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Dr. P.B.A. Venkatacharya

Ayurveda Clinic

Street No. 1, Nagendra Nagar, Habsiguda, Jamia Osmania Land Mark: Beside Vasavi Medical Hall Hyderabad
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Dr. P.B.A. Venkatacharya Ayurveda Clinic Street No. 1, Nagendra Nagar, Habsiguda, Jamia Osmania Land Mark: Beside Vasavi Medical Hall Hyderabad
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
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Avocado Benefits and Side Effects in Hindi - एवोकाडो के फायदे और नुकसान

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Avocado Benefits and Side Effects in Hindi - एवोकाडो के फायदे और नुकसान

एवोकाडो का नाम सुनकर ही ऐसा लगता है. जैसे यह कोई विदेशी पौधा हो दरअसल इसे अमेरिका में उगाया जाता है. एवोकाडो एक सदाबहार पेड़ है. जोकि हमारे लिए कई तरह के स्वास्थ्य लाभ प्रदान करने वाला है. यदि हम एवोकाडो में पाए जाने वाले पोषक तत्व और अन्य पदार्थों की बात करें तो इसमें फैटी एसिड से भरपूर मात्रा में पाई जाती है.

इसमें कैल्शियम, पोटेशियम, फास्फोरस, लोहा, मैग्नीशियम, मैग्नीशियम और तांबा आदि खनिजों के साथ-साथ विटामिन बी-6, विटामिन ए, विटामिन डी, विटामिन सी, विटामिन के और विटामिन ए भी पाया जाता है. इसके अलावा एवोकाडो, फाइबर का भी एक अच्छा स्रोत माना जाता है. एवोकाडो के सेवन से शरीर में होने वाली कई परेशानियों से बच सकते हैं. कोलेस्ट्रॉल का स्तर कम करने में भी इसकी महत्वपूर्ण भूमिका है. तो आइए एवोकाडो के फायदे और नुकसान को निम्नलिखित बिंदुओं के द्वारा समझने की कोशिश करें.

1. त्वचा और बालों के लिए
एवोकाडो में विटामिन और खनिजों की प्रचुरता होती है. जो कि हमारे त्वचा और बालों को की सेहत के लिए बेहद जरूरी तत्व माने जाते हैं. यह सनबर्न के कारण होने वाली सूजन को भी कम करता है. बालों को मजबूत करने के साथ-साथ एवोकाडो हमारे त्वचा को भी विभिन्न समस्याओं से निजात दिलाता है.
2. आंखों की सेहत के लिए
एवोकाडो हमारी आंखों की सेहत के लिए भी काफी महत्वपूर्ण है. दरअसल इसमें लुटेइन और जेकैक्टिन जैसे कैरोटिनोइड जो कि मोतियाबिंद आंखों के रोग और धब्बेदार अगर पतन के खिलाफ आंखों की रक्षा करने में उपयोगी साबित होते हैं. इसमें मौजूद एंटीऑक्सीडेंट्स फ्री रेडिकल्स के प्रभावों को भी निष्क्रिय करने का काम करती है.
3. गर्भवती महिलाओं के लिए
गर्भवती महिलाओं के लिए भी एवोकाडो एक महत्वपूर्ण पदार्थ के रूप में जाना जाता है. एवोकाडो में पाया जाने वाला विटामिन बी और सी  हमें आमतौर पर मत जी मतलाने और उल्टी जैसी समस्याओं से निजात दिलाने में उपयोगी साबित होता है.
4. वजन घटाने में
एवोकाडो का इस्तेमाल वजन घटाने के लिए भी किया जाता है. एवोकाडो हमारे शरीर के लिए कई पोषक तत्वों का स्रोत है. इसके साथ ही इसमें पाया जाने वाला तत्व मोटापा और वजन को कम करने में सहायक होते हैं.
5. शुगर के उपचार में
एवोकाडो की फली और पत्ते के अर्थ को हम शुगर के उपचार में इस्तेमाल कर सकते हैं. इसमें पाए जाने वाले कई पोषक तत्व रक्त शर्करा के स्तर को कम करने में महत्वपूर्ण भूमिका निभाते हैं. इसके अलावा इसमें पाए जाने वाले तत्व भोजन को उपयोगी शर्करा में भी बदलने की क्षमता रखते हैं.
6. कैंसर के उपचार में
एवोकाडो का इस्तेमाल कैंसर के उपचार में भी किया जाता है. एवोकाडो में पाया जाने वाला कैरोटीनॉइड्स और मोनोअनसैचुरेटेड फैट, प्रोस्टेट कैंसर और स्तन कैंसर के खतरे को कम करने में महत्वपूर्ण योगदान देता है. इसके अलावा इसमें ग्लूटाथिओन नाम का एक एंटीऑक्सीडेंट भी पाया जाता है. यह हमारे शरीर में मुक्त कणों के प्रभाव को निष्क्रिय करने में सहायक है.
7. हृदय के विकारों को दूर करने में
एवोकाडो में मौजूद बीटा-सीटेस्टेरोल स्वस्थ कोलेस्ट्रॉल का स्तर बनाए रखने में सहायक साबित होता है. कई शोधों में पता चलता है कि यह एच डी एल कोलेस्ट्रोल के एंटीथोजेनिक गुणों को बढ़ाने का काम करता है. जिससे कि धमनियां नरम होती हैं और खतरा कम होता है. इसके अलावा यह उच्च रक्तचाप में भी उपयोगी है.
8. लीवर के लिए एवोकाडो में
मौजूद कुछ ऑर्गेनिक यौगिक हमारे लिवर के स्वास्थ्य को सुधारने में महत्वपूर्ण भूमिका निभाते हैं. लीवर में होने वाली क्षति को कम करने में भी एवोकाडो में पाए जाने वाले तत्व काफी उपयोगी होते हैं.
9. माउथ फ्रेशनर के रूप में
एवोकाडो का सेवन माउथ फ्रेशनर के रूप में भी किया जा सकता है. कई बार हमारे मुंह से आने वाली बदबू का कारण अपच या खराब पेट भी हो सकता है. इस दुर्गंध को दूर करने में इसमें पाए जाने वाले जीवाणुरोधी और एंटीऑक्सीडेंट फ्लैनेनोइड्स भी मददगार होते हैं. एवोकाडो का इस्तेमाल मुंह की बदबू रोकने के साथ-साथ माउथ कैंसर को भी दूर करने के लिए किया जा सकता है.
10. गठिया के उपचार में
एवोकाडो का इस्तेमाल गठिया जैसी बीमारियों को भी खत्म करने के लिए किया जाता है. इसमें पाए जाने वाले फाइटोकेमिकल्स, फैटी अल्कोहल, ओमेगा-3, कैरोटिनोइड्स, फैटी एसिड, फ्लेवोनोइड्स और फिटोस्टरोल आदि गठिया को कम करने के लिए सबसे अच्छे खाद्य पदार्थों में से एक है. यह मांसपेशियों की सूजन को कम करने में भी सहायक होते हैं.
11. हड्डियों के लिए
एवोकाडो में पाए जाने वाले जेक्सेंथिन और ल्यूटिन नामक कैरीटिनोइड्स, ऑस्टियोआर्थराइटिस के जोखिम को घटाने का काम करते हैं. इसके अलावा एवोकाडो में कई अन्य महत्वपूर्ण खनिज जैसे कि फास्फोरस, तांबा, कैल्शियम, जस्ता और सेलेनियम आदि पाए जाते हैं. जो कि ऑस्टियोपोरोसिस और हड्डी खनिज घनत्व को दुरुस्त करने का काम करते हैं.
12. किडनी के विकार दूर करने में
एवोकाडो हमारे शरीर के अन्य अंगों के साथ-साथ किडनी को भी दुरुस्त करने में महत्वपूर्ण भूमिका निभाता है. इसके लिए इसमें पाया जाने वाला पोटेशियम नाम का खनिज उपयोगी होता है. दरअसल पोटेशियम कोशिकाओं और अंगों के लिए केमिकल चैनल्स के द्वारा द्रव को संतुलित बनाए रखने में काफी सहायक होता है.
13. पाचन तंत्र के लिए
एवोकाडो में पाए जाने वाले घुलनशील और अघुलनशील फाइबर हमारे पाचन तंत्र को दुरुस्त करने में काफी उपयोगी होते हैं. दरअसल यह मल को पारित करने में सहायक होता है. जिससे कि गैस्ट्रिक और पाचन से संबंधित अन्य समस्याओं को दूर किया जा सकता है.
14. एंटी-एजिंग के रूप में
एवोकाडो में पाए जाने वाले एक्सथॉफिल नाम का एंटीऑक्सीडेंट का गुण हमारी उम्र बढ़ने के लक्षणों को कम करने में काफी महत्वपूर्ण होता है. इसलिए इसका इस्तेमाल एंटी एजिंग के रूप में भी किया जाता है.
 

Effective Tips To Reduce Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Effective Tips To Reduce Obesity!

Obesity is the condition wherein a person has an excessive body weight as a result of genetic or lifestyle related factors. This condition if not taken seriously can be life threatening as obese people are at risk of developing chronic conditions like diabetes, cholesterol, blood pressure, and may also lead to a heart attack. Hence it is crucial to undergo weight reduction.

Calculate the weight you need to lose
Before you begin to practice effective steps for losing weight consider the amount of weight you need to shed. You should first measure your current weight and then calculate your body mass index (BMI) to find the amount of deviation from the recommended range. Then consider the difference between your current and ideal weight as your target weight.

Tips For Losing Weight

1. Eat Right

  • Consult a nutritional expert- It all starts with the right diet. An Individual’s eating habits contribute significantly to his weight. If you are obese or overweight, then you should consult a health expert and have him prepare the appropriate diet based on your weight and body type.
  • Balanced diet- Make sure you have lean meats, fruits, and green leafy vegetables as part of your diet. Also, cut down on the amount of food you consume and your intake of sugar, salt, and fats gradually. Also, water is the best medicine since it flushes all the toxins out of your body. Make it a point to drink around 2 litres of water on a daily basis. It will help clean your system and also keep you feeling full and hydrated.
  • Regular meal time- Another effective tip is to eat regularly. If you skip meals, then your body starts storing excess fat to act as a reserve. If you eat regular meals in small portions, you not only slow down the fat storing process but also reduce the quantity of food you consume.
  • Healthy options- Moreover, switch immediately to the modern-day marvel that is green tea. This seems to be very effective as of late and is helping obese people greatly since it is rich in antioxidants. If you do not prefer green tea, then aloe vera juice is an even better alternative.

2. Exercise
An obese person needs to exercise regularly. If you find it difficult to do exercise, take baby steps. Start with easy sitting and lying exercises. Go out into the open such as a garden and perform these exercises early in the morning for just 10 minutes. As you build your stamina, increase the intensity gradually.

3. Manage stress
Shed some of that stress in your life as stress and weight are directly correlated. Lose out on stress, and you will also lose those extra pounds.

4. Don’t neglect sleep
Six to eight hours of sleep is essential for a healthy being. Insufficient sleep results in increased levels of cortisol. Cortisol is associated with weight gain.Hence, it becomes crucial to rest enough.

Make sure you seek advice from your doctor and implement the necessary lifestyle changes to accomplish weight reduction effectively.

Milk at Bedtime helps for Good Sleep

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Milk at Bedtime helps for Good Sleep
  • We often come across few spell of stressful night due to lack of sleep.
  • There is tendency to gulp sleep medication as choice of treatment but it is harmful on long term basis. So I am suggesting one small step to follow. Try a glass of milk with sugar, since milk is composed of tryptophan which is an amino acid which gets converted to 5 ht that induces relaxation feel and sleep.
  • So this home made remedy which is complete food with antacid properties helping to induce sleep.

Cranberry Benefits and Side Effects in Hindi - करौंदा के फायदे और नुकसान

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Cranberry Benefits and Side Effects in Hindi - करौंदा के फायदे और नुकसान

करौंदा एक ऐसा पौधा है जो सबसे पहले उत्तरी अमेरिका में उगाया गया था. अंग्रेजी में इसे क्रेनबेरी कहते हैं. इसका वैज्ञानिक नाम वैक्सीनियम मैक्रोकार्पोंन है. करौंदा छोटी-छोटी झाड़ियों के रूप में उगने वाला पौधा है. इसमें कांटे भी लगे होते हैं. इसकी फली आकार में बहुत छोटी होती है. जिसका रंग गहरा गुलाबी होता है. करौंदा को यदि कच्चा खाया जाए तो यह काफी खट्टा होता है. लेकिन पकने के बाद इसमें मिठास आ जाती है. करौंदा का इस्तेमाल सॉस, ड्रिंक्स आदि बनाने में किया जाता है. करौंदा में पोषक तत्वों की उच्च मात्रा और एंटीऑक्सीडेंट्स थी पाया जाता है. इसे अक्सर सुपर फूड के नाम से भी संबोधित किया जाता है. आइए करौंदा के कुछ फायदे और नुकसान को समझते हैं.

1. वजन घटाने में 
करौंदा में पाया जाने वाला फाइबर हमारे हमें लंबे समय तक पेट भरे रहने का एहसास कराता है. जिसकी वजह से भूख जल्दी-जल्दी नहीं लगती. इसके अलावा इसमें पाया जाने वाला रस हमारे शरीर में जमा होने वाले वसा को भी खत्म करके हमारे वजन और मोटापा घटाने का काम करता है.
2. प्रतिरक्षा तंत्र को मजबूत करने में
करौंदा का इस्तेमाल हम अपने शरीर की प्रतिरोधक क्षमता को बढ़ाने के लिए भी कर सकते हैं. क्योंकि करौंदा में एंटीऑक्सीडेंट्स और फाइटोकेमिकल्स प्रचुर मात्रा में पाए जाते हैं. इसलिए करौंदा हमारे प्रतिरक्षा तंत्र को मजबूत करके हमें बिमारियों से दूर रखने का काम करंता है.
3. दांतों को स्वस्थ रखने के लिए
करौंदा हमारे दांतो को भी स्वस्थ रखने में काफी उपयोगी है. कई शोधों में यह पाया गया है कि करौंदा में पाए जाने वाले तमाम लाभदायक तत्वों में से एक प्रोएंथोसायनिडीन जीवाणुओं को दांतो से दूर रखने में मददगार है. इसके अलावा यह हमारे मसूड़ों को भी कई रोगों से बचाने का काम करता है.
4. त्वचा की बेहतरी के लिए
करौंदा हमारे शरीर को कई रोगों से तो बचाता ही है. इसके अलावा ये हमारे त्वचा को भी कोमल और बेहतर बनाने में लाभदायक होता है. यदि आप ड्राई करौंदा एक चौथाई इसके तेल के साथ मिक्स करके इस्तेमाल करें तो बेहतर परिणाम मिलते हैं. इस पेस्ट को 10 मिनट के लिए त्वचा पर लगाकर इसे अच्छे से धो लें ऐसा करने से त्वचा कोमल बनती है.
5. मस्तिष्क के लिए
करौंदा की फली हमारे मस्तिष्क के लिए भी काफी उपयोगी तत्व मानी जाती है. इसमें पाया जाने वाला एंटीऑक्सीडेंट्स सूजन को तो कम करता ही है. हमारे स्मृति और समन्वय की क्षमता में भी सुधार लाता है. यानी इसका इस्तेमाल हम अपनी यादाश्त को बढ़ाने के लिए भी कर सकते हैं.
6. कैंसर के उपचार में
करौंदा का इस्तेमाल हम कैंसर के उपचार में भी करते हैं. विशेष रुप से प्रोस्टेट कैंसर, लीवर कैंसर, स्तन कैंसर और ओवेरियन कैंसर में इसके इस्तेमाल का प्रभाव काफी सकारात्मक देखा गया है. करौंदा ट्यूमर के बढ़ने की प्रक्रिया को भी धीमा करने का काम करता है.
7. पेशाब इन्फेक्शन को दूर करने के लिए
करौंदा का इस्तेमाल मूत्रमार्ग की दीवारों से बैक्टीरिया को कम करने में भी किया जा सकता है. इसका कारण करौंदा में पाया जाने वाला प्रोएथोकेनिडिन नामक तत्व है. इसके आलावा करौंदा के सेवन से मूत्र में होने वाले संक्रमण को दूर कर सकते हैं.
8. दिल को स्वस्थ रखने में
दिल को स्वस्थ रखने में भी करौंदा का इस्तेमाल किया जा सकता है. दरअसल करौंदा का रस एचडीएल कोलेस्ट्रॉल के स्तर को बढ़ाने का काम करता है. जिसे कि अच्छा कोलेस्ट्रॉल भी कहा जाता है. इसके अलावा करौंदा में पॉलीफेनाल्स भी पाया जाता है. जोकि रक्तचाप को कम करने में महत्वपूर्ण होता है.

करौंदा के नुकसान

  • गर्भवती महिलाएं और स्तनपान कराने वाली माताएं इसके इस्तेमाल से बचें.
  • जिन लोगों को एस्पिरिन से एलर्जी है उन्हें भी इसके इस्तेमाल से बचना चाहिए.
     

Diabetes and Depression: Coping With The Two Conditions

MBBS
Diabetologist, Jabalpur
Diabetes and Depression: Coping With The Two Conditions

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How Diabetes and Depression Correlated?                    
There are myriad ways in which diabetes affects depression and vice versa.

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment: Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping Yourself.

If you suspect you might have depression, take control of your health by:

  • Going to a doctor or other health professional
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Very particular about medicines prescribed for Diabetes
  • Eating healthily and including a wide variety of nutritious foods
  • Achieving and maintaining healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels

type diabetes

Sudden Death Due to Heart Problem

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Sudden Death Due to Heart Problem

When the normal functioning of the heart shuts down suddenly due to heart disease or any other cardiovascular condition, then this is known as sudden death due to a heart problem. Every year, there are over 100,000 deaths globally due to this reason, as per various medical studies. Sudden Cardiac Arrest or SCD is a cause of death for many adults who may or may not be suffering from chronic heart disease. Let us find out more about this condition.

- Difference between SCD and Heart Attack: A myocardial infraction or heart attack can happen when there is a blockage in one of the arteries of the heart which prevents the passage of blood and oxygen to the heart's varied chambers. When the oxygen present in the blood does not reach the heart in adequate amounts and on time, it can lead to a heart attack. In the case of SCD or sudden cardiac arrest, the problem happens due to a shutdown of the heart after a malfunction in the electrical systems which can lead to varied irregularities. 

Accelerated heartbeats, fluttering and quivering of the ventricles which is also known as ventricular fibrillation, as well as other similar causes can ensure that the blood does not reach the heart on time, which can lead to sudden death. The patient usually loses consciousness within the very first few minutes as the blood does not reach the brain.

- Symptoms: There are a number of symptoms that are associated with this phenomenon. While losing consciousness is one of the first signs, others include a racing heartbeat as well as heart rhythm problems and dizzy spells. The symptoms usually take place suddenly without prior warning and lead to a complete shutdown of the heart and its functions.

- Causes: The main cause of SCD is a condition known as arrhythmias which is basically characterised by abnormal heart rhythms and vertical fibrillation which leads to disorganised impulses to be released from the ventricles due to which the heart cannot pump blood properly. It can lead to death within a matter of minutes if it remains untreated.

- Revival: On an emergency basis, the patient will have to be given CPR by an expert at the emergency unit of the hospital. This is a manual process of retrieving the patient by pumping the chest and breathing into the patient's mouth. Portable defibrillators can also be used to revive the patient in such cases.

- Risk Factors: Patients who have suffered heart attacks in the past and have a family history of heart disease and heart attacks, are at maximum risk when it comes to SCD. Also, factors like obesity and diabetes can increase the risk.

Urinary Tract Infection

MS - General Surgery, MCh Urology
Urologist, Hyderabad
Urinary Tract Infection

OVERVIEW

Urinary Tract Infections are common infections, affect men and women of all ages, and vary dramatically in their presentation and sequelae.

Urinary Tract Infections are a common cause of morbidity and can lead to significant mortality.

WHAT IS AN UTI?

A UTI is an infection involving any part of the Urinary Tract such as the Urethra, Urinary Bladder and the Kidneys.

UTI is an inflammatory response of the urothelium (lining of the urinary tract) to bacterial invasion.

INCIDENCE AND EPIDEMIOLOGY

Women are most at risk for a UTI. Nearly half of all women (50%) will experience a UTI during their lifetime.

WHY?

Women have a short urethra which makes it easier for the bacteria to enter the bladder and cause infections. Also the urethra is in close proximity to the anal canal, which is the source of these organisms.

What causes the UTI`s?

The most common causative organisms of UTI`s are bacteria from the bowel such as E.coli, proteus, pseudomonas etc.

Once the bacteria enter the urethra, they travel upwards causing infection in the bladder and sometimes other parts of the urinary tract.

Sexual intercourse is commonly associated with UTI`s in women. During intercourse, the bacteria in the vaginal area are sometimes transferred into the urethra by the motion of the penis.

Using spermicides or a diaphragm also can cause more frequent UTI`S , due to increased binding of the organisms to the lining of the urethra.

Menopause also increases the risk of getting a UTI. During menopause, the level of estrogen decreases which causes changes in the periurethral tissues that can lead to a UTI.

In men, urethritis is usually the result of bacteria acquired during sexual contact.

SYMPTOMS AND SIGNS OF A UTI

  1. A strong persistent urge to urinate.
  2. A burning sensation during or after urination.
  3. Passing frequent, small amounts of urine.
  4. Blood in the urine (Hematuria) / Cloudy Urine / Foul smelling urine.
  5. Pain in the lower abdomen and the pelvis.
  6. Penile discharge in men.
  7. Pain in the flank region/ back, fever , nausea and vomiting, fatigue  (Infection of the kidneys)

HOW ARE UTI`S DIAGNOSED?

The Urologist will take a proper history and examine the patient and order some basic investigations like Urine Analysis and Urine Culture and sensitivity. UTI`S in males require more detailed investigations like the Ultrasound of the Abdomen to elucidate the cause of UTI.

TREATMENT

Based on the severity of the symptoms, the urologist may prescribe antibiotics empirically based on the common sensitivity patterns. The antibiotic may be changed based on the Urine C/S report , which usually takes around 48 hours time. You may also be prescribed a medicine that will relax the bladder while the antibiotic starts to work.

Patients must make sure they take the complete course of treatment as directed and to return back if the symptoms are not relieved.

Patients are also advised to drink plenty of oral fluids, which help in flushing out the bacteria from the urinary tract. Patients are also asked to avoid coffee, alcohol, and soft drinks containing caffeine until the infection is cleared because these can irritate the bladder and cause worsening of symptoms.

Kidney Infections (Pyelonephritis) usually require hospitalization and more intensive management.

PREVENTION OF UTI`S

  1. Drink plenty of oral fluids to flush out the bacteria
  2. Do NOT hold the urine for long periods of time. Urinate when you feel
  3. Wipe from front to back after a bowel movement.
  4. Urinate before and after sexual contact emptying the bladder completely each time.
  5. Avoid using spermicides/ diaphragms , in case of recurrent UTI`s
  6. Avoid use of feminine “hygeiene” products like douches and sprays, which could upset the delicate bacterial balance of the genital region.

Top 10 Foods High In Zinc

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Consume two to three servings of these zinc foods daily to support optimal zinc levels.

1. Lamb: 3 ounces: 6.7 milligrams (45 percent dv)

Lamb is a rich source of many vitamins minerals. In addition to zinc, lamb contains vitamin b12, riboflavin, selenium, niacin, phosphorus and iron. 

2. Pumpkin seeds: 1 cup: 6.6 milligrams (44 percent dv)

Pumpkin seeds and pumpkin seed oil are able to reduce the risk of breast cancer in post-menopausal women, according to research published in nutrition and cancer. (2) pumpkin seeds are also good for prostate health, and they promote your mental health.

3. Grass-fed beef: 100 grams: 4.5 milligrams (30 percent dv)

Grass-fed beef nutrition includes omega-3 fatty acids and conjugated linoleic acid, a powerful polyunsaturated fatty acid that has been shown to help fight cancer, reduce the risk of heart disease, improve blood sugar, discourage weight gain and build muscle. 

4. Chickpeas (garbanzo beans): 1 cup: 2.5 milligras (17 percent dv)

Chickpeas, like all legumes, are a form of complex carbohydrates that the body is able to slowly digest and use for energy. Chickpeas increase satiety and help with weight loss. (4) they also improve digestion by quickly moving foods through the digestive tract.

5. Cocoa powder: 1 ounce: 1.9 milligrams (13 percent dv)

Cocoa powder is a good source of two flavonoids, epicatechin and catechin, which function as antioxidants that help prevent inflammation and disease. Because of the presence of flavonoids in cocoa powder, it helps improve blood flow and lower blood pressure too. 

6. Cashews: 1 ounce: 1.6 milligrams (11 percent dv)

Cashews are rich in unsaturated fatty acids and high in protein. Cashews nutrition helps fight heart disease, reduce inflammation, promote bone health and support healthy brain function. Plus, these nuts help with weight loss or maintenance because they make you feel fuller and curb food cravings. 

7. Kefir or yogurt: 1 cup: 1.4 milligrams (10 percent dv) (values vary)

Kefir and yogurt are cultured dairy products that serve as probiotic foods. Both kefir and probiotic yogurt support healthy digestion, boost the immune system, promote cardiovascular health and regulate your mood. 

8. Mushrooms: 1 cup: 1.4 milligrams (9 percent dv)

Proven mushroom nutrition benefits include the ability to boost immunity due to its antioxidant activities, reduce inflammation, fight cancer, protect your heart and improve brain function. 

9. Spinach: 1 cup: 1.4 milligrams (9 percent dv)

Spinach is one of the most nutrient-dense foods in existence. It contains special protective carotenoids that have been linked with decreasing the risk of many diseases, including heart disease, obesity, diabetes, neurodegenerative diseases and even cancer. 

10. Chicken: 100 grams: 1 milligram (7 percent dv)

In addition to the zinc present in chicken, it’s also a good source of b vitamins, including vitamin b12, niacin, vitamin b6 and pantothenic acid. The vitamin b12 in chicken helps maintain energy levels, boost mood, maintain heart health and boost skin health.

लॉन्ग-टर्म रिलेशनशिप में इंट्रेस्टि कैसे लाये

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Allahabad
लॉन्ग-टर्म रिलेशनशिप में  इंट्रेस्टि कैसे लाये


अगर आपके रिलेशनशिप को काफी समय हो गया है और सेक्स में कुछ भी इंट्रेस्टिंग नहीं रहा है तो इन तरीकों को आजमाएं। ये तरीके आपके लॉन्ग-टर्म रिलेशनशिप में सेक्स को इंट्रेस्टिंग बना देंगे।

लॉन्ग-टर्म रिलेशनशिप
रिलेशनशिप जब लॉन्ग-टर्म में तब्दील हो जाता है तो वो बिल्कुल शादी वाली फीलिंग देता है। कुछ भी नया नहीं होता। वही मिलना, वही आदतें और वैसे ही सेक्स... इस कारण ही लोगों को लॉन्ग-टर्म रिलेशनशिप के ज्यादा टिकने की उम्मीद नहीं होती। अगर आपके रिलेशनशिप को भी काफी समय हो गया है और आपको उसे खत्म नहीं करना है तो इन तरीकों को अपनाएं। ये तरीके सेक्स को इंट्रेस्टिंग बनाएंगे जिससे रिलेशनशिप में नई एक्साइटमेंट आएगी।

सेक्स में वेरायटी लाएं
अगर आप हर हफ्ते सेक्स करते हैं तो आपको सेक्स में वेरायटी ऐड करने की जरूरत है। जब भी सेक्स करें तो अलग-अलग पोज़िशन में सेक्स करें। इससे सेक्स लाइफ अलग बन जाएगी और आपको बहुत कुछ भी सेक्स में नया सीखने को मिल जाएगा। इससे आपको सेक्स लाइफ में ज़्यादा संतुष्टि प्राप्त होगी। सेक्स लाइफ में वेरायटी लाने के लिए इंटरनेट में कामसूत्र सर्च करें और उसमें से हर दिन नए-नए पोज़िशन ट्राय करें।

पोर्न और अंडरगार्मेंट्स का इस्तेमाल करें
नए पोज़िशन के अलावा रिलेशनशिप में एक्साइटमेंट लाने के लिए पोर्न और अंडरगार्मेंट्स को शामिल करें। अलग-अलग तरीके के सेक्स टॉयज़ और खूबसूरत व सेक्सी अंडरगार्मेंट्स खरीदें। फिर डेयर गेम खेलते हुए साथ में पॉर्न फिल्म देखें लेकिन अत्यधिक पोर्न फिल्म ना देखे । इससे आपके पास कुछ करने के लिए होगा और आप एक-दूसरे के बारे में जान भी पाएंगे कि कौन कितना डेयरिंग है।

फैंटसिस शेयर करें
अब रिलेशनशिप को इतने साल हो गए हैं को कुछ ना शेयर करना शुरू किया जाए। हर इंसान की अपनी फैंटेसी होती है। आपलोग की भी होगी। इसे एक-दूसरे के साथ शेयर करें। इससे आपके बीच की झिझक भी दूर होगी और एक-दूसरे को पता भी चल जाएगा की किसे कौन से सेक्स पोज़िशन या मूव्स ज्यादा पसंद हैं।

सेक्स करे बिना पार्टनर को ऑर्गज़्म कराएं
ये थोड़ा मुश्किल है लेकिन नामुमकिन नहीं। इसमें पहले आपको पार्टनर का मूड बनाना पड़ेगा। इसके लिए सबसे पहले अपनी उंगुलियों से पार्टनर के शरीर के नाजुक हिस्सों को छुएं। सेक्सी और डर्टी टॉक करें। फिर बिस्तर में जानें के बजाय काम में लग जाएं। उन्हें तड़पाएं। और एकाएक उनके नाजुक अंगो को हाथों से पकड़कर प्रेस करें। फिर एक-दूसरे को ओरल सेक्स दें। बस आपका पार्टनर ऑर्गैज़्म तक पहुच जायेगा 

Myths And Facts About Dandruff!

Fellowship In Aesthetic Medicine |, MBBS
Dermatologist, Mumbai
Myths And Facts About Dandruff!

Dandruff is not only an embarrassing condition but also a major cause for hairfall and hair weakening. It is estimated to affect as many as one in five individuals in India. Even though this is such a common issue, there’s still heaps of misleading conceptions about dandruff.

Myth1: “All flakes in your hair is dandruff”

Fact: Sometimes flakes are only a consequence of dry skin on your scalp. While the difference between dryness and dandruff might be unclear to the common individual, medical experts do make a distinction between the two. If your flakes are relatively small and white, chances are you’re dealing with a dry scalp - dandruff flakes tend to be larger and yellowish in colour.

Myth 2: “Dandruff is contagious”

Fact: Dandruff is not something that you can catch from someone else. The fungal bacteria that can lead to the appearance of dandruff are present on everybody’s scalp, which means all our scalps are naturally predisposed to the condition.

Myth 3: “Dandruff results from bad hygiene”

Fact: While regular shampooing can help keep dandruff under control, this condition does not stem from a lack of hygiene—even the most diligent hair washers can find themselves suffering from it. This is because dandruff is caused by various components, which include a characteristic overproduction of hair oil or an excess of parasitic microorganisms that live normally on our scalps.

Myth 4: “Dandruff only occurs on the scalp”

Fact: It's true that your scalp is the most widely recognised spot to experience dandruff, yet it's by all account not the only possibility. A few individuals additionally observe that areas such as the eyebrows, ears, and around the nose are inclined to flaking too.

Myth 5: “Dandruff can cause hair fall”

Fact: Hair fall is at some point connected with dandruff and an irritated scalp; however, these conditions are not mutually exclusive.  Hair fall is not brought about by dandruff, but rather might be prompted by the incessant need to scratch a bothersome scalp. When we scratch our heads, the activity causes breakage in the hair. The root cause of hair fall includes anxiety, diet and the overall health of your scalp.

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Fistula-in-Ano - Understanding The Ayurvedic Perspective On It!

Bachelor of Ayurveda Medicine & Surgery (BAMS), Certificate In Ksharsutra Therapy
Ayurveda, Himatnagar
Fistula-in-Ano - Understanding The Ayurvedic Perspective On It!

Ayurveda takes a holistic approach to treat any disease. It aims to treat fistula-in-ano with a combination of herbs, good lifestyle, healthy diet etc. Ayurveda suggests that fistula occurs due to the disparity of the 3 doshas. The treatment aims at balancing the doshas and healing the condition from within without any side effects.

What is anal fistula?
Anal fistula is an opening other than the normal opening of the anus. Most people face oozing of stool and pus from the other opening. The surrounding area of the anus becomes painful and tender. If the opening closes for a few days, the pus gets trapped leading to fever and abscess. It is, therefore, important to get rid of the mucus and the pus completely and heal the fistula. In case of multiple openings, modern medicine suggests surgery to get rid of the situation. Ayurveda on the other hand, uses oils, herbs, and other such non-inflammatory means to cure the condition.

Digestive fire from the Ayurvedic viewpoint:
Digestion only happens smoothly when the Jatharagni/Agni is strong. With natural food and supplements and herbs it is entirely possible to balance the digestive fire. Raw fruits, vegetables, and nuts are the ideal diet to heal this condition. Some foods to avoid to ensure that the aggravation of fistula doesn’t take place include aerated drinks, processed foods, milk and milk related products. The herbs that are prescribed by the Ayurvedic practitioner should be continued for at least 3-6 months.

Ayurvedic treatment for fistula-inano:
Ayurveda has a very precise dosage of herbs mentioned in the ancient books. It is suggested that two tablespoons of Triphala Guggul and 1 tablespoon of Vara Churna should be consumed daily, twice a day, Nirgundi oil should be applied locally every day and 2 tablespoons of curcumin should be consumed daily.

  1. Triphala Guggul: This formulation consists of two very important herbs- Guggul and Triphala. Both these herbs helps the body’s defence mechanism. This formulation is anti-inflammatory and anti-bacterial in nature. Both the herbs help in toning the gastrointestinal tract, streamline the flow of bile and aids the intestine to effectively eradicate bodily waste.
  2. Vara Churna: Vara Churna is a formulation that contains several herbs such as amalaki, bibhitaka, haritaki etc. This formulation helps clean the colon and strengthen the GIT. This formulation is effective for vata, kapha, and pitta. Vara Churna is extremely effective for rectifying constipation, aiding blood circulation improving liver function and balancing the blood pressure.
  3. Nirgundi Oil: This oil is made up from the herb Nigundo. This herb is pungent, bitter and astringent in flavour. It is a natural antibiotic and is an anti-inflammatory. This oil can relax the muscles, reduce congestion and pain.
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Infertility - Causes And Treatment

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Infertility - Causes And Treatment

Infertility

Gynecological Disorders and Its Management With Homeopathy

BHMS
Homeopath, Bangalore
Gynecological Disorders and Its Management With Homeopathy

Homoeopathy for Women’s Health:

Homoeopathy can offer good health to women in all stage of their Lives from infancy through old age. It is beneficial for the full range of emotional, mental and physical problems that a woman is likely to experience, and can help her through the transitional and developmental milestones of her life.

During the teen years homoeopathy can help with the hormonal changes of puberty and the acne that often appears at this time, but primarily it can assist with the emotional upheavals, which frequently occur as little girls make the transition to womanhood.

Later in life when a woman gets pregnant, or has a hard time conceiving (homoeopathy can help with problems of infertility), it can assist with difficulties frequently encountered, such as morning sickness and depression. By treating the mother during pregnancy and making her as healthy as she can be, we can ensure that the baby will be born healthy and free of inherited diseases. By treating throughout pregnancy, we also assist the mother to go through childbirth safely and joyfully.

The homoeopathy healing art is beneficial in helping women overcome the effects of hormonal shock to the system, can occur after a difficult birth ,abortion, hysterectomy, and the use of birth control pills.

Homoeopathy for Women’s Health:

Homoeopathy can be used to treat many common physical and emotional symptoms associated with menstrual cycles, hormone imbalances, and pre-menstrual syndrome. Because of its emphasis on treating the whole patient on a physical, mental and emotional level, it is ideally suited for homoeopathic remedies w+ by stimulating the body’s healing system to regain a sense of balance, problems involving hormonal imbalances respond well to homoeopathic treatment.

Benefits of homoeopathic treatment for women:

Homoeopathic remedies are completely non-toxic and without side-effects. Hence, they can safely be ingested during pregnancy when other types of medicines cannot be freely prescribed. Further, when the mother is homeopathically treated during pregnancy, the foetus is also being treated. Since treatment is constitutional and not symptomatic, both mother and child will be healthier, ensuring an Easier pregnancy and delivery.

Ideally, both parents should be treated before the baby is conceived as remedies act very deeply, right down to the genetic level. For example, a woman who has two children with cleft lips will be able to have a third normal child if given the correct homoeopathic treatment before conceiving the child.

Regarding post-partum depression, much misery can be alleviated by homoeopathic treatment; remedies work quickly and effectively in cases.

Homoeopathy offers a safe and effective solution to the uncomfortable symptoms of menopause compared to HRT which has been found to cause many side effects ranging from nausea and varicose veins to strokes and cancer.

Many women suffer to the personality. Further, many women suffer from low-esteem in our male dominant world. Homoeopathic treatment strengthens the life force and enables the woman to have a stronger sense of self. The patient becomes more stable emotionally, more confident and independent. In many cases, there can be a dramatic change for the better.

What conditions can be treated

Almost any affliction! 

Many examples are listed under categories below. The rest of page will highlight several conditions through remedy descriptions.

  • Physical- anemia, chloasma (skin pigmentation), chronic fatigue, constipation, cystitis, genital warts, gestational diabetes, growths, hemorrhage, herpes, hot flashes, IBS, incontinence, insufficient, breast milk, mastitis, morning sickness, osteoporosis, piles, PM, poor libido, prolapsed, recovery from surgery, tendency to miscarriage, thrush, thyroid imbalance, vaginal infections, varicose veins.
  • Emotional- anger, disappointed love, fright, guilt, grief, irritability, mood swings, post-traumatic stress disorder (eg after sexual abuse), weepiness.
  • Mental- anxiety, depression, eating disorders, fears eg of flying, having a deformed baby, low confidence, obsessive- compulsive behavior, pessimism, post- partum depression, sleep disturbances, stage fright, timidity.

Premenstrual Syndrome: When treating a patient for PMS ( pre-menstrual syndrome), the homoeopathic practitioner will select the most appropriate remedy that covers the range of symptoms experienced. These include fluid retention , breast tenderness, headaches, irritability, weepiness, mood swings.

  • Homoeopathic treatment is also effective in treating problems associated with menstruation- heavy bleeding, prolonged periods, painful periods, absent periods, etc. It is quite common for women who have experienced debilitating menstrual cramps for many years to have pain- free menstrual cycles after treatment.
  • Homeopathy is commonly used to treat uterine fibroids, and homeopathic treatment may prevent the need for a hysterectomy.
  • Symptoms of menopause also respond to homeopathy- hot flushes, insomnia, mood swings. See the section on homeopathy during menopause for more information.
  • Homeopathy can also be used to treat infertility conditions. Homeopathy can also help couples conceive even when there is no know medical reason for the infertility.
  • The range of conditions that may be treated with homeopathy is very wide, and includes cystitis, migraines, fatigue, irritable bowel syndrome, arthritis, anxiety, depression, insomnia, eczema, hay fever, bladder infections, gallstones or kidney stones, respiratory ailments etc.
  • In addition, homeopathic treatment is safe and effective pregnancy. It can help with symptoms of morning sickness, heartburn, constipation, and hemorrhoids.
  • Increasing numbers of women are making use of homeopathy during labour and childbirth, and homeopathic treatment can be very helpful after delivery, or during breastfeeding
  • Homeopathy is truly a friend to women. It is a comprehensive system of medicine which is able to meet the needs to people in all facets of their lives, and through all of life’s transitions. By strengthening the immune system and helping to balance the mind and the emotions, homeopathy can help women achieve the higher purposes of their lives, and feel their very best.
  • Homeopathy is ideal for those looking for a safe and natural, as well as complete system of medicine, especially those wanting to take more responsibility for their own health. Homeopathy can be used to treat most illnesses- whether chronic, acute, or first aid.

I am losing my 50 to hundred strands of hair. Please will you give me a suggestion to stop it. And grow hair thicker.

Bachelor of Medicine & Bachelor of Surgery
General Physician, Kolkata
I am losing my 50 to hundred strands of hair.
Please will you give me a suggestion to stop it.
And grow hair thicker.
Losing upto 100 strands of hair daily is normal. But if it is very severe or you are developing a bald patch then you may need treatment. Take a biotin supplement daily. Oil your hair regularly. Drink lots of water.
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Good morning sir /mam m suffering from hair fall 50 % haur are permanently remove scalp is very itching and follicles are coming outside from scalp will you suggest me m now using the jaborandi hair oil. please tell me.

MBBS
General Physician, Trivandrum
Good morning sir /mam m suffering from hair fall 50 % haur are permanently remove scalp is very itching and follicles...
Hair loss is most commonly caused due to stress. Other causes are nutritional deficiencies, old age, hormonal imbalance, dandruff and other scalp problems. For now try to do things to reduce your stress and take egg whites and biotin supplements. If things are still not controlled, please contact me for prescription.
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After having my breakfast or lunch I'm suffering from stomach pain. And at the time I need to go to restroom.

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Bangalore
After having my breakfast or lunch I'm suffering from stomach pain.
And at the time I need to go to restroom.
Hello sir, I understand your condition kindly take 1) Tab Pan D 40 mg one tab 20 mins before breakfast and before dinner for 15 days. For any queries you can call me up. Thank you.
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I am suffering from Cold and dry khansi. Throat become dry and nose is closed. Pl Suggest.

PGDHM, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Jamnagar
I am suffering from Cold and dry khansi. Throat become dry and nose is closed. Pl Suggest.
Hello lybrate-user, You should avoid Urad, banana, oil fried food spices. Saline water gargle should be done before meals. Non-irritating and bland diet, hot water, lemon, green and leafy vegetables particularly having sour and bitter taste. You can also doing this at home: 6-7 basil leaves 5-6 cloves (powder) 2-3 black piper 1/4 teaspoon ginger paste all this add in 150 ml of water then boiling mild flame and reduce to 100 ml. Later filtered and allowed to warm o it's own. Then add 2 teaspoon of honey and drink .it gives you relieved. Hot water steam will also facilitate draining from the nose and also provide relief in pain over forehead. Every day, in morning put 3-4 drops of cow ghee in your both nasal then sleep 10 to 15 min. Ayurveda nasya treatment gives you permenant relief. You feel better. For further treatment you take an online appointment for further details and treatment to get relief permanent.
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I am over weight and want to lose 30 kg to get my weight down to 60 kg in 3 months. Is is possible? If yes then how can I do it? What should be my daily intake? Please help me! Thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Bangalore
I am over weight and want to lose 30 kg to get my weight down to 60 kg in 3 months. Is is possible? If yes then how c...
Hello lybrate-user, your bmi is on the higher side. Reducing 30 kgs in 3 months is going to harm your body, it's not the healthy weight loss in 3 months please tell me your daily routines and food habits so that I can help you out with this regard. U can reduce maximum of 5 kgs minimum of 3 kgs in a month, I will prepare diet chart n activity chart according to your routine. Thank you.
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I have severe dandruff problem for last 6 years uncontrolled with several anti fungal shampoos. It is causing hair fall. Please suggest me good anti dandruff shampoo and tips to control hair fall.

MBBS
General Physician, Trivandrum
I have severe dandruff problem for last 6 years uncontrolled with several anti fungal shampoos. It is causing hair fa...
Hair loss is most commonly caused due to stress. Other causes are nutritional deficiencies, old age, hormonal imbalance, dandruff and other scalp problems. For now try to do things to reduce your stress and take egg whites and biotin supplements. Do a massage of your scalp with warm oil and wash it away with a mild shampoo. If things are still not controlled, please contact me for prescription.
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How to Overcome Your Social Anxiety?

MBBS, MD Psychiatry, DPM Psychological Medicine
Psychiatrist, Kolkata
How to Overcome Your Social Anxiety?

Are you suffering from social anxiety phobia and are looking for ways to get over it? Social anxiety refers to the anxiety in anticipating any kind of social situation or after a certain situation. The fear of evaluation accounts for being the primary factor of social anxiety phobia. Here are the various ways by which you can deal with social anxiety phobia:

  1. Self-help Manual: Self-help manuals are a supplement for this therapy. They act as an effective tool, which helps you to work on your own.

  2. Visit a Therapist: In case your social anxiety phobia is hampering things you need to do along with your social activities, and your self-help measures have failed, you need a therapist. Choose a therapist who specializes in anxiety disorders.

  3. Practice Deep Breathing Regularly: Engaging yourself in deep breathing, before a situation which provokes or triggers your social anxiety, is effective. You need to undertake deep breathing for several minutes every day. This will make it a habit for you, so that you do not focus too much on deep breathing during a situation, thereby missing out on the conversation.

  4. Create an Exposure Hierarchy: An exposure hierarchy refers to a list. In this list, you have to write down about all the various types of situations when your social anxiety phobia gets triggered. The list has to be made in a ladder format, and by performing the easiest behaviors first, you should move up the list. For creating exposure hierarchy, you should note down 10 anxiety triggering social situations you experience, and rate them on a scale of 100. You can also join Toastmasters, which is a website where links to several worksheets based on coping with social anxiety are provided.

  5. Create your Goals: When you feel anxious, it is likely for you to eliminate anything positive during that situation. You might be doing great, but yet face distress in everyday activities because of feelings of anxiety. For this purpose, it is recommended for you to create objective behavioral goals.

  6. Maintain a Rational Outlook: Try to get rid of any bleak thoughts, which hamper your performance and trigger your social anxiety phobia. Also stay away from any kind of unrealistic thoughts, which are positive in an irrational way. Before any situation which enhances your anxiety, you should convince yourself about how it is a familiar situation to you, which you have dealt with smoothly in the past.

If your social anxiety phobia is getting in the way of achieving your goals and is disabling you from living the kind of life you seek, it is important for you to consult a therapist and go for regular therapy sessions.

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