Ms. Juhii Sharma

Dear , Smoking, in the beginning, may not affect family sexual relationships. But family relationship may be at stake. Your wife may not like smoking and she and your children will be a victim of passive smoking. When age progresses, you will be troubled with sexual disorders due to smoking. Therefore, I suggest you to quit smoking. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you?re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse abuse?no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn?t easy. But it?s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Take care.

1. Start your stop smoking plan with =S T A R T S- Set a date for quitting smoking. Choose a date within next two weeks, so that you have enough Time to prepare without losing your motivation to quit T- Tell your family, friends and co-workers that you want to quit so that they can give support and encouragement A-Anticipate and plan for the challenge you will face while quitting like crave for cigarettes and Nicotine withdrawal symptoms R- Remove Cigarettes, lighter, Ash tray,, matches etc from home, car or work place T- Talk to your doctor about getting help to quit and to deal with Nicotine withdrawal symptoms 2.Distract yourself to keep your mind off smoking like concentrate on some work, watching TV, playing games, reading books/magazines, listen to music, cross word puzzle or playing online games etc 3. Remind yourself why you want to quit. Focus on your reasons for quitting like health benefits, improved appearance, financial effect and enhancement of self esteem 4. Get out of tempting situations like someone smoking close by 5. Reward yourself- reinforce your victories whenever you triumph over a craving. Give yourself a reward to keep yourself motivated 6. Find an oral substitute like Mint, Nicotine Lozenges, Nicotine patch, chewing gums etc 7. Keep your hands busy like squeezing balls, handling pencils, paper clips to satisfy the need for tactile stimulation 8. Brush your teeth-The just brushed clean feeling can motivate you to get rid of craving 9. Slowly drink a large cold glass of water to help the craving pass and keep you hydrated. It also minimizes the symptoms of Nicotine withdrawal 10. Go for regular Exercise, play some games 11. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion and relive stress 12. Avoid stress, Anxiety, depression, Excess work load, severe physical and mental exertion

At your age some children will experience memory problems because of hormonal imbalances and its accompanying distractions. You may also be under some stress. So if you handled stress better, you will certainly improve. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. Recently they have discovered that moderate consumption of red wine and peanuts do help. You may also meet with a counselor to take care of the stress related emotions, and then you will fare better too.

Do not drink all these stuff .Change your die andt change your lifestyle Stop diary products There are better things to drink other than alcohol Take a consult for specific advise for reducing anxiety and improving overall health.

You could be in danger if you do not quit immediately. You should visit a doctor first and get an immediate assessment of your problem and take the necessary medications. In the meantime you can follow these directions regarding quitting: You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. At least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.

Please take following medicine:- Dr. Reckeweg's r - 54 / 10 drops in little water thrice a day for one month. Revert back after one month with feedback.

This range of fasting sugar test is true but not always if you have doubt for diabetes then get oral glucose tolerance test (OGTT) done. This is another test used to diagnose prediabetes. The doctor will give you instructions on how to prepare for the test, but you won’t be able to eat anything for eight hours before the test; you’ll be fasting. This test give accurate result for test.

Hi lybrate-user. I can understand your state of mind, but there is solution for everything, you will get over it with medication and therapy. Compulsive use of the internet for porn can interfere with daily life and your relationships, leaving you feel ashamed. If you notice porn having a negative impact on your life but find yourself having difficulty cutting it out, you may need to go to greater lengths to get your problem under control. By replacing your negative behavior with positive ones, you can beat this habit. Consult with me for counseling and therapy. All the best.

Depression & Anxiety During Pregnancy And Postpartum

A new study in The Journal of Sexual Medicine examines the way depression and anxiety during the pregnancy and postpartum periods affect a woman?s sexual life.
Researchers from Brazil and the United States found that depressive/anxiety symptoms, or DAS, can be linked to declines in sexual life for up to eighteen months after a baby is born.
While relationship and socioeconomic problems have been studied in relation to decreased sexual activity after woman gives birth, the association between DAS and sexual decline has not been clear.
The study focused on lower-income women who were receiving antenatal care at public primary clinics in S�o Paulo, Brazil. To learn more about sexual activity, research assistants interviewed the women between 20 and 30 weeks of pregnancy and again at some point during the eighteen months after delivery. During the postpartum period, the women completed the Self Report Questionnaire (SRQ-20), a tool that assesses depression and anxiety.
Eight-hundred thirty-one women participated during pregnancy. Of these, 644 women had resumed sexual activity and were available for follow up after delivery. The women?s mean age was 25 years and approximately 78% of them were living with a partner.
During the interview, the women were asked, ?Considering your sexual life before pregnancy, how would you describe your present sexual life: improved, the same, worsened??
Based on results of the SRQ-20, the women were divided into four groups:

? Group 1 had no DAS during pregnancy and the postpartum period.#11;
? Group 2 had DAS during pregnancy only.
#11;? Group 3 had DAS during the postpartum period only.#11;
? Group 4 had DAS during both pregnancy and the postpartum period.

About 21% of the women had seen their sex lives decline. This result was more likely among women in Group 3 (DAS during the postpartum period only) and Group 4 (DAS during both pregnancy and the postpartum period.)
Sexual decline was also associated with the mother?s age and the number of miscarriages she had had. The risk of sexual decline was twice as high for women over 30 when compared to younger women, a result that could be related to stress. Women who had had miscarriages had a 50% increase in the risk of sexual decline, which could be due to the emotional toll of miscarriage.
The researchers acknowledged that DAS and sexual decline could work in two ways. DAS could lead to sexual difficulties after delivery. But problems after delivery, such as episiotomies, could also lead to DAS.
The findings may help practitioners recognize DAS symptoms and their effects on the sex lives of lower-income women.

Pelvic Floor Dysfunction & Women?s Sexual Concerns
Pelvic organ prolapse (POP) and urinary incontinence can have many sexual repercussions for women. Recently, a team of European researchers described these problems in detail in the Journal of Sexual Medicine.
POP occurs when female pelvic organs drop and put pressure on the vaginal walls. Urinary incontinence (UI) refers to the loss of bladder control and leaking of urine. Both conditions can make women anxious about sex.
The authors explained that healthcare providers often do not consider themselves fully trained to treat sexual issues associated with POP and UI. Also, much research has focused on the quantitative aspects of sexual function for these women. The goal of this study was to add ?meaning and context? to the current literature.
Thirty-seven women between the ages of 31 and 64 participated. Each woman was about to have corrective surgery for POP, UI, or both POP and UI. All participants were sexually active except one, who avoided sex because of her condition, but wanted to start again after surgery.
Each woman was interviewed face-to-face, responding to open-ended questions about how POP and/or UI affected them sexually. Questions focused on desire, arousal, orgasm, pain, satisfaction, body image, partners, and intimacy. Because of a recording error, one interview could not be used. Therefore, results were based on interviews with thirty-six women.
Seventeen percent of the women said their sex lives were satisfactory, with no problems from POP or UI. Thirty-nine percent rated their sex lives negatively and 44% indicated that their sex lives were fine overall, but that certain aspects were negative.
Most Commonly Affected Sexual Areas
 
? Body image. Women with POP described their vaginas negatively, using descriptors like ?ugly? and ?not normal.? Those with UI were anxious about using incontinence pads and emitting urine odor. Many women felt embarrassed, depressed, unattractive, or undesirable. They were also concerned about their partner?s experience. For example, some women with POP worried that a partner could feel the prolapse.
? Desire. Many women found themselves less motivated to have sex because they feared pain and felt awkward. Some rushed through sex; others avoided sex altogether.
? Arousal. Distraction, fear of pain, and difficulty relaxing could all contribute to diminished arousal.
? Orgasm. Some women had trouble reaching orgasm because they couldn?t relax or ?let go.? Others found their orgasm less intense. Some didn?t allow themselves to reach orgasm because they feared incontinence.
? Pain. Women with POP were more likely to report discomfort or pain, which were mainly due to sexual position, the prolapse itself, or the fullness of their bladder.
The authors acknowledged that other factors, aside from POP and/or UI, could play a role in the women?s sexual problems. A partner?s sexual issues, relationship conflict, stress, and menopause could all be involved. ?Despite the profound effect of POP and/or UI, the confounding effect of these factors should not be overlooked when assessing female sexual function,? the authors wrote.
They also noted ways that healthcare providers can help women with POP and/or UI by addressing sexual problems. Letting patients know that these conditions are common may help them gain confidence.

If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.

Do you have uncontrollable urge to steal small objects even though you could afford them easily. Do you feel tensed before the act the stealing and relaxed after stealing. You may be having kleptomania. Get treated before getting embarrassed or before you get into legal problems.

Dear lybrate-user, recurrent depressive disorder is recurrent as the name suggests. Your history also suggests the same. It comes on its own and goes away like a passing cloud on its own. Only during the depressive phase you need antidepressants allopathic or ayurvedic. They are mainly to endure the depression and to prevent suicide. It has not much of preventive value for future episodes of depression. To prevent every year depressive episode, your psychiatrist has prescribed valip chono and later lamitor od. These preventive drugs have to be taken for many years. And also they have to be taken during your normal phase also. The dose will be adjusted according to the benefit - whether every year attack has reduced, whether the severity is less, whether you spend many months in normal mood. For all these things please maintain a mood chart daily for years. Take the mood chart to psychiatrist and discuss with him/her. Nerve tightness is one of the symptoms of depression rather than cause for depression. No sound sleep also is one of the symptoms.

Your kids are engaged in several extracurricular activities, spend time reading books, and yet you're saying they're not interested in anything? you only need to know how to influence kids in a way that they will study for their parent's sake, if not for their own sake. See if you can build a solid friendship with them; maybe through an outdoor activity.

The best remedy i can recommend you is as follows Natural home remedy using oats, milk, dates, almonds and honey: 1. Take 1 cup oats 2. Add 1 cup milk 3. Add 3 chopped dates 4. Add 3 chopped almonds 5. Add 1 tsp honey 6. Mix well 7. Eat this for breakfast 8. Follow it with an unpeeled apple Surely you will get results.

Dear Paras, Welcome to lybrate. Clinical depression or depressive disorder is a neurochemical disorder. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, life style changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. Once you make the necessary amendments in your life with the help of the above said therapies and life style changes, learn how to manage the depressive episodes without medicines and learn to relax, the medicines can be weaned off over a period of one year. Please consult a psychologist online or in person for advise counseling and therapy. Take care.

Understand the concept you were born alone and you will go alone during the journey of life, many will board the train many will come close but they will get down once their destination arrives let it be you me or others so be like a mercury in thermometer rise and fall with temperature. But if the mercury gets stuck to the wall, thermometer does not give right readings and is ultimately thrown away. Wakeup realise the truth of life and death and you will be back to your routine when you wake up look yourself in mirror, smile and say" I refuse to be miserable" all he best for.

It is difficult to treat adhd at any time in life, period. So, considering advanced ages, it makes it tougher because the behaviors are all set in and reinforced. However, do not lose hope: there is nothing that is impossible in life except that we have not yet discovered the solution. Every effort is worth it and you should never be in want for not having tried. I also believe that something done is better than nothing done, even if it is wrong: passivity is criminal. You need to combine medication and therapy for something effective to emerge for you. There are three areas of focus in therapy that needs serious work: concentration, hyperactivity, and impulse control. You will need to put yourself on a strict time-structure with planned activities which have reasonable and reachable goals. These must be monitored and assessed regularly to give you an idea of progress. There are concentration exercises in yoga, and the ear and eye exercise, that will benefit you a lot. Meditation will be tremendously useful to moderate your responses and to develop focus and good self-control. Emotional therapy will play a significant role to alleviate the impulsive behavior to a large extent. If all this is done in a social context i. E. In groups or by mixing with other people, you will gain tremendously. You need to be cooperative at all times. Your diet could do with less carbohydrates and a good bit of fiber. It is best to avoid high-energy foods. Vigorous exercise of at least 30 minutes a day will expunge the high energy levels. The treatment is long term and arduous but it is worth putting in this effort for a reasonable outcome. Regarding the dyslexia there are reading exercises by using index cards that will help you with those words that you particularly read wrong. Some teachers who specialize in treating this disorder have equipment and methods that employ the four avenues of word-learning: visual, audio, kinesthetic and tactile. They employ and associate letter and word sounds i. E. From the phonics with the phonemes.

Dear demyelination is a disease of nerves it effects whole body and causes deficiency in sensation and movement. Homoeopathic treatment is directed mainly towards strengthening of immune system of body. If your immune system become strong further spread of disease can be stopped and if you have patience to continue homoeopathic treatment the disease can be reversed also please consult a experienced homeopath for treatment you may consult me also.