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I am in age of 62 years and 25 years old diabetic taking glucored ford 2 tablets in morning and 2 tablets in evening after meals but now I am feeling that this medicine is not that much effective me. Can you suggest some other medicines?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad  •  50yrs exp
I am in age of 62 years and 25 years old diabetic taking glucored ford 2 tablets in morning and 2 tablets in evening ...
Hello, thanks for the query. I have read the query. However, the information given is too inadequate for suggesting any change or advising different treatment. It is necessary to know following details before any suggestions can be made :1 1) your weight, height, dietary pattern and extent of daily exercise 2) fasting and pp glucose plus hba1c%, which will give an idea of current glucose control. 3) correct dosage that are you on totally 4 tablets of glucosred forte, that means you are on 20 mg of glibenclamide and 2000 mg metformin, is that right? 4) what is the lipid profile and bp reading? 5) have got your eyes checked for ruling out any retinal involvement?\please come back with all these details. Glibenclamide is less used now a days. Plus it is having a very prolonged action and hence in older persons can lead to severe hypoglycemic episodes. Therefore, please come back with all the necessary details in a private conversation, where you can upload all the reports. On going through the same I will be able to give specific guidance and even prescribe necessary medication. In this communication we are supposed to give just general guidelines, no prescriptions can be given or any drugs can be recommended. Or else please consult your local physician for upgrading the treatment. I am sure you understand the need for all the details. Thanks.
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After using melaglow prime and cetaphil for over 1.5 months with suncote sunscreen I found my skin color to be darker how can I get my original fair skin.

Dermatologist, Dimapur
After using melaglow prime and cetaphil for over 1.5 months with suncote sunscreen I found my skin color to be darker...
Make sure you are applying enough sunscreen (2-3 fingerlengths) over face atleast once in the morning and afternoon. You may want to switch from melaglow prime to something gentler for the time being. A low strength glycolic acid toner on weekends may help. For an in-depth consultation, kindly contact a dermatologist.
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By mistakenly I applied epiduo on neck and there is redness how can I cure it fastly?

MD, MBBS
Dermatologist, Chennai  •  22yrs exp
By mistakenly I applied epiduo on neck and there is redness how can I cure it fastly?
Don't worry. You are suffering from allergic contact dermatitis causing this redness. Specific medicine available for good control. Treatment depends on the severity. Do direct online consultation for detailed prescription by sending photos.
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How To Live Longer With Longer With Heart Failure?

MBBS
General Physician, Fatehabad  •  12yrs exp
How To Live Longer With Longer With Heart Failure?

‘Heart failure’ is a phrase that can induce fear into anyone. People usually think it is a death sentence but it is not. With proper care, you can survive with this condition and live a normal life.

What is Heart Failure?

Heart failure can happen for two reasons. The muscles of the heart cannot function properly. Either the heart cannot pump sufficient blood to the different parts of the body, or the blood flow to the heart reduces and it cannot fill with enough blood. Heart failure is the outcome of ischemic heart disease, diabetes, high blood pressure or excessive alcohol consumption.

Most people are not aware that there are several stages of heart failure-

Stage A- It is the pre-heart failure stage. It means that you have a strong possibility of suffering a heart failure unless you live a healthy life. Your chances increase when you or other people that you are related to by blood, have high blood pressure, diabetes or cardiac ailments.

Management of this stage of heart failure comprises-

  • Regular exercise

  • Treatment of hypertension or diabetes

  • Abstinence from alcohol and smoking

  • Sufficient sleep

  • Stress control

Stage B- It is the early stage of heart failure. Your heart is already beginning to show signs of distress.

You can manage stage B heart failure with-

  • All the measures adopted for stage A

  • Medication like enzyme inhibitor or receptor blocker

  • Surgery like coronary artery bypass or valve repairment

Stage C- In this stage, your blood flow is disrupted. You begin to display the symptoms of heart failure like breathlessness, exhaustion and swelling of the limbs. You may even suffer systolic heart failure.

To survive this stage you need to-

  • Follow all the measures adopted for stage A

  • Take the same medicines as for Stage B

  • Reduce the intake of salt and fluids

  • Monitor weight

  • Take diuretics and digoxin pills

  • Surgery such as an implantable defibrillator

Stage D- This is the most advanced stage of heart failure. It takes a lot of care, medicines and surgery to live through this stage. Treatment means-

  • All the treatment options of stages A, B and C

  • A surgical intervention like a heart transplant, implanting a heart pump or ventricular assistance devices

Heart failure in all but the last stage can easily be survived with exercise, medicines, and surgery. The last stage is the most dangerous. However, people still have a shot at life but it requires a lot of care and attention.

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I have a constant pain in my left shoulder from last 1 month. Is this a sign of heart problem?

BHMS
Homeopathy Doctor, Noida  •  25yrs exp
I have a constant pain in my left shoulder from last 1 month. Is this a sign of heart problem?
Are you diabetic or having cervical spondylosis. If so is it under control. If you don’t know then get blood sugar fasting n x-ray of cervical spine (both ap n lateral) done from some lab. If you are experiencing shoulder pain, try these exercises to help relieve your pain url/shoulders/stretching-exercises-frozen-shoulder 1.Arm-across-chest stretch – hold your right hand out in front of you, keeping it near your waist. Reach your left hand behind your elbow, pulling your right arm to the left and across your chest. If you feel pain in your shoulder, lower your arm until the pain subsides. The goal is to be able to pull your right arm across your chest without feeling any pain. Hold for 30-60 seconds then relax and repeat with your left arm. Repeat 3-5 times. 2. Neck release – sit up straight then slowly bring your chin toward your chest until you feel the stretch in the back of your neck. Try leaning your head to the left to stretch your right shoulder or leaning your head to the right to stretch your left shoulder. Hold the stretches up to one minute in each direction, breathing deeply as you concentrate on relaxing. Repeat 3-5 times. To progress the stretch, elevate your arm as you pull it across your chest until it is the height of your shoulder. 3. Chest expansion – put an exercise band, rope, strap, or even a tie behind your back and grasp it with both hands. While holding the strap, draw your shoulder blades toward each other and gently lift your chin toward the ceiling. Breathe deeply for 10 to 15 seconds and release. Repeat 3-5 times. To progress the stretch, move your hands closer together on the strap. 4. Seated twist – sit straight up in a chair with your knees together. Twist your torso to the right, placing your left hand on the outside of your right thigh. Relax your shoulders as you look towards your right, gentling pushing on your right thigh. Breathe deeply for 10 to 15 seconds and release. Repeat with your left side. Repeat both sides 3-5 times. 5. The 90, 90 shoulder stretch – stand in a doorway, holding your arms up so your elbow is at a 90 degree angle and your arm forms a 90 degree angle to your body at the shoulder. Place each hand on one of the sides of the door frame, placing one foot forward as you stand up straight aligning your neck with your spine. Lean forward as you brace yourself against the door frame. Hold the stretch for 20-30 seconds. Repeat 2-3 times. For this homeopathic treatment is very effective for more details you can consult me.
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How to take medhor vati of patanjali. How much time and when .pros and cons please. I want to loose weight, I am doing exercises along with I want to take this medicine. Please suggest your views.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Kanpur  •  17yrs exp
How to take medhor vati of patanjali. How much time and when .pros and cons please. I want to loose weight, I am doin...
If that doesn't work please follow these herbal combinations sootshekhar ras 1 tablet twice a day kanchnar awleh 3 gram twice a day.
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I've a white pimple kind of thing in my throat. It's not painful or anything and also is only one small pimple kind of thing. But due to that I sometimes have a sensation that there is something in my throat that got struck.

MBBS
General Physician, Bhubaneswar  •  1yr exp
I've a white pimple kind of thing in my throat. It's not painful or anything and also is only one small pimple kind o...
As per your description it can be due to a bacterial, viral or fungal infection or some irritants. Hexidine mouth wash can be used if its due to any infection. Need further details for evaluation.
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After removing warts of neck by co2 laser I got small brown marks .will cutihyde help in lightening the flat brown scars of my neck?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician,  •  7yrs exp
After removing warts of neck by co2 laser I got small brown marks .will cutihyde help in lightening the flat brown sc...
I am sorry to hear about your concern but will be happy to assist you. The two most notable and well documented side effects of co2 laser resurfacing are scarring and delayed onset hypopigmentation. Tissue ablation and thermal coagulation of the dermis are thought to drive the robust dermal remodeling that translates into clinical improvement following co2 laser resurfacing. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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