Lybrate.com has a number of highly qualified Ayurvedas in India. You will find Ayurvedas with more than 27 years of experience on Lybrate.com. Find the best Ayurvedas online in Palakkad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Skin Care Treatment
Treatment of Migraine Treatment
Treatment Of Female Sexual Problems
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Chronic Skin Allergy Treatment
Treatment Of Pregnancy Problems
Submit a review for Dr. Sreevidya GYour feedback matters!
Pimples on my face is a very big problem for me. There are too many dangerous pimples on my face with lots of pain. Please provide me a proper solution.
I am doing exercises in a gymnasium. How can I get six pack abs. I heard about six pack pills. Is it good?
I am suffering from viral fever in last week. So pls tell me doctor which medicine is best for me. Thanks.
Last night I had a sudden loss of energy. Mild pain started in my body and I began to feel sleepy. Then I slept for about 11 hours. When I woke up I was as it is. There was no change. Not feeling energetic. After 4 hours I again went to sleep. Now I'm feeling somewhat better but not completely. What problem I might have?
Respected doctor Hii I am saish ,i am going to the gym from the last 2 months and I had gain some muscle but I had not gain weight so please give me some tips ,actually I am really very frustrated ,i am want a good physique ,so please guide me and prefer me some good nutritions.
How I control hair fall. My hair is in very bad conditions, what should I do? Please tell me some option.
Hi sir I am male and I want to know that how to increase my height My height is 5'6" Reply me please.
I am 22 years old boy. I am very much suffering from hair loss. Please suggest me how to reduce my hair loss problem. Please.
I did sex with my gf on 16th and her periods suppose to come on 22. But till now periods did not came. Do she have any chance to get pregnant. Pls advise.
How safe is dental implant of moller it's side effect - recovery time-aprox expenses considering my age is 55 year with no health conditions
I am passing from eating disorder from last 1 year. My stomach not give me a natural cal for eating. I eat when my family time for dinner or lunch. I want to get rid from anorexia. please help me.
Sir I am very fat I am also using everything in my life please suggest me what I do for loss weight.
6 unhealthy habits that are harmful for your back:
You may not be aware, but there are many ways by which you are harming your back on a daily basis. These habits can lead to disc problems and spine problems in the coming years and impact the quality of your life. So, correct these mistakes before your back suffers irreparable damage.
Here are ways by which you are hurting your back:
1. You sit at your desk for too long
- Sitting puts 40% more pressure on your spine than standing. Also, not maintaining the right posture and slouching damages the spine in the long run.
- Try and stretch at a 135-degree angle to reduce compression of the discs in the spine.
- You can do this by leaning back slightly every now and then and also while making phone calls.
- Ensure that you use an office chair that supports the curve of your spine. Your lower back should be supported and your head should be straight.
- Get up and walk around for a couple of minutes every half hour: take trips to get water, use the bathroom, or grab papers off the printer.
2. You watch too much tv
- Staying glued to your television set for hours is not good for your back.
- Studies show that young adults who watch tv or use the computer for 15 hours a week or more are 3 times three times as likely to have lower-back pain as their more active counterparts.
- Limit tv to shows you really want to watch. In the spare time opt for some stretches or strength moves which will prevent muscle strain.
3. You wear high heels or flip flops too often
- Wearing both high heels as well as flip flops too often can lead to foot instability, which in turn can affect your back.
- High heels force you to arch your back, making your spinal muscles work harder.
- Backless shoes like flip flops cause your feet to move from side to side, which distributes your body weight unevenly and can cause pain.
- You do not have to abandon your high heels or flip flops for good. Just avoid walking long distances in them.
- Choose comfortable flats or sneakers when you plan on walking long distances.
4. Your mattress is too old
- According to experts, a good mattress lasts 9 to 10 years. But it is always a good idea to replace one every 5-7 years.
- Studies show that people who switch to new bedding after 5 years sleep significantly better and experience less back pain.
- When you do replace your mattress, pick one that’s not too soft nor too hard. Very firm mattresses can increase pressure on the spine and worsen pain.
5. You do not eat right
- Studies suggest that eating habits that are good for your heart, weight, and blood sugar are also good for your back.
- Make sure to include back healthy foods in your diet.
- These are foods that reduce inflammation and include whole grains, soy, nuts and seeds, protein (chicken, fish, lean meat), vegetables, and fruits.
- Limit intake of caffeine and processed foods.
6. You drive in the wrong posture
- Just like at your desk, hunching over a steering wheel can tighten chest muscles and cause your shoulders to round.
- Make sure you sit at a 90-degree angle, close to the wheel so you don’t have to stretch.
I am 35 years old & diabetic patient, I walked for 7-8 kilometers before 2-3 days ago, still my legs hurt very much. My partners did not have any problem. Can you tell me what is reason behind it?
I am very fatty and also I have very high sugar, please suggest me the diet chat also medicines as early as possible.
What should I do to increase size and weight? I am now nearly 54kg, give me good tips for increasing my weight up to 10 to 15 kgs quickly.
In 5 Years, Threat Of Drug-Resistant Superbugs Doubles
A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.
There was no relief.
So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.
Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.
With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.
In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.
Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.
Most patients, however, succumb to the infection.
Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.
What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.
India is fast becoming home to superbugs
Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.
Escherichia coli is notorious for causing food poisoning and urinary tract infections.
In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.
Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.
While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.
For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.
Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.
MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.
Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.
People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.
How ignorance is spurring the development of superbugs
“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”
–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.
Mox, short for amoxicillin, has become a household word across India.
A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.
Consuming too many antibiotics contributes to pathogen drug resistance.
“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.
Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.
Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”
Amoxicillin’s full course depends on the kind and severity of bacterial infection.
When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.
But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.
Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”
Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.
In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.
“Less is more”: the key to preserving antibiotic efficiency
Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.
That is sensible advice.
Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.
Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.
India requires more stringent regulations for antibiotic use.
It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.
“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.
“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”
So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.
That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.
Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”
“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.
India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.
Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.
India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.
“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.
How surgeons contribute to antibiotic resistance
Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.
Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.
Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.
“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.
Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.
“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.
Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.
“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.
In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.
Needed: A back-to-the-basics approach to health
Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.
“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.
In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.
However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.
Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.
So, it is better to focus on the basic constituents of health.
Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.
Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.
Dr Himanshu Shekhar
( Above Article , with My Inputs was published in a leading Health Magazine)