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Dr. Ajay Khurana

General Physician, Pune

300 at clinic
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Dr. Ajay Khurana General Physician, Pune
300 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ajay Khurana
Dr. Ajay Khurana is a trusted General Physician in Fatima Nagar, Pune. He is currently practising at Deshpande Hospital in Fatima Nagar, Pune. You can book an instant appointment online with Dr. Ajay Khurana on Lybrate.com.

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Hindi

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Deshpande Hospital

Flat 11 B Parekh Towers, Fatima Nagar. Landmark: Bhairoba Nala, PunePune Get Directions
300 at clinic
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Reasons Behind Borderline Personality Disorder!

DPM, Msc Psychiatry, MBBS, Mental Health Training DMHP Nimhans Echo
Psychiatrist, Muzaffarpur
Reasons Behind Borderline Personality Disorder!

Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

  • Prolonged dysthymia/ sadness
  • Feeling lonely/ misfit
  • Emotional dysregulation or Frequent mood swings
  • Significant interpersonal issues
  • Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

  • Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
  • Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
  • Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.

Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life. If you wish to discuss any specific problem, you can consult a psychiatrist.

2743 people found this helpful

I am 72-year-old and have been using hearing aid for last 3 years. Now the hearing aid also is not helpful, my hearing loss continues. Are there any other options/hearing aids available?

MASLP
Speech Therapist, Mumbai
I am 72-year-old and have been using hearing aid for last 3 years. Now the hearing aid also is not helpful, my hearin...
Response from hearing aid depends on many factors- your current hearing level, quality of hearing aid, how well you have maintained it. I would advise first recheck your audiogram, if your hearing aid is programmable, get it reprogrammed as per your need, get it serviced/repaired. If any of this is not helpful, you need to go for new hearing aid, as per your listening needs.
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My marital life is not that great and my wife is seldom interested in sex. What should I do? Am 40 and she is 38.

MBBS
General Physician, Jalgaon
My marital life is not that great and my wife is seldom interested in sex. What should I do? Am 40 and she is 38.
Please Reduce your weight by exercises and diet control Take her for outing, picnic Try to keep her happy Devlop a habit of going to morning and evening walk with your wife. Give her Cap kapikachhu by Himalaya 2 2 for 3 mths Cap Shatavari by Himalaya 22 for 3 mths.
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Sir please tell me why some times my stomach left side upper quadrant is very tight and visually also just coming outside compared to right side. Its happening before meals also. And stool also be going very tight. What is the reason pls tell me.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Sir please tell me why some times my stomach left side upper quadrant is very tight and visually also just coming out...
You need to take Sulphur 30 1 dose now, 2nd dose at night and 3rd dose tomorrow morning. This should start clearing your bowels first, then the tightness of upper abdominal quadrant. But it will be relieved within a week. Take care. :) You can ask me more queries too. :)
1 person found this helpful
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My daughter has a fever for the last 40 days, but not continuously, gap of 3-4 days. Max temp. Is 100. Her age is 13 years old. After taking pcm tablet it becomes normal in 10 minutes. All tests i. E. Typhoid, blood culture, urine culture, h b all ok. Antibiotics such as taxim o lariago has been given on dr. Advice. Kindly advise immediately.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear, I do underage your anxiety. Do you have pets at home? where do you live? have you travel led with your daughter to a desert or any jungle in the last 1 or 2 months? what other symptoms does she have? is there any shivering, sweating, headache, body pain, cough, vomiting. Abdominal pain. Burning urine and or diarrhea or constipation. How is her appetite. Has she lost weight. Does anybody in your family ha email tb? please answer the above questions patiently and upload any reports that you have done till date. Will be able to help you much better in this way. Fever of more than 3 weeks that is more than 38. 3 centigrade and undiagnosed even after 3 opd visits and intelligent invasive investigations is termed as fever of unknown origin.
1 person found this helpful
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My daughter age is 3 1/2 year last two months continue fever coming doctor ka pass lea jana se medicine lean se kam hoga aur doo din ka baad ma phiri bhe fever aajaraha give me some suggestions.

MBBS
General Physician, Faridabad
My daughter age is 3 1/2 year  last two months continue fever coming  doctor ka pass lea jana se medicine lean se kam...
syr crocin isf sos when temp. Is high, and get few test done like cbc, complete urine exam. Platelet count, mp slide for malaria Back with report. Thank you
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Stroke - How Physiotherapy Can Help With It?

Master of Physiotherapy (MPT-Neuro), Bachelor of physiotherapy(BPT)
Physiotherapist, Ahmedabad
Stroke - How Physiotherapy Can Help With It?

Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke: 

1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding

Signs and symptoms of stroke 

  • Problems with movement
  • Inability to feel  on one side of the body
  • Problems understanding or in speech
  • Vertigo
  • Loss of vision
  • Difficulty in carrying out everyday activities

Role of Physiotherapy for Patients with Stroke

  • The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible.
  • If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
  • It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
  • If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.

What does a Physiotherapist do?

  • A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
  • Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
  • Decides when you should begin to start walking and what equipment is needed to move or support you
  • Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
  • Takes care of the fact that no complications should arise and you have a smooth recovery.

Treatment Techniques:

  • Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
  • Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
  • Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
  • Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
  • Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.

In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4688 people found this helpful

While I am doing sex I want to be longer time in bed with wife in 5 min sperm is coming there is no feelings.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
While I am doing sex I want to be longer time in bed with wife
in 5 min sperm is coming there is no feelings.
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Here are some best working tips for your query. Do not opt for fake advertisements claiming capsules and tablets for penile strength, prolonging sex & making patients fool. Certain molecules which are having results are also not without side effects some of which are very serious as chest pain, heart rate disturbances or else ; so without consultation of urologist, not advisable to consume. Provide enough time in foreplay, after play. Consume plenty of liquids. Balanced nutritious diet intake with enough iron, vitamins,minerals, proteins.Regular walking in fresh air, exercises,relaxation techniques, YOGA help great in creating self confidence. Avoid stress, anxiety.Manage to have regular sound sleep of 8 hours. Cut off use of mobile, internet in bedroom. Discuss with the partner regarding her likes and dislikes with love. Keep your blood sugar, cholesterol levels, body weight under control. Avoid smoking, alcohol if consuming. Consider sex as an art rather than just act of finishing ejaculation. Plan sudden surprises as uninformed leave from job coming home, candle light dinner, surprise gift, outing,variations in sex acts which matters a lot. Consult later on in private at Lybrate.com as per the requirement. Hope this clears your query. Wishing you best sex life ahead. Welcome for any further assistance. Regards take care.
1 person found this helpful
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I am 23 years old. I do night shift job from 6pm to 3pm. Will it effect by anyway in my health.

MBBS
General Physician, Cuttack
I am 23 years old. I do night shift job from 6pm to 3pm. Will it effect by anyway in my health.
It will affect your health since you are not getting adequate sleep.minimum 6-8 hours sleep is essential to remain healthy.
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Is there any permanent solution of premature ejaculation problem during sex? I am 31 years old. I am very much depressed due to this!

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
Depression will increase the problem. So, consult doctor and find out the exact cause why you are having it. Then get the solution.
1 person found this helpful
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