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Dr. Nishant Tiwari

Ayurveda Clinic

Madhavgarh Satna
1 Doctor · ₹200
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Dr. Nishant Tiwari Ayurveda Clinic Madhavgarh Satna
1 Doctor · ₹200
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Dr. Nishant Tiwari
Dr. Nishant Tiwari is known for housing experienced Ayurvedas. Dr. Nishant Tiwari, a well-reputed Ayurveda, practices in Satna. Visit this medical health centre for Ayurvedas recommended by 56 patients.

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MON, WED-SUN
07:30 PM - 08:00 PM 04:00 PM - 07:30 PM

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Madhavgarh
Satna, Madhya Pradesh - 485113
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Doctor in Dr. Nishant Tiwari

Dr. Nishant Tiwari

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
16 Years experience
200 at clinic
₹90 online
Available today
07:30 PM - 08:00 PM
04:00 PM - 07:30 PM
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Recurrent Urinary Tract Infections - How To Get Rid Of It?

Urologist, Hyderabad
Recurrent Urinary Tract Infections - How To Get Rid Of It?

Are you suffering from a urinary tract infection and are looking for effective ways to deal with the condition? Urinary tract infection implies infection either in the urinary bladder or kidneys - While bladder infections are common in women, kidney infections are uncommon. Men by and large don't suffer UTI. So if a male has UTI, evaluation of an underlying cause like stone, benign prostatic hypertrophy etc. should be done.

Most urinary tract infections are simple to treat, with some antibiotics for 3 days. In cases of Diabetes, Renal failure, patients with prior surgery, further evaluation and longer therapy are needed. In most cases of recurring UTI, there is an underlying cause.

Hence a urological evaluation should be done for recurring UTI. 

Homeopathy - Removing Misconceptions About It!

BHMS
Homeopath, Hyderabad
Homeopathy - Removing Misconceptions About It!

Homeopathy is a widely accepted alternative system of medicine which was discovered in the late 18th century. Homeopathy believes in the philosophy that the mind, emotions and the body are integrated together. On the basis of this philosophy, a homeopath provides remedies which can suit best to the physical and psychological conditions of a patient. Homeopathic remedies are certainly not very high dose. Its main purpose is to recognise and discard the cause behind the condition.

People hold many misconceptions about homeopathy. Following are some of the myths of homeopathy:

1.        Homeopathic remedies work slowly: Many people believe that homeopathic remedies cure your medical condition very slowly. Fact is that it works very fast on diseases like cold, fever, etc. When the symptoms are chronic then only working process is slow. This is because at chronic condition the body takes little time to cure from insides. It is advisable to start the homeopathic remedies as soon as any symptom is seen.

2.        Remedies are prescribed by doctors with no formal training: Many people believe that homeopathic remedies are prescribed simply on the basis of the visible symptoms and no diagnosis is done. Fact is that these remedies are prescribed by qualified medical professionals graduated from homeopathy medical colleges. They diagnose your medical condition before prescribing you any remedy.

3.        Homeopathic remedies are not scientific: Many people consider homeopathic remedies to be unscientific. However, the bases behind homeopathy are pharmacological and clinical data. Vast studies and researches have been conducted on homeopathic remedies and treatment. 

4.        Strict dietary restriction is to be followed at the time of homeopathic treatment: Many people believe that they have to control their eating habits while undergoing homeopathic treatment. Fact is that for some patients, ingredients like garlic, onion, alcohol, coffee, tobacco etc. are to be avoided during the tenure of treatment. This is simply because these ingredients interfere with the homeopathic treatment. 

5.       Homeopathy can cure any disorder: Some people have a strong believe that homeopathic remedies can cure any disorder or any medical condition. Fact is that this remedy is completely ineffective in case of dental issues or any condition where surgery is the only remedy.
 

Tips For Postoperative Care!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mini Fellowship in Bariatric Surgery
General Surgeon, Meerut
Tips For Postoperative Care!

You probably think many more things can go wrong during a surgery as compared to after a surgery. However, you are wrong. The chances of infection after a surgery are very high and it used to be the highest cause of unsuccessful surgery in the past before it was known just how deadly an infection is. A doctor, however, cannot monitor everything afterwards. Therefore, it is crucial you know and take care after the surgery.

Here are some ways in which you can do so:
1. Keep it dry

It is crucial that you keep the incision dry for whatever period of time the doctor tells you to keep it dry as otherwise the chances of infection increase dramatically. Some of the things you should do to keep it dry is to not take a bath, scrub the incisions or put lotions on it. In fact, you should also not expose it to sunlight.

2. Keep the incisions
You must trust your doctor as the doctor is trained and usually knows better than you. Therefore, if the doctor tells you to keep the incisions then keep them. Do not scrub, rub or put powder on them either.

3. Check for signs of infection
This may be the easiest thing to do as there are many symptoms of an infection. These include a change in the color, size, or odor of the incision, fever, redness, hardening or heating of the surrounding area or in extreme cases more bleeding and pain than usual.

4. Changing a dressing
This is a major cause of infections among surgery patients and the only way to prevent it is to follow the doctor's instructions to a tee. Once again, trust your doctor and remember to wash your hands and put on medical gloves. Do not put alcohol, iodine or hydrogen peroxide either.

Torsion of Testes - What Can Cause It?

MBBS, MS - General Surgery, MCh - Urology
Urologist, Trivandrum
Torsion of Testes - What Can Cause It?

The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?

There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion

1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

What causes testicular torsion?

In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.

  1. Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
  2. Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
  3. Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
  4. Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
  5. Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.

Thyroid Gland Removal - Understanding The Procedure & Aftercare!

MBBS, MS General Surgery, MCh Endocrine Surgery
General Surgeon, Varanasi
Thyroid Gland Removal - Understanding The Procedure & Aftercare!

Thyroid Gland Removal - Understanding The Procedure & Aftercare!

The thyroid may be a small gland, but plays a large role in the functioning of the body. It is located just below the voice box. Along with producing hormones, it also helps regulate metabolism, keeps the organs functioning optimally and helps the body conserve heat. In some cases, when the gland produces excessive hormones or when it develops structural problems and thyroid cancer, it may become necessary to remove the thyroid gland.  There are several ways of removing the thyroid gland.

The most common amongst these are:

  • Hemithyroidectomy: Hemithyroidectomy is performed when only half the thyroid gland is affected. In such a case, the doctor will remove only one lobe and isthmus of the thyroid gland.
  • Subtotal Thyroidectomy: In such cases, the doctor will remove the thyroid gland but leave behind a small amount of thyroid tissue. This tissue can preserve some thyroid function but hormone supplements are often required to supplement the production of hormones.
  • Total Thyroidectomy: In cases of thyroid cancer or when swelling and inflammation affects the entire thyroid gland, it may become necessary to remove the whole gland along with all thyroid tissues.
  • Endoscopic thyroidectomy (Scarless thyroidectomy): In case of a benign thyroid nodule, when the size of the is less than 4 cm surgery can be done through endoscope. In this procrdure there is no scar in neck, that is why it is called scarless thyroidectomy. Surgery is done through a 2-3 small incisions in axilla and around the nipple ie no scar on visible site. This is very safe and excellent surgery from cosmetic point of view, in experienced hands.

You will need to be admitted into a hospital for a thyroid removal surgery. Once admitted, meet the surgeon and anesthesiologist to answer any questions you may have about the procedure. It is important not to eat or drink anything after midnight on the night before your surgery. The surgery is performed under anesthesia so you will not feel a thing.

Once you are asleep, the surgeon will make an incision in your throat and remove a section or all of the thyroid gland. This procedure can take between 2 to 3 hours. After the surgery, you will be kept in observation for 24-48 hours.

The surgery can result in a slightly raised scar that can take upto 6 weeks to heal. You can resume normal daily activities a day after the surgery. However, it is advised to wait for a week before undertaking any strenuous activities. Your throat may feel sore for a few days following the surgery. This can be treated with over the counter pain medication. You may also develop hypothyroidism.

The most major risk of a thyroid removal surgery is an allergic reaction to anesthesia. Other risks of this surgery are damage to the nerves connected to the vocal cords and damage to the glands controlling calcium levels in the body. But these risks can also be avoided by trained thyroid surgeons or endocrine surgeons.

Endoscopic thyrpidectomy is ve ry much useful young lady and girls who do'nt any scar in her neck.

Stone Disease - All You Should Know About It!

M. Ch Urology, M.S, Surgery
Urologist, Siliguri
Stone Disease - All You Should Know About It!

Stone diseases are a part of health issues related to the urological system in our body. Depending on their position, they may be classified into kidney stones and ureteral stones. Stone diseases are extremely common in nature and if treated timely it does not cause much damage to the body.

Types of Stones in the Human Body:

There are four types of kidney stones and ureteral stones in the human body namely – calcium, uric acid, struvite and cystine. The main difference between kidney stones and ureteral stones is that of the location. Kidney stones are transformed into ureteral stones when they pass from the kidney into the ureter.

Warning Signs to detect Kidney and Ureteral Stones

Kidney stones may be present in your body but they do not cause any obstructions unless they move into the ureter. Symptoms to detect the presence of stones in your body include –

• Intense and shifting pain in the lower abdomen and groin
• Frequent and painful urination
• Presence of blood in urine
Nausea and vomiting
• Frequent fever accompanied by chills

Modes of Diagnosis:

The following methods are used to diagnose kidney stones/ureteral stones in the body-

• Imaging Tests – X-rays and CT scans are used to detect the presence of bigger and smaller stones respectively.
• Urine Tests – They help to detect the presence of stone forming particles in urine thus helping to diagnose stones in the kidney.
• Blood Tests – They help display levels of calcium and uric acid in the blood and monitor the general health of kidneys.

Treatment of kidney/ureteral stones:

Treatment of stones depends on their size and severity. For smaller stones, doctors recommend drinking 2-3 litres of water per day that help in flushing out the stone through urine. Doctors also prescribe medicines which helps break down the stone and reduce pain.

If the stones are large in size and exhibit severe complications, then the urologist will resort to the following treatment procedures-

Shock Wave Lithotripsy (SWL) – In this process, a machine called lithotripter is used which passes ultrasonic waves through the skin to break up the stone into smaller components. The shattered pieces then pass out of the body through the urinary tract.

Percutaneous Nephrolithotomy (PNL) – This is an endoscopic method used to remove large stones, which are not possible to eliminate through SWL. This is an invasive procedure and general anaesthesia is done prior to surgery.

Ureteroscopy – In this process, a ureteroscope is inserted into the urethra to locate the stone and a tool is used to break it into smaller pieces or is taken out as a whole.

Prevention of Kidney and Ureteral Stones

Certain lifestyle changes can go a long way in preventing stones in the body. Some of them include drinking lots of healthy fluids, reducing consumption of oxalate-rich foods and animal protein, reducing sodium intake and controlling one’s body weight.

Maintaining a healthy lifestyle and taking prompt medical action in case of detection of stone lessens the harmful effect of kidney and ureteral stones in the body.

Ulcerative Colitis - Know More About It And Its Treatments!

DNB (General Surgery)
General Surgeon, Visakhapatnam
Ulcerative Colitis - Know More About It And Its Treatments!

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases the risk of colon cancer.

Symptoms:

  1. Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied by blood or pus.
  2. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
  3. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
  4. Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment-

  1. Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
  2. Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advise surgery. The common methods of surgery are:
    1. Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
    2. Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery-
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.
 

How To Stop Knee Pain With Strengthening Exercises?

COMT, MPTh/MPT
Physiotherapist, Surat
How To Stop Knee Pain With Strengthening Exercises?

The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication. 

While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones:

  1. The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
  2. Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
  3. Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
  4. Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise.

Diabetic Foot Management & Prevention!

MCh Endocrine Surgery
Endocrine Surgeon, Lucknow
Diabetic Foot Management & Prevention!

Prolonged diabetes and high sugar levels can cause damage to nerves and blood vessels. This results in foot numbness and wounds on the foot do not heal and change color with time. There are two types of diabetic foot problems that affect people who have prolonged diabetes: Diabetic Neuropathy and Peripheral Vascular Disease. These are described as follows:

Diabetic Neuropathy:

Diabetic neuropathy is a condition in which the patient has numbness in the foot. Such a condition makes it difficult for the patient to feel the pain and sensation in the foot.

Peripheral Vascular Disease:

Peripheral vascular disease results in the problem of blood flow in hands and legs. Fat deposits block blood flow which further causes heart problems.

Apart from these, the nerve damage in diabetic patients can also be caused due to high sugar levels, high blood pressure, and weight issues. This may lead to neurological problems including lack of sensation in the foot. In such cases, patients tend to have soreness and irritation in their feet but that is not felt by them. Such neurological problems require immediate attention from doctors.

Symptoms of Diabetic Foot:

The signs of diabetic feet differ from person to person. However, the symptoms mentioned below are common with such diseases:

  1. A color change of the foot

  2. Soreness

  3. Wounds on foot which are not healing

  4. Swelling

  5. Numbness in foot

  6. Tingling and deformity

  7. Red streaks and stains on socks

Diabetic Foot Management Practices:

Keeping feet healthy and clean is the key to managing a diabetic foot. Keeping a few things in mind will help the sugar patient delay or prevent diabetic foot problems. Some of these are:

  1. Check feet on a routine basis for any kind of change. This can be done by the patient himself or someone else.

  2. Wash and clean feet.

  3. Wear cotton socks which are comfortable and support feet the whole day. Shoes should be worn with proper fitting and size so that deformity in the feet does not occur.

  4. Do feet exercises (or full body exercises if possible) daily to promote blood flow.

  5. Trimming nails is essential. Looking to ingrown and remove them to avoid infections is also an important preventive measure.

  6. It is essential to keep a check on blood sugar. The sugar should be checked daily and it is also suggested to keep a log for the same.

  7. Smoking is prohibited and should be avoided to lower the risk of the diabetic foot.

Prevention of Diabetic Foot:

Diabetes can cause problems in many parts of the body and foot is very common to get affected among diabetic patients. It is necessary to prevent and take cautions that can lead to foot ulcers, infections, gangrene, and foot deformity.

A diabetic foot disease can lead to amputation of feet. Contact a doctor when you notice foot problems like ulcers, infections and tingling sensation. There are different treatments available in medical science for managing diabetic foot and diabetic neuropathy.

Successful procedures like endocrine surgeries have been found to be very useful for fighting diabetic foot problems. The surgery is performed on the patient to remove decaying tissues and glands. Surgery may vary depending upon the condition of the patient. However, it has been noticed that with proper care and prevention of diabetic foot problems can be treated with non-surgical treatments of medicine as well.

Conclusion:

Diabetic feet are one of the most common problems that may occur to diabetic patients. This is why it is advisable to consult a doctor as soon as a patient experiences or notices any of the symptoms.

Way Of Homeopathy Treatment

Homeopath, Navi Mumbai
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Homeopathy is a system of alternative medicine that has a solution for almost all your health issues. The best part of this mode of treatment is that it doesn’t cause any side-effects. At a time when people are suffering from many recurrent diseases, the need for an expert homeopath becomes mandatory.

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