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Medical Helpline

General Physician Clinic

# 04, Sector 5, Kopar Khairne, Landmark: Konkan Bhavan, Navi Mumbai Navi Mumbai
1 Doctor · ₹100
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Medical Helpline General Physician Clinic # 04, Sector 5, Kopar Khairne, Landmark: Konkan Bhavan, Navi Mumbai Navi Mumbai
1 Doctor · ₹100
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Medical Helpline
Medical Helpline is known for housing experienced General Physicians. Dr. Nandkishore Shingne, a well-reputed General Physician, practices in Navi Mumbai. Visit this medical health centre for General Physicians recommended by 64 patients.

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MON
10:00 AM - 01:00 PM
TUE-SAT
10:00 AM - 07:00 PM

Location

# 04, Sector 5, Kopar Khairne, Landmark: Konkan Bhavan, Navi Mumbai
Konkan Bhavan Navi Mumbai, Maharastra
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Doctor

Dr. Nandkishore Shingne

MBBS
General Physician
37 Years experience
100 at clinic
Available today
10:00 AM - 07:00 PM
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Epilepsy: What Should You Know?

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Chennai
Epilepsy: What Should You Know?

Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.

Causes of Epilepsy
The cause of this condition isn’t very evident; however, most medical practitioners attribute epileptic seizures to brain injury, tumours, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.

Symptoms

  1. Repeated seizures
  2. Impaired memory
  3. Bouts of fainting
  4. Short spans of blackout
  5. Sudden bouts of blinking and chewing
  6. Panic
  7. Inappropriate repetitive movements

Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.

There are three types of seizures an epileptic person usually encounters.

  1. Idiopathic: This kind of seizure has no apparent cause
  2. Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
  3. Symptomatic: These seizures occur due to a reason.

Treatments

  1. Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
  2. Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.

Five facts about epilepsy you need to know:

  • Epilepsy is not psychosis or madness and can be treated easily 
  • Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc. 
  • Woman with epilepsy can have a normal pregnancy 
  • Newer medicines for epilepsy are effective and very safe 
  • Surgery can cure epilepsy in some patients. If you wish to discuss about any specific problem, you can consult a Neurologist.
1 person found this helpful

Polycystic Ovarian Disease

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Surat
Polycystic Ovarian Disease

Polycystic ovarian disease is a gynaecological disorder whose prevalence seems to have increased considerably among Indian women in last few years. Many young girls and middle-aged Indian women are suffering from this syndrome which is a marked by appearance of multiple cysts on ovaries and disturbances in monthly menstrual cycles.

CAUSES :

The exact cause of PCOD remains unknown to the modern science even as the genetic link is being scrutinized for its causative role.

 

SYMPTOMS :

TREATMENT :

From Ayurvedic point of view, PCOD reflects vitiation of rasa and rakta dhatus. When levels of impurities and toxins increase in rasa and rakta dhatus, body stores them in form of cysts around ovaries. So presence of multiple cysts indicate high levels of impurities and toxins in these dhatus. Sign and symptoms in PCOD patients suggest imbalance of all three doshas. Dhatwagnimandya may also exist in some patients. History of improper diet and lifestyle is generally found among majority of PCOD patients. Excessive consumption of hormonal pills and contraceptive pills too is reported by many patients. Mental stress and lack of physical exercise are marked among quite a few ladies with PCOD. From Ayurvedic perspectives, all these things can produce toxins in body and cause diseases like PCOD.

 

DIET & LIFESTYLE :

  • Low-fat milk is recommended. Boil milk before drinking. Drink it warm. This makes it easier to digest. Do not take milk with a full meal or with sour or salty foods. Add a pinch of turmeric or ginger to the milk before boiling it. This helps to reduce the kapha increasing qualities of the milk.
  • Lighter fruits, such as apples, oranges, grape fruit, pineapple and papaya and pears, are recommended.
  • Sweeteners: Honey is excellent for reducing kapha. Reduce the intake of sugar products, which increase kapha.
  • Beans are recommended. Nuts should be avoided.
  • Grains such as barley, chickpea and millet are recommended. Do not take too much wheat or rice, as they increase kapha.
  • Spices are recommended only in moderate quantities.
  • Vegetables such as potaotoes and sweet potatoes should be avoided as they can cause weight gain.
  • Follow a lifestyle that will not aggravate any dosha.
  • Negative feelings like stress and tension should be avoided. Do not undertake physical or mental work beyond your capacity.
  • Limit the use of contraceptives.
  • Follow an active lifestyle, yet the exercises should be according to one's capacity. Both, excessive fasting and overeating are harmful.
  • Smoking, drinking alcohol and using narcotics aggravates menstrual disorders.

How To Prepare Yourself For Polycystic Ovarian Disease?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Surat
How To Prepare Yourself For Polycystic Ovarian Disease?

Polycystic ovarian disease is a gynaecological disorder whose prevalence seems to have increased considerably among Indian women in last few years. Many young girls and middle-aged Indian women are suffering from this syndrome which is a marked by appearance of multiple cysts on ovaries and disturbances in monthly menstrual cycles.

CAUSES :

The exact cause of PCOD remains unknown to the modern science even as the genetic link is being scrutinized for its causative role.

SYMPTOMS :

TREATMENT :

From Ayurvedic point of view, PCOD reflects vitiation of rasa and rakta dhatus. When levels of impurities and toxins increase in rasa and rakta dhatus, body stores them in form of cysts around ovaries. So presence of multiple cysts indicate high levels of impurities and toxins in these dhatus. Sign and symptoms in PCOD patients suggest imbalance of all three doshas. Dhatwagnimandya may also exist in some patients. History of improper diet and lifestyle is generally found among majority of PCOD patients. Excessive consumption of hormonal pills and contraceptive pills too is reported by many patients. Mental stress and lack of physical exercise are marked among quite a few ladies with PCOD. From Ayurvedic perspectives, all these things can produce toxins in body and cause diseases like PCOD.

DIET & LIFESTYLE :

  • Low-fat milk is recommended. Boil milk before drinking. Drink it warm. This makes it easier to digest. Do not take milk with a full meal or with sour or salty foods. Add a pinch of turmeric or ginger to the milk before boiling it. This helps to reduce the kapha increasing qualities of the milk.
  • Lighter fruits, such as apples, oranges, grape fruit, pineapple and papaya and pears, are recommended.
  • Sweeteners: Honey is excellent for reducing kapha. Reduce the intake of sugar products, which increase kapha.
  • Beans are recommended. Nuts should be avoided.
  • Grains such as barley, chickpea and millet are recommended. Do not take too much wheat or rice, as they increase kapha.
  • Spices are recommended only in moderate quantities.
  • Vegetables such as potaotoes and sweet potatoes should be avoided as they can cause weight gain.
  • Follow a lifestyle that will not aggravate any dosha.
  • Negative feelings like stress and tension should be avoided. Do not undertake physical or mental work beyond your capacity.
  • Limit the use of contraceptives.
  • Follow an active lifestyle, yet the exercises should be according to one's capacity. Both, excessive fasting and overeating are harmful.
  • Smoking, drinking alcohol and using narcotics aggravates menstrual disorders.

Premature Ejaculation: A Growing Sexual Problem Among Men!

MD - General Medicine
Sexologist, Delhi
Premature Ejaculation: A Growing Sexual Problem Among Men!

Nowadays, men of almost all age are more or less suffering from various sexual problems because of the changing environment, psychological stress, and also physiological limitations. But according to today's sexologists, it is not entirely on the physiology when it comes to a man's erectile dysfunction or premature ejaculation. As already mentioned, work-related stress, personal dissatisfaction that often turn into depression and imbalanced lifestyle etc are responsible for the growing sexual problems in men.

What are the primary reasons for the premature ejaculation? Let's take a look-

Biological reasons

Various biological causes are responsible for the premature ejaculation, though according to the physiologists, no accurate reason has been noted for this sexual issue of men. Any kind of spinal injury can cause serious sexual trouble to men. Often lack of treatment can cause erectile dysfunction and that leads to premature ejaculation. The quality of the sperm and the count is also hampered because of this biological setback.n

Often infection is the testicles or sexually transmitted diseases are also responsible for the inflammation of the penis and testicles causing to premature ejaculation. Often the man can suffer from severe pain during the intercourse. Abnormal hormone level is also responsible for such issue. It is strongly recommended to opt for proper ayurvedic or herbal treatment that ensures complete cure of the sexual disorder.

Psychological reasons

According to many sexologists, the psychological problem affects the sexual life of individuals. Men suffering from any sexual trauma, poor body image, lack of self-confidence etc suffer from acute stress and depression. Often, they carry the seed of depression and stress from their workplace that hampers the normal family life. Even unmarried men in relationships can suffer from the same problem because of the constant stress and anxiety. Some of them end up with premature ejaculation without their will jeopardizing the sexual pleasure of the partners. If the problem is absolutely psychological, opting for yoga and maintaining a balanced diet can help incredibly along with proper diagnosis and proper medication.

Try the stop-start technique

Men suffering from the premature ejaculation problem are often suggested with the stop- start technique. This is a self-help therapy where they are asked to masturbate by their own with dry hands. When they reach the point of ejaculation, they should stop and hold it back. It is usually asked to do thrice and finally after some time, men should ask their partner to do the same and just before reaching the point of climax, they should get involved into the intercourse process and ejaculate in the natural process. This practice is supposed to be followed for some time before the issue gets normal and men suffering from erectile dysfunction or premature ejaculation can hold back their strength and gradually perform excellent in bed.

Satisfy the partner

Men suffering from premature ejaculation are expected to have a matured and compassionate partner if they're in a love relationship or in a conjugal relationship. With the contribution of both the partners and with love and care, the issue can be cured. Partners can get involved into more foreplay than expecting more sex. Foreplay is also a satisfactory method of lovemaking that they can continue before reaching the climax.

What are the Risks of Premature Ejaculation?

Various risk factors are involved with this temporary yet major sexual disorder in men. They can go through even breakups if they are hooked up with immature partners that couldn't understand the physical issue of the partner.

Again, improper or lack of accurate diagnosis can result into infertility and other major problem that can cause to impotency of the person concerned suffering from premature ejaculation.

1 person found this helpful

Hello doctor, I want to ask you something. I don't have any female partner to have sex with so I had sex with a prostitutes after my friend insisted. But every time I had sex I suffered from PE and its chronic I guess. So I want you to suggest me some good medicine or exercises which would help me to overcome this problem. Thank you.

MSW, Clinical Hypnotherapy
Psychologist, Guwahati
Hello doctor, I want to ask you something. I don't have any female partner to have sex with so I had sex with a prost...
All medicines have side effects masturbation once a day is quite normal and harmless Try this it will help u. Pls note most of the times premature ejaculation (PE) occurs due to speed. We tend to go fast and in the process the sperm comes out sooner that required. Maintain a low speed and keep on taking deep breathes (when you penetrate) and stop for 30 seconds if you feel like ejaculating. U can practise this process while you masturbate, to gain confidence & remember that you need to enjoy the process and keep taking slow deep breathes. I would also suggest you to engage in some form of relaxation or yoga, to relieve your anxiety symptoms. Anxiety is another cause of PE. Engaging more in oral sex, without touching each others' genitals also helps in setting up the relaxation mode. Then you can go for penetration without much anxiety. For erectile dysfunction you can try getting stimulation from years partner, like proper liking or other forms of hand and oral stimulation in case you want a one to one talk with me, pls contact Lybrate for booking an appointment.
1 person found this helpful
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I am 55 years old and masturbating regularly but now I quited this habit, but I am unable to sex due to premature ejaculation. Is there any remedy.

MD - Psychiatry
Psychiatrist, Chennai
I am 55 years old and masturbating regularly but now I quited this habit, but I am unable to sex due to premature eja...
Masturbation is not the reason for PE. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration or foreplay. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist online or in person Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best.
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What Treatment Options Are Available for Male Infertility?

MD - General Medicine
Sexologist, Delhi
What Treatment Options Are Available for Male Infertility?

It can be disheartening to find out that you're infertile, especially when you thought that everything was normal. There are many reasons why a man is not able to contribute to the conception process and, consequently, there are options that can assist with male infertility.

Here are the treatment options available for male infertility.

1. Vasectomy Reversal
In recent years many men are opting to have children after a vasectomy. Luckily, a vasectomy is not necessarily a permanent issue anymore. It can be reversed. It takes a simple surgical procedure that restores the flow of sperm. There are certain factors that affect the success rates of vasectomy reversals such as your age, the presence of antisperm antibodies, time elapsed since the vasectomy and the age of the woman. Although this procedure is an option it is generally not encourage.

2. Sperm Aspiration
This is a group of procedures which is used to get viable sperm from the man. The sperm is used with Intra Cytoplasmic Sperm Injection (ICSI). This option is suitable for men who have severe types of male infertility. For example, if there is no sperm in their ejaculate, where sperm is dead or there is no motility. With this group of procedures there are four techniques that can be used to obtain the sperm. It is important to keep in mind that each technique is not suitable for everyone. These techniques are mentioned in the next four points.

3. Testicular Sperm Extraction
In this technique the fertility doctor removes a small piece of testicular tissue through a half inch skin incision. Sperm is liberated from the seminiferous tubules (where they are produced). This procedure can be performed in the doctor's surgery or the operating room and a mild sedation is recommended for comfort. The sperm harvested with this technique can be stored for later use.

4. Microsurgical Epididymal Sperm Aspiration
If you have a reproductive tract blockage then this technique is an option. During this technique an operating microscope is used to examine the tubules that contain sperm. The fluid containing the sperm is collected and the quality is examined. Thereafter it is taken to the IVF laboratory for use.

5.Testicular Sperm Aspiration
This technique uses a needle biopsy of the testicle. The procedure is performed under local anaesthesia in a doctor's surgery. The sperm is extracted through the testicle but the amount obtained can be low because the needle cuts a thin layer of the tissue. This procedure is usually quite successful and less invasive than other methods.

Unusual Red Penis Cause: Semen Allergy!

MD - General Medicine
Sexologist, Delhi
Unusual Red Penis Cause: Semen Allergy!

Sporting a red penis can be a cause of pride or concern. When a man's penis health is good, his erect penis often has a red hue due to the blood that rushes in and fills the organ. But sometimes a red penis is due to a rash, an allergy, or any number of other causes. One of the more mysterious and unusual (and thankfully rare) causes? An allergy to his own semen. And what's worse, that allergy may produce more than just a red penis.

Semen allergy

It has been known for some time that some women may be allergic to a man's semen (or, more accurately, to the semen of a specific man or men). For such women, when a man ejaculates into their vagina or onto or into other parts of the body, they can develop a rash or itchiness. Burning and swelling is not uncommon; in some cases, a woman may break out in hives or even develop problems with breathing. It can become quite serious.

POIS

However, information on semen allergy in men is more limited. It was first described in 2002 and given the name post-orgasmic illness syndrome (POIS). As with women, the expulsion of semen from the penis in men with POIS may result in an irritated, red penis or in a penis rash. Itching is not uncommon, and swelling is also a factor for some men.

However, men with POIS are also likely to develop symptoms and issues that go beyond the penile area. A flu-like condition is frequently found post-ejaculation in men with POIS. Their eyes may get red and itchy, their nose is likely to run, and sneezing may ensue. In addition, they tend to get feverish and experience a significant level of fatigue - bed rest is often called for.

For most men with POIS, the reactions can occur whether ejaculation is achieved through masturbation or through partner sex.

Protein

In most cases, it appears the allergic reaction is due to a protein found in semen to which the body develops an autoimmune response. But it's interesting to note that men with this reaction do not necessarily have it their whole lives.

For example, a guy may masturbate quite happily as a teenager and enjoy many forms of partner sex before developing POIS. It can occur early on in the teen years or not show up until much later in life.

What is perhaps even more interesting is that the allergic reaction only occurs after semen has been ejaculated. While the semen is stored in the body, or if a man experiences sex without ejaculating, there is no reaction to the presence of the semen.

Treatment

Since the exact cause of the response is unknown, treating a semen allergy can be difficult. One course of treatment that has proven effective for many men is building immunity to it. This typically occurs by having a doctor inject a diluted form of semen into the body over a lengthy period of time. As the process goes along, the semen becomes less diluted.

Other doctors recommend using anti-inflammatories (as prescribed by an allergy specialist) before and/or after sex to possibly reduce the development of post-ejaculatory symptoms.

A semen allergy is not the only cause of a red penis, of course. When that redness is accompanied by irritation or dryness, use of a superior penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) may be appropriate. A man should inspect the ingredients list on any crème he considers and make sure it contains potent moisturizing ingredients to soothe the skin. Shea butter (a high-end emollient) and vitamin E (a natural hydrator) are ideal and work together to form a moisture lock. Thinning penile skin can also make the red penis more painful, so find a crème that includes alpha lipoic acid. This antioxidant fights the free radicals that can cause penis skin to grow thin.

1 person found this helpful

Avoid Penis Pain With These Jock Strap Tips!

MD - General Medicine
Sexologist, Delhi
Avoid Penis Pain With These Jock Strap Tips!

During fast and furious sports, a man's very delicate equipment can be quite vulnerable. That's especially true if he chooses not to wear a cup or jock strap. This innovative protective device helps ensure a man's penis and scrotum stay comfortable, held against his body in such a way that the chances of injury are lessened. But for many men, penis pain might result from choosing the wrong jock strap. Here's what a man needs to know about choosing and using a jock strap, as well as proper penis care when using one.

Using a jock strap properly

A man will usually do anything to avoid penis pain, so why are so many men reluctant to use a jock strap or cup? Some men say that the jock strap is too uncomfortable, especially when a cup is inserted. Others say that it simply makes them far too hot when they are in the midst of a good game on the field. And still others say that proper fit means it's all too tight, and feels as though it limits their range of movement when they most need flexibility and speed.

To combat these ideas, try these tips:

1. Use a cup only when necessary. Not all sports require use of a cup. Basketball is a good example. A cup might not provide much protection during the game, but a jock strap is essential to keep the junk from bouncing as a man runs all over the court. However, those playing football, soccer or hockey - where rigorous contact might occur - are advised to use a cup. Those who play baseball are as well, as even the best reflexes probably won't be able to deflect a 90-mph ball coming off the bat right toward the family jewels.

2. Look for a thick waistband. Though the thin waistbands can look appealing, especially on men who have great abs, keep in mind that this visual isn't going to do him any favors in the protection department. In fact, it's unlikely a man is going to be getting it on with a partner while wearing the jock strap, so why not go for functional? A thick waistband will hold the jock strap firmly in place, which is exactly what a guy needs when he's moving around on the field.

3. Choose proper leg straps. Though men might be uncomfortable at first with the way fits around their body, those straps are there for a reason. A man will get used to the feeling over time. So instead of choosing very loose legs straps, which could rotate during play and expose the most delicate regions, a man should go with leg straps that fit firmly but comfortably.

4. Try it on. Avoiding penis pain can't be achieved if a man refuses to test out before hitting the field. The best route is to try it on in the sportswear store. Wear tight compression shorts underneath the jock strap, then slip a cup into place. Walk around a bit to see how it feels. Running in place might also help. Keep in mind that just come in a variety of sizes, so do cups. A guy must take the time to figure out which ones are the perfect fit for his body and athletic use.

Penis care when using jock straps

Even with a properly-fitted cup, a man will sometimes face chafing - and that can lead to penis pain. A man should always take care to wash the area thoroughly after his sports adventures, then reach for a great penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) to soothe and heal. Look for a crème that contains vitamin D, C and B5 for their healing properties, as well as alpha-lipoic acid to fight free radicals and L-carnitine to protect against peripheral nerve damage. All this in a Shea butter base is great for penis care when using jock straps.

I am a masturbation addict. Ia have been doing it since past 10 years I have lost alot because of it. I really want to get rid of it and want a normal life with normal thinking.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am a masturbation addict. Ia have been doing it since past 10 years I have lost alot because of it. I really want t...
You need ayurved medications satwik food correction in diet shukra loss can be increased by drinking milk empty stomach eating ghee butter dry fruits etc for medications correction in diet provide details in private chat avoid salty spicy diet green chilies chana dal etc.
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Hi can you please suggest aby of the medicine to enlarge the size of penis icnt satisfy my partner so please help me wot it.

PhD SEXUAL MEDICINE, DGO, MBBS
Sexologist, Ahmedabad
Hi can you please suggest aby of the medicine to enlarge the size of penis icnt satisfy my partner so please help me ...
Size of penis does not matter, function matters. More then 5 cms size can satisfy a female. Focus on your health and be positive.
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Hi I'm neeraj I want to Long sex but my sex timing to small can you give my some advise then I come your clinic.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Gaya
Hi I'm neeraj I want to Long sex but my sex timing to small can you give my some advise then I come your clinic.
No need to visit at clinic, you may directly consult by online treatment. Your question is valid you may try unani medicine to increase the stamina, To increase libido you must stop alchohol, (if you drink) spicy, junk, and oily meal. Thanx.
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I am feeling itching in my opening. After cleaning with hot water also it remains same. I am not pregnant.

MBBS, MD - Dermatology
Dermatologist, Ranchi
I am feeling itching in my opening. After cleaning with hot water also it remains same. I am not pregnant.
It could be because of either fungal infection or trichomonal infection. You can take FAS 3 kit one dose and apply candid v vaginal tablets at night for a week.
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PCOS - You Can Still Get Pregnant

MBBS, DGO
Gynaecologist, Mumbai
PCOS - You Can Still Get Pregnant

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment.

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How To Prepare Yourself For an Appendix Surgery?

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
How To Prepare Yourself For an Appendix Surgery?

How to prepare for an appendectomy

Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.

But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?

What exactly is appendicitis?

Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.

The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.

Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.

Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.

Preparations to undertake before surgery

In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.

Recovery period

The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy.

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How Homeopathy Helps Treat Autism?

BHMS, PG Diploma In Clinical Cosmetology (PGDCC) & PGDMT
Trichologist, Gurgaon
How Homeopathy Helps Treat Autism?

A mental condition that takes shape during early childhood, Autism is identified by characteristics like difficulty in communication, the use of language, understanding abstract concepts and building bonds with other people. This brain development disorder is also characterized by the performance of repetitive behaviors in the affected individual.

Homeopathy approach in treating Autism

Diagnosis of the condition by a homeopath requires the adoption of an extensive and intensive approach. From collecting detailed information about symptoms like a reaction to vaccines, thermal sensitivities and medical history of the family to understanding sleep postures; treatment of this condition requires an understanding of every vital factor associated with the condition. The hardcore approach is vital for understanding the stimulus/response connection of symptoms. This is because whenever an autistic child undergoes stressful situations, the reaction is a sign that a homeopath cannot ignore. By completely understanding the cycle of stress and reaction, a homeopath can only be able to suggest the right treatment program.

What about the remedies prescribed for treating the condition?

Being a holistic branch of medicine, homeopathy takes into account the complete physical as well as the mental makeup of the individual. Additionally, in this alternative medicine, the homeopath also takes into consideration the details of the disease while recommending remedies. Remedies like Carcinocin, Secretin and Thuja are favored the most for treating the condition. At the same time, the appropriate remedies are recommended after having a thorough understanding as to whether the individual falls within the constitutional makeup of the remedies considered.

Another essential aspect of this branch of medicine in the treatment of this brain development disorder is the practice of using LM potencies (homeopathic medicines on the last scale of potencies). These remedies are not only acted faster but are also gentler compared to others. They have been found to be very effective in preventing the individual from falling prey to the old symptoms and can be frequently repeated as well as used for a long time. 
 

Heart Transplant - When Is It That You Have To Go For It?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart Transplant - When Is It That You Have To Go For It?

There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).

Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.

People who need a heart transplant:
A heart transplant may be essential in the following cases.

  • A congenital heart disorder (a person born with a heart problem).
  • Defective or diseased heart valves.
  • Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
  • Problems in the coronary artery.
  • Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
  • A heart transplant that failed previously.
  • Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).


However, under the following circumstances, a heart transplant may not be a wise idea

  • People with infections or chronic lung or kidney disorders.
  • A case of cancer in the past.
  • Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.

The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.

  • The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
  • In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
  • The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
  • Once the implantation takes place (without any complications), the surgeons sew the heart into place.
  • The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
  • To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
  • If no complications develop after the transplant, the patient is discharged within a fortnight.

In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. If you wish to discuss about any specific problem, you can consult a Cardiologist.

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5 Natural Remedies for Colon Cleansing!

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
5 Natural Remedies for Colon Cleansing!

The colon is a part of the digestive system of your body, which extracts the vitamins, nutrients, water and salt from the indigestible food. This helps in getting rid of solid waste from your body. Now, you may wonder why colon cleansing is necessary. It is required when there is some disorder in the normal colon function, such as when the colon absorbs the toxins in place of removing them from your body, you may experience colon problems. These results in syndromes like gaining weight, fatigue, lack of energy, constipation, bloating and many more.

Cleaning the colon in a natural way is one of the earliest processes by which you can get a normal colon. This process is also called autointoxication. There are some ways by which you can go for natural colon cleansing.

  1. One of the easiest and best ways for colon cleansing is drinking plenty of water. Regular intake of water will keep your body hydrated and the body organs functioning. It will also help your body to get rid of various toxins.
  2. Intake of apple juice is yet another process of colon cleansing. Apple juice normalises your bowel movements and keeps your liver fit. It keeps the digestive system functioning as well. One glass of raw apple juice followed by one glass of water half an hour later works best for colon cleansing.
  3. Lemon juice with a high amount of vitamin C is excellent for the digestive system. A glass of warm water mixed with lemon juice and honey keeps your liver, colon and the entire digestive system fit and fine.
  4. Stay away from fried and processed food for a couple of days. It is better if you drink fresh vegetable juice for a number of times in a day. Green and leafy vegetables remove toxins from your body. They have high amount of minerals and enzymes which provides energy to your body.
  5. Yogurt is your best companion when it comes to colon cleansing. It contains some bacteria, which are good for your body and helps accelerate the digestion process. It is one of the best way by which you can cure every stomach and digestion-related problems. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
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Stroke Due To Hypertension - How To Prevent It?

MD - General Medicine, MBBS
General Physician, Ahmedabad
Stroke Due To Hypertension - How To Prevent It?

High blood pressure, which is often a result of hypertension, is the leading risk factor for a stroke, which in turn leads to severe and long-term disability, including death. Managing your blood sugar levels is the most critical thing you can do to lessen your risk of a stroke, and you should leave no stone unturned in keeping your blood pressure at optimum levels.

What causes a stroke

A stroke, which is often referred to as a brain attack, takes place when the supply of blood to a particular region of the brain is cut off. The brain cells which are deprived of the oxygen and glucose die, and when the ailment is not caught early, a permanent damage to the brain can follow.

How is high blood pressure related to a stroke

Uncontrolled blood pressure levels can increase the risk of a stroke by about four to six times. With the passage of time, hypertension causes atherosclerosis as well as hardening of major arteries. This often results in blockages of small blood vessels present in the brain. With high blood pressure for a long period of time, the blood vessels of the brain become weak and burst. This way the risk of a stroke is directly related to the high levels of blood pressure.

What can you do to keep your blood pressure under control

There is a  lot you can do to keep the chance of a stroke at bay. But the first thing you should try doing is keeping your blood pressure level normal. Some simple lifestyle changes can help you to lead a risk-free life and therefore, you should first aim at shedding off those extra pounds along your waistline.

In general, a man with a waistline measuring over 40 inches and a woman with that over 35 inches is at a higher risk of suffering from high blood pressure as well as a stroke. You should exercise regularly for at least half an hour and eat a well-regulated diet loaded with fibre, proteins, potassium and Omega-3 fatty acids. Stay away from junk food and maintain a food diary where you can jot down your honest food habits.

It is very important to lower down your high blood pressure in order to avoid risks of stroke. But if you fail to do so even after following a healthy routine, then it is crucial to consult a doctor who can help you by prescribing medications that are right for your medical condition.

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6 Things to Know About Minimally Invasive Spine Surgery!

MBBS, MS - General Surgery, MCh - Neurosurgery
Neurosurgeon, Guwahati
6 Things to Know About Minimally Invasive Spine Surgery!

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

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