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Dr. Nilima Gaikwad

Bachelor of Ayurveda, Medicine and Surgery (BAMS), EMS

Homeopath, Pune

10 Years Experience
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Dr. Nilima Gaikwad Bachelor of Ayurveda, Medicine and Surgery (BAMS), EMS Homeopath, Pune
10 Years Experience
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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. Nilima Gaikwad
Dr. Nilima Gaikwad is a renowned Homeopath in Pimpri, Pune. She has over 10 years of experience as a Homeopath. She has done Bachelor of Ayurveda, Medicine and Surgery (BAMS), EMS . You can meet Dr. Nilima Gaikwad personally at Vighnaharta Clinic in Pimpri, Pune. You can book an instant appointment online with Dr. Nilima Gaikwad on Lybrate.com.

Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 36 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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Specialty
Education
Bachelor of Ayurveda, Medicine and Surgery (BAMS) - Kaka Shahib Muske Homeopathy Medical College,Ahamt Nagar - 2008
EMS - Ruby Hall Clinic,Pune - 2010
Languages spoken
English
Hindi

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Vighnaharta Clinic

Ajmera Complex, PimpriPune Get Directions
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Hi sir, maine one year pehle sex kiya tha tab se hi mera gale me jakran kharsh Khich jukam sa rehta ha ab meri wife ko be rehta ha kya Yeh hiv ka symptoms hai kya?

BHMS
Homeopath, Hooghly
Hi sir, maine one year pehle sex kiya tha tab se hi mera gale me jakran kharsh Khich jukam sa rehta ha ab meri wife k...
Ha ho v sakta Hai nahi bhi ho sakta haii, apko ek general physician ko dikhana chahiye, aur tests bhi karwana chahiye.
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I am 32 years old male iam suffering from knee pain from last 2year, when I walk for 20 to 30 min continuously the problem arises or when I am climbing steps iam facing the problem severely for left leg.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 32 years old male iam suffering from knee pain from last 2year, when I walk for 20 to 30 min continuously the pr...
Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, acl injury, knee bursitis, torn meniscus, gout and infections. From your symptoms it seems like you are developing osteo arthritis (oa) of knee. Try some home remedies for your pain relief: -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport -use hot or cold packs. By increasing blood flow, hot compresses can ease pain and stiffness. Cold compresses reduce swelling. You may want to experiment with heat versus cold packs to see what works best for you. -stay active, physical activity is one of the best ways to improve your quality of life. Exercise boosts your energy. It can also strengthen your muscles and bones, and help keep your joints flexible. Try resistance training to build stronger muscles. - quads strengthening exercises are helpful oa knee. You need detail assessment with a physiotherapist to find out the diagnosis and for pain management. Best wishes.
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Sir from 2 days m penis got swell up n having a lot of pain. Please help wt should I have to do. N recommend some medicines. PlzPlz.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir from 2 days m penis got swell up n having a lot of pain. Please help wt should I have to do. N recommend some med...
There are many reasons of Penis pain and some of the important ones are------------------ 1. Peyronie’s disease, an abnormal curvature of the penis usually caused by scar tissue in the tunica albuginea — the strength layer of the penis. Peyronie’s can interfere with intercourse either by making it painful or by leading to erectile dysfunction, Some men report hearing a pop or snap in the penis shortly before an erection. About one in 20 men develop Peyronie’s at some point in their lives. The exact cause of Peyronie’s disease is unknown. The disease becomes severe enough to inhibit intercourse in only 1 percent to 2 percent of men. While Peyronie’s gets somewhat more likely to occur with age, men in any stage of life may develop the condition, ----------------------------------- 2. Penile fractures A somewhat rarer source of pain in the penis are penile fractures. A penis fracture can occur when there is trauma to the erect penis. The trauma may rupture the lining of one of the two cylinders in the penis responsible for erections. Men who experience this report hearing a popping sound, then experiencing severe pain, swelling and dark bruising of the penis, Penile fractures are medical emergencies. The concern is that they can lead to permanent erectile dysfunction if not treated immediately.------------------------- 3. Lichen sclerosus, a skin disorder, sometimes cause penis pain. This condition looks like small white bumps that are shiny and smooth. Later, the spots grow into bigger patches. The skin on the patches becomes thin and crinkled. Then the skin tears easily, and bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the disease is a mild case, there may be no symptoms. Lichen sclerosus is an inflammatory scarring response that can lead to difficulty in urination and anatomic problems with the penis. The likelihood of developing lichen sclerosus grows significantly higher with age.------------------------- 4. Phimosis. Uncircumcised men sometimes develop a this painful condition called Phimosis. This means the foreskin cannot be fully retracted. This condition sometimes requires corrective surgery. Older men are considerably more likely to develop phimosis, as well. Uncircumcised men are more likely to develop hard lesions on the penis. This condition is more common worldwide. Improved hygiene usually clears up this problem. --------------- So Divyanshu, my suggestion for you is to visit a local doctor because a correct diagnosis can be made only after a physical examination -So do not waste time------------
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Is it true that hot / short tempered people are at high risk of getting and having high blood pressure? Or is it just temporary (at the moment that you are angry)? Can you explain the basis of this? What's the best advice to someone who has short temper. How to curb it?

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist, Bangalore
Is it true that hot / short tempered people are at high risk of getting and having high blood pressure? Or is it just...
Hot temper could be one of the reasons for high bp but not the only one. With high negative emotionality like anger, stress and sadness, the circulatory, muscular, nervous and digestive system face continuous pressure to help dissipate the excess energy build up. Hence, the immune system gets compromised often and the person is open to falling ill often. 2. The person might also behave without thinking through his actions and may end up doing something that they regret later. 3. They are more susceptible to consuming drugs and alcohol as their immediate coping mechanism to relieve the stress that they are unable to face otherwise. 4. Anger held for long term can lead to rage converted into antisocial behavior leading to social adjustment issues and self esteem issues. Depression is another outcome of anger turned inwards or outwards. It is best to learn how to tame your anger and use it to articulate what you are experiencing or wanting from the other person. Assertive communication and" self and other" awareness are some of the best tools to manage anger.
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Understanding Jaundice (Kamala)

M.D. (Ayurved), D.H.M, CHSE
Ayurveda, Jamnagar
Understanding Jaundice (Kamala)

Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

Causes, incidence, and risk factors:
Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

When too much bilirubin builds up in the body, jaundice may result.

Jaundice is caused due to following causes:
Obstruction of the bile ducts (by infection, tumor or gallstones)
Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
Biliary stricture
Alcoholic liver disease (alcoholic cirrhosis)
Pancreatic carcinoma (cancer of the pancreas)
Primary biliary cirrhosis
Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
Haemolytic anemia
Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
Chronic active hepatitis
Autoimmune hepatitis
Malaria


Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

Clinical symptoms:
Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:


Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown 
Yellow color inside the mouth
Dark or brown-colored urine
Pale or clay-colored stools

Other symptoms depend on the disorder causing the jaundice:
Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

Differential diagnosis:
When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

Laboratory findings include:
Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
Serum: increased unconjugated bilirubin.
Kernicterus is associated with increased unconjugated bilirubin.

Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

Laboratory findings depend on the cause of jaundice, include:
Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
Plasma protein show characteristic changes.
Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

Signs and tests:
No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

Other tests vary, but may include:
Hepatitis virus panel to look for infection of the liver
Liver function tests to determine how well the liver is working
Complete blood count to check for low blood count or anemia
Abdominal ultrasound
Abdominal ct scan
Endoscopic retrograde cholangiopancreatography (ercp)
Percutaneous transhepatic cholangiogram (ptca)
Liver biopsy
Cholesterol level
Prothrombin time


Ayurvedic approach:
In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

Management:
Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

Medicines used:
Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
Navrayas loh can also be given in the dose of 125mg thrice daily.
Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
Regular intake of guduchi juice 10gm twice or thrice a day.
Daily intake of neem juice is also useful for jaundice
Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

Some routine home remedies:
Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances


Pathya-apathya (do's don'ts):
Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
Always drink water that is filtered or boiled. Do not drink raw milk.
Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.

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I am having white hairs, tried different treatment but got no change. What should I do?

MD - Dermatology, Venereology & Leprosy
Dermatologist, Bhubaneswar
I am having white hairs, tried different treatment but got no change. What should I do?
Hello lybrate-user kindly use 1. Altris gel over the scalp (not in the hairs) @night for minimum of 3 months. 2. Tab follihair daily @night for minimum of 3 months 3. Q-sera black serum to be applied 2 ml once daily @morning, post bathing after drying the scalp take care.
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Hi! I have an ACL ligament tear in my left knee. This happened about five years ago. I was on waiting list.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
Hi! I have an ACL ligament tear in my left knee. This happened about five years ago. I was on waiting list.
if you instability symptoms (knee giving way) despite a course of hamstring strengthening exercises then you should have your ACL reconstructed arthroscopically
1 person found this helpful
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I am 21 years old my hair was falling in regular intervals so what I have to take measures.

PDDM, MHA, MBBS
General Physician, Nashik
I am 21 years old my hair was falling in regular intervals so what I have to take measures.
1. Eat healthy – eat fruits, vegetables, and a high protein diet 2. Destress yourself. 3. Sleep for at least 6-8 hrs a day. 4. Have an oil massage at least twice a week with coconut oil or any oil of your choice.Condition your hair after shampooing .
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My brother do not walk and some abnormal from birth. But his education is good. He is 12 years old. Say good but abnormalities present. What to do so he walk?

MPT, BPT
Physiotherapist, Noida
My brother do not walk and some abnormal from birth. But his education is good. He is 12 years old. Say good but abno...
. Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall.
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