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Dr. V. M. Gokalgandhi

Homeopath, Mumbai

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Dr. V. M. Gokalgandhi Homeopath, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. V. M. Gokalgandhi
Dr. V. M. Gokalgandhi is a popular Homeopath in Mumbai, Mumbai. You can consult Dr. V. M. Gokalgandhi at V. M. Gokalgandhi's Clinic in Mumbai, Mumbai. Save your time and book an appointment online with Dr. V. M. Gokalgandhi on Lybrate.com.

Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 25 years of experience on Lybrate.com. Find the best Homeopaths online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I am loosing hair quickly. I was use many shampoo for this. BT I have lost my hair in many no. I want to secure our hairs.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am loosing hair quickly. I was use many shampoo for this. BT I have lost my hair in many no. I want to secure our h...
Some time it genetically, but pathology of hair loss is when heat increas in your blood. Due to to this heat hair root get dry and it fall. So avoid spicy food, stress less night sleep so take following oil 1. Vata-jatadi tail apply it on hair alternate days take following remedies 1 asthi poshak vati 1 tab before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach 3. Laghu malini vasant ras vati 2 tab after lunch and dinner.

I am 22/f and having itching n irritation in vagina and burning sensation while I pee. What shud I do.

M.D(Ayu.), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Due to urinary infection so first maintain hygiene condition properly take lots of water syp ural 2 tsp tds.

I am 25 years old men. I had testis operations before 2 year's. So, I have only one testis. My question is it causes any problem for sex and if go running or gem, I feel something in removed testis area. Please give suggestions to overcome it. Help me.

MBBS
General Physician
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U will not have any problem in your sex life and you will have to get used to it while you r doing your day to day activities.

Not getting enough erection during intercourse. And also ejaculate within seconds Why pls suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist
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Not getting enough erection during intercourse. And also ejaculate within seconds Why pls suggest.
Premature ejaculation is common problem and has multiple reasons starting from anxiety, sensitive penis, masterbation in a fashion to ejaculate early, lifestyle etc. With ayurveda pe can be cured however before starting or suggesting any medicine it is very important to understand root cause of problem. Once root cause is found along with medicnes and lifestyle change problem can be cured. So do not worry discuss it in details. I am sure once root cause is found and treatment starts you will feel the change in 10 days. So do not worry. D is common problem and can happen to any one at any point of sexual relationship. There are multiple reasons for it starting from physical to physcological. Detailed discussion is required to find root cause of your problem and provide best solution. Once root cause is identified its very easy to cure ed within 10 days with the help of ayurveda. A.

I am 23, I'm working in night shift. I gained weight and facing hair fall problem. What should I do now?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda
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I am 23, I'm working in night shift. I gained weight and facing hair fall problem. What should I do now?
Dear lybrate-user, regarding your hairfall - start taking black til (seasam) with a glass of lukewarm milk early morning. Avoid pickles, spices, oily, greesy food items, too much of salt in food shud be avoided. Start avle ka murabba daily. Also have a high protien rich diet e. G. Pulses, dry fruits, black gram, ground nut etc, white of egg (if you eat egg). Also oil your hair with good herbal oil and wash with herbal shamppoo - avoid shampoos with high acid contents. As far as ayurveda's therapy is concerned - start with shirodhara with herbal oil and nasyam therapy for atleast 15 days. This will greatly help. Do gentle massage with herbal hair oil daily night for 15 minutes. Although some herbal medicines might also help you but after proper history taking. For that you may consult me privately over lybrate. Please update with your valuable feedback. Regarding your weight gain - lifestyle modification including diet balance with exercise is the only remedy. Try to work out on these lines.. Please update with your valuable feedback.

I am suffering from dry cough and chest pain. Can you please suggest some cure for this ?

MD(Pulmonary Medicine)
Pulmonologist
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I am suffering from dry cough and chest pain. Can you please suggest some cure for this ?
Cough with chest pain may have many causes which needs thorough evaluation, please consult a pulmonologist.

On my nose some dark black patches has come, some one told its because you took high dosage nasal spray so how can I reduce that patches.

Dermatologist
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On my nose some dark black patches has come, some one told its because you took high dosage nasal spray so how can I ...
These are pigmentation due to reaction to sprays we need to see whether it's a dermal or epidermal pigmentation and this can be treated after asessing.

My height is not growing well I will use many medicine like spped height but no effect.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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My height is not growing well I will use many medicine like spped height but no effect.
Height is usually always dominated by Genetics. How short are your parents? If you are their size or slightly taller then them, chances are you wont grow very much more...There are no amazing magic ways to get taller...Get lots of nutrition and calcium. Get TONS of calcium. Bigger bones means bigger you. Work out and play sports alot. Also greatly emphasize stretching..Posture is also important. Walk as tall and as straight as possible and over time this will add a handful of centimetres to your height...take ashwagandha powder 2-2 tsf twice a day and lakshadi guggul 1-1 tab twice a day with warm water..

I am loosing hair very quickly and I use ayurvedic shampoos too but no effect is there! What can I do?

Advanced Aesthetics
Ayurveda
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I am loosing hair very quickly and I use ayurvedic shampoos too but no effect is there! What can I do?
Saffron And Licorice Powder Licorice powder and saffron will help in getting rid of bald patches on your head. • Add 2 tablespoons of licorice powder and a pinch of saffron in four tablespoons of cold milk and mix them well. • Apply this mixture on bald patches and leave it overnight. • Rinse next day morning and repeat this process three to four times a week to see effective results.. -for consult hair growth treatment stem cell theraphy in our clinic and no any side effects Medicenes like Apply tugain 5% solution regularly for hair growth and ketonozole shampoo for hair wash and hair root oil.

Hello Doctor, Can we increase height upto 6 inches. I'm 16 year 10 month old boy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Hello Doctor,
Can we increase height upto 6 inches. I'm 16 year 10 month old boy.
One can expect height gain up to age of 25 years, so you have time, however, same is depend on heredity/dietary/exercise/daily routine. You can take protein enrich balanced diet, do exercise/Yoga in the morning

What r the symptoms of dengue?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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What r the symptoms of dengue?
Symptoms of Dengue Fever Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include • Sudden, high fever • Severe headaches • Pain behind the eyes • Severe joint and muscle pain • Fatigue • Nausea • Vomiting • Skin rash, which appears two to five days after the onset of fever • Mild bleeding (such a nose bleed, bleeding gums, or easy bruising) However, serious problems can develop. These include dengue haemorrhagic fever, a rare complication characterized by high fever Diagnosing Dengue Fever Your local doctor can diagnose dengue infection with a blood test to check for the virus or antibodies to it.

Feeling less sex drive over last 2 month, m planning family and could it be the pressure of forced sex or. something else, do advise what to do in this case.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Feeling less sex drive over last 2 month,  m planning family and could it be the pressure of forced sex or. something...
First of all please clear me why are you opting for family planning at this age of 30 ,only then I could answer your question.

Sir when I am working on computer I miss the alphabet for example at 2, 4 min I forget that which alphabet is called a. Same things happen with numbers. My expression are change immediately. And I also can't sleep long time. I wake up 4 5 time on night bt I m feeling so tired. I am thinking so much without any connection and limitations. Is this symptoms for depression. What I do ?which kind of doctor I contact.

Reparenting Technique, BA, BEd
Psychologist
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It could be depression if several other symptoms connect. Go to a counselor first and let that person determine if you need to meet with a psychiatrist for medication. If this is a recent phenomenon, then it could be treated early with the prognosis really good. Please do take your parents with you to meet with the counselor and carry all the information about you, from prenatal days till date, including up to your grandparents. If there was any telling event either in your life or that of your family history, then there is a genetic concern that has to be factored in too. The missing numbers and alphabets may not be serious all by itself, but could be of much concern if it is linked to any disturbed condition in you. You can nip it in the bud, if acted upon early.

I am 18 years old and suffering from backache and used pain relief for couple of days.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am 18 years old and suffering from backache and used pain relief for couple of days.
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily – Lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana? Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.

My niece is 16 years old and her breasts have not developed yet at all. Is it because of what reasons? and is there any cure for it? If so please advise what kind of treatment she should take. Thanks.

M Ch. Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon
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Dear user, breast size grows till 18 to 20 yrs. No medicines have any proven effect to increase breast size. To increase breast size, following are the options massage your breasts daily for about 30 minutes. It may increase your breast size a little, but results are very unpredictable. Breast implants are time tested and successful option for increasing the size of breasts. These are saline or silicon implants which comes in various sizes and gives a long lasting increase in breast size with a very natural appearance and near normal feel. Another option is lipofilling filling in which your own fat from the tummy and thighs is used to fill up your breast and increase its size. It gives an additional advantage of shaping your body. It however may require stages and actual results are seen in 4 months time.

My brother is having back pain from last 3 days?

MS - Orthopaedics, MBBS
Orthopedist
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My brother is having back pain from last 3 days?
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

I am 35 years old man suffering from diabetes since 1 year and taking Glimepiride + Metformin (2 mg extended release) half an hour before my morning meal. I eat 3 chapatis in morning, 3 chapatis in lunch and 3 chapatis in dinner. My fasting is 105, after morning meal PP is 140 and PP after dinner is 175. Is it ok or need any medicine/diet management?

MBBS
General Physician
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I am 35 years old man suffering from diabetes since 1 year and taking Glimepiride + Metformin (2 mg extended release)...
go for diet management, reduce your diet to 2 chopati morning and 1 chopati lunch and dinner, no sugar, no fried food. it will help. thanks

I have a problem with my hands. It's either they're very sweaty or very dry. I couldn't even write on a paper. I always mess up. My hand don't sweat only when i'm nervous. It's almost like a natural thing. When it's not sweaty. It's awfully dry that I could even grip my pen right because it slips. I can't put on lotion then, because my hands would go sweat overdrive. Does anyone know how to deal with this problem? am I the only one with this kinda thing? it's quite embarrassing because I don't even feel comfortable shaking hands with my friends.

MBBS
General Physician
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Most probably you are suffering from hyperhidrosis a condition resulting in excess sweating. There are antiperspirants containing aluminium salts are available in market. Use them. If symptoms no relieved pls consult dermatologist or physician for further treatment.

Understanding Jaundice (Kamala)

CHSE, D.H.M, M.D. (Ayurved)
Ayurveda
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Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

Causes, incidence, and risk factors:
Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

When too much bilirubin builds up in the body, jaundice may result.

Jaundice is caused due to following causes:
Obstruction of the bile ducts (by infection, tumor or gallstones)
Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
Biliary stricture
Alcoholic liver disease (alcoholic cirrhosis)
Pancreatic carcinoma (cancer of the pancreas)
Primary biliary cirrhosis
Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
Haemolytic anemia
Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
Chronic active hepatitis
Autoimmune hepatitis
Malaria


Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

Clinical symptoms:
Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:


Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown
Yellow color inside the mouth
Dark or brown-colored urine
Pale or clay-colored stools

Other symptoms depend on the disorder causing the jaundice:
Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

Differential diagnosis:
When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

Laboratory findings include:
Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
Serum: increased unconjugated bilirubin.
Kernicterus is associated with increased unconjugated bilirubin.

Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

Laboratory findings depend on the cause of jaundice, include:
Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
Plasma protein show characteristic changes.
Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

Signs and tests:
No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

Other tests vary, but may include:
Hepatitis virus panel to look for infection of the liver
Liver function tests to determine how well the liver is working
Complete blood count to check for low blood count or anemia
Abdominal ultrasound
Abdominal ct scan
Endoscopic retrograde cholangiopancreatography (ercp)
Percutaneous transhepatic cholangiogram (ptca)
Liver biopsy
Cholesterol level
Prothrombin time


Ayurvedic approach:
In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

Management:
Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

Medicines used:
Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
Navrayas loh can also be given in the dose of 125mg thrice daily.
Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
Regular intake of guduchi juice 10gm twice or thrice a day.
Daily intake of neem juice is also useful for jaundice
Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

Some routine home remedies:
Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances


Pathya-apathya (do's don'ts):
Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
Always drink water that is filtered or boiled. Do not drink raw milk.
Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.
Understanding Jaundice (Kamala)

I am 18 year old and very concerned with my increasing myopia. It is currently -6.50 in both eyes. After my study sessions too my eyes feel very tired although I take breaks every 2 hrs and keep splashing water on my eyes to relax. Also I am worried with my dark circles, be it exam season or vacation time they always accompany me. I want to know till what age myopia will increase and can it beat least reduced by following some diet regimes or exercise? Please advice Thanks in advance.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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I am 18 year old and very concerned with my increasing myopia. It is currently -6.50 in both eyes. After my study ses...
There is no medication or food for improving eyesight or to get rid of glasses. If not interested in glasses then you can try a. Contact lens b. Lasik laser as your age is now 18 years so your number will not increase much now whether you wear glasses or not as number becomes stable at age of 18-20 yrs. Having said that I advise you to eat balanced diet including green vegetables and seasonal fruits for keeping eyes and body healthy. As you are not comfortable with contact lens then go for lasik. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik.
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