Vinayak Hospital

Uterine fibroids, also referred to as uterine myomas) are non-cancerous tumors that grow within the muscle tissue of the uterus. As many as 20% to 50% women between the age group of 18 to 40 suffer from the condition, but not all cases warrant treatment. 

It may be as tiny as a coin or it may grow to the size of a watermelon, making people think the lady is 6/7 months pregnant! There may be one big fibroid or several small ones. 

Causes:
Though the exact causes are not known, family history and hormonal imbalances are said to be the main causes for the same.

Types of Uterine Fibroids

The four types are:

1. Subserosal Uterine Fibroids: Develops outside the uterus and continues to grow.
2. Intramural Uterine Fibroids: The most common type that lead to pregnancy like tummy. They develop within the uterus wall and continue to expand.
3. Submucosal Uterine Fibroids: Because these develop within the uterus lining, they are most likely to be the cause of heavy flow during periods.
4. Pedunculated Uterine Fibroids: These grow on the inner or outer side of a small stalk connecting to the uterus.

Common Symptoms:

1. An enlarged uterus is the most common symptom. It is often mistaken for general weight gain or pregnancy.
2. Prolonged and painful menstrual cycle, that is many times irregular.
3. Urinary incontinence and constant urge to urinate.
4. Pelvic pressure.
5. Pressure on the bowels leading to constipation.
6. Pain during intercourse.

General treatment 
If you find out that you have fibroids during an examination or if you visit a doctor with any of these symptoms, they will most likely ask for an ultrasound or Magnetic Resonance Imaging (MRI) which will confirm the type of fibroid and the extent of your problem. Treatment includes non-invasive-focused ultrasound surgery. 

Treatment with Homeopathy: 
One of the best advantages of choosing Homeopathy is that it works without side effects. It addresses the issue rather than the symptom. A surgical procedure mentioned in general treatment does remove the fibroids but there is no guarantee that they won't grow back as the underlying issue of hormonal imbalance remains. 

During a clinical study of the effects of Homeopathy on fibroids, 85% patients showed improvement and 48% people had complete fibroid removal. 

Treatment: There are medicines in Homeopathy that can treat uterine fibroids, cervical fibroids and help maintain normal hormonal balance in females. 

The worst part about being diagnosed with chicken pox is that even after the virus leaves your body, your skin is still marked with scars from the blisters. Like any other scar, in most cases these scars fade with time but this process can be quite slow. Scars, especially those on your face can also affect your self confidence and image. Luckily, there are a number of ways to deal with scars and fasten the fading process.

Here are a few tips to help reduce scars caused by chickenpox:

1. Vitamin E: Vitamin E not only helps hydrate the skin, but is rich in anti-oxidants that promote the production of collagen and protect the skin from free radicals and other impurities. Vitamin E can be found in foods such as almonds, spinach and papaya. They can also be consumed in form a capsule or used in form of oil. Including vitamin E rich foods in your diet or massaging the scars with vitamin E oil can work wonders in getting rid of scars.
2. Coconut water: Coconut water is not only delicious, but also rich in nutrients essential for the skin and lauric acid and cytokines. This helps regulate cell growth in the skin and balances the pH levels. It also has anti bacterial and anti fungal properties that prevent breakouts. Along with drinking coconut water, you could also apply it directly on the affected areas to help speed the recovery process.
3. Lemon juice: Lemon juice is one of the richest sources of vitamin C. This aids in collagen production and keeps the skin elastic and strong. It is also rich in alpha hydroxyl acids that help heal damaged skin. Lemon juice also has bleaching properties that help scars fade. Lemon juice can be diluted with water or applied directly on the skin.
4. Aloe vera: Aloe vera is known for its anti oxidant and anti microbial properties. This can protect the skin from bacterial infection and help soothe and heal skin. Its anti inflammatory properties also help relieve itching and redness caused by chickenpox blisters. Aloe vera also boosts collagen production and moisturizes the skin. Aloe vera can be used by applying the gel within its leaves directly on the skin and allowing it to dry. This can be repeated 3 to 4 times a day for best results.
5. Baking soda: Scarring in cases of chicken pox is caused by scratching the blisters to relieve irritation and itchiness. Baking soda helps prevent the formation of scars by soothing this irritation and exfoliating the skin. It also helps balance the pH levels of the skin. A paste of baking soda and water can be massaged onto the affected areas to remove dead skin cells and prevent scarring.

All the above mentioned remedies will help you get rid of the scars and give you a beautifully glowing skin.

Diabetes is a lifestyle disease that can easily be managed by controlling our diet. Along with being aware of your sugar intake, your diet should help you lower blood pressure and cholesterol levels. However, this does not mean you have to resign yourself to a lifetime of tasteless food.

Here are a few diet tips that can help manage diabetes: 

1. Choose high fiber carbohydrates: Carbohydrates are an essential element of the daily diet but have a huge impact on blood sugar levels. Hence, it is important to pick the right carbohydrates. Your diet should have a limited amount of refined carbohydrates such as white bread, pasta, soda etc. and should be focused more on high fiber carbohydrates such as brown rice, sweet potatoes, rolled oats and bran flakes that are digested slowly. This prevents your body from producing excessive insulin.
2. Be sweet smart: The key to indulge your sweet tooth and controlling diabetes is moderation. Abruptly, removing sugar from your diet can make you crave for it. Instead, gradually lower your sugar intake. If you can't miss out on the dessert at the end of a meal, reduce the amount of carbohydrates in your meal. Adding healthy fats like peanut butter, yogurt or nuts to your dessert can also slow down the digestive process and thus control blood sugar level.
3. Keep a food diary: When you are diabetic, it is very important to eat at regular intervals. Eating frequent, small meals are often better than fewer large meals. Try and maintain a food diary to keep track of your calorie intake. This helps identify problem areas of where your body is getting excessive calories from. When you are aware of the calories associated with things you eat, it is easier to cut down on snacks and replace unhealthy snacks with healthier options.
4. Choose fats wisely: It is impossible to completely cut out fats from your diet. While some fats such as liquid vegetable oils and commercial baked goods are unhealthy, others have important health benefits. Unsaturated fats are the healthiest and safest. Replacing your vegetable cooking oil for olive oil and biscuits with nuts are easy ways to make smart choices with your fat intake.
5. Go green: Green leafy vegetables are low on carbohydrates and high on nutrients. Thus, make them an integral part of your meal. Vegetables like kale, spinach, lettuce, etc. can be eaten raw or cooked. Along with being nutritious, they also add texture and color to your meals, thus making them more visually appealing.

Are you suffering from wheezing or recurring symptoms of breathlessness and pressure in the chest? The good news is that these symptoms of asthma can be managed, controlled and relieved by an alternative treatment of Ayurveda.

Here are six Ayurvedic remedies for asthma:

1. Diet and nutrition: You should chew your food properly and eat attentively. Avoid over-fullness of the chest and eat a little lesser than your capacity. The following fluid and food items are beneficial to prevent the onset of asthma:
   • Green leafy vegetables and fresh fruits
   • Onions, as they contain an anti-inflammatory compound called Quercetin
   • Tulsi, as it contains therapeutic benefits, which have the power to prevent asthma
   • Turmeric and honey as they can minimize nasal acuteness
   • Lukewarm water throughout the day
   • Ginger and pepper
2. Foods to avoid:
   • Foods that aid in phlegm formation like too much sugar, pickles, ice cream, curd, cold beverages, etc.
   • Spicy and pungent food
   • Allergen-rich food like certain meat, fish, chocolate, preservatives, etc.
3. Lifestyle changes and daily routine: It is essential to establish a daily routine in order to maintain a balanced bodily rhythm. When we eat, sleep or exercise at the wrong time, our body loses its natural cycle and will not cleanse or heal itself. Therefore, create a daily schedule to do the right things at the right time.
4. Stress management: Asthma is often worsened by heightened levels of stress, anxiety and mental fatigue.
   • Hormonal changes caused by stress can aggravate the nervous system and depress the immune response.
   • Keep stress at bay and prevent asthma by doing some healthy breathing exercises.
   • For instance, practice pranayama to keep your lungs healthy and enable a fresh flow of air with its breathing techniques. Identify your trigger points for stress and alleviate them.
5. Massage with herbal oil: Soothe and balance your nervous system with naturally herb-induced oils. The herbs present in the oils will penetrate your tissue beds and stabilize the affected areas:
   • Massage mustard oil and camphor over the chest and back of the chest to relieve breathing problems.
   • Sesame oil can also be applied on the chest.
6. Yoga: According to Ayurveda, the accumulation of toxins in the body lead to asthma. An impaired digestion leads to the deposit of mucus or phlegm in the lungs, causing obstruction in breathing. Yoga is a proven remedy for asthma. It aims to have a positive effect on the body’s healing response and also strengthens the body's digestive system.
7. Prevent asthmatic triggers: Make it a point to keep your surroundings neat and clean. Keep away from pollutants, dust, smoke, pollen and other medications that can trigger asthma.

As we age, we may get a lot wiser and experienced; however, the down-side of gaining knowledge and experience is that we also have to face a lot of health issues and troubles. Problems related to hormones and glands become common as we grow older, and one amongst the most common problems is hypothyroidism. This is a problem that affects the thyroid gland, which is located around the throat region, and is commonly found in women. When the thyroid gland does not produce enough hormones or is underactive, you may be diagnosed with hypothyroidism.

The lack of activity in the thyroid gland may lead to a number of other issues such as lowering of metabolism and the disturbance of immunity in the body. The problem of slow thyroid may alsoarise because of the lack of iodine in the body, and in any case, it is important to bring the issue under control so that a healthy lifestyle may be achieved.

Homeopathy and hypothyroidism
One of the best ways to be able to deal with lifestyle and hormone diseases is to opt for homeopathic treatment. Homeopathy is the branch of medicine that usesnatural means and products to treat health issues; the biggest and most stubborn of diseases are known to be treated with the help of this stream of medication. The same holds true for hypothyroidism because it is found that the most effective way to treat this problem is through the use of homeopathic medicines.

Since there are a lot of medicines that can be used for treating hypothyroidism through homeopathy, the medicines that are prescribed by medical practitioners are segregated on the basis of the symptoms or the effects of the problem, such as the following:

1. You may be prescribed homeopathy medicines for hypothyroidism if you are experiencing excessive weight gain, which is one of the main symptoms of this condition. In such cases, you may be given medicines that help in controlling not only weight gain issues but also issues of lowered hormone secretion.
2. A lot of homeopathy experts also suggest medicines that are exclusively developed for women who experience menstrual issues due to hypothyroidism, which also happens to be a common occurrence.
3. The tolerance for cold in a lot of people is also affected due to the presence of hypothyroidism, which may require a different type of treatment or medication in the field of homeopathy.
4. Many also suffer from issues such as constipation and hair fall which are generally connected to the symptoms of hypothyroidism,and the homeopathic medicines prescribed by doctors may help in tackling such symptoms.

While it may be wise to choose homeopathy as your preferred stream of medicine when hypothyroidism is diagnosed, it is also important to make sure that the best and the most experienced doctors in the arena are chosen for getting the most effective treatment.

Self stimulation or pleasuring your self which will help you in achieving that ultimate pleasure is what defines male masturbation. The most common way of male masturbation is by jerking the penis while stimulating oneself in the best way possible with the help of visuals. On regular days, a five minute jerk before attaining an orgasm is okay, but on other days when you want to last longer, you can practice edging (slowing down right before an orgasm) for a heightened climax.

There is no proper time to masturbate during the day, but it is advised that masturbation should be limited once in 10 days. Because, your cum is made up of blood and protein, losing too much due to multiple masturbation sessions can be harmful for your health and result in lethargy, penis pain and problems during sex. If you want to deviate from the regular form of fantasising and jerking, you could try the following:

1. Lubrication: Using flavoured lubricants will help your penis feel more stimulated as the foreskin moves up and down more effortlessly. This will arouse you more throughout the process of jerking and result in a better orgasm.
2. Kegel exercises: Practicing holds and quick pumps will help the muscles in your penis become stronger and more relaxed. This will ensure a better jerk-off during masturbation which means more pleasure.
3. Visualise/ fantasise: Instead of relying on porn during masturbation, visualise or fantasise a situation for better stimulation and a more heightened orgasm.

Masturbating before sexual intercourse is a great option for both men and women as it makes the penis harder in men and increases sperm mobility, while in women, masturbation can be a wonderful form of foreplay and increase lubrication. Masturbating before intercourse also helps in delaying the climax during intercourse. Masturbating twice a day is considered normal; however, if you are practicing the process more than the acceptable number of times, you could face ill-effects of over-masturbation.

The common side-effects of over-masturbation are:

• Soft or weak Erection
• Premature ejaculation
• Penis shrinkage
• Testicular pain
• Malfunctioning of liver
• Impotence
• Sperm leakage

Certain Ayurvedic remedies can be used to recover from the side effects of over masturbation:

Ayurveda stresses on the use of natural products to cure the negative side-effects caused due to over-masturbation. Here are a few Ayurvedic products you can opt for:

• Drink warm milk mixed with saffron strands to reverse the harmful effects of over-masturbation
• Herbal extracts of winter cherry and purple orchid can help in curing the ill-effects of over-masturbation and refraining from engaging in masturbation
• Shilajit capsules are all natural Ayurvedic capsules help in blood circulation and better mobility of sperms

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually show symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long term condition. It can result in sudden mood swings, depression and thus holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:

1. Immense cramping and pain.
2. A feeling that your belly is bloated all the time
3. Severe gas
4. Alternating and sudden bouts of constipation and diarrhea.
5. Presence of mucus in the feces.

When should you consult a doctor for IBS?

IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should visit a doctor as soon as possible.

Causes of IBS:

1. Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
2. Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn’t cause IBS.
3. Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
4. Other illnesses - Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
5. Age: You will be more likely to develop IBS if you are 45 years of age or above.
6. Hereditary: People having a family history of IBS are more susceptible to develop IBS.
7. Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.

Hair loss, as the name itself implies, refers to the loss of hair from scalp / head; another term used to describe this is alopecia. It is a broad term that also includes thinning of hair. While genetics plays a vital role in this condition that afflicts both men and women, there are several other factors that are involved in bringing on this problem in people. In order to understand the reasons for hair fall better, it is essential that you learn about the various growth stages of hair.

The hair growth cycle consists of three phases:

1. The first phase is the anagen phase, which is an active phase in which the hair grows. This phase lasts for around 2-7 yrs.
2. The second phase is the catagen phase. The catagen phase immediately follows the anagen phase and lasts for around 10- 14 days during which the hair stops getting blood supply and becomes dead.
3. The third and the last phase is telogen phase, which is a resting phase. In this phase, the dead hair falls out and the hair follicles remain in rest or inactive stage for about 2-3 months.

After completion of last stage, the entire cycle is repeated. Each single hair undergoes these three phases of growth independent of the other hair on the scalp. Normally, at a given point of time about 90% of hair is in the anagen phase and only 10% is in the telogen phase. When this ratio is altered, it leads to increased rate of hair loss. Hair loss can occur at any age, and can be prevalent in both males and females. Hair loss in itself is not a disease, but a sign that often indicates various other diseases. Hair loss occurs as a result of various diseases or factors and in different patterns.

The various causes / factors leading to hair loss include:
Skin diseases affecting the scalp like fungal infection of scalp known as tinea capitis, seborrhoea (dandruff), eczema of scalp, or lichen planus.

1. Genetic factors
2. Hormonal changes including those that occur after childbirth and during menopause
3. Nutritional deficiencies due to a diet that lacks iron (leading to anemia), and also lack of protein intake
4. Recovery from acute fever like typhoid and erysipelas leads to diffuse hair loss
5. Drug use like the ones that are used in treating high blood pressure, joint pains, cancer, or depression. Anagen effluvium refers to the condition of hair loss due to chemotherapy in a cancer patient
6. Physical trauma / injury to head
7. Emotional trauma like constant stress or grief due to loss of a family member / close friend
8. General diseases like diabetes mellitus, tuberculosis, Hypothyroidism, or AIDS
9. Auto-immune related hair loss in which the hair cells are mistaken for a foreign body and are destroyed by the immune cells of the body
10. Hairstyles like tight braids or ponytails where the hair is tightly pulled backwards leading to traction alopecia; indiscriminate use of hair colors and hair straighteners
11. Trichotillomania, which is a mental disorder in which the affected person voluntarily pulls out his / her scalp hair

Homeopathy for hair growth
Although hair loss is not a life threatening condition, but it can be a source of constant stress and worry in the people affected by it. A person suffering from hair loss possesses lower self esteem and self confidence level, and also feels embarrassed when in company of other people. Homeopathy can very efficiently deal with cases of hair loss, and produce excellent results. In Homeopathy, a huge number of wonderful medicines are present that are used to tackle hair loss cases. 

Every kind of hair loss (ranging from hair loss due to anemia / nutritional deficiencies, due to skin disorders, due to mental / physical trauma, due to childbirth or menopause, after acute diseases, to alopecia areata, alopecia totalis or androgenetic alopecia) can be treated with the help of well selected homeopathic medicines. To treat hair loss through homeopathy, detail case history of the patient needs to be studied. The cause and site of hair loss are to be noted down along with the constitutional symptoms of the patient which are given prime importance in any kind of case of hair loss. The constitutional symptoms include the eating habits, level of thirst, thermals, mental symptom etc. and these are to be given top position in forming the totality of symptoms while case taking. After the case has been properly evaluated, the case homeopathic medicine is administered to the patient. Following is the list of homeopathic medicines for hair loss treatment that can be used.

Diabetes is a metabolic disorder that results in high blood sugar levels in the body. It basically means that the body is either insensitive to insulin or the insulin production levels in the body go down. The various symptoms of diabetes are blurred vision, weight loss and hunger.

Some other symptoms of diabetes are

1. Excessive urine output
2. Wounds that take time to heal
3. Yeast infections
4. You may experience fatigue on a regular basis
5. Frequent Mood Changes

Diabetes is also known as a Lifestyle disease. From the food you eat to the amount of activity, they are all connected to diabetes prevention. The various modifications that you may carry out to prevent diabetes are:

1. Exercise

You should exercise on a regular basis as it increases your overall wellbeing. It helps you to lose weight and allows you to maintain optimal blood sugar levels. It can also improve your body's sensitivity to insulin to prevent blood sugar problems. Exercise helps in increasing endorphin levels in the body which are responsible for keeping you happy & satiated, thereby avoiding depression and over-eating.

2. Eat more whole grains

Unlike simple carbohydrates, whole grains are complex carbohydrates that raise your blood sugar steadily instead of spiking it suddenly. Avoid refined grains as most of the important nutrients are stripped from refined grains. A Well-balanced diet with adequate amounts of PUFA/MUFA help in increasing the insulin sensitivity, reducing cholesterol and heart problems, etc.

3. Eat a lot of fiber

If you have type 2 diabetes, you should be, including high-fiber foods in your diet is a healthy way to control high blood sugar. Fiber does not raise blood glucose levels. Because it is not broken down by the body, the fiber in an apple or a slice of whole grain bread has no effect on blood glucose levels because it isn't digested. The grams of fiber can actually be subtracted from the total grams of carb you are eating if you are using carbohydrate counting for meal planning. Fiber helps you in feeling satiated, thus prevents you from overeating. It also improves your blood sugar levels and decreases your chances of getting affected by heart disease.

4. Lose weight

You should aim to maintain a healthy weight level as it also decreases the risk of diabetes. It also helps in improving your cardiovascular health. Follow a regimen, which is based on a balanced diet and moderate amount of exercise. Losing weight is the best way to keep diabetes away. Weight is something that we can keep under control. The waist size of men and women should not be more than 150 cm and 90 cm respectively. Always maintain your ideal body weight as per your BMI (Body Mass Index). Globally, obesity is one of the leading causes of diabetes.

5. Avoid sugary drinks

With ten teaspoons of sugar in every 12-ounce can or bottle, sweet drinks can send your blood sugar soaring and boost your risk for weight gain, high blood pressure, stroke, and heart disease. One sugary drink a day adds 150 empty calories and 40 to 50 grams of blood-sugar-raising carbohydrates to your diet, and can lead to a weight gain of 15 pounds per year. Switching to healthier drinks can save hundreds of calories and a lot of carbohydrates.

6. Avoid Stress

When you are stressed, your blood sugar levels rise. Stress hormones like epinephrine and cortisol kick in since one of their major functions is to raise blood sugar to help boost energy when it's needed most. You can't fight danger when your blood sugar is low, so it rises to help meet the challenge. Both physical and emotional stress can prompt an increase in these hormones, resulting in an increase in blood sugars and diabetes. Ensuring a stress-free life is very important if you want to stay away from diabetes. Avoid stress by going out for garden-walks, indulging in social causes/activities, yoga, meditation, etc.

type diabetes

Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.

Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.

Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.

So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.

1. Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.

2. Hospital stay can range from 3 to 5 days.

3. In about a month, the patient will have remarkable recovery, with almost no pain.

4. Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.

5. Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.

6. With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.

7. Schedule a postoperative visit in the 4th to 6th week after surgery.

8. Draw up an exercise routine with your physiotherapist.

9. Ice pack can be applied to control swelling.

10. Driving should be possible, once you are off pain medications, as these can make you drowsy.

11. Blood clot in the surgical site causing a bruise will disappear in a couple of weeks.

12. Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.

Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized.

When function of both kidneys are lost, Renal transplantation is needed. Kidney transplantation is performed by making use of a donor kidney and replacing the diseased one with it. Kidney transplantations are not conducted on patients suffering from other severe infections or life threatening diseases such as cancer, major lungs or heart condition. Diabetic or obese people usually cannot donate their kidneys as they bear a risk of malfunctioning in future. 

Procedure of Kidney Transplant 

1. Kidney transplant surgery takes about 3 hours time. 
2. Tests are conducted to make sure tissue typing match with the new kidney. This decreases the chance of the body rejecting the donor kidney and causing serious complications. 
3. Thorough evaluation of the medical history is made for both the receiver and the donor. This is to make sure that the donor kidney is healthy, functional and free of disorders. 
4. The procedure of the surgery includes placing the donor kidney in the lower abdomen. The blood vessels, important arteries are connected to the donor kidney. The bladder will also be connected to the ureter from the donor kidney. 
5. The new kidney generally begins to function immediately after the surgery is completed successfully. 
6. The blood begins to flow through the kidney, and it begins to function normally. It filters the blood, collects the waste that is then passed through the bladder as urine. 
7. A patient who has had a kidney transplantation surgery will need to remain in the hospital for a few days under intense care and observation. 
8. Medications to prevent the body from rejecting the new kidney will be prescribed. It is important that you continue with these medicines for the rest of your life. 

Risks of Kidney Transplantation 

1. Rejection of the new kidney by the body. Acute rejection in the initial days of surgery can be treated with medications and injections. However, chronic rejection is a serious condition that causes gradual loss of kidney function. 
2. There can be severe infections caused by the immunosuppression. It can also occur during the course of surgery, due to the inclusion of foreign tissues 
3. Reaction to the drugs or anaesthesia used for the purpose of transplantation surgery 
4. Excessive bleeding or haemorrhage caused due to injuries during surgery 
5. Any kind of leakage from the ureter or blocking of the ureter tubes, causing an obstruction in the smooth functioning of kidneys 6.    The anti rejection drugs may lead to a decline in calcium, causing osteoporosis and other calcium deficiency infirmities 
6. Fluctuations in blood sugar, blood pressure levels 
7. Increased risk of cancer 
8. Infections in internal organs 
9. Obesity

Pityriasis amiantacea is a disorder of the scalp. Some of the visible signs of this condition include adherent, silver, thick scales. The scales resemble the color of the asbestos and often surrounds the tufts of hair. While the condition is manageable, care should be taken to manage this condition right from its inception. Here is a brief overview of this scalp condition.

Origin of Pityriasis Amiantacea:
Pityriasis Amiantacea is inflammatory in nature. It comes from the seborrheic and psoriasis dermatitis spectrum. Experts are of the view that this condition is a result of the exaggerated response of the body to a primary condition of the scalp. Earlier studies have suggested that there is a possibility that Pityriasis Amiantacea may have originated from lichen planus, pyogenic infection and superficial fungal. In most of the cases, it has been witnessed that fungus has a close relation to this condition.

Exposure of Pityriasis Amiantacea and its diagnosis:
This condition has low exposure among females. It is mostly observed among, young adults, children, and adolescents. The diagnosis is done clinically. A specialist might prescribe dermoscopy to rule out other conditions of the scalp. If the result is positive, the scaling will reveal a diffused yellowish or whitish pattern. While the condition is local, it has all the possibilities to spread to other hairy parts of the body. Some experts are of the view that Pityriasis Amiantacea has a close association with temporary alopecia. While histopathology is not prescribed by most doctors, however, biopsy of the scalp is suggested in many cases.

Does Pityriasis Amiantacea result in hair loss?
The answer is yes. As a result of the scaly crust, the encased hair tends to fall. This being said, it is entirely a reversible condition. The hair comes back in 9 out of 10 cases. Medical ointments and antibiotic shampoo can help to grow back the lost hair. Apart from this, home-made protein solutions can help in the regeneration of the hair and get back the original color of the hair.

Treatment options:
This is a treatable condition that might take some time for a complete cure. It involves the keratolytic and tropical anti-inflammatory treatment. This is accompanied with salicylic ointment and topical corticosteroids. A tropical mineral oil is often prescribed by doctors to ensure that the adherent scales are removed. Some doctors might also suggest a clobetasol propionate shampoo. Even ketoconazole and silver sulfadiazine is helpful to get rid of the scales. If in case the infection is accompanied with Staphylococcus aureus, antibiotics are prescribed to ensure that the condition does not turn from bad to worse. Systematic therapies are suggested if this condition is accompanied by an underlying condition such as psoriasis.

A lot of smokers now are well aware of the dangers of smoking, but yet they find it hard to quit this habit. In fact, even repeated attempts to quit smoking fail after a few days as they tend to give in to a variety of withdrawal symptoms. In case you are searching for a permanent solution to de-focus and avoid tobacco intake, yoga is the way to venture out of the smoke and free yourself of the addiction.

Compelling well-being programs that plan to improve people and bring back their focus on things that help them lead a solid and happy life can be sought. In this manner, their friends and families get a chance to inhale fresh air as well. Yoga is one such measure which can be used.

Here are a couple of yoga poses that are helpful in getting rid of tobacco addiction:

1. Kapal bhati pranayama (skull shining breathing procedure): This asana tends to enhance the blood flow, improve the sensory system, restore brain cells and quiet the mind. This pranayama likewise clears the nadis (the energy channels) and fights the temptation of smoking.
2. Nadi shodhan pranayama (alternate nostril breathing procedure): Discharge accumulated stress, quiet your brain, sanitise and adjust your naadis (unobtrusive energy channels) with this pranayama. The nadi shodhan pranayama works effectively for some respiratory problems and helps you cope with your addiction of tobacco.
3. Bhujanagasana (cobra posture): The cobra posture improves blood circulation and expands your abdomen. It lessens exhaustion and is additionally useful for people with respiratory illnesses. This yoga acts as a stress reliever and minimises the desire of smoking.
4. Setu bandhasana (bridge posture): The bridge posture opens up the lungs and enhances the supply of oxygen to the body. It additionally extends different parts of the body, quiets the mind, diminishes tension, depression and stress, which keeps you far from smoking.
5. Shishuasana (child posture): The child posture unwinds the body, quiets down the nervous system and eases the body from stress.
6. Trikonasana (triangle posture): The triangle posture extends and strengthens different parts of the body. This yoga pose is an extremely powerful physical and mental balance for the body. It also diminishes nervousness and stress, and helps you fight the desire of tobacco.
7. Sarvangasana (bear stand): The shoulder stand supplies the mind with more blood and also calms it down. It additionally mitigates stress and misery, thereby killing the desire of smoking.
8. Shavasana (corpse posture): The corpse stance should be performed last as it releases the body into a profound, reflective condition of rest and alleviates tension. This yoga posture restores the body and diminishes stress and tension.

Yoga is a very beneficial form of releasing stress and tension as well as your addictions. It takes a long time to show results but the results are long-lasting and highly effective.
 

Hairfall is a condition, which is also known as Alopecia and is known to include the aspect of thinning of hair as well. Genetics and hormones play a vital role in hairfall in both women and men. Few other factors are also responsible for hairfall. The hair growth consists of 3 phases.

1. The anagen phase-active phase in hair growth. This phase lasts for 2-7 yrs.
2. The second phase - catagen phase. This phase immediately follows the anagen phase. It lasts for around 10- 14 days and the hair stops getting blood supply and this leads the hair to become dead.
3. The last phase is telogen phase. It is a resting phase.

The entire cycle is repeated after the last stage and it continues. Every single hair undergoes this process.

Causes/ factors to hair loss

1. Genetic factors
2. Skin diseases such as fungal infection, seborrhea (dandruff), tinea capitis ,eczema of scalp and lichen planus etc.
3. Nutritional deficiencies like iron (leading to anemia) and protein
4. Hormonal changes after childbirth, during menopause
5. Drug in treating high blood pressure, cancer, joint pains or depression. Hair loss due to chemotherapy in a cancer patient is called as Anagen effluvium
6. General diseases like Tuberculosis, diabetes mellitus, AIDS, Hypothyroidism
7. Auto-immune hair loss
8. Hairstyles and frequent usage of hair straighteners and hair colors
9. Recovery from erysipelas and typhoid leads to diffuse hair loss
10. Physical trauma or injury to head
11. Emotional trauma - loss of a family member / close friend
12. Trichotillomania, -a mental disorder of the affected person voluntarily pulls out his / her scalp hair

Homeopathy remedies
The treatment for the disease could be based on the cause of the disease. Understanding the cause and treating it accordingly will increase the effectiveness of the medicine.

1. Psorinum is the medicine useful to treat the hair fall that is caused due to skin diseases in scalp.
2. Mezereum is also another medicine that is good in treating hair fall due to dandruff and other skin disease.
3. Mercurius Solubilis is another homeopathic medicine that plays a wonderful role in treating the hair loss due to eruptions on scalp.
4. Kali sulphuricum and Thuja occidentalis are best medicines to treat hair fall due to dandruff exclusively.
5. Pulsatilla pratensis, Natrum muriaticum, Pulsatilla pratensis and Sepia officinalis are medicines used to control hair fall in women after childbirth.
6. Cinchona officinalis , Calcarea phosphorica and Borax are medicines that helps in treating hair fall problem for anemic patients.

,eczema

Knee replacement surgery is a procedure that is used to replace a worn out knee joint with an artificial knee joint. Such a surgery is advised if your knee is causing pain and limiting your daily activities, provided other treatments have failed to cause the desired impact.

Once the knee replacement surgery is completed, the focus shifts to the recovery phase.

1. The duration of the recovery depends on the type of surgery and the individual.

2. After the surgery, painkillers are administered to provide relief from the pain.

3. In some cases, oxygen is administered through various tubes if required.

4. A blood transfusion may also be required after a knee replacement surgery.

5. The surgical wound will require a dressing to allow it to heal faster and prevent infection.

6. A drain will be attached to the wound to drain out the blood from it and prevent accumulation of blood in the wound.

7. The dressing of the wound should be changed regularly.

Post- Surgery Care

• Post-surgery, you will need assistance to help you walk. If the surgery that you underwent was minimally invasive, then you should be able to walk on the very same day. Your physiotherapist will prescribe and show you some exercises to strengthen the knee. It is important that you follow his/her instructions to avoid complications.

• A passive motion machine is sometimes prescribed as it helps to restore the movement of the knee. It helps in reducing the swelling by keeping your leg elevated and moving the knee when you are lying down.

Here are some knee replacement recovery tips:

1. Avoid doing any work that puts pressure on the knees.

2. Eat nutritious meals so that the body receives proper nourishment, thus allowing your leg to heal faster.

3. Avoid heavy exercises which can strain your knees.

4. Perform all the exercises prescribed by your physiotherapist to speed up the recovery process.

5. Do not sit with your legs crossed for a few months after the surgery.

Premature ejaculation (PE) is defined as the uncontrolled ejaculation which happens either before or shortly post sexual penetration. This usually happens without any sexual stimulation and leads to unsatisfactory results for both the partners. Premature ejaculation might affect a man's confidence and lead to anxiety and stress.

Erectile dysfunction (ED) refers to the inability to maintain an erection required for the sexual needs of a man or his partner. This is often termed as impotence.

Both Premature Ejaculation and Erectile Dysfunction are common forms of male sexual dysfunction and can affect any man at any point of his life.

Treatment includes the following:

1. Lifestyle changes include abstinence from alcohol and smoking. Regular exercises and yoga should be done. Deep breathing exercises also help.
2. Diet modification by avoiding fried, junk, processed, canned and denatured foods. Cereals, eggs, blueberries, bananas, onions, celery, ginger, lettuce, honey and milk should be included in diet. Blueberries and cereals help in the blood circulation of the genital area thus maintain erection.

Ayurvedic treatment for Premature Ejaculation

1. Dinacharya / Ratricharya - This is the systematic following of the day to day routine. It includes the sleep pattern, quality and quantity of food, exercise, sex, brushing and the many do's and don'ts to be followed.
2. Ritucharya - This is basically the systematic seasonal protocol, which should be followed.
3. Sadvritta and Sadachara - This practice enables to have a circle of goodness and also following the practice of good deeds.
4. Achara Rasayana - A behavior and conduct should be followed which benefits if Rasayana in the form of rejuvenators, anti-ageing medicines and immune modulators are taken.
5. Vega Dharana and Vega udeerna should be avoided - Natural reflexes like urination, defecation, sneeze, hunger, thirst, sleep, sex, crying should be avoided. Also, anxiety, anger, stress, jealousy, hatred should be avoided.

Ayurvedic management especially rasayana and vajikaran are popular all over the globe.

Ayurvedic treatment of Erectile Dysfunction

1. Vajikarana therapy - This herbal therapy leads to strength, potency, increased time of erection and happiness. This therapy can only be administered in a person who exhibits self-control and is between 18-70 years old.

Other than the specific ayurvedic remedies mentioned, these should also be done:

1. Massaging of the body especially the genital areas with herbal oils acts as an aphrodisiac.
2. Yoga and meditation helps to overcome stress and exertion.
3. Herbal supplements should be taken to rejuvenate the reproductive organ.
4. A sound sleep of minimum 8 hours a day.
5. Natural Urges should not be avoided.
6. Ghee should be added in diet.

Ayurvedic management especially rasayana and vajikaran are popular all over the globe.

Bed Wetting is a phenomenon in which a child urinates, involuntarily, on bed when fast asleep at night.

A. The Secret Problem

A child gains bladder control at night, but it varies with age. After attaining the age of five, 15% of the children continue bed wetting and after the age of 10, only 5% are found to be still bed wetting. The incidences of bed wetting in boys are twice as compared to girls. Bed wetting can often lead to extreme embarrassment and social awkwardness for the parents. For parents to deal with such inevitable child problems, they must know the causes that lead to bed wetting.

B. The Bedwetting Gene

Your own DNA may be the chief contributor to your child’s bed wetting; research states that in 75 percent of the cases, this problem is found to be hereditary. However, parents should deal with this problem with sensibility and sensitivity, so as not to alienate their children in any way.

C. Causes

1. Delayed Bladder Maturation: In such cases, the communication between the bladder and the brain is delayed.
2. Lower Anti-Diuretic Hormone (ADH): Inadequate secretion of such hormones causes the kidneys to produce lesser urine during the day, thus increasing chances of bed wetting at night.
3. Deep Sleeping: With deep sleeping, the brain fails to get the signal that the bladder may be full.
4. Constipation: With constipation, the problem is that there may be uncontrolled contraction of bladder due to the bowels being full all the time.

When is it a concern?

There is nothing wrong with bedwetting during childhood, especially when the child is less than 2 years of age. However, it might be a concern if the child happens to gain bladder control at night but the condition relapses. Also, if psychological stress happens to be at the root of the child’s bedwetting, it could be considered to be a cause for concern.

Homeopathic treatment for bedwetting in children

Homeopathy is a very effective natural treatment for enuresis. The homeopathic remedies for bedwetting are perfectly safe. These natural homeopathic remedies do not have any side effects at all. Safety of the medicines is a major issue when you are to give any medicine to your child. Therefore it is of utmost importance that the medicines should be completely safe. Homeopathic remedies are known to be perfectly safe and have been tried by millions of patients all over the world over the last 2 centuries.

5 Best Homeopathic medicines for bedwetting in children

Homeopathy has been found to be very successful in treating bedwetting. The aim of Homeopathy is to strengthen the nervous system of the body. This allows the child to gain control over the urinary bladder. The same child who had been urinating in the bed for years is able to keep the bed dry within a matter of a couple of weeks. Homeopathy offers the best way of treating bedwetting. The embarrassment of the child as well as the parents vanishes quickly like magic. Here are the 5 best homeopathic medicines for bedwetting that help in working this magic-

1. Causticum
2. Kreosote
3. Cina
4. Acid Phos
5. Equisetum

It is important to mention here that the above mentioned 5 best homeopathic medicines for bedwetting are by no means the only medicines for bedwetting. There are many other medicines that are also used to cure enuresis. The exact selection of the right medicine depends upon the detailed symptoms of each individual patient. So, it always recommended to consult a specialized homeopath before going for any medication.

Quick tips

1. Ensure that your child urinates right before hitting the bed.
2. Limit your child’s fluid intake after having a thorough discussion with the doctor.
3. Set an alarm for the child to wake up and go to the toilet in the middle of the night.
4. Bladder stretching exercises increase the bladder’s capacity and thus the quantum of urine that can be held by the child’s bladder.
5. Medications, as would be prescribed by a pediatrician.
6. Use a plastic sheet over the bed.
7. And finally, don’t panic. Usually, the problem resolves on its own.

The term menopause refers to the dearth of menstrual periods for a stretch of 12 months. Although the average age for women to attend menopause is 51 years, the range varies from 45 years to 55 years. It is this span of 10 years that is defined as perimenopause meaning “around menopause”. During this time, a hormonal shift affects the process of ovulation and menstrual cycle.

Common menstrual cycle changes during perimenopause:

While a normal menstrual cycle has a particular flowing pattern of progesterone and estrogen, perimenopause doesn’t show any such pattern. Spotting and irregular bleeding are often faced by women as a result. Other changes include very long or very short periods. There could be months when periods might not occur at all. Some other changes include sleep disturbances, urinary changes, night sweats, changes in sexual desire etc.

Abnormal bleeding

Close to 25 percent of all women reports heavy bleeding during their perimenopause. Sometimes this condition is known as hypermenorrhea or flooding. The blood flow can be so heavy that even pads might not be able to contain it. Heavy bleeding might lead to anemia as well. At times there could be a feeling of faintness. If all these conditions prevail, it only indicates a loss in blood count. Some quick fix to excessive bleeding include intake of soup, thick juice etc. Intake of NSAID thrice a day also decreases the blood flow by a good 30-40 percent.

Prolonged bleeding is a bad sign and should not be ignored at any point. It is wise to visit a doctor or a healthcare professional to know more about the cause of bleeding. Doctors often suggest tests to understand the blood count and level of iron present in the body. Iron pills have been known to replace blood cells and fight anemia.

Other ways of treating heavy bleeding is progesterone therapy. If all else fails, a doctor might suggest hysterectomy. It is wise to explore a less invasive method before deciding to remove the uterus.

Hot Flashes

A woman going through perimenopause bleeding often experiences hot flashes. This is a symptom where a woman might feel hot and sweaty all of a sudden. It is often followed by cold shivering.

Disturbance in Sleeping

Approximately 20 percent of the women facing perimenopause reports sleep disturbances. Mostly, a woman goes to sleep at the right time but wakes up very early in the morning without getting any sleep throughout the day.

Vaginal Changes

Excessive bleeding in the perimenopause phase can lead to vaginal walls becoming drier and thinner. There are instances where women report of wear and tear in the vagina walls leading to dissatisfaction during intercourse.  

An effective treatment procedure for the condition called eustachian tube dysfunction is balloon tuboplasty. It is a modern surgical procedure which places a small balloon-like device in the blocked eustachian tube. The procedure offers long term relief to patients and has proven very effective in opening the blocked eustachian tube.

What is eustachian tube dysfunction?
The back of the throat and the middle of the ear is connected via the eustachian tube. This tube is filled with air and opens up while yawning or chewing. It does so to maintain or equalize air pressure on both sides of the ear drum. If the eustachian tube does not perform optimally, it prevents air from passing and obstructs while regulating air pressure. The blockage causes severe ear pain, ringing in ears and/or hearing loss. Common causes of blockage are sinus, common cold or ear or nose infection.

Balloon Tuboplasty procedure
If the occurrence of the obstruction is rare, then it is not a cause of worry, but if it is frequent, then surgical placement of tubes in eardrums might be required. In this procedure, a modified PTA catheter is introduced into a eustachian tube with the help of a special micro endoscope that allows the catheter to be placed in the right position. After the catheter has been positioned properly within the eustachian tube, the balloon present on its distal end is inflated.

The pressure is kept unchanged for 2 minutes, and then the balloon is deflated. After deflation, the catheter is removed under endoscopic vision. The results attained by using this technique show that the procedure for dilation of eustachian tube is very safe, simple and effective. Moreover, it confirms that balloon tuboplasty is favorable for those patients with stenosis of the ear tube. For assessment of objective and subjective parameters concerning postoperative results a specific scale identified as ETS is used.

Success rate of balloon tuboplasty
This modern procedure has proven to have an astounding success rate based on results obtained from clinical studies. Also, tympanogram normalization rate was found to be greater than control subjects treated with medical management alone. The improvement in the quality of life measures is also found to be higher. Moreover, zero risk or reported adverse effects concerning device or procedure was found.

The eustachian tube balloon dilation procedure does have associated risk factors. Associated risks may include tissue and mucosal trauma or carotid artery injury. Before opting for this procedure, it is highly advised to consult highly reputed doctors and know the details of the procedure and whether you are the right candidate for such a procedure. Being aware of all possible risks and benefits shall help you make an informed decision and achieve beneficial results.

Painful menstruation or menstrual cramp is termed as Dysmenorrhoea and refers to the discomfort or pain associated with menstruation. In 80% cases, cramps are an integral part of the preliminary dysmenorrhoea syndrome. Though this symptom is not deemed as a very serious clinical problem, the pain and its associated symptoms are acute enough to keep an affected woman from normal functioning for the first one or two days. These symptoms may take over one or two days prior to menses, reach their pinnacle on the first day and subside slowly with the passage of time. The pain can be typically depicted as being ached, cramping of the stomach and often reaching to the lower back portion.

There is probably no woman across the world, who has not undergone the painful menstrual cramps. But don't fret! Homeopathy treatment has a range of remedies to relieve you off this unease.

1. Cimicifuga: Normally menstruation cramps indicate a pain that flows across the pelvic region from one side to the other. This remedy will particularly be helpful in nueralgic and rheumatic cases as well as congestive cases where it works effectively with Veratrum Viride and Belladonna. It is also very efficient in combating headaches preceding menses, acute pains across abdomen, labor like pains and scanty flow.
2. Caulophyllum: This remedy is great for treating spasms and pain that flow downwards. The spasmodic periodic pains that need to be treated with Caulophyllum are mostly concentrated around the groin and radiate to other surrounding parts. Gelsemium can also be taken for treating neuralgic as well as congestive dysmenorrhoea when the pain bears down. The pains are often labor-like and spasmodic with flow of pale urine. In order to get faster relief, it can be taken along with hot bag press.
3. Belladona: If you are afflicted with the congestive forms of menstrual cramps, then you may take Belladona. In most cases, a pain and discomfort is felt prior to the flow and a feeling of something heavy around the vulva can be relieved if you sit up straight. This pain occurs and subsides all of a sudden making the flow clotted and restricted. This kind of dysmenorrhoea is extremely painful and makes the genital dry. In case the pain gets severe and cuts through the pelvis, then Veratrum viride can also be administered.
4. Xanthoxylum: This remedy is very effective in fighting dysmenorrhoea and uterine spasms. It is very effective when the pain is burning, agonising and extending down through the thighs making the limbs paralysed and numb. You can take this measure when the pain is affecting your ovaries as this medicine works closely for neuralgic form of menstrual cramps. Women with delicate nervous temperament can also take this remedy as it relieves from headache and eye pain caused from menstruation.

Homeopathy has a huge range of medicines, and it becomes difficult for a commoner to select an ideal one. Therefore, when you are deeply affected with menstrual cramps, you can always consult an expert before administering any medicine.