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Om Clinic

Ayurveda Clinic

Shop No 3,Sneha Vihar,Near Telephone Exchange,Aundh Pune
1 Doctor
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Om Clinic Ayurveda Clinic Shop No 3,Sneha Vihar,Near Telephone Exchange,Aundh Pune
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Our medical care facility offers treatments from the best doctors in the field of General Physician . We will always attempt to answer your questions thoroughly, so that you never have to......more
Our medical care facility offers treatments from the best doctors in the field of General Physician . We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Om Clinic
Om Clinic is known for housing experienced Ayurvedas. Dr. Sunita Patil, a well-reputed Ayurveda, practices in Pune. Visit this medical health centre for Ayurvedas recommended by 62 patients.

Timings

MON-SAT
11:00 AM - 01:00 PM 06:00 PM - 08:00 PM

Location

Shop No 3,Sneha Vihar,Near Telephone Exchange,Aundh
Aundh Pune, Maharashtra - 411007
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20 Years experience
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11:00 AM - 01:00 PM
06:00 PM - 08:00 PM
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Dengue Fever

MBBS
Internal Medicine Specialist, Delhi
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Dengue fever is a disease caused by viruses that are transmitted to people by mosquitoes. Sometimes, its symptoms are mild and can be mistaken for those of the flu or another viral infection.People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.

Ways To Deal With Hypertension

MBBS
Internal Medicine Specialist, Delhi
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High blood pressure, which is also called hypertension, increases your risk of developing many serious health problems, including heart disease, stroke, and kidney disease. There are healthy lifestyle habits you can develop to help prevent hypertension and reduce your risk of high blood pressure-related health problems in the future.

Plastic Surgeon - Tips To Choose The Best One

MBBS, DNB - Orthopedics
Orthopedist, Chandigarh
Plastic Surgeon - Tips To Choose The Best One

Like any other surgery, cosmetic surgery has risks but if you choose the right surgeon, these risks can be effectively lowered. This decision can make all the difference between a surgery that enhances your confidence and one that brings complications and heartache. Your 'gut feeling' is not good enough to pick out a cosmetic surgeon. Being certified by the medical board is an absolute must.

Let's look at a few other things to keep in mind:

What is the doctor's specialty?

Plastic surgery is a vast field. While some surgeons specialize in facial reconstruction, others specialize in breast implants. When picking a surgeon, it is important that they have enough expertise in the procedure you want. Have a candid conversation with the doctor about the risks and benefits of the procedure you are about to undergo. No surgery is without risks and do not believe any doctor who tells you so. Avoid undergoing multiple procedures at once, and trying to find one doctor who can do it all.

What are the operating facilities like?

While some surgeries are performed in the doctor's office, others need a surgical facility. The success of your procedure depends not only on the surgeon but also on his staff and the operating facilities. Do not be afraid to ask about the anesthetist's qualifications and the certification of the operating facility. Ensure that they have key life support equipment on hand just in case. 

Does the doctor's aesthetic sense match yours?

Plastic surgery is largely a matter of aesthetics. What one person considers pretty may not be quite that attractive to the other person. Thus it is essential for you and your plastic surgeon to share a common sense of aesthetics. Ask to see pictures of the results of surgeries similar to what you want performed by the doctor. Depending on the procedure you want and the body part affected, look for patients with similar concerns and facial structure or body shape etc.  These photographs should give you an idea of how the surgeon will tailor the procedure to address your concern. 

Do you feel an emotional connect with the doctor?

'Gut feeling' cannot be completely ignored when it comes to choosing a plastic surgeon. You are putting the way you look in this doctor's hands, and hence it is important for you to feel secure in his care and to trust him. Your doctor should encourage you to ask questions and you should feel comfortable talking about your complete medical history with him or her. Also consider the staff and how you feel about them. 

This decision is not one that can be made hastily, so take your time and make sure that you are going for the best doctor before going under the knife. 

Adjustment Disorder - How To Manage It?

MA - Psychology, M.Phil - Mental Health & Social Psychology, PhD - Psychology
Psychologist, Bangalore
Adjustment Disorder - How To Manage It?

What Is Adjustment Disorder
Adjustment disorders are considered to be a group of conditions which usually occur when a person experiences difficulty in coping with the stressful life events. These usually include relationship issues, job issues or the demise of a loved one. The incapacity to adjust to stressful events leads to psychological and sometimes physical symptoms. 

Symptoms of Adjustment Disorder
The psychological and physical symptoms linked with adjustment disorder occur either during or instantly after a stressful event. The disorder only lasts for 6 months but the symptoms might continue if the stressor has not been removed. The symptoms might vary from person to person.

  • The psychological symptoms are anxiety, crying, impulsivity, lack of concentration, low or loss of self esteem, feeling hopeless, sad or trapped, and withdrawn attitude along with suicidal tendencies.
  • These physical symptoms can include trembling, twitching of the muscles, soreness, body pain, insomnia, indigestion and fatigue.
  • Adjustment disorder might display psychological and physical symptoms separately or together.

Types of Adjustment Disorder

There are 6 adjustment disorders and each one of them is associated with different symptoms:
1)  Adjustment disorder with depressed mood: People diagnosed with this suffer from feelings of hopelessness and sadness and are often related with crying. Also, a person might not enjoy the activities which he earlier enjoyed.
2)  Adjustment disorder with anxiety: Symptoms of this are anxiety along with being anxious, overwhelmed, and worried. People with this show less concentration and poor memory. When diagnosed in children it is usually due to the separation anxiety from loved ones and parents.
3)  Adjustment disorder with mixed anxiety and depressed mood: In this both anxiety and depression is experienced.
4)  Adjustment disorder with disturbance of conduct: The symptoms of this disorder are more of the involvement of the behavioral issues like starting a quarrel, reckless driving, destructing property and stealing. Teens suffering from this might become absent from school.
5)  Adjustment disorder with mixed disturbance of emotions and conduct: The symptoms of anxiety, depression, and behavioral issues are observed.
6)   Adjustment disorder unspecified: The people who are diagnosed with this type of disorder usually display symptoms those are not associated with other disorders. They exhibit more of physical symptoms and problems with family and friends or at school and workplace.

Treatment of Adjustment Disorder:
If diagnosed with an adjustment disorder, a person can definitely benefit from treatment. This is usually treated with therapy or medicines or a combination of both.
-  Therapy is the first choice. A  clinical psychologist with professional training in providing psychotherapy/counseling to adjustment disorders and other psychiatric conditions can be helpful.
-  Medication like nonbenzodiazepine anxiolytic, SSRI or SNRI and benzodiazepines might be prescribed for reducing the symptoms of anxiety.

3 Causes Of Chlamydia In Women And Its Symptoms!

MBBS Bachelor of Medicine and Bachelor of Surgery, D.G.O
Gynaecologist, Bangalore
3 Causes Of Chlamydia In Women And Its Symptoms!

Chlamydia is a STD, caused due to intercourse, or even sexual contact. This is often accompanied by vaginal discharge or genital pain. Chlamydia can affect both the sexes to any age group, though young sexually active women are mostly diagnosed with it. If left untreated, this STD can cause further complications, some of them, fatal.

Symptoms of Chlamydia in women
1. Abnormal odorous vaginal discharge
2. Bleeding resulting from intercourse or even between periods
3. Pain during menstruation or sexual intercourse
4. Soreness in the lower abdomen
5. A burning sensation or itching around the vagina
6. Painful urination
7. Green or yellow vaginal discharge

Further complications
Infection can extend to the fallopian tubes, leading to a disease called Pelvic Inflammatory Disease (PID). PID can bear symptoms such as nausea, severe pain in the pelvic region, fever and unusual bleeding during one’s periods. There are also high chances of contracting the chlamydia infection in the anus, the indications being pain, bleeding and discharge from the anus. Oral sex with a person diagnosed with this condition can also result in you contracting this infection in the throat, resulting in soreness, fever and cough.

Causes of Chlamydia in women
1. Chlamydia, being a sexually transmitted infection, primarily spreads through unprotected sex. However, sexual intercourse need not always be the reason behind this disorder. Sexual contact or even indulging in oral sex without using protection (in the form of dental dams) can result in this disease.
2. Newborn infants are also prone to acquiring this infection that is passed on to them by their mothers during birth. Therefore, pre-natal checkups are a must for detection.
3. Rarely, one can contract the infection in the eyes as well, through any form of oral or genital contact.

Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

  1. Shortness of breathThis may occur while you are exercising or performing activities which are mildly exerting.
  2. Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
  3. Angina or chest painYou may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
  4. Heart attackHeart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.

Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

  1. Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
  2. Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
  3. Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
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6 Quick Tips To Help Ease Neck Pain At Work!

MD - Internal Medicine, MBBS
General Physician, Delhi
6 Quick Tips To Help Ease Neck Pain At Work!

Neck pain is fairly common among adults. It results from the soft tissues such as ligaments, muscles and tendons. It can result from spasms and muscle strain from neck problems such as disc degeneration and spinal stenosis. Be it a chronic pain or a sudden one, addressing it is important to get on with the daily office life. 

Here is a list of some quick solutions, which when followed can give considerable relief from the pain:

  1. Computer should be at eye level: While sitting at it you must ensure that the middle of the computer screen is parallel to the eye. If it is required that you bend your neck to view the screen, then you should adjust the screen, without bending your neck. This happens most often while working with a laptop. The chair length can be adjusted to fix this problem.
  2. Refrain from neck straining while typing: If typing requires straining the neck, it should be ensured that the same doesn’t happen. This is the case while texting in a mobile. A better solution is to fix this is to take the mobile at a level which does not require the neck bend down. It will ensure that the joints and discs of the neck are not stressed.
  3. Use headset: If the work demands longer time on the phone, instead of bending the neck it makes sense to use a headset. Practicing the chin tuck exercise can help in this case. This exercise can strengthen the soft muscles of the neck. It also maintains the alignment of the head and the shoulder.
  4. Stay hydrated: Enough hydration is necessary to ensure spinal alignment and disc height. Hydration also takes a eases the spine and relaxes the soft muscles. A practice of adequate hydration throughout the day can help stop the degeneration of the cervical disc. While drinking water is a matter of practice, keeping a water bottle serves as a constant reminder to drink it throughout the day. Keeping an alarm after 2 hours also serves as a constant reminder to drink water.
  5. Carrying weight: One common mistake committed by most people is to carry weight with one hand. Since the load doesn’t distribute evenly, it strains the neck muscles causing pain. It should be ensured that the office briefcase or the heavy purse is carried with equal stress on both the shoulders. This will ensure a painless day at the office.
  6. Maintaining a good posture: Poor sitting or walking posture is often the cause of neck pain. While sitting it should be ensured that the back is straight and rests in the chair once in awhile. The neck and head should fall in a line while working.

Diaper Dermatitis - Diagnosis And Treatment!

MBBS, MD - Dermatology
Dermatologist, Trivandrum
Diaper Dermatitis - Diagnosis And Treatment!

Babies go through a host of problems that we usually refer to as growing pains. This article is of special importance to most mothers who are going through myriad problems like colic, teeth and even diaper rash. Diaper rash is known as diaper dermatitis in medical terms. When the skin of the area within the diaper becomes red and goes through inflammation, it is known as diaper dermatitis. Read on to know more about the condition, and how it may be treated.

Symptoms: The most obvious and common symptom of diaper dermatitis is the signs on the skin which will bear a patchwork of red blotches that may look tender to touch. The baby will also seem more irritable and cranky as the discomfort and pain starts to grow every time the diaper rubs against the rashes. Bleeding, itching and oozing can also occur, in which cause it is imperative to see a doctor immediately. Also, if the rashes are accompanied by fever, one must get it checked as there may be chances of an infection. Diaper rashes can also cause pain during bowel movements and a burning sensation during urination.

Causes: There are a number of reasons for the occurrence of diaper rashes. Trying out a new product may sometimes give the baby a rash as the sensitive skin of the child may not take to some ingredient. Therefore, it may develop as an allergic reaction. This new product may be a cream, lotion or a new brand or type of diapers. Further, sometimes when we introduce new foods, the baby’s skin may erupt into rashes as a part of an allergic reaction. Also, chaffing or rubbing may cause such rashes, while prolonged use of the diaper without a change is known to be one of the most common causes of this condition. Bacterial or yeast infection can also cause diaper dermatitis. Also, antibiotics can cause rashes as a side effect.

Diagnosis: The diagnosis of the condition is usually done by a dermatologist or a paediatrician based on the symptoms that you list out as well as physical examination of the area. The doctor may also check the baby’s temperature in order to ascertain if there is any fever or any chance of an infection.

Treatment: One should keep the baby’s skin dry and absolutely clean at all times. Also, it would be recommended to use cloth diapers for a few hours a day so that the skin may get a chance to breathe. Further, the doctor will prescribe mild hydrocortisone ointments. Antifungal creams may also be used in case there is an infection. Oral antibiotics may also be prescribed in such cases.

Breast Cancer - A Brief Overview!

BAMS - Alternative Medicine, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Lucknow
Breast Cancer - A Brief Overview!

Breast cancer begins when cells in the breast(s) start to grow out of control. It is understood as being the most common cancer, seen predominantly in females, globally. It is reasonably treatable and often curable.

1. Type: Adenocarcinomas constitute more than 95% of breast cancers with infiltrating ductal carcinoma (IDC) being the most common form of invasive breast cancer.

Frequently occurring breast cancers present as one of the following types mainly

  1. Ductal Carcinoma In Situ (DCIS): Is the most common type of non-invasive breast cancer and is confined to the milk ducts of the breast. There is no invasion in the basement membrane. Pure DCIS metastasizes rarely. Non comedo cribrioform carcinoma is the most common DCIS found which, when compared to the comedo type, is mostly non-aggressive.
  2. Infiltrating Ductal Carcinoma (IDC): Represents majority (about 3/4th) of the breast cancers, and is known to metastasize commonly to bones, lungs and liver.
  3. Lobular Carcinoma In Situ (LCIS): Develops in multiple lobules of the breast (bilaterally). LCIS is less commonly seen, compared to DCIS.
  4. Infiltrating Lobular Carcinoma (ILC): Represent about a tenth of all breast cancers and tends to metastasize to other regions of the body.

Less commonly occurring breast cancers such as

  1. Inflammatory Breast Cancer: Is relatively uncommon and are caused probably owing to viral infections. The breast is warm, red and swollen.
  2. Paget’s disease of the nipple: Is a rare form of breast cancer. It begins in the milk ducts and spreads to the nipple and areola.
  3. Medullary Carcinoma
  4. Mutinous Carcinoma
  5. Tubular Carcinoma
  6. Phylloides tumor etc all.

2. Gender: Affects the female populace predominantly. However, a small percentage of breast cancer is attributable to the male populace as well.

3. Etiology: No definite cause is known. However, diet, lifestyle, environment, hormonal/ reproductive factors, personal or family history of breast cancer especially in first degree relatives and also any benign breast disease history etc all are known to increase the risk of breast cancers. Specifically, excessive fatty diet, obesity, type 2 diabetes mellitus, benign breast disease, heredity/ inheritance of mutated breast cancer genes 1 (BRCA1) and 2 (BRCA2), smoking, alcohol intake, infertility, estrogen therapy/ hormone replacement therapy (long term) in post menopausal women, delayed age at first pregnancy, nulliparity (not having child), early menstruation, delayed onset of menopause, lactating mothers not breast feeding, exposure to ionizing radiation, sedentary lifestyle, depression, exposure to MMTV virus etc all can potentially increase the risk for breast cancer.

4. Features: Signs & symptoms, of breast cancer, manifest majorly in the following ways

  1. Lump/ nodule in the breast that gets attached to the skin of the breast over time. The lump / nodule could be hard and painless with irregular edges or it could also be soft, rounded, tender and painful.
  2. Enlarged lymph nodes in the axilla which are palpable.
  3. Swelling of whole or a part of a breast. This is even if there is no distinct lump felt.
  4. Retraction or thickening of the nipple(s).
  5. Pain in the breast or nipple.
  6. Discharge from nipple other than breast milk.
  7. Irritation/ scaliness of skin over the breast.
  8. Redness of nipples
  9. Rarely, red, swollen and tender breast.

5. Screening: Is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose breast cancer at an early stage which is potentially curable. It is mostly radiologic with mammography/ USG being instrumental in raising suspicions for further diagnostics (i.e. biopsy) that help detect breast cancer, if any, early.

6. Diagnosis: A self-examination/ clinical exam of the breast(s)/ axilla that reveals a palpable mass prompts the following diagnostics. Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis.

  1. Blood: ER/ PR/ HER2/neu, uPA, PAI-1, CA15-3, CA27.29 etc all tumor markers are helpful.
  2. Imaging: Mammography/ USG Scan usually, as relevant. Again, CT Scan of abdomen & pelvis and chest, PET CT scan, bone scan etc all help detect metastasis, if any, for cancers in stage III & above.
  3. Biopsy: either excisional, incisional, fine needle aspiration (FNA) or core biopsy technique, as contextually appropriate, is frequently employed and a histopathological examination (HPE) thereof clinches the diagnosis and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, radiotherapy, hormone therapy/ chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage breast cancer are more. The cure/ recovery chances are influenced by the type, grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Above-mentioned apart, age, menopause status, lymph node status, ER/ PR/ HER-2/ neu status, size & extent of breast cancer etc all also influence the treatment outlook in breast cancer. The five year survival rate is strongly correlated with the stage of breast cancer.

9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. An adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for reducing the risks of breast cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly or are best avoided too. Limiting dosage/ duration of hormone therapy, if any, especially to counteract post menopausal symptoms and also avoiding exposure to radiation and environmental pollution can help reduce the risks of breast cancer. Apart from the above-mentioned, for high risk cases, a prophylactic oophorectomy, prophylactic radical mastectomy, long term hormone therapy etc all can help reduce the chances/ risks of developing breast cancer significantly. Breastfeeding is known to confer protection against breast cancer risk too.

Know How Ayurveda Can Work For Autoimmune Hepatitis

BAMS
Ayurveda, Ahmedabad
Know How Ayurveda Can Work For Autoimmune Hepatitis

Autoimmune hepatitis is a liver disease that causes damage to the liver cells because the immune system of the individual turns against the body. The attack of the immune system on the liver causes it to become inflamed and the inflammation impairs the functions of the liver. The patient suffering from autoimmune hepatitis experiences symptoms such as abdominal pain, fever, jaundice, weakness, weight loss, and edema.

Anyone experiencing these symptoms should become cautious about their condition and get it diagnosed because if left untreated, it can lead to liver cirrhosis and liver failure.

Ayurvedic treatment concept of autoimmune hepatitis: Autoimmune hepatitis is caused when the immune system of the body turns against itself and Ayurveda believes that this happens when there is an imbalance between the three physical energies – vata, pitta, and kapha. In case of autoimmune hepatitis, the pitta becomes vitiated causing the kapha to evaporate, which is a prime component of the immune system. This disrupts the immunity and causes problems in the liver. So, Ayurveda seeks to correct this vitiation and it does so with the help of medicines and cleansing techniques that would strengthen the liver and boosts its functions.

Immunity boosting Ayurveda treatment: The Ayurvedic treatment for autoimmune hepatitis focuses on medicines that have immunity-enhancing and liver-protecting properties. The idea is to increase the immunity of the body and to control and cure the damage done to the liver cells. Specific medicines such as curcumin and giloy have antioxidants and anti-inflammatory properties, which restore the liver muscles and give relief from swelling. They also possess detoxification properties which cleanse the toxins built up in the liver as a result of the vitiation of the pitta dosha. The external detox procedures such as swedana and virechana also work by flushing out the toxins so that the body is cleansed of the dosha and feels at ease.

Ayurveda treatment benefits in autoimmune hepatitis: Ayurveda treats autoimmune hepatitis in a comprehensive manner. The remedies work to correct all the causes, that is, the hostile immune system and the damaged liver cells. Unlike allopathic medicines that try to give temporary relief by suppressing the symptoms, Ayurveda aims to bring permanent relief by addressing the causes that have led to the symptoms. With Ayurveda, one can be sure of finding lasting relief and that too without any side effects. The medicines and treatments are conducive to the body and are prescribed after complete diagnosis of the condition.

This is why one should go to a credible Ayurvedic practitioner for the treatment of autoimmune hepatitis. Based on the patient’s condition, a particular type of treatment is prescribed. For example, patients with the weak constitution are not advised swedana and virechana as it may prove harsh to them. Nevertheless, Ayurvedic medications work in all types of patients. All one needs is an expert to treat the disease. Last but not the least, Ayurveda places a huge emphasis on diet and lifestyle and the patient must adhere to the dos and don’ts prescribed by their doctor. It is important and also helps in quick recovery.

Consult an expert Ayurvedic Doctor for proper line of treatment.

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