Doctor in Shrestha Health Clinic
Treatment Of Acne/Pimples
Weight Loss Treatment
Treatment of Headaches
Treatment of Fever
Treatment of Hair Fall
Treatment of Red Eyes
Treatment of Pain
Treatment of Masturbation Addiction
Treatment of Hair Loss
Treatment & Management of Cold
Treatment of Stomach Pain
Treatment of Body Weakness
Treatment of Female Hair Loss
Treatment of Dandruff
Prevention & Treatment of Diabetes
Treatment of Itching
Treatment of Greying Hair
Treatment of Sleeping Problems
Treatment of Erection Problems
Treatment Of Acne Scars
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Patient Review Highlights
I found the answers provided by the Dr. Vijan Sharan to be very helpful. Thank you very much
No matter how much time you spend researching on how to take care of your newborn, once your child is delivered, the first few weeks will leave you frantic and overwhelmed. However, there are a few tips which new parents must keep in mind.
- 1. Since babies have a weak immune system and are susceptible to infections, it is of paramount importance that anyone who handles your child has clean and sanitized hands.
- 2. You also need to be careful about always supporting and cradling your child's head and neck since the muscles in his or her neck are weak at birth, and babies only develop head control after six months.
- 3. Never shake your newborn baby whether playfully or out of frustration. Shaking the baby can cause bleeding in the brain or in severe cases, death. Tickle your child's feet to wake him or her up.
- 4. Not only is it important to make sure that your baby is fastened securely in the car seat, stroller or carrier, you must also restrain from activities which may be bouncy or rough.
Firstly, you must decide whether you want disposable or cloth diapers for your infant. Babies go through at least ten diapers a day (irrespective of whether they are cloth or disposable). While diapering, you must keep in mind to not leave your baby unattended on the changing tables. So get all the supplies such as clean diaper, diaper ointment (in case of rash), fasteners, diaper wipes and warm water, before changing his or her diaper.
Newborn babies need to be given a sponge bath with warm water and very little soap till the navel and/or the circumcision heals completely. This can take about one to four weeks. After being healed, the baby should be bathed twice or thrice a week since frequent bathing may damage the baby's skin.
Breastfeeding and Burping:
Doctors recommend feeding the baby on demand i.e. whenever your baby is hungry. Crying, putting fingers in the mouth, or making sucking noises convey that the baby is hungry. A new born baby needs to be fed every couple of hours.
Burping is important so that the air consumed during the feedings can be let out since it makes the baby fussy. Patting or rubbing a baby's back usually helps them to burp or pass gas.
Fever from yesterday, but now felt cold nose blockage and weakness. Yesterday I took Vicks action 500.
Sir I am 28 year old male and ill from two days with cold, slightly vertigo and headache last days I take medicine and one injection from a local clinic. I feel better then. But today 3. A. M when I was sleeping then instant I feel liquid in my stomach and with in few second it come out from my mouth, nose and eyes. What are the symptoms of this please tell me.
Last six months having ,heart mumring, sometimes shortness of breath, bluish nail my chest side on left side is flat compared to right chest side, also by birth I had an undescended testicle which left untreated and just six months before it descended on its own ,since it was a birth defect ,it could be possible that I also have any heart defect or congenital heart problems?
There are some diseases which a person can get affected by due to no fault of theirs, at all. And then, there are lifestyle diseases for which a person is solely responsible. So what can be done in order to fight lifestyle diseases like hypertension and diabetes, which can cause more than a fair amount of trouble?
The most important thing to keep in mind when an individual is battling a lifestyle disease is the diet of the person. Even for someone who has not had the misfortune of being affected by such a disease, the general level of health has a lot to do with what is eaten and drunk. One of the first things one should do is to eliminate the unhealthy fats (also known as saturated fats and trans-fats) that may be a part of one’s diet and replace them with more healthy fats. For instance, chips and other oily food need to be replaced with unsaturated fats. Omega 3 fatty acids are also good for the body, if consumed in a reasonable quantity. One of the best sources for Omega 3 is fish.
One of the ways to determine if a person is at risk is by checking if the waist size of an individual is larger than what it should be. In the case of men, if the waist size is more than 40 inches, it means he may be at significant risk. On the other hand, when it comes to women, the waist size should not exceed 35 inches.
A lot of people do try and eat food which is more nutritious. While this is a very good and recommended practice, the pitfall comes by way of not keeping track of what is eaten. So, it is always a good idea to keep a food diary. Not only does this increase the chances of a person sticking to a beneficial diet, but also it provides a record, which can be checked to measure the intake of salt, sugar and fat. This is important since salt often becomes a major cause leading to lifestyle diseases. So, there should be no added salt to meals once they are prepared. Instead of using salt, herbs can add a wonderful flavour to your meals. Similarly, excess consumption of sugar or fat is also not beneficial in the long run.
Most people think that there is no way to lose weight other than joining a fitness centre or following a well-regulated diet chart, but there are times when taking little steps can aid in burning off extra calories and offer more weight loss. Fortunately enough, several stealthy means can help to turn up calories burn all through the day.
- Rise up and sweat: If there is a lack of time to get up and hit the gym early in the morning, set the alarm at least 15 minutes early and get involved in activities that would get the metabolism stroked such as jumping jacks, crunches, squats and push-ups. This will boost the calorie burning process, and it would continue all through the day.
- Raise the heart beat: One should try to increase the heart rate for one minute at a time. This process could be repeated at least ten times in a day. The additional amount of oxygen will help in keeping the individual alert, activate the lungs, heart, brain and legs. The best benefit of raising the heartbeat is that it helps in burning 300 to 400 calories a day. The most viable way of increasing the heart beat is doing 10 squats or performing lunges at the end of each hour.
- Sit on the floor: When watching the television or playing with the pet or helping a young kid in his homework, one should try to sit on the ground instead of the sofa, chair or the bed. This is because when a person sits on the floor, the muscles are required to offer support and more energy is required for standing up.
- Eat with the non-dominant hand: As per the reports of the University of Southern California, eating with the non-dominant hand will aid in eating less. Even though people believe that eating is a direct result of hunger, the truth is that eating is also determined by environmental cues. Disrupting the eating patterns such as switching to chopsticks or having dinner in an unfrequented part of the house can help control intake.
- Pop in prune: A study conducted by a team at the University of Liverpool found that eating about 5 to 6 ounces of prunes each day for about 12 weeks can help the overweight individuals to lose about 4.4 pounds and approximately about 1 inch from the waistlines. The body can easily tolerate prunes, and it doesn’t lead to any sort of side effects. They contain high amounts of fibre and helps the individual feel fuller for longer hours.
- Avoid overeating the products which are “low-fat”: This may sound absurd, but people tend to eat 50 more than required when they get hold of food that has a label saying “low fat”. This tag makes the product appear healthy and prompts the individuals to feel that they are manifesting a great feat by consuming these kinds of foods. The good rule of thumb is that one should eat the same amount of the “low fat” version of the food as he would have done with regular fat content.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Browsing on the phone before you sleep can potentially cause serious damage to your health. According to studies the side effects can be far reaching and detrimental for your overall health. It can disrupt your sleep and contributes to several complications like heart diseases, obesity, etc. Following are the bad effects of browsing on the phone before bed:
1. Browsing on the phone till late in the night affects your sleeping pattern and deprives your body from the rest it requires. Loss and lack of sleep significantly contributes to various health problems like poor sleep, depression, stroke, cardiovascular problems, obesity etc.
2. Staring at a bright screen for a long time before sleeping can slow down the activity of neurons that make you sleepy thereby keeping you in a state of wakefulness. Staring at artificial lights suppresses melatonin, the sleep hormone which affects the sleep-wake cycle of your body.
3. Browsing on the phone before sleep also takes a toll on your eyes. It can cause serious damage to your eyes if you make a habit out of it. You can see visible signs if you wake up with dark circles in the morning and feel tired and lousy. Looking at brightly lit screen for a long time especially in the dark puts a lot of strain in your eyes and also affects mental health.
4. Browsing on the phone till late in the night will make it difficult for you to wake up on time. The light on your cell phone affects your sleep which can even trigger insomnia. Lack of sleep affects your alertness and concentration level and makes you feel drowsy and exhausted.
There are many myths surrounding fat and weight loss today. From fad diets to exercises that promise to burn fat in no time at all, the Internet is flooded with material and information that can confuse people. So here is our list of facts and myths regarding fat loss.
- Starving: This one is a big myth! Do not starve as this will only make your body store fat from whatever little you may be ingesting. Also, such habits will weaken your bone and muscle strength in the long run.
- Snacking: Avoiding snacks for fat loss is a myth. You need to divide your meals into smaller portions for faster fat loss, which means one or two of those meals could actually be snacks. But a snack which comes in the form of a bag of chips is a bad news. So get a salad or almonds for a snack instead.
- Carbs: If you have come to believe that all carbs are bad, then you need a reality check. This one is a major myth. The body requires nourishment above all else, and this includes some amount of carbs. While having a cheese burger is a big no, having a potato salad minus the heavy cream dressing is actually a good idea and will give your body plenty of energy. Get the drift?
- Calories: While you may have been led to believe that certain kinds of food can burn calories, this is actually a myth. The reality is that there are different kinds of calories and you must choose food that is high in fiber so that the metabolic system gets a boost. Food like oats which come with high dietary fiber can actually help push the food out of your digestive system, faster and more effectively.
- Eating Right and Exercising: Many people believe that eating right and exercising are the best ways to banish fat from your life - forever. This is a myth. After a certain age, the metabolism does slow down. Eating right and exercising as a matter of routine helps in avoiding a sudden and massive weight gain. Above all, your diet and exercise should be flexible so that you can accommodate a slowdown without piling on fat.
The fat loss journey is one that is based on a consistent system of eating right and staying within a routine. So avoid myths and get yourself a well nourished, active and well rested body. In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi Sir, Mere dono ankho ke niche bahut sujan hai aur bahut khujali hoti hai kabhi kabhi. Please ise sahi karne ke lie upay btaiye.
Acid Reflux and Oesophagitis Heartburn
Acid Reflux and heartburn are a very common problem faced by many of us. And so I decided to discuss in a very simplified way.
Let us understand the oesophagus and stomach first
When we eat, food passes down the gullet (oesophagus) into the stomach. Cells in the lining of the stomach make acid and other chemicals which help to digest food. Stomach cells also make mucus which protects them from damage from the acid. The cells lining the oesophagus are different and have little protection from acid.
There is a circular band of muscle (a sphincter) at the junction between the oesophagus and stomach. This relaxes to allow food down but then normally tightens up and stops food and acid leaking up (refluxing) into the oesophagus. In effect, the sphincter acts like a valve.
What are Acid reflux and oesophagitis?
Acid reflux means that some acid leaks up (refluxes) into the gullet (oesophagus).
Oesophagitis means inflammation of the lining of the oesophagus. Most cases of oesophagitis are due to reflux of stomach acid which irritates the inside lining of the oesophagus.
The lining of the oesophagus can cope with a certain amount of acid. However, it is more sensitive to acid in some people. Therefore, some people develop symptoms with only a small amount of reflux. However, some people have a lot of reflux without developing oesophagitis or symptoms.
What is Gastro-oesophageal reflux disease (GORD)
This is a general term which describes the range of situations - acid reflux, with or without oesophagitis and symptoms.
What are the symptoms of acid reflux and oesophagitis?
Heartburn: this is the main symptom. This is a burning feeling which rises from the upper tummy (abdomen) or lower chest up towards the neck. (It is confusing, as it has nothing to do with the heart!)
Other common symptoms: these include pain in the upper abdomen and chest, feeling sick, an acid taste in the mouth, bloating, belching, indigestion and a burning pain when we swallow hot drinks. Like heartburn, these symptoms tend to come and go and tend to be worse after a meal.
Some other uncommon symptoms: these may occur and if they do, can make the diagnosis difficult, as these symptoms can mimic other conditions. For example A persistent cough, particularly at night, sometimes occurs. This is due to the refluxed acid irritating the windpipe (trachea). Asthma symptoms of cough and wheeze can sometimes be due to acid leaking up (reflux).
Other mouth and throat symptoms sometimes occur, such as gum problems, bad breath, sore throat, hoarseness and a feeling of a lump in the throat.
Severe chest pain develops in some cases (and may be mistaken for a heart attack).
What causes acid reflux and whom does it affect?
The circular band of muscle (sphincter) at the bottom of the gullet (oesophagus) normally prevents acid leaking up (refux). Problems occur if the sphincter does not work very well. This is common but in most cases it is not known why it does not work so well. In some cases, the pressure in the stomach rises higher than the sphincter can withstand - for example, during pregnancy, after a large meal, or when bending forward.
What are the causes of Heartburn and what are the Treatment options
Most people have heartburn at some time, perhaps after a large meal. However, about 1 adult in 3 has some heartburn every few days, and nearly 1 adult in 10 has heartburn at least once a day. In many cases it is mild and soon passes. However, it is quite common for symptoms to be frequent or severe enough to affect the quality of life. Regular heartburn is more common in smokers, pregnant women, heavy drinkers, those who are overweight and those aged between 35 and 64 years.
What tests can be done to arrive at the diagnosis?
Tests are not usually necessary if you have typical symptoms. Many people experiencing acid leaking up (refluxing) into the gullet (oesophagus) are diagnosed with 'presumed acid reflux'. In this situation, they have typical symptoms and the symptoms are eased by treatment. Tests may be advised if symptoms are severe, or do not improve with treatment, or are not typical of GORD.
Gastroscopy (endoscopy) is the common test. A thin, flexible telescope is passed down the oesophagus into the stomach. This allows a doctor to look inside. With inflammation of the lining of the oesophagus (oesophagitis), the lower part of the oesophagus looks red and inflamed. However, if it looks normal it does not rule out acid reflux. Some people are very sensitive to small amounts of acid and can have symptoms with little or no inflammation to see. Two terms that are often used after an endoscopy are:
Oesophagitis. This term is used when the oesophagus can be seen to be inflamed.
What can be done to relieve with symptoms?
The following are commonly advised. However, there has been little research to prove how well these lifestyle changes help to ease reflux:
Smoking. The chemicals from cigarettes relax the circular band of muscle (sphincter) at the bottom of the gullet (oesophagus) and make acid leaking up (refluxing) more likely. Symptoms may ease if you are a smoker and stop smoking.Some foods and drinks may make reflux worse in some people. It is thought that some foods may relax the sphincter and allow more acid to rfleux. It is difcult to be certain how much foods contribute. Let common sense be your guide. If it seems that a food is causing symptoms then try avoiding it for a while to see if symptoms improve. Foods and drinks that have been suspected of making symptoms worse in some people include peppermint, tomatoes, chocolates, hot drinks, coffee and alcoholic drinks. Also, avoiding large-volume meals may help.
There are some medicines which can make symptoms worse. They may irritate the oesophagus or relax the sphincter muscle and make acid reflux more likely. The most common culprits are anti-inflammatory painkillers (such as ibuprofen or aspirin). Others include diazepam, theophylline, calcium-channel blockers (such as nifedipine) and nitrates. But this is not a complete list.
Weight. If you are overweight it puts extra pressure on the stomach and encourages acid reflux. Losing some weight may ease the symptoms.
Posture. Lying down or bending forward a lot during the day encourages reflux. Sitting hunched or wearing tight belts may put extra pressure on the stomach, which may make any reflux worse.
Bedtime. If symptoms recur most nights, the following may help: Go to bed with an empty, dry stomach. To do this, don't eat in the last three hours before bedtime and don't drink in the last two hours before bedtime.
If you are able, try raising the head of the bed by 10-20 cm (for example, putting two normal sized pillows under your head. This helps gravity to keep acid from refluxing into the oesophagus.
What are the treatments for acid reflux and oesophagitis?
Antacids are alkaline liquids or tablets that reduce the amount of acid. A dose usually gives quick relief. There are many brands which you can buy. You can also obtain some on prescription. You can use antacids 'as required' for mild or infrequent bouts of heartburn.
If you have symptoms frequently then see a doctor. An acid-suppressing medicine will usually be advised. Two groups of acid-suppressing medicines are available - proton pump inhibitors (PPIs) and histamine receptor blockers (H2 blockers). They work in different ways but both reduce (suppress) the amount of acid that the stomach makes. PPIs include omeprazole, lansoprazole, pantoprazole, rabeprazole and esomeprazole. H2 blockers include cimetidine, famotidine, nizatidine and ranitidine.
In general, a PPI is used first, as these medicines tend to work better than H2 blockers. A common initial plan is to take a full-dose course of a PPI for a month or so. This often settles symptoms down and allows any inflammation in the gullet (oesophagus) to clear. After this, all that you may need is to go back to antacids 'as required' or to take a short course of an acid-suppressing medicine 'as required.
However, some people need long-term daily acid-suppressing treatment. Without medication, their symptoms return quickly. Long-term treatment with an acid-suppressing medicine is thought to be safe and side-effects are uncommon. The aim is to take a full-dose course for a month or so to settle symptoms. After this, it is common to 'step down' the dose to the lowest dose that prevents symptoms. However, the maximum full dose taken each day is needed by some people.
If you have any question you can write down to me.