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Dr. Shital Kaware

Ayurveda, Pune

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Dr. Shital Kaware Ayurveda, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shital Kaware
Dr. Shital Kaware is a trusted Ayurveda in DP Road, Pune. You can visit him at Ayurveda-Zone Panchakarma & Ayurvedic Centre in DP Road, Pune. Book an appointment online with Dr. Shital Kaware and consult privately on Lybrate.com.

Lybrate.com has top trusted Ayurvedas from across India. You will find Ayurvedas with more than 32 years of experience on Lybrate.com. You can find Ayurvedas 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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Ayurveda-Zone Panchakarma & Ayurvedic Centre

Building-B-4, SITAI PARK,DP Road, AUNDH,Landmark:Behind Coffee Cafe Day, Opp Shivsagar, PunePune Get Directions
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I didn't loose my hair but it got whiteness from tenth standard. Tell me some precautions and any thing else .it didn't do smoke, liquor, and not more junk food. Please sir .

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I didn't loose my hair but it got whiteness from tenth standard. Tell me some precautions and any thing else .it didn...
Use antidandruff shampoo daily.Use keshkanti oil from Ramdev at bedtime it is really effective Do pranayam daily for ten minutes. Take tablet KERALEGO MEN daily for six months. Avoid junk food and fried food.
2 people found this helpful
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I have got the problem of dry hair what can I do for it. Also a lots of hair fall I am just 20 years and I feel soon I will b bald cus of so mch hair fall.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have got the problem of dry hair what can I do for it. Also a lots of hair fall I am just 20 years and I feel soon ...
Homoeopathic medicine HAIR SERUM ( WOLFE DIETERI) Apply on hairss nd hair roots 2 hours before taking bath twice a week. JABORANDI OIL ( WHEEZAL) Apply twice weekly 1.Drink 6-8 glasss extra water daily 2.2 glass milk daily 3.Take nutritious diet 4.Avoid junk nd spicy food,fast food,cold drinks 5.Take a sound and refreshing sleep
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How to get the recovering from the effect of the black marks that is caused due to sting of the some ants. And which cream to be applied to get recover from the black marks Please help me.

BHMS
Homeopath, Faridabad
How to get the recovering from the effect of the black marks that is caused due to sting of the some ants. And which ...
Hello, take ledum pal 30 CH , 3 drops once daily. Apply Patanjali's Aloe vera gel on the black marks.
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Mujhe stomach pain ho ra hai 7 din se kam hi nai hora tablets bhi liya maina phr bhi nai hora DR. Ye kaise thk hoga.

MBBS
General Physician, Mumbai
Mujhe stomach pain ho ra hai 7 din se kam hi nai hora tablets bhi liya maina phr bhi nai hora DR. Ye kaise thk hoga.
For stomach pain take tablet Meftalspas-Ds with rantac and Avoid spicy food in your diet and eat only curd rice or khichdi for few days and drink only boiled water and also get an usg abdomen done
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My husband (32 years old) is an Asthmatic and he is using Asthalin Inhaler but after taking the inhaler he feels acidity or stomach problems. Some time mild chest pain. What should he do? Can his asthma be cured? Should he take Homeopathic medicine or some home remedy can help to cure his asthma problem? Please suggest. Thank you in advance.

DAA, MD, MBBS
Allergist/Immunologist, Bangalore
My husband (32 years old) is an Asthmatic and he is using Asthalin Inhaler but after taking the inhaler he feels acid...
Asthalin inhalers will not cause acidity or chest pain it may be due to something else asthma can be well controlled with medications if it is due to allergy, it can be cured by Immunotherapy.
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I want to loss my weight am getting over weight and irregular periods too what shld I do can you help me.

MBBS
General Physician, Cuttack
I want to loss my weight am getting over weight and irregular periods too what shld I do can you help me.
It could be due to PCOS 1.In PCOS (polycystic ovarian syndrome )many small cysts appear in ovary-causing hormonal imbalance and .there is production of excess Testosterone. Diet rich in Omega 3 Fatty acid reducece excess Testosterone and can be used in the treatment 2.They secrete more androgen 3.The symptoms are weight gain,acne, decreased ovulation, irregular period, infertility, depression, extra facial and body hair, hair loss from scalp, insulin resistance causing Diabetes. 4.it is genetically inherited,runs in families 5.it can be diagnosed by pelvic laparoscopy/vaginal ultrasound. 6.Treatment-surgery/anti androgen therapy 7.consult gynecologist for advice and treatment Precaution 1.Eat vegetable,fruits, nuts, bean, whole grain food 2. Avoid saturated food like meat, cheese, fried food 3.Go for regular exercise, reduce weight, control diet
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My mom was 40 years old Female, Two Small harden bubbles are bulged on Wrist position of both Hand. What type of disease. How it occurs? How to resolve that.

BHMS
Homeopath, Faridabad
Hello, give her cal fluor 200ch, 5 drops once in a week. Ruta 30 ch, 3 drops twice daily for 15 days then revert me.
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Best Yoga Poses To Eliminate Lower Back Pain

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Best Yoga Poses To Eliminate Lower Back Pain
Yoga for lower back pain

Most of us are in professions where we are needed to be seated at one place, in the same position for long hours. Not only are we getting lesser exercise that the previous generations would, we are also not moving about much for work. This is causing many health issues, one of them being pain in the lower back. While this can happen for a few other reasons too, there are few exercises in yoga by doing which one can experience immense relief. A brief of few such yoga poses are:

1. Upward-facing dog pose - to do this, you need to lie flat on the floor, on your tummy. Put your arms flat on the ground, right next to your ribs on either sides of your body and make sure your legs are straight & joined together. Now, press your feet together and your palms on to the ground, and push your body up from the ground, looking upwards. Make sure your torso doesn't leave the ground. Stay like this for about 10 breaths and come back to main position. Repeat.

2. Child's pose: to do this you need to get on all fours first and sit back on your legs till your butt comes right above your heels. They should not be touching. Raise your hands up, and bring them down on the ground in front of you. Along with your hands, bring your body forward too, until your forehead touches the ground. Hold for about ten breaths and release. Repeat.

3. Triangle pose: stand straight with your feet shoulder-width apart. Raise your hands on each side of your body, to shoulder level. Bend one side of your body, keeping legs straight and bending sideways from the waist, to touch the feet on that side. Hold for ten seconds and come back to first position. Repeat on other side too.

4. Upward-forward bend: stand straight, keeping your feet shoulder-width apart. Bend down from your waist and bring your head as close to the ground as possible. Stretch till the time you are comfortable. Hold for about ten seconds and get back to previous position. Repeat.

If you would like to consult with me privately, please click on'consult.
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Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Menopause- How to tackle it
Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.
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