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Hiv Prophylaxis Post Exposure
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Treatment of Shin Splits
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Will vitamin D save my life? Should I really be taking four times the recommended daily dose? Is my microwave give cancer?
I am 44 years old. A little portion of pancreas was cut in1998 and 2011 due to Cronin pancreatitis. Now I am alright. But I have diabetes my Dr. Advise me to take 8 unit lantus .since few months after lunch my sugar level 250. Now what I do. Can can I take lantus two time 9 AM and 9 PM.
Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.
In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.
Etiology of Psoriasis:
Unknown but many factors have been associated-
Genetic: may be autosomal dominant
Triggers: physical trauma ,infection and drugs.
Biochemical change: like increase level of arachidonic acid and Cgmp.
Immunological factors: helper T cells PLAY A KEY ROLE.
Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.
Increased epidermal cell proliferation.
Retention of nuclei in stratum corneum.
Proliferation of fibroblast.
Dilated and tortous capillary loops.
Shortened epidermal turnover time from normal of 60 to 10 days.
Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.
In a patients with psoriasis always check for nail and joint involvement.
Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.
Joints: 10% patients have joint involvement.
Sites: Scalp, pressor points & extensor. Sometimes generalised.
Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.
Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.
The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.
SYMPTOMS OF THE PATIENTS :
Itching all over body
Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.
Destruction on nail plates
Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint
Swelling in right middle metatarso phangeal joint and pain
Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.
His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication.
Investigation Done :
CBC(Complete Blood Count)
LFT(Liver Function Test)
KFT(Kidney function Test)
Sr. Uric Acid
Investigation was done to rule out any other pathology. Investigation were within normal limit.
Internal Medication :
Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.
After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.
We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.
During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.
Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.
Is it safe to have sex without protection during the safe days of her cycle? It does not cause pregnancy? Please explain in detail. P. S: by safe days I mean the first 7 and last 7 days of her cycle. Can protection/contraceptives be avoided?
India has the largest number of diabetics in the world. Around 6.2 crore people in India suffer from diabetes. Many patients with diabetes in India are still undiagnosed. More than 95% of these patients have type 2 diabetes. Type 2 diabetes results from the body's ineffective use of insulin. It is usually diagnosed in the age group of 35-45. It can be prevented by healthy diet and exercise.
The patients who are diagnosed with diabetes and even those who do not have the disease can benefit by following these 5 effective ways to beat diabetes.
1. Make healthy food choices
Taking care of your diet is one of an essential components to manage and prevent diabetes.
-switch to oils with a high volume of monounsaturated fats and polyunsaturated fats like olive oil, canola oil, soybean oil or rice bran oil. Limit intake to one tablespoon a day.
-restrict intake of foods that have a high glycemic index like white bread, white rice, fatty foods, and soda.
-consume foods with a low glycemic index like multigrain aata, whole grains, daals, most fruits, non-starchy vegetables and carrots.
-limit consumption of fast food. Studies show that young adults who ate fast food more than twice a week developed insulin resistance (a diabetes risk factor) at twice the rate of people who weren't fast food junkies.
2. Watch your weight
Losing weight can help to regulate blood sugar levels.
-if you have type 2 diabetes, losing just 4-6 kgs can lower your glucose levels.
-the way fat is distributed in the body can also impact diabetes risk and management.
-people who have abdominal adiposity (fat around the belly) are more prone to type 2 diabetes than those with fat mostly in the thighs, hips, and buttocks.
3. Exercise regularly
Regular exercise can lower blood glucose and possibly reduce the amount of medication you need to treat diabetes, or even eliminate the need for medication.
-get your doctor's approval before starting an exercise program.
-even if you do not lose any weight, exercise can help keep type 2 diabetes under control.
-start slowly with a low-impact exercise such as walking, swimming or jogging.
-exercise, at least, three times a week for about 30 to 45 minutes.
-warm up for 5 minutes before starting to exercise and cool down for 5 minutes after exercise.
-always carry a source of carbohydrate with you so you'll be ready to treat low blood glucose.
4. Manage stress better
Stress can make blood sugar levels harder to control.
-engage in any relaxation technique to ward off stress.
-the best techniques include yoga, meditation, deep breathing exercises.
-you may join a yoga club nearby or else take out 10-15 minutes every day to sit quietly with yourself and practice meditation.
5. Go for regular health check-ups
Diabetes requires lifelong commitment towards following a healthy lifestyle, taking medicines on time and getting regular checkups to detect any complications.
-check your blood sugar levels at home at least once a week.
-get your hba1c levels checked at least twice a year.
-in addition, make sure that your eyes, kidneys, heart, and skin are in optimal health.
-visit an eye specialist once a year to detect any signs of eye damage (diabetic retinopathy).
-get your kidney function tests done at least 2 times a year.
-inspect your feet regularly for any signs of numbness, pain or growth that may lead to ulceration and complications.
I m 24, years old unmarried male. I think my testes are of smaller size. Is it a problem. Also my penis bends little bit to left when erect is it fine.
I am a 30 year old married male. Since last 2 months I am having erectile dysfunction. Been married for 3 years and had a perfect and active sex life never had this issue before. Have also been masturbating almost daily and not facing any problem during masturbation. When with partner, erection not coming naturally and even if it does, it goes just at the time of intercourse. Pls suggest a remedy.
My pulse is 84 since one month. Temperature is normal. What is the possible reason. I feel body pain.
Burning sensation of eyes reduces.