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Dear dr, em 21 year girl. I am facing pimple problem on my face. I try many cream for controlling pimples but no profit. Pimple coming again.
I have done the appendicitis operation and have stitches in my stomach and have to open it tomorrow so my question is that after removing the stitches should I be careful or now its OK and most importantly after its done can I drive my 4 wheeler or not please reply.
Continuous cough from 2 years, used all cough syrups and went through all the tests but nothing is found, can you suggest a good syrup for it or any other suggestion for it.
Sir My niece who had a hole in her heart last year we had done her operation in bangalore now .Doctor told that she will overcome within a year but now the problem is that she is not as active as other child she is 2 years 4 months but cannot response to the things and even can not stand in her legs .We consulted to Many doctors but the result is same now in cuttack we checked up her but the doctor says that the child is mentally and physically challenged, when she was 6 months she also suffered from nemonia. And that the reason is. Some of her organs were not developed properly. Sir give us a hope.
I have itching problem with my hair. If I don't bath my hair for even 2 days, itching starts and I can see white residue in between my nails as a result of the dirt accumulated in my scalp.
I am unmarried I have some periods prblm it will be delay how I maintain monthly periods properly or correctly.
After eating food my stomach comes out like a pregnant women and it feels to heavy and it is very uncomfortable what to do.
I am facing problem of early fall during sex. Kindly suggest how to overcome from this. My age is 40+ and having two childs. My wife always complaing about this kindly suggest me.
I am 24 years old, I have a problem that my body fat is increasing day by day, have any medicine solution?
I am 16 years old boy and I have fever from many days due to rain I tried many medicine but still I am not well. Can you please say me some tips?
My age is 22 my hair getting thinner and greying. I applied onion juice and aloe vera for 2 month but no result help me.
I haven't been able to sleep since 2 days and I have some eye problems, because of this I am getting head heck.
The benefits of regular exercise in our constantly changing lifestyles cannot be over emphasized. Look at any of the lifestyle associated diseases and exercise is definitely one of the ways to beat it. Over the years, with stress and changed lifestyle, people are ageing faster than they should; the rate of ageing has also increased. Including exercise as a regimen can immensely help anti-ageing. Read on to know how exercise can help skin look younger and reverse some effects of ageing.
For those who are used to a moderate workout regularly, it is like an energy drink that fires up the brain and body, leaving you more alert and alive. While most people associate exercise with workout and fatigue, the truth is that it energizes and vitalizes the body like nothing else.
- With age, the outer layer of the skin thickens and the inner layer becomes thin. This results in freckles, dark circles under the eyes, reduced elasticity, etc. The thinning inner layer is not able to replace collagen and replace elasticity at the same rate as it is being lost. What exercise does is work up sweat, which cleans off the dead cells from the top layer. The skin pores open up, thereby allowing the skin to breathe which in turn allows more oxygen to reach the underlying thin layer, and lets it make collagen. This improves firmness and elasticity of the skin.
- Another way the skin is benefitted from exercise is the effect it has on the skin, which is almost equivalent to a facial. Sweating from an exercise opens up the pores, which removes all the dirt trapped in the immediate underlying layers. One should not forget to wash off the skin after a good workout; else the dirt can settle and cause damage.
- Another way exercise benefits the skin is by reducing general inflammation in the body. This helps regulate hormones that are essential for the skin and prevents free radical damage, which helps prevent ageing of the skin.
- Exercise also improves blood flow in the skin. A workout requires more blood flow to the various body parts and the tiny arteries under the skin open up, allowing more free flow of blood. This ensures the skin gets the essential nutrients that are essential for regular maintenance and growth and repair. It also reduces damage from sun and improves collagen production, which helps in controlling wrinkles.
As mentioned earlier, the underlying thinner layer has, what are called fibroblasts, which gradually reduce in number with age. The added nutrient supply can improve their number and function, adding elasticity to the skin. The overall health benefits, stress reduction, improved vitality and vigor add to these benefits, producing a younger-looking you!
I am female of 30 years I had low back pain and upper back pain. Lower back pain started from two months.
Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.
1. Stress incontinence
• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Electrical stimulation
Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.
• Combination of the above
Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.
• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters
Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.
The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.
Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.
An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.
2. Urge incontinence
• Bladder training
• Pelvic floor exercises
Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.
Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.
Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.
Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.
3. Overflow incontinence
Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.
4. Total incontinence
Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.
Treating faecal incontinence
Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.
Let’s look at some of the treatment options available for FI:
Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.
Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.
Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.
Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.
Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.
Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
In recent sonography report I found to have cysts in ovaries about 2-5mms in diameter and my tsh level is also increased can it be cured?
Loss of libido in men :
Lack of desire in men can be of either physical or psychological origin
Alcoholism – quite common.
Abuse of drugs such as cocaine.
Obesity – quite common; slimming down will often help.
Anaemia - unusual, unless the man has been bleeding for any reason.
Hyperprolactinaemia the pituitary gland produces too much of the hormone prolactin.
Prescribed drugs – particularly proscar (finasteride), a tablet used for prostate problems and also medications affecting the brain.
Low testosterone level – contrary to what many people think, this is uncommon, except in cases where some injury or illness has affected the testicles.
Any major disease such as diabetes.
An underactive thyroid gland.
Depression – very common.
Stress and overwork.
Hang-ups from childhood.
Serious relationship problems with your partner.
Get physical check-up, and also any blood tests which the doctor thinks necessary, like a blood count or thyroid tests.
Dhea: short for dehydroepiandrosterone, this neurotransmitter is required for the production of testosterone, the hormone that can rev up sex drive.
Low energy shock wave therapy.
Yoga and meditation.
Bupropion: this antidepressant works by increasing levels of dopamine and norepinephrine, two hormones essential to arousal.
Viagra: for those whose sexual dysfunction is related to taking antidepressants.