In my humble opinion, we need to find the ailments from. It can be psychological case as we see anorexia and insomnia. Sleeping pills is only going to increase insomnia, eventually increasing the dose of sleeping pills, which is found harmful. Thorough case history is needed for constitutional prescription which and only which can cure the patient. It is difficult to elicit important mentals in a male patient due to their social conditioning, hence what we can do is elicit their life situation which might help us to understand the patient. Also we can advise relaxation techniques to fall asleep. No screen time 2 hours before bedtime. A cup of plain warm milk can help to fall asleep.
रोगी का पित्त प्रकुपित हो गया है। चिकित्सा संबंधी योग,, मुक्ता पिष्टी 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। द्राक्षासव अश्वगनंधारिष्ट दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने से पहले दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Dear Dr. Meenakshi Bisht ma'am, Advice for the case. Tab. Nindrashanti 2 at bed time. Tab. Brahmi vati 1 BD.
brahmi and mandhara taila ext application of scalp ...once take usg abd
Dhnayak hima Drakshasava Ashwagandharistha Brahmi vati. Pranayam
Sarswat arist Jatamansi ghan vati Guduchi aadi kashaya
Any history of diabetis or HTN??
This introvert nature is like poison....needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet beetroot coriander juice citrus fruit lemongrass decoction carrots.... sunshine, cherries berries apricots dates ginger,no sugar no nonveg diet no eggs no mushrooms no fried foods,whey water,cold pressed coconut oil massage and in naval healthy marital relationship...too much heat...
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70 yr old male with history of imbalance on walking n forgetfulness for last 2 mos.patient lives alone and has had few falls occasionally in the bathroom in the last yr.diagnosis n managementDr. Sonal Jain3 Likes16 Answers
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11.09.201 A case of repeated hypoglycaemic episodes in a case of liver damage. Hypoglycaemia is the cause or effect of liver damage? This case is about T2DM of about one year duration in 82 years old man. He is normotensive. His sugar was moderately high. Initially he was on 1000 mg of Metformin. Considering his high sugar it was increased to 1500 mg and 2 mg of Glimiperide was added. About a week ago he developed jaundice. Liver enzymes and other biochemical values were very high. Serological test for HBsAG was positive. Lab report is enclosed herewith. He was brought to me for second opinion about 5 days back. In view of his age and liver damage Metformin was withdrawn and Glimeperide was reduced to 0.5 mg a day (1/4th of the previous dose). In addition he was put on B-complex, dietary advice was also given. He was advised to come for follow up after a week. Today morning his son calls me on phone at about 7.30 to inform me that his father has become suddenly semi-conscious and they don't know what to do. Patient was sweating a lot too. Hypoglycaemia was suspected, therefore the son was asked to forcefully give his father about 3-4 spoonful of sugar and report the developments after about 15 minutes. Accordingly he called me to say that his father has started blinking and recovering. I too was happy. But this didn't last long, he had one more such episode after about an hour, one more round of sugar, made him recover. He was advised to visit me for a thorough checkup. He looked like any other normal person waiting for his turn in the clinic. He had his breakfast about an hour ago, his capillary blood sugar was astonishingly as low as 32 mg/dl. Doubting about a possible defect in my Glucometer itself I checked my own blood sugar for verification. It was as it should be, meaning thereby that the device was normal. He was given sumptuous sugar and a repeat test was done after 20 minutes. He was advised to stop Glimmiperide till further instructions. The value was a mere 80 mg/dl. At night after his dinner his sugar was again checked, it was again a mere 74 mg/dl. In view of repeated episodes he was hospitalised. Points to ponder: Evidently it was a case of hypoglycaemia on all the four occasions. But why should he go into hypoglycaemia inspite of Metformin withdrawal and reducing Glimiperide to 0.5 from 2.0 mg OD. The case will be further discussed after 2-3 days. If you have anything to add or ask, kindly do so, I will try to answer. There will be someone who can highlight on this case, if I fail to comply.Dr. Shreeram Herlekar7 Likes19 Answers
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Know your Vegetables and fruits CHILLIES Scientific name: Capsicum frutescens Family : Solanaceae Chemical properties The fruit of the capsicum plant contains a chemical called capsaicin. Capsaicin seems to reduce pain sensations when applied to the skin. Uses Capsicum is used for various problems with digestion including upset stomach, intestinal gas, stomach pain, diarrhea, and cramps. It is also used for conditions of the heart and blood vessels including poor circulation, excessive blood clotting, high cholesterol, and preventing heart disease. Other uses include relief of toothache, seasickness, alcoholism, malaria, and fever. It is also used to help people who have difficulty swallowing. Application of capsicum to the skin for pain caused by shingles, osteoarthritis, rheumatoid arthritis, and fibromyalgia. ·It is also used topically for nerve pain (neuropathy) associated with diabetes and HIV, other types of nerve pain (neuralgia), and back pain. Capsicum is also used on the skin to relieve muscle spasms, as a gargle for laryngitis, and to discourage thumb-sucking or nail-biting. Fruit Used as stomachic, carminative, stimulant, antiseptic, styptic and antidirrhoeal; useful to treat atonic dyspepsia; as digestive stimulant in jaundice. Fruit and seeds Taken internally to check lumbago and rheumatism. More than anything else, it exhibits big role in preparing daily and regular dishes. With regards Prof Dr M V Subramanyam.Dr. M V Subramanyam11 Likes23 Answers
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ABC OF : RESTLESS LEG SYNDROME ( RLS ). MAY BE USEFUL. *** Restless leg syndrome (RLS) IS A COMMON CAUSE OF PAINFUL LEGS. The LEG PAIN of restless leg syndrome TYPICALLY EASES WITH MOTION of the legs and becomes MORE NOTICEABLE AT REST. Restless leg syndrome also features WORSENING of symptoms and leg pain DURING the EARLY EVENING OR LATER AT NIGHT....... Restless leg syndrome is often abbreviated RLS; it has also been termed SHAKING LEG SYNDROME. Nighttime involuntary jerking of the legs during sleep are also known as PERIODIC LEG/LIMB MOVEMENT DISORDER....... ***** Restless leg syndrome (RLS) FACTS :- ** RLS s a condition marked by UNPLEASANT LEG SENSATIONS WHILE RESTING....... ** Restless leg syndrome frequency LEADS TO INSOMNIA....... ** The CAUSE of restless leg syndrome is UNKNOWN IN MOST INDIVIDUALS, BUT MANY CONDITIONS have been ASSOCIATED WITH IT....... ** SYMPTOMS of restless leg syndrome are aching and an URGE TO MOVE THE LOWER EXTREMITIES....... ** TREATMENT of RLS is DIRECTED TOWARDS ANY UNDERLYING ILLNESS, IF KNOWN....... ** MEDICATIONS are AVAILABLE FOR RLS....... ** HOME REMEDIES for restless leg syndrome INCLUDE :- QUITTING SMOKING, REDUCING CAFFEINE, WEIGHT REDUCTION for the overweight, WALKING, QUININE WATER, and IRON SUPPLEMENTATION for those that are iron deficient....... ** RLS IS GENERALLY NOT CONSIDERED CURABLE, MAY PERSISTS LIFELONG BUT TREATMENTS CAN SUBSTANTIALLY LESSEN OR ERADICATE SYMPTOMS....... **** D / D :- Other CONDITIONS that my MIMIC restless leg syndrome include :- POOR CIRCULATIONTO THE LOWER EXTREMITIES, PARKINSON'S DISEASE, FIBROMYALGIA, MUSCLE DISEASES, JOINT CONDITIONS, NERVE PROBLEMS such as PERIPHERAL NEUROPATHY caused by diabetes (DIABETIC NEUROPATHY), and CIRCULATION DIFFICULTIES. *** IN CHILDREN, RLS IS OFTEN MISDIAGNOSED AS "GROWING PAINS." ***** CONDITIONS ASSOCIATED WITH RLS :- * PREGNANCY, * OBESITY, * SMOKING, * IRON DEFICIENCY AND ANEMIA, * NERVE DISEASE, * POLYNEUROPATHY (which can be associated WITH HYPOTHYROIDISM, HEAVY METAL TOXICITY, TOXINS, and many other conditions), * other hormone diseases such as DIABETES, and * KIDNEY FAILURE (which can be associated WITH VITAMIN AND MINERAL DEFICIENCY). *** SOME DRUGS AND MEDICATIONS HAVE BEEN ASSOCIATED WITH RLS INCLUDING : CAFFEINE, ALCOHOL, H2-HISTAMINE BLOCKERS and CERTAIN ANTIDEPRESSANT (such as amitriptyline....... ** OCCASIONALLY, RLS RUN IN FAMILIES. ** RECENT STUDIES have SHOWN that restless leg syndrome appears to become MORE COMMON AS A PERSON AGES. Also, POOR VENOUS CIRCULATION OF THE LEGS (such as with VARICOSE VEINS) can cause restless leg syndrome....... *** SYMPTOMS OF RLS :- Many different symptoms are described by people with restless leg syndrome, for example: LEG PAIN, CRAMPS, TINGLING, ITCHY, BURNING....... DIAGNOSIS OF RLS :- The National Institutes of Health (NIH) SAYS that FOUR CRITERIA must be met FOR the DIAGNOSIS OF RLS in a person (ADULT or CHILD) : 1. A STRONG URGE TO MOVE LEGS. This urge OFTEN, but NOT ALWAYS, occurs with UNPLEASANT FEELINGS in legs. 2. WHEN the disorder is SEVERE, patient also may have the URGE TO MOVE her/his ARMS. SYMPTOMS that start or get WORSE WHEN patient is INACTIVE. The urge to move increases when she /he is sitting still or lying down and resting. 3. RELIEF FROM MOVING. Movement, ESPECIALLY WALKING, HELPS relieve the unpleasant feelings. 4. SYMPTOMS that start or get WORSE IN the EVENING OR AT NIGHT. Rx :- TREATMENT of restless leg syndrome is first DIRECTED TOWARDS ANY UNDERLYING ILLNESS, if known. FOR EXAMPLE: BLOOD TESTING to reveal underlying IRON DEFICIENCY ANEMIA may reveal the underlying cause. If VARICOSE VEINS are thought to be the cause, then SURGERY to repair the circulation may be considered. REDUCTION OR ELIMINATION of CAFFEINE, NICOTINE, and ALCOHOL from a person's diet can be very HELPFUL. STOPPING SMOKING can significantly diminish or prevent symptoms. Getting BETTER SLEEP and EXERCISE can HELP some persons affected by restless legs. ** PREGNANT WOMEN who do not sleep well at night AND other PEOPLE WITH SLEEP DISORDERS MAY DEVELOP RLS. MEDICATIONS USED TO TREAT RLS :- Considering the situation MEDICATIONS used to treat restless leg syndrome INCLUDE : NATURAL SUPPLEMENTS (such as IRON), CARBIDOPA-LEVODOPA, OPIOIDS, CARBAMAZEPINE, CLONAZEPAM, DIAZEPAM, TRIAZOLAM, TEMAZEPAM, BACLOFEN, BROMOCRIPTINE, CLONIDINE, GABAPENTIN, GABAPENTIN ENACARBIL, ROPINIROLE and PRAMIPEXOLE.......Dr. Puranjoy Saha20 Likes29 Answers
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60 yr female admitted with sudden onset vertigo.without any history of diabetes hypertension etc.Dr. Shiv Lath3 Likes13 Answers