Dr. Jayesh Shah

ASTHMA EDUCATION ---SPECIAL CONSIDERATION IN MANAGING ASTHMA
PREGNANCY--During pregnancy the severity of asthma often changes,and patient may require close follow up and adjustment of treatment.Pregnant patient with asthma are advised that greater risk is to their baby with poorly controlled asthma.Modern asthma medicine are safe for their baby and aggressive management of axacerbation of asthma is advised to prevent baby hypoxia.

SURGERY.--Airhyperresponsiveness,airflow limitation and hyper mucus secretion predisposes asthma patient to preoperative and post operative respiratory complication specially thoresic and upper abdominal surgery.
Lung funtion test are advised to assess severity of asthma.

RHINITS,SINUSITIS AND NASAL POLYP.
Rhinitis, sinusitis and nasal polyp can aggrevate asthma and require their treatment along with asthma care for better control.

OCCUPATIONAL ASTHMA.--
adequate avoidence of occupational exposure is required besides regular management of asthma.

RESPIRATORY INFECTION.--
Respiratory infection increases asthma symtoms and infection if any should be treated.

GASTROESOPHAGEAL REFLUX.
GERD is 3 times more in asthma patient as compared to normal population and need proper assesment and treatment.

ASPIRIN INDUCED ASTHMA
About 28% of asthma patient have aspirin sensitivity and aggrevate asthma symtoms, so patient with asthma should avoid aspirin.

ANAPHYLAXIS.
Anaphylaxis is a potentially life threatening situation which can mimic asthma and complicate asthma and need very urgent management

DR MC GUPTA MD RESPIRATORY MEDICINE

Sugar, sweetened juice, soft drinks increase belly fat as the main ingredient is glucose, fructose and the turns into belly fat and metabolic system affected and impaires insulin sensitivity. Instead of this take plenty of vegetables, whole fruits. Use unrefined foods. Eat small amount of food. Eat protein foods more which will help to reduce fat and help to build muscle. Add healthy fat small amount. Avoid fast foods, junk foods, processed foods. Use lukewarm water after meals. Use lukewarm water with lemon juice on an empty stomach in the morning and do exercise like swimming, skipping, push ups, sit ups, plank, yoga. And see the result.

Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.

You have night fall problem. I advise you private consultation from me where I will tell you certain guidelines and medicinal treatment about night fall and sperms release.

Take Homeopathic Bacillinum 1 M & Influenzinum 1 M one dose alternate day pattern at morning for 15 days .Please also check your IgE level blood test

First you should follow low calories food for weight loss. * in morning, take 1-2 chapattis with a bowl of cooked green vegetables. You can take a glass of lemon water with it *in lunch you can take a bowl of raw vegetables like carrot, radish, tomatoes, turnip or beetroot. *in evening, you can take a cup of green tea only with some pieces of friuts like apple, pineapple, pear. Avoid taking banana or mango. *in dinner, you can take vegetable soup or a bowl of cooked vegetables. But do not take potato, sweet potatoes. * you can take a cup skimmed milk 4 times a week only during day time. * work out for atleast 1 hour in morning, you can try skipping for 15minutes with a walk of 30 minutes and 5-10 minutes running. Follow these exercises in the morning - * lie down on flat surface, raise your legs without bending your knees, do it for 3-5 times daily * do not eat fastfoods and soft drinks, as they have high calories and the calories deposit in body in the form of weight if not utilised. * you can take medohar guggalu 1 tablet daily for quick weight loss but only under the guidance of ayurveda expert.

Silastic sheets are silicone sheets which are used to cover the scars after application of the cream. You will get it at any good pharmacy store

First you should follow low calories food for weight loss. * in morning, take 1-2 chapattis with a bowl of cooked green vegetables. You can take a glass of lemon water with it *in lunch you can take a bowl of raw vegetables like carrot, radish, tomatoes, turnip or beetroot. *in evening, you can take a cup of green tea only with some pieces of friuts like apple, pineapple, pear. Avoid taking banana or mango. *in dinner, you can take vegetable soup or a bowl of cooked vegetables. But do not take potato, sweet potatoes. * you can take a cup skimmed milk 4 times a week only during day time. * work out for atleast 1 hour in morning, you can try skipping for 15minutes with a walk of 30 minutes and 5-10 minutes running. Follow these exercises in the morning - * lie down on flat surface, raise your legs without bending your knees, do it for 3-5 times daily. * do not eat fastfoods and soft drinks, as they have high calories and the calories deposit in body in the form of weight if not utilised.

apply medicated oil over knee joint, do hot fomentation,do physiotherapy under supervicion,keep cows ghee in diet, take milk,dry fruits,fresh fruits ,proper diet, sound sleep.. Best luck

Take syp cremaffin two tsp at night and apply lidocaine ointment and if necessary get it operated and avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.

Hello, Go for meditation & yoga to reduce stress  nourishing your body & brain for a better sexual enjoyment in life as relaxation helps improve blood circulation in the body, transporting blood to Penis stimulating penis growth. •Cold temperature shrinks the size of the penis, so take a warm shower and keep your body warm to increase the blood flow to the body and the penis. •Go for a massage on penis applying some  cream or oil. •Make a ring with the help of forefinger & thumb around the shafts of penise, bring finger ring from bottom to appex putting a little pressure on penise and reverse back to bottom for 20-30 times, comfortably This massage strengthens the shafts making  it firm to increase length and girth ,threrof. Homoeopathy stands just side by you as a reliable  friend in need. Tk,  care.

You are into a depression and I don’t think the home scene is helping much. You must learn to close the past and relate to the future and present. In my opinion you are not ready to adopt and should first work on your issues. I suggest you meet with a counselor and perhaps a doctor too and deal with the depression. Do not discontinue the counseling even if you are put on medication. Your life is very precious and you should never attempt suicide at any time ever. I like that you are ambitious but you must also work at fulfilling them by reasonable means. The first thing to do is to get emotionally balanced. You have an anger-related depression and therefore if you learn how to express your anger much of the depression may reduce. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. This is a better bet instead of adopting children. If you succeed in bring up the dog well then you may consider adopting. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.

This information is not sufficient to differentiate between asthma & copd. Both have different treatment, you are taking a mixture of both treatments. Send your spirometry report and chest xray report so that I can help.

Homoeopthic medicine------- gelsemium 30 (dr reckeweg) drink 1 drop direct on tongue evert 1-3 hrly depending upon frequency of blinking eyes.--------- if problem persists even after usage of this medicine for 5 days, consult a neurologist-------------

Ginger ginger can help reduce inflammation of the blood vessels in the head, thus providing relief from a headache. Mix equal parts of ginger juice and lemon juice. Consume it once or twice a day. Another option is to apply a paste of one teaspoon of dry ginger powder, also called sonth, and two tablespoons of water on the forehead for a few minutes. You can also boil ginger powder or raw ginger in water, and inhale the vapor. Chew one or two pieces of crystallized ginger candy.

Hello. Start an antioxidant like chewable tab limcee once a day for 3 months. Please apply avarta under eye cream twice a day on dark circles for 3 months. Have fruits, proper sleep and adequate amount of water daily. Avoid stress and sun exposure.

Hye. Thankyou for your query. There’s no overnight fix when it comes to healthy weight loss, but you can adjust your lifestyle to promote quick, natural weight loss for the benefit of your health and your appearance. Successful, long-term weight management needs to focus on more than the food you eat and the pounds you lose. It needs to focus on your overall health. Reshape your body and your lifestyle by adopting healthy habits and breaking unhealthy ones. Replace all processed foods in your diet with vegetables, fruits, whole grains, low-fat dairy, lean meats, eggs, legumes, nuts, seeds and seafood. Focus on the variety of whole, unprocessed foods you can eat instead of dwelling on the junk food you eliminated from your diet. Eat smaller portions at every meal and avoid going back for seconds. Take a smaller scoop of rice, half of a piece of chicken instead of a whole piece and one less egg in your morning omelet, for example. Make time for breakfast every morning. Eating breakfast helps prevent overeating and is a habit of people who successfully lose weight. Pack to-go meals instead of eating convenience foods when you’re not home. Store foods like chopped fruits and vegetables or cooked grains, legumes, eggs and meats in your refrigerator so you always have something to grab when you’re in a rush. Buy fresh vegetables and fruits from the grocery store if you forget to bring healthful food from home. When you can’t avoid dining at a restaurant, opt for a salad as a starter, and always ask for the dressing on the side. Clear soups, lean meats, seafood and grain-based dishes like roti, whole grain bread are other good choices. Exercise for 30 to 60 minutes at least three times per week to build muscle and burn more calories. Pilates, strength training, aerobics, swimming, dancing and yoga or a sport like football are ideal choices. If you’re new to exercising, start with brisk walking and jogging. Adopt physically demanding hobbies like bicycling, hiking, jogging, power walking to promote faster weight loss. If you don’t have time for new hobbies, increase your physical activity with things like walking the dog, playing with the kids or jogging instead of driving to a nearby store or taking the stairs instead of the elevator.

Nails are dead tissue in our body and nail polish will not cause cancer and so your daughter can use it

Mintop is good for hair loss . Apply coconut oil and do not use shampoo. Only dry the excess Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must.