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Dr. Sonika

General Physician, kolkata

Dr. Sonika General Physician, kolkata
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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I am diabetic 25 years old. Hba1c 7.9.i m on glucophage once daily. How long I will be on glucophage and it is necessary after several years I will be on insulin?

PDDM, MHA, MBBS
General Physician, Nashik
I am diabetic 25 years old. Hba1c 7.9.i m on glucophage once daily. How long I will be on glucophage and it is necess...
You will have to take antidiabetic medications lifelong. It needs continous monitoring and most importantly you need to follow diabetic diet and exercise daily for at least 30 minutes. Its not mandatory that you will require insulin.
2 people found this helpful
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I am 27 yrs, just a month ago I have started working as a professor, I smoke daily around 2-3 cigarettes, there are rumors around that it affects my penis or for that matter my sexual response. Please help I want to learn more or is it even true or not?

MBBS
Sexologist, Panchkula
I am 27 yrs, just a month ago I have started working as a professor, I smoke daily around 2-3 cigarettes, there are r...
You can take 2 to 3 cigarette daily,it won't affect your sexual life. But cigarette smoking is injurious to health.
2 people found this helpful
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I am getting saliva unnecessarily in mouth every minute till I am busy with another work. please tell me what is this?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your saliva problems are just a result of the way you are. This may just be what's normal for you. Since it is negatively affecting your life, I suggest your problem can be ignored. However there are medical conditions that causes excessive salivation Physiological Pregnancy Local causes Oral inflammation- teething Infection ?oral cavity infection, dental caries, tonsillitis, peritonsilar abscess Systemic Toxin exposure- pesticides, mercury, capsaicin, snake poisoning Medication ?tranquilizers, anticonvulsants, anticholinesterases, lithium Neuromuscular ?cerebral palsy, Parkinson?s disease, motor neuron disease, bulbar/ pseudobulbar palsy, Stroke Infection- rabies Gastric- gastroesophageal reflux Advance procedures can be done with laser. DENTAL TIPS: - Visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.
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Why does a test taker need to be reevaluated if a disability (such as a learning disability, ADHD or autism spectrum disorder) is lifelong?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Why does a test taker need to be reevaluated if a disability (such as a learning disability, ADHD or autism spectrum ...
As it may improves with physical age and continuous therapy possible and to know current unidentified facts of any for improvisation etc best wishes.
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Bowel Resection Surgery - Facts You Should be Aware of

IAGES, MS, MBBS
General Surgeon, Noida
Bowel Resection Surgery - Facts You Should be Aware of

The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.

How is bowel resection surgery performed?

In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.

Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:

  1. Cancerous or benign polyps or growth
  2. Precancerous growths and polyps
  3. Damage to the small intestine due to injuries
  4. Congenital defects in the small intestine
  5. Blockages in the intestine
  6. Growth of ulcers, bleeding, and infection within the small intestine
  7. Infections within the intestines
  8. Other disorders of the small intestine

Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:

  1. Colon cancer
  2. Diverticulitis, disorder that specifically affects the large intestine
  3. Bowel inflammation or ulcerative colitis
  4. Abnormal twisting of the bowel also known as volvulus
  5. Intestines which slide into another section of the intestine; also known as intussusception

Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are –

  1. Adverse reaction to anesthesia
  2. Infections
  3. Heart attacks or strokes during the operation
  4. Infections
  5. Excessive bleeding among others

Specific risks for large and small bowel resections are mentioned as follows:

  1. Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
  2. Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.

However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

2102 people found this helpful

MD DGO, Laparoscopic Surgery
Integrated Medicine Specialist, Mumbai
We must learn to value sleep as much as we value the importance of proper nutrition and exercise.
3 people found this helpful

Diabetes - 5 Ways It Can Be Treated

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Diabetes - 5 Ways It Can Be Treated

Diabetes or diabetes mellitus is a collection of disorders that affect the way blood sugar is used by your body. A healthy blood sugar level is very important as it provides energy for the necessary bodily functions. Diabetes results in increased glucose levels in the blood. Diabetes is classified into two types:

  1. Type 1 Diabetes: In this type, the immune system of the body destroys cells that produce insulin, thus resulting in lesser insulin production.

  2. Type 2 Diabetes: In Type 2 diabetes, the body is not able to use the insulin as a result of increased resistance to insulin and definite deficiency in insulin, thus resulting in high blood glucose levels.

Symptoms

The symptoms of diabetes are:

  1. Rapid weight loss.

  2. You may feel thirsty frequently.

  3. Excessive and frequent bouts of hunger.

  4. Presence of ketones (byproduct of muscle and fat breakdown) in the urine.

  5. Vision problems.

  6. Constant fatigue.

  7. Sores take a longer time to heal.

  8. You become vulnerable to various infections because of the weakening of the immune system.

Causes

The causes for Type 1 and Type 2 diabetes are different. In case of type 1 diabetes, the immune system of the body kills cells in the pancreas that produce insulin. This results in shortage of insulin in the body, resulting in high blood sugar levels.

In Type 2 Diabetes, the cells in the body turn resistant to insulin. The exact cause of this is not known, but genetic factors, being overweight, inactivite and other environmental factors can trigger this disorder.

Treatments

The treatment options for diabetes are:

  1. Exercise: Exercise is an effective remedy to lower your blood sugar levels as it helps in transporting sugar into the cells for energy. You can include cardiovascular activities such as running and swimming in your workout regimen.

  2. Insulin Therapy: Insulin therapy involves injecting insulin into the body to reduce blood sugar levels. It can be injected by using an insulin pen or an insulin pump.

  3. Oral Medications: Oral medications may be prescribed to stimulate the pancreas to boost insulin production. Certain medications can also inhibit excess glucose release from the liver.

  4. Pancreas Transplant: In some cases, pancreas transplant is advised to replace the faulty pancreas with a good one that produces insulin in sufficient quantity. Although, it's a rare possibility and does not correct already caused damage to eyes, kidney or nerves.

  5. Diet: Diet is another important aspect of the treatment plan that plays an important role in controlling diabetes. Avoid foods that contain simple sugars as they tend to raise your blood sugar levels. Rather, include complex carbohydrates in your diet such as beans, vegetables and whole grains. Special emphasis should be put on green vegetables. If you wish to discuss about any specific problem, you can consult an endocrinologist.
2365 people found this helpful

Mujhe constipation hai aisa koi tarika bata jo ghar me thik ho jae problem agar constipation hai tho night fall hota h kya or mujhe premature ejaculated bhi hai 30 sec me discharge ho jata hu mai please help me.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Mujhe constipation hai aisa koi tarika bata jo ghar me thik ho jae problem agar constipation hai tho night fall hota ...
increase fibre content in your diet. more of green veg,salad and fruits . avoid spicy n oily food. sleep properly. everything will be fine in your life
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My son 4.5 year old weight 17 kg his sgot level in 73 and sgpt and bilirubrin is normal. Is its to reason to worry. Please suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My son 4.5 year old weight 17 kg his sgot level in 73 and sgpt and bilirubrin is normal. Is its to reason to worry. P...
Not a big problem... Just keep a good watch on him... If he develops anything further... And also keep him on healthy diet.
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I am suffering from fever diseases like malaria and typhoid in this case what should I do.

MBBS
General Physician, Mumbai
I am suffering from fever diseases like malaria and typhoid in this case what should I do.
Apart from oral treatment - Avoid spicy food in your diet and Eat nutritious food and have adequate fluid intake and take physical rest
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I am diabetic, my blood sugar level are fasting 139 and pp 239 so my doctor prescribed me to take 1 mg glimride 1tab before breakfast and 1 tab of 500 mg metform after brakefast. What is the side effect of these medicines?

MD - General Medicine
General Physician, Anand
Side effect of glimipride is hypoglycemia and of metformin is weight loss, loss of appetite and vit.B 12 deficiency on long term. Don't afraid of side effect of drug. It may or may not happened but side effect of diabetes are so big far than this.
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Dear sir, during winter days night fall happens with me. What should I do to stop this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dear sir, during winter days night fall happens with me. What should I do to stop this.
Generally over masturbation is the main cause for this problem. Over masturbation and nightfall together destroys sexual life and general health of the patient. Masturbation can become a serious problem if it becomes a habit. Long term over masturbation can cause behavioral disorders, stress, depression, loss of concentration and many sex problems like erectile dysfunction, premature ejaculation and seminal deficiency. Avoid masturbation or leave this habit permanently. Being a homoeopath,I will advise you to go for homoeopathic treatment as these homoeopathic medicines will help to cure your problem from root and that too naturally without any sideeffects .These medicines help in increasing immunity, strength and health of urogenital system and over all body. Infections and weakness of urogenital system, body and brain are washed out by regular course of these medicines. Premature ejaculation, loose or weak erections, flowing of semen in urine and nightfall etc will be washed away with regular course of these homoeopathic medicines for minimum three four months.
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I have been suffering from fever since seven days. I have use tablet from medical doctor according to them. Please help me to get rid of it.

MBBS
General Physician, Cuttack
I have been suffering from fever since seven days. I have use tablet from medical doctor according to them. Please he...
1. Take one tablet of crocin advance as and when required upto a maximum of three tablets daily after food 2. Cold sponging sos 3. Drink plenty of water 4. Take rest 5. If no relief do blood examination like esr, cbc, widal/ typhidot test, blood for mp/malaria antigen, dengue antigen (ns1) test, urine re/me, x ray chest after consulting physician and follow the advice and treatment.
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Am taking 5 egg whites, 500 ml milk and protein shakes and dry fruits will cause will it cause increase LDL or any other diseases daily work out for 2 hrs in gym for gaining muscle.

MBBS
General Physician, Jalgaon
Am taking 5 egg whites, 500 ml milk and protein shakes and dry fruits will cause will it cause increase LDL or any ot...
Please Check your Lipid profile before and after taking above mentioned diet for 3 weeks So precise decisions can be made.
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I am suffering from fever I have already taken paracip with almox. But still I am not well. I had witted with rain water and from that day itself it is happening. I should meet with doctor or continuing that medicine another two days. Or I should change the medicine. And if I should change than which medicine I should take. please suggest me sir.

DHMS (Hons.)
Homeopath, Patna
I am suffering from fever I have already taken paracip with almox. But still I am not well. I had witted with rain wa...
Hi dear lybrate user, please, take under noted homo-medicine* @ rhus tox 200-6 pills, thrice a day. @ bryonia alb 30-6 pills, thrice a day. * drink lukewarm water, * gargle, with hot saline wtr *take, easily digestible liquid diet. * avoid, dust, sold diet, exposure to cold, junk food. Report wkly.
1 person found this helpful
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I have a red bump that looks like a pimple on my penis and its itchy. What's the cure . There's only one . Is there something to worry?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I have a red bump that looks like a pimple
on my penis and its itchy. What's the cure . There's only one . Is there s...
Dear lybrate user, you should take silicia 12x four tablets thrice a day for two days and call back.
1 person found this helpful
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Question Must Be Like: I have not slept for 2 days and now my head is aching, what to do? Please help me!

MBBS, cc USG
General Physician, Gurgaon
Question Must Be Like: I have not slept for 2 days and now my head is aching, what to do? Please help me!
Hello, You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) I am giving you some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga, i can give you address of rajyoga meditation center near your house (this is free of cost) One thing i want to tell you that if you can relax your mind by Rajyoga meditation than you can reduce your sleep upto 5-6 hour and you will feel fresh and active 4. Avoid tea coffee after 7 pm 5. You can wash your face and feet at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes Consult me if symptom persist
2 people found this helpful
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Hi, My throat feels blocked all the time, especially after a meal. When I cough up in the morning I see white stuff coming out which are large enough. I researched about this and found out that these white stuffs are called tonsillitis. Theres no way that I have been able to get rid of these. I maintain good oral hygiene, still no luck. Taking antibiotics helped for a period of time but soon as I stop medication, I start getting them. Please help. Thanks!

BHMS
Homeopath, Thane
Hi, My throat feels blocked all the time, especially after a meal. When I cough up in the morning I see white stuff c...
Hi take following medicines spongia tosta 30 4pills to be sucked thrice a day for 15 days kali bich 200 4pills to be sucked thrice a day for 15 days take plain water steam once a day avoid eating curd, icecreams, pickles, papad, citrus fruits, watermelon, green skin bananas, pineapple, strawberries, custard apple, guavas. Stop using mosquito repellants.
1 person found this helpful
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I hav bn suffering frm sinusitis since last 20 yrs, is dere any medicine which can completely free me frm this stupid sinusitis?

MS - ENT,MBBS
ENT Specialist, Kolkata
Hi if you have been suffering  from 6 years it's likely you have chronic sinusitis  which may also be allergic . Get a CT PNS done. Or if you have one  done share the CT /Xray Long term lifestyle  changes with gradually tapering medication  helps to tackle chronic sinus problems.  Start taking Steam inhalation twice a day. *For chronic sinusitis you will need to take a long term course of antibiotics  together  with Nasal sprays . *You will need to avoid dusty environment  and dust mites, animal dander etc. Medical  management  is done for 3 months and then your condition is reviewed.  Intermittent treatment is not beneficial  in the long run. Chronic sinusitis is a condition  that develops due to persistent  infection or allergy in your sinuses. We need to improve the drainage of the sinus cavity by steam inhalation  .Medicines like Monteleukast with levocetirizine  help to decrease the tissue response to dust and allergy. They help in decreasing the inflammatory  changes due to allergic stimuli. Togerher with this the nasal sprays will help improve locally the Nasal  blockage. A disciplined medical therapy will help you live better. But incomplete treatment leads to polyps, Pansinusitus,complications  and poor quality of life. Investigations : CTPNS CBC with ESR &AEC PPBS FT3/FT4/TSH These tests will help us have an idea about your general immune status and check for any problems you may have. Treatment : Start Steam inhalation  (mandatory  )twice a day &Start have plenty of fruits and vegetables  in your diet. A course of vitamin B complex and C (no harm in continuing this if you can't have a balanced diet due to any reason) Add a probiotic supplement to your regular meals. Have sleep for atleast 7 to 8 hours. Exercise atleast for 30 minutes  every day. If you work in dusty environment   wear a mask. Air conditioned rooms the air filters should be ideally washed every week. The dust trappers in AC UNIT spread the germs very rapidly. If you are unable to ensure regular cleaning of AIR conditioners atleast try not to sit directly in front  of them. While working in the computer try to tilt  the screen to avoid glare .Take 5 min break every half an hour. Drink Plenty of water. Avoid smoking and secondary smoke. You can share your reports on Lybrate (no charge )as you get them done. Review with me after 10 days of Antibiotic and I will start you on long term medicines. Kindly also let me know any other medical  issues you may have. Kindly let me know about your workplace and living environment  (Air pollution level, general cleanliness. Then I can help you even more Unfortunately Lybrate doesn't allow prescription of medicines in open forum CT PNS and nasal endoscopy+your symptoms helps us decide surgical course of treatment.
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