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Waist - hip ratio is important in diabetes. (1.0 for male and 0.7 for female)
Calorie should be calculated on the basis of optimal body weight. Energy can be 30-35kcal 7day on the basis of ideal body weight. Obese diabetics must lose weight & thin diabetics must gain normal weight.
Sherbat, sweets, candies.
Jams, jellies, murabbas etc.
A Tennis elbow is a painful condition that affects the tendons due to a condition known as tendinitis, which causes inflammation. This condition will end up restricting the free movement of the elbow and the arm due to the pain and stiffness that it causes. This is due to the fact that these tendons are the tough band of connective tissues that hold the muscles and the lower arm with the bone. Repeated gripping motions and continued tugging as well as activities like weight lifting, tennis, squash and other like carpentry, painting writing and typing, can lead to this condition.
Here are a few methods of treatment and the questions that revolve around them.
- Do I have to restrict my movements: Yes, when you have tennis elbow, the very first thing you must do is to give rest to the tendons by curbing those activities that have caused the condition or those which can aggravate the pain and stiffness. Lifting heavy objects, gripping things for prolong periods, other physical pursuits like tennis and other games and more will need to stop so that you do not stretch, strain or pull the tissue.
- Can I take pain killers: Yes, you can take pain killers like ibuprofen and acetaminophen in case the pain is unbearable? Always ensure that an orthopaedic specialist takes a look at your arm before prescribing the medicines to you.
- Is an ice compress good for this pain: You can use the RICE method for acute pain that is less than 72 hours old. For more persistent pain, you must see a doctor. The RICE method refers to Rest, Ice, Compression and Elevation. In this method, you can keep your arm elevated and give it rest. You can also use an ice compress and keep it tightly wound with an elastic bandage so as to avoid swelling.
- Can I take injections for this condition: Corticosteroid injections may be used for very severe cases. This contains the cortisol hormone and can give good results in the short run.
- Are there any non invasive methods for treatment: You can try non-invasive procedures like shock wave therapy which will help in fixing the pain and promote motion gradually. This procedure is usually conducted with the help of shock waves that are passed to the skin.
- Is exercising a complete no no: In this case, many orthopaedic surgeons and doctors will ask you to go through physiotherapy so that you can get used to movements and motion after prolonged pain. These exercises will also strengthen the muscles of the area.
Talk to your doctor if the pain is particularly debilitating and discuss surgery for the same.
The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.
Let us get to know the six most common ones.
- Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects.
- Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work.
- Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain.
- Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
- Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints.
- Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
Rotator cuff tendinosis, Frozen shoulder and Tendon sheath inflammation are more common in Diabetic patients. Essential part of treatment of these conditions include diabetes control and physiotherapy. However in chronic and refractory cases Arthroscopy may be required. Many times chronic rotator cuff tendinosis ends up in rotator cuff tear as a result of minor trauma.
Diabetes mellitus is a chronic condition wherein the body doesn’t metabolise sugar properly. Insulin, a hormone produced by the pancreas, is responsible for carrying the sugar or glucose, from the bloodstream to the individual cells. When the pancreas fails to produce insulin, glucose builds up in your bloodstream and enters your urine.
Diabetes is treated with the help of constitutional remedies which are selected by studying complete mental and physical symptoms. Homeopathy focuses on the overall health of the individual. Homeopathic medicines for diabetes include:
1. Abroma Augusta: This homeopathic medicine is best for diabetics who have weak muscles, increased appetites and frequent urination.
2. Phosphorus: If symptoms include weak vision, Phosphorus is the best remedy for it.
3. Syzygium Jambolanum: This is one of the best homeopathic remedies for diabetes mellitus. It acts efficiently and promptly in lowering sugar levels.
4. Phosphoric acid: If you feel exhausted or weak all the time, either physically or mentally, then Phosphoric acid is beneficial. Weak memory, forgetfulness and numb feet are also treated with Phosphoric acid.
5. Gymnema Sylvestre: Sometimes, diabetics drastically lose weight and have low energy levels. Gymnema Sylvestre is an excellent remedy for such symptoms.
Sometimes one or more homeopathic medicines may be combined to treat symptoms. Some common combinations include:
1. Lachesis, Arnica, Belladonna and Phosphorus are combined in a treatment to treat retinopathy, which is damage to the eyes caused by diabetes.
2. Serum Anguillae, Arsenic Album and Lycopodium are used together to treat kidney damage (nephropathy) in diabetics.
3. Helonias, Sulphur and Phosphoric acid are taken to deal with neuropathy or nerve problems such as numbness in feet and hands.
4. Syzygium Jambolanum is combined with Secale Cornutum to treat skin ulcers, which is a common problem among diabetics.
5. For people suffering from constipation due to diabetes, Natrum Sulph, Defloratum and Carlsbad are the best medicines.
6. To improve weak memory, Phosphoric acid, Nux Vom and Kali Phos are the best remedies for diabetics.
7. Sometimes diabetics complain of extreme, incapacitating weakness. To improve energy and boost overall health, Carbo Veg, Phosphoric acid, Phosphorus and Arsenic Album are recommended.
Along with curing anger and stress, yoga is also beneficial in treating osteoporosis, either by itself or in combination with different medicines. Osteoporosis is an illness described by weak and diminishing bones that can result in cracks and fractures in the bones. Some of the postures that can be helpful in treating osteoporosis are as follows:
- Utthita trikonasana: Uttihita trikonasana is an expanded triangle posture which is helpful in curing many diseases. Along with diminishing the side effects of osteoporosis, it additionally avoids soreness, increases strength and gets rid of spinal pain. Begin this posture by standing straight with your legs separated by four feet. Then, extend the arms to the ground with the palm facing downwards. Slide the left leg across the right side of your body. You need to slide it behind the left leg. Now extend your right leg towards the left side of your body. This will leave you in a sitting position. Where your right leg is placed on top of your left leg, make sure both your knees are on top of each other. Now straighten your body to an upright position.
- Ardha chandrasana: This asana is also called as the half-moon posture. This posture comes under hatha yoga and is beneficial for various medical issues, for example, osteoporosis, menstrual issues, exhaustion, sciatica and stomach-related cramps. You can practice this pose to get rid of osteoporosis and appreciate a sound body.
- Padangusthasana: This stance delicately stretches and strengthens persistently tight hamstrings.
- Adho mukha svanasana: It is one of yoga's most commonly practiced postures. Adho mukha svanasana offers a definitive wholesome, reviving stretch.
- Utthita hasta padangustasana: In this pose, keeping up the balance while standing on one foot strengthens your endurance capabilities.
- Utthita parsvakonasana: Discover the flexibility in your sides of the body from your heel to your fingertips with an extended side angle pose.
- Utthita trikonasana: It is a broadened triangle posture and is important as a standing posture in many styles of yoga.
- Ardha chandrasana: Make proper balance with your leg and the lower part of your leg as you look for strength and flexibility into this adjusting posture.
- Parivrtta parsvakonasana: This revolved side angle pose, a variation of utthita parsvakonasana requires a considerable measure of adaptability to bend flexibly and balance on the back heel.
- Uttanasana: Uttanasana will awaken your hamstrings and will help you to calm your brain.
- Urdhva dhanurasana: Urdhva dhanurasana can help in strengthening your arms, legs, abdomen and spine all at once.
- Virabhadrasana: Named after a wild warrior, an incarnation of Shiva, this adaptation of a warrior pose increases the stamina.
Yoga is one of the most secure measures and medicines for osteoporosis. It is something that anyone of any age can do at any place. The advantages are numerous and dangers are few if done properly.
The key to a moderately healthy life is often vested in the kind of lifestyle you lead. Certain alterations in your daily routine can bring marked changes in your overall health. The amount of sleep a person gets on a daily basis decides his or her temperament, productivity, and most importantly, the person’s health. If you thought sleep was only a means to relax, you were very wrong.
Getting in sync with your body’s natural sleep-wake cycle, or circadian rhythm, is one of the most important strategies for sleeping better. If you keep a regular sleep-wake schedule you’ll feel much more refreshed and energized than if you sleep the same number of hours at different times, even if you only alter your sleep schedule by an hour or two. A few effective ways can be followed to help the case of sleep deprivation.
- Exercising regularly can have far reaching effects on your sleep patterns- Lack of physical exertion could be the reason behind light or irregular sleep patterns. To remedy the situation, you need to exercise regularly. Heavy cardiovascular exercises are not always necessary; you could do a set of free- hand exercises each day for a stretch of twenty minutes to keep healthy. This helps you to get good sleep at night.
- Eat healthy to sleep well- The kind of diet you follow can also affect your sleep. If your intake of caffeine, nicotine or alcohol is too high, you are sure to face problems in sleeping. It is necessary for you to eat a light dinner; being overly full or being on an empty stomach can ruin your sleep too. Avoid greasy foods, especially at night, as acidity spoils your intentions of getting a peaceful sleep.
- Make sure your night’s sleep is associated with one particular ritual- It is best to accustom your body with a ritual that you particularly carry out before going to bed. For instance, you could take a shower in warm water or massage your head with hot oil before retiring for the day. Such a ritual signals your brain cells that they are required to get some sleep now.
- Keep away from electronic gadgets before going to bed- The bright light of television sets, laptop screens or even cell phones can interfere with your sleep routine. Spending a lot of time on electronic gadgets at night excites your brain neurons, preventing them from any kind of relaxation.
- Cut down on sleep during the day- While twenty to thirty minute long power naps during daytime can help restore drained out energy, longer naps are actually harmful. If you sleep for long stretches in the day, you will invariably fail to get sufficient sleep at night. Hence, remind yourself to not fall prey to the temptations of a comfortable bed during daytime.
Trichomonas Vaginalis, a virus, which affects almost 7.4 million men and women each year. This virus can cause a sexually transmitted disease upon contact with a person who may be carrying the same. This condition is more common in women than it is in men and causes a variety of symptoms. Let us learn more about this infection.
This disease does not have any obvious symptoms until the problem becomes pretty severe. The symptoms for men include irritation inside the penis, discharge, and a burning sensation upon urination and ejaculation. The symptoms for women include a strong odour filled discharge that may also be greenish yellow in colour, pain in the lower abdomen in case the infection is extremely severe, itching and irritation in the vagina, and pain or discomfort during sexual intercourse.
The gynaecologist or the general physician will usually carry out the diagnosis with the help of blood and urine samples that will be sent to the lab for testing. These tests will help in determining the spread and severity of the infection. The doctor will also use vaginal or urethral fluid in order to diagnose the issue with the help of further lab tests. Most doctors will tell you that it is harder to detect the presence of the virus in women, than it is in men.
The treatment of this disease is done with the help of metronidazole, which can be used to treat trichomoniasis in case the patient is pregnant. It is usually recommended that the sexual partner of the patient should also be treated for the infection so as to stem its spread. Also, the doctors will recommend abstinence from sex for the duration of the treatment. Antibiotics will also be prescribed for both partners. Usually, one will be asked to wait for all the symptoms to disappear before becoming sexually active again.
There are various ways to prevent this disease including the proper use of condoms and limiting the number of sexual partners. Genital inflammation and pain should be checked by a doctor immediately to rule out the possibility of this STD. Also, one must take the necessary precautions to avoid catching and spreading this disease.
An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.
Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.
- Pain- Constant pain which gets worse when sitting down
- Irritation around the anus, like swelling, redness and tenderness
- Discharge of blood or pus
- Constipation or pain while evacuation
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.
- Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
- Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place.
Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.
Colon polyps are usually symptomless; hence it becomes difficult to diagnose the condition. They are commonly found as additional results of screening tests for colon cancers. Screening tests are conducted when there is a suspicion of a disease but it displays no significant symptoms. The symptoms can only be visible if the polyps are enlarged. Typical symptoms include:
Changes in urination patterns.
Change in appearance of stool.
As the presence of most polyps becomes evident only during colon cancer tests, it is recommended that regular tests for colon cancer be conducted for adults over the age of 50. Some of these tests include:
Colonoscopy: This is highly recommended for detecting colon polyps. A small tube used for viewing is inserted into the colon by the doctor.
Flexible Sigmoidoscopy: It is similar to colonoscopy with the only difference being that the tube is smaller.
Computed Tomographic Colonography (CTC): Also known as virtual colonoscopy, various computer systems and X-rays are used to create a detailed picture of the colon so that the doctor can search for polyps.
The size of the colon polyps helps to identify if the polyp is cancerous or not. Chances of the polyp being cancerous are high if the size of the polyp is higher than 1 cm or 0.4 inches. Hyperplastic polyps (smaller polyps) do not become cancerous and hence, do not need to undergo a colonoscopy. Another form of polyp is the sessile polyp which is usually a flat growth without a stalk and grows on the inner wall of the colon. Similar to other polyps, these polyps can be found and removed using a colonoscopy or a sigmoidoscopy.