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Dr. A M Patwardhan

Homeopath, Pune

Dr. A M Patwardhan Homeopath, Pune
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. A M Patwardhan
Dr. A M Patwardhan is a popular Homeopath in Vadgaon budruk, Pune. You can consult Dr. A M Patwardhan at Omkar Homeopathic Clinic in Vadgaon budruk, Pune. Don’t wait in a queue, book an instant appointment online with Dr. A M Patwardhan on Lybrate.com.

Lybrate.com has top trusted Homeopaths from across India. You will find Homeopaths with more than 35 years of experience on Lybrate.com. You can find Homeopaths online in 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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Hindi

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Survey No 56/3, Flat No 6,1st Floor, C Wing, Samarth Nagar Colony, Mumbai Bangalore Bypass, Near Ashirwad Hotel Lane, Vadgaon Budruk, Sinhagad Road, PunePune Get Directions
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I am getting pimple like spots on face and want to make my face glow what are the best possible solutions.

MD - Homeopathy
Homeopath, Aurangabad
I am getting pimple like spots on face and want to make my face glow what are the best possible solutions.
Pimples/ acne vulgaris is a chronic inflammatory skin disease which develops due to blocking of the hair follicles in skin. For pimples and to remove scars take following med. BERBERIS AQUIFOLIUM Q.x 14 days 20 DROPS TWICE IN WATER. Use berberis aquifolium oin any company ALSO DRINK PLENTY WATER. HAVE GREEN VEGETABLES. STOP OILY FOOD. Avoid night watching. Wash face with medimix soap 2/3 times per day. Contact me after 2 weeks.
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Which oil is beneficial for heart patients in india and also tell us about diet chart.

MBBS
General Physician, Delhi
Which oil is beneficial for heart patients in india and also tell us about diet chart.
No oil is good for the heart use as little as possible olive oil is the oil which is the one if you have to use lots of green veggies and all fresh fruits are good go for low calorie diet reduction of body weight helps heart patients.
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I am 28yrs old male and have a pain in right leg what should I do?

BPTh/BPT
Physiotherapist,
I am 28yrs old male and have a pain in right leg what should I do?
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I have been suffering from hair fall since 2 months. Can you give me a suggestion to reduce it.

MD - Homeopathy
Homeopath, Aurangabad
I have been suffering from hair fall since 2 months. Can you give me a suggestion to reduce it.
Hair fall is due to many reasons now a day it is common due to stress and busy life check your haemoglobin level if less then take hamatinic any multinational company take proper diet (dal vegetables sprouts fruits) and do exercise minimum 15 min if possibles do yoga for 10 min increase water intake minimum 3 to 4 litres per day also take homoeo medicines phosphrus 30 (30 no glouble) 2 tds x 2 weeks and reply also comb your hair gently and 2/3 time per day wash with homoeopathic shampoo (sbl or any company) twice a week preaper oil by mixing arnica montana q 30 ml + any regular hair oil and apply before wash
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Hello I am done test related to haemoglobin test, thyroid test ,total blood count ,blood sugar and all. Everything is normal but I have taken vitamins tablets given by physician. But after one month I still facing hair fall .new hair are growing but my long length hair are falling. I didn't know what I do. I am also using onion juice water once a week to wash hair. Please help me due to this I feel more tensed. Smile 27 years female.

MD - Skin,VD & Lepxsy
Dermatologist, Hyderabad
Hello I am done test related to haemoglobin test, thyroid test ,total blood count ,blood sugar and all. Everything is...
Losing your hair can do serious damage to your self-esteem. But luckily, there are plenty of options out there now to help you fight it. Hair loss can affect both men and women. Hair loss is very common these days because of increased stress, nutritional deficiencies, lack of exercise and increase intake of junk food. Other causes of hair fall could be genetic, hormonal imbalances, under-active thyroid gland, and insufficient blood circulation in the scalp. There are many treatment options for hair loss including medications, home remedies and cosmetic procedures such as hair transplants. There are various over the counter medications available for preventing hair loss, but you need the ones most suitable to your skin type to get effective results. Visit a dermatologist in your area to know which medicines you should take. If you're considering a hair transplant, it's important that you choose a doctor who focuses specifically on the technique by treating at many patients in a year, and who has experience with all different hair types. An experienced doctor can help minimize scarring and create a more natural hairline. Home remedies would include oiling your hair more often, include amla/indian gooseberry in your diet to promote new hair growth, apple cider vinegar can be effective to control hair fall and it gives soft and manageable hairs.
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This is regarding the constipation exactly I don't know is is constipation or what but I am suffering this from 5-6 years I i have to drink 1-2 liters of water in morning for going poo without water my stomach does nt clean properly have consulted many doctors they nly gave me laxatives and with laxative it only helped me while I am using them after leaving laxatives this occurs again and stomach does not clean properly I hv this problem from 4-5 years and I am 23 years old please help me out with it I am in a big trouble thank you. Name -Attrey gupta.

This is regarding the constipation exactly I don't know is is constipation or what but I am suffering this from 5-6 y...
1-- if you are going for poo after drinking 1-2 lit. That is good. Leave the any type of stress. 2---- abhayaristh 40 ml + water 40 ml after meal bd 3--- at night. Trifgol powder 20 gm with 1 glass oflukewarm water 4--- lauki. Moong dal n chapati take in diet 5--- strictly prohibited. Aaloo. Chawal. Chana n milk also 6--- take. Ghee. Munkka.
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I am 34 year male. Recently I undergone some tests. The results saying that I am diabetic. Still I am not using any medicine. TSH value is 6.99. I am non alcoholic. But with fatty liver. I did not consult any doctor. Can I control my problems with proper diet?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 34 year male. Recently I undergone some tests. The results saying that I am diabetic. Still I am not using any m...
Absolutely, you can control all your imbalances without any medicines. If your hba1c is below 7, there is nothing to worry. Your tsh is just above normal range, but don't make a mistake to start thyroid medicine at this level. The only thing you have to manage is your dirt and lifestyle. 1. Take small meals on regular interval (say 2hrly) 2. Avoid sugar in diet. 3. Avoid fatty, oily, spicy food items. Take light easily digestible food items. 4. Keep your mind happy and relaxed. Start yoga and meditation. For specific diet you may visit any good dietitian.
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Hello I have problem in my sex organ are to small so please suggest me how to grow then and give me tips.

Advanced Aesthetics
Ayurveda, Gulbarga
Hello I have problem in my sex organ are to small so please suggest me how to grow then and give me tips.
The penis is the male reproductive sexual organ that also serves as an outlet for urine. The main parts of the penis are the root, the body, the shaft skin and the foreskin. The size of the penis is different at different times, as the measurement varies due to the time of the day, room temperature, arousal time and in sexual activity. The growth of the penis takes place from infancy to the age of five and again a year before puberty that is around the age of twelve up to the age of seventeen. There are several facts concerning the size of the pennies in men. Here you have some of the key points which would let you have an idea regarding the average size of the pennies in men. • In most cases women have no worries regarding the size of the pennies. They are simply unaware of the fact. Men are more worried regarding the size and thickness of the pennies. • More than forty five percent of men have small pennies. This is the general pennies fact in case of men and this has got to do with the normal sexual life of men. • Several studies have revealed that the flaccid length of the pennies is from seven to ten centimetres. This is the average size of the pennies in men. • When the pennies get erected the length of the same extends to 12 to 16 centimetres and the erected circumference is around 12 centimetres. the Size of penis be increased? There are no creams, pills, exercises or medicines that can increase the size of the penis. Surgery is the only cure in cases when the total length of the penis remains 3 inches when erect. This is no full proof treatment. There are many methods recommended to enlarge the size of the penis. These include some non-surgical methods like stretching by hand, mechanical devices or attachment of weights or with the use of vacuum pumps. All these methods are very risky as the inner tissues of the penis are very delicate and can be damaged by wrong handling of the penis. The results are also not very positive. For treatment and any querries ask privetly..
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I am having balanced diet strictly without sugar. Than also my diabetes is 170 - 220. I eat two twice once in the morning and than at night.

MD - Pathology, MBBS
Pathologist, Ahmedabad
This is the right time to add drugs to manage diabetes when only diet restrictions fail to control blood sugar. Start exercise too.
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My vagina is too tight and i'm finding it difficult to have sex. I felt a lot of pains the day I tried to make an attempt with my husband is it vaginismus, my husband couldn't get inside me, we also used gel to do but we still face same. My vagina is to small, so please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
My vagina is too tight and i'm finding it difficult to have sex. I felt a lot of pains the day I tried to make an att...
Often women do not realize that involuntary tightness relates also to vaginismus, and fail to address this problem. The vaginismus self-help program may be helpful for those needing help to improve pelvic floor health and control in the context of working toward restored intercourse (use in consultation with a physician).
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My brother suffering from bronchitis since last 15 days, taking antibiotics but still not satisfied please suggest natural and other alternate treatment.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My brother suffering from bronchitis since last 15 days, taking antibiotics but still not satisfied please suggest na...
Homoeopathicmedicine ANTIM TART 30 ( SBL) Drink 2 drops direct on tongue every 2-3 hrly. TUSSISTIN Cough syrup ( wilmar schwabe indiaa) Drink 1 spoon 2-3 timess daily Report after 5 days.
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Skin problem it's very dry on my cheeks n oily on my forehead as well as m having health problem too I have tried lots of protein n dite but still ma wait iz 50 please suggest me I want to gain my Wight ma height is 5.11.

BHMS
Homeopath,
Skin problem it's very dry on my cheeks n oily on my forehead as well as m having health problem too I have tried lot...
Dear lybrate user, increasing weight does not mean that you will go fatty. In fact, extra fat serves as a precursor of many diseases. In order to increase your weight as well as stay healthy you have to increase the muscle mass of your body. Normally a muscle undergoes an increase in size when it gets hypertrophied due to weight training. Weight-training leads to the pumping of blood to the muscle resulting in increased protein synthesis in the muscles. This applies to every muscles of human body. So, weight training is a must to increase weight. Whenever a muscle gets hypertrophied it demands protein to expand. Here comes the need of protein supplement. The most effective protein supplement is whey protein. But kindly remember only taking supplement is not enough. You need to take those supplements according to a fixed schedule. For quicker & better results take 40 grams of whey just after waking from sleep at morning. Take another 20 grams of whey just 30 minutes before workout. Again take 40 grams of whey just after you have finished your workout. Kindly remember gaining weight is a time -taking process. So do not expect any result within fortnight.
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How to loose belly fat.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
How to loose belly fat.
Excessive weight gain is caused when people consume more calories than the body needs—occurring most commonly due to eating a diet high in fat and calories, being sedentary, or both. This imbalance between calories consumed and calories burned, however, can also be caused by a number of different obesity-related factors such as genetic, hormonal, behavioral, environmental and, to some extent, cultural. There are many other factors causing obesity such as pregnancy, tumors as well as endocrine disorders and medications that include psychotic drugs, estrogens, corticosteroids and insulin Dear to decrease your weight you have to do work out daily. Try the remedies below they can help u. 1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4.Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. 6. Do bhujang asana, dhanurasana, naukasana, kumbhakasana, pavanamukthasana daily 10 min per asana. 7. Do running early morning daily and join aerobics in evening. 8. Avoid oily and fried foods, processed foods, fatty foods like butter, purified butter, cheese, whole-milk yogurt, cream, chocolate, etc. 9.Replace refined flour with whole-wheat flour and rice with brown rice or parboiled rice.
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My hairs are turning into white since last 4 years the no of white hairs are being increasing.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
My hairs are turning into white since last 4 years the no of white hairs are being increasing.
The hair which are white already can not be turned into black but you can control the black hair from becoming white. 1. Use mild shampoo to wash hair (you can make your own shampoo using reetha and shikakai at home) 2. Stop using conditioners. Use natural conditioners like egg, yougurt and lemon. 3. Massage your scalp with a mix of oils like olive, coconut, sesame, castor oil at night. 4. Apply raw amla juice on hair thrice a week. 5. Rub your scalp with the juice of white onion. 6. Use a paste of bhringraj on hair. 7. You can use some good hair packs like - fenugreek and yogurt, egg and green tea. 8. You can rinse your hair with organic apple cider vinegar after washing your hair to maintain ph balance of your hair. 9. Hair health depends on the amount of protein in your diet. Foods like chicken, eggs, fish, nuts, dry fruits gives you the required nutrients to keep your skin and hair healthy. So consume plenty of them. Eat things rich in vitamin c like amla and oranges. 10. Drink lots of water to flush out toxins from the body.
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During study my eyes always paining. What could be the the reason ?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
You go for the routine checkup for your eye specialist. This is may be serious condition please do not ignore it.
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What is the reason for weight loosing after taking proper diet? please tell me answer this question.

BHMS
Homeopath, Faridabad
What is the reason for weight loosing after taking proper diet? please tell me answer this question.
Hello,Homoeopathic medicines are less invasive and have more herbal approach towards gaining the weight. There are a number of homoeopathic medicines, which treat the root cause behind the body’s inability to gain weight or bulk up. 1. Take alfalfa tonic(wsi), 2 – 2 tsp. Thrice a day, half an hour before meals. 2. Calcarea phos 200, 5 drops , once in aweek , morning empty stomach for 2 weeks. 3. Take eggs, milk, butter, bananas, potatoes, mangoes, figs, oats, soyabean and dry fruits. 4. do light exercises regularly to keep your body active. These homoeopathic medicines and dietary addition will increase your appetite and give your metabolism a healthy boost. ***If you do not get results with this treatment then please revert me i will suggest you to go through some tests.*** Thanks.
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Dear Sir, My son have fever from last 3 days. We are giving him crocin at Regular interval of 3-4 hours. It works but only for 3-4 hours. Again and again fever coming and mostly it goes at high temperature (upto 103-104). Kindly consult.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
Dear Sir, My son  have fever from last 3 days. We are giving him crocin at Regular interval of 3-4 hours. It works bu...
Looking to your problem. You must pediatrician for proper diagnosis as already 3/days passed without result. As you understand very well that temp is our best friend to tell us there is something wrong in body and by giving crocin or paracetamol you can check temp. Never cure.
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My mom has got this problem of going to motion very often in the form of semi liquid with stomach pain especially after intake of food. She has got piles problem also.

MD - Ayurveda
Ayurveda, Bareilly
My mom has got this problem of going to motion very often in the form of semi liquid with stomach pain especially aft...
She might be suffering from irritable bowel syndrome. Hingwastak churna, bilvadi churna & isabgol husk each 50 gms mix well and give her 10 gms morning evening before meal for 2 weeks. Avoid spicy & oily foods. Buttermilk will help. If she got relieved in 15 days continue for another 1 month if not consult a gastroenterologist.
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My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, delusions, hallucinations, and negative symptoms like reduced motivation, speech and activity are occurred. Now he is on medications for that. He is on tab quiet 25 mg (Quetiapine Fumarate INN 28.728 mg equivalent to 25 mg of Quetiapine) once daily. 1 hour after taking this medicine he gets calm and sleeps. Even if he wakes up in the middle of the night, he was not in his senses at that time. Most of the time he urinates while he is asleep. Even he forgets to go to washroom and he poops in his pants but he forgets to wash himself. His condition is not improving. Kindly please suggest suitable medication which can cure above said things of his health.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, del...
Hi there ~ Dementia and Alzheimer’s Care Planning and Preparing for the Road Ahead Improving Emotional Health Alzheimer's disease and other types of dementia can be a challenging journey, not only for the person diagnosed but also for their family members and loved ones. Caring for someone with Alzheimer's or dementia can seem overwhelming at times, but the more information and support you have, the better you can navigate the demanding road ahead and determine the long-term care options that are best suited to you and your loved one. Preparing for Alzheimer’s and dementia care As you come to grips with an Alzheimer’s or other dementia diagnosis, you may be dealing with a whole range of emotions and concerns. You’ll no doubt be worried about how your loved one will change, how you’ll keep him or her comfortable, and how much your life will change. You’ll also likely be experiencing emotions such as anger, grief, and shock. Adjusting to this new reality is not easy. It’s important to give yourself some time and to reach out for help. The more support you have, the better you will be able to help your loved one. While some of these tips are directed specifically at Alzheimer’s patients, they may equally apply to those with other types of dementia as well, including vascular and mixed dementia. Early-stage Alzheimer’s care preparations There are some Alzheimer’s care preparations that are best done sooner rather than later. It may be hard to consider these questions at first, as it means thinking about a time when your loved one is already well down the road of his or her Alzheimer’s journey. However, putting preparations in place early helps a smoother transition for everyone. Depending on the stage of diagnosis, include the person with Alzheimer’s in the decision-making process as much as possible. If their dementia is at a more advanced stage, at least try to act on what their wishes would be. Questions to consider in preparing for Alzheimer’s and dementia care: Who will make healthcare and/or financial decisions when the person is no longer able to do so? While a difficult topic to bring up, if your loved one is still lucid enough, getting their wishes down on paper means they’ll be preserved and respected by all members of the family. Consider meeting with an elder law attorney to best understand your options. You’ll want to consider power of attorney, both for finances and for healthcare. If the person has already lost capacity, you may need to apply for guardianship/conservatorship. More information can be found in the Resources section below. How will care needs be met? Sometimes family members assume that a spouse or nearest family member can take on caregiving, but that is not always the case. Caregiving is a large commitment that gets bigger over time. The person with Alzheimer’s will eventually need round-the-clock care. Family members may have their own health issues, jobs, and responsibilities. Communication is essential to make sure that the needs of the Alzheimer’s patient are met, and that the caregiver has the support to meet those needs. Where will the person live? Is his or her own home appropriate, or is it difficult to access or make safe for later? If the person is currently living alone, for example, or far from any family or other support, it may be necessary to relocate or consider a facility with more support. Find out what assistance your medical team can provide in these areas. In some countries, you can also hire a care manager privately. Geriatric care managers can provide an initial assessment as well as assistance with managing your case, including crisis management, interviewing in-home help, or assisting with placement in an assisted living facility or nursing home. Developing day-to-day routines Having a general daily routine in Alzheimer’s and dementia care helps caregiving run smoothly. These routines won’t be set in stone, but they give a sense of consistency, which is beneficial to the Alzheimer’s patient even if they can’t communicate it. While every family will have their own unique routine, you can get some great ideas from your medical team or Alzheimer’s support group, especially regarding establishing routines to handle the most challenging times of day, such as evenings. Keep a sense of structure and familiarity. Try to keep consistent daily times for activities such as waking up, mealtimes, bathing, dressing, receiving visitors, and bedtime. Keeping these things at the same time and place can help orientate the person. Let the person know what to expect even if you are not sure that he or she completely understands. You can use cues to establish the different times of day. For example, in the morning you can open the curtains to let sunlight in. In the evening, you can put on quiet music to indicate it’s bedtime. Involve the person in daily activities as much as they are able. For example, a person may not be able to tie their shoes, but may be able to put clothes in the hamper. Clipping plants outside may not be safe, but the person may be able to weed, plant, or water. Use your best judgment as to what is safe and what the person can handle. Communication tips As your loved one’s Alzheimer’s progresses, you will notice changes in communication. Trouble finding words, increased hand gestures, easy confusion, even inappropriate outbursts are all normal. Here are some do’s and don’ts on communicating: Communication Do's and Don'ts? Do Avoid becoming frustrated by empathizing and remembering the person can’t help their condition. Making the person feel safe rather than stressed will make communication easier. Take a short break if you feel your fuse getting short. Keep communication short, simple, and clear. Give one direction or ask one question at a time. Tell the person who you are if there appears to be any doubt. Call the person by name. Speak slowly. The person may take longer to process what’s being said. Use closed-ended questions which can be answered “yes” or “no.” For example, ask, “Did you enjoy the beef at dinner?” instead of “What did you have for dinner?” Find a different way to say the same thing if it wasn’t understood. Try a simpler statement with fewer words. Use distraction or fibs if telling the whole truth will upset the person with dementia. For example, to answer the question, “Where is my mother?” it may be better to say, “She’s not here right now” instead of “She died 20 years ago.” Use repetition as much as necessary. Be prepared to say the same things over and over as the person can’t recall them for more than a few minutes at a time. Use techniques to attract and maintain the person’s attention. Smile, make eye contact, use gestures, touch, and other body language. Don't Ever say things like: “Do you remember?” “Try to remember!” “Did you forget?” “How could you not know that? Ask questions that challenge short-term memory such as “Do you remember what we did last night?” The answer will likely be “no,” which may be humiliating for the person with dementia. Talk in paragraphs. Instead, offer one idea at a time. Point out the person’s memory difficulty. Avoid remarks such as “I just told you that.” Instead, just repeat it over and over. Talk in front of the person as if he or she were not present. Always include the person in any conversation when they are physically present. Use lots of pronouns such as "there, that, those, him, her, it. Use nouns instead. For example, instead of "sit there" say "sit in the blue chair. Use slang or unfamiliar words. The person may not understand the latest terms or phrases. Use patronizing language or “baby talk.” A person with dementia will feel angry or hurt at being talked down to. Use sarcasm or irony, even if meant humorously. Again, it can cause hurt or confusion. Planning activities and visitors As you develop daily routines, it’s important to include activities and visitors. You want to make sure that the Alzheimer’s patient is getting sensory experiences and socialization, but not to the point of getting overstimulated and stressed. Here are some suggestions for activities: Start with the person’s interests. Ask family and friends for memories of interests the person used to have. You’ll want to tailor the interests to the current level of ability so the person doesn’t get frustrated. Vary activities to stimulate different senses of sight, smell, hearing, and touch. For example, you can try singing songs, telling stories, movement such as dance, walking, or swimming, tactile activities such as painting, working with clay, gardening, or interacting with pets. Planning time outdoors can be very therapeutic. You can go for a drive, visit a park, or take a short walk. Even sitting on a balcony or in the backyard can be relaxing. Consider outside group activities designed for those with Alzheimer’s. Senior centers or community centers may host these types of activities. You can also look into adult day care programs, which are partial or full days at a facility catering to older adults and/or dementia patients. Visitors and social events Visitors can be a rich part of the day for a person with Alzheimer’s disease. It can also provide an opportunity for you as the caregiver to socialize or take a break. Plan visitors at a time of day when your loved one can best handle them. Brief visitors on communication tips if they are uncertain and suggest they bring memorabilia your loved one may like, such as a favorite old song or book. Family and social events may also be appropriate, as long as the Alzheimer’s patient is comfortable. Focus on events that won’t overwhelm the person; excessive activity or stimulation at the wrong time of day might be too much to handle. Handling challenges in Alzheimer's and dementia care One of the most painful parts of Alzheimer’s disease is watching a loved one display behavior you never would have thought possible. Alzheimer’s can cause substantial changes in how someone acts. This can range from the embarrassing, such as inappropriate outbursts, to wandering, hallucinations, and violent behavior. Everyday tasks like eating, bathing, and dressing can become major challenges. Painful as some behaviors are, it’s critical not to blame yourself or try to handle all the changes in behavior alone. As challenging behavior progresses, you may find yourself too embarrassed to go out, for example, or to seek respite care. Unfortunately, difficult behavior is part and parcel of Alzheimer’s disease. Don’t isolate yourself. Ask for help from the medical team and reach out to caregiver groups for support. There are ways to modify or better accommodate problem behaviors. Both the environment you create at home and the way you communicate with your loved one can make a substantial difference. Considering long-term Alzheimer's and dementia care It’s the nature of Alzheimer’s disease to progressively get worse as memory deteriorates. In the advanced stages of Alzheimer’s, your loved one will likely need round-the-clock care. Thinking ahead to these possibilities can help make decisions easier. To find links to organizations in your area that may be able to help, see Resources and References below. Care at home There are several options for extending care at home: In-home help refers to caregivers that you can hire to provide assistance for your loved one. In-home help ranges from a few hours a week of assistance to live-in help, depending on your needs. You’ll want to evaluate what sort of tasks you’d like help with, how much you can afford to spend, and what hours you need. Getting help with basic tasks like housekeeping, shopping, or other errands can also help you provide more focused care for your loved one. Day programs, also called adult day care, are programs that typically operate weekdays and offer a variety of activities and socialization opportunities. They also provide the chance for you as the caregiver to continue working or attend to other needs. There are some programs that specialize in dementia care. Respite care. Respite care is short-term care where your loved one stays in a facility temporarily. This gives you a block of time to rest, travel, or attend to other things. Is it time to move? As Alzheimer’s progresses, the physical and mental demands on you as caregiver can gradually become overwhelming. Each day can bring more challenges. The patient may require total assistance with physical tasks like bathing, dressing, and toileting, as well as greater overall supervision. At some point, you won’t be able to leave your loved one alone. Nighttime behaviors may not allow you to sleep, and with some patients, belligerent or aggressive behaviors may exceed your ability to cope or feel safe. Every situation is different. Sometimes the gap can be bridged by bringing in additional assistance, such as in-home help or other family members to share the caregiving burden. However, it is not a sign of weakness if moving to your loved one to a facility seems like the best plan of care. It’s never an easy decision to make, but when you’re overwhelmed by stress and fatigue, it’s difficult to maintain your caregiving standards. If the person with Alzheimer’s is living alone, or you as the primary caregiver have health problems, this option may need to be considered sooner rather than later. When considering your caregiving options, it’s important to consider whether you are able to balance your other obligations, either financial or to other family members. Will you be able to afford appropriate in-home coverage if you can’t continue caregiving? Talk to your loved one’s medical care team for their perspective as well. Evaluating an assisted living facility or nursing home If the best choice is to move the Alzheimer’s patient to a facility, it doesn’t mean you will no longer be involved in their care. You can still visit regularly and ensure your loved one gets the care he or she needs. Even if you are not yet ready to make that step, doing some initial legwork might save a lot of heartache in the case of a crisis where you have to move quickly. The first step is finding the right place for your loved one. Choosing a facility There are two main types of facilities that you will most likely have to evaluate for a loved one with Alzheimer’s: an assisted living facility or a nursing home. Assisted Living Assisted living is an option for those who need help with some activities of daily living. Some facilities provide minor help with medications as well. Staff is available twenty-four hours a day, but you will want to make sure they have experience handling residents with Alzheimer’s disease. Also be clear about what stage your loved may need to move to a higher level of care. Nursing homes Nursing homes provide assistance in both activities of daily living and a high level of medical care. A licensed physician supervises each resident’s care and a nurse or other medical professional is almost always on the premises. Skilled nursing care providers and medical professionals such as occupational or physical therapists are also available. How do I choose a facility? Once you’ve determined the appropriate level of care, you’ll want to visit the facility—both announced and unannounced—to meet with the staff and otherwise evaluate the home. You will also want to evaluate the facility based on their experience with Alzheimer’s residents. Facilities that cater specifically for Alzheimer’s patients should have a designated area, often called a special care unit in the U.S. For residents with dementia. Questions to ask such a facility include: Policy and procedures – Does the unit mix Alzheimer’s patients with those with mental illness, which can be dangerous? Does the program require the family to supply a detailed social history of the resident (a good sign)? Environment – Is the unit clean? Is the dining area large enough for all residents to use it comfortably? Are the doors alarmed or on a delayed opening system to prevent wandering? Is the unit too noisy? Staffing – What is the ratio of residents to staff? (5 to 1 during the day, 9 to 1 at night is normal). What is staff turnover like? How do they handle meals and ensure adequate hydration, since the person can often forget to eat or drink? How do they assess unexpressed pain—if the Alzheimer’s resident has pain but cannot communicate it? Staff training – What training for Alzheimer’s care do they have? Does the facility provide staff with monthly in-service training on Alzheimer’s care? Activities – Is there an activity plan for each resident based on the person’s interests and remaining cognitive strengths? Are residents escorted outside on a daily basis? Are regular outings planned for residents? Services – Does the unit provide hospice services? What were the findings in the most recent state survey? What to expect during a transition Moving is a big adjustment both for the person with Alzheimer’s and you as their caregiver. Your loved one is moving to a new home with new faces. You are adjusting from being the person providing hands-on care to being an advocate. Remember to give yourself and the Alzheimer’s patient time to adjust. If you’re expecting to move, try to have essentials packed and ready to go, and as many administrative details taken care of as possible, as sometimes beds can come up quickly. Work closely with staff regarding your loved one’s needs and preferences. An extra familiar face during moving day, such as another relative or close friend, can also help. Each person adjusts differently to this transition. Depending on your loved one’s needs, you may either need to visit more frequently or give your loved one their own space to adjust. As the adjustment period eases, you can settle into the visiting pattern that is best for both of you. I hope this helps.
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What medications are best for the treatment of asthma? What are their side effects?

MBBS
General Physician, Mumbai
In acute stage it's better to take nebulisation with duolin respules eight hourly which has got no side effects and few tips for asthmatic patients-- avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.
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