Doctor in Dr Shah Kirit N Clinic
Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Corn Removal Procedure
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Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.
Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.
The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.
The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.
- Prolonged dysthymia/ sadness
- Feeling lonely/ misfit
- Emotional dysregulation or Frequent mood swings
- Significant interpersonal issues
- Self-Injurious behaviour like making cuts in skin, burning, pricking etc
These symptoms are warning signs of borderline personality disorder and should be paid attention to:
- Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
- Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
- Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.
Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.
Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.
Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.
Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.
When do you need a replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery
Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5–1.5 cm are made far from the location of the operation. One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.
This process is used to diagnose unidentified abdominal or pelvic pain. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis.
Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight-loss surgeries.
Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection
Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery!
Amblyopia or Lazy eye is the eye condition in which vision is reduced and cannot be corrected with glasses or contact lenses. All the images seen by the amblyopic eye are not fully acknowledged by the brain. It always affects only one eye, but may be accompanied with reduction of vision in both eyes. It can cause loss of vision, including loss of depth perception and two-eyed 3D vision. It's treatment can yield improvements at any age, but early detection can offer the best chances for a cure. Recent research has proven that lazy eye treatment can be successful in older children and adults. Comprehensive vision examinations are required for infants, toddlers, and pre-school children for the detection of lazy eye or amblyopia.
When the brain parts related with visual processing do not function properly, problems arise with such visual functions as the perception of movement, depth perception and fine detail (acuity, clear eyesight and sharp vision). Amblyopia is the most prevalent neurological defect of vision in children and adults resulting from developmental problems in the brain. Any interference with clear vision in either eye during the first six years or 'critical' period of visual and brain development can cause a lazy eye.
Constant strabismus or the constant turn of one eye in any direction, be it inward turn or crossed eye is one of common causes of amblyopia. The differences in vision or it's prescription between the two eyes leads to refractive amblyopia. Sometimes congenital disorders or a physical blockage of an eye due to trauma, drooping lids, cataract or a blocked tear duct can also lead to amblyopia. Many parents and children are not aware of any symptoms, as amblyopia usually occurs in one eye only and a lazy eye condition can exist without a noticeable eye turn. The visual acuity tests in addition to the 20/20 eye test charts and eye examination with cycloplegic drops by ophthalmologists are necessary to detect lazy eye.
Vision therapy for the eyes and brain is a highly effective non-surgical treatment for lazy eye. It is a progressive program of vision exercises customized to fit the visual needs of each patient. It is conducted at the clinic and occasionally supplemented with exercises to be done at home or workplace. It improve visual comfort, ease, and efficiency and change how a patient processes or interprets visual information. When considering treatment options, it is important to understand that lazy eye results from neurological deficit or problems in the brain and surgery for lazy eye is performed on the muscles on the outside of the eye. Most of the cases, lazy eye surgery provides cosmetic benefits and does not improve the patient's vision, hence options for vision improvement should be exhausted before eye muscle surgery is considered.
Watching porn can be pleasurable and invoke your intimate desires. Since talking about intimate relations is considered as a taboo and most children in our country don’t receive proper education, they resort to porn videos that give them a false idea of reality. Little do they know that the actual acts are nothing like the ones they see in these adult videos. Looking at men with chiseled bodies, women with hourglass figures and extremely spicy sex lives can, unfortunately, lower your confidence. After all, not everyone can attain these. Nonetheless, one can always engage in the act of self-satisfaction or masturbation by watching these videos. Masturbation is one of the underrated pleasures of the world and pornography does the trick here; it not only gets you sexually aroused but also helps you in reaching an utterly satisfying climax.
These thought process may include the habit of watching porn. Wait! Did you say Porn? Now before we jump to conclusion and sing hymns that porn is bad for you, let us look at it from a different perspective. Sure it could have a negative impact if you are addicted to it, but let’s say for a minute that you have a habit of watching porn occasionally. Is it really that bad for you as spread across in social circles? Let’s find out!
Watching porn: Ask any kid why he would want to watch porn and almost two out of three answers would be that they need a quick fix in their “Me Time”. Our human brain varies a lot and though everyone would disregard this, our mind always yearns for variance and adventure. Porn in a way gives this to them. The experience of watching something new or something which is not the usual norm accelerates the hormone process and this directly makes you cum earlier. Of course, this may pave the way for premature ejaculation and can also affect your libido levels. But that is a topic for a different discussion.
Positive consequences of Watching Porn: One of the few good things about porn is that it determines what scintillates you and what type of guy you are. It also in a way allows you to develop standards while pleasing a woman. Love making is not just an ejaculation process. It is rightly called an art. Do explore more and porn if channelled in a right way can actually be good for you. However, there is a very thin line between good and the bad side of porn. Just make sure that you are not addicted to it.
Increased Sexual Energy: Almost 75% of the population would get excited about porn. Psychologists say that this is not a bad thing and they can channel this need into a positive sexual energy. Porn can increase your libido levels and if you combine this with deep inner exercises like meditation and breathing exercises, then you can be greatly benefited by it. Though it sounds a bit absurd, experts would like us to try it out.
Last Longer: While porn can make you come earlier, alternatively it can help you relax and you can take your time to get an orgasm. This happens in the advanced stages and you need to know a couple of factors before you get to this level. One is you need to know your limit and the permissible lines when you watch porn. Second, don’t overdo porn. These might take some years to practice but once you have mastered it, porn can actually be an alleviating experience for you with mental harmony and peace.
Worrying is a natural tendency among children. While some of it helps children excel, too much worrying can lead to anxiety related disorders. From friendship woes to homework to fear of failure, there could be a lot of factors that can lead to anxiousness in a kid. This problem is mostly witnessed in school going, children. Some of the common symptoms that are portrayed include the need to be perfectionists, seeking of constant reassurance, getting sick worrying too much, scared of participating in a group event etc.
How to prepare your child to overcome anxiety?
- Help them prepare: One major cause of anxiousness in a child is ill preparation. Be it tests or essays, if a child has not prepared well, he tends to get nervous and suffer from anxiousness. The solution is to teach them various study techniques such as flashcards and quizzes. If this is done regularly and reviewed meticulously, your child will get over the fear of failing and perform better.
- Teach them to focus: Losing focus is a major tendency among kids who tend to suffer from anxiety related disorders. Keeping the concentration going is a major skill that needs to be taught by parents. Kids often sit blankly during tests thinking others are far smarter than they are. Some good method to teach focus is to teach them reverse counting, slow breathing technique, frequent consumption of water etc.
- Pass on the anxiety: Anxiousness has to be passed in form of something. Certain activities, therefore play great strokes in addressing anxiousness. Teach your kids to distress in the form of TV or teach them to write when they are anxious. This not only takes off anxiety from the equation, it helps a kid to relax without the fear of failure.
- Reassurance: Kids suffering from anxiousness often need repeated reassurance about the task in hand. The task here for a parent is to make their kid understand that failure will not impact their relationship with their parents. Often the failure of letting someone down makes a kid anxious. Constant reassurance will curtail the tendency. This being said, parents should ensure that this doesn’t become a habit for the kid. The idea is to make them comfortable and make them less dependent on you.
- Relaxation techniques: A study published by the Journal of School Counselling argued that kids who practised relaxation techniques are far less likely to suffer from anxiety and stress related disorders as compared to their peers. Some of the relaxation techniques that can be easily learned and practised include breathing exercises, meditation, yoga and so on. This exercise helps children to focus and concentrate more.