Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 33 years of experience on Lybrate.com. You can find General Physicians online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Ravi
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. RaviYour feedback matters!
My partner was recently diagnosed with a type of hpv infection and he is using some ointment called podowart for those warts which he had in his penis due to the infection. But as we dint no about it priorly we participated in sex even . So will that infect me even? Is it a serious issue for me than my partner?
Dissociation identity disorder (did), previously known as multiple personality disorder (mpd) is a mental disorder characterized by at least two distinct and relatively enduring identities or dissociated personality states that alternately show in a person's behavior, accompanied by memory impairment for important information not explained by ordinary forgetfulness.
Let me explain this in a simple way.
Example 1- lets say there is Mr. X and Mr. Y. Mr. X is very impressed by the personality of Mr. Y. So he starts liking him. He also tries to sepnd more time with him. He may with time start copying him or seek his help. This problem become so severe that after some time, in a flash Mr. X wakes up and become a copy of Mr. Y. However Mr. X cannot forget that he is actually Mr. X and not Mr. Y. Thus, Mr. X has developed a split personality where he and Mr. Y co exist. This may with time lead to further mental health deterioration such as depression, loss of memory, personality changes, mania, psychosis, antisocial behavior and above all a loss of control and insight in ones life.
Example 2- Mr. X may not be impressed with Mr. Y. But here it's the reverse. Mr. Y is impressed by Mr. X and wants to be a part of Mr. X s personality. He forces himself on Mr. X until he becomes a part of Mr. X. Therefore Mr. Y has been successful in forcing himself on Mr. X although Mr. X wanted to distance himself form Mr. Y but could not due to various reasons.
Example 3- this problem does not need to be confined to just 2 people. Any number of people can force themselves on Mr. X depending on his plotters and schemers. Therefore Mr. X loses his mental health and his personality becomes broken into several pieces which have been thrust on him.
Some people tend to do this voluntarily because of the fact that they like Mr. Y possessions but in most cases people are victimized into this as they are struggling to make ends meet in their lives. The result is agony, despair, loss of self control. An annihilating world and an end full of shame and contempt because of loss of control depending on how erroneous Mr. Y and his associated are.
Many marriages have been broken because of their spouses developing mpd. Spouses who were happy with each other, suddenly turn hostile and throw them out of their lives because they are now possessed with Mr. Y s who are interested in other spouses than their own. Many children also loose their parents love and care because their parents are no longer interested in them and they desert them or send them to boarding schools.
This disease is a social evil and a menace to a justful society. But the stress on taking precaution lies with us.
People diagnosed with did often report that they have experienced severe physical and sexual abuse, especially during early to mid-childhood, and others report an early loss, serious medical illness or other traumatic event. They also report more historical psychological trauma than those diagnosed with any other mental illness. Severe sexual, physical, or psychological trauma in childhood has been proposed as an explanation for its development; awareness, memories and emotions of harmful actions or events caused by the trauma are removed from consciousness, and alternate personalities or sub-personalities form with differing memories, emotions and behavior.
As of 2011, approximately 250 cases of did in children have been identified,
Problems with diagnosis
People with did are diagnosed with five to seven comorbid disorders on average much higher than other mental illnesses. Due to overlapping symptoms, differential diagnosis includes schizophrenia, normal and rapid-cycling bipolar disorder, epilepsy, borderline personality disorder, and asperger syndrome. Delusions or auditory hallucinations can be mistaken for speech by other personalities. Persistence and consistency of identities and behavior, amnesia, measures of dissociation or hypnotizability and reports from family members or other associates indicating a history of such changes can help distinguish did from other conditions. A diagnosis of did takes precedence over any other dissociation disorders.
Common treatment methods include an eclectic mix of psychotherapy techniques, including cognitive behavioral therapy hypnotherapy and medications can be used for comorbid disorders and/or targeted symptom relief. Some behavior therapists initially use behavioral treatments such as only responding to a single identity, and then use more traditional therapy once a consistent response is established. Brief treatment due to managed care may be difficult, as individuals diagnosed with did may have unusual difficulties in trusting a therapist and take a prolonged period to form a comfortable therapeutic alliance. Regular contact (weekly or biweekly) is more common, and treatment generally lasts years not weeks or months. Sleep hygiene has been suggested as a treatment option,
Individuals diagnosed with did may accuse others of abuse but lack objective evidence and base their accusations solely on regular or recovered memories. There are questions regarding the civil and political rights of alters, particularly which alter can legally represent the person, sign a contract or vote. Finally, individuals diagnosed with did who are accused of crimes may deny culpability due to the crime being committed by a different identity state.
Does jaundice affects the fertility capability of men? If yes then what is the worst affect of this? Please advise
Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.
Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.
The two main types of diabetes are:
Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.
Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.
Physical Inactivity, Obesity, and Diabetes
Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.
An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.
So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.
Simple Steps to Lower Your Risk
Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.
- Control your weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
- Get moving and turn off the television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
- Tune up your diet: Four dietary changes can have a big impact on the risk of type 2 diabetes:
- Choose whole grains and whole grain products over highly processed carbohydrates.
- Skip the sugary drinks, and choose water, coffee, or tea instead.
- Choose good fats instead of bad fats.
- Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.
If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. If you wish to discuss about any specific problem, you can consult a General Physician.