Doctor in Nalam Homeo clinic
Submit a review for Nalam Homeo clinicYour feedback matters!
Patient Review Highlights
H1N1 infection, more commonly known as Swine Flu, has gripped Maharashtra badly and has so far accounted for over 70 deaths in the state. More than 700 people have been hospitalised and the number is increasing rapidly.
The infection, which has worst affected cities like Pune and Nashik, has brought a bunch of viral diseases including dengue.
What is H1N1 infection?
It is a respiratory disease which is caused by influenza viruses that infect the respiratory tract of pigs and eventually result in a barking cough, nasal secretions, decreased appetite and listless behaviour. It quickly gets transmitted to humans and turns into a pandemic.
How does it prevail?
It spreads its wings in a very similar manner as seasonal flu. When people sneeze or cough, they release tiny drops of virus into the air. Whenever another person comes in contact with these drops, he/she also gets infected by the virus. It can also spread by using or touching the things touched by the infected person.
The symptoms of the disease are also very much similar to the seasonal flu. They include:
- Sore throat
- Body aches
- Running nose
- Breath shortness
- Frequent vomiting
- Pain in the belly region
Swine flu can lead to more serious problems that include pneumonia, a lung infection and other breathing problems. In ailments like diabetes and asthma, it can make the situation even worst.
How is H1N1 infection diagnosed?
As there are many similarities in the symptoms of seasonal flu and swine flu, the doctor runs a swab up inside your nose around the back of your throat. The method, however, is not used on everyone but only on those who are at risk of life threatening problems because of swine flu.
How To Treat H1N1 Infection?
Some of the anti-viral drugs used to cure seasonal flu are used to treat swine flu also. Oseltamivir (Tamiflu), peramivir (Rapivab) and zanamivir (Relenza) are some of the best kinds of drugs that fetch best results.
Taking antibiotics will do no benefit as swine flu is caused by virus, not bacteria.
Can vaccination keep swine flu at bay?
The flu vaccine which keeps away seasonal flu also protects against N1H1 infection.
How to prevent H1N1 infection?
Apart from vaccinations, there are some other ways also to keep yourself healthy:
- Wash your hands with soap and water
- Use alcohol-based hand-sanitizer
- Do not touch your eyes, mouth or nose
- Try to maintain safe distance from infected people
Prevention is always better than cure! At the time when the pandemic is quickly spreading across the country, people should be more cautious about their health. If you also have the symptoms of the disease, you should immediately visit a doctor to diagnose it and start with the treatment.
Chlamydia is a STD, caused due to intercourse, or even sexual contact. This is often accompanied by vaginal discharge or genital pain. Chlamydia can affect both the sexes to any age group, though young sexually active women are mostly diagnosed with it. If left untreated, this STD can cause further complications, some of them, fatal.
Symptoms of Chlamydia in women
1. Abnormal odorous vaginal discharge
2. Bleeding resulting from intercourse or even between periods
3. Pain during menstruation or sexual intercourse
4. Soreness in the lower abdomen
5. A burning sensation or itching around the vagina
6. Painful urination
7. Green or yellow vaginal discharge
Infection can extend to the fallopian tubes, leading to a disease called Pelvic Inflammatory Disease (PID). PID can bear symptoms such as nausea, severe pain in the pelvic region, fever and unusual bleeding during one’s periods. There are also high chances of contracting the chlamydia infection in the anus, the indications being pain, bleeding and discharge from the anus. Oral sex with a person diagnosed with this condition can also result in you contracting this infection in the throat, resulting in soreness, fever and cough.
Causes of Chlamydia in women
1. Chlamydia, being a sexually transmitted infection, primarily spreads through unprotected sex. However, sexual intercourse need not always be the reason behind this disorder. Sexual contact or even indulging in oral sex without using protection (in the form of dental dams) can result in this disease.
2. Newborn infants are also prone to acquiring this infection that is passed on to them by their mothers during birth. Therefore, pre-natal checkups are a must for detection.
3. Rarely, one can contract the infection in the eyes as well, through any form of oral or genital contact.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.
Like any other surgery, cosmetic surgery has risks but if you choose the right surgeon, these risks can be effectively lowered. This decision can make all the difference between a surgery that enhances your confidence and one that brings complications and heartache. Your 'gut feeling' is not good enough to pick out a cosmetic surgeon. Being certified by the medical board is an absolute must.
Let's look at a few other things to keep in mind:
What is the doctor's specialty?
Plastic surgery is a vast field. While some surgeons specialize in facial reconstruction, others specialize in breast implants. When picking a surgeon, it is important that they have enough expertise in the procedure you want. Have a candid conversation with the doctor about the risks and benefits of the procedure you are about to undergo. No surgery is without risks and do not believe any doctor who tells you so. Avoid undergoing multiple procedures at once, and trying to find one doctor who can do it all.
What are the operating facilities like?
While some surgeries are performed in the doctor's office, others need a surgical facility. The success of your procedure depends not only on the surgeon but also on his staff and the operating facilities. Do not be afraid to ask about the anesthetist's qualifications and the certification of the operating facility. Ensure that they have key life support equipment on hand just in case.
Does the doctor's aesthetic sense match yours?
Plastic surgery is largely a matter of aesthetics. What one person considers pretty may not be quite that attractive to the other person. Thus it is essential for you and your plastic surgeon to share a common sense of aesthetics. Ask to see pictures of the results of surgeries similar to what you want performed by the doctor. Depending on the procedure you want and the body part affected, look for patients with similar concerns and facial structure or body shape etc. These photographs should give you an idea of how the surgeon will tailor the procedure to address your concern.
Do you feel an emotional connect with the doctor?
'Gut feeling' cannot be completely ignored when it comes to choosing a plastic surgeon. You are putting the way you look in this doctor's hands, and hence it is important for you to feel secure in his care and to trust him. Your doctor should encourage you to ask questions and you should feel comfortable talking about your complete medical history with him or her. Also consider the staff and how you feel about them.
This decision is not one that can be made hastily, so take your time and make sure that you are going for the best doctor before going under the knife.
For people recovering from a back surgery, constipation is quite common and causes discomfort or pain. There are several aspects of a back surgery which may lead to constipation. They include anaesthesia, changes in diet, stress and the use of some pain relieving medicines.
- The symptoms of constipation are:
- Pain and bloating in the abdomen.
- Nausea and vomiting.
- Hard stools and the inability of bowel movement.
Ways to prevent constipation:
Here are several simple ways by which you can prevent or minimize pain or discomfort due to constipation after a back surgery.
- You should increase your daily activities as early as possible after a back surgery. You should walk regularly.
- You must reduce the use of narcotic medicines and use only what is needed for controlling pain. Narcotic medicines slow bowel movement and cause constipation. Use non-narcotic pain relieving medicines to prevent constipation.
- You can use fiber laxatives, stool softeners or combination products after a back surgery to prevent constipation.
- Drinking a lot of water and non caffeinated fluids is very important. You should also have apple cider juice and prune juice, which are effective natural laxatives.
- You should eat natural fiber-rich food for intestinal stimulation. These include whole grains, cereals, fresh fruits and vegetables. It is best to avoid cheese, meat and processed food. Instead of large meals, you must have frequent, small meals throughout the day.
- Bulk fiber laxatives, which add bulk to stool and encourage water to stay in the colon. These medicines need up to three days to show effect.
- Stool softeners or emollient laxatives help in softening stool by making fluids mix with them.
- Stimulant laxatives take action by stimulation of bowel contractions for moving stool out. They are effective and start working very quickly.
- Combination laxatives perform the functions of laxatives and stool softeners together.
- Suppositories also perform the dual function of stool softening and acting as laxatives. The colon gets contracted, and stool is pushed out and as the stool gets softer, it can pass easily.
- Enemas perform the function of bowel movement stimulation. Liquids are injected into the rectum, up into the colon. This stimulates the colon, and stool is passed.
Constipation occurs commonly in patients after undergoing a back surgery. This may cause utter discomfort and pain. You should take proper precautions and remedies in case of constipation after a back surgery.
What Is Adjustment Disorder
Adjustment disorders are considered to be a group of conditions which usually occur when a person experiences difficulty in coping with the stressful life events. These usually include relationship issues, job issues or the demise of a loved one. The incapacity to adjust to stressful events leads to psychological and sometimes physical symptoms.
Symptoms of Adjustment Disorder
The psychological and physical symptoms linked with adjustment disorder occur either during or instantly after a stressful event. The disorder only lasts for 6 months but the symptoms might continue if the stressor has not been removed. The symptoms might vary from person to person.
- The psychological symptoms are anxiety, crying, impulsivity, lack of concentration, low or loss of self esteem, feeling hopeless, sad or trapped, and withdrawn attitude along with suicidal tendencies.
- These physical symptoms can include trembling, twitching of the muscles, soreness, body pain, insomnia, indigestion and fatigue.
- Adjustment disorder might display psychological and physical symptoms separately or together.
There are 6 adjustment disorders and each one of them is associated with different symptoms:
1) Adjustment disorder with depressed mood: People diagnosed with this suffer from feelings of hopelessness and sadness and are often related with crying. Also, a person might not enjoy the activities which he earlier enjoyed.
2) Adjustment disorder with anxiety: Symptoms of this are anxiety along with being anxious, overwhelmed, and worried. People with this show less concentration and poor memory. When diagnosed in children it is usually due to the separation anxiety from loved ones and parents.
3) Adjustment disorder with mixed anxiety and depressed mood: In this both anxiety and depression is experienced.
4) Adjustment disorder with disturbance of conduct: The symptoms of this disorder are more of the involvement of the behavioral issues like starting a quarrel, reckless driving, destructing property and stealing. Teens suffering from this might become absent from school.
5) Adjustment disorder with mixed disturbance of emotions and conduct: The symptoms of anxiety, depression, and behavioral issues are observed.
6) Adjustment disorder unspecified: The people who are diagnosed with this type of disorder usually display symptoms those are not associated with other disorders. They exhibit more of physical symptoms and problems with family and friends or at school and workplace.
Treatment of Adjustment Disorder:
If diagnosed with an adjustment disorder, a person can definitely benefit from treatment. This is usually treated with therapy or medicines or a combination of both.
- Therapy is the first choice. A clinical psychologist with professional training in providing psychotherapy/counseling to adjustment disorders and other psychiatric conditions can be helpful.
- Medication like nonbenzodiazepine anxiolytic, SSRI or SNRI and benzodiazepines might be prescribed for reducing the symptoms of anxiety.
Infertility is a bigger issue than it was a couple of decades ago, and it is only going to get worse. The decreasing sperm count and quality are the main contributors for infertility. This has happened due to the changing lifestyle with lack of physical activity, increased stress, relationship issues, a greater amount of pollutants, and digital exposure. These are some of the common issues, and each couple presents a unique case.
Smoking: Nicotine harms the body in multiple ways and lowering sperm count is one of the significant ones. For most men going to infertility clinics, stopping smoking is one of the first prescribed remedies. It helps sex drive, boosts sperm count, improves performance, and leaves the couple happy.
Reduce Chemical Exposure: There are plastics all around us. These plastics contain BPA and phthalates which have been shown to reduce sperm count. Plastics have entered all areas of life in the last 40 to 50 years, and it is during the same time that sperm count has reduced by (hold your breath) 50%!!!
Reduce Plastic Use: Reduce plastic use in all forms – from sex toys to plastic food storage to water containers. Chemicals also need to be reduced in terms of eating foods where pesticides would be used. Another source of chemicals is the shampoos, soaps, deodorants, cosmetics, and other toiletries. Try organic products as much as possible. These have an adverse effect on the sperm count.
Water: Avoid chlorine exposure – be it in tap water, bleach or other products. Hydrogen peroxide is a safer option.
Diet: Reduce caffeine intake. Avoid grilled foods. Increase fresh fruits and vegetable intake. Eat whole grains. Avoid canned and packaged foods. Avoid processed and half-cooked foods. Reduce refined carbohydrates. If required, talk to a doctor and get vitamin C and zinc supplements. These are essential for the formation of testosterone hormone and can play a role in improving sperm count.
Exercise: A regular exercise of about 30 minutes daily is highly beneficial in improving overall circulation and increasing sperm count. A word of caution, though – over-exercise can lead to reduced sperm counts and infertility in males.
Stress Management: Another major reason for infertility, reduced sex drive, reduced sperm count, and poor sexual performance is stress. Be it exercise or music, meditation or cooking, identify what works to keep you calm and do it.
Check your Medical Kit: There could be some medicines which may be helping you curing one disease but could be leading to infertility. Talk to your doctor and if there is a culprit, switch to a safer drug.
Piles or fistula are two very severe problems which men can face at any point of thei life. These two medical conditions affect one of the main part of a men's system, i.e. the anus. But many a times people confuse one of these disorder with the other one.
What Are Piles?
Piles are the inflamed or swollen set of tissues which are present in the sensitive anal area. These can range from different sizes and can also be present in various areas i.e. internal or external. Internal piles are usually present between 2-4 cms above the anus opening whereas the external piles are present on the outside.
There are different symptoms for Piles
- The person can experience severe to moderate pain in the rectum area.
- Immense pain can also occur when the person is sitting or moving in a difficult position.
- Experiencing discomfort, itchiness, or swelling of the anus is very common in Piles.
- The person may see blood in his stool or problems related to digestion.
The causes of Piles can be of different reasons
Treatment and Diagnosis
Homeopathy can be effectively used to treat piles. Most of the time, piles are caused due unhealthy lifestyle and food habits. So homeopathy can be easily treated with help of homeopathic methods which can be used to change one's food habits and keep them healthy.
What is Fistula?
The anus is like an exit point in the body for wastes and semen. Inside this anus, many small glands are present. If due to some reason, these glands or a single gland is blocked, then an abscess is formed which infects the anus and causes severe pain or abnormalities. This condition is known as Anus fistula.
There is no exact cause of fistula. Usually these are caused due to some severe accident or injury which affects the anus. It can also be caused due to some other disease which affects the anus like STDs, Crohn’s Disease, tuberculosis etc.
Here are some important symptoms
- Blockage of anal abscesses
- Pain and inflammation around the anus
- Immense pain with bowel movements
- Bleeding from the anus
- Bloody or foul-smelling drainage coming out from the anus
Treatment and Diagnosis
Homeopathy can be a very important and efficient way by which fistula can be relived from. Homeopathy has a very high chance of solving fistula because homeopathic medicines and methods can cure the abscess completely. Due to the complete removal of the abscess, the normal tissues appear once again with time.
Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.
What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.
Primary symptoms may include
- Shortness of breath: This may occur while you are exercising or performing activities which are mildly exerting.
- Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
- Angina or chest pain: You may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
- Heart attack: Heart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:
- Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
- Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
- Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
Babies go through a host of problems that we usually refer to as growing pains. This article is of special importance to most mothers who are going through myriad problems like colic, teeth and even diaper rash. Diaper rash is known as diaper dermatitis in medical terms. When the skin of the area within the diaper becomes red and goes through inflammation, it is known as diaper dermatitis. Read on to know more about the condition, and how it may be treated.
Symptoms: The most obvious and common symptom of diaper dermatitis is the signs on the skin which will bear a patchwork of red blotches that may look tender to touch. The baby will also seem more irritable and cranky as the discomfort and pain starts to grow every time the diaper rubs against the rashes. Bleeding, itching and oozing can also occur, in which cause it is imperative to see a doctor immediately. Also, if the rashes are accompanied by fever, one must get it checked as there may be chances of an infection. Diaper rashes can also cause pain during bowel movements and a burning sensation during urination.
Causes: There are a number of reasons for the occurrence of diaper rashes. Trying out a new product may sometimes give the baby a rash as the sensitive skin of the child may not take to some ingredient. Therefore, it may develop as an allergic reaction. This new product may be a cream, lotion or a new brand or type of diapers. Further, sometimes when we introduce new foods, the baby’s skin may erupt into rashes as a part of an allergic reaction. Also, chaffing or rubbing may cause such rashes, while prolonged use of the diaper without a change is known to be one of the most common causes of this condition. Bacterial or yeast infection can also cause diaper dermatitis. Also, antibiotics can cause rashes as a side effect.
Diagnosis: The diagnosis of the condition is usually done by a dermatologist or a paediatrician based on the symptoms that you list out as well as physical examination of the area. The doctor may also check the baby’s temperature in order to ascertain if there is any fever or any chance of an infection.
Treatment: One should keep the baby’s skin dry and absolutely clean at all times. Also, it would be recommended to use cloth diapers for a few hours a day so that the skin may get a chance to breathe. Further, the doctor will prescribe mild hydrocortisone ointments. Antifungal creams may also be used in case there is an infection. Oral antibiotics may also be prescribed in such cases.