Book Clinic Appointment with Dr. Mahesh Hembram
Submit a review for Dr. Mahesh HembramYour feedback matters!
Patient Review Highlights
I found the answers provided by the Dr. Mahesh Hembram to be caring. Thank u
Have you ever thought that you could also suffer from an eating disorder? While in most cases there are no outward signs and symptoms of such a disease, but many people experience an overwhelming feeling of controlling intense pain or other troubling emotions by eating too much or not eating at all.
It is not a passing phase that can be attributed to adolescence or a way of expressing vanity. It is therefore crucial for every sufferer to identify the problems and seek medical attention as soon as you come across even a single symptom of an eating disorder. This is because research suggests that adequate intervention of early signs can lead to the best treatment and easy relief from the unwanted disease.
Signs and symptoms of eating disorders
It goes without saying that disorderly eating habits stand in the way of enjoying a healthy life in terms of emotional, spiritual and social well-being and therefore its further progression should be inhibited. Behaviours that are commonly associated with eating disorders include:
- Persistently adhering to an impractical and strict diet no matter how healthy or unhealthy the person is.
- Using the bathroom right after eating.
- Secretly binging on large amounts of food.
- Hoarding huge amounts of food at home and at the workplace in fear of lack of availability of more food.
- Increased consumption of various types of laxatives or diet pills or other such medication.
- Exercising too much which may extend for several hours in a day.
- Using illicit drugs such as cocaine to suppress an appetite.
Despite such a wide range of symptoms, an eating disorder is primarily rooted in a person’s gene and other environmental factors. It is also dependent on the medical history, addictive disorders, underlying health conditions and most importantly, life experiences of that person.
Emotional changes pertaining to eating disorder:
Here it becomes worthy to mention that certain emotional changes also go hand in hand with an eating disorder. Some of them include:
- Withdrawal from society particularly from family and friends.
- Withdrawal from situations where questions related to the family may arise.
- Avoidance of a get-together or other situations where food may be present.
- Obsessing over total calorie intake as well as calories burnt through physical exercise even when the person is losing a large amount of weight day by day.
- Preoccupation with body weight and other aspects of physical appearance.
- Eating too much without caring about what others may think.
- Finding solace in foods.
It is therefore pointed out that there are two primary types of eating disorder where a person may eat too much or eat too little, both of which can be detrimental to health. Therefore, it is important to review the symptoms and find out whether you need to talk to an expert to treat the condition.
Being a perfectionist is not wrong until it does not stop you from working according to your priorities. However, when you struggle to go on with your regular routine and seem to concentrate on one particular thing, again and again, it is time you seek expert advice.
Obsessive-compulsive disorder or OCD is a medical term that refers to obsessions or excessive thoughts leading to compulsions of repetitive behaviours. A person suffering from OCD usually has recurring thoughts that he or she has no control over, which leads to developing uncountable urge of repeating behaviours over and over.
The condition is long-lasting and chronic, and when not attended to as early as possible, usually brings in difficulties to the patient in leading a normal life. Continue reading to know about its symptoms and how it can be diagnosed.
The symptoms of OCD can be divided into two types, symptoms of obsession and the other is symptoms of compulsion.
- Spending more than normal time on one’s obsessions, which results in disrupting one’s social, professional, and personal activities.
- Having the same images, urges, and thoughts again and again which the patient has no control over.
- Losing the control over his/her anxiety and anger and acting on the urge of harming others or one’s self.
- Having unwanted and inappropriate sexual thoughts, especially developing obsessions with incest and homosexuality.
- Being extremely obsessive and concerned about the fear of contamination that includes threats from the germs, dirt and even body fluid.
- Constant cleaning and washing, especially washing one's own hands again and again.
- In cases of mental compulsions, tendency to repetitively review events mentally, repetitive praying for harm prevention, etc.
- Repetitively checking of the body parts or things around to be sure that nothing has happened to them.
- Repeating routines such as reading the same page over and over.
Diagnosis of obsessive-compulsive behaviour may consist one or various medical examinations that include,
- Physical examination: Physical examination is performed in order to eliminate the probability of the presence of any other complications or illnesses.
- Psychological evaluation: Psychological evaluation is all about discussing the feelings, thoughts, symptoms, and behaviour of the patients.
- Laboratory-based tests: Usually, a complete blood count or CDC is included in the lab tests where the presence of drug or alcohol and the function of the thyroid is analysed.
- Reference to the OCD diagnostic criteria: This step includes referring to the standard OCD diagnostic criteria to determine whether the patient is suffering from OCD or not.
Affecting people of all ages, OCD traps its victims in a cycle of compulsions and obsessions. Though a complete cure to this illness has not yet been discovered, still, with right treatment at the right time can be very effective in controlling of the symptoms while helping the patient to lead a normal life.
Depending upon the condition of the patient, the severity, and type of OCD, a psychiatrist can offer the best treatment in the form of therapies or talk sessions, or medications or a combination of both.
Epilepsy is a disorder in the central nervous system characterized by recurrent seizures. An unexpected rush of electrical activity inside the brain leads to a seizure. Brain activity becomes abnormal and leads to periods of unusual behaviour with loss of awareness at times.
Seizures do not always include unusual muscle movements or convulsions. Untreated seizures can seriously affect the lives of children having them. Epilepsy affects both men and women regardless of their ethnic background and age.
Signs of Epilepsy:
- A staring spell
- Momentary bewilderment
- Loss of consciousness
- Jerking movements of arms and legs.
- Panic or anxiety
Kinds of Seizures:
Seizures are normally classified as focal or generalized depending on the commencement of abnormal brain activity.
- Focal (partial) seizures result from abnormal activity in a particular area of the person's brain. Simple partial seizures may change emotions or the way things smell, appear, feel, sound or taste. It is characterized by tingling and dizziness.
- Complex partial seizures or focal seizures with impaired awareness entail a modification of or loss of awareness and consciousness. Repetitive movements are performed during such seizures such as hand rubbing, walking in circles or swallowing.
Thorough testing is needed to differentiate epilepsy from other neurological disorders such as narcolepsy, migraine or mental illness.
Generalized seizures normally affect all areas of the brain and consist of:
- Tonic seizures lead to muscle stiffness and normally affects muscles in the person's back, legs and arms.
- Atonic seizures or drop seizures lead to a loss of muscle control which makes a person abruptly collapse or fall down.
- Myoclonic seizures are visible as short jerks or twitches of a person's arms and legs.
- Clonic seizures are characterized by repetitive or rhythmic jerking muscle movements.
- Tonic-clonic seizures cause sudden loss of consciousness, quivering and body stiffening.
- Absence seizures might take place in clusters and lead to momentary loss of awareness.
Symptoms of Epilepsy:
The main symptoms of epilepsy are seizures and it differs from one person to another.
Symptoms of Focal (partial) seizures include:
- Change or modification in the sense of smell, taste, hearing, sight or touch.
- Twitching and tingling of limbs.
Symptoms of Complex partial seizures include:
- Staring blankly
- Performing repetitive movements
- Loss of awareness or consciousness
Genetics may provide a person with a natural seizure threshold as a person who is susceptible to seizure triggers is said to have inherited a low seizure threshold. A higher threshold conversely makes a person less liable to have seizures.
Epilepsy is a comparatively common neurological disorder that affects innumerable people worldwide and treatments range from medication to surgery.
Do you have the habit of breaking into violent outbursts, accompanied by repeated episodes of impulsive, violent, and aggressive behavior? These are indications of intermittent explosive disorder, which makes you react grossly in a situation. Such violent outbursts can cause great distress to you, by negatively affecting your daily activities and personal relationships.
It is important to treat violent outbursts to avoid getting into big troubles, which are quite likely.
- Psychotherapy: Individual counseling or group therapy can be beneficial for treating violent outbursts. Cognitive behavioral therapy is commonly used for treating people suffering from intermittent explosive disorder. You are taught how to identify behaviors and situations, which might trigger you to respond aggressively. You are also taught about anger management, using techniques like relaxation training.
- Medicines: Several different types of medications are used for treating violent outbursts. They include antidepressants and anticonvulsant mood stabilizers.
How can you control your anger?
- Unlearn problem behavior: Coping well with anger can be learned. You need to practice all the methods you learn during the therapy. This helps you to recognize what triggers you and how to keep away from being triggered.
- Develop a plan: You should develop an action plan for the times when you feel that you are getting very angry. If you sense that you are losing control, you must try to get away from the situation. Find ways to distract yourself.
- Avoid alcohol and drugs: Alcohol and other recreational drugs increase your aggressiveness and trigger your violent nature. Hence, keep away from them.
- Take preventive steps: In order to keep away from violent outbursts while you are under treatment, you should take several preventive steps. They are as follows:
- Stick to your treatment plan: You must attend your therapy sessions, practice coping skills, and take your prescribed medicines regularly. Maintenance medications may be prescribed for avoiding recurrence of violent outbursts.
- Practice relaxations techniques: You must practice yoga, deep breathing, and take the help of relaxing imagery to keep yourself calm.
- Cognitive restructuring: You need to change the ways you think about a certain situation by thinking rationally. You should be logical and must learn to have reasonable expectations. These help you in positively reacting to a situation.
For dealing with violent outbursts, it is important for you to change your environment. Try to leave certain situations to which you reacted violently in the past. You need time on your own, and should take a peaceful break in order to normalize your impulsive nature. In case you have a concern or query you can always consult an expert & get answers to your questions!
Before commencing on how to deal with a prodigal child, let’s go to the meaning of the same. The literal meaning of prodigal is wasteful—mostly with regard to money. Its origin lies in the Latin word ‘proagere’ where ‘pro’ means forth and ‘agere’ means to drive. It talks about a person who wastes money by spending it in a reckless manner.
A prodigal child is almost always adamant to make damaging and dangerous decisions, which is quite disheartening for a parent to see. The given points will help parents breathe a fresh whiff of oxygen to deal with such a situation.
- All decisions are God’s: If you realise and accept that all decisions are made by the almighty, you will live peacefully. A human being cannot take charge of another person’s attitude. And when we force things upon anyone, we often end up doing more harm than good.
- Being good to yourself: One of the most important things for a person is to take care of oneself. Sometimes, you need to go out and hang around with your friends. Friends act as great counsellors and when you see them often, you will naturally feel relieved and your body will act in a positive manner. Staying healthy and fit when you know your loved ones need you is your foremost duty.
- Love unconditionally: When you love someone, there would be no complaints. All that needs to be there is just love. Don’t give up on your prodigal child, but pamper him/her and shower as much love as you have on them.
- Bail them out: Sometimes, you need to let the person you love make his/her own choices. Being a parent, you would think selfishly in terms of your child’s betterment and protection. But sometimes, release is the best option to pick to let your child decide on his/her own.
- Accept them: Possess the power to receive your child after he/she has been long off. You should have the courage to accept them, show compassion towards them, run for them, and embrace and kiss them. This will make them feel welcome. You may experience much pain from what your prodigal kid put you through, but upon their return, remember to shower your love on them.
- This too shall pass: Know that this is just a temporary phase, which will definitely get over. This attitude makes it less painful when you watch the destructive behaviour of your children.
- Don’t think you are alone: Everyone has their issues which parents of prodigals do not often consider. These parents feel they are alone and none can relate to their problems. But the truth is there are many people out there who are ready to listen to you and be by your side—just explore.
- Develop boundaries: Say no to abusive behaviour from your prodigal child. Draft out the rules to follow at home. Your prodigal child will throw tantrums, but when you establish boundaries, they will try to act accordingly. Strategize in a way that your child should feel that if they cross their limits, it will have serious repercussions.
- Pray: When you know your strength is waning, pray for your prodigal daily. You can put forth your wish list before God.
- Never give up: It may take your prodigal child weeks, months or years to correct themselves, but never give up the hope of them improving over time.
Anxiety has become a common phenomenon in the recent years. The constant pressure of being the best has taken a toll on people of all ages. It is a widespread misconception that anxiety only affects the mind, but the truth is that the body is equally affected. People often ignore this condition which worsens the condition and also leads to several other severe problems.
There is no medication required to treat anxiety in the initial stages. Simple changes in diet and lifestyle help treat anxiety if the condition is not severe. Following are some of the ways to treat anxiety without medication-
- Exercise: Exercise is considered to be one of the best ways to fight anxiety. Exercising helps release endorphins and serotonin, which are the 'feel-good chemicals' that improve emotional well-being. Research also suggests that exercise increases the body temperature that may alter the neural circuits which changes the cognitive function. One does not need to do a heavy work out or strength training; a simple brisk walk for around 30 minutes or basic yoga for some time during the day helps treat anxiety.
- Limit the intake of caffeine: Caffeine is a natural nervous system stimulant. It triggers the “fight or flight” response in the body. The energy produced by caffeine can lead to an anxiety attack. Hence, it is suggested to avoid or limit the intake of caffeine.
- Avoid overthinking: Overthinking is one of the most common causes of anxiety. If one is not able to communicate what he/she thinks, then it affects the mental health. It is not necessary to talk to a certain person; one can also express these emotions or feelings through writing, art, and another medium. It is suggested to not keep the emotions in the mind and let it flow in any form he/she wishes to, though one may not find a solution for the same.
- Get adequate sleep: One needs to understand that sleep is important for the body, as it helps in proper functioning of the body. Therefore, it is important that the body gets the required sleep so that it can function at its optimum the next day. The ideal rest time is 8-10 hours.
- Do not avoid food: Hunger increases the blood sugar level, which in turn results in the release of the stress hormone called cortisol. This can disturb the emotional state and make one prone to anxiety. It is suggested to avoid food rich in fats and sugar if one is hungry for a long period of time.
Anxiety can prove to be the worst enemy if it is not treated properly and at the right time. Although medications help treat the condition, anxiety medications have some serious side effects too. Therefore, it is advised to treat the condition in the early stages and avoid these medications. Also, following a healthy diet and making some changes in the lifestyle help fight the condition better. To know what works best for you, it is best to visit a psychiatrist at the earliest to avoid unnecessary complications. In case you have a concern or query you can always consult an expert & get answers to your questions!
Dear Doctor. Good morning. I am 62 year old male widowed. My sex urges are too much. I am deeply worried about this. Can you please help with some medicine, before I go astray. Regards.
The trauma of being sexually assaulted can be shattering and make one feel ashamed, alone, and unaccepted. It would invariably give way to nightmares, horrifying flashbacks, and a host of unpleasant memories.
Regardless of how you may feel at that moment, you must tell yourself that you cannot be blamed for everything that happened and you will be able to regain back your normal sense of trust and safety if you try. It will undoubtedly take time, and the process of healing can also be painful. Thankfully, with the right support and strategies, you can leave the trauma behind while rebuilding the sense of self-control.
- Reframing what happened: It can be extremely difficult to admit that you have been sexually assaulted due to many reasons. It can make you feel offended and weak while also thinking how others would react to it. You are likely to feel that you don’t need to talk to anyone regarding it and act as if nothing ever happened. However, hiding facts will never allow you to heal but add to the feeling of shame. You should choose someone who is not just supportive, but calm and empathetic towards you as well. If you do not have anyone to speak to, you can always go for therapy sessions with a psychiatrist.
- Preparing for flashbacks: Traumatic experiences, particularly the ones that involve sexual issues can cause the nervous system to get stuck in an unpleasant state. The human brain can become hyper-sensitive to even the smallest stimuli. This is especially the case with those who have endured sexual trauma. Nightmares and intrusive memories are very common, and you should try to avoid the triggers that incite such feelings. You should pay attention to your health and your emotional state since that will help you track the warning signs such as stress or depression. You must immediately calm yourself down by slowing down your breathing as a panic state sets in.
- Nurturing yourself: Healing from sexual trauma is a gradual and time-taking process. You must be very patient throughout. It may not have any effect in a day or disappear completely. This would make your life a lot more difficult at times, but there is a lot that you can do to cope up with the anxiety and fear. You may feel isolated and disconnected from others, but you should try to stay connected with your loved ones since that is vital to your recovery.
Trauma is bound to make you feel powerless as well as vulnerable. It is significant to remind yourself that you have the strength to cope with your tough times. You may also join support groups that can help you cope with these issues and help you lead a fulfilling and healthy life.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am a patient of manic bipolar disorder for the last 20 yrs. I am ok and recently retired from services. My doctor says I have to take medication livelong. I know that only to protect me from depression, I need medicines. But the side effects of these medicines caused me a great health concerns like problem of high BP, kidney cyst, fatty liver, ischemia, bronchial asthma (w.e.f 1985) etc. I sincerely hope your kind advice / suggestions reg my health and medications. Kind regards, Tapati Chakraborty.
Anger is an inherent part of human nature. Regardless of whether a person is consciously or subconsciously aware of the feeling, our emotions are often overpowered by violence, hatred, and aggression. Much has been studied and said about the primitive negative fantasies of a child that later stems itself in the form of anger and aggression. In a modern-day world, it is crucial to managing one’s anger by allowing positivity to take control and purge out the negative emotion.
Why is anger management crucial?
If one is not able to manage their anger, it can affect one’s mental health while directly hampering professional and personal relationships. Anger management is a must for people who are not able to exercise control over their temper and allow this emotion to take control over their lives. Lack of anger management is one of the root problems in most urban countries including India. Steps should be taken to reduce its effects for so that there is an overall benefit for an individual and society at large.
How to manage anger?
Anger management is meant to help people control their anger practically while boosting the physical and mental wellness of the affected person.
Here are six effective tips to manage anger-
- One should not pressurize oneself to be perfect. You should expect others to do their job well while avoiding anger and frustration in case there is any underperformance or failure in living up to the specified standards.
- If one has gone through a traumatic past, it is important to confide in someone rather than sulking or brooding over it.
- It is important to provide quality time for oneself so that one can derive pleasure and happiness and therefore be surrounded by a positive emotion.
- One must try to handle the situation diplomatically rather than getting angry and allowing the situation to go out of hand.
- The age-old remedy of counting backwards plays a commendable role in this regard. You should allow yourself some time to regain the composure and not lose the temper completely. Developing a positive outlook towards people and situations offers a new perspective on life and can save the day.
- Expression of anger need not always be violent; you can choose to be quiet or avoid a particular situation if possible. This can save your relationships as well.
Both anger and stress are co-related, and their management also works in similar ways. This may be attributed to the fact that both these emotions comprise of similar constituents and can affect any person in detrimental ways. Prolonged stress and anger can take a toll on both emotional and physical health and therefore, it is necessary to control them and reduce its impact.
In case you have a concern or query you can always consult an expert & get answers to your questions!