Dr. Rajshekhar Karlekar

take tab levofloxine 500 1 tab od , tab sinarest hs, 5 day steam inhalation, saline garglesit will help. welcome.

First of all stop chewing gutkha. Indigestion, also known by the medical term dyspepsia, is due to a problem in the secretion of digestive juices in the stomach. Usually indigestion occurs after eating spicy or fatty foods or overeating. It can also be triggered or made worse due to gastroesophageal reflux disease (GERD), irritable bowel syndrome, stress or anxiety, obesity, ulcers, stomach infection, thyroid disease, smoking and certain medications. Some symptoms of indigestion are bloating, gas, growling stomach, abdominal pain, burning sensation in the upper abdomen, acidic taste and vomiting. You can easily get relief from indigestion symptoms using ingredients from your pantry. For instance, sipping a little water at the first sign of indigestion can give you some relief as it helps increase the gastric pH. Home remedies for indigestion There are also many other remedies that can be used to treat indigestion. Here are the top 10 home remedies for indigestion. Also, consult your doctor to rule out the possibility of a more serious condition. (Out of the 10, we have covered 3 highly effective home remedies in this video.) 1. Apple Cider Vinegar Apple cider vinegar is often used to kick start a slow stomach. Though acidic in nature, it also has an alkalizing effect that helps settle indigestion. Indigestion home remedy acv Add one tablespoon of raw, unfiltered apple cider vinegar to a cup of water. Mix in one teaspoon of raw honey. Drink this solution two to three times a day for quick relief. 2. Fennel Seeds Fennel seeds can be really helpful for indigestion caused by very spicy or fatty food. Fennel seeds contain volatile oils that can help reduce nausea and control flatulence. Dry roast, grind, and sieve fennel seeds. Take half a teaspoon of this powder along with water. Follow this remedy twice daily. Alternatively, you can drink fennel tea, made by steeping two teaspoons of crushed fennel seeds in a cup of hot water. Another option is to simply chew a spoonful of fennel seeds for symptom relief. 3. Ginger Ginger stimulates digestive juices and the flow of enzymes that help you digest your food. This makes ginger an effective remedy for indigestion, especially when it is caused by overeating. In fact, as a preventive measure, you can sprinkle salt on some fresh ginger slices and chew it thoroughly after eating a heavy meal. Take two teaspoons of ginger juice, one teaspoon of lemon juice, and a pinch of table salt and black salt. Mix the ingredients thoroughly and consume it with or without water, whatever suits you. Another option is to add two teaspoons of ginger juice and one teaspoon of honey to a cup of warm water and drink it. You can also drink homemade ginger tea to get relief from bloating, cramps, gas and stomach aches. To make ginger tea, boil one teaspoon of grated ginger in a cup of water for 5 to 10 minutes. Adding ginger as a spice in your recipes can also help if you are suffering from indigestion. 4. Baking Soda Indigestion often happens due to high levels of stomach acids. Baking soda is one of the most simple and effective treatments for this problem because it acts like an antacid. Stir one-half teaspoon of baking soda into half a glass of water. Drink this solution to neutralize the acid in your stomach and give your relief from bloating. 5. Carom Seeds Carom seeds, also known as Bishop’s weed or ajwain, have digestive and carminative properties that help treat indigestion, flatulence and diarrhea. Grind together some carom seeds and dried ginger into a fine powder. Add one teaspoon of this powder and a little black pepper to a cup of warm water and drink it. Do this once or twice a day. Simply eating one-half teaspoon of carom seeds can also provide relief from indigestion. 6. Herbal Tea Drinking herbal tea after eating a heavy meal can greatly reduce indigestion. Dip your favorite herbal tea bag into a hot cup of water and cover it for five minutes. Drink it while it is still warm. Peppermint tea and chamomile tea, in particular, help calm your stomach and relieve digestive problems. 7. Cumin cumin seeds Cumin has a long history of use as an Ayurvedic remedy for digestive problems including indigestion, nausea, diarrhea, and flatulence. It stimulates the secretion of pancreatic enzymes that aid digestion. Mix one teaspoon of roasted cumin seed powder in a glass of water and drink it. For heaviness in the stomach, add one-quarter teaspoon each of roasted cumin seed powder and black pepper to a glass of buttermilk and drink it two or three times a day for a few days. 8. Coriander coriander seeds Coriander is an effective spice to treat indigestion as it promotes the production of digestive enzymes and helps calm the stomach. Add one teaspoon of roasted coriander seed powder to a glass of buttermilk and drink it once or twice a day. To reduce acidity in the stomach, extract the juice of fresh coriander leaves and mix one teaspoon of this juice in one cup of buttermilk. Drink it two or three times a day. 9. Basil Leaves basil Basil is an excellent Ayurvedic remedy for indigestion and acid reflux. It also helps relieve intestinal gas, thanks to its carminative properties. Add one teaspoon of basil to a cup of hot water and allow it to steep for 10 minutes. Drink up to three cups of this tea a day. Mix 5 or 6 ground basil leaves, ¼ teaspoon of sea salt and a little black pepper powder in 2 to 3 tablespoons of plain yogurt. Consume it 2 or 3 times a day. 10. Cinnamon cinnamon This readily available spice can be of great help when suffering from indigestion. Cinnamon helps in the digestive process and can provide relief from cramps and bloating. Make a cup of cinnamon tea by adding one-half teaspoon of cinnamon powder to a cup of boiling water and let it steep for a few minutes. Drink it while it is still warm for best results. These home remedies will help alleviate symptoms of indigestion. However, if you have intense abdominal pain or excessive vomiting, consult a doctor right away. Additional Tips Eat smaller and more frequent meals. Eat slowly. Avoid extremely spicy and fatty foods. Avoid binge eating. Do not lie down immediately after a meal. Cut back on your alcohol consumption. Stop smoking. Manage stress. Exercise regularly and maintain a healthy weight. Discuss with your doctor about changing the medications that tend to irritate the stomach lining. Try to cut back on pain relievers.

Do Take IFT and laser Therapy for 12 days followed by strengthening exercise From Neuro physiotherapist Best Wishes

Dear lybrate-user. For social anxiety disorder, hand shaking is enough. There may not be any other symptoms like nervousness or fear. Social anxiety disorder treatment consists of cognitive behavioral therapy, life style changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods, you will be cured. The process could take some time according to the depth of the problem and the circumstances at which the patient lives. Take care.

Dear lybrate user, kindly note that if you indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Along with medicines you can also try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do this exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction.

Swine Influenza Screening  On The Basis Of Neutrophils To Lymphocyte Ratio

NEUTROPHIL/LYMPHOCYTE  ratio less than two may serve an excellent screening tool for isolation while awaiting throat swab culture reports for conformation of the diagnosis. If the patient presenting with two or more of influenza like symptoms (cough, sore throat, fever, rhinorrhea, malaise, headache, shortness of breath, chills) a decrease inWBC count and an N/L ratio less than 2 indicate the possibility of swine flu.

But the final diagnosis must be based on throat swab culture and virus isolation, Reverse-transcriptase polymerase chain reaction (RT-PCR). At present, there is no validated rapid bedside diagnostic test (including so-called ‘point-of-care’ diagnostic tests). Samples for laboratory tests should be taken from the deep nasal passages, nasopharynx, throat or, if available, bronchial aspirate.

N/L ratio is time saving and cost-effective procedure. It would be especially helpful when there are a large number of suspected cases or in areas where the facilities for throat swab culture are not available.

Therefore by L/N ratio  the anti-viral treatment can also be started early thus reducing the complications and mortality due to delayed treatment.

References
1. Cunha, Pherez, Schoch. Diagnostic importance of relative lymphopenia as a marker of swine influenza (H1N1)in adults. Clin Infect Dis 2009; 49 : 1454-6

2. CDC. Outbreak of Swine- origin influenza (H1N1) virus infection- Mexico. 2009: 58 : 467-70.

3. Michaelis , Doerr, Cinatl. An influenza A H1N1 virus revival - pandemic H1N1: Infection. 2009;

4. Ajit Indavarapu & Abhilash Akinapelli “Neutrophils to lymphocyte ratio as a screening tool for swine influenza” Osmania Medical College, Hyderabad, India.  Indian J Med Res 134, September 2011, pp 389-391.

It could be a migraine or tension headache due to anxiety and stress. Reduce your anxiety if any. Check your BP. Take paracetamol , plenty of water and rest

Apply bramhi thaila for scalp and feet daily and massage feet daily. Inrease your physical activities, Avoid day time sleep

Weight gain is most often due to poor eating habits, sedentary lifestyle and stress. In order to lose weight you must either eat sensibly and exercise to burn off calories. Eat as per the body's needs. Food that is not used to fuel the body is stored as fat. A major component of losing weight is to make smarter food choices. Here's how: Limit non-nutritious foods, such as: Sugar, honey, syrups and candy, pastries, donuts, pies, cakes and cookies, soft drinks, sweetened juices and alcoholic beverages Cut down on high-fat foods by: Choosing poultry, fish or lean red meat. Choosing low-fat cooking methods, such as baking, broiling, steaming, grilling and boiling. Avoiding high-fat snacks like chips and chocolate. Avoiding fried foods. Using less margarine and mayonnaise. Avoiding high-fat gravies, cream sauces and cream-based dishes. Eat a variety of foods, including: Fruit and vegetables, whole grains, breads, cereal, rice and pasta, dairy products, such as low-fat or non-fat milk or yogurt, low-fat cottage cheese and low-fat cheese, protein-rich foods like chicken, fish, dals and legumes, or beans should be included in your diet. Change your eating habits: Eat three balanced meals a day to help control your hunger. Watch portion sizes and eat small servings of a variety of foods. Choose low-calorie snacks. Eat only when you are hungry and stop when you are satisfied. Eat slowly and try not to perform other tasks while eating. Find other activities to distract you from food, such as walking, taking up a hobby or being involved in the community. Include regular exercise in your daily routine.

apply volini gel on neck . do warm fomentation. do neck muscle exercises, avoid high pillow. it will be ok. if not ok then do MRI cervical spine.

It may be colitis. Khane ke bad turant jana pdta h. Methi churn 1 spoon thrice a day with anar ka ras. It will help you a lot. Stop milk and wheat. Consume curd and buttermilk more.

You start drinking pomegranate's juices which helps erectyle dysfunction and premature ejasculation. It also helps growth concentration, density os sperms go for morning walk followed ny free hand exercises have nutrisous diet.

Not at all please don't do anal sex. You do protected vaginal intercourse only please. Anal sphincter may loose or many infection may transmit.

1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist

Ok ,use ayurveda nivebu kwath churna highly effective in jointpain due to viral fever like chilungunia.

Sperm Count. 40 million to 300 million is the normal range for the number of sperm per milliliter. Counts below 10 million are considered poor; counts of 20 million or more may be fine if motility and morphology are normal. Homeopathic medicine found to be most effective therapy in treatment of Low Sperm Count, Low Sperm Motility, Low Sperm Volume, Abnormal Sperm cell Morphology, Semen Viscosity, Anti Sperm Antibodies and combination of the any of the disorder either Endocrine or Urology or of both. Homeopathy treatment corrects Spermatogenesis by making harmony in hormone as well as other associate condition. Advantage of Treatment Fastest acting and safest mode of treatment available till today, absolutely no side effect of medicine. Effectiveness is tested in thousands of patients with more than 90 % of success rate. Medicine not only increases count but also increases sperm motility and Volume, abnormal sperm morphology will corrected with treatment. Homeopathic medicine are safe, free from hormones. Maximum time required for treatment is 9 month with minimum of 1 million sperm count, no need of medicine for at least 8 to 10 year after completion of treatment and semen analysis parameter will be normal. Homeopathic medicine are small sweet pills and its easy to dissolve it on tongue, medication is easy and hassle free. Treatment also clears Varicocele, hormonal imbalance and other urological abnormalities. Corrects Spermatogenesis. Effective in Small Testes, even with one testes there is chance to have normal Sperm Count with Homeopathy.

1.It could be due to wax in ear or ear infection. 2Get your ear checked by ENT specialist. 3.Take one tablet of paracetamol sos after food upto a maximum of three tablets daily

What's your pft - spirometry report? family history of asthma or any long disease? tell detailed history of symptoms and medications and I will be glad to help you out.

Hello Mr. Lybrate-user, in the age of 15, mostly boys and girls tend to get oily skin due to hormones activation. But do not worry this is natural process and with ayurveda we can control this problem. Do as mentioned below: 1. Drink at least 3 to 4 liters of water daily. 2. Avoid oily and spicy food. 3. Apply once a day paste of sandalwood powder 1 teaspoonful, besan 2 teaspoonful and rose water/aloevera gel sufficient quantity to make paste. 4. Use any neem & aloevera face wash two times a day.