Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 35 years of experience on Lybrate.com. Find the best General Physicians online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. R. LingamYour feedback matters!
I am a 45 year old male. I experienced, about three times, after urinating, I got fainted for seconds. After that I was ok. These happened when I got up from sleep during midnight. I am weighing 65 kg. Height 175 cms.
I am suffering from chronic sinusitis. Have nasal polyps and persistent nasal congestion. Can you please help?
The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.
Read on to know a little more in detail about it:
Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.
1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.
2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.
A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.
As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.
- The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
- Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
- ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
- Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
- Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
- In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
- Exercise plays a very vital role in controlling the issue and improving range of motion. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
How to prevent Diabetes?
Hello everyone. I am Kanchan Patwardhan, clinical dietician and nutritionist, working in this field for the last 22 years. Today, we are going to speak about diabetes, you know diabetes is a very serious issue and india is becoming a diabetic capital. Every second person is diabetic or suspected to diabetic. So, don’t ignore your problems.
Actually, we can easily monitor our diabetes by diet and lifestyle. See, first you need to understand your body, if your body is going to give you signs and signals, so you can detect your problems very easily. if a diabetic person is having polyurea, polypagia, polydypsi, these kind of symptoms if anyone is having, please go and check your diabetes level and there is a HbA1c which is called Glycocelated Hemoglobin which is actually three months average glucose what you get through HbA1c. So you must do that test to know about your blood sugar level. Why is it necessary to control your blood sugar level? Because if you have high blood sugar, it is very dangerous, it will affect your kidneys, heart, and eyes. So please control your diabetes at a young age and stage.
So, if you are a diabetic or if you are suspected to diabetes, then also prevention is necessary for both of you. So, how can you prevent diabetes? First thing, regular exercises are the key. Second thing, you need to control your diet, you need to have good nutritious balanced diet and you should include good fibre in your diet to control your diabetes. You should include good quality proteins in your diet, not necessary animal proteins, but plant proteins you must consume. You need to include anti-oxidants because when you are having diabetes, your arteries are getting hard and if your arteries are hard then you will have coronary problems so it’s better to include citrus fruits to control diabetes and prevent elasticity of the arteries. Second thing, you must consume antioxidants in your diet. Anti-oxidants can be consumed from fruits such as amla, which is a good source of anti-oxidant. You can also have guava and mostly all fruits are good sources of anti-oxidants. So you should include anti-oxidants, you should eat two-three servings of fruits and vegetables in diabetes.
There are many people that say that you should not include fruits during diabetes. No, it is not correct. Why? Fruits have multiple benefits. It has anti-oxidants, it has vitamins, it has minerals and best is that it has fibers and generally the glycemic index of fruits is very low, so if the glycemic index is low, the sugar level will grow gradually, it will not go randomly. It will go steadily, it will not spike it. So, please consume fruits but if you are going to consume mangoes, then definitely you can have one mango in a day not much but you must include some or other fruits in your diet. Second thing, you should consume pulses in your diet, because pulses are very good sources of proteins, and complex carbohydrates. So, when you are eating pulses, your glycemic index will become low and definitely you will be able to manage your diabetes.
Diabetic person should consume very small meals, means every two-three hours depending on your hunger you must eat. You should drink plenty of water, and last but not the least, avoid fried items, avoid junk, avoid achaar, papad because it will not give you any nutrients and harm your body.
So, if you still want to achieve you target sugar levels and you want to achieve your weight with it, please contact Kanchan’s House of Health and Nutrition for it. Keep watching my videos. Thank you very much.