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Overactive Bladder - All You Need To Know!

Dr. Piyush Singhania 90% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Urology
Urologist, Navi Mumbai
Overactive Bladder - All You Need To Know!

A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.

Mechanism of Urination

During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.

Causes and Symptoms of an Overactive Bladder

Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder. 

Some of them are: 
1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones

5. Constipation
6. Excessive consumption of caffeine or alcohol


Some of the common signs of an overactive bladder are:
1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day

The risk of an overactive bladder gradually increases with age. Conditions, such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline, which often times lead to the development of an overactive bladder.

Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition.

Gallbladder Stone - Homeopathic Ways Of Treating It!

MD - Homoeopathy, BHMS
Homeopath, Mumbai
Gallbladder Stone - Homeopathic Ways Of Treating It!

Homeopathy can very well dissolve gall stones of small and medium sizes, and relieve the gall bladder and body permanently from the pain, suffering and complications coming from gall stones. One of the benefits of homeopathic treatment for gall stones is that your gall bladder does not need removal, and being an important organ for producing digestive enzymes, it is better to keep it in your body. The other benefit is that you get a side effect-free treatment, which is completely efficient and practical, and costs really low compared to other modes of treatments and surgeries.

But before one goes for a homeopathic treatment, a complete evaluation of the patient’s case history must be done so that the right medicine can be given as per the case, history, severity etc. Here is a quick look at the commonly used homeopathic medicines, which doctors, depending on your case history, may prescribe for your gall stone.

Homeopathic medicines used for treating gall stones

  1. Calcarea carbonica: If you have a family history of kidney and gall stones, are anxious and slow, overweight with high deposits of triglycerides and cholesterol, then you would be given this medicine.
  2. Chelidonium: If you get pain in any or both of the two patterns pain originating under your right shoulder blade and pain in the upper right abdomen, which spreads to the back, you will be prescribed this one.
  3. Lycopodium: This medicine is usually recommended in case you have a family history of stones in kidney and gall bladder, along with other complications like, chronic digestive disordershigh cholesterol, gastric problems, constipationpeptic ulcers, gas and bloating. The patient may usually get biliary colic pains late in the afternoon. He or she may also get irritated easily, and hate contradicting opinions.
  4. Natrum sulphuricum: The patient may have any or some of the problems like chronic diarrhea, gall stone pain, asthma, chronic obstructive pulmonary disease, depressionobesity and problem in joints. On top of that the patient may be too sensitive to changes in humidity and weather. In such a case, Natrum sulphuricum is given.
  5. Nux vomica: If a patient suffers from nausea, colic pains, spasmodic pains, heartburn and acidity, gas and bloating, and takes too much of rich and oily food and drinks, then this medicine is used to treat gall stones for him or her.

As you can see, there is a remedy for all types of patients. Hence in case of small to medium sized gall stones, you can always retain the gall bladder, avoid surgeries, and keep patience with systematic homeopathic treatment from an expert doctor. You will get positive results soon.

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The Symptoms And Treatment Of Gallbladder Attack

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowhsip In Endoscopy
Gastroenterologist, Pune
The Symptoms And Treatment Of Gallbladder Attack

The gallbladder can be found under the liver and is a pear shaped organ. This four inch organ is responsible for storing bile, which is a combination of the various fluids as well as fat and cholesterol. These are essential for the body and its metabolism, as the bile helps in breaking down the food that enters the digestive system. With the help of the gallbladder, this bile divides the food into smaller parts within the intestine. This ensures that the energy released by the food is more easily absorbed into the bloodstream. There are a host of problems that can attack the gall bladder including stones, infection and more.

Let us find out the symptoms of a gallbladder attack and the various ways in which it may be successfully treated.

  1. Pain: One of the most common symptoms of a gallbladder attack includes pain. This can be felt in the section that lies in the middle and the upper right portion of the abdomen. The patient may initially experience mild pain that comes and goes intermittently. Eventually, if the pain is not treated, it can start to radiate on a constant basis and hold the patient in its grip.
  2. Nausea: Nausea and vomiting are also common symptoms of any gallbladder related problem. Chronic cases usually end up experiencing these symptoms. Nausea and vomiting in such conditions are a result of digestive problems like acid reflux which can be caused due to the gall bladder condition.
  3. Fever: If there is an infection in the gall bladder, then the patient may also experience fever and chills. This will require immediate treatment and the prescription of antibiotics. If it is not treated on time, the problem can become serious and dangerous.


Mostly, doctors will recommend surgical methods to deal with gall bladder attacks and conditions. A laparoscopic surgery may be conducted to remove the gallbladder. The patient will also have to undertake many lifestyle changes in order to successfully treat this condition over a period of time.

One will have to avoid greasy and oily food. Also, the fat intake of the patient will have to be reduced so that the cholesterol build up does not affect the gallbladder again. The patient will also have to add fibre to his or her daily diet, in the form of fruit and oats. This will help in improving the bowel movements as well.

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Gall Bladder Stones - Homeopathic Treatments!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Gall Bladder Stones - Homeopathic Treatments!

गुर्दे की पथरी का होमियोपैथि में सबसे बेहतर उपचार-

शरीर में अतिरिक्त उष्णता बढ़ने, गर्म जलवायु के प्रभाव से, पानी कम मात्रा में पीने आदि कारणों से शरीर में जलीय-अंश की कमी यानी डिहाइड्रेशन होने की स्थिति में मूत्र में कमी और सघनता होती है, जिससे कैल्शियम आक्सलेट मूत्र में ही पाया जाता है या फॉस्फेट, अमोनियम फॉस्फेट, मैग्नीशियम कार्बोनेट आदि तत्त्व किडनी की तली में जमने लगते हैं और धीरे-धीरे पथरी का आकार ले लेते हैं।
पाचन प्रणाली की खराबी भी इसमें एक कारण होता है। मूत्राशय यानी ब्लैडर की पथरी स्त्रियों की अपेक्षा पुरुषों को ज्यादा होती है और इसका पता पेशाब करने में होने वाले कष्ट से चलता है। मूत्राशय की पथरी अविकसित देशों के गरीब लोगों में अधिकतर पाई जाती है और इसका कारण उनके आहार में फॉस्फेट और प्रोटीन की कमी होना होता है। पथरी के इन प्रकारों को मोटे तौर पर मूत्र-पथरी कहा जाता है, क्योंकि इनका सम्बन्ध मूत्र, मूत्राशय, मूत्रनलिका और गुर्दो से होता है।
विटामिन ‘डी’ की विषाक्तता तथा थायराइड ग्रंथि की अति सक्रियता के कारण शरीर में कैल्शियम के स्तर में बढ़ोतरी हो जाती है। साथ ही कैल्शियम युक्त पदार्थ अधिक खाने की स्थिति में भी गुर्दे में पथरी हो जाती है।

ऐसे फल-सब्जियां जिनमें आक्जलेट अधिक होता है, खाने पर जोड़ों में दर्द एवं गठिया वगैरह की स्थिति में अधिक यूरिक बनने के कारण भी क्रमश: आक्जलेट एवं यूरिक एसिड स्टोंस (पथरी) बन जाती है।
पथरी के लक्षण-
लक्षण मुख्यतया इस बात पर निर्भर करते हैं कि पथरी का आकार क्या है और कहां स्थित है।

1. छोटे-छोटे टुकड़े गुर्दे में पड़े रहें तो इनका पता नहीं चलता, न कोई कष्ट ही होता है, लेकिन जैसे ही यह टुकड़ा ‘यूरेटर’ में प्रवेश करता है, वैसे ही अचानक भयंकर दर्द होता है जिसे ‘रेनलकॉलिक’ कहते हैं।

2. कमर में तीव्र अथवा हलका दर्द पीछे की तरफ बना रहना एवं चलने-फिरने पर दर्द बढ़ जाना।

3. ‘रेनलकॉलिक’ अचानक शुरू होता है, दर्द की तीव्रता बढ़ती जाती है और यह जांघों, अण्डकोषों, वृषण, स्त्रियों में योनिद्वार तक पहुंच जाता है।

4. कभी-कभी मूत्र मार्ग में पथरी फंसने के कारण पेशाब बंद हो जाता है।

5. कभी-कभी मूत्र-मार्ग से छोटी पथरी के गुजरकर बाहर निकलने के बाद घाव हो जाने के कारण मूत्र-मार्ग से रक्त भी आ सकता है।

पथरी की जांच-
1. पेशाब में लाल रक्त कोशिकाएं पाई जाती हैं।

2. एक्स-रे जांच (गुर्दो एवं मूत्राशय तथा मूत्र-मार्ग की) कराने पर पथरी स्पष्ट दिखाई पड़ती है |

3. यूरेटर (मूत्र नलियों) को रंगने वाले पदार्थ (डाई) की रक्त वाहिकाओं के द्वारा वहां तक पहंचाकर एक्स-रे करने पर और स्पष्ट पता चल जाता है।

4. अल्ट्रासाउंड (तरंगों की आवृति के द्वारा) जांच द्वारा भी सही-सही स्थिति का पता लगाया जा सकता है।

पथरी से बचाव-
पानी अधिक मात्रा में पीना चाहिए। कैल्शियम एवं आक्जलेट युक्त पदार्थ सीमित मात्रा में ही खाने चाहिए। टमाटर, मूली, पालक, भिंडी, बैगन व मीट का परहेज़ रखें। 

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Stones - Myths And Facts!

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship In Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Stones - Myths And Facts!

When the doctor informs you that you have stones in your kidney or gall bladder, the typical reaction it evokes is panic. Though you have been suffering from excruciating and unbearable pain for a long time, the idea of having stones inside your body is not exactly a happy feeling.Stones are small crystallized formations which mainly occur in the kidney, along the urinary tract in the urethra, bladder and urethra OR IN GALL BLADDER

The common causes of stones in the body are-

1. Drinking less water

2. High cholesterol levels in your liver

3. Over concentration of bile in the gallbladder About 30% of the world’s population suffers from kidney stones and about 10% have stones in their gall bladder.

Myths vs Facts

1. Drinking cranberry juice will help eliminate kidney stones: Doctors say that though cranberry juice helps cure urinary tract infections, it will certainly make the condition of kidney stones worse. Cranberry is high in oxalate and stimulates growth of further stones. The correct #treatment is drinking six to eight glasses of water every day to increase urine flow for the stones to pass out from your system. Also drinking citrus juice everyday can prevent stone formation.

2. Prolonged immobility increases the risk of stone formations: THIS IS TRUE AS the more physically active you are, the lower your chances are of having stones. One should always engage in moderate physical activity and keep in mind to replace the fluid loss that happens through sweating by drinking water and juices.

3. Calcium intake aggravates the problem of RENAL stones: A commonly believed rumor, that stone formation in the body and high levels of calcium in the body is inter-related. This is mostly because, most of the stones that are removed from the body and analyzed contain 75% calcium. However, this is not the reality. Drinking a glass of milk or yogurt with food intakes rich with magnesium helps bind the oxalate in the digestive tract and prevents stone formation. Lower levels of oxalate increase the risk of stone formation.

4. Apple cider vinegar helps you dissolve bladder stones: It is a high source of calcium, potassium, malic and acetic acid but it does not control the pH level of the body. Rather it causes an imbalance in the acid formation in the body. A common misconception is that most people who have gallstones suffer from acidity. However, this is not true. Gallstones occur when you don’t eat properly OR high fat containing diet. Over 95% people who have stones in the gall bladder have a minimum of 2 hour gap between the time they wake up and breakfast. Over 40% people with gallstones skip breakfast and over 60% eat a very late dinner. As this routine continues until the next day, the body starts releasing acids in your stomach, causing headaches.

5. Stone formation is entirely hereditary: This myth has propagated from the false notion that the probability of developing stones inside the body is hereditary. Stones formation in the bladder and the kidney is largely based on dietary and lifestyle habits of an individual. This myth makes people more ignorant about this disease and it has also compounded the fact that those with family history of stones have a 2.5% more risk.

6. Medicines can break or dissolve the renal stones: there is no medicine which can break or dissolve the renal stones. Medicines only help in flushing the stone out from the system. 

7. Misconceptions about certain foods as cause of stone formation. Balanced diet is more important in preventing stone formation than avoidance of any particular food item.Plenty of oral fluids, help in diluting and washing away of early stone formations, resulting in prevention of stone


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5 Full-Proof Methods To Prevent Bladder Stones!

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
5 Full-Proof Methods To Prevent Bladder Stones!

Bladder stones, not to be confused with kidney stones, are formed when substances such as calcium oxalate found in urine coalesce into solid lumps and form deposits in the bladder. Though usually small enough to be excreted during urination, sometimes they get trapped in the neck of the bladder. In such cases, as the residues continue to grow larger, they cause extreme pain, infections, and may need surgical attention.

What causes bladder stones?
The most common causes of bladder stones are-

  1. A diet which is high in oxalic acid can cause bladder stones.
  2. Dehydration and a reduced intake of water cause bladder stones.
  3. A protracted use of a urinary catheter, infections of the urinary tract, or an injury that might have impaired bladder function can cause stones to form.
  4. Most often, stones originate somewhere else in the urinary tract and move downwards obstructing the neck of the bladder. There are significant hereditary factors at play here.


  1. Blood in the urine usually apparent only in the last few drops.
  2. Interruption of the stream of urine and an inability to do so except in certain positions.
  3. Dark-coloured urine.


1.Physical Exam
The physician will physically examine to evaluate if the bladder or the rectum are enlarged.

A sample of your urine will be tested for the presence of bacteria, blood and crystallized minerals.

3.CT scan
A CT scan to build a detailed image of the internal organs.


  1. If the size of the bladder stones is small then a simple increase in water and fluid intake should be enough to excrete them out naturally.
  2. If they are too large to flush out from the system naturally, they will either be broken down to smaller sizes using laser ray or similar other energies, or surgically removed.

In order to prevent bladder stones from recurring, here are 5 foolproof methods-

1.Increase the daily fluid intake
A sure-fire way to prevent bladder stones is to increase the amount of water you drink every day. The idea is to reduce the concentration of your urine. A minimum of 2-3 litres of water per day is absolutely necessary.

2.Urinate more often.
If you drink more water throughout the day, you are going to have to urinate more frequently anyway. Do not put it off because you are worried that you will be mocked for having an old lady’s bladder.

If you feel like you are constipated, use a laxative. There is no shame in wanting to regulate your bowel movements.

4.Regular Tests.
Get a sample of your urine tested regularly to ensure that your kidneys and bladder are functioning properly and there are no irregularities.

5.Eat fruits.
Get the essential sugar component of your diet from fresh fruits. Say no to saturated sugar and fizzy drinks. Opt for fruits with high water content like melons to add more fluids in your diet.

2942 people found this helpful

Bladder Stones - Can It Be A Sign OF Prostatic Hyperplasia?

MBBS, MS - General Surgery, MCh - Urology
Urologist, Kolkata
Bladder Stones - Can It Be A Sign OF Prostatic Hyperplasia?

Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.

There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:

  1. A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
  2. Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
  3. Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
  4. Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infection. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
  5. Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
  6. Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
  7. Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.

So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable.

1835 people found this helpful

Stones In Urinary Tract - 4 Particular Reasons Behind It!

MBBS, MS - Urology, DNB
Urologist, Guwahati
Stones In Urinary Tract - 4 Particular Reasons Behind It!

When you experience a pain on the side and back just below the ribs that at times radiates to the lower abdomen and is fluctuating in intensity, it is quite unlikely for you to think that the reason could be a kidney stone. One of the early symptoms of kidney stone, when you experience such pain, you must seek medical advice. However, there is no need to panic as it is completely curable. Read on to understand more about this condition.

What is urinary bladder stone?
Vesical calculus, which is more commonly referred to as bladder stones, are formed due to a buildup of minerals. It may occur when the bladder is not entirely emptied after urinating. In the course of time, the residual urine becomes concentrated, and the minerals start forming crystals. When the stones are in a miniature state, they can easily pass out, but at times, when they are quite big, they may get stuck in the walls of the urinary tract and cause severe pain and discomfort.

What are the causes of urinary bladder stones?
Bladder stones start growing when the urine is left in the bladder for a long span of time. This may happen due to some underlying medical condition which can prevent the bladder from completely emptying. Conditions which are responsible for causing stones in the urinary tract are as follows

  1. Enlargement of the prostate: When the prostate is enlarged, it may exert pressure on the urethra and disrupt the flow. It leads to retention of urine and creates an ideal environment for the formation of stones.
  2. Diverticula and enlargement of bladder: Sometimes, pouches form within the bladder, and when they become too large, they can retain urine and prevent the bladder from being emptied completely.
  3. Usage of medical devices: Bladder stones may form when an individual uses catheters or other medical devices.
  4. Inflammation of the bladder: Radiation therapy or infection in the urinary tract that causes inflammation or enlargement of the bladder can lead to the formation of stones. Also, if a person has kidney stones, they can come down to the ureters, and in case they become too large to pass, they would stay in the bladder and cause substantial obstruction. Kidney stones are more common than stones in the urinary bladder.

How are kidney stones treated?
Specific lifestyle changes such as drinking enough liquids, taking calcium supplements, limiting the amount of caffeine and alcohol and reducing body weight are some of the simplest yet effective means of treating urinary stones at earlier stages.

Use of specific medicines can also reduce the calcium and uric acid stones by controlling the amount of alkali or acid in the urine. These medications reduce the amount of calcium released by the kidneys so that they can be retained in the bone. If these treatment options do not work, you must consider undergoing surgical intervention. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Gall Bladder Stone Pain - How Can It Be Managed?

DA, Dnb anaest, Fipm pain
Pain Management Specialist, Bikaner
Gall Bladder Stone Pain - How Can It Be Managed?

Gall bladder stones can be painful. Until and unless it is surgically removed and cured from within, the pain continues to hinder daily life. The good news is that there are ways by which pain from gall bladder stones could be managed.

Here is a list of quick, easy-to-follow remedies to counter the pain.



  1. Heat Pack: Applying a heat pack or hot water bottle on to the stomach making sure that the heat is directly passed on to the gall bladder can give instant relief from the pain. The heat should be applied at an interval of half an hour and a layer of cloth should be placed in between the skin and the heat pack.
  2. Over the counter medicine: In most cases, over the counter pain relief meds can make the pain go away. NSAIDs should be avoided until and unless suggested by the doctor. A pain relief medicine with anti-inflammatory properties will perfectly suit the gall bladder condition.
  3. Try vegetable juice: While gulping vegetable juice might sound a little indifferent, it has instant benefits with no side effect. All it needs is to mix beetroot, cucumber, and carrot in equal proportions and extract the juice from it. The juice extracted from this mixture should be consumed twice in a week to flush out the toxins from the system and ease the gall bladder pain.
  4. Citrus fruits: Citrus fruits such as lemon, orange etc. contains pectin that is believed to be a remover of stones and blockages. This is also believed to be a great agent for countering pain originating from the gall bladder. Consumption of 10-12 tablespoon of lemon juice extracted from fresh lemons followed by a glass of water will wither the pain away in few weeks.
  5. A mixture of honey and turmericHoney’s antiseptic nature prevents infection and the curcumin found in turmeric makes the bile more soluble in the gall bladder. These two herbs in tandem can ease the gall bladder pain and get relief from the stones too. A tablespoon of honey and 1 tablespoon of turmeric should be consumed daily to get the benefits.
  6. Take the herbal route: There are several herbals that are believed to be extremely effective in treating pain origination from the gall bladder. Some of them include goldenseal, quebrapedra, catnip, fennel seed, yellow dock, rosemary, nettle, peppermint herbal tea etc.
  7. Apple Cider Vinegar: Apple cider vinegar is acidic in nature and consumption of a quarter of a glass followed by a quarter of a glass of apple juice can show instant results. It should be consumed daily after breakfast. There are instances where the pain eases out within a matter of 15 minutes. In case you have a concern or query you can always consult an expert & get answers to your questions!
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Removal Of Gall Bladder Stone

Ayurveda, Bhopal
Removal Of Gall Bladder Stone

The surefire remedy for the removal of the gallstones of the gall of pita is to take 4 glasses of apple juice (not a box) and eat 4 or 5 apples daily for 5 days daily and do not take dinner on six days. On this six day evening, a teaspoon rock salt is a glass of hot water. Take it once in the evening at 8 a. M. Once you take a spoon rock salt with a glass of water at 10 o'clock in the morning, half cup olive oil or sesame oil mixed with half cup of fresh nemo juice and mix it well in the morning.

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