Dr. Sandeep R. Kanse - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Homeopath in Navi Mumbai

Dr. Sandeep R. Kanse

BHMS, MD - Homeopathy
13 Years Experience
600 Consultation Fee
Personal Statement
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.

More about Dr. Sandeep R. Kanse

Dr. Sandeep R. Kanse is a trusted Homeopath in Sector-40, Navi Mumbai. Doctor has over 13 years of experience as a Homeopath. Doctor is a BHMS, MD - Homeopathy. You can meet Dr. Sandeep R. Kanse personally at Ramkrishna Clinic in Sector-40, Navi Mumbai. Save your time and book an appointment online with Dr. Sandeep R. Kanse on Lybrate.com.

Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 40 years of experience on Lybrate.com. Find the best Homeopaths online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
URL of Map
SHMC, Satara,
YMT Homoeopathic Medical College,
MD - Homeopathy
  • Fellowship In Hair Transplantation, DNB (Dermatology), Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS

    Here are causes and prevention of hair loss

    3567 Thanks
  • Diploma in Diet n Nutrition, BHMS

    6 effective ways to manage period pain

    Although menstrual cycles or monthly periods are a normal physiological process, they can sometimes be accompanied by pain and excessive cramping and can affect your quality of life. While the pain is usually tolerable and goes away in a day or two, it can be worse on some occasions. Here are some effective ways to handle period pain:

    1. Use a heating pad
    You can place a heating pad or a hot water bottle over your lower abdominal area to help in relieving pain. Heat is quite helpful in easing the cramping and reducing the intensity of pain.

    2. Massage with essential oils
    Massaging with certain aromatic essential oils is also an effective way to relieve menstrual cramps. These include lavender oil, eucalyptus oil, clary sage oil and marjoram oil. Massage your lower back and abdomen with these oils for best results. You can massage at around bedtime for a restful sleep and relief from cramping.

    3. Exercise
    This might come as a surprise but exercise helps to release the pain relieving chemicals called endorphins. Experts suggest that women who exercise regularly often have less menstrual pain. To prevent cramps in the future, make exercise a part of your lifestyle.

    4. Have herbal teas
    Certain teas help in reducing the intensity of period pain and cramping. These include peppermint tea, cinnamon tea, ginger tea, chamomile tea and tulsi tea. You can add any of these teas during your periods for easing the pain and cramps.

    5. Take a pain killer
    You can take pain medications to relieve cramps. These include paracetamol, mefenamic acid and other analgesics. Paracetamol is an over the counter medicine but for others you will need a prescription from a doctor. It is best to take these medications as soon as bleeding or cramping starts. Painkillers can however cause side effects like acidity, gastritis and even stomach ulcers if taken too frequently.

    6. Try pain relief patches
    These are subcutaneous skin patches that can be applied directly over the skin. They are purely herbal and contain eucalyptus oil and menthol, both of which help in reducing cramping and relaxing the muscles. These patches release the ingredients in a controlled manner, thereby maintaining their levels in the blood stream throughout the day. This helps in ensuring long lasting action. They are easily available as over the counter medications. The advantages of these patches are that they are 100% herbal, are extremely easy to use and are free from side effects that can occur by popping painkillers on a regular basis.

    So, go ahead and try these pain relieving therapies and enjoy pain free periods. Stay healthy, stay happy!

  • DNB (Psychiatry), DPM, MBBS

    After the advent of the internet, the availability of pornography or explicit video material has become widespread. The availability of this material resulted in a large section of the population relying on it for sexual pleasures as well as living their fantasies through the digital realm.

    Internet porn is the new drug

    The easy availability and the dependence on internet porn to get a quick fix of dopamine through sexual pleasure have resulted in patterns of addiction among many people. Porn addiction is a phenomenon which has been exacerbated by the easy availability of pornography on the internet. It has not only affected sexual habits such as masturbation, but has also caused hindrances in the daily lives of people and has become a mental disorder as well.

    A brain on porn is similar to a brain on alcohol

    While it may seem a bit far-fetched, studies of brain scans have shown that people watching porn experience the same effects or pleasure that alcohol gives them. It is a neural circuit which releases pleasure hormones when you sexually pleasure yourself by masturbating to porn. The reward circuit of the brain recognizes this pattern and starts creating please pathways where you want more of it. As you keep doing it more and more, the resistance level increases and you tend to need more. This is a classic sign of addiction.

    Healthy and unhealthy masturbation

    Masturbation is a natural and normal process that every human indulges in. However a brain addicted to porn will use it as an addict uses a substance. Masturbation is the physical act through which the dopamine would be released. Once it has become an addiction, you would either want to have the daily fix for at least a few hours which you would ensure to take out of your daily routine. This time could have been invested in other fruitful activities when it ends up going to the addiction. In some cases, studies have shown that many would rather do it a few times a week but would spend extended hours masturbating to porn.

    Effects of excess masturbation

    Some of effects of the porn addiction and excessive masturbation could be

    • Premature ejaculation

    • Erectile dysfunction when you are with a partner and in a real life scenario due to dependence on particular porn fantasies

    • Inability to have or form intimate relationships which are not just sexual but emotional and mental as well

    • Lethargy to go to work or school due to addiction related problems

    • Breakdown in relationships, even with family members and friends among many others

    It is thus, imperative that you seek sexologist help to slow down the habit and break the cycle of addiction and ensure that you are able to lead a normal life without disruptions so as to allow yourself to be able to form normal sexual relationships.


    Why a dental visit before your wedding day is essential

    It's your wedding clothes trial and after multiple designers visits, a blur of fabrics and embroideries, finally you face the mirror looking like a charming prince! you can't get your eyes off yourself the smart, handsome, be jeweled and crowned silhouette you get closer to your reflection and you smile to yourself.

    To your utter dismay-staring back at you is a gaping black hole in your yellow looking teeth- a stark contrast against your beautiful pearl white sherwani!

    Among things that you don't know or care about in this wedding planning charade, one thing you do know for sure is that while the bride will outshine you, the pictures will last forever, and a yellow smile with a black blemish on a white sherwani is not the kind of shame you're willing to live through!

    So if you're a groom-to-be your trial date shouldn't be the day you realize your smile must live up to the bright and momentous occasion that you're preparing for!

    While the metrosexual man of today has even his pre-wedding skin treatments lined up, for the more macho or masculine ones at least getting their smile right can make a huge difference!

    So here's a quick checklist to know if you qualify for dental treatment and if you should visit before your wedding day

    Are you happy with your smile?
    Are your teeth crowded?
    Are your teeth yellow or dull?
    Can you see any brown or black stains on your teeth?

    Dental treatment:
    A dental visit according to popular misconception is no unpleasant ordeal!

    With the latest technology drill free cavities, bladeless surgeries, and painless extractions have become a reality.

    So whatever be your woe, a variety of treatment solutions can be planned and customised to transforming your smile if you're well in time.

    Having a dental partner through it all works best for most people and who better than your future life partner to get you through an intimate experience like your appointment.

    Top 3 reasons for a couple's pre-wedding dental appointment

    You want a million dollar smile on your big day
    Long pending issues that rather be dealt with while you're working on looking your best -both within and without Avoiding unhappy toothaches during your happiest times be it wedding or honeymoon

    Did your dentist tell you stronger teeth make for hotter men!

    Stay happy and flash that smile with confidence after your dental appointment.

    Do let me know what you think!

  • BHMS

    One should think logical and practically before jumping into unknown terrains. It's always better to know your body and it's nature as each individual is born with a unique identity (due to the role played by genetics).

    The metabolic rate differs from person to person and so there cannot be a one plan that fits all regarding weight loss or weight gain.

    Some important points to be noted.

    Always check with your physician and see that you are fit to reduce or gain weight.

    Infact it very important to confirm that you are overweight or underweight before you start anything!

    See that you do not suffer from thyroid problems, diabetes or hypertension or any other illnesses.

    Ensure that any change in lifestyle (including dieting and exercising) is comfortable for you and does not cause pain or discomfort.

    There are no short cuts for success. It can be dangerous to use supplements or steroids, or even thinking of starvation or avoiding a particular nutrient in order to achieve fast results.

    Use common-sense in taking important decisions. If some body promises miraculous changes without a scientific basis and that too in a short period if time, be aware! it can cause more damage than the promised benefits in the future.

    Always stick to a balanced diet as the body requires all the nutrients.

    Always include exercise whether it's weight loss or weight gain.

    Always prefer natural ingredients over artificial ones.

    Keep good hydration (your thirst should be the best indicator). When you are thirsty please drink plain and clean water and nothing else. An average of 8-10 glasses of water would be sufficient. If you are active and do workouts (exercise) then you can increase a few more glasses of water.

    Avoid all junk food, fried food, very salty food, ready-made juices, sodas (cold drinks) tobacco and alcohol.
    Eat freshly prepared food only. Have green salads, sprouts, whole grains (all types of grains), pulses, seeds, nuts, fruits and vegetables so that there is a good portion of all the nutrients in your diet.

    Keep a track of your progress. Keep checking the vital parameters once in a week so that you are safe and healthy. And enjoy the process of transformation which should be slow and study. You should remember that it's not a competition with anybody but a conscious decision to stay fit and healthy which should make you happy and motivated.

  • PGDPC, Diploma In Dermatology And Venerology And Leprosy (DDVL), DIiploma in Yoga and Ayurveda, MBBS

    Letting go and speaking up or crying out is the best aphrodisiac and marriage problems solver says Dr. Vaibhav lunkad

    Of all the cases of erectile dysfunction we get to see at aaiina clinic 162 shukrawarpeth pune we found that 40% almost were due to psychosomatic problems such as misunderstanding, misconceptions, misperceptions, misbehaviour and habits of missing, messing and masking emotions or actions.

    Just one session of detailed counseling and psychotherapy for one hour and the mutual satisfaction of the couples and us was immeasurable. Their relations all renewed, relieved and resumed. To understand one another, it's necessary to go beyond logic and accept the intricacies of human body, mind, and relationships without bias and prejudice. To allow a person to be as he, she or a bisexual or gay is, is real love. To" forgive and forget" without reminding again helps resume all broken relationships too. To have humour, hunger and humility (letting go, keeps the flame of" romance, sex and love" ignited always. To be" at ease or dis-ease" is a choice we can make every moment. After menopause or andropause or any other problems what is required is" listening attentively without judging, taunting, expecting anything at all. Giving and for-giving childlike returns back immeasurably even from a strained relation,

    So kill your ego and misunderstanding, misconceptions, misperceptions, misbehaviour and just keep shut a dirty mouth and leave habits of" missing, messing and masking emotions or actions.

    Life literally changes by 180 and you can" reignite romance, love and sex" back in your and other's life just atm (anytime)

    Letting go and speaking up or crying out is the best aphrodisiac and marriage problems solver says Dr. Vaibhav Lunkad

  • MD - Dermatology, MBBS

    Facing Balding? Say No To It Now!
    Visit Dermaworld Skin Clinic and consult our expert dermatologists for fruitful results.

    For appointments & details, please contact: +91-9911100050 (Rajouri Garden); +91-9911300050 (New Rajinder Nagar)

    #DermaworldSkinCare #RajouriGarden #RajinderNagar #DrRohitBatra#SkinSpecialist #Balding

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

    Usually, baldness is associated with aging. However, there are a lot of other factors that can contribute to premature baldness like stress, weight loss, type of food, etc. Hair loss is a huge issue in both women and men, and, often times, losing hair leads to low self-esteem and loss of confidence.

    For this purpose, there are numerous store-bought products for treatment of hair loss, as well as hair transplantation- a rather expensive procedure. However, the problem is that not everyone who's struggling with baldness is able to afford it.

    Luckily, there are more alternative measures when it comes to hair loss. Namely, the recipe that you're about to see below is a very beneficial remedy for hair loss:

    2 tbsp of castor oil
    1 egg yolk
    1 tbsp of organic raw honey

    Mix all of the ingredients well until you get a homogenous mixture.

    Massage the content into your hair and then cover it with a shower cap. Leave it for 3 hours. Afterwards, rinse your hair as usually. Repeat this procedure twice per week for 2 months until you notice improvement.

  • Masters in Human Nutrition and Nutraceuticals

    Managing the menopause with diet and fitness.

    Menopause: a mile stone in a woman's life is nothing but the stage where the menstrual periods stop permanently. After menopause, a woman can no longer bear children. The targeted group is usually between 49 to 52 years of age. There is a marked decrease in the production of hormones by the ovaries. In case, uterus has been removed for any other reasons prior to menopause, the symptoms usually occur at an average age of 45 which is commonly associated with shivering, sweating, vaginal dryness, trouble in sleeping and mood swings. Woman experiences hot flashes which last for about 30 seconds.

    Symptoms of menopause:
    Fluctuation in hormone level, no ovulation
    Shorter menses (2-7 days)
    Poor memory, anxiety, irritability
    Joint soreness, dry and itchy skin, stiffness
    Dizziness, night sweats,
    Back pain, breast pain
    Weight gain and urinary urgency.

    These symptoms may vary from person to person. But there is a common issue that is faced by all women at their menopause stage is that joint problems. Their bone health is diminished by decreased calcium and other minerals in their serum. As the hormone oestrogen diminishes their activity, hence lead to less bone density.

    Calcium and menopause:
    Women at this stage are advised to take more calcium rich foods thus avoiding the deficiency of calcium and increasing the bone health. Due to this the women may face several joint pains, fractures and severe weakness in the bones.

    Diet to be followed:
    Always choose calcium rich foods like milk, yogurt, cheese, sardines, broccoli, nuts and seeds to compensate the high calcium requirement.

    Calcium in the food is well absorbed when there is the presence of phosphorous and vitamin d. So it is beneficial to take foods of phosphorous foods like peanuts, meat, cheese, garlic, onion and vitamin d foods like lentils, egg, fish and brown rice

    Eat fiber rich foods like fruits, vegetables, grains like oats, barley and bajra.
    Fruits are best partners during this stage since it possess a good amount of fiber and also rich in potassium which aid in fluid retention.
    Fruits like banana, mango, egg, milk, sesame and soy beans help in the production of serotonin that assists in sleep trouble and mood swings.
    Eat more fruits and vegetables along with green leafy vegetables than the amount of rice that help to prevent from weight gain.
    Keep yourself hydrated by having more water and fruit juices if you are non diabetic.
    Always have six meal patterns and choose complex carbohydrate foods since it possess a good amount of fiber.
    Avoid sugars, processed foods and junk foods, spicy foods and hot drinks.
    Limit the stimulants like coffees, tea, alcohol, salt and saturated fats which are the barriers to calcium absorption.
    Always be positive and have only positive people around you. Don't stress yourself. Stay connected with the people.
    Prefer practicing yoga for relieving the mental stress and to control your emotions.

  • 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.

  • PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS

    1. The nuts are rich source of energy and contain health benefiting nutrients, minerals, antioxidants and vitamins that are essential for optimum health.

    2. They are rich in monounsaturated fatty acids like oleic acid and an excellent source of all important omega-3 essential fatty acids. Intake of walnuts in the diet helps to lower total as well as ldl or bad cholesterol and increases hdl or good cholesterol levels in the blood.

    3. N-3 fatty acids by their virtue of anti-inflammatory action help to lower the risk of blood pressure, coronary artery disease, strokes and breast, colon and prostate cancers.

    4. These nuts are packed with many important b-complex groups of vitamins such as riboflavin, niacin, thiamin, vitamin b-6, and folates.

    5. They are an excellent source of vitamin e. Vitamin e is a powerful lipid soluble antioxidant, required for maintaining the integrity of cell membrane of mucus membranes and skin by protecting it from harmful oxygen-free radicals.

  • Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc

    World osteoporosis day 20 October 2016
    Osteoporosis is a medical condition in which the bones become brittle and start thinning due to the loss of tissues. Doctors advise food rich in calcium, vitamin d and vitamin c to help maintain healthy bones as well as to reduce the risk of this condition. Regular muscle-strengthening exercises are also helpful in preventing osteoporosis. According to recent studies, the following foods help prevent osteoporosis and relieve painful symptoms.

    It is no big surprise that the superstar of foods for osteoporosis is milk. Milk brims with bone strengthening calcium which is a crucial nutrient for healthy bones. Milk is packed with vitamin d, which is important for the absorption of calcium in the body, improves bone health and also boosts the immune system. If you are worried about the weight gain factor, go for low-fat or skimmed milk.

    A perfect osteoporosis diet should always include fish as it is an impeccable source of calcium. Fish, especially salmon is packed with vitamin d, an important nutrient which helps the body absorb and process calcium. Sardines are also a rich source of calcium. The calcium in fish helps maintain bone mass and also maintain bone structure.

    Almonds are a great source of vitamin e, manganese, calcium and riboflavin, and are an inseparable part of the osteoporosis diet plan. It supports bone health in many ways. Almonds are a chock-full of essential nutrients that help build strong and healthy bones. For people suffering from osteoporosis, it is must to incorporate a handful of almonds in their daily diet plan.

    An ideal diet for osteoporosis is never complete without eggs. Eggs are packed with vitamin d, vitamin k, vitamin e, vitamin a, phosphorous, folate and selenium. They are one of the best natural sources of protein which protects our bones and promotes healthy hair and nails. The phosphorous in the eggs is an important component for healthy bones and aid in strong bone formation.

    Yogurt is one of the most noted food items that can be incorporated in your diet to reduce the problems of osteoporosis. Yogurt is a milk product and is a great source of animal protein. It also contains several other nutrients like calcium, potassium, vitamin b2, vitamin 12, vitamin d and magnesium. In women, during their menopause, there is a notable deceases in the estrogen levels which in turn can cause thinning of bones, yogurt restores the estrogen levels and ensures bone health.

    Bananas are very nutritious fruits and one of the most effective foods to prevent osteoporosis. One of the main reasons to incorporate bananas into the osteoporosis diet plan is its high potassium content. Regular intake of banana helps the body to absorb calcium and other essential bone healthy nutrients that ensure bone health and lowers the risk of osteoporosis.

    Cabbage is one of the best foods for osteoporosis and ensures strong, healthy bones. It is a great source of fiber, vitamin b6, vitamin d, folate, iron, magnesium, calcium and potassium. Folate plays a pivotal role in carrying out many bodily functions like bone repair and bone maintenance. Cabbage also helps in the process of bone metabolism.

    Original contents of article written by #dietician#geetanjaliahujamengi#mumbai#gmnclinic#dietexpert


  • Bachelor of Unani Medicine and Surgery (B.U.M.S)

    What happens to our bodies during sex

    While most of us are sure that we like to have #sex, most of us also haven't spent much time thinking about what happens physiologically while we are engaged in the act.

    When a person becomes sexually aroused and participates in sexually stimulating activities (intercourse, #masturbation, #foreplay, etc.).

    The sexual-response cycle is divided into four phases: excitement, plateau, orgasm and resolution. There is no distinct beginning or end to each phase -- they're actually all part of a continuous process of sexual response.

    Keep in mind that this is a very general outline of what happens to each of us as we become sexually aroused. There is much variation among individuals, as well as between different #sexual events.

    Simultaneous orgasms

    Both men and women go through all four phases, except the timing is different. Men typically reach orgasm first during intercourse, while women may take up to 15 minutes to get to the same place. This makes the likelihood of simultaneous orgasm during intercourse a rare event

    Phase one: excitement

    This phase usually begins within 10 to 30 seconds after erotic stimulation, and can last anywhere from a few minutes to many hours.

    Men: the #penis becomes slightly erect. A man's nipples may also become erect.

    Women: vaginal lubrication begins. The vagina expands and lengthens. The outer lips, inner lips, clitoris and sometimes breasts begin to swell.

    Both: heart rate, blood pressure and breathing are all accelerated.

    Phase two: plateau

    The changes that started in the excitement phase continue to progress.

    Men: the testes are drawn up into the scrotum. The penis becomes fully erect.

    Women: the vaginal lips become puffier. The tissues of the walls of the outer third of the vagina swell with blood, and the opening to the #vagina narrows. The #clitoris disappears into its hood. The inner labia (lips) change color (although it's a bit hard to notice). For women who've never had children, the lips turn from pink to bright red. In women who've had children, the color turns from bright red to deep purple.

    Both: breathing and pulse rates quicken. A" sex flush" may appear on the stomach, chest, shoulders, neck or face. Muscles tense in the thighs, hips, hands and buttocks, and spasms may begin.

    Phase three: orgasm

    This is the climax of the cycle. It is also the shortest of the four phases, usually only lasting a few seconds.

    Men: first, seminal fluid collects in the urethral bulb. This is when a man may have the sensation that orgasm is certain, or" ejaculatory inevitability" next, semen is ejaculated from the penis. Contractions occur in the penis during the orgasmic phase.

    Women: the first third of the vaginal walls contract rhythmically every eight-tenths of a second. (the number and intensity of the contractions vary depending on the individual orgasm.) the muscles of the uterus also contract barely noticeably.

    Both: breathing, pulse rate and blood pressure continue to rise. Muscle tension and blood-vessel engorgement reach a peak. Sometimes orgasm comes with a grasping-type muscular reflex of the hands and feet.

    Phase four: resolution

    This phase is a return to the normal resting state. It can last from a few minutes to a half-hour or longer. This stage is generally longer for women than men.

    Men: the #penis returns to its normal flaccid state. There is usually a refractory period, where it's impossible to orgasm again until a certain amount of time has passed. The amount of time varies among men by age, physical fitness and other factors.

    Women: the uterus and clitoris return to their normal positions. Some women may be able to respond to additional stimulation with additional orgasms.

    Both: swelling recedes, any sex flush disappears, and there is a general relaxation of muscle tension.

    Understanding what's happening to you and your partner's bodies during sex can only aid in the full enjoyment of the experience. Combine this with some good communication skills, and you've found the key to unlock sexual pleasure and your heart's desires.

  • MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)

    Amla, otherwise called as indian gooseberry, is light green in colour and tastes sour. The indian gooseberry belongs to the euphorbiaceae family. This fruit ripens in the autumn in wet, forested, hilly areas on the indian subcontinent. In india it is considered a sacred tree. The fruit is very nourishing. Both dried and fresh fruits can be consumed for their health benefits.

    Indian gooseberry has also been found to be low in saturated fats, very good source of dietary fiber, and vitamin c. Amla contains good amount of calcium, phosphorus, iron, carotene and vitamin b complex, making it good for health.

    Health benefits of amla:
    The health benefits of indian gooseberry can be partially attributed to its high vitamin-c content.
    Amla enhances food absorption, thereby aiding in maximum absorption of nutrients in the body.
    Balances stomach acid, hence it is recommended to treat gastritis.
    Fortifies the liver by detoxifying it.
    Nourishes the brain and mental functioning
    Supports the heart. It strengthens the heart muscles, thereby aiding in uniform pumping of blood and the vit c and chromium prevents plague formation in the blood vessels.
    Strengthens the lungs
    Regulates elimination of free radicals
    Enhances fertility
    Helps the urinary system
    Increases skin health
    Promotes healthier hair
    Acts as a body coolant
    Flushes out toxins
    Increases vitality
    Strengthens eyes
    Improves muscle tone
    Acts as an antioxidant. Many health problems are caused by oxidative damage (when body cells use oxygen, they produce by-products called free radicals that can cause damage). Antioxidant agents prevent and repair these damages.
    Good hair tonic
    Improves eyesight, especially improves short sightedness and cataract
    Amla helps in absorption of calcium
    Treats menstrual cramps
    Chromium content of amla makes it a drug for treating diabetes
    It helps in proper digestion and the fiber present facilitates bowel movements.
    It helps to treat diarrhea and dysentery
    It is proved to improve appetite.
    Vitamin-c is a good antioxidant agent, which makes gooseberries a powerful tool against a variety of conditions, including various types of cancer.

    It provides remedies for many diseases, so it is widely used in ayurvedic treatment. So consuming amla is a great way to keep your body looking and feeling great!

    Uma Maheshwari PS

    Dietitian, happy living diet clinic




    +91 99000 46344

  • MBBS, Master In Health Science

    * Should I be afraid of talking to the doctor?
    No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

    It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

    I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

    * Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
    Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.

    * What are the common tests used to diagnose brain diseases?
    The three tests most commonly used are:
    Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
    (i) Mri (magnetic resonance imaging) scan:
    An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

    Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

    Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

    Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.

    (ii) Ct (computerized tomography) scan:
    The CT Scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

    CT scan has a few advantages over mri:
    (i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
    (ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

    Unfortunately, CT scanning has some significant disadvantages:
    - The picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

    - CT-Scan exposes your body to radiation.
    Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

    If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

    (iii) Eeg (electro-encephalo-graphy):
    Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

    To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.

    1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
    The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

    If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

    Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.

    2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
    No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

    Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.

    3. What causes parkinson's disease?
    Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

    Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

    Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.

    4. Ok so what are other symptoms of parkinson's?
    You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
    - Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
    - They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
    - They have difficulty turning around when they are walking.
    - Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
    - In later stages, they can fall frequently.
    - Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

    All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.

    5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
    Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease. Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

    These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

    If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.

    6. How can you be sure that I have parkinson's disease?
    A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

    There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.

    7. So isn't there a test for parkinson's disease?
    Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and 
    Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

    Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.

    8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
    You are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

    These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.

    9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
    Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

    Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. These medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.

    10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
    You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.

    11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
    Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

    For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

    Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

    Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.

    12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
    Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.

    13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
    Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
    Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.

    14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

    Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

    Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

    And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

    I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

    Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
    Example of this earlier: entacapone can prolong the eff ect of levodopa.

    15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
    I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

    If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

    Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.

    16. Well. How is this surgery done?
    This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.

    17. I see. Doctor, does DBS cure all symptoms of parkinson's disease?
    No. DBS surgery improves only those symptoms which improve after levodopa.

    - Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs.

    - Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

    Significant, but non-dramatic, improvement in many patients.

    Two problems can become worse after DBS:
    (i) Severe psychiatric problems such as severe depression and hallucinations and
    (ii) Severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.

    18. Okay doctor, what are the risks of this surgery?
    Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
    - The risk of death is less than 1%
    - Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
    - A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lts 2%).

    19. Can the doctor guarantee a significant benefi t after DBS surgery?
    No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

    Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here

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  • BHMS, PG Diploma In Clinical Cosmetology (PGDCC), MD - Homeopathy

    The damaging effects of the sun, old age and acne can leave your skin with wrinkles, unwanted marks and several other skin disorders. If you are seeking to reverse these skin conditions and get rid of minor facial flaws, then laser skin resurfacing could be the answer. Laser skin resurfacingis a cosmetic procedure, which helps in rejuvenation of the skin and removing wrinkles, spots, blemishes and scars. It’s a safe and convenient procedure and provides great results.

    Also known as skin resurfacing, fractional resurfacing, and laser peel, laser skin resurfacing works by removing the damaged outer layers of the skin. The production of collagen and new skin cells is also stimulated. Undertaking this procedure can make the skin look smooth and young.

    During the procedure, a laser is utilized, which dissolves the molecular bonding of the damaged cells. This is continued, layer by layer, until the appearance of the skin gets smoother and more even and the damaged skin layers are peeled off.Laser skin resurfacing can be performed to different depths, according to your desired requirement. Different devices are used for laser skin resurfacing and thus, the procedure can be divided into several types. The procedure type depends on the type of laser used.

    The different types of lasers used are:

    1. CO2 lasers: This procedure is the highest intensity laser skin resurfacing treatment. After using CO2 lasers, the skin surface becomes tighter and much smoother. The laser restricts collagen bonds. CO2 lasers help in diminishing or eliminating scars, wrinkles, warts and birthmarks. CO2 lasers are also used in the basic stages of cancer treatment.
    2. Erbium lasers: Erbium lasers are capable of removing the thin layers of the skin. It is not so powerful as CO2 lasers, but the process is much more precise. This laser skin resurfacing is usually carried out in people with a dark complexion as the risk of permanent changes to skin pigmentation is less. The healing period is short. These lasers are used for treating minimal wrinkles or lines.
    3. Fraxel lasers: Fraxel laser skin resurfacing procedure is different from the other two laser treatment methods. This procedure is non-invasive and much fewer side effects are experienced. A patient has to undergo several sessions on this therapy for full rejuvenation of the skin.

    When to consider this process?

    1. If you have wrinkles in your face, especially around the mouth and eyes, and sagging skin in the lower eyelid area.
    2. If your face has blotchiness and age spots.
    3. If you have irregular colour tones on your face
    4. If you have scars and leathery skin

    What is achieved?
    A laser skin resurfacing enhances your skin’s smoothness and tightness. All kinds of facial lines, wrinkles and scars can be removed. The overall texture of the skin also improves, which is relatively long-lasting. Skin growths like moles and warts can also be removed using this procedure. Any kind of scar resulting due to a previous surgery can also be eliminated permanently.There are different modes of this type of skin resurfacing, and you can avail the best one that fits your requirement.

  • MD, MBBS

    Impotence is embarrassing for a man. It not only affects his self-confidence, but also the relationship with his partner. It is a condition in which a man cannot achieve an erection for having sex. If you are experiencing symptoms of impotence, they are most likely due to physical issues. However, sometimes psychological issues can also be responsible for impotence.

    Here are 5 psychological factors, which may be associated with the inability to achieve an erection indicating impotence:

    1. Stress: To a great extent, stress affects a person’s performance in bed. Due to excessive stress and pressure arising from different responsibilities and commitments, he might not be able to focus on sex. Extreme stress due to fear may leave him uneasy, thereby making it difficult for him to have an erection.

    2. Anxiety: After experiencing symptoms of impotency, it is likely that a man may get extremely anxious about the fact that he will not be able to perform well in bed again. This anxiety may also arise from relationship problems, sexual abuse in the past or when a person is in a new relationship. As such, during sex, anxiety may make a man self-conscious, which makes it quite difficult for him to have an erection.

    3. Depression: Feeling depressed or extremely sad because of any kind of issue such as a failed relationship, a poor career or recalling some past trauma may cause erectile dysfunction. Depression makes a person tired , thereby lowering his sex drive. The medicines used for treating depression may also lower libido,as a result of which a man may fail to get an erection.

    4. Low Self-esteem: Having a low or a negative self-esteem may cause performance anxiety. A person is likely to be worried about how he will perform in bed. Low self-esteem may arise from factors related to body image, past experiences and from an underlying feeling of guilt.

    5. Lack of Interest: Many conditions may divert a man’s interest from having sex. The lowering of libido will make it difficult for a man to get an erection and may lead to impotence. Such lack of interest may be on account of relationship issues, certain medications or because of ageing. Anger may also make a person lose interest in having sex.

    If your sex life is getting hampered because of any such psychological factors, you must visit a doctor for seeking advice, suggestions and treatment. This will allow you to uncover and resolve the impotence-related problems, thereby letting you enjoy a healthy relationship with your partner in bed.

  • Bachelor of Unani Medicine and Surgery (B.U.M.S)

    Your love life is one of the keys to a successful relationship. With passing time, your intimate relationship with your partner may start to fade and seem uninteresting. Thus, it is even more important that you maintain the passionate side of your life, not just to keep your relation healthy, but also to keep yourself stress free and healthy.

    Here are 4 tips which can help you can maintain a passionate sex life:

    1. Maintain overall intimacy: Regular good sex is important as it helps you to forget your daily hustle and bustle and end up in a different kind of world. Sexual intimacy is a key factor in living up your relationship. However, you should keep in mind that intimacy is not just confined to the bedroom. To maintain your spark, you must be intimate in other aspects of life as well with your partner. Preparing a meal together, dancing together, going for vacations enable to maintain intimacy in other sections instead of just the sex.
    2. Maintain a playful relationship: Always maintain a playful nature with your partner. Instead of pertaining to the bed, spice up your sex by choosing different locations. Indulging in sex on your rooftop under a full moon, or buying innovative, naughty sex toys allows you to gel better with your partner. Sex is enjoyed more when accompanied with laughter and fun.
    3. Communicate: Tell your partner about your sexual preferences. Mention what you like and what is not suitable for you. Getting comfortable with each other is the most vital aspect in maintaining continued passion in your sex life. If you are not totally at ease with your partner, you may never find yourself experimenting or trying new moves in bed. Moreover, your partner is your counterpart and your most trusted companion. Communication at the level of friendship is also very important.
    4. Try Something New: While you may have heard this advice many a times, there is nothing old or dated about it. Doing something new is actually a mantra to create more excitement in your sex life. The use of toys, and new places as well as some amount of role play for a touch of fun can actually heat things up between the couple. Try a new routine or whisk each other away for a romantic dinner date.
  • Diploma in Aesthetic Medicine, Cosmetic Dermatology, Diploma in Trichology - Cosmetology, MBBS

    Acne can make people conscious of their appearance and result in low self-esteem and anxiety. It usually affects people who fall in the age group of 12-25, but sometimes older people are also affected.

    Here are five things you probably did not know about acne:

    1. Exfoliation: Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.
    2. Menstrual cycle: Acne, more often than not, rears its head with an eruption or two about five days before and a few days after, the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.
    3. Clogged pores: Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.
    4. Over treating the skin: The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run! The constant use of cleansers and moisturisers can also have a harsh effect on the skin, due to the perfume and chemicals present in such products.
    5. Two weeks notice: Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start switching cleansers and creams every other day, remember to use the two-week thumb rule.
  • MBBS, MS Surgery
    Cosmetic/Plastic Surgeon

    The surgical procedure to correct the appearance of eyelids is called blepharoplasty. The correction is done by removing extra skin, fat and muscle that make the eyelids droop.


    Eyelids start drooping when the muscles supporting your eyelids weaken as you grow older. Excess fat accumulates below and above your eyelids as a result, which leads to eye bags and droopy eyelids.

    Besides making you look older than your age, droopy eyelids can also affect your vision. Blepharoplasty can improve your vision and give your eyes a polished look at the same time. Some other benefits include:

    • Excess deposits of fat that make eyelids look puffy are removed with the help of blepharoplasty.

    • Eye bags are reduced.

    • Drooping eyelids which end up revealing the sclera (the white part in your eyeballs) are fixed.

    • Fine wrinkles and excess skin around lower eyelids are corrected.

    Blepharoplasty is usually combined with procedures such as skin resurfacing, face-lift or brow-lift.


    Blepharoplasty, like every other surgical procedure, has certain risks, which include—

    1. Bleeding and infection

    2. Irritated, dry eyes

    3. Trouble closing eyes and other associated problems

    4. Prominent scarring

    5. Eye muscle injury

    6. Skin discoloration

    7. Follow-up surgery is needed

    8. Short-term blurry vision, or in unusual cases, loss of vision

    9. General risks associated with surgery such as blood clots, anaesthetic reactions, cardiac and other coronary problems.


    Before the surgery can be scheduled, a surgeon and ophthalmologist will be consulted to record your medical history and discuss your expectations about the surgery. Then, before the procedure can begin, the following steps will be followed:

    1. First, you will be examined physically; your doctor will test your tear ducts and take measurements of your eyelids.

    2. Second, your eyes will be examined and your vision will be tested.

    3. Lastly, your doctor will take photographs of your eyes which will facilitate and guide him/her through the course of the surgery.


    The effects of blepharoplasty are long-lasting and the corrections are permanent. Durable sun protection of the eyes helps in maintaining the corrections made.

    Although, you can get excellent results from one surgery, sometimes you may need multiple procedures to achieve the desired look.

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