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गति की बीमारी (Motion Sickness): उपचार (Treatment), प्रक्रिया (Procedure), लागत और साइड इफेक्ट्स (Cost And Side Effects)

गति की बीमारी (Motion Sickness) का उपचार क्या है ?

गति की बीमारी विशेष रूप से छोटे बच्चों के बीच एक बहुत आम संतुलन विकार है। जहां वाहन या किसी अन्य आंदोलन के कारण बार-बार गति आंतरिक कान को परेशान करती है। नाव या जहाज से यात्रा करते समय इसे सागर बीमारी के रूप में भी जाना जाता है। यह स्थिति तब विकसित होती है जब केंद्रीय तंत्रिका तंत्र संवेदी प्रणालियों, यानी आंतरिक कान, आंखों और त्वचा के दबाव रिसेप्टर्स से विवादित संदेश प्राप्त करता है। उदाहरण के लिए - जब आप खिड़की को देखे बिना कार के अंदर बैठे होते हैं, तो आंखों का एक स्थिर दृश्य होता है, जबकि आंतरिक कान ऊपर, नीचे, बाएं और दाएं आंदोलन को समझता है।

गति की बीमारी का निदान किया जा सकता है और उपचार में ज्यादातर उपाय, शारीरिक व्यायाम और कुछ प्राकृतिक और घरेलू उपचार शामिल हैं। हालांकि, चरम स्थिति के मामले में जहां गति बीमारी को उपायों द्वारा ठीक नहीं किया जा सकता वहां डॉक्टर्स के मुताबिक कुछ दवाएं भी उपयोग की जा सकती हैं। मोशन बीमारी का इलाज करने के लिए उपयोग की जाने वाली कुछ सबसे आम और प्रभावी दवाएं स्कोपोलमाइन (Scopolamine), प्रोमेथेज़िन (promethazine), साइक्लिज़िन (cyclisin), डिमेनहाइड्रिन (diminhydrine) और मेक्लिज़िन (mechlizin) हैं।

गति की बीमारी (Motion Sickness) का इलाज कैसे किया जाता है ?

गति की बीमारी का इलाज करते समय सबसे महत्वपूर्ण बात समस्या के मूल कारण को समझना है। गति की बीमारी का इलाज करने का सबसे अच्छा तरीका इस स्थिति को ठीक करने के बजाय निवारक उपायों पर ध्यान करना है। सबसे आम उपाय दृष्टिकोण आपके केंद्रीय तंत्रिका तंत्र और संवेदी प्रणाली द्वारा प्राप्त संदेशों को सिंक्रनाइज़ करना है। यात्रा की दिशा में खिड़की के बाहर देखना है, यह आंतरिक संतुलन को फिर से उन्मुख करने में मदद करता है। अन्य आम निवारक उपायों में झपकी लेना, अपनी आँखों को बंद कर लेना, ताज़ी हवा में सांस लेना, च्यूइंग गम या अदरक चबाना शामिल है जो गति बीमारी के लक्षणों को दूर करने के लिए पाया गया है।

Scopolamine एक पैच है जो यात्रा से कम से कम 6-8 घंटे कान के पीछे रखा जाता है। प्रोमेथिसिन (Promethesean) और साइक्लिज़िन (cyclicin) को क्रमशः यात्रा से 2 घंटे और 30 मिनट पहले लिया जाता है। Dimenhydrinate हर 4-8 घंटे लिया जाता है और यह एक च्यूइंग गम के रूप में भी उपलब्ध है। यात्रा से 1 घंटे पहले मेक्लिज़िन (Mechlizin) लिया जाता है। इन सामान्य दवाओं के अलावा, अन्य दवाएं भी हैं जिनका उपयोग कुछ गंभीर परिस्थितियों में किया जाता है। जिनमें से कुछ अल्पार्जोलम (Alparolazolam), डायजेपाम (Diazepam), एफेड्राइन (Ephedrine) और कुछ एम्फेटामाइन (Amphetamines) हैं। उपरोक्त उल्लिखित दवाओं को मौखिक रूप से और इंजेक्शन के रूप में भी लिया जा सकता है।

गति की बीमारी (Motion Sickness) के इलाज के लिए कौन पात्र है ? (इलाज कब किया जाता है ? )

यदि आप यात्रा के दौरान मतली, सिरदर्द, चक्कर आना, उनींदापन, बेचैनी और उल्टी जैसे गति बीमारी के लक्षणों का सामना कर रहे हैं, तो आप उपचार के लिए पात्र हैं।

उपचार के लिए कौन पात्र नहीं है ?

मोशन बीमारी एक बहुत ही सामान्य स्थिति है जो किसी के लिए विकसित हो सकती है तो अगर आपको गति बीमारी के लक्षण नहीं हैं तो आपको दवा से इसका इलाज नहीं करना चाहिए। आप इस इलाज के पात्र नहीं हैं

क्या कोई भी दुष्प्रभाव (side effects) हैं ?

लगभग कोई दुष्प्रभाव नहीं हैं। हालांकि, यदि आप मोशन बीमारी के इलाज के लिए दवाओं का उपयोग कर रहे हैं तो संभावना है कि अगर आप अत्यधिक लेते हैं तो आपको कुछ साइड इफेक्ट्स का अनुभव हो सकता है। मोशन बीमारी दवाओं के कुछ सबसे आम साइड इफेक्ट्स उनींदापन और शुष्क मुंह हैं। अन्य दुर्लभ साइड इफेक्ट्स जिन्हें आप अनुभव कर सकते हैं वे धुंधली दृष्टि और कब्ज हैं।

उपचार के बाद दिशानिर्देश (post-treatment guidelines) क्या हैं ?

डॉक्टर दवरा बताई गयी कुछ दवाये व कुछ वयायाम शामिल है दिशानिर्देश सर्वोत्तम तरीकों में से सिर और गर्दन अभ्यास करना जो आंतरिक कान संतुलन को बेहतर बनाता है। शुष्क मुंह और कब्ज दोनों को रोकने के लिए आपको बहुत सारे पानी भी पीना चाहिए। आपको अपने तंत्रिका तंत्र और संवेदी प्रणाली के बीच सिंक्रनाइज़ेशन को बेहतर बनाने के लिए स्वयं को स्वस्थ और सक्रिय रखना चाहिए।

ठीक होने में कितना समय लगता है ?

मोशन बीमारी एक बहुत मामूली स्थिति है जो आम तौर पर अपने आप पर इलाज करती है। यहां तक कि गति बीमारी के इलाज के लिए उपयोग की जाने वाली दवाएं आपको इस स्थिति से तुरंत राहत देती हैं। कुछ बहुत ही चरम मामलों में, गति बीमारी का इलाज करने में कुछ दिन या एक सप्ताह लग सकते हैं।

भारत में इलाज की क्या कीमत है ?

भारत में उपचार की कीमत बहुत कम है। गति बीमारी का इलाज करने के लिए कुछ सबसे आम दवा 10 रुपये से शुरू होती है और 200 रुपये तक जा सकती है।

क्या उपचार के परिणाम स्थायी (permanent) हैं ?

मोशन बीमारी एक ऐसी स्थिति है जो किसी भी समय विकसित हो सकती है। यहां तक कि यदि आपने दवाओं के साथ पहले इसका इलाज किया है, तो भी संभावना है कि आप फिर से स्थिति विकसित कर सकें। तो उपचार के परिणाम अधिकतर स्थायी नहीं हैं।

उपचार के विकल्प क्या हैं ?

गति निवारण के लिए सभी निवारक उपाय और शारीरिक उपचार हैं। गति बीमारी के इलाज में एक्यूपंक्चर(Acupuncture)और एक्यूप्रेशर (Acupressure) भी बहुत प्रभावी हैं। आप होम्योपैथी का वैकल्पिक इलाज के रूप में भी उपयोग कर सकते हैं। कुछ सबसे आम होम्योपैथिक दवाएं अर्जेंटीम नाइट्रिकम (Argentine nitricum), बोरेक्स (borax), नक्स वोमिका (Nux vomica), और कोकुलस इंडिकस (coculus indicus) हैं।

सुरक्षा:बहुत अधिक प्रभावशीलता: अधिक टाइम्लीनस: कम इससे जुड़े जोखिम: कम साइड इफेक्ट्स: कम ठीक होने में समय: बहुत कम

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Vertigo - Know The Types & Treatment Of Them!

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Indore
Vertigo - Know The Types & Treatment Of Them!

Vertigo is that sensation when a person feels that the world is spinning around him. It is a feeling of off balance.

While having a Vertigo, people often complain about feeling dizzy, basic daily activities like walking or moving becomes really intense for them. These episodes can impact everyday life.

Is Vertigo common?

Experiencing Vertigo at least once during a lifetime is quite common. It is often seen in older people, but it can happen to anyone at any age. Women are a little more prone to experience an episode of Vertigo than men.

Types of Vertigo:

There are two major types of Vertigo:

  1. Central Vertigo: Central Vertigo occurs when there is a sudden and temporary malfunction in the brain, precisely in an area called the cerebellum.

  2. Peripheral Vertigo: Peripheral Vertigo occurs due to a problem in areas of vestibular nerve or the inner ear. This area connects the inner ear and the brain. Peripheral Vertigo is the most common type of Vertigo.

According to the American Institute of Balance, Peripheral Vertigo is generally a more serious and dangerous problem compared to Central Vertigo.

Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus:

Recently, researchers discovered a new type of Vertigo called “Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus” or (RSV-HNS).

To diagnose RSV-HNS, the patients need to sit in a room without lights. The examiner changes the position of their heads, first in forward direction, then in side to side direction for about 15 seconds. The camera records the patient’s eye motions. It results in those who have RSV-HSN making an eye movement which lasts longer than the others. This movement is known as “nystagmus”.

Compared to other types of Vertigo, RSV-HSN shows a more severe sensation of motion sickness. People with RSV-HSN experience things like nausea, headaches, vomiting, and an unwillingness to head motions. These symptoms can be experienced anywhere from a couple of times a week to once a year.

The reason behind RSV-HSN is still unknown. Doctors recommend that proper medication helps to improve the condition.

Treatment for Vertigo:

A major part of the treatment of Vertigo depends on the cause of the Vertigo. Often, Vertigo goes away without any treatment. The reason behind Vertigo curing itself is that people adapting to the inner ear changes and finding different mechanisms to maintain balance.

Why a neurologist is the right choice to consult for vertigo?

The patient of vertigo should not visit an ENT doctor and must consult a good neurologist as basically it's either a problem of brain or of abnormal signals from the vestibular nerve from the ear. In no way it is a problem of ear per se. A neurologist has the training and expertise to deal with it, not an ENT doc. Also, it's important to consult urgently as sometimes it can be a sign of brain stroke (specially if associated with imbalance). Importantly, to rule out brain lesions like cyst, tumor, clots and nerve infections, consulting a neurologist is the best option available.

Apart from this, these are a few treatments:

  1. Medicines: Medication tends to give relief to symptoms like motion sickness associated with Vertigo.

  2. Vestibular Rehabilitation: Under this treatment, doctors try to aim at the patient’s vestibular strengths which send the signals to the body movement and head related to  gravity.

  3. Canalith Repositioning Manoeuvres: In this treatment, a physical therapist suggests different head and body movements, which help to release the deposit out of the canal and into an inner ear which can be absorbed by the body. This treatment is quite effective to treat Vertigo.

  4. Surgery: If the reason behind causing Vertigo is some serious internal problem like tumor or a head injury, then, in such circumstances, surgery is highly recommended.

Conclusion:

There are many treatments and medicines available for Vertigo. They are totally dependent upon the cause, symptoms, and condition of the patient. This is why it is important to consult a doctor or specialist for the best treatment option.

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Stomach Problems - It's Preventions!

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Stomach Problems - It's Preventions!

If you are one of the many people who suffer from stomach and digestive problems, you are probably looking for relief – whether it’s from a short-term issue like diarrhea or vomiting, or from a chronic illness such as Crohn’s disease. Fortunately, digestive health can be improved with diet and lifestyle changes, and medical treatment is available for more serious issues. Improve your stomach problems with changes you can make yourself and by seeking appropriate care.

Cope with having diarrhea. Stay hydrated by drinking water, juice, and broth throughout the day. Get plenty of rest by staying home from work or school and staying in bed. Try over-the-counter anti-diarrheal medicines like Pepto-Bismol or Immodium A-D to help relieve symptoms. Follow a clear liquid diet of water, broth, juice, and sports drinks until you can handle solid food, then introduce the BRAT diet (bananas, rice, applesauce, and toast).

  • Avoid fatty foods, dairy, caffeine, alcohol, and artificial sweeteners.
  • Many cases of diarrhea are caused by viruses and will pass in a couple of days. It may also be the result of foodborne illness, which is far more common than you might think.
  • If your symptoms get worse or don’t resolve after 48 hours, see your doctor — you may need antibiotics or other medications.

Ease nausea and vomiting with a gentle diet. Stay hydrated — like with diarrhea, dehydration is the biggest risk when you’re sick with vomiting. Follow the same guidelines as for when you have diarrhea. If you can eat without vomiting, eat small amounts of bland foods like toast, crackers, and Jell-O. Once you can keep these down, add rice, cereal, and fruit to your diet. Increase what you eat slowly as your illness improves.

  • If you’re too nauseated to drink anything, try sucking on ice chips to get small amounts of fluids.
  • When you do drink liquids, try to have them at room temperature. Avoid cold or hot drinks.
  • Don’t eat spicy or fatty foods, which can further irritate your stomach.
  • Let your stomach calm down after vomiting by waiting for 30 – 60 minutes afterward to eat or drink anything. Don’t try heavy solid foods until at least six hours after you last vomited.
  • If your stomach upset is from motion sickness, try a medication like Dramamine before traveling.

Seek medical care if you become dehydrated. If you have diarrhea or vomiting that lasts over 24 hours, or you cannot keep any liquids down for over 12 hours, see your doctor right away. Seek emergency care if you have any signs or symptoms of dehydration, such as:

  • Extreme thirst
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See your doctor if you have pain or a high fever. Signs that your stomach problems necessitate medical care include a fever of 102°F (39°C) or higher, or moderate to severe stomach, rectal, or chest pain. If you have blood in your stool or vomit, or your stool is black and tarry, see your doctor right away.

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Healthy Tea!

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad

A tea made of 1 teaspoon cumin seeds and a pinch of nutmeg steeped in a cup of hot water can also prove effective. If you drink a cup of  ginger tea before you step out of your house may help you prevent vomiting and nausea, which usually happens because of motion sickness.

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Dast Rokne Ke Upay - दस्त रोकने के उपाय

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Dast Rokne Ke Upay - दस्त रोकने के उपाय

दस्त एक आम समस्या है जिससे सभी परेशान रहते हैं. ये समस्या आम तौर पर खाने में अनियमितता या अन्य किसी वजह से कई लोगों को परेशान करती है. इस बीमारी में शौच एकदम पतला होने लगता है. इसमें आपको  बार-बार शौच जाना पड़ सकता है. इसके साथ ही आपको पेट में मारोड़, दर्द या ऐंठन जैसा भी महसूस हो सकता है. दस्त से डिहाईड्रेशन की समस्या उत्पन्न हो जाती है. क्योंकि बार-बार शौच जाने से शरीर के लिए आवश्यक पानी, खनिज तथा लवण आदि तेजी से बाहर निकल जाता है. सामान्य सी लगने वाली इस बीमारी में यदि आप लगातार पानी नहीं पी रहे हैं तो डिहाईड्रेशन के कारण मौत तक हो सकती है. क्योंकि डिहाईड्रेशन की वजह से शरीर में पानी और लवण की कमी हो जाती है. इस लिए दस्त के निम्नलिखित लक्षणों के आधार पर यदि ये दो दिन में ठीक न हो तो चिकित्सक से अवश्य परामर्श लें.
क्या हो सकते हैं दस्त के कारण?
1. दस्त की समस्या उत्पन्न होने का मुख्य कारण है आँतों में जरुरत से ज्यादा द्रव का जमा होना. हलांकि कई बार आंतों द्वारा तरल पदार्थ को ठीक तरह से अवशोषित न कर पाने से या फिर आँतों से मल के तेजी से निकलने के कारण भी ऐसा होता है.
2. कई बार दस्त की समस्या जीवाणुओं द्वारा संक्रमण या टॉक्सिन आदि भी हो सकता है. कभी-कभी किसी प्रकार का तनाव या किसी प्रकार के डर के कारण भी दस्त शुरू हो सकते हैं. ऐसे दस्त को क्रोनिक या जीर्ण दस्त कहते हैं.
3. दस्त या दस्त होने के अन्य कारणों में कुछ एंटीबायोटिक दवाएं, किसी तरह के पेट के रोग, फ़ूड इन्फेक्शन, एलर्जी, शराब पिना, ज्यादा मिठाई खाना आदि है.
क्या है इसका उपचार?
नींबू पानी

ओआरएस का घोल आप घर पर नींबू की सहायता से बना सकते हैं. आपको एक ग्लास पानी में नींबू निचोड़कर उसमें थोड़ा नामक और चीनी मिलाकर पिने से आपका पेट साफ़ होगा. और दस्त से राहत मिलेगी.
कच्चा पपीता
कच्चे पपीते को अच्छे से कद्दूकस करके तीन से चार कप पानी में डालें. लगभग दस मिनट तक इस पानी को उबालने के बाद इस पानी को दिन में तीन से चार बार पिएं. इससे आपको दस्त से तो राहत मिलेगी ही, पेट मरोड़ से भी निजात मिलेगी.
साबुनदाना
साबुनदाना पेट की पाचन शक्ति को मजबूती प्रदान करता है. साबुनदाना को तीन-चार घंटे तक पानी में भिगोकर इस पानी को दिन में पांच बार पिने से दस्त में राहत मिलती है.
सरसों के बीज
सरसों के बीज को पानी में कुछ घंटे के लिए रखें और इस पानी को पिएं. ये दस्त को बंद करने का कारगर तरीका है.
दूध को कहें ना
दूध भले ही एक सम्पूर्ण पौष्टिक आहार माना जाता है. लेकिन इसे पचाना अपेक्षाकृत मुश्किल है. इसलिए दस्त के समय दूध के सेवन से बचें.
अनार
अनार को चबाकर खाने से भी दस्त रुकता है. यदि आपको बीज पसंद नहीं है तो आप अनार का जूस भी पी सकते हैं.
लौकी का रस
दस्त में सबसे बड़ा डर शरीर में पानी की कमी होने को लेकर होता है. यदि आप चाहते हैं कि आप पानी की कमी से बचें तो आपको लौकी का जूस पीना चाहिए. इसे काली मिर्च और नमक डालकर थोड़ा स्वादिष्ट बना सकते हैं.
मेथी
चूँकि दस्त का एक कारण जीवाणु भी होते हैं. मेथी स्वभाव से जीवाणुरोधी होता है इसलिए इसके एक या दो चम्मच का पाउडर बनाकर एक ग्लास पानी में डालकर पिने से दस्त रुकता है.
स्टार्च से भरपूर भोजन
स्टार्च खाना पचाने में मदद करता है. इसलिए दस्त के समय स्टार्चयुक्त भोजन करने की सलाह दी जाती है. इसके लिए आप चावल, उबला हुआ आलू या गाजर खा सकते हैं.
सौंठ
सौंठ और अदरक का पाउडर हमारे पाचन शक्ति को मजबूती देता है. एक कप छाछ में आधा चम्मच सौंठ मिलाकर पिने से पेट दर्द और दस्त दोनों ही रुकता है.
चाय पत्ती
आपको शायद यकीन न हो लेकिन ये सच है कि दस्त में एक चम्मच चाय पत्ती को पीसकर पीने से तुरंत राहत मिलती है. यदि छोटे बच्चे को देना हो तो एक चम्मच चाय पत्ती को पानी में घोलकर उस पानी को पिलाएं.

4 people found this helpful

Remedy for Nausea due to Motion Sickness

MD - Ayurveda, CIY, Guru Shishya parampara, BAMS
Ayurveda, Gurgaon
Remedy for Nausea due to Motion Sickness

Add a teaspoon of freshly grated root ginger to a cup of boiling water, steep for 10 minutes, and drink. It relaxes the muscles that line the walls of oesophagus and stomach. Its good to have it before going on long drives if you have tendency towards it or can be taken at time of experiencing the symptom.

Popular Questions & Answers

Is there any home medicine for migraine related vertigo. I am having motion sickness when walking and my doctor specified its migraine related vertigo. Is this causes tiredness and bitterness in mouth too?

MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL)
Dermatologist, Raigarh
Migrae migraine is more of a preventable disease than curative. You have to identify the triggers of your headache and avoid them. Avoid exposure to bright light, loud sound, sunlight. Avoid stress. Avoid chocolate and coffee. Have enough sleep. Drink 3-4 litres of water daily. I can prescribe you prophylactic medicines too if you want.
2 people found this helpful

Hi, I have a problem, while going on trip in car high way Vomiting what should I do for treatment.

MBBS
General Physician, Mumbai
Dear Lybrateuser, - avoid eating one hour before travelling - take tablet avomine one hour before travel - try to sit in the front seat & look straight.
1 person found this helpful

Please suggest can I take stimulate 5 mg tablet for motion sickness before travel?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
You cannot take stimulate 5 mg tablet for motion sickness before travel Stimulet 2.5 MG Tablet is used in the treatment of breast cancer in postmenopausal women. It lowers the amount of estrogen in the body. It also works as an effective remedy against infertility in women

I feel nauseous while travelling and also after travelling get a headache and vertigo .i have migraine problem my half side of head pains .and also my shoulder and neck also paining .my body feels imbalance also .sometimes my breathing chokes .can someone tell me which disease I am suffering and how to cure it.

CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular Medicine can not be advised for open question for For medicine contact on private consultation.
1 person found this helpful

I am suffering from car jerking from childhood. every time when I travel in car I vomit. How to stop that please tell.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Watch your consumption of foods, drinks, and alcohol before and during travel. ... Avoiding strong food odors may also help prevent nausea. Try to choose a seat where you will experience the least motion. ... Do not sit facing backwards from your direction of travel. Sit in the front seat of a car.

विषय सूची

गति की बीमारी (Motion Sickness) का उपचार क्या है ?

गति की बीमारी (Motion Sickness) का इलाज कैसे किया जाता है ?

गति की बीमारी (Motion Sickness) के इलाज के लिए कौन पात्र है ? (इलाज कब किया जाता है ? )

उपचार के लिए कौन पात्र नहीं है ?

क्या कोई भी दुष्प्रभाव (side effects) हैं ?

उपचार के बाद दिशानिर्देश (post-treatment guidelines) क्या हैं ?

ठीक होने में कितना समय लगता है ?

भारत में इलाज की क्या कीमत है ?

क्या उपचार के परिणाम स्थायी (permanent) हैं ?

उपचार के विकल्प क्या हैं ?

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HIV/AIDS: Facts You Need To Know!
Hi,

My name is Dr Ishwar gilada and I am one of the first positions in the field of HIV AIDS in India. I started my HIV career in 1985 and I started this private clinic called UNICEF Medical Research Centre in 1995 which is India's first private sector HIV clinic. This is fully comprehensive under all facilities are available here are like consultation, counselling, different type of testing PCR, x-ray, sonography everything is done here. I feel privileged to talk about HIV AIDS then section was started in 1981 in India.

The first cases were in 1985-86 and over the years it has become very much news worthy disease initially it was considered as deadly disease. Lot of people were dying because of HIV AIDS and people were thinking there is no treatment so why should we get the test done. In last 10-15 years it has become chronic manageable disorder and when we talk about Chronic manageable it just means hypertension or Diabetes where you don't have to be sick and you don't have to be dying of HIV AIDS moreover.

The treatment of HIV AIDS has become very cheap. It is affordable so even if somebody cannot afford they can to government Centre where they can get ART or antiretroviral therapy free of charge but even in private setup the treatment which are costing close to 1 lakh to 1.5 Lakh in Abroad. It is costing 2000 to 3000 per month in India. HIV is mainly transmitted through sexual routes also it can be transmitted from mother to child and through blood transfusion however more than 95% of the transmission is from sexual transmission people think that they are not doing anything wrong they are better than others and usually they do not want to take up any test because they think like just I am holier than others and better than others.

However it is just like a ticketless traveller or like a pickpocket where every pickpocketing incident or every ticketless incident is risk by itself you can be caught anytime but every time you are doing that it is at risk. There are people who have done this hundreds of times but cannot get HIV AIDS but there are people who have done it once and they are HIV positive but if you get the test done and if you manage and proper guidance under proper expert then you don't have to die of HIV.

You don't have to be hospitalized for HIV and over the years we have seen you don't lose any years of your life if you are managed very well moreover if you are married and you are infected you can prevent your partner from getting infected if women is positive you can have HIV negative child. Many people do not know this in this clinic we have managed so many hundreds and thousands of patients and in last several years 160 childrens are born with HIV positive mothers and babies are not infected with HIV. So that much has happened now if you compare HIV AIDS with other diseases then there are people who are surviving with HIV AIDS leading full normal life and proper productive life and they are not even getting sick sometimes relative of the patient who are not HIV positive they are getting sick and their dying and they are not getting examine or getting any test done. so in simplistic Hindi I would like to tell, "ab nahi AIDS Ek Khatarnak Bimari par jaanch karne mein hai samajhdari."

India has played a great role in making all the molecules of HIV AIDS which are required for the treatment available and affordable for common people not only so almost 92% world's antiretroviral therapy are HIV treatment is supply from India and we take Pride that India is a different country by itself. What is required is you take precautions if you are HIV positive, if you forgot to take precautions are even after taking precautions you got HIV you get the examination done and if it is HIV positive you start the treatment currently the principal is test and treat you get the test done and if you are positive then start the treatment agreeing to that you are preventing yourself from becoming sick or becoming hospitalized or having any kind of problems where your life span can be shorter and by doing also that.

If you are under any proper care and taking proper medicine then you become undetectable the current principal is if you are undetectable to the virus you are untranslatable of the virus that means if you are undetectable and the virus is not seen in our system where we are doing viral. You can't transfer virus to your spouse or mother to child or to somebody else through your sexual activity so basically if that is done, you are living a perfect normal life so why being shy about it.

Nowadays stigma about HIV AIDS is also going down instead people are feeling to get test done. Lot of people come for pre manage test before both boy and girl want to find out whether they are HIV positive or not if there are any STD or Diabetes it is called pre marriage health check up similarly lot of people taking a major step in life. They want to be sure whether the life is secure if they are infected with anything and that's the way the life is going on the common symptoms majorly is are very much common and their also seen in the diseases like tuberculosis or other such disorders and most of them are like fever cough loose motion weight loss some time they get HIV specific symptoms some of them are like special meningitis.

They can have herpes zosters on a single which are called Dhani orcerin in Hindi and Gujarati so these are the some of the symptoms but however symptom to not come on its own there has to be some history associated with that somebody has taken a risk and then they have symptoms. They must get the examination done and must get the test done once the test is done they can decide the duration of the infection the person could have been infected for some years then we can decide what are the natural course of life? And how much life can be change by adding medicines to the patient? And once the test is done we start the treatment therefore they do not get sick because of the HIV or other related sickness sometimes the illness is cardiothoracic and neuromuscular diseases renal problems.

But diseases are not connected to HIV, because in HIV diseases. Those diseases possibilities manifestation are very less so people with HIV AIDS they need a very much perfect normal life once they are on treatment therefore we should not shy away from the treatment as I told the stigma and discretion of HIV AIDS is going down there has been an HIV AIDS Act 2017 by if someone is not provided with proper care if somebody is discriminated, somebody is stigmatize from HIV the other person can be penalised for even jail for those people who are troubling HIV positive people so my request to those people who are taking risk of sexual activity with partners or unprotected sex they must get their testing done for HIV and sexually transmitted diseases and once if they are positive of HIV get treatment.

If you are negative and continue your life by taking precautions or preventive measures so that you can not get HIV are stds thank you those who feel that they at risk of HIV or STD or do you feel that there are some relatives are at risk of HIV they can go to the website lybrate.com
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Diarrhea
Here are symptoms, cause and treatment of Diarrhea

Namaskar! I am Dr. Charu and I have The Head of Department and senior consultant, Department of Pediatrics in Teerath Ram Shah Hospital Dr. J.P Singh and Dr. Sunil Gupta, senior consultant In the Department of Pediatrics in Teerath Ram shah Hospital. Today we ll be talking about Diarrhea.

So Sir my first question is, tell us something about Diarrhea.

In kids, diarrhea is quite a common problem. There are multiple reasons due to which loose motions occur. Some are infections while others are non-infections. Now if we first talk about infections then the most common infection is Rautavaara Diarrhea or Rotavirus infection. Other than this some bacteria can also lead to an infection along with parasites like Amoebiasis and Giardiasis. Under the noninfectious causes, the major reason is what we call Cow s milk Protein allergy which is when the child is unable to digest cow s milk or any other sourced milk.
What are the symptoms of Diarrhea? In case of a child there are loose motions, vomiting is quite common and stomach ache, low or high fever and sometimes there is blood along with loose motions. Other than this if there is an acute case of dehydration then sunken eyes may happen, skin turns less pliable and the child passes less amount of urine. If the loose motion persists then there can be a chance of acute renal or kidney failure as well which could lead to death.

My next question is to Dr. Sunil. Sir What is Rotavirus virus? Tell us something about that.

Rotavirus is that type of virus where it is found most commonly in children of 5 years or less of an age which causes diarrhea and in 40% of the cases, this virus is the cause. Overall in India 2.5 crores of children get affected by Rotavirus which causes the disease and out of that, 20 lakh children end up needing OPD consultancy and out of that almost 8.5-9 lakh children end up with admission in hospitals with 2.5 children suffering death. It has been noticed that Rautavaara diarrhea is a very severe diarrhea and often causes dehydration. As Dr. Sunit told us, this is a very common disease. Another way of looking at it is that every day 335 children die due to this particular disease which makes a total of 14 kids each hour and 1 kid in each minute. Hence, you can understand that this is a very serious problem in India.

As you said that this is a very serious problem, so Dr. Sunil I would like to know that what are the steps which could be taken to prevent this complication from occurring?

See Rotavirus Diarrhea is where there is an acute loss of water and this is mainly found in children so obviously the first treatment would be to provide the child with ORS and large quantity of fluids. However amount of liquid the child is passing through loose motion, there should be an increased amount of water intake in forms of ORs, Coconut water, rice water or even just water; as compared. And if the problem of dehydration can be curbed then further complications can also be controlled. In Rotavirus s case Antibiotics are not required and the mother can continue with her feed but when dehydration occurs then the child should be admitted into the hospital because it will need IV fluids. Through these steps, in most of the cases, diarrhea can be controlled in hospitals as well as houses.

Sir you told us about managing the disease but are there any methods to prevent it?

Now we have a oral vaccine available for Rotavirus which is a pain free method without any injections. This is in the form of a liquid which we can provide a baby for a time period of 6-13 weeks. This dose is given thrice every month to the newborn which provides the child a protection from the Rotavirus. The Government of India has also approved the vaccine to be included in the National Immunization Programme but till now it has not been sent out to every state. Other than this, the main things is to follow through with the Priminister s Swacch Bharat Abhiyaan , if we excrete inside bathrooms and not outside, maintain basic hygiene by washing our hands before and after using the toilet, cleaning our hands before feeding the child, and drink clean water then to an extent we can prevent rotavirus as well as various types of diarrheas.

Teerath ram shah Hospital and Triveni together have started a programme to help children from Rotavirus. Here in his hospital, we provide the vaccine at free of cost which newborns will be provided with for a time period of 6-13 weeks.
I d like to thank both of you for providing us with this information and if you want to know more about this then you can contact us through the hospital or through Lybrate.
Having issues? Consult a doctor for medical advice