Half An Aspirin A Day

Dr. Bhupindera JaswantMD - Consultant Physician, Doctor of Medicine, MDGeneral Physician

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bland diet digene 2tsf after half hr of main meals proton pump blockers on empty stomach. get upper gi endoscopy done if no relief don't take any aspirin or nsaids. consult me for more @rs 100 rs 300 for two more consults on line. 

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Dr. Paramjeet SinghMBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in EchocardiologyCardiologist

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What you are having is Gastroesophageal reflux disease Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This can irritate the esophagus and cause heartburn and other symptoms. Causes When you eat, food passes from the throat to the stomach through the esophagus. A ring of muscle fibers in the lower esophagus prevents swallowed food from moving back up. These muscle fibers are called the lower esophageal sphincter (LES). When this ring of muscle does not close all the way, stomach contents can leak back into the esophagus. This is called reflux or gastroesophageal reflux. Reflux may cause symptoms. Harsh stomach acids can also damage the lining of the esophagus. The risk factors for reflux include: Use of alcohol (possibly) Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities) Obesity Pregnancy Scleroderma Smoking Symptoms can also be caused by certain medicines Common symptoms of GERD include: Feeling that food is stuck behind the breastbone Heartburn or a burning pain in the chest Nausea after eating Less common symptoms are: Bringing food back up (regurgitation) Cough or wheezing Difficulty swallowing Hiccups Hoarseness or change in voice Sore throat Symptoms may get worse when you bend over or lie down, or after you eat. Symptoms may also be worse at night. If you are overweight or obese, in many cases, losing weight can help. Avoid drugs such as aspirin, ibuprofen, or naproxen. Take acetaminophen to relieve pain. Take all of your medicines with plenty of water. When your doctor gives you a new medicine, ask whether it will make your heartburn worse. You may use over-the-counter antacids after meals and at bedtime, although the relief may not last very long. Common side effects of antacids include diarrhea or constipation. Other over-the-counter and prescription drugs can treat GERD. They work more slowly than antacids, but give you longer relief. Your pharmacist, doctor, or nurse can tell you how to take these drugs. Proton pump inhibitors (PPIs) decrease the amount of acid produced in your stomach H2 blockers also lower the amount of acid released in the stomach Anti-reflux surgery may be an option for people whose symptoms do not go away with lifestyle changes and medicines. Heartburn and other symptoms should improve after surgery. But you may still need to take drugs for your heartburn. 

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Dr. Ranjana NarulaMBBS, DGOGynaecologist

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For the next few days lie on Rt side only. When lying on left take a pillow on left which will reduce any positional pressure on position of baby and placenta. Also get an ultrasound done if problem continues. 

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Dr. Nabanita DasBachelor of Ayurveda, Medicine and Surgery (BAMS), MD(Ayurveda)Ayurveda

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Dear lybrate-user, If your RBS is within normal limits with regular monitoring, it can be brought under control with diet and lifestyle changes. 1. Exercise regularly, walking or jogging in the morning is a good exercise. 2. Avoid sweet in any form. 3. Take small quantity of meals but frequently according to your need. 4.limit your carbohydrate intake. Stay in touch with a doctor for continuous monitoring of your health status. 

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Dr. Paramjeet SinghMBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in EchocardiologyCardiologist

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1) Aspirin (Ecosprin) does not cause high BP, it is given in this case for Heart attack prevention so please continue that 2) anti hypertensive medications needs to be adjusted periodically according to bP records and lab parameters for side effects. And usually not more than 2 or 3 drugs are needed. 3) you need to do these test for further assestment. KFT, ECG, STRESS ECHO, LIPID PROFILE. 4) Continue to take same BP medications but take them all early in the morning and measure BP twice daily and keep a record. 5) If Evening BP is more than 140/90 (Which is the upper limit for her age) you can give half or full tablet of amlong again in the evening according to BP. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. Get back to me with a detailed history and old / new records for a better individualized advice. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

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If you use coconut oil you will see good effects. Dandruff may be the result of a dry scalp, or a skin condition called seborrheic dermatitis. It could also be caused by eczema, psoriasis, or, very commonly, an overgrowth of a yeast like fungus called malassezia. Drugstore remedies might include shampoos with zinc pyrithione, which targets fungus and bacteria; ketoconazole, which also fights fungus; coal tar and selenium sulphide, which slow the growth and die-off of skin cells on your scalp; and salicylic acid. 1) Aspirin contains the same active ingredient (salicylic acid) as many medicated dandruff shampoos. Keep flaking in check by crushing two aspirins to a fine powder and adding it to the normal amount of shampoo you use each time you wash your hair. Leave the mixture on your hair for 1-2 minutes, then rinse well and wash again with plain shampoo. 2) Wet your hair and then rub a handful of baking soda vigorously into your scalp. Skip the shampoo and go right to rinsing. Baking soda reduces overactive fungi that can cause dandruff. Your hair may get dried out at first, but after a few weeks your scalp will start producing natural oils, leaving your hair softer and free of flakes so they can be washed away. For natural treatments .Before showering, massage 3-5 tablespoons of coconut oil into your scalp and let sit for about an hour. Do not use Shampoo. These best option is to use pure coconut oil. 

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Dr. Sudhansu PandeyBachelor of Ayurveda, Medicine and Surgery (BAMS)Sexologist

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First remove your stress and you can check by prega news if you have any doubt and some time you might have a ph balance in the vagina that is easily changed, even by the act of sex, and that can lead to infections and other problems that cause your vaginal area to swell. 

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Dr. Praveen ChaudharyPGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBSGeneral Physician

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Aphthous mouth ulcers are painful sores that can occur anywhere inside the mouth. They are the most common type of mouth ulcer. At least 1 in 5 people can develop aphthous mouth ulcers at some stage in their life. Women are affected more often than men. There are three types: Minor aphthous ulcers are the most common (8 in 10 cases). They are small, round, or oval, and are less than 10 mm across. They look pale yellow, but the area around them may look swollen and red. Only one ulcer may develop, but up to five may appear at the same time. Each ulcer lasts 7-10 days, and then goes without leaving a scar. They are not usually very painful. Major aphthous ulcers occur in about 1 in 10 cases. They tend to be 10 mm or larger across. Usually only one or two appear at a time. Each ulcer lasts from two weeks to several months, but will heal leaving a scar. They can be very painful and eating may become difficult. Herpetiform ulcers occur in about 1 in 10 cases. These are tiny pinhead-sized ulcers, about 1-2 mm across. Multiple ulcers occur at the same time, but some may join together and form irregular shapes. Each ulcer lasts one week to two months. Despite the name, they have nothing to do with herpes or the herpes virus. Aphthous ulcers usually first occur between the ages of 10 and 40 years. They then recur but there can be days, weeks, months, or years between each bout of ulcers. The ulcers tend to come back (recur) less often as you become older. In many cases, they eventually stop coming back. Some people feel a burning in part (s) of the mouth for a day or so before an ulcer appears. What causes aphthous mouth ulcers? The cause is not known. They are not infectious, and you cannot 'catch' aphthous mouth ulcers. In most cases, the ulcers develop for no apparent reason in people who are healthy. In some cases the ulcers are related to other factors or diseases. These include: Injury - such as badly fitting dentures, a graze from a harsh toothbrush, etc. Changes in hormone levels. Some women find that mouth ulcers occur just before their period. In some women, the ulcers only develop after the menopause. Some ex-smokers find they develop ulcers only after stopping smoking. A lack of iron, or a lack of certain vitamins (such as vitamin B12 and folic acid) may be a factor in some cases. Rarely, a food allergy may be the cause. Mouth ulcers run in some families. So, a genetic factor may play a part in some cases. Stress or anxiety is said to trigger aphthous mouth ulcers in some people. Some medications can cause mouth ulcers. Examples of medicines that can cause mouth ulcers are: nicorandil, anti-inflammatory medicines (eg, ibuprofen) and oral nicotine replacement therapy. Mouth ulcers are more common in people with Crohn's disease, coeliac disease, HIV infection, and Behçet's disease. However, these ulcers are not the aphthous type. You should inform your doctor if you have any other symptoms in addition to the mouth ulcers. Other important symptoms would include skin or genital ulcers or joint (rheumatological) pains and inflammation. Rarely, severe mouth ulcers can occur after taking a medicine you are allergic to. Sometimes a blood test or other investigations are advised if other causes of mouth ulcers are suspected. What are the treatments for aphthous ulcers? Treatment aims to ease the pain when ulcers occur, and to help them to heal as quickly as possible. There is no treatment that prevents aphthous mouth ulcers from recurring. No treatment may be needed The pain is often mild, particularly with the common 'minor' type of aphthous ulcer. Each bout of ulcers will go without treatment. General measures include Avoiding spicy foods, acidic fruit drinks, and very salty foods (such as crisps) which can make the pain and stinging worse. Using a straw to drink, to avoid the liquids touching ulcers in the front of the mouth. (Note: do not drink hot drinks with a straw, as you may burn your throat.) Using a very soft toothbrush. See a dentist if you have badly fitting dentures. If you suspect a medication is causing the ulcers, then a change may be possible. For example, if you are using oral nicotine replacement therapy (nicotine gum or lozenges), it may help to use a different type instead such as patches or nasal spray. Some medicines may ease your symptoms from the mouth ulcers Chlorhexidine mouthwash (brand name Corsodyl® or Chlorohex®) may reduce the pain. It may also help ulcers to heal more quickly. It also helps to prevent ulcers from becoming infected. Unfortunately, it does not reduce the number of new ulcers. Chlorhexidine mouthwash is usually used twice a day. It may stain teeth brown if you use it regularly. However, the stain is not usually permanent, and can be reduced by avoiding drinks that contain tannin (such as tea, coffee, or red wine), and by brushing teeth before use. Rinse your mouth well after you brush your teeth, as some ingredients in toothpaste can inactivate chlorhexidine. Steroid lozenges (brand name Corlan® pellets or Betnesol® tablets) may also reduce the pain, and may help ulcers to heal more quickly. By using your tongue you can keep a lozenge in contact with an ulcer until the lozenge dissolves. A steroid lozenge works best the sooner it is started once an ulcer erupts. If used early, it may 'nip it in the bud' and prevent an ulcer from fully erupting. The usual dose is one lozenge, four times a day, until the ulcer goes. In children, use for no more than five days at a time. A painkilling oral rinse, gel, or mouth spray may help to ease pain. Examples include benzydamine spray (brand name Difflam®), choline salicylate gel (brand name Bonjela®), or triamcinolone acetonide (Kenalog in Orabase®). Bonjela® should not be used in children under the age of 16 due to a potential risk of Reye's syndrome if it is overused. This is the same reason why aspirin cannot be used in children too. Note: Bonjela teething gel® no longer contains choline salicylate and has been reformulated with lidocaine, a local anaesthetic (to cause temporary numbing). The effect of painkilling medicines is unfortunately short-lived. You can buy all the treatments listed above from pharmacies, without a prescription. Other treatments may be tried if the above do not help or where the pain and ulceration are severe. Examples include a course of steroid tablets, strong steroid mouthwashes and doxycycline mouthwashes. 

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Dr. Neelam NathDiploma in Obstetrics & Gynaecology, MBBSGeneral Physician

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Yes it is true. One need not take efforts to boil the ingredients and take them raw. Eg eat few pods of raw garlic with water every day (it is difficult to chew) drink fresh lemon juice + spoon of honey every day on empty stomach. Drink apple cider vinegar diluted with water as much as you can tolerate. Regarding a spoon of honey for diabetics - calories are 20-30 only but benefits are lots from being an anti septic, helps acidity and dry cough plus retains water and minerals of body. Cut down 30 calories else where like half a chapati/ half katori of rice. Above studies are only tested on humans through word of mouth no scientific studies have been published. There is no harm/side effects except take less of above if blood thinners like aspirin are been prescribed. All of these do lead to thinning of blood also which is good for the heart. 

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Dr. Ruchi A. GuptaMD - Dermatology, MBBSDermatologist

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Hello, a mole has to be removed surgically or by laser by a dermatosurgeon. Sorry but no home remedy can remove a mole. 

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