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Dr. Vijay Patil

Homeopath, kolapur

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Dr. Vijay Patil Homeopath, kolapur
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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You can book an instant appointment online with Dr. Vijay Patil on has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 43 years of experience on Find the best Homeopaths online in kolapur. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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My wife is pregnant for one month as she missed her first period and as indicated by prega news kit but we do not want a baby right now .we want it to be aborted at home by the most easy and safe method.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Please visit gynaecologist. Abortion can be done on opd basis but your wife needs to be examined by doctor.
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There is been content hip joints pain in both leg knee some time it make to stand very uncomfortable for few minutes, I am now 74 years, having diabetes for the last 20 years, and during nights, I am not able to sleep very comfortably I am under insulin, and take medicines, regularly, what type of medicine I should use for this discomforts, kindly suggest I am from secunderabad presently telangana state.

Physiotherapist, Noida
There is been content hip joints pain in both leg knee some time it make to stand very uncomfortable for few minutes,...
Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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How worth is meditation to maintain stability. Im thinking and reading very faster .thought I can store them but not. My mind start drifting one thought to another very quickly. Etc sometimes I even forgetting what shirt wear.

M.Sc Applied Psychology, Advanced Diploma Child Guidance & Counselling
Psychologist, Delhi
dear Lybrate user meditation definitely have benefits in increasing concentration, better thought process etc. but the effectiveness will come only after mastering it. it is not one time process. you need to have a proper training and trying practising daily. plus your behaviours like forgetfulness, absent mindedness and lack of concentration seemed to be due to many different reasons. first you need to identify the causes or triggering factors leading to these. too much of stress or work load can be one of the causes. Discuss these issues with a counselor for elaborative solutions. best wishes
1 person found this helpful
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I want to loose weight. My height is 5.3 feet and weight is 75 kg, I want a diet chart.

Dietitian/Nutritionist, Lucknow
I want to loose weight. My height is 5.3 feet and weight is 75 kg, I want a diet chart.
Hi, Thank you for your query. We will be happy to help you. Include various shakes and smoothies, dry fruits and nuts, ghee and other healthy fats, multigrain or whole wheat bread, cheese to your diet. Eat more potatoes, rice and bananas. You can also try peanut butter or other nut butters. Increase your protein consumption. If you eat non-veg, eat it more often. If not then have paneer, chickpeas, dals and other beans and lentils. Do little exercise everyday. We are here to guide you. For a detailed and customized diet plan, feel free to leave a message. Eat healthy, stay healthy Regards.
1 person found this helpful
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I have causing stomach ache every time when I eating any food like non veg why it is happening to me?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I have causing stomach ache every time when I eating any food like non veg why it is happening to me?
This may be because of acidity/ indigestion/ gas or we have to find out any food item allergy also tell me associated symptoms like vomiting sensation, loose motion/ burning sensation in chest or any other symptoms are present or not? so that we can reach diagnosis.
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Chemical Peel and the Pathology Behind It

Diploma in Dermatology, MD, MBBS
Dermatologist, Delhi
Chemical Peel and the Pathology Behind It

Chemical peeling is a medical procedure which includes application of a chemical agent to the skin, causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or combination of agents of defined strength are applied the skin causing a controlled destruction of layers of the skin. This is followed by regeneration and remodeling leading to improvement of texture and surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and imperfections.

Skin is considered the largest organ of the body and has many different functions. The skin is divided in two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also called subcutaneous connective tissue.

Epidermis: It is the most superficial layer of the skin. The first barrier of protection from the invasion of foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum, stratum spinosum and stratum basalis(basal layer).

Dermis: It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.

Classification of peels according to histological depth

  1. Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.
  2. Superficial peel – Destruction of the full epidermis, up to the basal layer
  3. Medium peel – Destruction of the epidermis, papillary dermis and upto the upper one third of the reticular dermis.
  4. Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid reticular dermis.

Classification of chemical peeling agents

Very superficial Peel:

  • Glycolic Acid 30-50% applied for 1-2 minutes
  • TCA* 10% applied as one coat
  • Jessner’s solution 1-3 coats

Superficial Peel:

  • Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)
  • TCA 10-30%
  • Jessner’s solution 4-10 coats
  • Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring, fine lines, and sun spots.

Medium Peel:

  • Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)
  • TCA 35-50%
  • Glycolic Acid 70% plus TCA 35%
  • Jessner’s solution plus TCA 35%

Deep Peel:

  • Phenol 88%
  • Baker Gordon phenol formula
  • Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced wrinkles, skin tightening and pigmentary dyschromia.

Reason behind chemical peeling:

  • Wound healing process is an important reason for rejuvenation. The phases of wound healing after chemical exfoliation are apparent:
  • Inflammatory phase (1-5 days) – This phase is evident after peeling as erythma and swelling on the skin
  • Proliferative phase (2-21 days) – In superficial peels, the basement membrane is intact, hence normal epidermis is restored in 2 to 3 days. In medium to deep peels, wound is below basement membrane and re-epithelialization takes time.
  • Remodeling phase (3 weeks to 2 years) – collagen remodeling is the main reason that chemical peels cause rejuvenation and reduce wrinkles.

Indications for peels:

1. Pigmentary disorders

  • Resistant melasma
  • Pigmented cosmetic dermatitis
  • Freckles
  • Lentigines
  • Post inflammatory hyperpigmentation

2. Acne

  • Comedonal acne
  • Post acne scars
  • Acne cosmetic
  • Acne excoriee

3. Cosmetic

  • Photoageing
  • Fine wrinkling
  • Skin glow and rejuvenation
  • Oily to rough skin
  • Actinic keratosis

4. Miscellaneous

  • Keratosis pilaris
  • Macular amyloidosis
  • Dilated pores
  • Seborrheic keratoses


  • Active bacterial, viral and fungal infection and open wounds
  • Oral isotretinoin use within the past three months
  • Pregnancy and breast feeding
  • History of keloid formation
  • History of taking oral contraceptive and photosensitive drugs
  • Unrealistic patient expectation
  • Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine
  • For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the last six months.

How to choose a patient:

A patient should be chosen depending upon 4P’s:

P – Pathology

P – Point of depth required

P – Patients skin

P – Previous peeling agents

Newer peels:

Many peels like mandelic acid, kojic acid, lactic acid, citric acid and many more have been introduced in the market which are also available in combination. These peels are not only more skin friendly but also more patient friendly. They have buffering agents like licorice extract and willow bark extract to minimize irritation to skin and antioxidants to infuse the skin with restorative nutrients. The change in the skin often occurs at cellular level and are not apparent to the naked hence making it more popular amongst busy patients who are seeking effective treatments quickly with little or no downtime.

Benefits of chemical peels:

The skin becomes noticeably smoother and rejuvenated.

  • It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and enlarged pores.
  • Removes dead and damaged skin cells and improves skin texture
  • Helps in removal of tan
  • Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the epidermis but also collagen remodeling.

Pre peel and post peel precautions:

  • Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the indication and type of peel) every 2-3 weekly to get the desired result.
  • Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of at least 7 days before and after the peel should be maintained.
  • Patient should use a mild soap/ non soap cleanser after the peel
  • Broad spectrum sunscreen and moisturizer should be used liberally, at least 2-3 times a day and sun exposure should be avoided.
  • Patient should be strictly prohibited from scratching, picking or scrubbing the skin.

Take home message:

Chemical peeling is a simple office procedure for the treatment of acne, pigmentation, skin rejuvenation and photo ageing. These are not one time procedures but require 6-8 sessions and maintenance peels to achieve maximum improvement and prevent recurrences. The newer peels are safer and effective. If you wish to discuss about any specific problem, you can consult a Dermatologist.

4466 people found this helpful

I am 17 years old and I can't sleep properly at night and suffering from headache.

General Physician, Mumbai
I am 17 years old and I can't sleep properly at night and suffering from headache.
For headache take tablet paracetamol 650 mg eight hourly and few things related to headache so that we can plan the treatment accordingly - if pain is associated with blurred or decreased vision than check your eye sight for refractive error - if the pain is pulsatile in nature and with a throbbing pain usually with an aura than we have to rule out migrane as the cause - if the pain is associated with neck problems than we have to rule out cervical spondylosis as the cause - if the pain is associated with either low or high bp or due to hyperacidity than we have to treat the cause after examination - if the pain is associated with cold and fever than we have to rule out sinusitis as the cause.
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My leg is getting pain only left side what is the reason for it and also tell some exercises for the same.

Physiotherapist, Mumbai
My leg is getting pain only left side what is the reason for it and also tell some exercises for the same.
Hi 1) wear comfortable sports shoes 2) make daily routine of exercise 3) rule out calcium and vit d deficiency 4) do proper warm up before exercise and cool down after exercise 5) do stretching of legs do exercise under supervision of skilled physiotherapist. Do reply for private consultation and detailed treatment plan. Best wishes.
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Are Dark Cracks Behind Neck A Sign Of Diabetes?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Are Dark Cracks Behind Neck A Sign Of Diabetes?

Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications & focussed weight loss.

If you would like to consult with me privately, please click on'consult.

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4467 people found this helpful

I sweat a lot whether it's day or evening. In ten minutes if I go out my inner wear will be just as though it's drenched in water and just removed. I go for a walk that too brisk for 45 to 50 minutes in morning at the time of just sun rise. I experience the same and feel embarrassed to see my sweat. Others will not sweat this much. Is it abnormal. And if so how to control.

General Physician, Cuttack
Excessive sweating 1.Anxiety, nervousness 2 Obesity, Diabetes, hyper thyroidism, 3.Alcoholism or due to effect of some anti hypertensive and psychiatric drugs 4. Investigate yourself to rule out these diseases 5.Avoid anxiety ,nervousness, tea/coffee, alcohol, spicy food, chocolate etc 6.Try some anti antiperspirant lotion or roll on. 7.Consult skin specialist for advice.
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