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Treatment Of Erectile Dysfunction
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I am a 57 years old and suffering from diabetes, at present taking glimperide - 2+2, zita-met 50mg/500mg - 1+1 and volibo-m. 03-1+1+1. Please advice me if there is any alternative medicine because these are very costly. Regards
I am a 18 years old male. I am having acnes on my body having pus in it. They occur frequently. My sugar level is also normal. Don't know what to do.
From last few years I was having BP medicine for high BP. BP medicine that I am taking is Olsar 20 (Olmesartan medoxomil Tablets 20 mg) Daily one. Is it ok if I stopped as I have started exercise (gym) and also I quit smoking and alcohol. Earlier I was feeling problems, but now I feel refresh. Pls. Advise me should I continue to take the medicine.
Is it possible to make skin look fair. From brown complexion to fair? If yes can you please suggest me some good tips!
A lifestyle disease such as diabetes is never nice to have, isn’t it? Also, when a person has diabetes, there are some things of which more should be had and then, there are some whose consumption should be scaled back. So what exactly does a diet for a person who has diabetes look like?
Breakfast is said to be the most important meal of the day as it kicks off the metabolism for the day. Having a large breakfast is quite important so as to take care of the body, but this only makes sense if the food that is being eaten for breakfast is healthy enough. It is quite a good idea to have some porridge. While it is true that porridge is a carbohydrate-rich food item, what it also has is a great amount of soluble fibre. In fact, this sort of fibre takes some time to digest, so it reduces the pangs of hunger, which would have normally made a person eat unhealthy junk and fast food.
In a world of food that is processed, packaged and picked up from the supermarket, people are just not eating the correct amount of fruits and vegetables as they should. What is important to keep in mind is that vegetables are to be had in multiple portions on a daily basis, but these vegetables must be low in starch content. This means that for a person who has diabetes, vegetables which should not be eaten include potatoes, sweet potatoes, peas as well as corn.
On the other hand, the sort of vegetables which are to be eaten include broccoli and spinach. Spinach is also very good for increasing the level of haemoglobin in the blood. Also, making use of cinnamon extract is good as it has the potential to cut a person’s sugar levels by up to a tenth.
While it is not true that potatoes and other starchy foods should be completely avoided, a diabetic person should watch the amount of them that is being consumed by him or her. The reason for this is that starch-filled vegetables have high amounts of carbohydrates, which are generally responsible for raising the level of blood sugar. This is surely the last thing a diabetic person would want or need.
If you notice, strawberries have some sugar content, but they are a lot better than biscuits and other snacks. So in case a diabetic person wants to nibble on something, sweet fruits are always a better option. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
I am 55yrs old I have been found to have pulse variation. What could be the treatment from ayurveda?
I feel itching in my whole leg (specially at the thighs and back side of knee). This makes me very uncomfortable.
Good morning sir, age 31 years I have skin problem related leprosy but all my cells are in condition I was taking treatment since 2008 still taking the treatment for this course still I didn't get sensation on my foot and I have white patches. And I got married recently this not problem for my married life?
Acne or acne vulgaris is a medical condition characterized by the appearance of an ugly and vulgar scourge on the face. Acne can cause scars, which are lifelong and can affect the self esteem and self-image of a person. Acne is more common in adolescents, but grown-up men too can suffer from acne. Acne in case of men is less severe, but still they are enough to spoil one's facial appearance.
Acne is caused because of several reasons, such as:
1. Overactive sebaceous glands: The trapped oil in the pores of the skin or follicles may result in blockage or blemishes. The sebaceous glands are responsible for creating oil, which helps in lubrication of the skin surface. Over secretion or overproduction of sebum from these glands may cause acne in men. Excess of oil stays in the pores, which blocks the sebaceous duct creating a follicle blockage. This causes acne.
2. Shedding of skin cells: The epidermis or topmost layer of the skin sheds dead skin cells and is replaced by new cells. When this process is hampered, extra skin cells are produced and the presence of lamellar granules in the skin gets lessened. This makes the skin prone to acne. More dead skin cells are produced, which are not shed properly and the cells remain stuck inside the follicles, which lead to acne.
3. Bacteria proliferation: A type of bacteria known as propionibacterium acne is found on the surface of the skin. When the propionibacterium acne grows out of control, acne are caused. Due to blockage caused by dead cells and excess oil, an anaerobic environment gets created and oxygen cannot pass through the pores.
- Treatment of acne is done by keeping the pores open. This is done by using various skin cleansers for exfoliation of the skin and removing dead skin cells.
- Some medicines which are available over-the-counter stores can be used to treat acne. The peroxide and glycolic acid present in the medicines prevent the formation of blockages.
- Chemical Peels work by removing dead skin cells and encouraging new ones to grow, leading to a fresher, more glowing you. A chemical formula is applied to the skin that removes the top layer of skin and reveals the softer, smoother skin beneath.
- The procedure is used all over the world to treat skin problems such as wrinkles and lines, acne scars, hyper-pigmentation, and sun damage - the results can be life-transforming.
- Several gels, lotions, pads and creams may help in exfoliation and cleansing of the skin. These products contain benzoyl peroxide, which helps in destroying bacteria responsible for triggering infection. They also contain Salicylic acid, which helps in unclogging of blockages.
- Several antibiotics can be consumed or rubbed on the surface of the skin for controlling bacterial growth. Certain vitamin A derivatives called retinoids also help in unclogging of the follicles. Some anti-inflammatory medicines can also treat acne.
Acne is a condition which is not just confined to teens and may occur in grown ups and adult males. Acne is irritating and must be eliminated using the various methods advised by your physician. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My name is Kapil Kumar my height is not increasing please help me in getting solution give me some solutions.
Hello Dr. m suffering from dark circles under eyes can these circles cure in life is there any effective treatment for these eye circles pls help if there is no treatment then any tips to hide them. Thank you.
Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.
Type: Gastric cancers can present as one of the following types -
- Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
- Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
- Carcinoid Tumor: Begins in hormone producing cells of the stomach. Occurrence of carcinoid cancer, in the stomach, is rare.
- Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.
Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –
- ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
- Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
- Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
- History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
- Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
- Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
- Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
- Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
- Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:
Early Stage – can present with one or more of the following non-specific symptoms/ signs -
- Dyspepsia (Indigestion),
- Stomach/ Epigastric discomfort,
- Bloated feeling after eating,
- Mild Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- weight loss (Cachexia)
- Occult blood in stool/ Melaena,
- Advanced Stage – presents with one or more of the following symptoms/ signs -
- GI Bleeding with black tarry stools (Melaena),
- Persistent Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Early Satiety,
- Loss of Appetite (Anorexia),
- Weight loss (Cachexia),
- Persistent pain in the abdomen,
- Fluid build-up in the peritoneal cavity (Ascites),
- Edema of the lower extremities,
- Liver Enlargement (Hepatomegaly)/ Jaundice,
- Difficulty swallowing food (Dysphagia)
- Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer -
- Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
- Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
- Stool: Occult blood may be +ve
- Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
- Gastroscopy/ Biopsy: Clinches the diagnosis.
- Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
- CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
- Bone Scan: Helps detect osseous metastasis (bone mets), if any.
- Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.