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Dr. Shivkumar Gupta

MBBS

General Surgeon, Pune

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Dr. Shivkumar Gupta MBBS General Surgeon, 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. Shivkumar Gupta
Dr. Shivkumar Gupta is one of the best General Surgeons in Indapur, Pune. He studied and completed MBBS . You can consult Dr. Shivkumar Gupta at Giriraj Hospital & Intensive Care Unit in Indapur, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shivkumar Gupta on Lybrate.com.

Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 28 years of experience on Lybrate.com. You can find General Surgeons 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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MBBS - - -

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Giriraj Hospital & Intensive Care Unit

Indapur Road, Baramati. Landmark: Near Baramati Bus Stand, PunePune Get Directions
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Giriraj Hospital & Intensive Care Unit

Indapur Road, Baramati. Landmark: Near Baramati Bus Stand.Pune Get Directions
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Papaya Health Benefits

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Papaya Health Benefits
Papaya Health Benefits
Skin care: Papaya contains vitamin - A and papain enzyme that helps remove dead skin cells and rejuvenate skin. Mash three medium pieces of papaya and mix it with a spoon of honey to make a paste. Apply this mixture onto your face and rinse with cold water after 10 minutes for a healthy and glowing skin
59 people found this helpful

How Effective are Anti Aging Serums?

MBBS, DNB (Dermatology)
Dermatologist, Mumbai
How Effective are Anti Aging Serums?

As the number of candles on our birthday cakes increases, so do the number of wrinkles on our faces. As more and more wrinkles emerge on our faces, the number of bottles containing anti-ageing serums grows on our dressing tables too. But, do these serums work as promised? can you expect a serum to make you really look younger than you are?

-First, understand the difference between anti-ageing creams and serums!

The key to differentiating between anti-ageing creams and serums is looking at how they work. In essence, both offer the same benefits. An anti-ageing cream or serum treats acne, wrinkles, sunspots and other common signs of ageing. However, while creams hydrate and nourish the skin, serums work their way past the epidermis and thus penetrate deeper layers.

-Serums do moisturize the skin

Keeping the skin hydrated is the secret of good skin. To this effect, anti-ageing serums deliver as promised. By locking the moisture into your skin, they make your skin look healthy and supple and thus indirectly make the skin appear firmer and younger.

-Each serum affects different people in a different way

Skin care efficacy differs from person to person. While for some people exfoliating twice a week can make your skin brighter, others need a little more care. Don't look at the price to determine the effectiveness of the serum on your skin but take a look at the ingredients. If you're looking to reverse the damage of the past years on your skin, look for antioxidant-based serums.

-Anti-ageing serums can be used at any age but can also produce side effects

Some anti-ageing serums claim that women should start using them from when they turn 20, to maintain the glow of their skin. However, before you start using an anti-ageing serum, you must know what you're putting on your skin. Retinol that stimulates collagen production in the latter years can be not only ineffective but can also act an irritant for the skin. Overusing a serum can also make your skin dry.

-The same anti-ageing serum doesn't work for all ages

As mentioned above, anti-ageing serums can be used by women of all ages. Since each anti-ageing serum addresses a different symptom of ageing, the type of serum you should use depends on the symptom of ageing you want to address. Thus, while you might want to use an anti-ageing serum that prevents wrinkles right now, later on, you may want to use one that removes sunspots.

To sum it up, an anti-ageing serum can't make your skin actually younger, but the right anti-ageing serum can make it appear so.

4659 people found this helpful

Ayurvedic Treatment For Gastric -गैस का आयुर्वेदिक इलाज

B.Sc - Dietitics / Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Ayurvedic Treatment For Gastric -गैस का आयुर्वेदिक इलाज

गैस की समस्या अपच की उप-उत्पाद है। यह या तो आंतों के दर्द का कारण बन सकती है या रिव्यूम से अप्रिय गंध के साथ रिलीज हो सकती है। कई बार, यह गैस हास्य का कारण बनती है, लेकिन जनता में यह बदबूदार गैस छोड़ना शर्मनाक हो सकता है। 
गैस के कारण
बिगड़े हुए पाचन और छोटी आंतों में खाद्य पदार्थों के खराब अवशोषण से पेट फूलता है। कुछ परिस्थितियां, जैसे इर्रिटेबल बोवेल सिंड्रोम, कब्ज, क्रोहन रोग या बृहदान्त्र कैंसर, भी पेट फूला सकता है। इसके अतिरिक्त, एक कम फाइबर आहार और एक गतिहीन जीवनशैली के कारण अपच या अमा (श्लेष्म) गठन होता है, इससे भी गैस की समस्या हो सकती है। 
गैस का आयुर्वेदिक इलाज
पेट फूलना, आयुर्वेद में आधनाम के रूप में जाना जाता है, वात और पित्त दोष की असंतुलन के कारण होता है। गैस से छुटकारा पाने के लिए इन आयुर्वेदिक उपचारों का उपयोग करें:
1. पुदीना चाय:
पुदीना प्रभावी ढंग से आपके मंथन युक्त पेट को शांत करता है और गैस और दर्द से राहत देता है। इसके सगंध तेल में मेन्थॉल है, जिसका पाचन पथ की मांसपेशी पर एक एंटीस्पास्मोडिक प्रभाव होता है। आप अपने भोजन के बाद इस हर्बल चाय का एक कप पी सकते हैं।
2. इलायची:
यह किसी भी पाचन तंत्र विकार के इलाज के लिए बहुत उपयोगी है। इसमें मौजूद वाष्पशील तेल गैस और अपच सहित कई पाचन विकारों को ठीक करने में मदद करता है। यह अम्लता को राहत देने में भी मदद करता है। आप इलायची के बीज का उपभोग सकते हैं, या खाना पकाने के दौरान भुने हुए इलायची के पाउडर को सब्जियों में जोड़ सकते हैं। इलायची की चाय अपच और गैस की वजह से सिर दर्द का इलाज करने में भी मदद कर सकती है।
3. अजवाइन:
आधा या एक चम्मच खुराक को गुनगुने पानी के साथ लें। यह गैस के दर्द से राहत देता है और बीमारी का इलाज करता है।
4. सौंफ के बीज:
मसालेदार या वसायुक्त भोजन के कारण गैस और अपच से पीड़ित होने पर, सौंफ़ के बीज का सेवन आपकी समस्या का इलाज करने में मदद कर सकता है। इन बीजों को सुखाएँ, भुने और पाउडर बनाने के लिए पीस लें। इस पाउडर के आधे चम्मच को पानी के साथ दिन में दो बार लें।
5 काली मिर्च:
हमारे पेट में हाइड्रोक्लोरिक एसिड की कमी की स्थिति के दौरान, काली मिर्च समस्या का इलाज करने के लिए बहुत प्रभावी हो सकती है। काली मिर्च गैस्ट्रिक रस के प्रवाह को बढ़ा सकती है और इस प्रकार पाचन में मदद कर सकती है। पीसे हुए गुड़ के साथ पीसी हुई काली मिर्च अपच के दौरान छाछ के साथ ली जा सकती है। आप पाउडर काली मिर्च, पाउडर अदरक, धनिया बीज और पुदीने के पत्तों का मिश्रण भी तैयार कर सकते हैं और हर दिन इस मिश्रण का एक चम्मच खा सकते हैं।
6. लौंग:
लौंग आंत गतिशीलता और गैस्ट्रोइंटेस्टाइनल स्राव को बढ़ा सकते हैं जिससे पाचन में मदद मिलती है, और गैस और अपच समस्याओं का इलाज होता है। आप पेट की समस्याओं का इलाज करने के लिए लौंग सीधे खा सकते हैं।
7. गरम पानी:
अकेले गर्म पानी भी आपको गैस और अपच से राहत दिला सकता है। 
यह हमारे शरीर से सभी जहरीले पदार्थों को निकल कर हमारे शरीर को साफ करने में मदद करता है और भोजन को भी तोड़ देता है, ताकि हमारे शरीर को पचाने में आसानी हो। हर सुबह गर्म पानी का एक गिलास पीना, एक स्वस्थ अभ्यास है और आपकी पाचन प्रणाली को ट्रैक पर रखता है। इसे अधिक शक्तिशाली बनाने के लिए, इसमें नींबू का रस जोड़ें।
8. हींग:
यह एक प्रभावी उपाय है जो पेट की समस्याओं, पेट में दर्द और कब्ज जैसी कई पाचन समस्याओं को ठीक कर सकता है। आप गर्म पानी के एक गिलास में हींग की एक चुटकी डाल, दिन में दो से तीन बार पी सकते हैं।

4022 people found this helpful

How to possible to remove blackheads? This place is so oily .I tried many things.

BAMS
Ayurveda, Ambala
How to possible to remove blackheads? This place is so oily .I tried many things.
These are the methods to treat black heads - .• Blackheads are formed due to blocking of skin pores .Steam your face to open the pores ,which in turn clear the skin .steam your face for a couple of minutes. • Do YOGASANA daily. Especially do SINHASANA & SARVANGASANA daily. • Use oil free face wash and drink 7 -8 glass of water daily.• Do not touch your face again & again because your finger transfer bacteria to it and make it worse. If you touch it then clean your face with water. • Mix black pepper powder in some water to make paste & apply on the blackheads three times a week. • Take cucumber and papaya pulp .Mix it well and add 1 tablespoon Turmeric. Make a paste and apply it on face and leave it for 15 minutes. • Take 2 teaspoon of MAHAMANJISTHARISTA of BAIDYANATH company ,meal it in a glass of water & take it once a day after meals You can consult me privately for more medicine treatment & doubts. Be healthy.
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I am kavita 26 years old, I have my uneven face skin color my upper lips nd skin around mouth is darker than other parts of the face since my childhood. Please suggest me how can I get rid of this uneven skin color. M I suffering from some kind of deficiency?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am kavita 26 years old, I have my uneven face skin color my upper lips nd skin around mouth is darker than other pa...
Hi you can get rid of this follow below things. There is in ayurveda mention pinda swed. It is a type of swedan karma [phomentation] but it do some another manner. 1. Boiled a rice in milk then take this rice in one white cloth then tied it properly and warmly it rub on your face every morning for 15 days then stop it and do next month again 2. Apply almond oil on your face and massage for 3-5 min at night. By doing above thing you will get good result.
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I have dark circles under my eyes want to get glow on my face how can I get glowing face permanently with effective medicine and ointments?

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
I have dark circles under my eyes want to get glow on my face how can I get glowing face permanently with effective m...
Apply Biluma Cream/ Kojivit Gel/ Kojic Cream for application once daily for 2 weeks. Then apply Cernor Kit everyday (expensive but effective) For 1 month. Check Hemoglobin To get more glow, Increase water intake. Avoid sun. Use sunscreen Photostable Gel SPF40 / BIODERMA Photoderm AKN Mat SPF30 before Sun Exposure. Apply Biluma Cream/ MelaGlow Rich for application once at night for 2 months. Chemical combination peels to clear face & spots treatment done at skin clinic by drematologist.
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I have a skin problem. On my feet have some black spot. Thats a extra skin. But its not getting off. What should I do now?

MD - Dermatology
Dermatologist, Pathanamthitta
I have a skin problem. On my feet have some black spot. Thats a extra skin. But its not getting off. What should I do...
Unless ur problem is elaborated upon and it can b examined ,nothing can b done for it.V can decide on it only if it's evaluated.
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Sir mere face per kuch daane niklete hai iska mai ilaag karata hoon lekin kuch time baad ye vapas a jate hai Iska illaj kya hai.

BHMS
Homeopath, Faridabad
Sir mere face per kuch daane niklete hai iska mai ilaag karata hoon lekin kuch time baad ye vapas a jate hai  
Iska i...
Hi,Acne is the most common teenage problem.Acne is a result of a blockage in the follicles or the pores on the skin. It includes whiteheads, pimples, blackheads and rashes, and occurs usually on the face, chest. Homoeopathy cures acne conditions like blackheads, whiteheads, skin rashes and oily skin very effectively. *Treatment part for the acne -- 1. Take kali brom 30 ch , (wsi) 3 drops daily morning empty stomach. 2. Take Berberis Aquafolium Q 10 drops with water twice a day. * Management part for the acne-- 1.drink 10 to 12 glasses of water daily. 2. Eat healthy and balanced diet including whole grain meals , green leafy vegetables and fruits. 3. avoid oily , junk and spicy food. *Home remedy for acne-- Crush coriander leaves and take out its juice, then mix it with a pinch of turmeric powder , now apply on acne at night.
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I'm a boy of seventeen. I want to become fair and healthy to become a model. How can I become handsome.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Dermatologist, Delhi
I'm a boy of seventeen. I want to become fair and healthy to become a model. How can I become handsome.
For a good and glowing skin, take a proper sleep, lot of water, green vegetables and fresh fruits avoid sunrays without wearing a sunscreen. Wear a broad hat or cover your face whenever you step out in the sun. Apply good quality broad spectrum sunscreen. And take 3 to 5 settings of photo-facial
1 person found this helpful
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How to clear acne. And y it appears on skin. I want the perfect reason behind it. Does it cause bcz of masturbation.

MD AYU, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
How to clear acne. And y it appears on skin. I want the perfect reason behind it. Does it cause bcz of masturbation.
It is not because of masturbation dear, it is due to for what you also have desire of the masturbation, the hormones. But the hormonal changes is not only of its causes. Some bacterias like Propionibacterium acnes are also responsible for that. The typical oily skin also leads to acne. You should have to wash your face at every time after going outside the home. THE BEST FACE WASH for you हल्दी+बेसन+गुलाबजल+आरोग्यवर्धिनी+मंजिस्था
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My palm and foot bottom remains excessively hot in summer and cool in winter in comparison to others. I feel uneasy due to it. Please help me out.

Bachelors Homoeopathic Medicine and Surgery, Masters In Advanced Homoeopathy, Post Graduate Diploma In Emergency Medical Services
Homeopath, Jalna
My palm and foot bottom remains excessively hot in summer and cool in winter in comparison to others. I feel uneasy d...
Do vigorous exercise daily and drink amole of water. If this doesnt help you- try our homoeopathic treatment and get off from your thyroid medicines in 6 months permanently.
1 person found this helpful
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Lips are looking black whn they r dry they r looking very bad. Wt I shud apply to get my lips colour pink.

BAMS
Ayurveda, Ambala
Lips are looking black whn they r dry they r looking very bad. Wt I shud apply to get my lips colour pink.
Follow these best tips to get red lips :- * Moisturize your lips you must keep your lips moisturized if you want them to stay healthy and therefore pink. If you are going outside, try applying a bit of petroleum jelly or lip balm and if you are inside, use some Milk fat ( ghee). 2. Use Pomegranate Seeds and Milk. Another simple way to lighten dark, dull lips and create a beautiful pink color is using pomegranate seeds. Crush up the seeds and mix it with some milk cream. If you apply this home remedy to your lips regularly, you will start to see them becoming redder and fuller. 3. Apply Cucumber Juice Another great way to reduce any darkness on your lips is to apply a bit of cucumber juice. Simply slice a cucumber, rubbing it against your lips to allow the juices to soak on. If you do this for five minutes each day, you can lighten dark lips to a beautiful pink color. 4. Mix Rose Petals in Milk. Rose petals are another one of the great home remedies for pink lips. Simply soak some rose petals in milk for a little bit of time. Then use the petals to make a paste, adding a few drops of both glycerin and honey. Apply the paste on your lips and wait fifteen minutes before gently rubbing it off using milk. This remedy can produce amazing results. 5. Massage with Lemon Juice Another remedy only requires lemon and some sugar. Cut a thin slice from the lemon, sprinkling a bit of sugar on top and rub your lips with this combination each day. This works well because lemon works to naturally bleach your lips, returning them to their light, pink color while sugar works to exfoliate dead skin cells. 6. Mix Turmeric Powder with Milk Another great way to lighten dark lips comes from India. There they mix raw turmeric powder and milk cream to achieve great results. You can also try mixing turmeric powder and gram’s flour to light your lips. Just keep in mind that gram’s flour dries out lips making it a poor option for those whose lips are already dry. If you do use this mix, be sure to use a heavy double cream designed to moisturize your lips after you remove the mix. 7. Mix Honey, Almond Oil and Sugar Another great remedy is to mix sugar, honey and a little bit of olive or almond oil. Apply this to your lips, massaging it in for ten minutes
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Sir mere glance penis ke round wale bhag par chhote chhote dane ho gaye h jisme koi dard nahi hota h ye white color k h isko pearly papuli bolte h iske liye koi cream bataiye

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
Sir mere glance penis ke round wale bhag par chhote chhote dane ho gaye h jisme koi dard nahi hota h ye white color k...
There are many kinds of infections and conditions that affect the body. An STD or sexually transmitted disease can affect the reproductive organs of either the male or the female partner, or both, during sexual intercourse. For many men, the penile infection may take place if he changes partners often or if he has unprotected sex with an infected partner. These are usually characterized as yeast infections and several others. This yeast can affect the penile health of the patient and lead to many symptoms. These include pain, red rashes, white patches as well as a moist discharge from the foreskin and head. The diagnosis of this infection takes place with the help of lab tests that will check for traces of the culprit bacteria in the blood and urine. Also, a physical examination can be conducted for diagnosis. For cases that are diagnosed early on, a simple yeast treatment cream can help in the treatment. Medication may be required in more severe cases with proper recommendation of a doctor.
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Dr. how can we over come skin problems particularly in summer season. What are the preventive measures?

MBBS, MD - MD- Skin & VD
Dermatologist, Ahmedabad
Dr. how can we over come skin problems particularly in summer season. What are the preventive measures?
Skin needs more care in summers than in winters. Constant sweating, heat and sun exposure cause sun tanning, acne, sun damge and uneven skin. Most important is sun screen. Indian skin needs 15 to 30++ spf. You should not step out without applying sun screen. Wash your face with a nice face wash eg. Skin Dr. Dermapolish face-wash 2-3 times a day. Keep wet wipes handy, to clean your face when you are out. Drink plenty of water. Wear sun glasses, cap or scarf in sun to avoid direct sun rays on skin.
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All about Menorrhagia

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
All about Menorrhagia

Menorrhagia is menstrual condition characterized by an abnormal loss of blood or heavy, prolonged bleeding. Although heavy bleeding is not uncommon in premenopausal women, menorrhagia is a severe condition which generally interferes with your daily activities. If your vagina bleeds irregularly or between periods, in addition to such heavy bleeding that at least one pad or tampon gets soaked every few hours, it is highly recommended that you seek medical attention.

Symptoms
Signs and symptoms of menorrhagia include:

  1. Soaking through more than one tampon or sanitary pad for every few hours
  2. The need to use double sanitary protection
  3. Heavy bleeding for weeks on end
  4. The need to wake up at night to change your sanitary protection
  5. Restriction of daily activities due to heavy menstrual flow
  6. Symptoms of fatigue, such as excessive tiredness as well as shortness of breath

Causes
Although the exact causes are unknown, here are a few causes that may be responsible:

  1. Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
  2. In Ovary dysfunction, if your ovaries do not ovulate, your body won't be able to produce the hormone progesterone resulting in a hormonal imbalance problem which may lead to menorrhagia
  3. Uterine fibroids are benign tumors which start appearing in your childbearing years
  4. Polyps are small benign growths found on the uterine lining
  5. Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
  6. By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
  7. Pregnancy complications, for instance, an ectopic pregnancy can cause it
  8. Inherited bleeding disorders, such as von Willebrand disease
  9. Certain medications like anti-inflammatory drugs
  10. Other medical conditions, like pelvic inflammatory disease or endometriosis

Treatment
Treatment for menorrhagia depends on a number of factors like the cause and severity of the condition, or your tolerance for specific therapies or medications.
Some drug therapies for menorrhagia include:

  1. Iron supplements
  2. Tranexamic acid
  3. Oral progesterone
  4. Non steroidal anti-inflammatory drugs
  5. Oral contraceptives
  6. Hormonal IUD

If drug therapy is ineffective, other treatment options may include:

  1. Dilation and curettage
  2. Focused ultrasound ablation
  3. Uterine artery embolization
  4. Endometrial ablation
  5. Myomectomy
  6. Endometrial resection
  7. Hysterectomy
2693 people found this helpful

I am facing lots of pain in my upper butt part its seems like pimple or bumb in the skin.

General Surgeon, Mumbai
I am facing lots of pain in my upper butt part its seems like pimple or bumb in the skin.
It might be pilonidal sinus if its in between 2 buttocks. If its on one of the buttock then you will have to be put on antibiotics. Maintain good hygiene.
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I am suffering from black patches on upper cheek area since last five months, is there any internal problem because I tried cucumber, icepack, haldi besan, paste of Almond etc. Everything but no results. Please help I am worried for any internal problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from black patches on upper cheek area since last five months, is there any internal problem because I...
1-Apply pranacharya face glow on your face for 15 minutes then wash it with warm water. 2-Take pranacharya b clean syrup 2-2 tsf twice a day. 3-Take pranacharya allergin capsule 1-1 twice a day. Wash your face with any good ayurvedic soap containing neem etc.
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Hi I am 35 years old male I have dark black circle under my eyes for last 5 years please help me treat this problem.

Advanced Aesthetics
Ayurveda, Gulbarga
Hi I am 35 years old male I have dark black circle under my eyes for last 5 years please help me treat this problem.
Lifestyle choices and under eye circles ? Smoking ? Hyperpigmentation caused by sun damage ? Caffeine consumption ? Alcohol consumption ? Sleep deprivation ? Dehydration ? Dietary deficiencies ? Allergies ? Nasal congestion ? Medical conditions (eczema, thyroid problems, etc.) ? Venous congestion in under eye blood vessels ? Environmental exposure ? Heredity Dark circle eye cream Skin lightening with topical bleaching agents may be recommended by your dermatologist to reduce dark circles caused by hyperpigmentation from melasma or sun damage. Creams like Tri-Luma, which contains hydroquinone, are often recommended, as are products that contain kojic acid, Vitamins C and K, green tea, and licorice. Skin resurfacing for under eye circles ?Laser resurfacing and chemical peel may be used to help reduce dark circles by increasing collagen production, decreasing pigmentation problems, and improving overall skin quality. However, laser treatments and chemical peels are most effective when used as part of a combination approach in treating dark circles. For treatment and any queries ask privately
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Gallbladder Surgery - Aftercare Tips To Help You Recover Better!

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Gallbladder Surgery - Aftercare Tips To Help You Recover Better!

Gall bladder is a very important digestive gland, which is located on the right side of your abdomen, just beneath your liver. Its main function is to collect, store and release bile, a digestive fluid produced in your liver, essential for metabolizing fats, into your small intestine.

Sometimes, small hard stones comprising of cholesterol, bile pigments and calcium salts in the shape of a pebble, can form in your gall bladder. Gallstones may cause no symptoms but when the gallstone lodges in ducts and blocks the flow of bile, it can cause persistent high-intensity pain which requires gallstone surgery.

Surgery is then prescribed to remove the gall bladder. This surgery is called cholecystectomy. It’s done when there are

  1. Gallstones in the gallbladder
  2. Gallstones in the bile duct
  3. Gallbladder inflammation
  4. Inflammation in pancreas

Gallstone surgery or cholecystectomy is a common surgery, and it comes with only a small risk of complications and you can walk out of the hospital on the day of the surgery itself.

Procedure

  1. Minimally invasive or laparoscopic cholecystectomy
    • During this procedure, the surgeon makes 4 tiny incisions in your abdomen and inserts a tube with a tiny video camera inside it.
    • Through a video monitor, the surgeon watches while he inserts surgical tools through the other 3 incisions to remove your gallbladder.
    • After the surgery, the surgeon confirms that there are no gallstones left. Once this is done, he sutures your incisions and you are taken to the recovery area. A laparoscopic cholecystectomy takes just 2 hours or so.
    • But the problem with this procedure is that it’ not appropriate for everyone. Sometimes, what happens is that, the surgeon may start with a laparoscopic surgery and then may decide to go for an open gallstone surgery because of scar tissue or complications.
  2. Traditional or open cholecystectomy
    • This procedure requires a bigger incision of about 6-inches in your abdomen, below your ribs on the right side. The liver and gallbladder are exposed and the surgeon removes the gallbladder.
    • An open cholecystectomy takes one or two hours.

Single-incision Laparoscopy Surgery

Traditional laparoscopic surgeries use a telescopic rod attached to a video camera called a laparoscope, which is inserted through a small incision. Apart from this, 3 to 5 additional small cuts are made to insert the other surgical instruments to perform the surgery.

However, single-incision laparoscopy surgery (SILS) is a revolutionary minimally invasive surgical procedure conducted through a single incision. It provides a better cosmetic outcome, as a small incision is made through the patient’s navel or belly button, resulting in an almost scarless outcome.

Indications

Most patients who are good candidates for laparoscopic surgery are eligible for single-port procedures. Some of the surgeries that single incision laparoscopy is indicated for include cholecystectomy (removal of gall bladder), appendectomy (removal of appendix), splenectomy (removal of spleen), hepatectomy (removal of liver) and adrenalectomy (removal of adrenal glands). SILS can also be used for diagnostic purposes.

However, patients who have previously undergone multiple major surgeries to the abdominal region and those who are morbidly obese are not considered for SILS.

Procedure

Single Incision Laparoscopy is usually performed as day surgery either in the hospital or outpatient surgery center under general, regional, or occasionally local anesthesia depending on the type of procedure performed and the surgeon’s preference.

The patient is made to lie down in a tilted position so that the feet are placed higher than the head. The surgeon makes a single incision of about 3/4th of an inch at the belly button and injects a harmless gas to expand the area and obtain a clear view of the operative site. A tube called a trocar or port is placed through the incision, through which the laparoscope (a narrow telescope having a light source and camera) and tiny surgical instruments are inserted. The laparoscope guides your surgeon with images of the abdominal contents that can be viewed on a large screen. Once the diseased organ is excised, your surgeon removes the instruments, releases the gas, and closes the incision with a small bandage.

Recovery

Common post-operative guidelines following Single Incision laparoscopy include the following:

  • You will need someone to drive you home after you are released as the anesthesia may make you feel groggy and tired
  • Do not remove the dressing over the incision for the first two days and keep the area clean and dry.  No showering or bathing during this time.  The incision usually heals in about 5 days
  • Your surgeon may give you activity restrictions such as no heavy lifting. It is very important that you follow your surgeon’s instructions for a successful recovery
  • You may feel soreness around the incision area. Your surgeon may give you a prescription pain medicine or recommend NSAID’s (non-steroidal anti-inflammatory drugs) for the first few days to keep you comfortable
  • If the abdomen was distended with gas, you may experience discomfort in the abdomen, chest, or shoulder area for a couple days while the excess gas is being absorbed

Diet

You must be very careful with your diet after gallstone removal as your body will not be able to digest fats well. You will of course be sticking to a liquid diet for a week or two and then introduce solids back into your diet. When you do so, you have to stick to a low fat diet. Stay off fried foods and gas-forming foods. Also make sure that you consume no more than 60 gm of fats per meal to avoid discomfort. Stay off spicy foods to avoid bloats and abdominal pains.

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I am suffering from DVT last 2 years. Currently I am tacking Acitrom 4 mg. But my PT test is not stable. Please give me advice for future.

MBBS
General Physician, Jalgaon
I am suffering from DVT last 2 years. Currently I am tacking Acitrom 4 mg. But my PT test is not stable. Please give ...
Please don't take any medicine for dvt without consulting a physician or surgeon in person. With dvt close and proper monitoring of health is must.
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