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Congenital Bile Acid Synthesis Defect Health Feed

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My grandfather 80 years. Having type 2 diabetes. But since some time his sugar level random is around 80-100. Sometimes it drops .he earlier takes 1 tab after breakfast. Now started taking 1/2 tab of glimiprex mf 1/500 before meal. So, what to do to remain sugar level static.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad  •  50yrs exp
My grandfather 80 years. Having type 2 diabetes. But since some time his sugar level random is around 80-100. Sometim...
Hello, thanks for the query. I have seen the query, where you have mentioned that the glucose levels are around 80 to 100 mg. 100 ml. But there is no mention about whether these are fasting levels or of which time. Secondly there is a need to know his pp glucose levels, hba1c%, weight, height, bp, dietary pattern and over all physical activity. One important aspect is that the drug glimiperide present in glimiprex has a fairly long duration of action, hence can induce low glucose (hypoglycemia) particularly in older age patients. Therefore, there is a need to change the current treatment if he gets repeatedly "low glucose levels" so please do come back with all the necessary information in a private conversation, where I will be able to give specific instructions plus prescribe the necessary drug/s. In this communication we are supposed to give only general advise. No drugs can be prescribed. If you are not willing for online help. Please do contact your local physician and get the necessary change done. I await your response. Thanks.
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I.am 21 years old unmarried girl i'm suffering from pcod my doctor told me to take yamini tablet today is day 3 of my periods now when. Should I start to take my yamini tablet should I take from day 5 of my period.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro  •  33yrs exp
I.am 21 years old unmarried girl i'm suffering from pcod my doctor told me to take yamini tablet today is day 3 of my...
It is ok if you start on 5th day of periods. You should take other measures also like doing specific exercises, reducing weight and making some dietary additions. If you would like to know more you can contact me.
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Doctor. My tongue is itchy and has white patches on it with a painful swelling on a side. Please how do I treat it? I can eat any food that's warm or hot. Part of my taste buds are swollen. What is wrong and what's the cure?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai  •  27yrs exp
Doctor. My tongue is itchy and has white patches on it with a painful swelling on a side. Please how do I treat it? I...
Oral thrush is a fungal infection which occurs due to dry mouth, uncontrolled diabetes and weak immune system with debilitating disease or patient on corticosteroids. You may need fluconazole & renal safety dosage of amphotericin b (iv drugs to be used only with the advice of oral & maxillofacial surgeons). Kindly consult an oral & maxillofacial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need candid ointment until then. Rinse your mouth thoroughly with a mouth wash. Advance procedures can be done with laser. You may consult me in person dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical. Strokes, with ultra-soft bristles, indicator brush. Gargle your mouth thoroughly after every meal. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.
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Sir my daughter is a medico .she secured 600 neet ug (2014 batch). Sir she got 74% in her first year. Later second year she got upset because she could not write perfect and didn't attempt spm paper. Somehow after 6 mon she completed it she got delayed by one year. She studied fourth year with her juniors with a lot of guilt depression but whenever exams are held she is reluctant to attend she starts crying, she doesn't talk to anyone. She should complete by 2020 sir even now she studies well but she is not writing exams can I get any help or can I reach you sir is there any cure for my daughter.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore  •  50yrs exp
Sir my daughter is a medico .she secured 600 neet ug (2014 batch). Sir she got 74% in her first year. Later second ye...
Of course, she can get help and resolve it too. It seems that she is having performance anxiety and is probably attaching herself to results too much. There is a lot of insecurity, which may have been there from the past. She may be curbed by high expectations that are raising her anxiousness. This is abnormal fear and since fear finds a form, she will look at something to make her feel that she cannot perform. She needs to learn to detach from the results and focus on the process. This is ideally done through an exercise of mindfulness meditation and concentration. The future has not yet happened and her anticipation levels may be higher than normal, and her expectation levels together with fantasizing may go to unrealistic levels. She should consider going to a tutor and checking her reasonableness of results with the teacher and correct the aberration. In the meantime, she must do regular exercise, meditation, eat a healthy diet, sleep adequately and live stress-free. In counseling, she can seek the help of the therapist to help her handle her emotions well, especially fear, and bring them to normal levels. If you examine her childhood for any contribution to this reaction to fear, she can work on those experiences. In today’s world, especially in the field of education, there is a lot of competition and expectations, that are pushing our kids to high performance for everything. We must learn to reduce and accept that sometimes it is okay to perform at a lesser level but that we must learn a lesson to handle the future better eventually.
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I am taking betacap tr 40 and I took it today morning 11 am. I am feeling dizzy and lightheaded and having some discomfort near my heart but my heart rate is 74 to 84.

MBBS
General Physician,  •  39yrs exp
I am taking betacap tr 40 and I took it today morning 11 am. I am feeling dizzy and lightheaded and having some disco...
Take nimbupani with pinches of salt, coconut water, ors, at night montek lc one at night after dinner.
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*looking for an opinion* I recently got divorced and I am a phd scholar. From past few weeks ai am having difficulty falling asleep. Although I fall asleep late, I sleep for at least 7 hours. I am able to do my daily chores but m not able to concentrate in my studies. I don't keep sitting or don't feel like sitting alone. I wanted to correct my sleep cycle as I have become a late riser. Consulted a doctor and he gave me this: escitalopram 10 mg × od mirtazapine 7.5 mg x od etizolam 0.25 mg x bd is it okay to take all these considering I am a phd student and need to study for long hours?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Hyderabad  •  34yrs exp
*looking for an opinion*
I recently got divorced and I am a phd scholar. From past few weeks ai am having difficulty ...
These medicines are habit forming and cause adverse side effects. Very effective treatment is available in homoeopathy for this chronic problem. Homeopathic treatment is painless and safe. No side effects. You need comprehensive treatment and it takes some time. Please start taking homeopathic medicine, preliminary dose ignatia 200-once daily in the evening for 5 days. Book online appointment/consultation with me (commencing from text consult rs 149, audio/phone-rs 300 and video rs 400) for further more comprehensive prescription and treatment.
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Hi I had pcos can I take paneer once in a month. And I had acne problem any suggestions for that.

BHMS
Homeopathy Doctor, Noida  •  25yrs exp
Hi I had pcos can I take paneer once in a month. And I had acne problem any suggestions for that.
Yes you can have paneer even once a week also. Acne is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. It causes whiteheads, blackheads or pimples. These factors can trigger or aggravate acne: hormones, certain medications, diet, stress. To prevent pimples, eat fresh fruits, green vegetables, drinking plenty of water should be an essential part of your routine and intake of oily fried foods, an excess of sugar-salt should be avoided. Don't peal pimples, as they tend to leave scars. Stop using soap on face. Instead take a spoon of milk, add a pinch of turmeric (haldi). Mix n apply on face with the help of cotton. Leave for a few minutes then wash off. It’s a good cleanser. If skin is dry then apply moisturizer like coconut oil. For swollen pimples, gently apply ice for a minute or so. Just don't keep the ice on so long that it irritates your skin. Tea tree oil can kill bacteria. Some people use it to treat minor skin irritations, including acne. There isn't much research on how effective it is, but tea tree oil is safe to put directly on your skin in a diluted form. Try it on a small area first to make sure you don't have an allergic reaction. Simple honey mask--before applying this mask, rinse your face with warm water to open up pores. Then apply honey and leave it on the skin for 30 minutes. Rinse the honey off with warm water; then rinse again with cold water to close the pores. Yeast and yogurt mask for oily skin--oily skin is prone to acne, and this home remedy can reduce excess oil and help clear acne. To make the mask, combine 1 teaspoon of brewer's yeast with a little plain yogurt to create a thin mixture. Apply it thoroughly to all the oily areas and leave on for 15 to 20 minutes. Rinse with warm water; then use cold water to close the pores.Homeopathy is a very effective for this problem n has very encouraging results. For more details consult online.
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My daughter is 4 years old. What is the dosage ascoril ls for her? And weight is 13.6 kg.

MBBS DCH MRCPCH, Fellow in Neonatal Medicine
Pediatrician, Borivali East Mumbai  •  11yrs exp
My daughter is 4 years old. What is the dosage ascoril ls for her? And weight is 13.6 kg.
It's 3 ml three times a day give lots of liquid and home food to maintain energy level and hydration if more concern then please book appointments and we can connect online.
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I am 16 year old and I masturbate 15 times a day. Does it lead to black face and dark circles?

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE), CCIGC ( GERIATRIC CARE )
General Physician, Sri Ganganagar  •  40yrs exp
I am 16 year old and I masturbate 15 times a day. Does it lead to black face and dark circles?
No black face or dark circles but it is wrong to do masturbation so many times, it will cause wastage of time, depression.
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