is advised that masturbation should be limited once in 10 days. Because, your cum is made up of blood and protein, losing too much due to multiple masturbation sessions can be harmful for your health and result in lethargy, penis pain and problems during sex. If you want to deviate from the regular form of fantasising and jerking, you could try the following:

    1. Lubrication: Using flavoured lubricants will help your penis feel more stimulated as the foreskin moves up and down more effortlessly. This will arouse you more throughout the process of jerking and result in a better orgasm.
    2. Kegel exercises: Practicing holds and quick pumps will help the muscles in your penis become stronger and more relaxed. This will ensure a better jerk-off during masturbation which means more pleasure.
    3. Visualise/ fantasise: Instead of relying on porn during masturbation, visualise or fantasise a situation for better stimulation and a more heightened orgasm.

    Masturbating before sexual intercourse is a great option for both men and women as it makes the penis harder in men and increases sperm mobility, while in women, masturbation can be a wonderful form of foreplay and increase lubrication. Masturbating before intercourse also helps in delaying the climax during intercourse. Masturbating twice a day is considered normal; however, if you are practicing the process more than the acceptable number of times, you could face ill-effects of over-masturbation.

    The common side-effects of over-masturbation are:

    • Soft or weak Erection
    • Premature ejaculation
    • Penis shrinkage
    • Testicular pain
    • Malfunctioning of liver
    • Impotence
    • Sperm leakage

    Certain Ayurvedic remedies can be used to recover from the side effects of over masturbation:

    Ayurveda stresses on the use of natural products to cure the negative side-effects caused due to over-masturbation. Here are a few Ayurvedic products you can opt for:

    • Drink warm milk mixed with saffron strands to reverse the harmful effects of over-masturbation
    • Herbal extracts of winter cherry and purple orchid can help in curing the ill-effects of over-masturbation and refraining from engaging in masturbation
    • Shilajit capsules are all natural Ayurvedic capsules help in blood circulation and better mobility of sperms
    8 Thanks
  • MD - Diabetology, MBBS

    Diabetes is growing to be the epidemic of modern days. The challenge here is it is not just about managing your sugar levels, but the whole lot of symptoms that diabetes brings with it. From bones to teeth to kidneys to wounds, diabetes affects all body systems. It is therefore very essential to watch out for symptoms of diabetes and curb it in its early stages. This will help control diabetes significantly along with its effects on the whole body.

    Diabetes Complications-

    Long-term complications of diabetes develop gradually. The longer you have diabetes — and the less controlled your blood sugar — the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

    1. Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
    2. Nerve damage. Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain. Left untreated, you could lose all sense of feeling in the affected limbs. 
    3. Kidney damage. The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
    4. Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. 
    5. Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. These infections may ultimately require toe, foot or leg amputation.
    6. Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
    7. Hearing impairment. Hearing problems are more common in people with diabetes.
    8. Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. 

    The following are some of the basic must do's if you have diabetes. These can go a long way in preventing adverse diabetic side effects.

    1. Diet: Whether diabetic or not, it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way in managing sugar levels than binging at one meal and starving the rest of the day. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Diet is very important in diabetes. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium
    2. Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required.
    3. Watch your weight: For a diabetic person, controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics.
    4. Smoking: Another risk factor for diabetes onset, quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting.
    5. Stress management: One of the main risk factors for diabetes, there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent diabetic complications like heart disease and stroke and promotes well-being.
    6. Constant Checkups: Periodic check-up of blood sugar levels, cholesterol levels, eye exam, dental checkup, foot checkup to test for nerve damage are all extremely important. Take your medications regularly without fail.

    Diabetes requires a change in lifestyle, which may seem tedious initially. But after a while, it will become the norm and then diabetic control does not feel like something additional that is to be done.

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  • BHMS

    Lasting longer in bed is something you never want to compromise on; as it may lead to self-esteem issues and a feeling of insecurity. Exercises help in building endurance and help you to stand the test of time. It also assists you in building your strength to power your way through the moves. Lasting longer also means increased chances of your partner climaxing.

    The exercises that will help you last longer in bed are:

    1. Plank: The plank is one of the best exercises for core strength. In addition to your mid section, it also works the quadriceps, buttocks and the hamstrings. Increased core strength would mean you can try out various sex positions.
    2. Deadlifts: Deadlift is an exercise that works the entire body as it helps in building strength. It works the lower back, legs and the forearms to pack on size and build strength.
    3. Push ups: Push-ups are basic exercises that you can employ to build upper body strength. They can be done anywhere without any equipment; they are also good for your core strength. Make sure you do the exercise with proper form to reap the benefits.
    4. Squats: Squat is an exercise to build strength in the lower body consisting of the buttocks, thighs and the hamstrings. It also builds hip flexibility, which means you can carry out complex and unusual sex positions like the advanced crab walk. It also implies more thrusting power during the insertion of the penis.
    5. Bicep curls: Building strength in the arms will help you in executing positions like the “bodybuilder” with ease. Various positions that require arm endurance will also be easier to perform.
    6. Running: Running builds stamina and helps you lose fat. Make sure to add running to your regimen to increase aerobic endurance in the body which will help you to last longer.
    7. Bridge: Bridge is a bodyweight exercise to build strength in the lower back, hamstrings and the calves. Try to hold the bridge for a minute, rest for 30 seconds and repeat the procedure six times. Building strength in the buttocks and the hamstrings would make complex positions like the cowgirl a cakewalk.
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  • European Diploma in Respiratory Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD), MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , MBBS

    The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

    The rise in pollution during Diwali affects you in the following ways:

    1. The PM (particulate matter which is smaller than 2.5mm) enters your lungs (learn more about lung cancer) and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
    2. High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
    3. A compound called ‘strontium’ found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
    4. Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
    5. The noise pollution also rises during the festival and in extreme cases, can permanently damage one’s hearing.

    However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

    1. Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
    2. Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
    3. Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
    4. Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.

    Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues. 

  • MD - Dermatology, MBBS

    Spending a day out at the beach or going up on a hike is something most people love to do. What they, however, do not want is the after effects of being out in the sun the sunburn. While sunscreen lotions do help to a large extent, being in the sea can wash off the sunscreen, leaving the skin exposed to the imminent damage. Also, the effect of most sunscreens wears off with time, thereby, invariably producing some damage to the skin. However, there are simple ways to reduce the damage and in some cases even reverse the damage done by the sunburn.

    Listed below simple ways with which you can treat a sunburn:

    1. The minute you realize sunburn has set in, reduce further damage by getting out of the sun.
    2. If you were out in the beach, rinse off with regular water as early as possible to clear the chlorine and sand and salt water. The salt water irritates the skin and aggravate the damage further.
    3. Take a pain-killer which will reduce the inflammation and control the overall effect of swelling and pain. This can also help the mild headache that can develop because of being out in the sun.
    4. The sun dries the skin and therefore, make sure you make an extra effort and moisturize your skin. Use creams that contain aloe vera, glycerin or hyaluronic acid. Keeping them in the fridge for a while produces an extra-refreshing effect.
    5. Make a compress containing egg white or green tea and skimmed milk. The green tea will reduce inflammation and the egg white will supply the necessary proteins for the skin to recover.
    6. Not just the skin, the sunburn also leaves you dehydrated overall. Ensure the water intake is increased and consume water rich food like watermelon, grapes, and cucumber.
    7. If there are sun blisters as a result of the sunburn, do not touch them. Peeling them can produce scars, which can be permanent.
    8. On spots that are painful after the sunburn, slices of potatoes or cucumber can be used to rub the area. This will produce a cooling effect and also reduce swelling.
    9. Vinegar contains acetic acid and reduces pain, swelling, and inflammation that happens subsequent to a sunburn. Towel soaked in vinegar can be used to wipe the area or vinegar can be added to the water for a bath.
    10. Mint is another wonderful agent to manage sunburn. Include it in tea or add peppermint oil to lukewarm water for that healing drink.

    These are some tips to treat a sunburn and reduce the damage (sometimes permanent) that can happen as a result.

  • PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
    Non-Invasive Conservative Cardiac Care Specialist

    Integrative or mind-body treatments include diet, nutrition, lifestyle modifications, counselling for mental and emotional stability, environment health and positive faith building. Integrative therapies have become very popular and sort after. A lot of research is being done to evaluate the results of drugless therapies and traditional systems of healing around the world. 

    As a doctor, therapist and counsellor, we realized that the problems faced by patients range from the most common 'what to eat and what not to do' to 'why did this happen to me', or  'how does it cost so much' and most important, overcoming the ‘fear and pain’ associated with diseases.  Few patients want to challenge a line of treatment, but do not have the courage to ask; and many will meekly follow the doctor’s advice. Things go wrong when patients are forced to follow some relatives or friends advice to take medicines that actually do them more harm than help.

    It s always better to take professional advice.

    Heart health also benefits from integrative treatments that include nutritional support from customized diet, customized exercises, mindful meditation, various self healing techniques like yogasana, acupressure, and powerful detoxification. Natural, herbal and Ayurvedic medication have proved very effective.

    Medical research has indicated, blockages that cause heart attack, stroke or deep vein thrombosis begin 80% times with wear-tear of inner lining of blood vessel. This injury gets covered with a plaque deposit that is formed initially as a self protection mechanism. This plaque deposit has a large volume of LDL cholesterol. So, wrongly, LDL cholesterol is termed as Bad, whereas, it actually deposits to fight the disease (oxdative free radicals) from doing more harm. Swelling and rupture of this plaque causes blockage of blood vessel and blood flow is hampered in smaller vessels away from the site of rupture. When this happens in delicate organs like the heart, damage of heart muscles take place (causing heart attack of heart failure) or when in blood vessels supplying nutrition to brain, causing stroke and paralysis.

    Research also confirms that unless the formation of these plaques is not retarded or reversed, new blockages keep occurring and procedures like angioplasty or bypass fail after a short time duration. This condition is called Restenosis. This can happen in same blockage area, on the stent or in new blood vessels.

    World Health Organisation has taken note of this fact and all over the world, Integrative treatment approach is gaining importance and results have also encouraged doctors and patients.

    Clinical trials conducted have shown that  Non invasive, holistic, integrative approach is able to retard blockages, reduce the formation of blockages and improve blood circulation all over the body while supporting different organ functions. These therapy options can be safely taken with allopathy, before heart attack, after attack, after angioplasty, stent or CABG procedures. We recommend high risk persons to take these as precaution as well.

    At present award winning, non invasive, clinically proved treatment protocol is available and is benefiting thousands of patients. 

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  • MBBS, MD - General Medicine
    General Physician

    If you are in an area which has a lot of mosquitoes, any fever that is not subsiding in a couple of days is a cause for concern as it can be due to dengue. It is one of the dreadful diseases doing the rounds in the recent years and when someone complains of fever and joint pain, the first question we ask if they got checked for dengue. This is caused by a virus that is carried by an infected mosquito.

    The blood is made up of 3 types of cells mainly that are in a liquid medium called the plasma. The red blood cells are the oxygen-carrying cells and the white blood cells fight infection and provide immunity. The third type are the platelets, they are smaller than the other two and help in blood clotting. With dengue fever, both the white blood cell count and the platelet count are decreased. Normal platelet count in the body ranges from 1.5 to 4 lacs and in patients with dengue; this can go down to as low as 20,000 to 40,000. This is because of the following:

    • Dengue suppresses bone marrow, which is the platelet-producing area, leading to decreased platelet count.
    • Blood cells affected by dengue virus damage platelets, leading to their drastic fall in numbers
    • Antibodies produced in dengue also lead to massive destruction of platelets

    Patient presents with nonspecific symptoms including a high fever that does not subside, vomiting, pain behind the eyes, headache, nausea, and severe muscular and joint pain. The eye pain and the joint pain lead to the suspicion of the dengue fever. Symptoms develop after 4 to 7 days after the bite. The fever lasts for about 5 to 7 days and is followed by a prolonged period of fatigue, joint pains, body pain, and rashes.

    For the sake of confirming the diagnosis, the doctor will run some lab tests. These include testing for antibodies IgG and IgM, PCR testing to check the virus and a complete blood count. This will reveal the decrease in the white blood cells and the platelets to a significant degree. Whether or not a person requires platelet transfusion will be decided by the doctor based on the person’s age, immunity levels and severity of the disease.

    There isn't a particular level below which a person would require platelet transfusion. In aged people and with people who have other chronic diseases, platelet transfusion may be required even if the blood count is about 50,000. The doctor will decide this based on the patient’s health. The right thing to do is to go for a medical consultation and discuss your situation with the doctor and identify what needs to be done for your condition specifically.

    2 Thanks
  • BUMS

    Getting to be intimate with someone is a great feeling as you can get to enjoy and explore each other’s bodies, mind and spirit. However it is also important that you avoid getting infected by sexually transmitted diseases. Although you are probably aware of how to protect yourself in general circumstances, you could be mistakes in the heat of the moment and fail or forget to use adequate protection. Always be safe, never sorry.

    The following tips will help you stay safe, each time you have sex and should never be forgotten:

    1. Single partner and regular testing: The safest way to have sex is have a single partner and to ensure that neither of you have any form of STI (sexually transmitted infections). If you have been with multiple partners before then get yourself tested for STIs and STDs (sexually transmitted diseases).
    2. Bring your own condom (BYOC): Never rely on the partner to have dams, condoms or lube. It is highly recommended that you have your own supply and the expiration dates should be checked before usage.
    3. Contraception: In addition to condoms, other forms of contraceptives like cervical caps and contraceptive pills must be utilized to prevent unwanted pregnancy. One should also consider using female condoms.
    4. Lubrication: Even though friction during sex can help in elevating pleasure levels, it also increases the risks of infection. In order to prevent friction, try to use a lubricants during sex. Oil-based lube should not be used on a latex condom as it may cause breaks within. Water and Silicon based lubricants are better options
    5. Set personal boundaries: Having personal rules and boundaries around safe sex can be helpful in setting a standard for behaviour. Writing down what one personally approves of and doesn’t is helpful in setting proper boundaries around the concept of safe-sex. In case of a history of sexual abuse, it is important to contact a therapist or somebody close and opening up to them so they can initiate the process of recovering from it.
    6. Drink responsibly: It is important to consider the limit of alcohol and the people one chooses to drink with. It is also necessary to understand the concept of consent. You should not be or allowed to be pressurized into having sex.

    It is important to understand the importance of safe sex and being able to speak up about sex without feeling any shame. Furthermore, it is important to understand your responsibilities in initiating safe sex and it is okay to find it difficult in the beginning. We have cultural stigmatization around sex and it is okay to be uncomfortable in the beginning, but it is equally important to develop the confidence to talk about sexual practices and safe-sex without guilt, shame or the fear of judgement.

    11 Thanks
  • BUMS

    Night fall or wet dreams is a very common occurrence in men, especially in adolescents. This condition is characterized by involuntary ejaculation of semen while sleeping at night or in the early hours of the morning. The problem can sometimes become frustrating for young men because they fail to understand the reason for it and cannot discuss it with their parents or peers out of shame. The frequency of these nocturnal ejaculations may vary from person to person. Some people only experience it in their adolescent years and some people experience it throughout their lives. Frequent night falls can cause laziness, lesser sensation in the genital regions, burning sensation after urination and low libido.

    What are the causes?
    Night fall is common at a young age when a man abstains from sex. But if they persist and become more frequent, they can create adverse effects upon the body. The major causes are stated below
    1. Weak nerves, congested prostate gland and inability to control emotions are considered as primary causes of frequent night fall
    2. Males having sex or performing self-stimulation frequently can become prone to night fall
    3. Side effects of medicines like tranquilizers, high blood pressure medicines, sedatives etc. can also increase the frequency of night falls
    4. Lethargic lifestyle, diabetes, obesity, long sitting hours, low libido, stress, anxiety and depression affect the balance of hormones, weakening the nerves and causing night fall

    How can it be controlled?
    1. Exercises and jogging keep the body fit and taking a bath before sleeping relaxes the mind and aids in sleeping, therefore reducing the possibility of night fall
    2. Urination right before going to bed can help in preventing nightfall
    3. Having yogurt twice or thrice a day can reduce the chances of getting wet dreams
    4. Refraining from watching porn or sexually explicit visuals before going to bed will keep nightfall at bay
    5. Reading books before going to sleep can reduce the possibility of getting wet dreams. However, a book dealing with sensuous themes can make it worse.

    3 Thanks
  • BUMS

    Physical intimacy is a very important part of our lives and defines how we relate to others and see ourselves. It is the attraction one feels towards a particular gender or group of people not just romantically, but emotionally and sexually. There is an increase in the number of people in today's world who identify themselves as bisexuals. Bisexuality is the romantic and sexual attraction or behavior towards people of any sex or gender i.e. both males and females. There are many factors that affect the sexual orientation of a person including environmental, hormonal, emotional and biological factors. Bisexuality is not a disorder that needs to be treated, nor are bisexuals psychologically disturbed.

    One very misleading myth is that bisexuality is just a phase and after experimentation (usually during college years) you settle for your true identity as either a homosexual i.e. attracted towards the same sex or heterosexual i.e. attracted towards the opposite sex. Bisexuality is not a transitional period. Most bisexuals may act on their desires and choose to be with one particular sex. However, it doesn't mean that bisexuals are not attracted towards the other sex. This does not mean that they are any less faithful towards their partners than other sexual orientations such as heterosexuals, homosexuals, pansexuals etc. 
    Several surveys later, it has been concluded that women are more likely to identify themselves as bisexuals than males. This is because women have greater erotic plasticity as compared to men. Bisexuals are often prejudiced against and are stereotyped as highly promiscuous and sexually confused. There is also a social stigma attached to the concept of bisexuality. This is nothing more than an unfair social bias.

  • MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)

    A normal healthy love life is as important as having a healthy body and mind. However, many men tend to have problems in maintaining a healthy love life due to the problem of impotence. A man is diagnosed as impotent when he experiences serious trouble getting an erection despite arousal or maintaining it during sexual intercourse.

    Physical and mental impact
    If the erectile dysfunction becomes a regular phenomenon, it can severely affect the person’s relationship status, not to mention his self esteem. Sometimes, impotence might be an indication of a serious underlying condition.

    You might be suffering from male impotence if:
    1. You are experiencing recurrent and significant trouble in order to get and subsequently maintain an erection.
    2. You are suffering from a low sex drive for a long amount of time.
    3. A combination of the both.

    Either way, a consultation with the doctor might help to cure male impotence through a prescribed dosage of medications. In extreme cases, the doctor might prescribe an artificial replacement of testosterone within the body or even a surgery in order to normalize things. If male impotence occurs due to psychological factors, sessions of counseling might help to improve the condition. If diagnosed and treated efficiently, male impotence is an easily curable condition.

    Male impotence or erectile dysfunction might occur due to numerous physical or psychological factors. Some of the causes of erectile dysfunction are as follows:
    Under lying health issues, if you are suffering from major health disorders you may suffer from erectile dysfunction. Some of these could be

    1. Hypertension
    2. High cholesterol
    3. Diabetes, obesity
    4. Alzheimer’s disease
    5. Parkinson’s disease

    Medication and treatments: Erectile dysfunction might occur due to the side effects of certain medications such as chemotherapy and blood pressure medications.

    1. Excessive alcohol consumption, tobacco usage or drug abuse: These elements put many harmful elements within your body and may result in prostate cancer or surgery within the pelvic area. If anyone has recently undergone surgery to treat prostate cancer or other problems of the pelvic area, it may cause impotence as well.
    2. Psychological trauma: Since the brain is one of the most important agents responsible for erections, any form of psychological trauma, anxiety or stress might trigger a dysfunction in the process as well.
    3 Thanks
  • Vaidya Visharad

    Premature ejaculation is a condition in which the men tend to ejaculate too early or sometime even before the deep penetration. Generally, every man will be able to do successful intercourse for two to six minute, but if the ejaculation occurs before this short duration of time the act of sex comes to an end within a short period. Ayurveda treats premature ejaculation with several herbs, but they also insist on few natural home remedies to overcome this issue. Also, learn to cope With Erectile Dysfunction and Depression.

    Natural Ayurvedic home remedies for premature ejaculation

    1. Asparagus powder: Boil two teaspoon of asparagus powder with one cup of milk for ten minutes. Drink this milk for two times a day regularly and this cure premature ejaculation at faster rate.
    2. Saffron and almond: Soak 10 almonds in water before night and next day morning peel off the skin and make them into fine powder. Mix this almond powder in one cup of cow’s milk along with cardamom powder, ginger powder and one pinch of saffron. Drink this mixture daily to improve your sex.
    3. Ginger and honey: Mix one table spoon of honey and small piece of ginger in one cup of boiled milk. Filter the milk and drink regularly to overcome premature ejaculation.
    4. Garlic: Garlic is another natural ingredient which is commonly available in every kitchen. Eat two to three cloves of garlic daily to improve your ejaculation time and to treat premature ejaculation.
    5. Carrots: Chop the carrots finely and mix it with honey and egg that is half boiled. Eat this regularly and this is an effective form of treatment for premature ejaculation.
    6. Diet changes: Dietary change is much essential to treat premature ejaculation even if you are on any drugs to treat it. Include foods that contain aphrodisiac properties that help to improve the sexual desire and treat any problems related to sex. Banana, drumstick, carrot, fennel, nuts, honey, cereals and milk are to be included in daily diet.
    7. Life style changes: Avoid taking much coffee, tea, alcohol and smoking. Practice doing yoga specially like matsya asana, sarvang asana and hala asana helps to overcome ejaculation problems.
    1677 Thanks
  • MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG

    Peer pressure is always difficult to deal with, especially when it comes to sex. Many girls feel the pressure from friends to have sex before they're ready, which is why it's so important to have the confidence to say no to something you don't feel ready to do.

    Just because your friends are having sex or say they're having sex doesn't mean that you have to as well! you might feel like everyone is doing it, but you will soon realize that this is not the case. Your friends may talk about sex in a casual manner. If you have a good group of friends, they should not be pressuring you into doing something that you're not ready to do.

    Pressure from magazines, celebrities and peers can all contribute to the pressure that you may feel. On tv, sex is displayed in such a casual way, however you should remember that sex is actually a really big deal! you need to make sure that you're completely confident and comfortable with your decision if you do decide to have sex. Think carefully how you feel yourself about having sex, as this is the first step in handling the peer pressure. It's okay to have fun when you're a teenager, but equally you need to respect yourself enough to say no I'm not ready and your peers should respect that too. When making the decision to have sex, consider whether peer pressure is influencing your decision or if it's something that you have decided that you are ready to do. Once you've had sex for the first time you can't go back, so make sure it's a decision that you won't regret.

    Remember that there is no certain age that you are expected to have sex a lot of people wait until they're married! everybody is different and will mature and feel ready at different ages, so just because your friend is doing it and feels ready now, this does not mean that you should feel that way too. Don't ever have sex just to fit in with your friends, as they will respect you more if you stick to your morals and don't do things just because you're pressured to.

    If you're worried about peer pressure, know that you're not alone. Hang out with friends who understand you and also believe that it's okay to wait to have sex. If you're going on a first date, go along with friends so it's not just you and your date. This way, if you feel worried that you might be pressured into doing something you don't want to, you won't be alone. Think of what you would say in advance if anyone tries to pressure you in the future, so that you're not caught off guard or feel like you have to do something you don't want to. You are never obliged to have sex with someone, so even if they try to make you feel guilty never do something that you don't want to do, as it's always your decision. Sex is not something that you should rush into, so take your time until you feel 100% ready to take the next step. Respect yourself, your morals and your body and when the time is right to take the next step, you will know.

    3 Thanks
  • CHSE, D.H.M, M.D. (Ayurved)

    Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

    Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

    Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

    Causes, incidence, and risk factors:
    Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

    When too much bilirubin builds up in the body, jaundice may result.

    Jaundice is caused due to following causes:
    Obstruction of the bile ducts (by infection, tumor or gallstones)
    Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
    Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
    Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
    Biliary stricture
    Alcoholic liver disease (alcoholic cirrhosis)
    Pancreatic carcinoma (cancer of the pancreas)
    Primary biliary cirrhosis
    Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
    Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
    Haemolytic anemia
    Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
    Chronic active hepatitis
    Autoimmune hepatitis

    Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

    Clinical symptoms:
    Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:

    Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown 
    Yellow color inside the mouth
    Dark or brown-colored urine
    Pale or clay-colored stools

    Other symptoms depend on the disorder causing the jaundice:
    Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

    Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

    Differential diagnosis:
    When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

    Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

    Laboratory findings include:
    Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
    Serum: increased unconjugated bilirubin.
    Kernicterus is associated with increased unconjugated bilirubin.

    Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

    Laboratory findings depend on the cause of jaundice, include:
    Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
    Plasma protein show characteristic changes.
    Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

    Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

    The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

    Signs and tests:
    No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

    Other tests vary, but may include:
    Hepatitis virus panel to look for infection of the liver
    Liver function tests to determine how well the liver is working
    Complete blood count to check for low blood count or anemia
    Abdominal ultrasound
    Abdominal ct scan
    Endoscopic retrograde cholangiopancreatography (ercp)
    Percutaneous transhepatic cholangiogram (ptca)
    Liver biopsy
    Cholesterol level
    Prothrombin time

    Ayurvedic approach:
    In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

    Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

    The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

    Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

    Medicines used:
    Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
    Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
    Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
    Navrayas loh can also be given in the dose of 125mg thrice daily.
    Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
    Regular intake of guduchi juice 10gm twice or thrice a day.
    Daily intake of neem juice is also useful for jaundice
    Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

    Some routine home remedies:
    Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
    Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
    Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances

    Pathya-apathya (do's don'ts):
    Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

    Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
    Always drink water that is filtered or boiled. Do not drink raw milk.
    Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
    Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
    There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
    Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
    Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
    It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
    Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
    Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.

  • Partners in Health
    Multi Speciality

    Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.

    Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.

    Sexual Activity and Cardiovascular Disease

    Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.

    Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.

    The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).

    How is the Heart and ED Related?

    Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.

    What to do?

    If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist

    431 Thanks
  • Diploma in Diet n Nutrition, BHMS

    Did you know barley water is good for kidney stones?
    Barley (jau), a member of grass family, is a cereal that has been cultivated for over 13, 000 years. Packed with carbohydrates (78%), fat (1%), protein (10%) and water (10%), barley is a rich source of essential nutrients, dietary fiber, vitamins such as niacin, manganese, phosphorus and vitamin B6.

    With several health benefits to its name, barley water is termed as the elixir to good health. It has been found to be beneficial in reducing chances of heart disease, soothing bowels, reducing blood cholesterol levels, improving blood sugar regulation in the body and acts as nutritive broth for fever, cold and cough. Additionally, studies support that barley water has also been found to play an integral role in maintaining renal health.

    What is a renal stone?
    A renal stone is a solid stony piece consisting of crystal forming substances in the urinary tract. They are usually formed when the urine is abundant in substances such as calcium, oxalate and uric acid and lack substances that inhibit their accumulation. While small kidney stones can pass through the urinary system without any symptoms, a stone larger than 5 mm can result in blockages in the urinary tract causing severe pain in the back and lower abdomen.

    What causes renal stones?
    - A family history for stones, lack of adequate water in the body, high BMI, excessive intake of diets rich in protein, sodium and sugar have been found to be some of the common causes for stone formation.

    Try protein foods & supplements
    - Medical conditions such as hyperthyroidism, inflammatory bowel syndrome and renal tubular acidosis have also been found to alter the digestion of calcium.

    How does barley water aid the dissolution of renal stones?
    Studies show that regular use of barley water can dissolve and eliminate existing kidney stones and prevent the occurrence of stones and other kidney problems. Use of diuretics either natural or synthetic can help speed up the expulsion of the stone.

    Diuretic in nature, barley water helps to flush toxins from the kidneys by creating bladder pressure and increasing the frequency of urination.

    - It helps maintain the PH levels in the body, making it alkaline, preventing various urinary tract issues, including kidney stones.

    - The vitamin B6 and magnesium in barley helps break down the masses of toxic calcium oxalate (primary cause for stones) in the kidney.

    Dietary fiber in barley reduces the amount of calcium that is excreted by the body through urine, restoring renal health and cleansing the kidneys.

    Ways to prepare barley water:
    - Boil 1 litre of water with a tablespoon of barley pearls and boil on a low flame for about 30 minutes or until the water has reduced to half.
    - Strain and cool this mix and drink it through the day.
    - Add lemon juice or honey to make the mix tasty

    Regular use of barley water ensures that the renal system is hydrated, healthy and free of depositions such as renal stones. So, go ahead and add this elixir to your diet to ensure a healthy renal system and a healthier you. Eat healthy, stay healthy!

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