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After making out with his girlfriend, he had little pain in his testicles and lower abdomen while walking and moving. This has happened couple of times. Once he sits or gives support to them for sometime, it goes. Why this happens and what should he do? Thanks in advance for the help.
Sir, My friend is 30 years old. He is depressed all the time because he is feel guilty. When he was 18 years old he slept with his mom when his mom was sleeping his hands was on her breast and abdomen. He was not in control. His mother does not this matter. Sometimes he was doing it. One day he realized then he feel depressed. He is attempting to suicide but fail. He is worried since last 11 years about this matter. He does not share this matter to any friend and to her family member. He told me this matter and not to say that another person. Now, he belongs to the deep problem. He is feeling guilty. So what should I do in this matter. Please reply sir.
Hello. I’m Dr Rajiva Gupta. I’m a senior consultant in internal medicine at Ashok Vihar and Fortis Hospital, Shalimar Park. My special areas of interest are diabetes and care of the elderly.
Now talking about care for the elderly, the branch of medicine that deals with the care of the elders is called Geriatrics anthology. The elderly patients present peculiar problems. They present not just discreet conditions, but with discreet syndromes. A syndrome is a constellation of symptoms and signs. In common, they are called the geriatric syndromes. The common geriatric syndromes are false, impaired cognition, deficiencies in a hearing, difficulty in vision, delirium. These syndromes are important because we have to investigate several different causes. For example, if the patient falls, it is not necessary that he may be having weakness in his legs. It is highly possible that the patient will be suffering from an acute infection or from some electrolyte imbalance or from CVA or cardiovascular problem. The patient is having disorientation, he is not oriented, he may have necessarily, he may be having, that he is having infection of the brain, he could as well be having electrolyte imbalance or any infection or a cardio-vascular problem. It means that the syndromes present, similar syndromes present with different types of illness in the elderly. The reason is that the physiological reserves of the elderly are just on the borderline and any acute insult that results in these syndromes. The approach to geriatric patients is slightly different from the way we approach people of other age.
So there are two components, one is the Curative component and another is comfort, or the palliative. That depends much on the functional ability of the patient. So if you have got an elderly person, above 80 years, he does regular exercise, enjoys his life, goes out for walks, the treatment of any condition in such a patient would be on the lines the management is done for a younger or a middle aged patient. Whereas, on the other end, if the patient is 70 years or 75 years, and he suffers from a problem, he is immobile, confined to bed, he is not able to take care of his own daily needs. For such patient, the aim would be to have a comfort care. So, the treatment of the elderly has to be individualized and surprisingly, there are not many guidelines which are available for treatment of elderly in different, for different medical conditions. SO the treatment for each individual has to be individualized, considering his individual circumstances. For example, if we take a very common problem like sugar, and we call that, there is a parameter called the Glycosylated hemoglobin, so we say that glycosylated hemoglobin for a normal should be less than 7% or less than 6.5 %. Bit for the elderly, because they may be having other illnesses, they may be having kidney disease or may be living alone in the house, they may not be able to take care, so in such patients, we will not go in for a very strict control, we’ll go in for a modest control, where the range may be say, around 8 or 8.5.
As physicians, we need to be aware that the number of elderly people is increasing, we need to be aware about their special needs, we have to give time once they come to our clinic and we have to define their problems and treat them accordingly.
I will be most willing and happy to answer to any questions, which can be approached through the lybrate website or they can seek consultation by telephone or physical consultation.
Good Morning, for past a week I have problem in stomach like when ever I eat something I getting a symptoms of shitting and my stomach is bulging.
Hi, My age is 26, Female. I have a problem like, I get frequent food poisoning that causes me severe pain in abdomen, motions, continuous vomiting (more than 5 times) (some yellow colour liquid comes out). And now I already suffer from Abdominal Tuberculosis (4 months over, am under diagnosis). Not able to get an idea on what food items to eat and what not to eat. This is happening frequently. Please suggest me some foods and suggest me if any other treatments required. Thank you so much in advance.
I have a problem of fissure for 10 years and no bleeding occur. But in upper of anus there is a small small pumps .and I feel burning when constipation occur and some time itching. Give advice.
I am a 47 year old male and I am suffering from mouth ulcer for the past four days please tell me the cure.
I am 24 years old female. I have lump above anus and below it. Sometimes blood in stool . what should i do ?.
Also known as flatulence, gastric problems do not really mean any kind of disease. Rather, these occur as a result of some underlying condition or some distress affecting the digestive system. Gastric problems generally take their toll on the health of the person by showing their effects either as stomach pain or by making the person lose his appetite. These gastric problems generally come along with some of the serious health conditions like diarrhoea or problems like indigestion. It is now easy to treat flatulence by using the remedies that are readily available in households.
Forms of gastric problem
Gastric problems do not generally occur alone and they usually come along with other conditions like digestive distress, diarrhoea or even cramps. Commonly this condition can be seen in three forms in a person. One is burping, the second form is belching and the third is flatulence. Each has their own magnitude of impact on the person. All three causes annoying effects to the person and can be taken care of with the help of some home remedies. The gastric problem can be of two types. One is the acute gastritis and the other is chronic gastritis. The first problem can be cleared off within few days time and the second problem needs some extra care and treatment.
Symptoms of gastric problem
Some cases of gastric problem can be minor and can be taken care of easily. These problems can be resolved in a matter of one or two days. Other forms of flatulence can be severe and can cause other weaknesses in the body. Doctors say that gastric problems can be identified with the help of few easily comprehensible symptoms.
Some of the common symptoms of the gastric problems are:
- Constant pain in the abdominal region
- Loss of appetite
- Repeated vomiting and nausea
- Increased pressure and pain in the chest area
- Persistent headache
- Sudden dizziness during work
Solution for the problem:
There are some common home remedies for gastric worries which include:
- A little cinnamon powder can be mixed with a glass of warm milk and can be taken along with honey.
- 2 spoons of apple cider vinegar must be mixed with a glass of warm water and cooled to the room temperature and drunk.
- Equal amounts of fennel, ginger and cardamom must be ground together and a pinch of hing must be added to it and mixed with a cup of water. It must be taken twice a day.
- 1 spoon each of carom seeds and black salt must be added to buttermilk and the solution has to be drunk.
I am suffering from uper epigastric region pain, heart burn with acidity and feeling off discomfort.
I'm a 23 year old female. I'm conceived for 2 months. I'm not getting sleep at night. Is there anything that can help me in pregnancy. and due to which I'm getting gastric pain which is unbearable. please suggest something.
My last periods was on 17th of last month yesterday I had a spotting but not bleeding. Late night I had pain in my abdomen. I intercourse mith my partner 6 days ago. Is this is the symptoms of early pregnancy. If yes then please help me with this.
I am 43 years old. I am suffering from fatty liver grade 2 ever since I suffered an attack of dengue fever in the year 2011. I am still not able to digest fatty contents. I am also diabetic. I have lost the sheen of my face and life. Kindly help me out.
Dear doctor I 25 years old gal last few days I suffering from gas problem. What ever eat I mak gas what is the solution.
I am 64 man my liver shows a size of16by14mm and lefy kidney lower pole cyst of size 19.7by17.5 mm and prostate wt. Is29.4gms is grade 1. Medial lobe of prostrate projecting into the ub on 17/4/15. I am feeling sweet pain in my lower abdomain andlower back pain. Stiffness in lower back I feel. Please give your opinion. Thanks.
Sir I am 19 year old. I am suffering from digestion problem. Also in morning, my bowel not completely clear. I have to go many times for toilet in a day. I have very less appetite. I follow all the rules still I am suffering. Please suggests me some non habitual ayurvedic medicine.
Bleeding per rectum is the most worrying problem with many of us. What is required to check this?
Don't get panic.
See yourself it is coming mixed with stool or dripping drop by drop after passing the stool.
It is red or black in colour.
Do you have constipation?
How often is it repeated?
Any medication is taken on the previous day.
Any history of taking food outside in hotel or restaurant.
Any bleeding disorder you have which is known to you.
If you have any one of these make homework and contact doctor immediately with the answer to these question.
Most of the times it is controlled very easily but close watch and full medical opinion is required