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Intacoxia 60 MG Tablet Tips

Dr.Mool Chand Gupta 93% (37138ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
ADULT VACCINATION
Prevention is better than cure.Though vaccination is very common in children,but least advised and accepted in adults.Adult vaccination is very cost effective.All adult who are immunocompromised by any disease like diabetis ect.should be vaccinated.
Flu vaccination should be given to all at least once in a year,usually in oct/nov.
Pneumoccocal vaccination which prevent invassive peumoccocal infection which usually is life threatning should be given to all at age of 65 yrs and above once in life and persons having immunocompromized disease at any age and repeated every 5 yrs.
Tetunus and typhpoid vaccination is also reccomended.

Consult your doctor for cost effective way of disease prevention.
3 people found this helpful

Schizophrenia - Know Ways Of Handling It!

Dr.Santosh Bangar 88% (42ratings)
Diploma in Psychiatry, M.D. (Psychiatry), MBBS
Psychiatrist, Mumbai
Schizophrenia - Know Ways Of Handling It!

Are you aware of the schizophrenia and the adverse effects it inflicts on a person? Schizophrenia is a chronic and extremely severe mental disorder that affects how a person thinks, behaves, and feels. Schizophrenia patients seem like they are not aware of reality. The condition requires lifelong treatment, even after the symptoms leave. There are various types of treatments, which are used for schizophrenic patients. The treatment is usually guided by an experienced psychiatrist.

The various modes of treatments are as follows:
Medications: Medications are very important for the treatment of schizophrenia, and antipsychotic drugs are most commonly used. They help in managing the symptoms by affecting dopamine. Treatment using antipsychotic drugs aims at managing the symptoms effectively. Antidepressants and anti-anxiety drugs are also used for treatment. Several weeks are required for these medicines to show results. Most of the medications used for schizophrenia treatment are associated with severe side effects and are thus avoided by many people. The patient’s cooperation with treatment determines the choice of drug.

  • First generation antipsychotics: These medicines are associated with adverse neurological side effects, such as the possibility of developing tardive dyskinesia, which is an irreversible movement disorder.
  • Second generation antipsychotics: These medicines are preferred because of the lower risk of adverse side effects on the body than first generation medicines.

Psychological interventions: When the patient’s psychosis decreases, psychological and psychosocial interventions are required. They include the following:

  • Individual therapy: Psychotherapy is important for normalizing a patient’s regular thought patterns. Learning about ways to deal with stress, and identifying warning signs can help patients manage their condition better.
  • Social skills training: This aims at improving a schizophrenic person’s social interactions, communication and his/her ability to take part in daily activities.
  • Family therapyFamily therapy is important for educating the families of schizophrenic patients about the disorder, and let them know about the ways to deal with it.

Vocational rehabilitation and supported employmentMost people with schizophrenia need some kind of daily living support. Programs are offered by several communities and self-help groups for helping schizophrenic people with housing, jobs, crisis situations. With proper treatment, most schizophrenic people manage to deal with their symptoms and illness.

Hospitalization: During emergency or crisis periods of extreme symptoms, a patient may need to be hospitalized to get proper nutrition, basic hygiene, sufficient sleep, and safety.
Electroconvulsive therapy or ECT is carried out for schizophrenic patients who do not respond to drug treatment. This therapy is also beneficial for patients who have got depression. It is recommended for you to consult a doctor on experiencing any symptom of schizophrenia.
 

1874 people found this helpful

Addiction - Understanding Its Effects!

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Addiction - Understanding Its Effects!

Addiction can be considered as a behavioural change where a craving for something specific intensifies to such an extent that the consequences are ignored. Addiction controls the brain by diverting it in such a way that it registers only pleasure and does not give any importance to other standard drives like motivation and learning. In general, breaking up an addiction is difficult, but it is not impossible and with strong determination, addiction can be broken.

Effects of Addiction
In general, people are subjected to addiction will not have self-control over what they do. If addiction is not treated or diagnosed on time, it may reach harmful proportions. Addiction is not only related to consumption of drugs and alcohol. It may include other habits too, that cannot be controlled. Sometimes even having a particular craving for a fruit or a vegetable can be termed as an addiction. Among other things, the most harmful can be the usage of drugs, sexual pleasures and other effects that over a period of time can become uncontrollable.

How a person can get addicted?
A human brain registers all types of pleasures in the same way they register a joy from a psychoactive drug, sexual encounter, monetary rewards or a satisfying meal. When any of these things happen, the human brain releases a neurotransmitter dopamine in the nerve cells. If these habits become regular, the enzymes will be released in high quantities leading to the addiction problem.

Drugs usage leads to addiction within a short period of time. Consumption of almost all types of drugs, starting from nicotine to heroin leads to a powerful surge of dopamine in the nucleus accambance leading to high addiction. Addiction is not exactly a disease, but it is a condition that can occur at any age. It is likely to occur more during the young age where the required maturity is yet to be gained. So it is advisable to be careful during your adolescent period as this is the time when you are more vulnerable.

There are various medical tests to detect drug use by the person but so fas as Addiction is concern it is a pattern of drug use which affect behaviour, causes withdrawal, tolerance, craving ects. 

Treatment of Addiction
In Acute phase, detoxification is done in which withdrawal symptoms are addressed. Detoxification may last upto 3 to 4 weeks depending upon severity of symptoms and amount of drug use. Later in maintenance phase basically craving, behavioural changes is handled along with insight building psychotherapy is used. In case you have a concern or query you can always consult an expert & get answers to your questions!

4397 people found this helpful

Schizophrenia - Different Modes Of Treatment That Are Followed!

MBBS, DPM
Psychiatrist, Ranchi
Schizophrenia - Different Modes Of Treatment That Are Followed!

Are you aware of the schizophrenia and the adverse effects it inflicts on a person? Schizophrenia is a chronic and extremely severe mental disorder that affects how a person thinks, behaves, and feels. Schizophrenia patients seem like they are not aware of reality. The condition requires lifelong treatment, even after the symptoms leave. There are various types of treatments, which are used for schizophrenic patients. The treatment is usually guided by an experienced psychiatrist.

The various modes of treatments are as follows:
Medications: Medications are very important for the treatment of schizophrenia, and antipsychotic drugs are most commonly used. They help in managing the symptoms by affecting dopamine. Treatment using antipsychotic drugs aims at managing the symptoms effectively. Antidepressants and anti-anxiety drugs are also used for treatment. Several weeks are required for these medicines to show results. Most of the medications used for schizophrenia treatment are associated with severe side effects and are thus avoided by many people. The patient’s cooperation with treatment determines the choice of drug.

  • First-generation antipsychotics: These medicines are associated with adverse neurological side effects, such as the possibility of developing tardive dyskinesia, which is an irreversible movement disorder.
  • Second-generation antipsychotics: These medicines are preferred because of the lower risk of adverse side effects on the body than first-generation medicines.

Psychological interventions: When the patient’s psychosis decreases, psychological and psychosocial interventions are required. They include the following:

  • Individual therapy: Psychotherapy is important for normalizing a patient’s regular thought patterns. Learning about ways to deal with stress, and identifying warning signs can help patients manage their condition better.
  • Social skills training: This aims at improving a schizophrenic person’s social interactions, communication and his/her ability to take part in daily activities.
  • Family therapyFamily therapy is important for educating the families of schizophrenic patients about the disorder, and let them know about the ways to deal with it.

Vocational rehabilitation and supported employment: Most people with schizophrenia need some kind of daily living support. Programs are offered by several communities and self-help groups for helping schizophrenic people with housing, jobs, crisis situations. With proper treatment, most schizophrenic people manage to deal with their symptoms and illness.

Hospitalization: During emergency or crisis periods of extreme symptoms, a patient may need to be hospitalized to get proper nutrition, basic hygiene, sufficient sleep, and safety.
Electroconvulsive therapy or ECT is carried out for schizophrenic patients who do not respond to drug treatment. This therapy is also beneficial for patients who have got depression. In case you have a concern or query you can always consult Best Psychiatrist in Ranchi & get answers to your questions!

2393 people found this helpful

Schizophrenia - Know Ways Of Tackling It!

Dr.Dipayan Sarkar 91% (144ratings)
MBBS, DPM
Psychiatrist, Agartala
Schizophrenia - Know Ways Of Tackling It!

Are you aware of the schizophrenia and the adverse effects it inflicts on a person? Schizophrenia is a chronic and extremely severe mental disorder that affects how a person thinks, behaves, and feels. Schizophrenia patients seem like they are not aware of reality. The condition requires lifelong treatment, even after the symptoms leave. There are various types of treatments, which are used for schizophrenic patients. The treatment is usually guided by an experienced psychiatrist.

The various modes of treatments are as follows:
Medications: Medications are very important for the treatment of schizophrenia, and antipsychotic drugs are most commonly used. They help in managing the symptoms by affecting dopamine. Treatment using antipsychotic drugs aims at managing the symptoms effectively. Antidepressants and anti-anxiety drugs are also used for treatment. Several weeks are required for these medicines to show results. Most of the medications used for schizophrenia treatment are associated with severe side effects and are thus avoided by many people. The patient’s cooperation with treatment determines the choice of drug.

  • First-generation antipsychotics: These medicines are associated with adverse neurological side effects, such as the possibility of developing tardive dyskinesia, which is an irreversible movement disorder.
  • Second generation antipsychotics: These medicines are preferred because of the lower risk of adverse side effects on the body than first-generation medicines.

Psychological interventions: When the patient’s psychosis decreases, psychological and psychosocial interventions are required. They include the following:

  • Individual therapy: Psychotherapy is important for normalizing a patient’s regular thought patterns. Learning about ways to deal with stress, and identifying warning signs can help patients manage their condition better.
  • Social skills training: This aims at improving a schizophrenic person’s social interactions, communication and his/her ability to take part in daily activities.
  • Family therapyFamily therapy is important for educating the families of schizophrenic patients about the disorder, and let them know about the ways to deal with it.

Vocational rehabilitation and supported employments: Most people with schizophrenia need some kind of daily living support. Programs are offered by several communities and self-help groups for helping schizophrenic people with housing, jobs, crisis situations. With proper treatment, most schizophrenic people manage to deal with their symptoms and illness.

Hospitalization: During emergency or crisis periods of extreme symptoms, a patient may need to be hospitalized to get proper nutrition, basic hygiene, sufficient sleep, and safety.
Electroconvulsive therapy or ECT is carried out for schizophrenic patients who do not respond to drug treatment. This therapy is also beneficial for patients who have got depression. It is recommended for you to consult a doctor on experiencing any symptom of schizophrenia.
 

1411 people found this helpful

Depression - Fight It, Don't Be A Victim!

Dr.Hajira Khanam 93% (396ratings)
MD- General Physician-RU- Equi. MBBS, Diploma in Laryngology & otology
ENT Specialist, Hyderabad
Depression - Fight It, Don't Be A Victim!

Depressed?
Speak up! you are not alone in your fight
You are not born to suffer but to survive with innate happiness!
Clinical depression, also known as major depression, is an illness that involves the body, mood, and thoughts. Clinical depression affects the way you eat and sleep. It affects the way you feel about yourself and those around you. It even affects your thoughts.

Untreated clinical depression is a serious problem. Untreated depression increases the chance of risky behaviors such as drug or alcohol addiction. It also can ruin relationships, cause problems at work, and make it difficult to overcome serious illnesses.

People who are depressed cannot simply “pull themselves together” and be cured. Without proper treatment, including antidepressants and/or psychotherapy, untreated clinical depression can last for weeks, months, or years. Appropriate treatment, however, can help most people with depression.

How does untreated clinical depression affect physical health?

There is mounting evidence that clinical depression takes a serious toll on physical health. The most recent studies exploring health and major depression have looked at patients with stroke or coronary artery disease. Results have shown that people with major depression who are recovering from strokes or heart attacks have a more difficult time making health care choices. They also find it more difficult to follow their doctor's instructions and to cope with the challenges their illness presents. Another study found that patients with major depression have a higher risk of death in the first few months after a heart attack.

Are the signs of untreated depression in men different from those in women?

Men who have untreated clinical depression may exhibit more anger, frustration, and violent behavior than women. In addition, men with untreated depression may take dangerous risks such as reckless driving and having unsafe sex. Men are not aware that physical symptoms, such as headaches, digestive disorders and chronic pain, can be symptoms of depression.

Who can be treated successfully for clinical depression?

More than 80% of people with clinical depression can be successfully treated with early recognition, intervention, and support.
Most importantly just by opening up about the reasons

Depression affects almost 19 million people each year, including a large portion of the working population. People with untreated depression can usually get to work. But once there, they may be irritable, fatigued, and have difficulty concentrating. Untreated depression makes it difficult for employees to work well.

Most people do best with depression treatment using psychotherapy, medications, or a combination of both. For treatment-resistant depression, one that does not respond to medication, there are alternative treatments. One example is electroconvulsive therapy or ect.

8 people found this helpful

Dr.Masroor Ahmad Wani 90% (5195ratings)
MD, sexologist, Fellowship
Sexologist, Srinagar
Even doctors are ignorant of genital tb causing infertility

Having the highest number of population aff ected by tuberculosis, india also has the highest incidence of genital tuberculosis. The number of indian women suffering from the condition is particularly high.

Nagpur: having the highest number of population affected by tuberculosis, india also has the highest incidence of genital tuberculosis. The number of indian women suffering from the condition is particularly high. It is among the most common causes of infertility, yet not many doctors consider the possibility of genital tuberculosis while treating infertility.

According to some estimates, around 40% indians are infected with tb bacteria. Most of these are latent cases, wherein the sufferer doesn't show symptoms of the disease but can still spread the disease. Genital tb is found to affect around 1% women in india. Ways to manage the condition were discussed during the conference masterclass infertility organized in the city recently.

"the percentage of infertility in the country increases due to genital tb. Among those seeking treatment for infertility, 10-19% of females are affected by it. However, since the condition doesn't have any noticeable symptoms it remains undetected in most patients and infertility caused by it gets categorized as something else" said senior gynaecologist from the city Dr. Sushma deshmukh. She added that the lack of symptoms means that doctors often don't address genital tb as a reason causing infertility.

"the biggest problem is that very few bacteria can cause the disease. This low number makes most tests made to diagnose the disease unsuccessful. This is why it is recommended that bacteria culture, a molecular biology test for ccr and histopathology on the lining of the uterus must be done together" said bangalore-based gynaecologist Dr. Reeta biliangadi. The positive outcome of all these tests, along with observation of clinical signs indicates that the patient is suffering from genital tb.

Among the warning signs of the condition that doctors and the patients must look for include menstrual problems, constant pain in lower abdomen and white discharge" the condition generally flares up during menstruation in the adolescent age. If detected at this time, the damage to the reproductive organs like uterus and fallopian tubes can be minimized. If not, the damage can worsen with time, making it practically impossible for the woman to conceive naturally" said Dr. Biliangadi.

As the fallopian tubes get affected in all cases of the disease, chances of natural conception among the patients are less than 20%, added Dr. Deshmukh.

"despite the availability of tests to detect genital tb, less than 40% patients with it get the chance to go through the tests" she said.


Affect on reproductive health of patient

It starts by affecting the process of releasing the egg into the uterus, which also leads to menstruation

It destroys endometrium or the lining of the uterus where eggs get implanted. This makes natural conception difficult

Leads to obstruction of fallopian tubes, or gradual destruction of the tubes

Increases the possibility of diseases like fibroids.

Hrithik Roshan's Sister Sunaina Is Under Critical Watch For Bipolar Disorder; Stay Safe!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Hrithik Roshan's Sister Sunaina Is Under Critical Watch For Bipolar Disorder; Stay Safe!

A piece of news regarding the famous Bollywood actor Hrithik Roshan's sister Sunania Roshan has come into attention recently that addresses the deteriorating condition of the 47-year-old due to Bipolar Disorder

As of now, she has been put under a critical watch for next 24 hours. 

People were not aware of her health condition before but as more people are coming to know about the seriousness of the stress of the Roshan family, they are all paying their wishes and concerns to Sunaina and her family. 

To understand the depth of seriousness, let us know about Bipolar Disorder.

What is Bipolar disorder?

A Bipolar Disorder is a mental illness, also known as a manic-depressive illness that is identified with an unexpected change in mood, activity levels, energy levels, and affecting the ability to carry out daily tasks. 

Symptoms:

People who are suffering from Bipolar Disorder may experience a range of intense emotions, unusual behaviors, and the change in activity levels and sleep patterns. 

The intense emotions are characterized by ‘mood episodes’ that depends on person to person. These ‘mood episodes’ are typically in two ranges: 

  • Manic Episode: This episode occurs when the person is elated, has a lot of energy, has increased activity levels, has trouble sleeping, seen talking really fast about different things, feeling agitated, and engaging in risky things such as spending a lot of money or reckless sexual activities. 
  • Depressive Episode: This episode occurs when the same person is feeling sad, hopeless, have decreased or low energy levels, sleeping too little or too much, feeling of not being able to enjoy anything, feeling empty, feeling tired, or think about suicide. 

Causes:

With the ongoing research by various scientists about Bipolar Disorder, most researchers agree that there is no single cause. However, there are many risks factors that include:

  • Brain functioning and structure
  • Genetics
  • Family history

How is it diagnosed?

The first step of proper diagnosis of Bipolar Disorder involves talking to a mental health care professional, such as a psychiatrist

People who are suffering from Bipolar Disorder are most likely to seek medical help when depressed instead of the time when they are elated and energetic. The medical mental history of the individual is studied so that Bipolar Disorder is not mistakenly diagnosed with major depression

Many people indicate a wide range of symptoms along with Bipolar Disorder such as anxiety disorder, eating disorder, or substance abuse. Also, people with Bipolar Disorder are prone to develop certain conditions like thyroid disease, heart diseases, obesity, migraine headaches, and other related physical ailments. 

Treatment:

The treatment for Bipolar Disorder includes -

  • A combination of medication, which includes mood stabilizers, anti-depressants, atypical antipsychotics, and psychotherapy (talk therapy) that includes Cognitive Behavioural Therapy, Interpersonal and social rhythm therapy, psychoeducation, and Family-focused therapy
  • Electroconvulsive Therapy (ECT)
  • Sleep medications

Preventive Measures We Can Take:

Bipolar Disorder is a life-long illness that has no concrete causes. Researchers are only able to identify the risks factors involved in developing this condition. Hence, there are no particular preventive measures for this condition. However, one can get the help of mental health care specialist, such as a psychotherapist, that help in long-term improvement of this condition.

2 people found this helpful

Obsessive Compulsive Disorders - 7 Signs To Help You Spot It!

Dr.Pooja Anand Sharma 89% (108ratings)
Ph.D - Psychology, M.Sc. - Counselling and Psychotherapy, M.A - Psychology, Certificate in Psychometric Testing, Basic Course in Integrated Hypnotic Modality for Behavioral Resolution, Certificate in Cognitive Behavioral for Couple, B.Ed- Psychology Hon.
Psychologist, Delhi
Obsessive Compulsive Disorders - 7 Signs To Help You Spot It!

Obsessive compulsive disorder is a serious disabling mental illness that traps people in an endless cycle of repetitive thoughts and behaviours. People with OCD are plagued by recurrent thoughts, fears, or obsessions that are anxiety-producing. Usually, even though the patient knows that the fears or obsessions are senseless, he or she can‘t control them. 

The anxiety produced by these recurring thoughts leads to an urgent need to perform certain rituals or routines which are called compulsions. These compulsions could be washing one’s hands, cleaning the house or any such thing. These rituals are performed to make the obsessive thoughts go away, which they do for a short time, only to come back again stronger. The person is thus involved in acting out compulsions for hours together in a day, which really affects his relationships, profession or studies.

Symptoms of OCD
The symptoms of OCD are the obsessions and compulsions that a patient battles with daily. The common obsessions are:

  1. Fear of contamination by germs
  2. Fear of causing harm to other people
  3. Fear of mistakes
  4. Fear of being embarrassed in public
  5. Fear of thinking sinful thoughts
  6. Need for exactness and order
  7. Need for constant reassurance due to excessive doubt

In order to get over these obsessions, the patient carries out these common compulsions:

  1. Washing hands or bathing repeatedly
  2. Refusing to shake hands
  3. Repeatedly checking stoves and locks
  4. Constant counting while performing routine daily tasks
  5. Constantly arranging and re-arranging things in an orderly manner
  6. Eating foods in a specific order off the plate
  7. Repeating specific phrases or prayers
  8. A need to perform tasks a certain number of times daily
  9. Collecting items which are useless of have no apparent value

The cause of OCD is not yet certain. It was thought to happen due to low levels of the neurotransmitter serotonin, but today scientists think it could be because of problems in the pathways of the brain that link areas dealing with judgment to an area that filters messages involving body movements.

The treatment is medication and something called Cognitive behaviour therapy.

  1. In this, the psychologist teaches people with OCD to confront their fears and reduce anxiety but without acting out the compulsions. Cognitive therapy focuses on reducing the over-thinking that is seen in OCD patients.
  2. Medication therapy uses medicines like antidepressants such as selective serotonin reuptake inhibitors (SSRI) like Prozac and Zoloft, to quote the most common ones. Psychiatrists also use antipsychotics as they have shown to relieve OCD symptoms.
  3. If medications and cognitive behaviour therapy both fail, then doctors have to take recourse to electroconvulsive therapy or ECT.
  4. The thing to remember is that OCD will not go away by itself, how-so-ever long you wait. So, pick yourself up and seek treatment before the OCD symptoms get out of hand.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5344 people found this helpful

Depression In Adolescents - How To Administer It?

Dr.Arnab Ghosh Hajra 94% (256ratings)
MBBS, MD - Psychiatry
Psychiatrist, Kolkata
Depression In Adolescents - How To Administer It?

It is a serious mental disorder that effects and impacts the brain. It is also referred to as a mental health disorder, a psychiatric condition. Specifically, it is a mood disorder characterized by the persistently low mood in which there is a feeling of sadness and loss of interest.

Depression is known by different medical terms, some of which signifies a particular diagnosis:

  1. Depression can affect appetite.
  2. Clinical depression.
  3. Major depression.
  4. Major depressive disorder.
  5. Persistent depressive disorder.
  6. Dysthymia.
  7. Dysphoric disorder.

Causes:

  1. Genetic.
  2. Biological – with changes in noradrenergic, dopaminergic and serotonergic neurotransmitter levels theorized.
  3. Environmental.
  4. Psychological and social/psychosocial.

Why do adolescents get it?

There are multiple reasons that account for depression in young ones. Some of them are:

  1. Life events – for example, unemployment, divorce, poverty, although these events lead to lasting, severe depression.
  2. Personality. Failure of adaptive mechanisms strategies to stressors.
  3. Genetic factors. First-degree relatives of depressed patients are themselves at higher risk, and occurrence of depression between identical twins is high.

Childhood trauma can cause long-term brain changes affecting responses to fear and stress. Other history also raises the risk, including a suicide attempt, or any form of abuse.

Abuse of recreational drugs including alcohol, amphetamines.

  1. A past head injury
  2. Past diagnosis of depression.

Symptoms of depression include:

  1. Depressed mood.
  2. Reduced interest or pleasure in activities.
  3. Unintentional weight loss (without dieting) or low appetite
  4. Insomnia (difficulty sleeping) or hypersomnia (excessive sleeping).
  5. Psychomotor agitation (for example, restlessness, pacing up and down), or psychomotor retardation (slowed movements and speech).
  6. Fatigue.
  7. Feelings of guilt.
  8. Worsened ability to think, concentrate or make decisions.
  9. Recurrent thoughts of death or suicide, or attempt at suicide.

What treatments can be used to overcome it?

  1. PsychotherapyPsychological or talking therapies for depression include cognitive-behavioral therapy (CBT), interpersonal psychotherapy and problem-solving treatment.
  2. Antidepressant medications.
  3. Support: ranging from discussing practical solutions to contributing stresses, to educating family members.
  4. Electroconvulsive Therapy: Severe cases of depression that have not responded to drug treatment may benefit from electroconvulsive therapy (ECT), which is particularly effective for psychotic depression.St. John’s wort, exercise and other therapies
  5. St. John’s wort is a herbal treatment (Hypericum perforatum) that may be effective for mild depression although the evidence is mixed.
2328 people found this helpful