Gayarani Sevasadan

Hello, Thanks for your query on Lybrate "As" per your clinical query is concerned please follow your answer as below- 1) The impact of insomnia on old age is -Irritability, Depression or anxiety, Difficulty paying attention, focusing on tasks or remembering, Increased errors, Tension headaches, Distress in the stomach and intestines, overweight, Increased risk and severity of long-term diseases or conditions, such as high blood pressure, Heart disease and Diabetes etc 2) As per your question, all the problems can be managed and prevented and I do not agree on death. 3) The most common causes which lead to insomnia are - A) Stress. Concerns about work, school, health or family can keep your mind active at night, making it difficult to sleep. B) Anxiety. Everyday anxieties as well as more-serious anxiety disorders, such as post-traumatic stress disorder, may disrupt your asleep. Worry about being able to go to sleep can make it harder to fall asleep. C) Depression. You might either sleep too much or have trouble sleeping if you're depressed. Insomnia often occurs with other mental health disorders as well. Medical conditions. If you have chronic pain, breathing difficulties or a need to urinate frequently, you might develop Insomnia. Examples of conditions linked with Insomnia include Arthritis, Cancer, Heart failure, lung disease, gastroesophageal reflux disease (GERD), overactive thyroid, Stroke, Parkinson's disease, and Alzheimer's disease. D) Change in your environment or work schedule. Travel or working a late or early shift can disrupt your body's circadian rhythms, making it difficult to sleep. Your circadian rhythms act as an internal clock, guiding such things as your sleep-wake cycle, metabolism and body temperature. E) Poor sleep habits. Poor sleep habits include an irregular sleep schedule, stimulating activities before bed, an uncomfortable sleep environment, and use of your bed for activities other than sleep or sex. Many prescription drugs can interfere with sleep, including some antidepressants, heart and blood pressure medications, allergy medications, stimulants, and corticosteroids. Many over-the-counter (OTC) medications including some pain medication combinations, decongestants, and weight-loss products contain caffeine and other stimulants. F) Coffee, tea, cola and other caffeine-containing drinks are well-known stimulants. Drinking coffee in the late afternoon and later can keep you from falling asleep at night. Nicotine in tobacco products is another stimulant that can cause Insomnia. Alcohol is a sedative that may help you fall asleep, but it prevents deeper stages of sleep and often causes you to awaken in the middle of the night. G) Eating too much late in the evening. Having a light snack before bedtime is OK, but eating too much may cause you to feel physically uncomfortable while lying down, making it difficult to get to sleep. Many people also experience Heartburn, a backflow of acid and food from the stomach into the esophagus after eating, which may keep you awake. There is no specific demographic area for it. Lastly, regarding treatment, I may say go to the exact cause and modify lifestyle like this before taking any medications - 1) Exercise and stay active. Activity helps promote a good night's sleep. Get at least 20 to 30 minutes of vigorous exercise daily at least five to six hours before bedtime. 2) Check your medications. If you take medications regularly, check with your doctor to see if they may be contributing to your Insomnia. Also check the labels of OTC products to see if they contain caffeine or other stimulants, such as pseudoephedrine. 3) Avoid or limit naps. Naps can make it harder to fall asleep at night. If you can't get by without one, try to limit a nap to no more than 30 minutes and don't nap after 3 p.m. 4) Avoid or limit caffeine and alcohol and don't use nicotine. All of these can make it harder to sleep. Avoid caffeine after lunchtime. Avoiding alcohol can help prevent restless sleep and frequent awakenings. 5) Don't put up with pain. If a painful condition bothers you, make sure the pain reliever you take is effective enough to control pain while you're sleeping. 6) Stick to a sleep schedule. Keep your bedtime and wake time consistent from day to day, including on weekends. 7) Avoid large meals and beverages before bed. A light snack is fine. But avoid eating too much late in the evening to reduce the chance of gastroesophageal reflux disease (GERD) and improve sleep. Drink less before bedtime so that you won't have to urinate as often. 8) Use your bed and bedroom only for sleeping or sex. Don't read, work or eat in bed. Avoid TV, computers, video games, smartphones or other screens just before bed, as the light can interfere with your sleep cycle. Make your bedroom comfortable for sleep. Close your bedroom door or create a subtle background noise, such as a running fan, to help drown out other noises. Keep your bedroom temperature comfortable, usually cooler than during the day, and dark. Don't keep a computer or a TV in your bedroom. 9) Hide the bedroom clocks. Set your alarm so that you know when to get up, but then hide all clocks in your bedroom, including your wristwatch and cellphone, so you don't worry about what time it is. 10) Find ways to relax. Try to put your worries and planning aside when you get into bed. A warm bath or a massage before bedtime can help prepare you for sleep. Create a relaxing bedtime ritual, such as reading, soft music, breathing exercises, yoga or prayer. 11) Avoid trying too hard to sleep. The harder you try, the more awake you'll become. Read in another room until you become very drowsy, then go to bed to sleep. Get out of bed when you're not sleeping. Sleep as much as you need to feel rested, and then get out of bed. If you can't sleep, get out of bed after 20 minutes and do something relaxing, such as reading. Then try again to get to sleep. Hope that helps.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned the stone size is large so it can not come naturally so discuss with your Doctor[Urologist] to remove it endoscopically and follow lifestyle modifications like this for future- 1) Drink water throughout the day to pass about (2.5 liters) of urine a day. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. 2) Eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, your doctor may recommend restricting foods rich in oxalates. These include rhubarb, beets, okra, spinach, Swiss chard, sweet potatoes, nuts, tea, chocolate, and soy products. 3) Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose nonanimal protein sources, such as legumes. Consider using a salt substitute. 4) Continue eating calcium-rich foods, but use caution with calcium supplements. Hope that helps.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned do a clinical examination by your Doctor[ENT] and do few investigations like this to confirm exact cause[Electronystagmography (ENG)]and if confirmed then discuss exercise like [Canalith repositioning] which you should do three times a day. Do follow lifestyle modifications like this- 1) Be aware of the possibility of losing your balance, which can lead to falling and serious injury. 2) Sit down immediately when you feel dizzy. 3) Use good lighting if you get up at night. 4) Walk with a cane for stability if you're at risk of falling. Hope that helps.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please check her urine for infection and regarding medication please discuss with your treating Doctor about- Flagyl-400 mg twice a day CELEX-250 mg twice a day for 7 days Metro gel cream on vagina twice a day. Do follow lifestyle modifications like this - 1) Avoid baths, hot tubs, and whirlpool spas. Rinse soap from your outer genital area after a shower, and dry the area well to prevent irritation. Don't use scented or harsh soaps, such as those with deodorant or antibacterial action. 2) Avoid irritants. These include scented tampons and pads. Wipe from front to back after using the toilet. Doing so avoids spreading fecal bacteria to your vagina. 3) Don't douche. Your vagina doesn't require cleansing other than normal bathing. Repetitive douching disrupts the normal organisms that reside in the vagina and can actually increase your risk of vaginal infection. 4) Use a latex condom. Both male and female latex condoms may help you avoid infections spread by sexual contact. 5) Wear cotton underwear. Also, wear pantyhose with a cotton crotch. If you feel comfortable without it, skip wearing underwear to bed. Hope that helps.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please do a clinical examination by your treating Doctor (ENT) and to know exact cause do few investigations (CBC with differential, Nasal endoscopy and CT scan).Do take medications as per exact cause onlyas you have already taken medications for last 3 years. Do follow lifestyle modifications like this - 1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals. 2) Carefully manage your Allergies. Work with your doctor to keep symptoms under control. Do a blood differential count every month. 3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages. 4) Use a humidifier in the bedroom at night. Hope that helps Follow me after investigations.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned do a stool examination to rule out infection and if no finding comes then do follow lifestyle modifications like this - 1)Try to choose smaller servings of dairy. The smaller the serving, the less likely it is to cause gastrointestinal problems. 2)Buy lactose-reduced or lactose-free products. You can find these products at most supermarkets in the refrigerated dairy section. 3)Try to use lactase enzyme tablets or drops. Over-the-counter tablets or drops containing the lactase enzyme (Dairy Ease, Lactaid, others) may help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. Hope that helps

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned do a clinical examination by your Doctor and to confirm exact cause do few investigations (CBC with differential and para-check to rule out malaria). Take right medications (Antibiotics) as per test report. If you have fever right now take one (CROCIN) every 8 hours. Do follow lifestyle modifications like this - 1) Wash your hands often especially before eating, after using the toilet, after spending time in a crowd or around someone who's sick, after petting animals, and during travel on public transportation. 2) Carry moist towelettes or hand sanitizer with you for times when you don't have access to soap and water. 3) Try to avoid touching your nose, mouth or eyes, as these are the main ways that viruses and bacteria can enter your body and cause infection. 4) Cover your mouth when you cough and your nose when you sneeze and teach your children to do likewise. Whenever possible, turn away from others when coughing or sneezing to avoid passing germs along to them. 5) Avoid sharing cups, water bottles, and utensils with your children. Hope that helps.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned as you have taken [ipill] within 72 hours then there is no chance of pregnancy at all.So nothing to be worried at all and wait for your next cycle.[Thanks]

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned sex is a trick so need patience and practice so your excitement is natural but it can be made more excitement by your boyfriend also. Secondly, there is no complexity in near future. So to make life more pleasurable try to practice to increase timing. Hope that helps

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned scar has no problem at all if your pulmonary function is good, so check your blood oxygen level by [Pulse oximetry] and if it is normal then you are 100% fit. Hope that clears your doubt