Common Specialities
Common Issues
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I am diabetic my age is 37 years I am getting problems while doing sex my penis not showing any action so Please can you suggest me a good medicine or good exercise.

Dr. Aura Acupuncture 88% (40 ratings)
Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Ernakulam
I am diabetic my age is 37 years I am getting problems while doing sex my penis not showing any action so Please can ...
Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. The common causes are Heart disease, Clogged blood vessels (atherosclerosis), High cholesterol, High blood pressure, Diabetes, Obesity, Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol, Parkinson's disease, Multiple sclerosis, Certain prescription medications, Tobacco use, Peyronie's disease — development of scar tissue inside the penis, Alcoholism and other forms of substance abuse, Sleep disorders, Treatments for prostate cancer or enlarged prostate, Surgeries or injuries that affect the pelvic area or spinal cord. Psychological issues like Anxiety, Depression, Stress, Relationship issues also can contribute to Erection problems. Acupuncture, Moxibustion & Hijama treatments can definitely help you to come out of this issue without use of unwanted medicine. Diet & Lifestyle changes would be advised as part of the treatment protocol. You can also try to take following supplements to improve your erection-Dehydroepiandrosterone (DHEA, Horny goat weed (epimedium, Ginkgo,L-arginine, Red ginseng, Yohimbine etc. Ayurvedic supplements like Indian Ginseng, Asparagus racemosus, Safed musli etc also can be helpful. But consult a Doctor before starting any supplements. Practicing Kegel's (Pelvic Floor) exercise can also help. The best method for locating the muscles of the pelvic floor is to stop your stream several times in the middle of urination. The muscles you clench to do this are the ones you need to exercise. To perform a Kegel exercises, squeeze those muscles, hold for five seconds, then relax. Repeat this 10 to 20 times, two or three times a day. You can try this in different positions, including lying down with your knees up, sitting in a chair, and standing. Another way to think about Kegels is to squeeze the muscles of your anus, like you are holding a bowel movement. Hold for five to 10 seconds while breathing, then relax all muscles.
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I am suffering from ibs, diarrhea from last few years about 3 times a day I have to go to toilet. Please advise me

Dr. Ajay Choksey 89% (111 ratings)
MD-General Medicine, D.M, Gastroenterology & Hepatology
Gastroenterologist, Ahmedabad
I am suffering from ibs, diarrhea from last few years about 3 times a day I have to go to toilet. Please advise me
Stop taking milk, can continue to take curd Avoid oily foods Have one fruit a day Take at least 1.5-2 litres of water a day Take one small teaspoon of isphagul powder with one glass of water at night.
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Crohn's Disease - When Should You Go For Surgery?

Dr. Sandeep Jha 90% (309 ratings)
DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Crohn's Disease - When Should You Go For Surgery?

Crohn's Disease is a medical condition that falls under the category of Inflammatory Bowel Disease. Crohn's disease triggers inflammation of the digestive tract resulting in ulcerations and sores, mostly affecting people between 17-30 years (people of other age groups can also be affected). The inflammatory disease is a chronic illness that gives rise to a host of complications such as frequent and chronic diarrhea, fever, rapid weight loss, abdominal pain, to name a few.
Unfortunately, there is no permanent treatment available for Crohn's Disease. However, effective remedies and treatments are available to reduce and manage the symptoms and complications associated with Crohn's Disease. Many people dealing with Crohn's Disease have benefitted immensely from surgery.

When surgery is recommended for Crohn's Disease?

A surgery becomes essential when the medicines and other nonsurgical treatments fail to control or manage the symptoms and complications triggered by Crohn's Disease, some of which include

  1. Severe intestinal inflammation followed by uncontrolled bleeding
  2. There is a bowel abscess or a perforation
  3. Toxic Megacolon (a fatal condition whereby the large intestine swells up and also becomes dilated due to the inflammation that affects the intestinal walls)
  4. Fistula
  5. An intestinal blockage or narrowing of the intestinal

The surgery for a Crohn's Disease can be of different types depending on the part of the digestive tract affected.

  1. Colectomy: This is mainly carried out in the case of the Crohn's Disease causing such extensive damage to the colon that it needs to be surgically removed. Following the removal of the colon, the small intestine may be connected to the rectum to ensure that the bowel movement is not affected.
  2. Bowel Resection: A bowel resection is usually performed to treat a fistula or to get rid of the diseased and inflamed portion of the intestine to avoid further aggravation.
  3. Proctocolectomy (Ileostomy): This surgery is performed to get rid of both the rectum and the colon affected extensively by Crohn's Disease. Here also, post removal of the organs, the surgeon connects the small intestine (end part or the ileum) to the stroma or a small opening in the abdomen. This rearrangement is done to ensure that the wastes from the small intestine get eliminated.
  4. Stricturoplasty: This surgery goes a long way to open up the areas of the small intestine that have narrowed down due to Crohn's Disease.

Risks associated with the surgery
Every surgery comes with their share of side-effects and risks. In the case of Crohn's Disease, the surgeries can give rise to complications such as

  1. Pain, swelling, bruising is common.
  2. There may be Infection at the site of the incision.
  3. Scarring at the incision site.
  4. There can be a blockage of the bowel (temporary or short-term)
  5. Surgical removal of the diseased part of the small intestine can trigger inadequate absorption of the vital nutrients (Short-Gut Syndrome).
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Healthy Diet Regime For PCOS & Infertility!

Dr. Vandana Jain 89% (39 ratings)
Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Healthy Diet Regime For PCOS & Infertility!

PCOS (Polycystic Ovarian Syndrome), a medical condition that mainly affects women of reproductive age makes it difficult for them to conceive. In PCOS, there is an elevated production of androgen (especially testosterone) by the ovary. This hormonal imbalance often interferes with the ovulation process (the eggs either don't mature or are not released from the ovary) triggering infertility in the affected woman. While lifestyle changes and timely medical assistance can bring about improvement, switching to a healthy diet is often known to produce fruitful results. In this article, we will discuss the healthy dietary options to deal with PCOS and infertility.

Healthy Diet for PCOS and Infertility

There can be a host of factors that trigger the hormonal imbalance, one being your choice of foods.

Low Glycemic Foods: Foods that come with a high glycemic Index (a glycemic index is a number that determines how rapidly the carbohydrates in our foods are broken down triggering a rise in the blood sugar level) of 70 or more can be extremely harmful. The higher the glycemic index, more will be the blood sugar and level of insulin in the body. The elevated insulin level can wreak havoc, disrupting the hormonal balance to a great extent. Thus, women with PCOS and fertility problems should consume foods that come with a low glycemic index (55 or less). Some of the healthy low glycemic foods include apples, cherries, plums, dried apricots, oranges, grapefruits, pear, almonds, yogurt (low-fat), non-starchy vegetables, whole grains, sesame seeds, flax seeds, pumpkin seeds, oats, brown rice, and quinoa, to name a few.

Maintaining a healthy body weight can go a long way to improve the symptoms and complications associated with PCOS. Overeating should be strictly avoided. Instead, opt for smaller meals at regular time intervals. Include high-fiber foods (broccoli, cauliflower) in the diet. Foods rich in minerals (potassium, calcium, magnesium, iron, zinc, selenium) and vitamins (Vitamin B, C, E, and K), folic acid, can work wonders to alleviate the symptoms of PCOS. Enrich your diet with green leafy vegetables and foods that are rich in antioxidants and omega-3 fatty acids.

While consuming carbohydrates, make sure your diet also contains protein. Carbohydrates, when taken along with proteins, can avert a sudden rise in the blood sugar level.

Foods to avoid

  • In women with PCOS, the testosterone level is relatively higher. Drinking milk will only elevate the testosterone level further with deleterious consequences and is best left avoided.
  • Foods that are rich in saturated and Trans fats (BAD FATS) such as meat, processed foods, margarine, doughnuts, dairy products (cream, cheese, butter), cooking oil (coconut oil, palm oil), aerated drinks and beverages, can aggravate the condition of PCOS and should be avoided.
  • Soy milk is another unhealthy dietary option for women suffering from PCOS and infertility. Soy milk is known to cause a delay in the ovulation affecting the fertility.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Down Syndrome - How It Should Be Dealt With?

Dr. Divya Agarwal 91% (10 ratings)
MBBS, MD-Pediatrics, DM - Medical Genetics
Geneticist, Gurgaon
Down Syndrome - How It Should Be Dealt With?

Down Syndrome is a genetic disorder resulting from chromosomal aberration. Usually, a person is born with 23 pairs of chromosomes (46 chromosomes in total). In the case of a Down Syndrome, there is a total of 47 chromosomes (an extra complete or partial chromosome appearing in the 21st pair). This extra chromosome is the main wrecker in chief that triggers the behavioral and developmental alterations characteristic of Down Syndrome.

Depending on the distribution of the chromosome during cell division, Down Syndrome may be triggered by three conditions

  • Trisomy 21: One of the most common causes of Down Syndrome, Trisomy 21 is characterized by the presence of an extra chromosome in chromosome 21.
  • Translocation Down syndrome: As the name suggests, here a part of the chromosome 21 translocates itself to some other chromosome. There will be no trisomy on chromosome 21. However, there will be extra genetic material resulting from the chromosome containing the translocated portion of chromosome 21.
  • Mosaic Down Syndrome: This is a rare condition where some cells will have 46 chromosomes (23 pairs) while few others will have 47 chromosomes (trisomy 21).

Symptoms characteristic of Down Syndrome
Some of the symptoms synonymous to Down Syndrome include

  • The face appears flattened with a short mouth and a protruding tongue.
  • The ears, neck, arms, and legs are shorter than usual.
  • Children and adults with Down Syndrome usually have a short stature.
  • The muscles also lack proper tone.
  • Children with Down Syndrome are often found to have impaired cognitive ability. The condition also affects the memory, both short, as well as long-term.

Managing a child with Down Syndrome
No parent would ever want their child to suffer from Down Syndrome. Along with the medications and therapies, as a parent, you should also be prepared to manage the situation well.

  • The situation is by no means easy for you, but if you get weak or panic, things will only go from bad to worse. Thus, you need to be strong.
  • Be in constant touch with the attending physician to know the progress of your child.
  • If your child is still very young, get them enrolled in the special enhancement programs. These programs play a significant role in improving the language, motor movements, as well as developing the various self-help skills in the Down Syndrome children.
  • Connect with families dealing with identical situations. Discussing your problems with them or learning about theirs can help in better management.
  • Your concern for the child is understood but do not snatch their independence. Give them the freedom they deserve. They might make mistakes, but it will help build their confidence.
  • If the situation demands, get your child admitted to schools which are specially designed for such children.
  • Do not keep your child confined within the four walls of the home. Take them outside. Let them interact with people. Indulge in family outings and get-togethers.
  • The situation may be difficult but not impossible. Have faith and do what is in your hands.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Women's Health

Dr. Richa Sharma 95% (153 ratings)
MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
Gynaecologist, Mumbai
Women's Health

Sanitary pads or tampons or any other menstrual protection products should be changed at regular intervals as their prolonged usage can cause risk of infection and toxic shock syndrome (tss). It can also cause irritation, rashes and burning on the skin.

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All About Alzheimer's Disease!

Dr. Namit Gupta 83% (10 ratings)
MBBS, MD - Medicine, DM - Neurology
Neurologist, Gurgaon
All About Alzheimer's Disease!

Alzheimer’s disease is a neurological, irreversible, progressive brain disorder. It is a chronic neurodegenerative dementia that causes the death of brain cells, causing memory loss and cognitive decline. It affects a person’s thinking and behavior. The symptoms develop slowly and get worse as time passes.

As it is a kind of dementia, Alzheimer’s is caused by the death of brain cells. Over a course of time, brain cells die progressively and at the end, the tissue is left with fewer nerve cells and connections. As a result, the total brain size shrinks. Tiny inclusions called plaques and tangles can be seen in the postmortem. These cannot be seen or tested in a living Alzheimer’s affected brain. These plaques are given the name “amyloid plaques” because they are found among the dying cells of the brain when a protein called beta-amyloid builds. The tangles stay in the neurons; they are formed from a protein called tau.

There are several reasons behind all this, some of which are listed below-

  1. Anti-anxiety medications
  2. Hitting on the head too many times
  3. Regularly sleep-deprived
  4. Loneliness
  5. Diabetes in the brain
  6. Old age
  7. Genetic line
  8. Down’s syndrome
  9. Cardiovascular diseases

Alzheimer’s disease damages the brain, so the clinical signs and symptoms begin to show very early. The symptoms are-

  1. Memory loss
  2. Agitation and mood swings
  3. Poor judgment
  4. The trouble with money calculations
  5. Difficulty doing familiar tasks
  6. Trouble in planning or solving a problem
  7. Confusion with time and place
  8. Difficulty in communicating
  9. Loss of motivation
  10. Inappropriate behavior
  11. Aggressive personality
  12. Childlike behavior

Preventing Alzheimer’s disease:
Alzheimer’s disease ultimately results in death. Even if there are treatments, they cannot fully cure it. So it’s better to try to prevent it before it happens. Ways to prevent Alzheimer’s disease are-

  1. Eating more fruits and vegetables.
  2. Eating berries every day.
  3. Increasing omega-3 fatty acids.
  4. Taking folic acid supplements.
  5. Drinking grape juice or red wine with evening meal.
  6. Doing the Mediterranean style diet.
  7. Controlling the blood pressure.
  8. Having strong social support.

Treatment of Alzheimer’s disease:

  1. Treatment of Alzheimer’s disease is a long time process.
  2. First of all, doctors perform a physical exam to check the overall neurological health. By this, they check muscle strength, reflexes, walking ability, sense of sight and hearing, coordination and balance.
  3. Then comes the blood test to find the cause of confusion and memory loss by checking the thyroid disorder and vitamin deficiency.
  4. Then they perform the neuropsychological test and check the mental status.
  5. Then there are other tests, like MRI, CT, and PET.
  6. After all this, drugs are given and a safe and supportive environment is created with proper exercise and nutrition.

Alzheimer’s disease is undoubtedly the worst kind of disease. Hence, it is highly recommended to contact a doctor as soon as any symptom is noticed.

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Health Benefits Of Wheat Bran

Dt. Neha Suryawanshi 94% (9049 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Health benefits of wheat bran

1. Bran is high in fiber

Bran is the number 1 food highest in fiber
 One tablespoon of bran provides up to 6% of the daily value of insoluble fiber. Dietary fiber, like that from bran, actually changes the way you digest food and absorb nutrients.

Fiber from bran also helps increase diversity of good bacteria in your digestive tract, helping you get the most of what you eat.

2. Bran can help alleviate constipation

Helping to keep your bowels moving is probably bran's most famous (or infamous) health benefit. It has been known since at least the early 1940s when bran was used to keep british navy officers regular.

Taking one teaspoon to two tablespoons of bran each day before a meal is the best way to fight off constipation, and has the added weight loss benefit of making you feel full. As a word of warning, bran is more effective when taken regularly, and a one-time dose of bran is less likely to be effective in treating constipation.

Note: be sure you increase your intake of liquids, like water, as your increase your fiber intake. This is because fiber like bran absorbs water and can aggrevate constipation if you do not also increase your liquid intake.

3. Bran can lower your risk of cancer

Studies show that bran can lower the risk of a variety of cancers, and particularly those of the colon and breast.

The anti-cancer benefits are theorized not only to be due to fiber in bran, but also other nutrients and phytochemicals such as such as phenolic acids, lignans and flavonoids.

4. Bran lowers your cholesterol

Studies have shown that intake of bran (particularly oat bran) can help lower your cholesterol.

The studies did adiminister quite a lot of oat bran, between 25g to 100g per day. The study which gave participants 25g (about 4 tablespoons) of oat bran saw 5-8% reductions in cholesterol.

The second study gave participants 100 grams (1 cup) of oat bran per day, and saw declines of up to 13% in cholesterol.

To attempt to get these benefits it would be best to start eating 2-4 tablespoons of bran a day and slowly add more to your diet.

Bran (particularly rice bran) is high in niacin, which further lowers risk of heart and cardiovascular disease.

5. Bran is a good source of protein with all the essential amino acids

If you were to eat the 1 cup of oat bran listed in the cholesterol-lowering study, you would get up to 16 grams of protein and all the essential amino acids. This makes bran a complete source of protein for vegans and vegetarians.

Bran's protein content is one of the main reasons why whole grains are a good source of protein.

6. Bran helps you feel full and eat less

This study shows that whole grains in addition to bran help to reduce weight gain, and can promote weight loss.

Consuming 1-2 tablespoons of fiber before each meal is a good way to improve digestion, help you feel full, and eat less. Fiber can be consumed with water, milk, or unsweetened soy milk.

Note: increase your liquid intake with your fiber intake.

A bowl of oatmeal

7. Bran is high in magnesium

Bran and whole grains are high in magnesium. Magnesium is an essential mineral required by the body for muscle and nerve function, maintaining a healthy immune system, regulating heart rhythm, and building strong bones.

Other help benefits of magnesium include reduced risk of heart disease, regulation of blood pressure, and alleviation of premenstrual syndrome (pms).

8. Bran can help prevent type ii diabetes

Studies show that bran and whole grain consumption can reduce risk of type ii diabetes by 20%.

This requires eating at least 2 servings of whole grains per day, and over a period of at least a year. The diabetes health benefits of bran found in whole grains can only be seen over the long-term.

9. Bran is rich in folate

Bran is a great source of folate (vitamin b9) which is required for numerous body functions including dna synthesis and repair, cell division, and cell growth.

Other benefits of folate include protection and repair of dna to reduce cancer risk and slow aging. Folate also lowers risk of alzheimer's. Bran consumed in whole grains like brown rice and whole wheat bread is a great way to boost your folate intake.

10. Bran is a great source of manganese

Bran and whole grains are a great source of manganese. Manganese is required by the body for proper enzyme functioning, nutrient absorption, wound healing, and bone development.

Health benefits of manganese include strengthening weak bones, anti-oxidant protection, alleviating premenstrual syndrome (pms).

Carpel Tunnel Syndrome and Pregnancy - Are They Related?

Dr. Ankit Varshneya 88% (145 ratings)
MS orth, Diploma ort
Orthopedist, Agra
Carpel Tunnel Syndrome and Pregnancy - Are They Related?
CTS causes numbness and pain in your fingers. True or False. Take this quiz to know now!
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What Causes Female Facial Hair?

Dr. Aanchal Sehrawat 80% (42 ratings)
MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL), DNB dermatology
Dermatologist, Gurgaon
What Causes Female Facial Hair?

Though most may not admit, all women have hair on their face and body. It is often masked by home remedies or clever make up tricks or frequent visits to the beauty salon. If you see a sudden spike in coarse or dark hair, especially on your face, it can be an embarrassing social condition.  Here are some insights into the condition and what you can do to get rid of it.

Blame it on your hormones:
In most cases, you can easily blame this condition on your hormones. Male hormones called androgens are responsible for the development of certain 'manly' features like deepening of voice or production of sperm. And the one hormone behind all this is called testosterone.

But women produce testosterone too- albeit in smaller quantities. If, for some reason, this hormone's level increases in women, it leads to increased sex drive, irregular menstrual cycle and yes, excessive facial and body hair.

One of the main causes of high levels of male sex hormones in premenopausal women is Polycystic Ovary Syndrome (PCOS), a condition which causes cysts to grow around the edge of the ovaries (the organs which produce eggs and sex hormones).  PCOS also results in excessive hair growth, acne and weight gain.

Some women are stuck with this condition in the post menopause stage too, when the hormonal imbalance fails to rectify itself after menopause has passed.

Besides blaming it all on the hormones, here are some other causes you can explore:  

  1. Being obese (weight gain is a side effect of PCOS too, so this is a slightly tricky one)
  2. Side effects from blood pressure medication
  3. Hereditary condition: Blame your genes
  4. Cushing's Syndrome or Acromegaly - rare hormonal disorders
  5. An Ovarian tumor

Usually, cosmetic remedies are enough to get rid of unwanted or excess hair. So you may not have to go out of your way to handle this problem unless you have a special case. Most cases can be treated with

  1. Shaving: Not the most womanly thing to do, but it is quick and easy. Mind the stubble between the shaves
  2. Waxing: This is a pretty much standard procedure
  3. Bleaching: Can work for areas you don't want to shave
  4. Hair removal creams: Try and test out to see which one suits you
  5. Laser treatment: A powerful beam of single color light is used to destroy the hair from its root

If you are not sure what to do with an excessive facial hair problem, consult our experts today for a quick and easy remedy.

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