Doctor in Shree Sai Hospital - Nerul
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
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Pep is required for all persons invo5 in providing medical and surgical services
No environmental transmission reported but pep is pep is required when they are exposed to -
potentially infectious body fluid e. G. Blood, semen, vaginal secretions, synovial, pleural, pericardial, peritoneal fluid, amniotic fluid. Any bodu fluid contaminated with" visible blood" considered" at risk"
exposure to body fluid considered" not at risk" e. G. Tears, sweat, urine, faeces, saliva, sputum and vomitus
Management of exp6 site
- do not panic
- wash wound and surrounding with soap and water
- rinse well
- do not scrub
- for not use antiseptic or skin washes
- splash of blood
- irrigate eyes with water or saine
- if using contact lens leave them in place while irrigating. Remove the contact lens and clean them after eyes is cleaned
- mouth: spit fluid immediately and rinse mouth thoroughly water/saline repeatedly
Pep is required within 72 hours of exposure
conslt nearest art center for selection of pep regime e. G.
1. Basic regime of 2 drug zidovudine 300 mg bd
- Stavudine 30 mg bd
- Lamivudine 150 mg bd
- pep in pregnancy
- Efavirenz is contrindicated in first trimestelr
- Indinavir is contrindicated prenatally
2 drug regime is recommended if third drug is required then use nelfinavir
arv prophylaxix - short term arv drugs is used to reduce hiv transmission from mother to infant
- all hivexposed infants should receive cotrimoxazole at 4-6 weeks of age
- mother- nov 200 mg at onset of labour
- baby- nvp syrup 2 mg / lg of body weight within 72 hours of delivery
When a man is in the mood to get it on, sometimes his body just doesn't agree. That's often the case when a man really wants to enjoy a little sexual pleasure but he's just too tired to bother. From ignoring the need to masturbate to telling a loving partner, "Not tonight, honey," a guy might find himself saying no to sex over and over again. If that's the case, there is something going on - and he needs to figure out what it is, not just for his own peace of mind (and his partner's!), but for the sake of his good penis care. After all, regular orgasms are necessary to "exercise" the organ and keep it in tip-top shape.
Too tired for sex?
Let's be honest: Sex is one of the most enjoyable things in life, and many a man thinks about it at least every day, if not multiple times each day. So it must be something serious to make him too tired for sex, right? Here are some of the issues that might lead to being too tired and other penis problems that are associated with it.
- Not enough sleep. When a man doesn't get enough sleep, it has a detrimental effect to every system of the body, including his penis health. But besides the simple fatigue that comes from not getting enough sleep, the lack of shut-eye can also lead to significantly less testosterone in the body, which in turn makes a man even more tired. It also affects his levels of desire in an adverse way.
- Insurmountable stress. When a guy faces burnout, lots of things happen. A man has more difficulty making decisions, insomnia and fatigue, anger and distress, a suppressed immune system and no desire for sexual activity - and that's all just for starters. Stress is the number one cause of many problems for men, but when it comes to sexual function, it's a true game-changer.
- Relationship issues. When a man has sudden penis problems, it might mean that he's dealing with something psychological. If a guy is also dealing with serious fatigue - the kind that means he would rather go to sleep than talk to his partner - the two might be related. Sometimes relationship issues can lead to a loss of libido that is so extreme it makes a man subconsciously avoid intimacy with that person.
- Problems with nutrition. A guy who isn't eating enough, or isn't eating the right foods, can suffer from serious fatigue that makes him too tired to engage in many things, including sex. This can also be the case if a man is getting plenty to eat but it's all the wrong things, such as the guy who lives on fast food and never touches a fresh veggie. Nutrition problems should be evaluated by a physician.
- Underlying medical conditions. Some men might have an underlying medical problem that translates into penis problems. For instance, a guy with diabetes might be tired all the time because his blood sugar is too high, which means his cells don't get the energy they need. Or a guy might suffer from serious depression, and as a result, he feels the bone-deep fatigue that makes him want to stay in bed all day - but not do anything in that bed but sleep. Only time spent at the doctor's office can lead to an investigation and diagnosis of these kind of problems.
Whether a man is really tired or full of energy, he should always strive to protect his penis health by engaging in excellent penis care. He can do this by reaching for a powerful penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). A good crème will contain multiple vitamins and nutrients, including amino acids for overall health, vitamin E and Shea butter for softness, and a plethora of vitamins to maintain tip-top health for the penis.
Few HIV Myths busted.
Q. HIV is a death sentence.
A. Successful treatment of the virus can mean a long, normal life span. It’s key for people living with HIV to have access to quality care and start antiretroviral treatment immediately. Access to Proper health care means extended life span so no it’s certainly not a death sentence.
·Q. Stick to your treatment and take good care of your body. This can help you live a long life with HIV.
·Q.HIV cannot be transmitted during oral sex.
A. Hiv can be transmitted during oral sex. HIV can be passed on through sex when infected sexual fluids or blood enter the bloodstream of an HIV negative person. During oral sex this could potentially happen if the mouth, gums and/or throat of the person giving oral sex has cuts and sores or is inflamed or infected.
Q. Is it advisable to use condoms when engaging in oral sex when you have any cuts or sore?
A.Ideally one should not participate in sex when one has open cuts or sores as a condom doesn’t cover them all it covers is your private part. Having said that a Polyurethane condoms should be used for any sexual activity as they are better at protecting from sexually transmitted infections.
Q. Hugging, handshakes, sharing toilet seats and mosquito bites does not transmit HIV.
·Q. If you are having unprotected sex or you are sharing your needles or injection
Q. equipments (tattoos, injection drugs, diabetic), you are putting yourself at a risk of HIV.
·Q.Straight People Do Not Get HIV.
Q. HIV is transmitted by the sperm which means an infected man can produce an HIV positive baby.
A. The risk of a baby having HIV is only directly related to the HIV status of the mother, not the father. So if your partner is also HIV positive, this is how you can have an HIV negative baby.
Q. When a baby is conceived it is HIV-negative in the womb. The baby normally gets infected at the time of birth when the baby’s body fluids and the mother’s blood mix. The baby can only be infected if the mother has a sexually transmitted disease.
A. If a woman is infected with HIV, her risk of transmitting the virus to her baby is reduced if she stays as healthy as possible. According to the March of Dimes, new treatments can reduce the risk of a treated mother passing HIV to her baby to a 2 percent or less.
What is diarrhea?
Diarrhea is when stools (bowel movements) are loose and watery. Your child may also need to go to the bathroom more often.
Diarrhea is a common problem. It may last 1 or 2 days and go away on its own. If diarrhea lasts more than 2 days, your child may have a more serious problem.
Diarrhea may be either:
Short-term (acute). Diarrhea that lasts 1 or 2 days and goes away. This may be caused by food or water that was contaminated by bacteria (bacterial infection). Or it may happen if your child gets sick from a virus.
Long-term (chronic). Diarrhea that lasts for a few weeks. This may be caused by another health problem such as irritable bowel syndrome. It can also be caused by an intestinal disease. This includes ulcerative colitis, Crohn’s disease, or celiac disease. Giardia may also cause chronic diarrhea.
What causes diarrhea?
Diarrhea may be caused by many things, including:
Trouble digesting certain things (food intolerance)
An immune system response to certain foods (food allergy)
Parasites that enter the body through food or water
Reaction to medicines
An intestinal disease, such as inflammatory bowel disease
A problem with how the stomach and bowels work (functional bowel disorder), such as irritable bowel syndrome
Surgery on the stomach or gallbladder
Children who visit some foreign countries are at risk for traveler's diarrhea. This is caused by having food or water that is not safe because of bacteria, viruses, or parasites.
Severe diarrhea may mean a child has a serious disease. Talk with your child's healthcare provider if symptoms don’t go away. Also talk with the provider if symptoms stop your child from doing daily activities. It may be hard to find out what is causing your child’s diarrhea.Imbalances of salt and water in the body can lead to problems ranging from cystic fibrosis to diarrhea to kidney failure. Dr. Guggino and his team study the channels that move salt and water– and what goes wrong with them in disease.
What are the symptoms of diarrhea?
Symptoms can occur a bit differently in each child. They can include:
Belly (abdominal) pain
Upset stomach (nausea)
Urgent need to use the bathroom
Loss of body fluids (dehydration)
The symptoms of diarrhea may look like other health problems. Severe diarrhea may be a sign of a serious disease. Make sure your child sees his or her healthcare provider for a diagnosis.
How is diarrhea diagnosed?
The healthcare provider will ask about your child’s symptoms and health history. He or she will give your child a physical exam. Your child may have lab tests to check blood and urine.
Other tests may include:
A stool culture to check for abnormal bacteria or parasites in your child’s digestive tract. A small stool sample is taken and sent to a lab.
A stool evaluation to check the stool for blood or fat
Blood tests to rule out certain diseases
Imaging tests to rule out structural problems
Tests to check for food intolerance or allergies
A sigmoidoscopy. This test lets the healthcare provider check the inside of part of your child’s large intestine. It helps to tell what is causing diarrhea, stomach pain, constipation, abnormal growths, and bleeding. It uses a short, flexible, lighted tube (sigmoidoscope). The tube is put into your child’s intestine through the rectum. This tube blows air into the intestine to make it swell. This makes it easier to see inside.
How is diarrhea treated?
Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.
Dehydration is the major concern with diarrhea. In most cases, treatment includes replacing lost fluids. Antibiotics may be prescribed when bacterial infections are the cause.
Children should drink lots of fluids. This helps replace the lost body fluids. If your child is dehydrated, be sure to:
Offer drinks called glucose-electrolyte solutions. These fluids have the right balance of water, sugar, and salts. Some are available as popsicles.
Avoid juice or soda. They may make diarrhea worse.
Not give plain water to your baby
Not give too much plain water to kids of any age. It can be dangerous.
Keep breastfeeding your baby. Breastfed babies often have less diarrhea.
Keep feeding your baby formula, if you were already doing so
What are the complications of diarrhea?
The greatest complication of diarrhea is dehydration. This is more likely with young children and those with a weakened immune system. Dehydration can be mild, moderate, or severe. Mild dehydration is the loss of fluid. Moderate or severe dehydration puts stress on the heart and lungs. In the worst cases it can lead to shock, which is life-threatening.
What can I do to prevent diarrhea?
Proper handwashing can reduce the spread of bacteria that may cause diarrhea.
A rotavirus vaccine can prevent diarrhea caused by rotaviruses. Ask your child's healthcare provider which vaccines are right for your child.
When you travel, make sure anything your child eats and drinks is safe. This is even more important if you travel to developing countries.
Travel safety tips for drinking and eating include:
Not drinking tap water or using it to brush teeth
Not using ice made from tap water
Not drinking unpasteurized milk (milk that has not gone through a process to kill certain bacteria)
Not eating raw fruits and vegetables unless you wash and peel them yourself
Not eating raw or undercooked meat or fish
Not eating food from street vendors or food trucks
Talk with your child's healthcare provider before traveling.
When should I call my child's healthcare provider?
Call your child's provider if your child is less than 6 months old or has any of the following symptoms:
Blood in the stool
Doesn’t want to drink liquids
Dry, sticky mouth
Urinates less frequently (wets fewer than 6 diapers per day)
No tears when crying
Sunken soft spot (fontanelle) on baby’s head
Key points about diarrhea
Diarrhea is loose, watery stool. Your child may also have to go to the bathroom more often.
It may be caused by many things, including bacterial infection or viral infection.
Dehydration is the major concern with diarrhea.
In most cases, treatment involves replacing lost fluids.
The rotavirus vaccine can prevent diarrhea caused by that virus.
Proper handwashing can help prevent diarrhea.
When you travel, make sure anything your child eats and drinks is safe.
According to the tenets of Ayurveda, HIV is primarily a disease involving low immunity which is considered the most vital sap of the body. Immunity is in charge of providing both mental and physical strengths required to cope up with the foreign bodies that cause unwanted changes in the human body. When the immune system gets disrupted, the individual becomes susceptible to a host of infections and disorders. There are incessant numbers of bacteria and viruses in the environment, and some of them are highly contagious which can easily cause an infection.
Ayurveda has numerous highly effective therapies to combat HIV exposure. There is a sector of Ayurveda specifically dedicated to boosting immunity and vitality in the body with the help of herbs, minerals, and practice of Ayurvedic techniques. The treatment first aims to detoxify the body and strengthen the immune system which improves the immune system with the help of certain "rasayanic" techniques.
How is HIV exposure treated through Ayurveda?
The first step of HIV exposure treatment through Ayurveda is having nourishing food and leading a positive life supported by well-meaning friends and relatives. The patient can also take part in some physical exercises which don't cause any strain to the fragile health condition. Engaging in comfortable yet fruitful activities can help in strengthening good tendencies and stimulating appetite as well.
Then the patient will have to take some Ayurvedic tonics along with rejuvenators that can boost immunity levels and eliminate the toxins from the body. This is particularly done through emesis, purgation, and enemas. The medications which are given at this stage are neither drastic nor very harsh for the body so that they can be digested without any difficulty.
In the third stage of treatment, appropriate medications will help in purifying the blood, and this is where the role of liver corrective measures come to the fore. The patient has to take preparations with medicated ghee and soups that can alleviate the signs and symptoms of HIV exposure. There is no scope of consuming spicy and oily junk foods as they can take a toll on the patient’s liver. Medicated alcohol may have to be used to aid in the digestive procedure and removal of blockages in the flow of energy.
Participating in physical activities on a daily basis is important. In case the patient is too weak to exercise or even run, then steaming can be helpful. This is very crucial since it is believed in Ayurveda that heated blood can weaken and sometimes destroy the virus involved in HIV.
There are some herbal cum mineral compounds which are helpful for subsiding the conditions of HIV exposure. It is important to consult with an expert who can evaluate your condition and help in healing the signs and symptoms that you are suffering from.