Lybrate.com has an excellent community of Homeopaths in India. You will find Homeopaths with more than 43 years of experience on Lybrate.com. You can find Homeopaths online in Kasarwadi,Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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I have lots of acne & pimples on my face and small holes on my face. Its look very ugly, what should I do to remove it? Please suggest.
He feel very tired all the time. His age is 68 and he is very weak, although he looks younger than his actual age. Is this weakness is because of age factor or something else? He has Diabetes as well.
This is Dr. Hitesh Kubadia, I’m an orthopedic and joint replacement surgeon, specializing in minimally invasion joint replacement surgeries using the muscles sparing approach. I also do a lot of partial knee replacement i.e. called a unicompartmental knee replacement which is the next thing in trying to preserve as much as natural tissue as possible.
I’m here to explain something about osteoarthritis of the knee which is a very common problem faced by lot of elderly population and it disabled them in day to day life. These are the small models of the knee here so that I can explain it to you all and you all can understand what is the actual problem here. Now if you look at this is the knee model so if you look at the knee the knee is made up of a lower portion of the femur and upper portion of the tibia, so this is covered by a cartilage here, this blue thing which is marked up here is the cartilage and this is a very smooth glistening surface which allows for frictionless movement across the knee. OK.
As we age as we creates strains in this cartilages, these cartilages develop some bumps in their surfaces. So this surface doesn’t become as smooth as it once was. As we age as the friction keeps on increasing with a period of time this gets worn out completely. So much so that the underline bone gets starting visible and this causes tremendous frictions on your movement and causes pain. As people still pull on and then what happen this all the 3 compartments of the knee, the medial compartment, the latter compartment and the front compartment and the inner compartment the outer compartment and the compartment which is in the front all get worn out.
.So this causes pain and disability and pain for the patient and effects the day to day activities of life. Osteoarthritis has various forms of treatments, initially, everything is nonsurgical so when you try all those non-surgical methods to relief so that your life continues with lot of more than ease. But when these non-surgical methods like injections in the knee or physical therapy and injections in the knee start failing to give you enough relief then we need to think about surgical options.
So when we see on the x-ray on the clinically examine the patient and we see only one compartment of the knee which is damaged and the other part of the knee is very healthy it makes sense to do only you know change only that compartment of the knee which is actually causing the problem for the patient. So what is done here, as you look at this model is the friction between only in this compartment of the knee the other compartment of the knee is nice and smooth so what is done is only this compartment is changed. So what is changed with is you just resurface the area which is actually damaged and the resurface the lower portion that is damaged so which we removed this portion of the lower portion of the tibia and what is replaced by a small alloy of cobalt chrome and other cobalt chrome alloy at the plate this plate and medical grey plastic is inserted between the two surfaces and this movement becomes more than glistening over the period of time.
So this gives relief and gives fantastic relief again this is a minimally invasive surgery and since all the ligaments and the part of the knee is preserved and they are natural and they are glistening so the feel of the knee is much more natural and we have now enough reports across the world. These things lasting for even 20 years there is actually slowly passing the results of a traditional total knee replacement. We just spoke about the partial knee replacement but when we see the arthritis is confined to all the three compartments so this is no point in changing only the one part of the knee so that’s we come to the total knee replacement. So that’s what gives the patient long-term relief.
Again this done through a minimally invasive approach, muscle sparing approach so that the recovery time is much faster and much shorter. Right! So here we look at this model see this the whole knee is damaged the inner compartment the outer compartment the whole knee is damaged. So what is done here? Again resurfacing part so only the damaged portion of the cartilage and bit of bone is removed like this and we changed the whole thing off, and this is replaced with a cobalt chrome allow base plate and a medical grey plastic. Again on the femur side again cobalt chrome alloy which is fitted across. This is fitted to the bone with bone cement and this gives you lasting movements and comfortable movements across life. If you are or your family members face knee pain or hip pain in day to day life and they need a consultation with me they are most welcome to contact us through HKS Clinic or through lybrate.com
In a healthy individual, there are millions of microorganisms in different parts of the body which are essential for normal functioning of that particular organ. Be it the mouth or the gut or the reproductive tract, there are normally organisms. These form part of the normal flora of that body part. It is when there is an imbalance between the good and bad bacteria, where the bad ones take over, then there is a problem. This results in an infection, which manifests with symptoms and requires treatment.
Vaginal yeast infection is one of the most common such conditions and almost 75% of the women would have had it at least once in their lifetime. It is most commonly caused by the yeast Candida albicans, which is normally present in the vagina. Though it can be sexually transmitted, it is not a usual STD.
Causes: The vagina also contains the bacteria Lactobacillus, which produces acid and is essential for maintaining an acidic environment. This acidic environment ensures there is no overgrowth of the yeast. For various reasons, this balance is lost and there is an overgrowth of yeast leading to vaginal yeast infections. Some of the common causes are listed below.
- Antibiotic usage, which kills the Lactobacillus count and increases vaginal pH
- Uncontrolled diabetes
- Weakened immunity due to various reasons
- Increased levels of oestrogen due to use of birth control pills or hormone replacement therapy
Symptoms: The symptoms would depend on the severity of the infection.
- Vaginal itching, burning, and irritation
- Vulvar swelling, irritation, and redness
- Burning sensation with urination or intercourse
- Vaginal rash
- Vaginal soreness and pain
- Vaginal discharge that can be thick or thin, white or clear, odor-free or foul-smelling
In cases of recurrent vaginal yeast infections, there could be more than 4 infections per year along with extensive burning and itching and swelling that could even lead to cracks and fissures.
Diagnosis: Though the symptoms can be helpful in diagnosis, sometimes a pelvic exam and swab of the vaginal discharge might be required to confirm the diagnosis. This is especially required in cases of repeated infections.
I masturbate very frequently. Everyday or sometimes more than once a day. I have hair fall issues for many years. I was prescribed finasteride tablets once a day, they are testosterone suprresent. Does heavy masturbate affect hair fall and affect of finasteride?
Hi doctor, my mom has suffering from diabetes for since 13 years. From 6 months back she is having wounds on her leg. Recently she gone through biopsy test.
Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.
Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.
Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren’t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:
- Swelling in legs and feet
- Detection of albumin in urine
- Decline in glomerular filtration rate (GFR)
- Elevated arterial blood pressure
What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:
- Limit sugar intake and keep blood sugar levels within the target range
- Exercise regularly and work towards keeping your heart healthy
- Limit protein intake, as it could put extra pressure on your kidneys
- Limit salt intake to control blood pressure
- Quit smoking and drinking
Diabetes is an unfortunate condition to have to live with. But don’t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner! In case you have a concern or query you can always consult an expert & get answers to your questions!