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Dr. Rupesh Bhosale

70 Consultation Fee
Personal Statement
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.

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Dr. Rupesh Bhosale is a popular Ayurveda in central Panchgani, Pune. You can visit him/her at Pradnya Clinic in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Rupesh Bhosale on Lybrate.com.

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  • MNAMS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MBBS
    Internal Medicine Specialist

    The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney diseases. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.

    1. Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
    2. Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet. 
    3. Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
    4. Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
    5. Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
    6. Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
    7. Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.

    As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.


    Being diagnosed with cancer is something no one looks forward to and Gynaecological Cancer is every woman’s worst nightmare. However, if diagnosed in time, it can be treated. Cancer in any part of a woman’s reproductive system is termed as gynecological cancer. It is of five types:

    1. Cervical cancer

    2. Ovarian cancer

    3. Vaginal cancer

    4. Vulvar cancer and

    5. Uterine cancer

    Paying attention to your body and understanding its natural rhythm can help you recognize signs of gynecological cancer. This is because signs of gynecological cancer can be difficult to identify unless you know your body. Here are a five signs to watch out for-

    1. Abnormal Vaginal Bleeding: Bleeding in between periods is okay once in a while but if it happens continuously over a period of 2 to 3 months, do not ignore it. Vaginal bleeding after menopause should also never be ignored. Abnormal bleeding could be triggered by a number of conditions including cancer of the lining of the uterus. Sudden changes in your menstrual blood that persist for over 2 cycles such as heavy bleeding can also be a symptom of uterine cancer. Heavy bleeding can be defined as a period that lasts for over 7 days.

    2. Changes in the Vulva: Any change in colour of development of bumps, sores of thickened skin should be immediately shown to a gynecologist. Any form of vulvar itching or burning should also not be ignored. These conditions could be symptoms of vulvar cancer. Hence, it is important to know what your vulva looks like normally.

    3. Bloating: Persistent bloating that lasts for over a fortnight can be a sign of ovarian cancer. This is especially true in cases of bloating accompanied by sudden weight loss or between-period bleeding.

    4. Change in Bathroom Habits: Due to the proximity of the bladder to the reproductive organs, a tumour or swelling in the reproductive organs can trigger symptoms similar to those of a urinary tract infection. This includes pain while urinating, difficulty passing urine, diarrhea or constipation. Urinary incontinence could also a sign of gynecological cancer.

    5. Abdominal or Back Pain: In rare cases, lower back pain could be a sign of ovarian cancer or uterine cancer. Pain in the lower abdomen or pelvic area can also be a sign of ovarian cancer.

    The above could also be signs of other health disorders. The only way of knowing for sure is by consulting a doctor. Hence, understand your body and if you notice any of these symptoms consult your gynecologist at the earliest.  

  • MD - Psychiatry, MBBS

    Depression is an illness, which has a direct impact on the brain. People feel that it’s just feeling down, but it is more than that. It is a serious illness caused by changes in brain chemistry. There are other factors also that contribute to the onset of depression, including

    1. Genetics

    2. Changes in hormone levels

    3. Stress

    4. Difficult life circumstances

    Any of the above mentioned factors or combination can precipitate changes in brain chemistry and may lead to depression. Depression is a serious and a very common condition these days which may lead to suicide in extreme cases.

    Signs of Depression:

    1. Loss of pleasure in virtually all activities

    2. Feeling of fatigue or lack of energy

    3. Difficulty with concentration or memory

    4. An increase or decrease in appetite, with a corresponding change in weight

    5. Thoughts of suicide Depression & Suicide

    A major cause of suicide is mental illness, very commonly depression. People feeling suicidal are overwhelmed by painful emotions and see death as the only way out, losing sight of the fact that suicide is a permanent solution to a temporary state. Most people who succeed with living feel glad that they resist and are alive today. Suicidal thoughts may be fleeting or more frequent, passive or active. People who are in depress state often start preparing for death, such as giving away possessions or acquiring a gun and these are cause of great concern and should be taken very seriously.

    How to judge if suicide is a possibility?

    There may be some warning signs, though hard to predict, but can be an area of concern:

    1. Being depressed or signs of some mental disorders

    2. Talking about the loss of interest in living or not to be around

    3. Increased social isolation

    4. Mood swings very often

    5. Buying suicide materials

    6. Preoccupation with death

    While anyone can become suicidal, there are certain risk factors that make suicide more likely:

    1. Previous suicide attempts

    2. Recent losses like loss of a relationship or job

    3. Cultural and religious beliefs supporting suicide

    4. Access to means of suicide

    How to help a depressed person?

    • Let the person know if you've noticed a change in their behaviour.

    • Spend time talking with the person about their experiences and let them know that you're there to listen without being judgmental.

    • Suggest the person see a doctor or health professional and/or help them to make an appointment.

    • Offer to go with the person to the doctor or health professional.

    • Help the person to find information about depression and anxiety from a website or library.

    • Encourage the person to try to get enough sleep, exercise and eat healthy food.

    • Discourage the person from using alcohol or other drugs to feel better.

    • Encourage friends and family members to invite the person out and keep in touch, but don't pressure the person to participate in activities.

    • Encourage the person to face their fears with support from their doctor/psychologist.

    Remember that your loved one's depression isn't anyone's fault. You can't fix the person's depression, but your support and understanding can help.

  • DGO, MBBS, Advanced Infertility

    Urine incontinence is a condition that can be caused by one's everyday habits, side effects to medication, or any other long-term physical ailments. A thorough check-up by your doctor can help in getting to the root cause of this condition.

    Certain beverages, medicines and foods can act as diuretics. This leads to bloating in your bladder and an increase in the volume of your urine. They include the following:

    1. Liquor
    2. Caffeine
    3. Decaffeinated tea or coffee
    4. Aerated drinks
    5. Artificial sweeteners
    6. Corn syrup
    7. Drinks that contain high doses of artificial flavours, sugar or acid, particularly citrus based beverages
    8. Heart medicines, narcotics, and muscle relaxants
    9. Extensive intake of vitamins B or C
    10. Urinary tract infection (UIT)
    11. Constipation

    Other causes:

    Urinary incontinence can also be caused by the following:

    1. Pregnancy: Hormonal changes and increasedweight of the uterus can cause stress incontinence.
    2. Childbirth: Delivery can weaken the muscles required for bladder control. It damages the bladder nerves and steady tissue. With prolapse, the uterus, bladder, or the intestine can be pushed down from their usual position and might even protrude into the vagina.
    3. Changes developed with age: Maturing of the bladder muscle can weaken the bladder's ability to store urine.
    4. Menopause: After menopause,women deliver less estrogen. Disintegration of these tissues can cause incontinence.
    5. Hysterectomy: In women, the same muscles and tendons support the bladder and uterus. Any surgery that removes the uterus may harm the supporting muscles, which can prompt incontinence.
    6. Expanded prostate: Particularly in older men, incontinence usually occurs from growth of the prostate organ, a condition known as considerate prostatic hyperplasia.
    7. Prostate cancer: In men, stress incontinence or urge incontinence can be connected with an untreated prostate disease. Incontinence is a reaction to medicines prescribed for prostate growth.
    8. Obstruction: A tumour in your urinary tract can disrupt the typical stream of urine, prompting flood incontinence. Urinary stones at times cause leakage of urine.
    9. Neurological disorders: Various sclerosis, Parkinson's illness, stroke, a mind tumour or a spinal damage can meddle with the nerve signals. These are important in keeping control of the bladder.

    Your specialist may suggest the following:

    1. Bladder control: You may begin by attempting to hold off for 10 minutes each time you feel a desire to urinate. The objective is to extend the time between visits to the toilet until you start urinating in two to three hour intervals.
    2. Two-fold voiding: Twofold voiding implies urinating, then holding it for a couple of minutes and attempting once more. This exercise can help in leveraging better control in the long run.
    3. Fixed toilet time: You may attempt to urinate every two to four hours instead of sitting tight when the need arises.
    4. Liquid intake and diet: You may need to stay away from liquor, caffeine or acidic foods. Also, the fluid intake may have to be reduced in such cases.
  • MBBS

    It is no secret that when you pleasure yourself 'the right way', it would definitely pump you up for your next session. However, there are several other ways which are unconventional and yet as beneficial and helpful as regular masturbation. Debunking all myths that masturbation reduces erectile functioning or sperm count level or even sexual fertility, these unconventional techniques can definitely help you in various ways; providing you with the right kind of satisfaction and fulfillment and boosting your overall stamina. However, excessive masturbation is strongly recommended against as it has its long-term side-effects.

    1. Although your testicles are primarily concerned with the function of sperm production, they are also, technically speaking, an erogenous zone. Therefore, when you masturbate, it would be more helpful if you could utilize your testicles for the purpose of acquiring more satisfaction. By pulling your testicles slightly downward while masturbating, you could also try caressing, tickling or stroking them to see how it feels. You could also try holding them in a light grip and not too firm with your other hand.
    2. A change in position is also pretty effective in heightening your senses and providing a better feel whilst masturbating. Keeping your hand still and only moving your body is such a way. While doing this, you can masturbate while kneeling or standing or sitting or even swapping hands. The more the variety, the better will be the level of pleasure. Moreover, interchanging positions in between has also been proved to be very effective.
    3. The use of sex toys and other accessories can further enhance your satisfaction level. For instance, realistic vaginas can prove to be pretty handy in maximizing your sexual potency. Other credible sex toys are also available which are as helpful. Another effective technique of masturbating better is via porn or R-rated movies. By simultaneously watching movies while masturbating, your imagination gets fueled up with all kinds of sexual fantasies, providing you with more immediate satisfaction than usual.
    4. There is also the 'start and stop method' which is very useful in regulating and improving your level of stamina. A conscious and deliberate effort is required in maintaining control over your ejaculatory muscles. The best way to do this is by setting a time limit and not allowing yourself to ejaculate within the given time frame.
  • MBBS, MD - Dermatology

    The skin is one of the most delicate, yet at times, the most ignored part of the body. Human skin consists of three layers, namely, Epidermis, Dermis and Hypodermis:

    Epidermis is the outermost layer of the body and provides protection to the skin. The amount of Melanin in the epidermis is responsible for the variation of skin colour.

    The second layer, Dermis protects the body from stress and strains and also nourishes the epidermis.
    The deepest layer, Hypodermis also known as subcutaneous tissue, conserves energy. It is made up of cells with the purpose of storing fat, to be utilized by the body.

    A person's skin keeps on changing throughout the human life. It becomes thinner with the age, because of the ever changing hormonal production. With increasing age your skin also begins to age, losing its glow and becoming drier leading to larger pores, breakouts, wrinkles, dark circles, sagginess, patches, etc.

    Following changes occur in the skin at different age groups:

    1. Infants: The skin of newborns is very delicate, often red/pinkish or purple in colour. The skin of babies keeps on developing with each passing day. Their skin is thinner and sensitive. Also, the newborn skin is more prone to infections and allergies, which is why it is always advisable to use hand-sanitizers before even touching a baby, since a small infection might lead to a bigger issue for newborns. Premature babies generally have transparent skin vis-a-vis skin of full term babies, who are born with fully developed thicker skin.
    2. Toddlers: The skin of toddlers as compared to infants is more developed and bright, and it keeps on changing as your toddler grows.
    3. Adolescents: The skin of adolescents is tougher and undergoes a major change because of the various hormonal changes that happen during this phase of the human body. To name a few, adolescents will experience an increase in sebum production, arm sweating, pubic hair growth, pimples, acne, etc.
    4. Adulthood: Oil production, breakouts, larger skin pores are a few of the skin changes that start as the body also starts to age. The skin might experience acne and dryness in this stage.
    5. Maturity: Exposure to sun, less intake of water, thinning of the epidermis and lack of proper skin care leads to various skin related changes. These include skin pigmentation, wrinkles, losing of elasticity, paler skin, dryness, expression lines, thinner and drier skin.
    6. Old-age: During this phase of age, the human skin dries, becomes looser, veins become to be more visible, appearance of age-spots, sagging of skin, patchy skin are issues that humans are exposed to face.

    Any skin related issue should be taken up and discussed with Dermatologist/Skin Specialist to find the best cure to the problem.

  • EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS

    Menorrhagia is a condition that is marked by heavy menstrual bleeding during the monthly menstrual cycles. Most women have a unique bleeding pattern during that time of the month with the flow going up and down over the first few days. Yet, for many women, the bleeding becomes consistently heavy during all the days of the period, during which the period itself may get extended by a few days. If this pattern continues to occurs, one must get it checked out by a doctor at the earliest. Here are a few ways in which this condition may be treated.

    Factors considered during treatment: Before the treatment starts, and during the diagnosis stage, the doctor will take a look at a number of factors so that the correct form of treatment may be prescribed to the patient. To begin with, the doctor will take a complete medical history of the patient, including the family history to ascertain whether or not there may be a genetic problem at play. Further, the future childbearing plans of the patient will also be taken into consideration in such cases so that the treatment method does not hinder such plans. Also, the doctor will also try and understand the effect of the symptoms of this condition before prescribing any particular medication and surgery.

    • Medication: Iron supplements and non-steroidal anti-inflammatory medicines will be prescribed for the patient to bring down the level of inflammation and restore the production of blood, which will make up for the rapidly flowing blood from the body. This will also prevent the risk of anemia. Oral contraceptives, tranexamic acid, oral progesterone and hormonal therapy can also help in such cases.
    • Dilation and curettage: This procedure is also known as D&C, and it basically helps in dilation or opening up of the cervix so that the doctor may suction the tissue from the uterine lining. This tissue is usually known to bring about excessive bleeding.
    • Uterine artery embolisation: This is a procedure which shrinks any existing fibroids that may be the cause behind excessive bleeding. In this procedure, the uterine arteries are blocked and the blood supply to the same is cut off so that the fibroids do not get a chance to grow and cause unnecessary pressure that may lead to excessive bleeding.
    • Hysterectomy: This is a surgical procedure that removes the cervix as well as the uterus, and is usually the last resort followed by most doctors. In such cases, the doctor will first ascertain whether or not you plan to have any children in the future. Additionally, the ovaries may also be removed if the condition has spread too much to be contained sufficiently.
  • DHMS

    If you are suffering from gout, you should try undergoing a homeopathic treatment. Gout is a type of arthritis and is considered to be the most painful type. It is featured by the inflammation of joints accompanied by great pain. The pain and inflammation occur because of the deposition of urate crystals in a joint. The accumulation occurs when there is excessive uric acid present in the blood.

    Here are some effective homeopathic remedies for the treatment of gout:

    1. Colchicum: This medicine is the primary homeopathic medicine for treating gout because of its effectiveness. It is mostly used in chronic cases of gout. Usually, a patient experiences extreme pain in the big toe, which is too intense to be touched. The toe and other parts which get affected become swollen, red and hot. The pain worsens in the evening and at night. Patients who require this medicine should keep away from warm weather conditions. This medicine is also used in case of increased weakness and internal cold.
    2. Ledum Pal: This effective medicine is used in cases where the pain travels in an upwards direction from below. The pain is likely to start at the feet and gradually move upwards, affecting the knees and legs. The pain also shoots through limbs. Small joints are commonly affected. There is a sensation of decreased warmth in the joints and in the body. The patient will find it difficult to tolerate any kind of external warmth. The pain improves by cold applications. The ankle balls or big toe may be swollen.
    3. Benzoic acid: This homeopathic medicine is used for treating gout where offensive urine is experienced. The urine becomes very offensive with a very strong odor, which can be detected from a distance. The odor is usually repulsive and the color of the urine is brown. Extreme pain is experienced in the big toe and the knees are swollen.
    4. Antim Crudum: This is an efficient homeopathic medicine used for treating gout. It is used when a patient experiences gastric symptoms along with joint pain and inflammation. The patient may develop an increased craving for food and hence, several problems occur due to over eating. Pain is experienced in the heels and fingers.
    5. Sabina: This homeopathic medicine is important for treating gout in women, when the patient already suffers from another female disorder. Uterine symptoms are experienced along with the basic symptoms of gout. Shooting pain is experienced in the toes and heels. The joints get swollen and look red and shiny.

    Homeopathy offers a completely natural treatment for different types of gout and goes beyond just curing the symptoms. You need to consult your doctor before starting a homeopathic treatment for gout.

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  • M.Ch - Urology, MS, MBBS

    Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.

    Causes of temporary cases of urinary incontinence include:
    1. Constipation
    2. Urinary tract infections
    3. Excess consumption of alcohol and caffeine
    4. Consuming carbonated drinks
    5. Use of artificial sweeteners
    6. High doses of vitamin B and vitamin C
    7. Being on sedatives, muscle relaxants, blood pressure and heart medications
    8. Eatables which are too spicy, acidic or sugary

    However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:

    1. Age: The bladder muscles tend to weaken with age. This affects the bladder’s urine holding capacity.
    2. Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
    3. Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
    4. Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
    5. Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
    6. Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
    7. Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson’s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.

    Different forms of urinary incontinence are classified on the basis of their symptoms:

    1. Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
    2. Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
    3. Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
    4. Overactive Bladder: This is characterized by frequent and urgent urination.
    5. Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
    6. Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications.
  • Graduate in Ayurvedic Medicine and Surgery ( GAMS )

    Hampered drive for physical intimacy may not be the case with everybody suffering from cancer. Since, each individual is different with varied sexual needs, it is rather impossible to predict how cancer would affect a person’s sex drive. But certain treatments of cancer might take a toll on your libido and subsequently, your sex life.

    Cancer and certain treatments of cancer, can be the reason behind your low libido as they can cause:
    1. Imbalance in the sex hormones
    2. Scarring of the skin
    3. Breathing problems
    4. Diarrhea or bowel problems
    5. Pain
    6. Tension or anxiety
    7. Depression or sadness
    8. Irritability
    9. Fatigue (Tiredness)
    10. Persistent sickness

    With any of these side-effects, you may not have the urge of indulging in sexual intercourse because of the constant irritability and pain, essentially resulting from weakness. You might also think less of yourself, with no care for the way you dress up, make up or do your hair as you used to do before. With fatigue playing nemesis to your libido, you may feel entirely washed out, exhausted and spent after your intensive chemotherapy sessions.

    How do you address this problem?
    1. Speak out: Try unburdening yourself of the worries and anxiety in front of your partner or the doctor and make them understand how you truly feel about yourself. They may be able to guide you home.
    2. Plan your rumble beforehand: You can plan your sexual activity by taking pain killers an hour prior to lovemaking.
    3. Foreplay helps: Remember, sexual contact cannot spread cancer, ever. An intense session of foreplay has never disappointed anybody and it might work wonders if you have been going through all the rigor of cancer and its treatment lately. It would make you feel genuinely cared for; this might just egg you on to come out of that shell of depression and anxiety and enjoy sex like the way you used to.

  • FICS - RPSLH - RPSLH, Fellow HPB Surgery & Liver Transplant (Singapore) , DNB (General Surgery), MNAMS (Membership of the National Academy), MS - General Surgery , MBBS

    Exercise can benefit your digestive system. The benefit, however, depends upon your time and type of exercise. When you exercise, your body slows down the process of digestion. Maximum supply of blood is directed towards the muscles and lungs. Thus it is to be kept in mind that you shouldn't exercise after having heavy meals. You may suffer from heartburn or vomiting if you take heavy meals before exercising. However, if you exercise empty stomach, you can see health benefits. Your digestion time must not be the same as your time for exercise.

    There are several relaxation techniques, physical activities and exercises to help absorption of essential nutrients. Exercise can help your digestive system in the following ways:

    1. Boosts Blood Circulation: Exercise improves the flow of blood through our entire body. Thus the supply of blood to the digestive systems is also improved. The digestive system starts functioning better. With regular exercising, the digestive system starts functioning faster. An individual gets rid of gastric problems like gas, heartburn, constipation and stomach cramps.
    2. Digestive Routine: It is important that you exercise at the right time. Proper exercising before having meals is a very healthy habit. It will encourage you to develop a healthy and effective digestive routine.
    3. Yoga for Digestion: It is a low-energy exercise. It helps in strengthening of the stomach muscle and facilitates digestion.

    Precautions: One should keep in mind a number of things while exercising for a healthy digestive system. You must fix up a proper schedule for exercising. You can't take larger and heavier meals, rich in proteins and fats, just before exercising. Drink adequate amount of water after exercising as it causes dehydration. Patients who suffer from frequent attacks of diarrhea should avoid caffeine intake while exercising or later.

  • FICS - RPSLH - RPSLH, Fellow HPB Surgery & Liver Transplant (Singapore) , DNB (General Surgery), MNAMS (Membership of the National Academy), MS - General Surgery , MBBS

    Bloating isn't a medical condition. It doesn't necessarily mean that a person has eaten too much. It can be a case of eating wrong food which has not been digested by the body. Bloating occurs when air and water get trapped inside the stomach or intestine. As a result, the stomach gets swollen well past its normal level.

    Culprits of bloating:Bloating can result from a number of cases. Fatty or junk foods are one of the biggest culprits of bloating. It hinders the digestion process and doesn't let the stomach empty on time. Carbohydrates too can cause bloating. Even carbonated drinks can play spoilsport. It creates bubbles in the stomach leading to indigestion and bloating. Some food items related to gas include cauliflower, lettuce, hard candy, beans, Brussels sprouts, broccoli etc. Apart from this, consumption of excessive junk food and soft drinks can lead to bloating.

    Steps to avoid bloating: The best way to avoid bloating is to refrain from bloat causing foods as mentioned earlier. If you wear dentures, it should be ensured that it fits properly. There are instances when excess air gets inside the stomach due to an improper fixture of denture leading to bloating. Eating or drinking slowly is another good way of staying away from bloating. When you eat slowly, there are fewer chances of extra air getting inside the stomach. In the case of beverage consumption, avoiding the straw is a good idea. This way the unwanted air cannot make their way inside the tummy and play foul.

    Taking a small walk after every meal is another good way of staying away from bloating. This way the gas inside the tummy cannot rise above the surface. The practice of calming technique such as yoga, deep breathing and meditation also goes a long way in giving relief from bloating.

    Some home remedies to get rid of bloating include:

    • A cup of ginger, lemon and honey in a cup of hot water once everyday
    • 1 cup of herbal peppermint tea freshly prepared in boiled water
    • In the case of regular stomach bloating, intake of one caraway seed on a daily basis fetches immediate results
    • Consumption of a cup of baked pumpkin twice a week
    • Consumption of warm lemon water before you start your day is another good way of keeping bloating at bay.

    Bloating can also be a symptom of other intestinal related problems as well. If the general method of control and measured diet doesn't suffice, it is time to visit a doctor to find the underlying cause of your problem. Doctors perform a series of tests to understand the problem and prescribe the required medicine to control or cure the problem.

  • MS - Obstetrics and Gynaecology, MBBS

    Here are some tips to preserve fertility in women?

  • FICS - RPSLH - RPSLH, Fellow HPB Surgery & Liver Transplant (Singapore) , DNB (General Surgery), MNAMS (Membership of the National Academy), MS - General Surgery , MBBS

    Dyspepsia is an uncommon word, but a very common problem. This medical condition is more commonly known as indigestion of the stomach and small intestine. The symptoms of this condition include abdominal pain, bloating, belching, nausea and a loss of appetite. They come and go varying terms of frequency and intensity. 

    Some of the common causes of dyspepsia are lactose intolerance, anxiety, regurgitated stomach juices, stomach ulcers, irritable bowel syndrome and excessive caffeine or alcohol intake. In most cases dyspepsia can be easily treated with home remedies. 

    Here are the 5 best ways to treat it:

    1. Lemon juice: Lemon juice cleanses the digestive system by flushing out waste material and undigested food. It also inhibits the formation of acids in the stomach and boosts appetite. Dilute the juice of 1 lemon in a glass of water to avail its benefits. You could also add half a teaspoon of fresh ginger juice to this. Ginger also aids in digestion and prevents flatulence.
    2. Buttermilk: Buttermilk has cooling properties and helps calm the stomach and intestines. It is also suitable for people who are lactose intolerant. Drink a glass of buttermilk immediately after a meal to improve your digestion. You could also flavor it with roasted cumin powder or mint. Mint also helps in relieving indigestion and prevents buildup of gases in the stomach while cumin stimulates the secretion of pancreatic enzymes.
    3. Yogurt: Yogurt is the best remedy for any stomach bug. It is rich in probiotics that help restore balance healthy gut bacteria and stabilize digestion. Yogurt can be had as an accompaniment to your meals or mixed with steamed rice to make it a meal in itself.
    4. Fenugreek: Fenugreek boosts appetite and helps relieve indigestion. This herb is known for its soothing properties that cleanse the digestive system. Fenugreek leaves can be bitter and unpalatable. Hence, to benefit from this, boil the leaves and then lightly fry them in butter before eating them.
    5. Pomegranate juice: Pomegranate juice is an excellent way to treat indigestion and diarrhea. Its antioxidant properties also make it a good remedy for heartburn. To benefit from pomegranate juice, dilute the juice of a pomegranate in a glass of water along with a tablespoon of honey.

    Along with this, also take a look at your eating habits. Avoid eating on the move and chew your food properly. Eat only when you are hungry and control your portion sizes. Lastly, make the time to exercise for half an hour or so every day.

  • PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
    General Physician

    This anti-wrinkle homemade face mask is the most natural solution to get rid of signs of aging. In addition, it is very easy to prepare, but what is more important it is cheap, so that not only the face, but your wallet will thank you.

    1 egg white
    1/2 teaspoon lemon juice

    Place the egg white in a bowl, and beat it until it foams. Then add the lemon juice. Continue beating for several minutes until a homogeneous mixture is made.

    The first thing you need to do is to thoroughly clean the face. Do not forget your neck.

    Then, make sure your hands are clean, and with your fingers, take a little mixture, and apply the mask on your face gently, in circular motions. Leave it on the face for about 5-10 minutes, and then remove with warm or cold water as you want.

    Finally, apply your favorite moisturizer.

    1 Thanks
  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition

    Goals and attitudes:

    Compared with previous attempts, how motivated to lose weight are you this time? score 1 for not at all, 2 slightly, 3 somewhat, 4 quite, 5 extremely 

    How certain are you that you will stay committed to a weight loss program for the time it will take to reach your goal?
    score 1 for cannot, 2 can somewhat, 3 uncertain, 4 can tolerate well, 5 can easily

    Consider all outside stress in your life (work, family obligations, etc.) to what extent can you tolerate the effort required to stick to a diet?
    score 1 for very unrealistic, 2 somewhat unrealistic, 3 moderately unrealistic, 4 somewhat realistic, 5 very realistic

    Think honestly about how much weight you hope to lose and how quickly you hope to lose it. Figuring a weight loss of. 5kg to 1 kg per week, how realistic is your expectation?
    score 1 for always, 2 frequently, 3 occasionally, 4 rarely, 5 never.

    While dieting, do you fantasize about eating a lot of your favorite foods?
    score 1 for not at all, 2 slightly, 3 somewhat, 4 quite, 5 extremely

    While dieting, do you feel deprived, angry, or upset?
    score 1 for not at all, 2 slightly, 3 somewhat, 4 quite, 5 extremely

    Scored 6 to 16 - not a good time to diet; inadequate motivation and commitment and unrealistic goals can get in your way

    Scored 17 to 23 - think about ways to boost your diet readiness before you begin

    Scored 24 to 30 - bingo, your path is clear.

    Hunger cues:
    When food is mentioned, do you want to eat even if not hungry? score 1 never, 2 rarely, 3 occasionally, 4 frequently, 5 always.

    Do you have trouble controlling your eating when your favorite foods are around the house? score 1 always, 2 frequently, 3 occasionally, 4 rarely, 5 never.

    How often do you eat because of physical hunger?
    score 1 never, 2 rarely, 3 occasionally, 4 frequently, 5 always.

    Scored 3 to 6 - try to control the attitudes that occasionally make you overeat

    Scored 7 to 9 - dieting will be easier if you try to resist external cues and eat only when you are physically hungry.

    Control overeating:
    Score 1 if you would eat much less, 2 if you would eat somewhat less, 3 if it would make no difference, 4 if you would eat somewhat more, and 5 if you would eat much more:

    Although you planned to skip lunch, you are talked into going out to eat.
    You go off your diet by eating a fattening, forbidden food.
    After faithfully following your diet you decide to test yourself by eating a %u201ctreat.%u201d

    Scored 3 to 7 - you recover rapidly from mistakes, but should get professional help if you often alternate between strict dieting and eating out of control
    Score 8 to 11 - you have a flexible, balanced program that is not disrupted by unplanned eating
    Score 12 to 15 - your reaction to problem-causing eating events can be improved.

    Binging and purging:
    Have you ever eaten lots of food rapidly and felt the eating was excessive and out of control?
    score 2 for yes, 0 for no.

    If yes, how often over the past year?
    score 1 for less than once a month, 2 about once a month, 3 a few times a month, 4 about once a week, 5 about 3 times a week, 6 daily:

    Have you ever purged to control your weight by using laxatives, diuretics, or induced vomitingscore 5 for yes, 0 for no.
    If yes, how often during the past year? score 1 for less than once a month, 2 about once a month, 3 a few times a month, 4 about once a week, 5 about 3 times a week, 6 daily:

    Scored 0 to 1 - binge eating and purging are not your problem
    Scored 2 to 11 - get professional help if these eating patterns arise more often
    Scored 12 to 19 %u2013 your potentially serious eating problem needs immediate professional attention.

    Emotional eating:
    For each of the next three questions, score 1 never, 2 rarely, 3 occasionally, 4 frequently, 5 always.

    Do you overeat when you feel anxious, depressed, angry or lonely?
    Do you celebrate feeling good by overeating?
    When things don%u2019t go well with others or on your job, do you eat more than you would like?

    Scored 3 to 8 - you don%u2019t seem to let emotions affect your eating
    Scored 9 to 11 - monitor your occasional tendency to eat in response to emotional highs and lows and find alternative activities
    Scored 12 to 15 - you need to find other ways than eating express your feelings.

    How often do you exercise?
    score 1 for never, 2 rarely, 3 occasionally, 4 somewhat, 5 frequently.

    How confident are you that you can exercise regularly?
    score 1 for not at all, 2 slightly, 3 somewhat, 4 highly, 5 completely.

    Do you have a negative or positive picture about exercise in your mind?
    score 1 for completely negative, 2 somewhat negative, 3 neutral, 4 somewhat positive, 5 completely positive.

    How sure are you that you can work regular exercise into your daily schedule?
    score 1 for not at all, 2 slightly, 3 somewhat, 4 quite, 5 extremely.

    Scored 4 to 10 - change attitudes that are blocking your way to regular exercise
    Scored 11 to 16 - to feel more positive about exercise, think of ways that are fun and fit your lifestyle
    Scored 17 to 20 - your path is clear to a more active life.

    In case of any diet/nutrition related query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778).

    1 Thanks
  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition

    Take an after-dinner walk
    Walk during your breaks and at lunch
    If possible, schedule a" walking" work meeting
    Park in the farthest spot from the grocery store or mall (it is easier parking as well).
    Avoid valet parking (saves money too)
    Take the stairs instead of elevators or escalators
    Walk while your kids practice or warm-up at their sporting events instead of sitting in your comfy chair (this one I know from experience).
    Walk to drop off/pickup kids from school.
    Take public transportation; walk around the terminal when waiting for the train/bus/light rail.
    Walk the dog. Have you heard our pets are getting fatter too?
    Avoid the drive-thru. If you must eat at a fast-food establishment, park at the farthest spot and walk in. And, of course, choose a healthier food option!
    Walk to visit friends or neighbors.
    Like to golf? walk instead of renting the cart.
    Read/watch tv on a treadmill (or stationary bike).

  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition

    Polycystic ovarian disease (pcod) have multiple small cysts in their ovaries. These cysts occur when the regular changes of a normal menstrual cycle are disrupted. The ovary is enlarged; and produces excessive amounts of androgen and estrogenic hormones. This excess, along with the absence of ovulation, may cause infertility. Other names for pcod are polycystic ovarian syndrome (pcos) or the stein-leventhal syndrome.

    Causes of pcod:
    We don't really understand what causes pcod, though we do know that it has a significant hereditary component, and is often transmitted from mother to daughter. We also know that the characteristic polycystic ovary emerges when a state of an ovulation persists for a length of time. Patients with pco have persistently elevated levels of androgens and estrogens, which set up a vicious cycle. Obesity can aggravate pcod because fatty tissues are hormonally active and they produce estrogen which disrupts ovulation. Overactive adrenal glands can also produce excess androgens, and these may also contribute to pcod. These women also have insulin resistance (high levels of insulin in their blood, because their cells do not respond normally to insulin).

    Weight loss diet for pcod
    In case of pcod, carbohydrate loading is very important to improve insulin sensitivity.

    Why protein
    Avoid high glycemic index foods
    Include green leafy vegetables fruits

    Essential fats:
    Not all fat is bad and healthy fats are essential for your pcos diet. Essential fatty acids are really important for maintaining the cell wall, which allows nutrients in, and toxins out. They are also vital for hormone balance, weight management and fertility. These healthy fats are found in nuts and seeds, oily fish, avocado and olive oil so be sure to incorporate those into your diet. 

    6. Adequate quantity of vitamin b and magnesium
    Physical activity:
    Whilst diet is hugely important aspect to tackling pcos, we must not forget other lifestyle changes that will help to overcome pcos and it's symptoms.

    Exercise regularly
    Manage stress levels
    Share the burden and get good support from your family and friends.
    Look after yourself and pamper yourself. We need to reclaim our womanhood and femininity so a little bit of tlc is definitely in order.

    There is no magical formula that's going to make us all better. However, by making these diet and lifestyle changes now, we can manage our symptoms and improve our health.

    In case of any query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778).

  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition

    Discipline is the first step towards success:
    Self-discipline is a pattern of behavior where you choose to do what you know you should do, rather than what you want to do. It's the inner power that pushes you to get out of bed to exercise rather than sleeping in. When you are consistent in doing the things you know you should do, when you know you should do them, here are the benefits you will enjoy:

    You will achieve your goals. When you are consistent in doing the things you know you should do, your odds of achieving your goals will be dramatically increased. You self-esteem will soar. Every time you push yourself to do something you know you should do, you are building your self-esteem. People's respect for you will grow. This includes everyone from your spouse to your employer who witnesses your efforts.

    You will influence the lives of others. Every good and right thing you do, influences the lives of those who are watching and can have a ripple effect on future generations. You will see greater success in all areas of your life. Always remember, for every disciplined effort there is a multiple return. Think about it. You will enjoy a more rewarding and satisfying life.

    Set your target:
    This approach will allow you to get adjusted with your new routine as well. As your progress further & see the results with these small targets, automatically you feel confident can revise your target to achieve more. Now, interesting part is: how to set your target. For example, you weight is 60 kgs, height is 158 cm & age is 28 years. In this example your bmr should be 1400 kcal. If currently you are doing intensive exercise for at least 20 minutes 1 to 3 times per week then a rough estimate of the number of calories required per day based on your current activity level 1925 kcal/day.

    Based on this activity level, after subtracting 500 calories your new target (calories/day) would be 1425 which should result in roughly 500 gms of weight loss per week. Definitely if you increase your activity levels then you can expect more weight loss per week.

    Number of servings per day:
    It is essential to realize that not eating will only reduce your metabolism which will in turn hinder the process of losing weight. Instead eat 5-6 small meals a day which will keep your digestive system running thus it'll keep burning calories. Breakfast is the most important meal of the day and you must not skip it. You notice the days you skip breakfast you will tend to be more hungry all day. Make sure your breakfast is rich in insoluble fibers since they contain almost zero calories.

    Understanding portion size:
    Let's do the math here. Say you're asked to leave 25% of your food on the plate and just eat the rest. You need 2000 calories a day which means you'll be leaving around 500 the whole day. Now instead of leaving the food, serve yourself in a smaller plate. That way you can eat everything on your plate and you needn't worry about leaving a certain amount. This way you won't even realize when you burn those 500 calories! same way, you can set your target weight loss of calories per day and work your way accordingly.

    Watch out your drink:
    Diet sodas and fizzy drinks are filled with calories even though their advertisements state otherwise. When you drink diet soda's which contain artificial sweeteners these trick our body to think that we haven't consumed too many calories which in turn makes us eat more, thus consuming more calories than we already do. Similarly when you drink cup after cup of tea or coffee in the work place you’re drinking more calories than you can even comprehend. Thus it's better to drink water or green tea to keep your mouth busy and to ward off unnecessary calories.

    Start reading nutrition labels:
    Not only diet soda's, you must make sure you read and understand the nutrition labels of all processed products properly. It is essential to know what is going into your body and the subsequent effect it will have. Just because the cover might say its fat free doesn't make it totally true, you must read the nutrition label at the back and know what all the product really contains since there is enough margin for error allowed by the law in regard to trans fat, saturated fat etc. A lot of packets also provide information per cup serving or per 100 grams. In such cases it is essential to consider these values in terms of your consumption.

    *don't* skip meals:
    Firstly skipping meals could lead to a lot of weakness and fragility. Apart from that, skipping meals leads to a reduction in tor activity ie a key regulator of muscle growth cells. When you skip meals your muscle starts wasting away much faster than it normally would. The brain's exclusive fuel ie glucose is compromised within 4-6 hours of not eating. Basically the glucose stored in the liver as glycogen runs out during this time period. When blood glucose dips too low the liver converts glycogen into glucose and releases it into the blood. But if this has depleted due to lack of food, the body and brain eventually run less efficiently. This could cause major brain drain and will hinder your productivity.

    Exercise is the most important and easiest way to burn calories. If you have time restraints you could burn these calories while doing daily household work! cleaning the house for 2 hours or gardening for an hour and a half burns 500 calories. You could even get some exercise in while you take your kids out to play or when you walk your pet! if you can barely manage to get an hour's worth of free time join an aerobics, zumba or spinning class. They'll help you distress as well as burn off those calories without you even realizing how the time went by.

    Based on this activity level, after subtracting 500 calories your new target (calories/day) would be 1425 which should result in roughly 500 gms of weight loss per week. Definitely if you increase your activity levels then you can expect more weight loss per week.

    Balance is essential:
    You cannot completely stop eating. Nor can you stop eating carbs and fat's just to maintain a certain body weight. It's essential to eat every type of food, just in balanced proportions. Try eating more vegetables and salad instead of rice or roti's here it is important to remember you need both to maintain a healthy balanced diet, so you can't just skip the carbs. Another thing, you needn't give up on your taste buds completely! eat what you enjoy, just make sure you eat everything in a balance and you're good to go. It won't kill you to have a slice of pizza, or even satisfy your sweet tooth by having some dessert. Plus once you've had a little bit, you won't crave it anymore that instantly cuts down the possibility of overdosing on any unhealthy sin. Not only will you feel healthier and fitter, you'll also manage to imbibe somewhat of a healthy lifestyle.

    If you follow these small mantra's on a daily basis, in no time they'll seem totally natural to you. This way you need not make drastic changes in your routine, nor will you struggle with any eating disorder! it's a win-win situation. For more details and information you can check out our other blogs or even contact Dr. Silky mahajan for the same. Happy eating!

    In case of any diet/nutrition related query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778).

  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition

    Working out and staying fit might be on your do to list every day. But honestly ask yourself how often do you actually check it off your list. Yes, you want to work out but there are other things which come first meetings, taxes, work, office, family etc. This busy life style really turns your whole system upside down, from sleeping to eating to exercising. But staying super healthy is just as important as your super busy lifestyle. Here are some tips that might benefit you!

    Here's how you can remain fit and healthy despite your hectic-rushed-did I mention occupied-tiring routine.

    Priorities and commitment:
    The most important step is to prioritize and commit. The way you prioritize work and ensure its completion within the time frame you give yourself, the same way you must commit to your work out. If you don't have the time to hit the gym then use pre planned short work outs. Now days so many work out apps are also available. Not to forget the medieval (yet most efficient) means like walking, cycling, skipping etc. It's always better to choose something over nothing! you really don't need one whole hour of a vigorous work out; even half an hour is good enough. Circuit training is another great alternative to work out with a time crunch it raises the heart rate and strengthens the muscles win win situation!

    Use various methods to exercise:
    Consistency is essential. You can't work out for 2 days and expect to see results on the third day! no matter how busy your day might be, it's essential to exercise for at least half an hour everyday to achieve results. It is scientifically proven that our body takes 21 days to develop a certain habit; so after you push yourself for 3 weeks it will eventually seem normal. Your daily physical activity must be creative. Take the stairs to work or up to your house. Avoid lifts and use the stairs instead. Buy a treadmill or a cycle and keep it in the corner of your office or room to use whenever possible. Go for a walk on the golf course the day the weather is to die for. Use different methods of exercise to ensure that 30 minute daily dose!

    Find fitness in every activity:
    Prefer stairs in stead of lifts in your office. Try to walk after dinner, it'll help with the digestion and exercise. Try to squeeze in a walk during breaks and lunch. If possible you can even schedule a" walking meeting. Walk around terminals while waiting for your public transport. If you drive yourself then try to park far away so that you can walk just a little (this does add up to enough exercise eventually). Avoid fast food and drive in's, try to find a healthier food option. Try reading or watching tv while you walk on a treadmill or use a stationary cycle. Even our pets are becoming fatter, take your dog out for a walk to help both of you. It's little bits of exercise like this which will help you stay healthy and fit!

    Walk is the best exercise:
    Try to walk after dinner, it'll help with the digestion and exercise. Try to squeeze in a walk during breaks and lunch. If possible you can even schedule a" walking meeting. Walk around terminals while waiting for your public transport. If you drive yourself then try to park far away so that you can walk just a little (this does add up to enough exercise eventually). Avoid fast food and drive in's, try to find a healthier food option! try reading or watching tv while you walk on a treadmill or use a stationary cycle. Even our pets are becoming fatter, take your dog out for a walk to help both of you. It's little bits of exercise like this which will help you stay healthy and fit!

    If you do end up missing your workout for whatever reason, then make sure you make up for it sometime during the weekend. Try to work out as much as you can during your breaks, even when you watch tv you could do some exercises during the commercial breaks. It's all about forming that mindset.

    Like they say, where there's a will there's a way.

    In case of any diet/nutrition related query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778)

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