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Dr. Gulabani

Psychiatrist, Pune

100 at clinic
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Dr. Gulabani Psychiatrist, Pune
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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. Gulabani
Dr. Gulabani is an experienced Psychiatrist in Rasta peth, Pune. You can visit him/her at KEM Hospital - Pune in Rasta peth, Pune. You can book an instant appointment online with Dr. Gulabani on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 27 years of experience on Lybrate.com. You can find Psychiatrists 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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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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I am having the problem of drinking but after many try I cannot able to leave it so tell me some suitable outputs.

MD - Psychiatry
Psychiatrist, Chennai
Alcohol dependence involves intense craving or desire to drink alcohol. People drink for pleasure or rationalize it on external factors like family problems, work tension, etc. They drink continuously, i.e. Almost daily or even weekly once or twice with withdrawal symptoms, tolerance, bodily damage, etc. You need to consult a psychiatrist and go for 3 steps of de addiction. 1st is detoxification, when alcohol is stopped and the withdrawal is made smooth with minimal discomfort, 2 nd is maintenance and further deaddiction when the physical problems and psychological state of the individual is maintained and anti-craving drugs started 3 rd rehabilitation, when relapse prevention is the goal, while maintaining deaddiction. All the best.
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I am 27 year old and my height is 171 cm. My weight is 83 kg . Currently m not doing any exercise .and m taking normal food .like 8 to 10 roti in a day and vegetables. I take alcohol also at least once in a week. So please suggest me a good diet and exercise.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
I am 27 year old and my height is 171 cm. My weight is 83 kg . Currently m not doing any exercise .and m taking norma...
To maintain a low body fat and/or lower body fat: 1. Exercise at least 5 times per week, 3 times weight training and 2 days of cardio. 2. Eat whole/unprocessed foods at regular intervals, while being aware of physical hunger/fullness cues 3. Sleep 7-9 hours per night 4. Don’t engage in extreme diets 5. Stay consistent with your habits 6. Incorporate non-exercise physical activity 7. Ignore food advertising You need a fat loss diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, White rice and products, bread. Drink a lot of water.
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Is bipolar disorder or mood swings disorder or mania permanently curable without relapse? if relapse is usual then how to prevent relapse.

psychologist
Psychologist, Mohali
Give a miss call for suggestions / appointment on + 91 14 14 15 66 66 | Access code - 9696 , our customer service will help u further. Regards Dr.Harry's Counselor's Cafe Counseling Therapies Treatment
1 person found this helpful
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I read the article "Can Drinking Alcohol Mess with Your Poop? I am suffering from the same Kindly suggest remedy

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, After reading your question, I read one of the articles. It said, "Not to mention, alcohol can impair your judgement and decision-making, so it’s harder to resist foods even when you know they give you indigestion or diarrhea. Drunk You will convince yourself that chili cheese fries at 3 a.m. Are always always a good idea. So, come online text or audio with all the details of type, quantity, munches with alcohol, food after alcohol, liver function tests, blood sugar, lipase, amylase, other tablets and medical diseases. You can find a remedy yourself after discussing with me. Right now the remedy is - why not stop alcohol and see whether your problems is only due to alcohol.
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I am getting bad smell from mouth. If I can't take any food & kept empty it comes or there is some other reason. I don't smoke&drink.

BHMS
Homeopath, Faridabad
I am getting bad smell from mouth. If I can't take any food & kept empty it comes or there is some other reason. I do...
Hello, Halitosis, also called bad breath, is a symptom in which a noticeably unpleasant odor is present on the exhaled breath. Of those who have genuine halitosis, often the odor is caused by bacteria present below the gumline and on the back of the tongue. Rest of them is accounted for by many different conditions, including disorders in the nasal cavity, sinuses, throat, lungs, esophagus, stomach or elsewhere. Very rarely, halitosis can be one of many symptoms of a serious underlying medical condition such as liver failure; but, in the vast majority of cases, the cause is minor and can often be reduced by adjustments to oral hygiene, including brushing or gently scraping the back of the tongue and improving the health of the gums by using dental floss. The intensity of bad breath may differ during the day, due to eating certain foods (such as garlic, onions, meat, fish, and cheese), smoking,[12] and alcohol consumption. Since the mouth is exposed to less oxygen and is inactive during the night, the odor is usually worse upon awakening ("morning breath"). Bad breath may be transient, often disappearing following eating, drinking, tooth brushing, flossing, or rinsing with specialized mouthwash. So, in your case, need to make a diagnosis for right medicine. Medication: Use homoeopathic SBL’s Homeodent toothpaste twice (morning & night) a day daily. Use Cinnamon Q (mother tincture) diluted with water for gargling or use Bakson’s Perio Aid mouthwash after every meal. And take orally - Merc. Sol. 30/ twice a day daily for 2 weeks. Then revert.
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He is not getting concepts clear he feel difficulty in reading word. and he started speaking late in his age. still he is not clear in speech what should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear user. Difficulty in acquiring language skills are a sort of learning disability and therefore you should consult a psychologist in person to assess the LD and then for treatment. Take care.
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I am very emotional when my wife or my children get away from me l depressed so much I can't take food and drinks without them and want to take wine and drugs in there absence.

M.Phil (Child and Adolescent Psychology)
Psychologist, Unnao
I am very emotional
when my wife or my children get away from me l depressed so much
I can't take food and drinks wit...
Hello lybrate-user Go for psychological counselling. You will get help otherwise this type of feeling will creat problem in your personal and family life.
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Post Graduate Diploma In Rehabilitation Psychology, M A Clinical Psychology
Psychologist, Bhopal
People with low self esteem are 80 % more likely to criticize others & make efforts to embarrass others in order to make themselves feel better, smarter & tougher. There are better ways to feel good about yourself, one of it is end your day by affectionately looking directly into eyes of your mirror image & saying "I LOVE YOU". You will see the difference in a month.

My boy friend was a chain smoker 9 months before. He was smoking 5 to 6 cigarettes per day for nearly 3 years. Then he gradually decreased the count day by day due to my continuous compulsion. I personally hate smokers to the core. He said to me that he totally stopped smoking for the past 4 months. How to find whether it is true or not? Is there any way to find out that he is lining to me that he stopped it and still doing it when I am not around? Pls help me find it.

BHMS
Homeopath, Faridabad
Hi, There are few physical sign in smokers who smoke cigarette, try to find out those ones: -One of the most common and immediate symptoms of smoking is the persistent smokers' cough. The cough is usually the worst in the morning and lessens throughout the day. -Teeth of smokers show brownish black staining from inside and yellow discoloration from outside. -While yellowing teeth may take some time to appear, smoking cigarettes can cause yellow stains on the fingers and fingernails almost immediately. -A wheezing sound can indicate several different physical conditions, but one of them is damaged airways/lungs from smoking. ­-Shortness of breath is a tell-tale sign of a smoker. -Smokers are more prone to getting certain respiratory diseases like colds, bronchitis, and pneumonia. -Lips have a bluish-black discoloration in heavy smokers. -Premature wrinkling: ‘Crows feet’, ‘cobblestone wrinkles’, ‘smoker's face’: Crow's feet is the prominent lines and wrinkles starting from the corner of the eyes. Cobblestone wrinkles are wrinkles that run down at the back of the neck. Smokers also produce matrix metalloproteinase in excess, which degrades collagen and skin loses elasticity as a result. A typical “smoker's face” showing dryness of skin, wrinkles originating from the sides of eyelids running up to cheek called “crow's feet”, wrinkles in front of the ears, and wrinkles running down the neck. -Nodular elastosis of skin with comedone formation. -Multiple open and closed comedones (black heads) over forehead and furrowed wrinkled skin, produced by chronic sun exposure and heavy smoking. Multiple open and closed comedones are present in the periorbital and temporal areas with yellowish discoloration, yellowish nodules, atrophy, wrinkles, and furrows. The eruption is usually bilaterally symmetrical. No inflammation is present, unlike the comedones seen in acne vulgaris. Apart from physical signs and symptoms, the other signs can also help you: -See if their clothes (or hair) smells like smoke. -Look for burn holes in the carpet, in their car, and in their clothing. -If they use mouthwash or gum more frequently.
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Hello doctor. I think im too much addicted to phone. Im a pharm d student and im unable to concentrate on my studies due to addiction. please suggest to avoid addiction and also give some tips to concentrate on studies. thank you waiting for your reply.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Mobile phone addiction etc comes under behavior addiction. Behavioral addiction is a form of addiction that involves a compulsion to engage in a rewarding non-drug-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being. Behavior addiction needs to be curbed or controlled using your own self will power. Diverting your mind and body away from the circumstances which compels you for the addictive habit, with the help of physical exercises, games, entertainment etc can help you. Never sleep alone. Be always with your family even at night etc are some other tips. Willpower is the key always. Behavioral therapy also works well. Take care.
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I am suffering from post menopausal depression anxiety and insomnia. I am also loosing lot of frontal hair please advice.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am suffering from post menopausal depression anxiety  and insomnia. I am also loosing lot of frontal hair please ad...
You need to get a health check up done that would include bp, lipid profile, pap smear, pelvic usg, liver function tests, thyroid function tests, and hb, mammography. If these tests are normal then the best thing to do is to consider hormone replacement therapy to help with your symptoms,
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My wife is 27, she is very aggressive in nature and negative thinker. When she is angry she starts blaming me for she not being happy. She starts the work and leaves half way and she get bored of things very fast. If she is tense she just doesn't do anything except for sleeping. When she is angry she gets violent. She doesn't even come to doctor. What should I do.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Looks like you both are going through a difficult time in your marriage. Since you have only written about what she does but not about your behaviour, I sense that you either withdraw and remain quiet or both of you argue and it leads to fights between the 2 of you. In either case you will benefit with couple counselling so that you are able to talk to each other openly and transparently so that the actual problems can be spoken about openly. Communications styles differ in all people which leads to many misunderstandings and differences. A succesful marriage requires both parties to understand each other and participate in a manner to support the relationship, as well as personal goals and interests. A visit to the doctor will not be wrong either. Maybe both of you can go as a couple instead of making her as the" identified patient" (she seems to be feeling blamed and cornered hence refusing to cooperate). You could suggest to her that you want to see a doctor" for both of us" so that we can work out the differences between us. Say what you mean and do it genuinely.
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After delivery she is getting angry very much she is treating people like enemies particularly those who she don't like is there any solution for this.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi, I suspect postpartum psychosis. After delivery Postpartum psychosis (or puerperal psychosis) is a term that covers a group of mental illnesses with the sudden onset of psychotic symptoms following childbirth. A typical example is for a woman to become irritable, have extreme mood swings and hallucinations, and possibly need psychiatric hospitalization. She may be having paranoia and doubting on her own family members that they are against her, conspiring. It can be depression too. Please see a psychiatrist in Mumbai immediately. consult for any help.
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Sir I lost my friend last week He was so closed to me and since I feel very depressed pls help me to put of this.

MD - Psychiatry
Psychiatrist, Chennai
Sir I lost my friend last week He was so closed to me and since I feel very depressed pls help me to put of this.
You are going through grief reaction, which is normal after loss of a loved one. Time is the healer for the emotional and behavioral changes, however if your depression is severe enough to affect you in a significant manner, kindly consult a psychiatrist for short term antidepressant medication, depending on the complaints.
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Chronic pain is a Disease and not a symptom

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Chronic pain is a Disease and not a symptom

People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

The Experience of Chronic Pain

Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

  • The situation in which the pain occurs
  • Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
  • Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
  • Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others

The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

  • Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
  • Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
  • Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.


The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

Chronic Pain

There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

Chronic pain with no identifiable pain generator
This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

Neuropathic Pain

Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

When Acute Pain Becomes Chronic Pain

It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

Chronic Pain Development

Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.

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I am software developer. I'm not understand how to talk with people in an professional life my confidence is too low. Technically I'm good but I doesn't understand what to talk with people so I'm getting silent. So people says "you are too silent" .is I have psychological problem.

MD- Ayurveda
Ayurveda, Ujjain
I am software developer. I'm not understand how to talk with people in an professional life my confidence is too low....
No it's not physiological problem You have to need personality development, do meditation ,join laughing class or do group discussion join any class in witch u have intrested ,meat to everyone by heartily improper your confidence after some time u fill changes in your life make new friends and expend the time your close friends or family members
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MS - ENT
ENT Specialist, Tumkur
Drink plenty of fluids. Avoid tobacco and alcohol

Hi. I really feel depressed. Dnt want to be with anyone. Negative thoughts about life. Always stressed. Full of anxiety for even small matters. Plss help.

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Hi. I really feel depressed. Dnt want to be with anyone. Negative thoughts about life. Always stressed. Full of anxie...
Depression should be objectively treated as an illness. Low mood, withdrawn behaviour, lack of interest and motivation, low energy and anxiety are symptoms of the same. Please lift yourself and approach a psychiatrist asap, the earlier you start, the earlier you are likely to regain your ownself. Medicines alongwith psychotherapy should take care of you completely. Take care.
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I am depressed in 2-3 month because my girlfriend has marriage anyone. I am not sleep in night. Pls suggest me.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I am depressed in 2-3 month because my girlfriend has marriage anyone. I am not sleep in night. Pls suggest me.
Hi there ~ maintaining a good sleep schedule may be helpful. There are some rules for sleep hygiene that will help with getting over the fact that your girlfriend is getting married and that you are heartbroken and this is just a passing phase. Do not linger in this" shit" if she has moved on you should too. Do not use over the counter medications or substances like alcohol to help you sleep. I will help with medication if you need to get over this passing phase.
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My father is suffering from Parkinson's disease from last 4 years is there any permanent cure for this disease his right hand and right leg shaking too much please guide me.

BHMS
Homeopath, Delhi
My father is suffering from Parkinson's disease from last 4 years is there any permanent cure for this disease his ri...
permanent cure will take a lot of time, but yes he will be very much improved and progression of disease will stop with homeopathic treatment
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