Critical Care Procedures
Nosebleed (Epistaxis) Treatment
Obsessive Compulsive Disorder Treatment
Cysts Removal Procedure
Treatment Of Learning Disorders
Dilatation And Curettage (D C) Procedure
Treatment Of Childhood Diabetes
Kidney Stones Treatment
Diabetic Diet Counseling
Egg Donation Procedure
Ear Micro Surgery
Earlobe Repairs Procedure
Earlobe Repair Procedure
Earlobe Correction Procedure
Hearing Aid Fitting
Treatment Of Erectile Dysfunction
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My mother is 60 years old and complaining about vertigo. She feels sudden spinning of head at various time of the day.
Hello Doc. Well I went to the ENT to get my left ear wax removed. When I got home. My left ear started bleeding. I called him up and told him and he told me that it's just a small skin tear. And that the bleeding will stop when I put a cotton ball in my ear. It's been abt 1 and half days. The bleeding stopped. And now there's dry blood in my ear. Should I clean it or go back to the ENT and what is going to happen? Please reply. Thanks doc.
My mother is suffering from dizziness from last week .she has taken many medicines but not worked so pls tell me the medicines or home remedies to treat with this.
Meri fasting ke sugar 102 thi uske baad mane 1 bowl rice liya, 1 glass milk with proteinix ,phir uske 2 hr baad check ke 139 aaye kya mujhe diabites hai agar hai tho kya mesicine le please pescribe me.
Last month on 26 march I am checking bp is 140/90 is this a high bp or can become causes of any cardiac disease. How I can maintain normal bp what is range of normal bp.
1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility.
2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.
3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.
4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:
Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
• Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all.
• Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
• Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc.
• Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
• Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem.
Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are:
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities
5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.
6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems
7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
• Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes.
• Hormonal problems like thyroid etc.
• Mental stress and fatigue
8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40.
9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.
10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:
1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process.
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc.
vi. Premature (before the age of 40) ovarian failure
2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps
3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.
Dear Sir, Yesterday my bp is 160/120, or muze ekdam se ghabrahat hoti hai, aur body gain nahi kar rahi hai please ive the solution.
"Is there a recovery from depression without medication?"
This is a question that many people ask Dr R K Aggarwal and rather they also search for the web, talk to other doctors to seek alternative then treatment hoping that they can recover on their own without taking any treatment. Well for that answer can be very complicated as well as simple. It basically depends on the severity and persistence of the symptoms on is having.
Few people with whom Dr R K Aggarwal has had experience with has recovered fully from depression entirely on their own using some of the natural tips and treatments which are i am going to mention in this article as well.
If anyone needs to directly come and talk with, He/She is welcome to come and talk with Dr R K Aggarwal directly.
Reaching out for a help is an important part of the recovery process but to get that help can take many forms and what works for one person may not also work for another so be careful before using any methods without prescriptions.
There are effective non-drug treatment options for mild to moderate depression.
Many people with mild to moderate depression, where sleep is adequate, can recover from depression with talk therapy and adjudicative strategies such as exercise, improved nutrition, mindfulness techniques, sunlight or light therapy, support from friends, family or a support group, and lifestyle changes. All individuals with depression should rule out a medical issue which may contribute to their depressed mood. Many medical problems, including vitamin deficiencies and hormone imbalances, can contribute to depression. Getting a thorough physical exam to rule out a medical cause is important.
If there is no clear medical cause, psychotherapy which focuses on improving self-care, reengaging in pleasurable and meaningful activities, and managing negative thoughts can be helpful in many cases. Working on issues that are impacting relationships with friends, loved ones, and
family can also greatly relieve depression in some individuals.
And for some,
exploring and resolving unresolved grief or early childhood trauma may be important.
Other approaches that can contribute to recovery include bodywork, acupuncture or other alternative medical approaches, meditation, yoga, or spiritual exploration.
Taking medication for depression, when needed, should not be viewed as a failure.
However, it is important to recognize that depression is an issue as serious as diabetes, epilepsy, or even cancer. Because it involves mood, thoughts, and behavior, it can often be treated through those channels. But there are also genetic and environmental factors that make some individuals susceptible to depression and which may result in a more persistent condition that is more difficult to treat.
Just as other conditions sometimes require medication for their treatment, depression may also require medication to fully resolve. And it is important to recover fully rather than settle for persistent mild depression. Persistent depression can become chronic and more severe over time as the brain becomes accustomed to the depressed state. Therapy and medication combined have the highest success rate in terms of resolving depression, and when therapy alone is not sufficient, it may help to consult with a doctor to discuss medication options.
It is important to remember that, when it comes to treating depression,
There is no prize for recovering “better” than another person.
Recovering without therapy, without medication—literally “on your own”— does not earn you any awards.
The prize is being emotionally healthy.
Is having low blood pressure causes any major effect on health, if yes then what needs to be done to avoid such conditions?
I have a strange silly problem, could be funny too. It's just that I am scared of cockroach like many do. But in my case this is somewhat serious. I scream and run away like mad whenever I see it and my heart beat goes up for few seconds to a minute. I always check the rooms before I enter, to find if any and complain any1 to kill it and cannot stay calm until it is killed. And unfortunately its only me who always finds it.(I do not react this much when I see other insects unless they are too near.) There's not even much insects problem in our home but sometimes its common to find in any place and I just cannot ignore it .I do not know why I do I react soo high. I do not think this problem needs medication but I just need to change my perception towards it. PLEASE Give me some tips to change my view to this issue!
I have been suffering from kidney stone problem. Stone size is 7 mm. Does it cure by medicine. Pls suggest me tablets to cure pain. I can't bare the pain.
Cancer is one of the worst diseases, which kills millions of people across the world. While there is a wide range of treatment options available, the best way to deal with it is to ensure a good diet along with a healthy lifestyle. Here is a list of cancer-fighting food products, which can immensely help to prevent cancer.
- Green vegetables: Leafy green vegetables have multiple health benefits. They are not only rich in minerals, vitamins, enzymes, and antioxidants, but also have very low content of calories, toxins, and sodium. Being antiviral and antibacterial in nature, green vegetables can successfully inactivate carcinogens, halt metastasis and pause the formation of a tumour. Certain vegetables contain isothiocyanates that can detox the cells. Some of the vegetables that are mighty effective in countering cancer cells include kale, romaine, watercress, nutritious spinach, collard greens etc.
- Berries: Berries are one of the best antioxidants among all food items, owing to their high ORAC score. Their antiviral and anti-fungal nature of berries is extremely healthy for the body. Moreover, abundant supply of vitamin A and C makes berries a perfect agent for increasing body immunity. Free radicals are one of the top reasons for metastasis. The proanthocyanidin content of berries helps the body to get a hang of free radicals, thereby decreasing the chances of cancer cells to grow rapidly. They can be consumed daily with any meals.
- Spices and herbs: There are a lot of herbs and spices, which boost the immune system and prevents cancer cells to grow further. Turmeric, for instance, is scientifically proved to be a great agent for reducing tumor size and effectively countering breast cancer and colon cancer. Some of the other herbs and spices include black pepper, ginger, raw garlic, parsley, oregano, and basil. They can be consumed daily in the form of juice or along with regular meals.
- Organic meat: Many scientists are of the view that organic meat does wonder in a cancer diet. Liver of beef and chicken has high B12 content and helps to remove harmful toxins from the digestive tract and liver. They can balance hormone, digest fat and counter the side effects of triglycerides, drugs, and obesity. This can be included in the diet every alternate day.
- Seeds and nuts: Flax seeds and chia seeds are few nutrient-power packed foods in the world. They should be included in the diet due to high fiber, mineral, and fatty acid content. Some other healthy seeds that can pay rich dividends in fighting cancer include walnut, sprouted bean, sunflower seeds etc. Nuts and seeds with all their nutritional qualities can successfully stop metastasis, reduce tumor size and increase immunity in the body, if consumed daily.
I am 21 years old I have chest pain from 22-23 days. Its a pain on a points in the chest Mainly on left side Today I walk 3-5 kms due to some work And now after I am at my bed Feeling heaviness in my chest n this heaviness now radiates to my neck. M feeling like someone holds n my neck tightly So its my heart problem or signs of heart attack Or chest pain due to gas I recently take a tablet name - pantocid for gas.
My grandfather (65+) was a diabetic patient he had injury in his leg fingers, we contacted doctor and he advised to remove the finger as it Is very bad in condition and we did the same. Now after 10 days of monitoring there is a black skin appearance at his near by leg fingers (doctor saying that is due to blood not reaching those places properly) now doctor says to remove upto leg ankle as blood flow is not proper upto that areas. Is there anyway to save my grandfather.
I am 15 years old I am a boy my chest is big I want small and what I want to do to stop becoming big I want smallest chest and I wang without any medicine anf what is the solution.
How to reduce my heavy body with now im 39 years old n my body with is 80 kg n I hv so much high BP n Low blood pressure also.
Urinary incontinence is a common problem that afflicts many adults around the world. Stress related urinary incontinence is a fairly common problem that afflicts many as well. This form of incontinence is usually caused by physical activity, which exerts pressure on the bladder and may cause the leakage of small amounts of urine.
Triggers and Symptoms for stress urinary incontinence:
In terms of urinary problems, stress is used to describe physical problems in particular and not mental stress. So the triggers or risk factors of it could be any of the following:
- Sexual activity
This form of urinary incontinence is very common in women who are older or have already been through menopause. It may also be common for women who have recently given birth or are pregnant. The urethra or the bladder may become prone to external stress and then involuntarily leak out some urine.
The causes can be quite varied from patient to patient but are primarily attributed to the weakening of the pelvic muscles, bladder or the sphincter. If any of these muscles open involuntarily due to physical stress, it leads to urine leaking out. Some of the causes which may lead to this are:
- Pregnancy and childbirth: Pregnancy or childbirth related problems may cause damage to the urethra or sphincter during childbirth; leading to stress urinary incontinence.
- Surgery of the prostate: Another common problem, especially with men, is with surgical interventions to correct prostate problems.
- Menopause: Many older women often complain about stress incontinence after menopause due to the weakening of the muscles.
- Pelvic surgery: Any surgery to the pelvic area or illnesses which may cause the muscles to become relaxed or act involuntarily due to external stress, may cause incontinence.
- Weakening of the pelvic muscles: Certain illnesses may cause the pelvic muscles to become weak and thus cause the sphincter as well as the bladder to react involuntarily. UTIs or urinary tract infections have also been known to cause incontinence due to the same reason.
- Obesity: Obesity has been known to put stress on many of the bodily systems and it may affect the bladder and the urinary sphincters as well.