Find numerous Homeopaths in India from the comfort of your home on Lybrate.com. You will find Homeopaths with more than 32 years of experience on Lybrate.com. You can find Homeopaths online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
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
Submit a review for Dr. Ashwin DhirwaniYour feedback matters!
Hi Doctor Is Mild Hypertension Reversible? The Reading is 105/150. My age is 50 Years Male I have diabetes from 20 Years but most of the time under control I do everyday 5 KM walk and Yoga I do not like to take medication whole life Undergoing some stress from 6 months But things will settle down soon Can this disease be reversed?
Think of the day when no one is at home and you have to make your own lunch. You can’t spend too much time figuring out what to make because you are getting late for college or work. Unable to conjure some ideas up, you finally end up buying lunch from the nearest takeaway, never realizing that in the process, you did not do your body any favor.
But, fret not; because all you have to do is learn about a few healthy quick recipes that are a treat, not only for your body, but also for that ever demanding palate of yours. Read on to know more:
- Boiled chickpeas: Boiled chickpeas are rich in protein, fiber and low in calories. Chickpeas contain complex carbohydrates that provide a steady stream of energy to your body. The fiber and protein contents in them promote satiety. You can pair them up with sliced tomatoes or cucumber. Feel free to add some spices for a light yet delightful lunch.
- Chapatti wrap: You can make a chapatti wrap with fillings that consist of sautéed vegetables and mint chutney. This is a very well balanced lunch that is extremely easy to prepare. Include vegetables such as carrots, cabbage and tomatoes that provide the all essential vitamins and minerals
- Stir fried vegetables and poached eggs: Another healthy dish if you are looking to lose fat, this option involves negligible carbohydrate count. Cut the vegetables into small pieces and then stir it in an oak. Add lemon juice and some sesame seeds to add flavor. The poached eggs are a good source of protein and Vitamin B that help in the easy functioning of the body’s metabolic system.
- Poha: Poha or beaten rice is a healthy staple that can be prepared very easily. You can add vegetables to the mix to make it a well-balanced meal. It falls under the category of ‘whole grains’, thus it releases energy steadily instead of spiking the blood sugar levels in the way most simple sugars do.
- Chicken and corn soup: A very refreshing dish especially during the winters, it is not only light on your stomach but also helps in curing cough and cold. It contains protein, carbohydrates and Vitamins that make it a very well balanced meal. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
Continuous dull pain on the right lower side and front side. USG shows left uteric stone 5.5 mm about 2.5 cm from U bladder junction: left ureter 1cm approx back flow. Simple cyst 1.1X 1.2 cm in the right kidney. Both kidneys, pancreas, gall bladder and liver normal. Prostratate size normal. Bladder normal. Xray revealed : Oestopania noted. Early OA changes of facet joints seen.
I am 22 years old. I took 50 mg viagra one and half year ago. But having hearing problem. Air comes out from right ear when I exhale out forcefully from nose.
I have throat cough for 7-8 days. I have a yellow mucus when I cough out. I feel throat pain as well and irritation in my throat.
My body is itching over 2 years before I m facing a problem only in a winter season I didn't tell anyone about it but now I m going to tell you please give me some proper solution what should I do or not.
Hello sir I am 24 years old and since from 2 years I have severe hair fall and I used many oils and reme dies but of no use. Please send me a remedies.
Actually my wife is getting back pain 2 times in a weak. What she need to take care off. And normally why this problem will come in a early age. May I have any suggestions to to reduce the pain.
I am suffering from severe heat inside my body which shows its impact in mouth, please give me suggestions.
Hi I done the thyroid test one week back. The result is normal and the tsh rate is 7. Please tell me the suggestions.
Why I am not gaining fat after taking so many diet plans for a long time is there any genetic reason behind this or something else?
Hi. My father is a diabetic patient. Can a diabetic patient take alcohol? please give us a diet plan for diabetes patient ?
Which is the correct period to have sex before and àfter periods to avoid pregnancy? I am going to do sex with her on coming june 3 and her mensuration starts on june 7. Is it correct time to avoid pregnancy?
In 5 Years, Threat Of Drug-Resistant Superbugs Doubles
A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.
There was no relief.
So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.
Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.
With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.
In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.
Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.
Most patients, however, succumb to the infection.
Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.
What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.
India is fast becoming home to superbugs
Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.
Escherichia coli is notorious for causing food poisoning and urinary tract infections.
In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.
Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.
While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.
For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.
Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.
MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.
Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.
People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.
How ignorance is spurring the development of superbugs
“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”
–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.
Mox, short for amoxicillin, has become a household word across India.
A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.
Consuming too many antibiotics contributes to pathogen drug resistance.
“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.
Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.
Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”
Amoxicillin’s full course depends on the kind and severity of bacterial infection.
When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.
But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.
Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”
Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.
In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.
“Less is more”: the key to preserving antibiotic efficiency
Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.
That is sensible advice.
Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.
Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.
India requires more stringent regulations for antibiotic use.
It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.
“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.
“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”
So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.
That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.
Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”
“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.
India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.
Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.
India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.
“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.
How surgeons contribute to antibiotic resistance
Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.
Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.
Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.
“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.
Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.
“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.
Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.
“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.
In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.
Needed: A back-to-the-basics approach to health
Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.
“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.
In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.
However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.
Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.
So, it is better to focus on the basic constituents of health.
Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.
Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.
Dr Himanshu Shekhar
( Above Article , with My Inputs was published in a leading Health Magazine)
Lybrate | Dr. Roshni Shafeeq speaks on IMPORTANCE OF TREATING ACNE EARLY
Hello, I got addicted of doing masturbation. Daily I'm doing unable to control of that. So kindly tell me how to control or get rid of that.
I'm 26 years old Married recently 7 months back. After marriage my periods were irregular like two months don't know why all these thing doctor said nothing to worry no problem. But pms symptoms for me from 3 weeks. Last july 14 th periods. Till no periods. But no periods and very light spotting dark brown color please tell me reason and which tests I have to do. One more question am using homeopathy is it any reason for not conceiving.
The smell of your body acts the same as a natural aphrodisiac, and it can entice your partner for immediate sex. However, if the same pleasing smell is converted into a bad odor then your sexual life with your partner would become a little objectionable. It is very imperative that we take care of personal hygiene as regards essential parts of our body to guarantee a happy as well as healthy sex life. Care should be taken that we do not mess up with cleanliness issues and to achieve a healthier comfort zone and follow a few essential tips related to personal hygiene.
General Health Tips to Be Followed:
- The first and foremost hygiene tip that must be followed to avoid bad smell is to take a shower. It would make you feel fresh and provide better energy to perform the sexual act.
- It is very essential for couples who want to enjoy oral sex to wash their sexual organs properly. If the sexual organs are not washed properly your partner would be reluctant in giving you oral pleasure. Hence, proper a cleanup is a must and this must be done before and after having sex, which is obligatory even for your personal health.
- In the course of sexual acts, partners often tend to touch the body parts of their partner and if the body parts are hairy, then that too can put your partner off. It is therefore, necessary that all the brittle hair is shaved off properly, and it should be trimmed neatly. The body hair can make it uneasy for you to enjoy sex with your partner.
- The most important hygiene tip that needs to be followed is to keep your hands and nails clean. If the hands or nails are dirty, they are likely to carry harmful microbes in them and that possibly will irritate your partner as well. To feel nice and enjoy sex in a better way it is always better that body parts are cleaned properly.
- Discomfort in sex is also caused when your mouth stinks due to eating something, and your partner would feel reluctant to kiss. It is therefore, best that you brush your teeth before going to bed. The other way you can get rid of the smell is taking some mouth freshener or chewing a mint. It would help in attaining pleasant smell in your mouth.
These hygiene tips must be followed to enjoy romantic moments in your life. Moreover, it is always good to stay clean and maintain personal hygiene. If you wish to discuss about any specific problem, you can consult a Sexologist.