Dr. Shubhangi Chougule

Salivary gland produce saliva, which keeps the mouth hydrated. It softens and moistens the food that you chew while eating. Saliva also has a slight digestive function. Most of the times, tumors that form on the glands are noncancerous. But sometimes, they might be cancerous. There are three main salivary: parotid glands, submandibular glands and sublingual glands.

Salivary gland cancer falls under the category of mouth cancers. The symptoms of salivary gland cancer include:

1. A lump or mass in the neck, face or mouth.
2. Pain in one area of the face, mouth or neck (know more about to deal with neck pain)
3. There is a noticeable difference in the shape or size of the right and the left sides of the face.
4. Feeling numb and weakness on either side of the face.

The risks of salivary gland cancer are as follows:

1. Exposure to industrial radioactive chemicals
2. Diets high in animal fat but very low in vegetables and fruits
3. Consumption of alcohol and smoking, or chewing tobacco
4. Genetics or hereditary factors

The two most Ayurvedic treatment for salivary gland tumours are Arogyavardhini Vati and Punarnavadi Guggulu:

1. Arogyavardhini Vati: Arogyavardhini Vati is the best Ayurvedic remedy for digestive conditions. Salivary gland tumors do end up affecting digestion. This remedy is beneficial for such. Arogyavardhini must be taken cautiously since it has potent metal (mercury, sulphur, iron, mica and copper) ingredients. It balances the vata, kapha and pitta doshas in the body. Do not take this medicine if you're pregnant or lactating.
2. Punarnavadi Guggulu: Punarnavadi Guggulu is available in tablet form. It balances the vata and kapha dosha in the body. This medicines must be consumed carefully. The Ayurvedic practitioner must measure your doses strictly. Pregnant, lactating women and children must not consume this remedy.

Besides the two remedies, hot packs bring much relief, if you have pain in your face. Practicing Yoga and Pranayama daily can help the body flush out the ama (toxins) from the body.

Forensic psychiatry is generally identified as a specialized offshoot of psychiatry, dealing with the calculated treatment and evaluation of mentally disordered offenders in secure hospitals, prisons and in the community. This branch of psychiatry requires an indepth understanding and thorough knowledge of the connection between legality and mental health. 

Patients of Forensic Psychiatry, generally are affected with personality dysfunctions, mental illness, psychopathic disorders, organic brain damage, learning disability and other conditions, such as histories of abuse and traumatic experiences as well as substance abuse and misuse.

Nature of the work
The most important prerequisite of this branch of psychiatry is a secure and safe environment where the subjects are liable to legal restrictions. Evaluation and assessment may vary from highly secured hospitals and prisons to low secure units and community based services. Forensic psychiatrists must have a thorough knowledge of civil, criminal and case law because of their frequent dealings with criminal justice agencies and the courts. 

An important component of Forensic Psychiatry is risk assessment and evaluation. Forensic psychiatrists must be fluent and adept at handling patients during emergencies or routine situations. Moreover, they should be calm, composed and professional in their dealings, especially with patients who display instability or violent and aggressive behavior.

The probation service, the prison service and the courts generally rely on forensic psychiatrists for expert advice, precisely because of their familiarity with preparing reports for mental health review tribunals and criminal justice agencies.

Imperatives: 

1. Quintessentially, the obligatory role of a forensic psychiatrist requires:
2. Ability to treat others with understanding and respect
3. Ability to work flexibly
4. Emotional resilience along with the ability to empathize with patients
5. Anticipation and an inherent initiative to work in challenging situations
6. Good communication skills
7. A scientific and analytic approach and assessment
8. Good leadership qualities