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Reviews
Ekavir
My problem was such that it required a number of treatments, and I must say after all them, I am feeling much better now. The symptoms were severe and unmanageable, as I was suffering from ichthyosis vulgaris, but my Dr.Dushyant Rana was able to handle it. It was an amazing experience as everyone in the Curewell Clinic is so nice. Not only he is very calm and composed, but is also a very understanding doctor. Dushyant Rana doesn't just randomly prescribes medicines, but first properly diagnoses the problem. Finally with his treatment, I am completely cured from the disease.
Samarth
I was suffering from coughing for such a long time. My previous experiences were not so good, but Dr Dushyant Rana has completely changed my opinion as he is very helpful and humble. Overall coughing treatment was very effective. The overall atmosphere in the Curewell Clinic which is in Haryana is very soothing. Dr Dushyant Rana is well aware about innovative techniques to treat problems. Many people gave very positive feedback for therDushyant Rana. I am so happy with the results of my treatment, that I will surely recommend him to anyone gladly.
Indrajit
Not only he is very calm and composed, but is also a very understanding doctor. The Curewell Clinic was equipped with various facilities. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. Thanks to him I am much better now. I was suffering from post exposure prophylaxis for hiv. With great ease Dushyant Rana explained us the problem and how the treatment will be carried out.
Chaitanya
I am now happily living in peace and harmony after taking my alcohol addiction treatment from dr Dushyant Rana at his clinic Curewell Clinic in Gurgaon , thanks to genuine counselings that I got from him.The hourly sessions that i undertook were more than satisfactory and included pure scientific counselling without any element of preaching or words on spirituality. Thanks to him i am totally healed.
Sanjit
Dr Dushyant Rana guidance has helped me immensely and has helped gain confidence. Overall hiv aids treatment was very effective. I saw Dushyant Rana clinic's advertisement in newspaper and that is how we referred him. The overall atmosphere in the Curewell Clinic is very soothing. With great ease he explained us the problem and how the treatment will be carried out.
Danvir
I read about Dr Dushyant on one of the social media platform. I am so happy that I chose him for my swollen eyes treatment, as now I am perfectly fine. He has so much knowledge that for everything my family takes his reference. Not only he is very calm and composed, but is also a very understanding doctor. I am quite benefitted with the traetment he gave.
Amitrasudan
I was experiencing sexual weakness from quite long which was affecting me anf my wife's life. I decided to consult a sexologist who can help me deal with this issue. So , I chose to consult Dr Dushyant. He is a well experienced doctor. I owe him a big thank to help me get rid of this problem. I am back to normal self post the treatment.
Himmat
Dr Dushyant's treatment suited me the best and now I am fine. During the treatment,he supported me a lot. One of my colleague referredhim. I consulted a number of specialists but the way he treated me was the best. It was an amazing experience as everyone in the Curewell Clinic is so nice. He is very patient with all his patients.
Abhijit Lahiri
The doctor was very understanding while listening to the issues and was able to reassure the patient. He was not only empathetic but also able to be firm with the patient when required.
Vivek Shatma
Good experience, a courteous and knowledgeable doctor.
Mohd Saif Mohiuddin
Excellent
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Asthma is a distressing condition during which people find it difficult to breathe as the bronchi or tubes carrying air to lungs swell up. This happens when mucus inside bronchi comes into contact with an allergen like a pollutant or dirt causing symptoms like wheezing, coughing, more mucus production and difficulty breathing. There is no cure for asthma. As of now, it can only be managed. But managing asthma becomes really difficult during low air quality days, especially during winters when it’s cold and dry.
The most common air pollutants are gases like sulphur dioxide, nitrogen dioxide, vehicle smoke, and suspended particles. Each one of them can trigger an asthma attack by itself because of its deleterious effect on the lungs. The smaller the particulate matter is, the more dangerous it becomes as these particles get lodged in the air sacs inside lungs, causing not just asthma from worsening but also fatal diseases like lung cancer.
So, most asthma patients suffer from frequent attacks due to air pollution. How can these attacks be prevented? Here are some tips:
- According to research, asthma can be managed by making modifications in everyday life. On high air pollution days due to ozone, for example, asthmatics tend to experience more lung inflammation. If you are an asthmatic, you should reduce time spent outdoors, especially doing strenuous activity in the mornings and evenings. Keeping medications on hand and using those at the very start of an asthma attack also helps. There should always be a plan in place to lessen the chance of an asthma attack on poor air quality days starting from a rescue inhaler to preventive medication if your doctor feels you need it.
- Stay hydrated and breathe through the nose. Dehydration is dangerous for asthmatics especially when air quality is bad. In this case, lungs can become badly affected because they need right temperature and levels of water to work properly. It’s crucial to breathe through the nose only and not the mouth as the air breathed in from the mouth can be very cold and dry and can cause even more inflammation of the lungs.
- Know your asthma triggers and change lifestyle. Avoiding your triggers is key to managing asthma. If traffic fumes are a trigger, it’s best to change the route you take to work to manage your asthma. If you don’t know your triggers look back at your last asthma attack and remember what you were doing. Did you pet your dog? Write a diary and discuss with your doctor on how to avoid your triggers. Use a face mask when outdoors to limit exposure to allergens.
- Track your asthma to recognise early signs of asthma. If you know that it’s getting worse, you should have a fool-proof plan in place. If you wish to discuss about any specific problem, you can consult a General Physician.
Breathing is life, without breathig, there is no life. Who knows this better than an asthmatic or someone with breathing problems like wheezing, coughing and shortness of breath 24/7? If you have breathing problems, read on about possible causes and treatments for them
Causes
- There can be a number of causes of breathing problems. They can happen due to colds, acute sinusitis or inflammation of sinuses. This usually subsides in a week or two with the inflammation going down and the sinuses draining out.
- But if you are still experiencing breathing problems, you could be in more dangerous territory.
- Breathing difficulties can happen in a case of asthma, allergies, and infections of the lungs, bronchitis and even heart problems especially if you feel a shortness of breath during exertion. These can all be long-term problems that need proper management.
Symptoms
Chronic issues that cause breathing problems, especially asthma and allergies have a number of symptoms like
- Nasal and chest congestion
- Runny nose
- Itchy or watery eyes
- Cough
- Wheezing
- Laboured and/or shallow breathing.
A number of virus and allergens like pollen reach the lungs via the nasal passage. Any inflammation in the nasal passage due to an allergy is a major cause for concern because the number one trigger for asthma is allergies. If left undiagnosed and untreated, these can make life hell for you.
Chronic obstructive pulmonary disease or COPD, which includes emphysema and chronic bronchitis, also causes breathing problems. Breathing issues can also stem from other serious diseases like lung cancer, tuberculosis, and pneumonia. Most of these can be diagnosed by a specialist.
How are breathing problems treated?
- Breathing problems caused due to asthma and allergies are usually treated by avoiding allergy triggers like air pollutants, pollen, dog hair, dust, mites or dander.
- Wearing masks, avoiding peak traffic, staying indoors during low air quality days, all make a significant difference to allergy and asthma sufferers.
- Medications are another way to treat breathing problems due to asthma and allergies. Allergy drugs such as antihistamines and decongestants can make it easy to breathe for some.
- Inhaled steroids are also given to people with chronic allergies and sinusitis for reducing inflammation in the airways. Allergy shots to reduce sensitivity to allergens are another option.
- Asthma is treated with inhaled or oral drugs that help open nasal airways and reduce inflammation. These cut down on breathing difficulties because the airways are cleared of excess mucus and inflammation.
- If you have more serious issues like cancers, heart disease and lung diseases, the medication will vary according to your diagnosis. Your specialist will diagnose the problem first and set you on a proper course of medication.
The last piece of advice before we go, don’t ignore breathing difficulties especially if they persist beyond 2-3 weeks, get yourself a doctor’s appointment.
Asthma is a distressing condition during which people find it difficult to breathe as the bronchi or tubes carrying air to lungs swell up. This happens when mucus inside bronchi comes into contact with an allergen like a pollutant or dirt causing symptoms like wheezing, coughing, more mucus production and difficulty breathing. There is no cure for asthma. As of now, it can only be managed. But managing asthma becomes really difficult during low air quality days, especially during winters when it’s cold and dry.
The most common air pollutants are gases like sulphur dioxide, nitrogen dioxide, vehicle smoke, and suspended particles. Each one of them can trigger an asthma attack by itself because of its deleterious effect on the lungs. The smaller the particulate matter is, the more dangerous it becomes as these particles get lodged in the air sacs inside lungs, causing not just asthma from worsening but also fatal diseases like lung cancer.
So, most asthma patients suffer from frequent attacks due to air pollution. How can these attacks be prevented? Here are some tips:
- According to research, asthma can be managed by making modifications in everyday life. On high air pollution days due to ozone, for example, asthmatics tend to experience more lung inflammation. If you are an asthmatic, you should reduce time spent outdoors, especially doing strenuous activity in the mornings and evenings. Keeping medications on hand and using those at the very start of an asthma attack also helps. There should always be a plan in place to lessen the chance of an asthma attack on poor air quality days starting from a rescue inhaler to preventive medication if your doctor feels you need it.
- Stay hydrated and breathe through the nose. Dehydration is dangerous for asthmatics especially when air quality is bad. In this case, lungs can become badly affected because they need right temperature and levels of water to work properly. It’s crucial to breathe through the nose only and not the mouth as the air breathed in from the mouth can be very cold and dry and can cause even more inflammation of the lungs.
- Know your asthma triggers and change lifestyle. Avoiding your triggers is key to managing asthma. If traffic fumes are a trigger, it’s best to change the route you take to work to manage your asthma. If you don’t know your triggers look back at your last asthma attack and remember what you were doing. Did you pet your dog? Write a diary and discuss with your doctor on how to avoid your triggers. Use a face mask when outdoors to limit exposure to allergens.
- Track your asthma to recognise early signs of asthma. If you know that it’s getting worse, you should have a fool-proof plan in place. If you wish to discuss about any specific problem, you can consult a General Physician.
There are some diseases which a person can get affected by due to no fault of theirs, at all. And then, there are lifestyle diseases for which a person is solely responsible. So what can be done in order to fight lifestyle diseases like hypertension and diabetes, which can cause more than a fair amount of trouble?
The most important thing to keep in mind when an individual is battling a lifestyle disease is the diet of the person. Even for someone who has not had the misfortune of being affected by such a disease, the general level of health has a lot to do with what is eaten and drunk. One of the first things one should do is to eliminate the unhealthy fats (also known as saturated fats and trans-fats) that may be a part of one’s diet and replace them with more healthy fats. For instance, chips and other oily food need to be replaced with unsaturated fats. Omega 3 fatty acids are also good for the body, if consumed in a reasonable quantity. One of the best sources for Omega 3 is fish.
One of the ways to determine if a person is at risk is by checking if the waist size of an individual is larger than what it should be. In the case of men, if the waist size is more than 40 inches, it means he may be at significant risk. On the other hand, when it comes to women, the waist size should not exceed 35 inches.
A lot of people do try and eat food which is more nutritious. While this is a very good and recommended practice, the pitfall comes by way of not keeping track of what is eaten. So, it is always a good idea to keep a food diary. Not only does this increase the chances of a person sticking to a beneficial diet, but also it provides a record, which can be checked to measure the intake of salt, sugar and fat. This is important since salt often becomes a major cause leading to lifestyle diseases. So, there should be no added salt to meals once they are prepared. Instead of using salt, herbs can add a wonderful flavour to your meals. Similarly, excess consumption of sugar or fat is also not beneficial in the long run. If you wish to discuss about any specific problem, you can consult a General Physician.
A healthy body is a resource to a healthy mind. If we are not healthy, then we would be unable to perform any activity without help. It is also a known fact that everything is associated with energy. When our body lacks the energy, then the body cannot function at its full potential. So it is important to maintain your health.
But in today’s mechanical life, it has become really difficult to maintain health. Improper food habits, weak immune system, and busy lifestyle, all lead to multiple health problems like stress and other diseases. There are many ways to maintain a good health and can be achieved following some steps.
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Follow a good diet
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Make healthy habits
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Avoid smoking
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Avoid drinking and other habits affecting the body organs
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Maintain healthy weight consuming protein enriched food
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Avoid overweight that leads to multiple health problems like sugar, blood pressure etc.
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Exercise daily to rejuvenate your body muscles and to maintain a healthy body
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Limit usage of unwanted tanning creams and sun exposure
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Practice safe sex
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Avoid overweight
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Exercise daily
All the above listed are some measures which should be taken to maintain a healthy and robust health. A healthy body is also associated with a proper metabolism. These will indirectly give you high energy to handle things in life. Always ensure that your diet is loaded with essential nutrients and minerals for an active life. Make sure to have natural and boiled vegetables daily. Along with vegetables, it is highly important to have fruits enriched with proteins and vitamins.
A healthy diet can be maintained in many ways. But it is advisable to consult a doctor for following a proper diet. A healthy body will have a better immune system which protects the body from the attack of different diseases. Having regular exercise is one of the best methods to maintain good health. If you wish to discuss about any specific problem, you can consult a general physician.
With sedentary lifestyle, refined and processed food habits, obesity and diabetes is the new age epidemic. India, in fact, is being termed as the diabetes capital of the world given the huge rise in the number of cases over the last couple of decades.
There are well established risk factors for diabetes and if these can be managed, then the chance of delaying onset, controlling progress and containing complications are highly possible. Read on to know how simple things can be effective in preventing and managing diabetes.
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Weight control: Obesity is the most important risk factor for developing diabetes. A person with normal BMI is 20 to 40 times less likely to develop diabetes than an overweight person. Losing about 10% of the excess weight can help prevent diabetes by more than 50%. Check with your doctor what should be the ideal recommended weight for you and draw up a routine (diet, exercise, etc.) that will help you achieve and stay around that weight range.
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Exercise: All methods of exercise help in moving the muscles, which is drastically reduced given our sedentary lifestyle. Moving the muscle (as much and as often as possible) ensures they absorb more glucose and reduce the stress on insulin production. Something as simple as brisk walking for 30 minutes is good enough to reduce the chances of developing diabetes by 50%.
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Don’t be a couch potato: If watching television is your favourite pastime, it is time to change it. This puts people at risk of developing obesity, heart disease and diabetes. Also, watching television is usually associated with overeating, further adding to the risk of diabetes.
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Fibrous foods: Eating fibrous fruits and vegetables as compared to refined and fried foods helps prevent diabetes.
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Whole grains vs processed foods: When you have to choose between a pizza and a bowl of brown rice, go for the latter.
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Good fats vs bad fats: Polyunsaturated fatty acids are found in vegetable oils, nuts, and seeds and help control diabetes. Trans fats present in margarine and baked foods are best avoided.
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Non-vegetarian foods: If you have a choice, pick fish and poultry versus red meat (processed or otherwise). The fish is rich in Omega-3 fatty acids and helps control inflammation.
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Leave the whites: Get off white rice, white refined sugar and white flours. Include brown rice, brown or demerara sugar and wheat flour instead.
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Smoking: Quit smoking and you will note how beneficial it is in preventing diabetes.
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Alcohol: Moderate amount helps in effective functioning of the insulin.
If you have a family history or have risk factors, follow the above to prevent diabetes. If you wish to discuss about any specific problem, you can consult a general physician.
Vitamins are extremely important for proper functioning of various body systems. Vitamin D3 plays a very crucial role in the proper functioning of bones and joints. Deficiency of this vitamin is quite common, but can be identified and managed easily. Read on to know more about its functions, causes of deficiency, symptoms, and management.
Function: Vitamin D3 is essential for the absorption of calcium from the food that is consumed. A decrease in the amount of vitamin D3 leads to poor calcium absorption, resulting in thin, soft, brittle bones.
Causes: Some of the possible causes of vitamin D3 deficiency (and ways to manage them) are listed below:
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Reduced intake: People with a strict vegan diet may be consuming reduced amounts of this important chemical. Most natural food sources are animal based including fish, fish oils, fortified milk, egg yolks and beef liver.
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Limited sun exposure: People who spend a lot of time indoors are likely to have this deficiency. People who wear sunscreen constantly, wear long robes for religious reasons, live in the polar areas, upper/lower hemispheres are all prone to vitamin D3 deficiency.
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Darker complexion: The body’s ability to make vitamin D3 when exposed to the sun is reduced if there is more melanin in the skin.
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Obesity: Vitamin D is extracted from the blood by fat cells and people with BMI of more than 30 have a vitamin deficiency.
Symptoms: While some people may go completely asymptomatic with this condition, others could develop significant symptoms.
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Bone pain and aches: When there is less calcium getting incorporated into the bones, pains and aches leading to fatigue are common.
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Depression: The areas of the brain that regulate mood contain vitamin D receptors, and low levels of this vitamin can lead to depression. They are also at higher risk of developing cognitive conditions like schizophrenia, Alzheimer’s disease, and dementia.
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Gut problems: Vitamin D is fat soluble and in people with stomach conditions like Crohn’s or IBD, the gut functioning is altered and so vitamin D absorption is reduced.
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Increased risk of heart disease: Both the risk of developing heart disease and the severity of the disease went up considerably when there is vitamin D deficiency. This is given their role in controlling inflammation and improving immune function.
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Lesser chances of surviving cancer: In patients with colorectal cancer, lymphoma, and breast cancer, increasing vitamin D levels improved cancer prognosis by 4%. The chances of developing prostate cancer are also increased in patients with vitamin D3 deficiency.
Management: Providing the required amounts of vitamin D3 through diet and supplements is the best way to manage this. Check with a doctor to know the optimal levels and plan for replacement accordingly.
The tiny mosquito can pose a lot of health issues. While malaria was the only dreaded disease until some time ago, the incidence of chikungunya is constantly on the rise. In fact, the nonspecific symptoms and absence of vaccination make it extremely difficult to prevent and diagnose this in the early stages.
Causes: First described in the African continent (Tanzania), the word chikungunya means “to walk bent over” in the Makonde or Kimakonde language. This appearance is because of the effect on bones, leading to severe bone and joint pains. More than 90% of the people who are bitten by the infected mosquito develop symptoms.
Chikungunya is a member of the Togaviridae family and is transmitted by bites of the infected female mosquito. In rare cases, the infection can spread through blood transfusions of the infected person.
After entering the bloodstream, it divides and multiplies rapidly in different types of cells including epithelial cells, endothelial cells, and connective tissue cells. These produce the symptoms including the rashes and the joint pains.
Symptoms: The challenge with chikungunya is that there is no specific, telltale symptom indicative of the condition. The patient develops nonspecific symptoms as below, somewhere between 4 to 7 days after the infected mosquito bite.
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High fever (as high as 40 degrees Celsius)
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Pain involving multiple joints which can be debilitating
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Headache
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Muscle pain
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Skin rashes
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Swelling around the joints
Though the disease is not fatal, it can be quite limiting. The fever and other symptoms may disappear within a week, but the joint pains can last up to 6 months to a year.
Diagnosis: A blood test is the most diagnostic test for confirming the disease. Dengue fever and Zika virus need to be ruled out, as their presentation is very similar.
Treatment: There is no definitive treatment for this condition and it is mostly symptomatic.
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The patient is advised rest to recover from the fever and fatigue
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Pushing fluids, including juices and electrolytes is recommended to prevent dehydration
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Fever needs to be managed with antipyretic medications
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Joint pains are managed with nonsteroidal painkillers
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Avoid aspirin as it increases the tendency to bleed
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Physiotherapy is recommended to improve severe bone/joint pains to improve mobility and reduce swelling
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Check with your doctor to see if your regular medications need to be revisited
There is no vaccine to prevent chikungunya, though virus like particles that can be a potential vaccine are in the final stages of trials. Prevention of mosquito bites is also highly recommended as an important step in controlling the disease. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
One of the fearful diseases that is doing rounds in recent years in Dengue. If someone complains of fever and joint pain, the very first question that pops up in our mind, have they got tested for dengue? It is caused by a virus carried out by female infected mosquito Aedes aegypti.
Blood is made up of three types of cells. The liquid form is called plasma, RBCs are oxygen carrying cells and White Blood cells fight against infection and provide immunity. The third type is platelet which helps in blood clotting. In normal human body, the platelets count in dengue ranges from 1.5 lacs to 4 lacs, while platelet count in dengue decreases to as low as 20,000 to 40,000.
In dengue platelet count and white blood cells decreases in number which affect the immunity system. This happens because of the following:
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Platelet count in dengue decreases as it suppresses bone marrow, which is the platelet-producing area.
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Platelets count in dengue decreases because Blood cells affected by the disease virus damage platelets.
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Antibodies that are produced during this period leads to massive destruction of platelets in dengue.
Symptoms of Dengue fever:
Symptoms develop 4 to 7 days after bite of mosquito which includes high fever, vomiting, pain behind the eyes, headache, nausea, and severe muscular and joint pain. Pain in eye and joint lead to the suspicion of the dengue fever. The fever lasts for about 5 to 7 days and is followed by a prolonged period of fatigue, joint pains, body pain, and rashes (learn more about Painful Rashes). For the sake of confirming the diagnosis, the doctor will run some lab tests.
These include testing for antibodies IgG and IgM, PCR testing to check the virus and a complete blood count. This will reveal the decrease in the white blood cells and the platelets in dengue. There isn't a particular level below which a person would require platelets in dengue. In aged people and with people who have other chronic diseases, platelet transfusion may be required even if the blood count is about 50,000. The doctor will decide this based on the patient’s health. The right thing to do is to go for a medical consultation and discuss your situation with the doctor and identify what needs to be done for your condition specifically.
About platelets:
Platelets also known as thrombocytes are small blood cells that are produced in bone marrow. Decreased platelets in dengue fever means that blood has lost its clotting abilities and are not able to fight against infection.
Foods that increase platelets in dengue:
One should try foods rich in omega-3 fatty acid, vitamins, iron and other minerals. These foods fight against antibodies and also increases dengue platelet count. You can also consume fruits like papaya, kiwi, oranges, berries etc. It helps in increasing dengue platelet count.
Vitamin B-12
This vitamin helps in keeping blood cells healthy. Deficiency of B-12 has been associated with low platelets in dengue. Have these foods to increase platelets:
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beef liver
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clams
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Eggs
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Dairy products
Iron
Iron helps in producing healthy blood cells. You can consume these foods that contains iron which is important for health and well as platelet count in dengue:
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mussels
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lentils
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beef
This plays a vital role in platelet to function efficiently. It also helps in absorbing iron which helps in increasing platelets count in dengue.
Good sources of vitamin C include:
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mangoes
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green or red bell peppers
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tomatoes
Jaundice is a medical condition, which is characterized by the yellow coloring of the skin and eyes. It generally occurs when there is an excess of bilirubin in your system. Bilirubin is a yellow pigment formed in the liver by the breakdown of red blood cells. It normally gets discharged by the liver along with other dead red blood cells. So if you are suffering from jaundice, it usually indicates that you have some serious problems regarding the functioning of your liver, pancreas, or gallbladder.
Signs and symptoms:
Signs and symptoms commonly associated with jaundice include:
- Yellow-tinted eyes and skin
- The whites of your eyes may turn orange or brown in color
- Dark urine
- Pale stools
- High fatigue and vomiting (in severe cases)
Causes:
Jaundice, as mentioned above, occurs when there is an excess of bilirubin and the liver is incapable of metabolizing it along with the old red blood cells. It is more common in infants than in adults, because their livers are not fully developed. However, it is also a frequent occurrence in adults and could be a potential sign of any of the following problems:
- Liver infection
- Scarring of the liver, or cirrhosis
- Hepatitis
- Alcohol abuse
- Liver cancer
- Gallstones
- Pancreatic cancer
- Blood disorders, like hemolytic anemia
- Parasites in the liver
- Abnormal reactions to or overdose of medication
Diagnosis:
Diagnostic tests may include:
- Jaundice is diagnosed primarily by taking blood tests, to help measure the amount of bilirubin as well as to trace the presence of other diseases like Hepatitis.
- Liver function tests in order to make comparisons between levels of certain proteins and enzymes when the liver is in good shape and when it is damaged.
- Liver biopsies, where samples of liver tissue are first extracted and later examined under a microscope.
- Imaging studies, consisting of abdominal ultrasounds, computed tomography scans and magnetic resonance images (MRI) tests.