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Radiofrequency Neurotomy Health Feed

Hi doctor, I am 41 years old and suffering from bronchiectasis last 25 years and twice there was a hemoptysis - one at the age of 13 and last one in may, 2019 and in both the cases I had to hospitalised. I frequently got cold. When I was in a low humidity city for longer period for travel purpose then I feel better and also cough is naturally coming out once or twice daily but my hometown is in kolkata which is a highly humid weather and so I got cold frequently and also naturally my cough not coming out so I always feel back pain, chest pain some times, and sometimes shortness of breath. Which medicine can prevent frequent cold attack and which medicine can help to release my cough. Please advise.

Dr.Karuna Chawla 96% (108035ratings)
BHMS
Homeopathy Doctor, Noida
Hi doctor,
I am 41 years old and suffering from bronchiectasis last 25 years and twice there was a hemoptysis - one a...
1. Do saline gargles daily (preferably twice). 2. Whenever possible do steam inhalation also. 3. Cover your nose and mouth with hanky for at least 30 sec when you go in dusty areas also when you go in and out of ac. As our nose is the most sensitive part of our body, when there is temperature difference between two rooms or inside n outside, then if we not protect our nose, it gets affected. 4. Drink hot liquids --hot liquids relieve nasal congestion, prevent dehydration, and soothe the uncomfortably inflamed membranes that line your nose and throat. 5. Sleep with an extra pillow under your head-- elevating your head will help relieve congested nasal passages. If the angle is too awkward, try placing the pillows between the mattress and the box springs to create a more gradual slope. 6. Treat that stuffy nose with warm salt water-- salt-water rinsing helps break nasal congestion, while also removing virus particles and bacteria from your nose. 7. Blow your nose often (and the right way)-- it's important to blow your nose regularly when you have a cold rather than sniffling mucus back into your head. But when you blow hard, pressure can carry germ-carrying phlegm back into your ear passages, causing earache. The best way to blow your nose: press a finger over one nostril while you blow gently to clear the other. Homeopathic treatment has very encouraging results. Consult online for details.
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I have gear problem, esophagitis grade b .les lax the endoscopy was done yesterday. What food items should I follow?

Dr.Sreepada Kameswara Rao 96% (28555ratings)
DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Hyderabad
I have gear problem, esophagitis grade b .les lax the endoscopy was done yesterday. What food items should I follow?
Your GERD, esophagitis grade b .les lax.*Avoid outside food, oily, fried, spicy and fast food Maintain food timings * Don’t miss breakfast. *Avoid heavy dinners and late night meals. * Avoid/reduce smoking and drinking *Avoid stimulants, aerated drinks,etc. and maintain good food habits. Take fibre rich fruits and vegetables * Drink lots of water (filtered/treated) and keep hydrated. * Have adequate, timely, good night sleep *Have vigorous physical exercise to improve absorption and blood circulation.. *Even with desk job, you can spend morning and evening time for work out Medication: Homeopathy has very effective treatment for your problem. No side effects. Please take homeopathic medicine Carbo veg 200-once daily in the morning for 5 days. Consult me through “Lybrate text consult” with full details for comprehensive further prescription and treatment. Rs149/
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Doctor. I am neethu 26 year old women. I am suffering from esophagitis part b (gear) .whats the remedies for this problem.

Dr.Pahun 94% (28864ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jaipur
Doctor. I am neethu 26 year old women. I am suffering from esophagitis part b (gear) .whats the remedies for this pro...
Take soothshekhar ras 2 tablets twice a day empty stomach regularly. For proper diagnosis and prescription accordingly, you can also consult.
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I am suffering from bronchiectasis and I had masturbate 4 times a hour. Is it dangers for health and effect on immune system? Does bronchiectasis convert to lung cancer from masturbation? One day I had masturbate 4 times a hour. Am I going for cancer?

Dr.Deepak 93% (10443ratings)
NCCH & MCH
Homeopathy Doctor, Raebareli
You need seperate treatment for both issues over masturbation is a psychic factor leading to weakened immune and hence more prone to disease of any nature get back for proper treatment and guidance.
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I was wondering what are the long term damage pfb may cause to someones skin. I know avoid shaving is the answer but can I get answers I can how to my superiors I am in the navy and they are changing the instruction requiring every man to shave no matter their skin condition. Either that or get kicked out. I just want to write a letter to the navy, because this new instruction is affecting a lot of people and the navy does not care. Getting a doctor opinion and facts will definitely help my letter and help with the facial hair war that has been happening for years. Thank you for your time. And I forgot to mention the other options is to get laser hair removal and no man would be willing to do this.

Dr.Himanshu Vats 91% (544ratings)
BHMS, Training In Emergency care, Certificate in Good Clinical Practice, PG Diploma in Public Health Management, SPR (Skills for Psychological Recovery), Certification in Human Rights & Health
Homeopathy Doctor, Delhi
I was wondering what are the long term damage pfb may cause to someones skin. I know avoid shaving is the answer but ...
This condition usually occurs with those having curly hairs. There are a few things you may do to avoid getting skin bumps and rash: Shave with the grain of the beard and do not stretch the skin. Use only one stroke over each area of the beard. Use of an electric shaver may also help the condition because it does not cut as close as blades do. Use the electric razor on high setting to avoid close shaving and prepare beard with electric razor pre-shave. Do not stretch the skin while shaving and shave with the grain of beard growth. Avoid multiple repetitions of strokes in the same area. Do not press razor head hard against the skin. Shave every other day. Use skin moisturisers at the end of your shave and that should help soothe the skin to a greater extant.
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Esophgeal (Food Pipe) Disorders - Some Briefs About Them!

MBBS, MD - Internal Medicine, DM - Gastroenterology, Fellowship in Advanced endoscopy, Fellowship in Endoscopic Ultrasound(EUS), Observer fellowship in NBI and ESD, Fellowship in Hepatology
Gastroenterologist, Bhopal
Esophgeal (Food Pipe) Disorders - Some Briefs About Them!

1. Esophagitis: Prolonged acid or bile reflux (Gastroesophageal reflux disease GERD) from the stomach can cause injury to the lower esophagus and causing esophagitis. It can be either Erosive esophagitis or Non-erosive reflux disease (NERD). Gastroscopy is usually recommended to document the extent of the injury. Prolonged untreated GERD can cause Barret’s esophagitis, upper GI bleeding or Cancer of the food pipe. Diagnosis usually involves Gastroscopy, 24 hours Phmetry and Esophageal manometry. Medical treatment is very effective and cures almost 100% of patients. Many endoscopic methods are available for the treatment of GERD such as GERDX, Stretta, ARMS etc. Laparoscopic Nissen fundoplication is the surgical treatment for GERD.

2. Difficulty in swallowing food (Dysphagia): It can be due to oesophagal stricture, cancer, webs, or motility disorders. Strictures require dilatation by SG dilators. Motility disorders are diagnosed by esophageal manometry.

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Esophagectomy - Why Is It Required?

Dr.Shantanu Tiwari 88% (51ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB ( General Surgery ), Fellowship in Minimal Access Surgery, Senior Residency Training Program (Surgical Oncology)
General Surgeon, Raipur
Esophagectomy - Why Is It Required?

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as your stomach size is reduced.

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Hi I am 36 years old and suffering from erosive esophagitis, I have been prescribed sompraz d 20 twice a day for one year can we take medicine for one year will it not have any negative impact on our health.

Dr.T Lakshmikanth 87% (29ratings)
MS - General Surgery, MBBS, Fellowship in Laparoscopic & Advanced Laparoscopic surgical, Fellowship in Surgical Gastroenterology
Gastroenterologist, Hyderabad
Hi I am 36 years old and suffering from erosive esophagitis, I have been prescribed sompraz d 20 twice a day for one ...
Kindly look for the intensity of symptoms. Whether you were tested for h.pylori. Look if you are positive for hiatus hernia or lax esophageal sphincter. You may require esophageal manometry to look for the severity of reflux. Try taking the same medication at night before dinner and see the result.
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Gangrene - All You Must Know About It!

Dr.Milind Ruke 87% (13ratings)
MBBS, MS - General Surgery, Certified Wound Specialist, Trainer in Podiatry Surgery, Fellowship in Orthopaedic Foot & Ankle Surgery, Wound Management, CAQ (Hyperbaric Medicine), Post Graduate Certificate course in Diabetic Foot
Diabetic Foot Surgeon, Mumbai
Gangrene - All You Must Know About It!

Gangrene is an extremely serious condition in which there is an acute shortage of oxygenated blood to the tissue in the body resulting in tissue necrosis or death. Most of the times, it is seen that Gangrene affects the extremities externally, like feet or hands, but it might also affect the body internally and severely damaging the internal organs.

Types of Gangrene-

There are majorly two broad categories of Gangrene: Wet and Dry.

  • Wet Gangrene: In this type of fatal Gangrene, there is swelling of the skin along with the appearance of blisters, often accompanied by the formation of pus. It is associated with injuries in diabetic patients. Sometimes, Dry Gangrene deteriorates and manifests itself into Wet Gangrene. This type spreads more quickly from the affected area to other parts of the body due to infection.

  • Dry Gangrene: Also referred to as mummification, it develops slowly and is often associated with chronic diabetes. Skin becomes shriveled, dry and dark in color, and it feels cold to touch due to tissue death. Moreover, it is also associated with injuries in diabetic patients, with vascular diseases, and with Raynaud’s Disease. Usually, it does not get infected, but if it does, it gets converted into the more dangerous Wet form.

Symptoms-

Symptoms of Gangrene include-

  • Discoloration of the skin leading to its darker and shinier appearance accompanied by shedding of the skin

  • The appearance of a swollen, pus-filled blister in case of Wet type

  • Pain in the affected area leading to loss of sensation or numbness and subsequently leading to an inability to move the affected part

  • Cold when touched

  • Loss of pulse

Diagnosis-

A physical examination for diagnosing Gangrene is often followed by tests of tissue, blood, and discharge for getting to know the type of infection. In case of extreme severity, especially when internal organs are involved or if Gangrene seems to be deep-seated, X-Ray, CT scans, and MRIs might be recommended for ascertaining the extent of the disease.

Treatment-

Since Gangrene is associated with tissue necrosis, the only available approach to treatment is the removal of the dead tissue.

  • Also referred to as debridement, surgical removal of the dead tissue prevents infection from spreading. Sometimes, amputation (severing the affected part) might also be required.

  • Maggot Therapy is another method which is sometimes followed. Maggots from the larvae of fly bred in sterile conditions in the laboratory are placed on the affected area. They consume for food the dead and infected tissue without causing any harm to healthy tissue.

  • Intravenous antibiotics help in preventing infection from spreading.

  • Hyperbaric Oxygen Therapy involves an increase in pressure and oxygen supply to the affected tissue for its healing and to curb infection.

Take Away-

Gangrene, or tissue death, is a life-threatening condition which can be treated through surgery, Maggot therapy, intravenous antibiotics or Hyperbaric Oxygen Therapy.

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