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Life Threatening Ectoparasites Of Dog

Ph. D - Medicine
Veterinarian, Mathura
Life Threatening Ectoparasites Of Dog

There are several ectoparasites that can pose a life-threatening risk to dogs if left untreated. Here are three significant examples:

Fleas (ctenocephalides spp.): while fleas are common and often considered a nuisance, a severe infestation can lead to life-threatening conditions. Fleas can cause anemia, especially in young or small dogs, due to excessive blood loss. Some dogs may develop an allergic reaction to flea bites, leading to a condition called flea allergy dermatitis (fad). Fad can result in intense itching, severe skin inflammation, and secondary infections. Additionally, fleas can transmit certain diseases like bartonellosis (caused by bartonella bacteria) and tapeworm infestations.

Ticks (ixodidae family): ticks are known carriers of various diseases, some of which can be life-threatening to dogs. For example, ticks can transmit lyme disease, which can cause joint inflammation, lameness, and, in severe cases, kidney disease. Other tick-borne diseases include ehrlichiosis, anaplasmosis, and babesiosis, which can cause a range of symptoms such as fever, lethargy, anemia, and organ damage. Tick paralysis is another dangerous condition that can occur when certain species of ticks release a toxin while feeding, leading to progressive paralysis that can affect the respiratory muscles.

Sarcoptic mange (sarcoptes scabiei): sarcoptic mange, also known as scabies, is caused by microscopic mites that burrow into the dog's skin, leading to intense itching and irritation. If left untreated, sarcoptic mange can result in severe hair loss, self-inflicted wounds due to scratching, and secondary bacterial infections. In some cases, widespread mange infestations can weaken a dog's immune system, making them susceptible to other diseases.

It's important to promptly address any ectoparasite issues in dogs to prevent these life-threatening conditions. If you suspect your dog has an ectoparasite infestation or if they are showing symptoms of a related disease, consult a veterinarian for proper diagnosis and treatment.





Head and Neck Cancer: Risk Factors and Prevention

M.ch - Surgical Oncology
Oncologist, Hyderabad
Head and Neck Cancer: Risk Factors and Prevention


What is head and neck cancer?

Head and neck cancer are a group of cancers that originate in the head or neck region, including on and around the lips, tongue, throat, sinuses, and nasal cavity. These cancers are typically divided into two types: squamous cell carcinomas (cells that line the hollow organs of the body) and non-squamous cell carcinomas (any type of cancer that does not form these cells). Head and neck cancer can be caused by tobacco use, alcohol use, genetics and other environmental factors.

What are the signs and symptoms of head and neck cancer?

The following are some common signs and symptoms of head and neck cancer:



A lump or sore in the head or neck that does not heal.


Sore throat that does not go away.


Swelling of the jaw or face.


Trouble swallowing.


Unexplained weight loss.


Chronic hoarseness, coughing or change in voice.


Ear pain and hearing loss.


Unusual bleeding from the nose or mouth area.


Pain in the neck, jaw or face that does not go away.



What are possible complications of head and neck cancer?

Head and neck cancer can lead to a wide range of complications, such as:



Difficulty swallowing, ;


Breathing problems,


Speech and hearing impairments, ;


Vision loss,


Pain and discomfort in the neck or head area, ;


Facial disfigurement due to skin damage or surgery,


Nutritional issues caused by difficulty in eating or digesting food properly, ;


Infection of the surgical wound site,


Frequent and severe nose-bleeds due to increased vascularity of the mucous membranes of the head and neck region.


Head and neck cancers may cause disruption to the nerves providing sensation from the facial area. This can lead to numbness on one side or drooping in part of your face. There are many membrane linings throughout the respiratory tract (such as larynx) that can become damaged by head & neck cancers causing dryness, dysesthesias not only around vocal cords but elsewhere too such as teeth.


The cancer may spread via local lymphatics producing enlarged lymph nodes within the neck making it appear swollen; if present these would increase risk for carotid artery dissection or airway compromise requiring intervention. ;


Head & neck malignancies also increase risk for developing second primary malignancy thus increasing morbidity rate significantly.



Head and neck cancer: risk factors and prevention

Head and neck cancer is caused by certain risk factors such as:



Tobacco products: the most common risk factor for head and neck cancer is the use of tobacco products. People who smoke cigarettes are at a higher risk of developing any type of head and neck cancer compared to non-smokers. People who have used any form of smokeless tobacco products (such as snuff or chewing-tobacco) are at an even higher risk.


Alcohol: heavy alcohol consumption also increases the risk for developing head and neck cancer.


Exposure to certain viruses and chemicals: exposure to certain viruses can also increase one s chances for developing this type of cancer, such as human papilloma virus (hpv). ;


Inflammation: chronic inflammation of the head and neck area caused by environmental toxins may also be linked to an increased chance for having this type of cancer.



The following are the steps that should be taken to prevent head and neck cancer:



Minimize risks: avoiding known risk factors, such as smoking, or managing air pollution may help decrease your exposure to potentially dangerous chemicals or toxins.


Follow a healthy diet: eating a nutritious, balanced diet is important for protecting overall health. Eating foods that are high in nutrients and low in saturated fats, cholesterol, and refined carbohydrates has been linked to a reduced risk of cancer.


Avoid tobacco: avoiding all forms of tobacco including cigarettes, cigar smoking, chewing tobacco, and pipe smoking has been associated with a lower risk of head and neck cancers.


Limit the use of alcohol: excessive consumption of alcohol has been linked to increased chances of developing certain types of head and neck cancers. It is especially important to avoid drinking when using any form of tobacco (cigarettes, cigars, or pipes).


Use natural herbs: you can use some natural herbs such as:





Turmeric powder or basil leaves juice to help reduce the chances for various head or neck cancer developments by inhibiting tumor growth or increasing immunity against cancer cells growths. ;


Lotus root juice made with fresh lotus root can be consumed everyday to improve immunity power.


Neem leaves/mint juice taken on an empty stomach helps protect against cancer activity in the body. ;


Honey mixed with fresh mulethi powder can also be taken daily for better results.





Limit sun exposure: sunburns have been associated with an increase in skin cancer rates over time, so it is important to limit sun exposure by wearing sunscreen regularly each day (even during winter months) when outdoors even if you are not going to be outside for long periods this helps protect from ultraviolet radiation from contributing to any skin cancer development. Consider wearing protective gear such as hats, long sleeve shirts, pants, wide brimmed hats when spending extended time outdoors.


Visit the doctor on a regular basis: regular medical checkups with a healthcare professional should be done in order to identify any precancerous tissue early on before it spreads further into the body which could lead toward more serious health issues down the road if not detected soon enough upon initial onset such as tumors in lymph nodes around one s throat area so getting checked often can help catch potential problems early on.



If none of the above approaches work, you may have to resort to surgical treatments.

What are the surgical treatments for head and neck cancer?

Some common surgical procedures used to treat head and neck cancers are as follows:



Tumor resection: in this procedure, doctors try to remove the entire mass of tumors or parts of a tumor while preserving normal physical structures as much as possible. Other treatments like radiation therapy or chemotherapy may also be implemented following tumor resection.


Neck dissection: this procedure involves removing lymph nodes in the neck region affected byhead and neck cancer. It can either be cursory or radical depending on which neck tissues need to be removed. If a lot of tissue needs to be removed (radical), reconstructive surgery may also be necessary afterwards.


Functional endoscopic sinus surgery: endoscopic sinus surgery is mainly needed for treating cancers located in dug passages of sinuses such as those found in mucosal melanomas or adenoid cystic carcinomas which lead into nose and throat areas from paranasal sinuses (located adjacent to nasal cavities). During this procedure doctors use an endoscope (a thin tube with camera attached) instead of surgical incisions to reach deep into the cavity.


Transoral robotic surgery: newer robot-assisted devices like da vinci surgical system are now being used during head and neck surgeries making it less invasive than traditional open surgeries while providing better accuracy and precision in effectively removing tumors located in hard-to-reach areas in mouth or throat without much collateral damage on nearby healthy tissues. ;



Best doctors to consult for head and neck cancer?



The best doctors to consult for head and neck cancer are oncologists specialized in otolaryngology (ent specialists).


They have the expertise to diagnose and treat this group of cancers, which typically affects the throat, voice box, sinuses and mouth.


Ent specialists may also offer expertise in reconstruction surgery for function or appearance after removal of facial structures due to head and neck cancer.


It is important that patients suffering from this type of cancer seek advice from specifically trained experts who can discuss the risks, side effects, expected outcomes and treatment options.

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Male masturbation: Tips for Solo Play

MBBS
Sexologist, Panchkula
Male masturbation: Tips for Solo Play


Masturbation is also called a practice of self pleasure. It is the most common practice in men. About 95% of men in the world practice this act of self pleasure called masturbation. When we try anything often we get bored from it, same as with masturbation. When we use the same method or solo practice we get bored of it. So we need to understand it for a more satisfying result.

When you are at home or idle, taking biological chemical demands there are sexual thoughts of repeating what you have experienced earlier. You feel horny and you masturbate. All men do it. Old fashioned men do it with hands, new ones do with sex toys or hands. You can spend a loving time with yourself which has few benefits. It's always good to have a partner but solotime can help to experiment with less performance pressure to learn new and good ways. You go beyond masturbation with your penis and experiments with masturbation can result in better sex and bonding.



Is masturbation good for health?

Masturbation is a healthy act if done in a controlled way, however doing something many times is bad for the body. It is a way to know yourself more physically as well as discover your fantasies that make you feel good. Apart from sexual pleasure there are many benefits in masturbation to the body. When masturbation is taken on moral ground, it may sound wrong, however it has many health benefits, which may aid masturbating you easily and without pressure:



Masturbation lowers your stress levels in the body: doing masturbation in a private place releases stress and anxiety. When masturbating the self is forgotten and the whole body gets excited and after orgasm it relaxes down which helps the men who are stressed, they feel relaxed.


Masturbation is best for penis health as it increases blood in the veins and capillaries of penis. This provides blood which maintains the health of penis, as it is the area of opening where infection can occur.


Masturbation is the safest sex like experience we can have: in this we can avoid sex diseases like sti, hiv etc. Here you can enjoy without any risk. In this you can't get pregnant by any chance.


As masturbation releases dopamine and serotonin: these are pain relievers and stress relievers which help during stress or if the mood is not right.



Tips for solo masturbation:

1) set the mood

Masturbation is, always for men, a quickie either in a room or in a bathroom due to fear somebody will see us. But men can plan for more time with themselves and set up room for more satisfying or having more quality time. You can make masturbation more satisfying by following some steps like:



We can turn down the lights in the room.


We can play some good and erotic music inside the room.


We can try some dirty talk to ourselves and tease ourselves.


Do not get scared and be relaxed. ;



2) position:

We always try on one position and stick to it for a long period of time. We should try many exciting positions. We all try masturbating while standing and leaning ourselves to the counter or wall but we can try pushing your hip to the wall wall. We can try by lying down and applying force to bed. We can try by sitting on a bed or chair. There are different positions which sensate differently and make you more satisfied.

3) different stroking

We can use both hands while masturbating. We always masturbate by moving our hands up and down in a motion, it leads to orgasm to mostly all men with a penis. There are many movements or stroke should be applied for more satisfy experience or orgasm. We should experiment yourself like:

1) we can masturbate by moving penis clockwise or anticlockwise. ;

2) we can rub it with our palm and tickle the forehead of penis.

3) we can try holding tight grip and move your hip forward and backward.

There are many types of stroke in which you can find which sensate you more or gives you pleasure more.

4) prostate

We have a prostate which is called as male g-spot. This can, when tickled, give you the body feel of sex. If you have tried it, do it now. We can use one finger to rub the outside and inside of anal opening slowly. Then insert to massage your prostate slowly. Now increase the motion and speed to feel more until you're ready to finish it off. If you can't use the finger to feel your prostate, we can use toys to do so. Please use it for more pleasure.

5) we always watch porn to have sexual pleasure. But we can use many methods to do so like listening to audio books, reading magazines.

Conclusion:

Masturbation is a healthy practice which can be done by everybody. We should keep in mind that in doing so we should not harm ourselves. If you have any problem related to masturbation please refer to a doctor immediately.

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जानिये क्या होते हैं सबक्यूटेनियस इंजेक्शन और क्या है उपयोग का सही तरीका

MBBS
General Physician, Dhanbad
जानिये क्या होते हैं सबक्यूटेनियस इंजेक्शन और क्या है उपयोग का सही तरीका
जब किसी भी तरह की बीमारी के इलाज की बात आती है तो दवाइयों और इंजेक्शन का जिक्र होना स्वाभाविक है। दरअसल, कई बार जब हम बीमारी का इलाज कराने के लिए डॉक्टर के पास जाते हैं तो डॉक्टर कई तरह की दवाइयों और इजेक्शन लेने की सलाह देता है और हम इन इंजेक्शन को लेकर लगवाते भी हैं।

क्या आपको मालूम है कि इंजेक्शन लगाने के अलग-अलग तरीके भी होते हैं। ऐसा ही एक तरीका है सबक्यूटेनियस इंजेक्शन। तो चलिए आज हम इस सबक्यूटेनियस इंजेक्शन के विषय में विस्तार से बात करते हैं।

क्या है सबक्यूटेनियस इंजेक्शन
सबक्यूटेनियस इंजेक्शन को शॉर्ट भाषा में एससी इंजेक्शन भी कहते हैं और इसकी हिंदी अंतस्त्वचा इंजेक्शन मतलब त्वचा के नीचे लगने वाला इंजेक्शन है। इस तरह जो इंजेक्शन त्वचा के नीचे लगाए जाते हैं उन्हें सबक्यूटेनियस इंजेक्शन कहते हैं। कुछ परिस्थितियों में डॉक्टर आपको सबक्यूटेनियस इंजेक्शन घर पर लगाने की सलाह देते हैं। कुछ बीमारिया ऐसी होती है जैसे मधुमेह की बीमारी में आपको सबक्यूटेनियस इंजेक्शन घर पर ही लगाने होते है।

कैसे लगाया जाता है सबक्यूटेनियस इंजेक्शन
सबक्यूटेनियस इंजेक्शन में दवा को त्वचा और मांसपेशियों के बीच ऊतक परत में इंजेक्ट किया जाता है और इसके लिए छोटी सुई का उपयोग किया जाता है। इस तरह से दी जाने वाली दवा आमतौर पर नस में इंजेक्शन लगाने की तुलना में अधिक धीरे-धीरे अवशोषित होती है। कभी-कभी इसमें 24 घंटे तक का समय लग जाता है। हालांकि, इसके बावजूद कुछ बीमारियों में यह इंजेक्शन नसों में लगाए जाने वाले इंजेक्शन से ज्यादा प्रभावित करते हैं। इसी वजह से डॉक्टर इस प्रकार के इंजेक्शन को लगाने की सलाह देते हैं।

डॉक्टर्स क्यों देते हैं सबक्यूटेनियस इंजेक्शन लगाने की सलाह
कुछ बीमारियां ऐसी भी होती हैं जिसमें खाई जाने वाली दवाइयां ज्यादा असरदार नहीं होती, क्योंकि पेट में एसिड और एंजाइम इन दवाइयों को नष्ट कर देते हैं। ऐसी सूरत में डॉक्टर्स सबक्यूटेनियस इंजेक्शन लगाने की सलाह देते हैं। क्योंकि इनपर पेट में मौजूद एसिड और एंजाइम का कोई असर नहीं पड़ता। वहीं नसों में लगने वाले इंजेक्शन जैसे तरीके कठिन और महंगे हो सकते हैं। जबकि मांसपेशियों में लगने वाले इंजेक्शन जैसे अन्य तरीके कठिन और महंगे हो सकते हैं। सबक्यूटेनियस इंजेक्शन आपके शरीर में दवा लेने का एक उपयोगी, सुरक्षित और सुविधाजनक तरीका हो सकता है।

सबक्यूटेनियस इंजेक्शन से दी जाने वाली दवाएं
सबक्यूटेनियस इंजेक्शन के माध्यम से शरीर में ऐसी दवाओं को इंजेक्ट किया जाता है जिनकी मात्रा कम होती है। आमतौर पर इन दवाओं की मात्रा 1 एमएल से कम होती है लेकिन 2 एमएल तक सुरक्षित माना जाता है। इसके अलावा जिन दवाओं को बहुत जल्दी देने की आवश्यकता होती है, उन्हें भी सबक्यूटेनियस इंजेक्शन के माध्यम से भी दिया जा सकता है। उदाहरण के रूप में हम एपिनेफ्रीन को ले सकते हैं जो एक स्वचालित इंजेक्टर रूप में आता है। इसे एपिपेन भी कहा जाता है। इसका उपयोग गंभीर एलर्जी प्रतिक्रियाओं का तुरंत उपचार करने के लिए किया जाता है।

कुछ दर्द की दवाएं जैसे मॉर्फिन और हाइड्रोमोर्फोन (डिलाउडिड) को भी सबक्यूटेनियस इंजेक्शन के रूप में दिए जा सकते हैं। मेटोक्लोप्रमाइड (रेगलन) या डेक्सामेथासोन (डेक्सपैक) जैसी मतली और उल्टी को रोकने वाली दवाएं भी सबक्यूटेनियस इंजेक्शन के माध्यम से दी जा सकती हैं। कुछ टीकों और एलर्जी शॉट्स को भी सबक्यूटेनियस इंजेक्शन के रूप में दिया जाता है।

ज्यादातर कहां लगाए जाते हैं सबक्यूटेनियस इंजेक्शन
सबक्यूटेनियस इंजेक्शन के लिए कुछ स्थान महत्वपूर्ण है। इसकी वजह भी है। दरअसल, दवा को त्वचा के ठीक नीचे फैटी टिश्यू में इंजेक्ट करने की आवश्यकता होती है। शरीर के कुछ क्षेत्रों में ऊतक की अधिक आसानी से सुलभ परत होती है, जहां त्वचा के नीचे इंजेक्ट की गई सुई मांसपेशियों, हड्डी या रक्त वाहिकाओं को नहीं लगेगी।

शरीर में सबक्यूटेनियस इंजेक्शन लगाने के सबसे आम स्थान :

उदर: नाभि के स्तर पर या उसके नीचे, नाभि से लगभग दो इंच की दूरी पर
भुजा: ऊपरी भुजा के पीछे या बगल में
जांघ: जांघ के सामने
सबक्यूटेनियस इंजेक्शन के माध्यम से दी जाने वाली दवाओं के रूप

दवा: तरल दवा की शीशियां सिंगल यूज या मुलती यूज हो सकती हैं। शीशियों को एक पाउडर से भी भरा जा सकता है जिसमें तरल को जोड़ने की आवश्यकता होती है।
सीरिंज: सुइयां मात्र 5/8 इंच लंबी होती हैं। सुई की मोटाई आमतौर पर 25 या 27 गेज होती है। 1 एमएल से अधिक या बच्चों या दृष्टिबाधित लोगों को इस माध्यम से सबक्यूटेनियस इंजेक्शन दिया जा सकता है।
ऑटो-इंजेक्टर पेन: कुछ दवाएं पेन में उपलब्ध होती हैं। इसे एक बार ही उपयोग में लाया जा सकता है। इसमें पहले से ही सुई लगी होती है। आवश्यक दवा पर्याप्त मात्रा पहले से ही मौजूद रहती है। एपिनेफ्रीन जैसी आपातकालीन दवाएं भी इस रूप में आ सकती हैं।
सबक्यूटेनियस इंजेक्शन लगाने का सही तरीका
संभावित संक्रमण को रोकने के लिए अपने हाथों को साबुन और गर्म पानी से धोएं। उंगलियों के बीच, हाथों के पीछे और नाखूनों के नीचे अच्छी तरह से स्क्रब करना चाहिए। रोग नियंत्रण और रोकथाम केंद्र (सीडीसी) अपने हाथों को सुखाने के लिए 20 सेकंड के लिए ताली बजाने की सलाह देता है।
इंजेक्शन लगाने से पहले सबक्यूटेनियस इंजेक्शन में इस्तेमाल की जाने वाली सभी चीजों को इकट्ठा करें। जैसे दवा या ऑटो-इंजेक्टर पेन के साथ सुई और सिरिंज, इंजेक्शन को लगाने वाली त्वचा को साफ करने के लिए अल्कोहल पैड, सुई को हटाने के लिए शार्प कंटेनर और पट्टियां।
उस जगह की सफाई और निरीक्षण करें, जहां इंजेक्शन लगाना हो। दवा इंजेक्ट करने से पहले, यह सुनिश्चित करने के लिए अपनी त्वचा का निरीक्षण करें कि क्षेत्र में कोई चोट, जलन, सूजनतो नहीं है। बार-बार इंजेक्शन वाले क्षेत्र को नुकसान से बचाने के लिए शरीर में किसी अन्य स्थान का चयन भी पहले से ही कर लेना चाहिए जहां इंजेक्शन लगाया जा सकता हो। फिर आपको एल्कोहल पैड से त्वचा को साफ करना चाहिए। इंजेक्शन लगाने से पहले अल्कोहल को अच्छी तरह सूखने दें।
दवा के साथ सिरिंज तैयार करें। शीशी से दवा वापस लेने और खुद को या किसी और को इंजेक्शन लगाने से पहले, सुनिश्चित करें कि आप सही दवा का उपयोग सही मात्रा में, सही समय पर और सही तरीके से कर रहे हैं। प्रत्येक इंजेक्शन के साथ एक नई सुई और सिरिंज का प्रयोग करें।
कैसे तैयार करें एक सिरिंज
शीशी से ढक्कन हटा दें। यदि शीशी मल्टीडोज है, तो इस बात पर ध्यान दें कि शीशी को पहली बार कब खोला गया था। रबर स्टॉपर को अल्कोहल पैड से साफ किया जाना चाहिए।
जिस खुराक को आप इंजेक्ट कर रहे हैं, उस तक सिरिंज को हवा से भरने के लिए प्लंजर को वापस खींचें। ऐसा इसलिए किया जाता है क्योंकि शीशी वैक्यूम होती है, और आपको दबाव को नियंत्रित करने के लिए समान मात्रा में हवा जोड़ने की आवश्यकता होती है। इससे दवा को सिरिंज में खींचना आसान हो जाता है। हालांकि, यदि आप इस चरण को भूल जाते हैं, तब भी आप दवा को शीशी से बाहर निकाल सकते हैं।
सुई से टोपी निकालें और शीशी के शीर्ष पर रबर डाट के माध्यम से सुई को धक्का दें। सारी हवा शीशी में डालें। इसे साफ रखने के लिए सुई को छूना नहीं चाहिए।
शीशी और सीरिंज को उल्टा कर दें। सुई ऊपर की ओर रहनी चाहिए। फिर दवा की सही मात्रा निकालने के लिए प्लंजर को वापस खींच लें। सीरिंज में अगर कोई बुलबुला नजर आ रहा है तो उसे हटा दें। बुलबुले को हटाने के लिए सिरिंज को टैप करें और हवा के बुलबुले को बाहर धकेलने के लिए प्लंजर को धीरे से दबाएं।
अब अपने अंगूठे और तर्जनी के बीच की त्वचा की एक बड़ी चुटकी लें और इसे पकड़ें। (आपका अंगूठा और तर्जनी लगभग एक इंच और डेढ़ इंच अलग होनी चाहिए।) यह वसायुक्त ऊतक को मांसपेशियों से दूर खींचती है और इंजेक्शन को आसान बनाती है।
90 डिग्री के कोण पर पिंच की हुई त्वचा में सुई डालें। आपको इसे जल्दी करना चाहिए, लेकिन बिना ज्यादा ताकत के। यदि आपके शरीर पर बहुत कम वसा है, तो आपको सुई को त्वचा पर 45 डिग्री के कोण पर इंजेक्ट करने की आवश्यकता हो सकती है।
दवा इंजेक्ट करने के लिए प्लंजर को धीरे-धीरे दबाएं। आपको दवा की पूरी मात्रा इंजेक्ट करनी चाहिए।
दबी हुई त्वचा को छोड़ दें और सुई को बाहर निकाल लें। उपयोग की गई सुई को पंचर-प्रतिरोधी शार्प के कंटेनर में छोड़ दें।
इंजेक्शन साइट पर हल्का दबाव लागू करने के लिए मुलायम कपड़े का प्रयोग करें। अगर कोई खून बह रहा है, तो यह बहुत मामूली होना चाहिए। आपको बाद में थोड़ी चोट लग सकती है। यह सामान्य बात है और इसमें चिंतित होने की कोई बात नहीं है।
सबक्यूटेनियस इंजेक्शन के दुष्परिणाम
रोजाना सबक्यूटेनियस इंजेक्शन लगाने वालों को इस बात का ध्यान जरूर रखना चाहिए कि कहीं आप एक ही जगह पर एक से अधिक बार या कई दिनों से इंजेक्शन तो नहीं लगा रहे हैं, क्योंकि ऐसे इंजेक्शन लगाने के लिए शरीर के स्थान को बदलना आवश्यक है। इसका मतलब है कि आपको एक ही स्थान पर लगातार दो बार दवा इंजेक्ट नहीं करनी चाहिए।

उदाहरण के लिए, यदि आपने आज सुबह अपनी बाईं जांघ में दवा का इंजेक्शन लगाया है, तो आज दोपहर अपनी दाहिनी जांघ का उपयोग करें। एक ही जगह पर इंजेक्शन का बार-बार उपयोग करने से असुविधा हो सकती है और ऊतक क्षति भी हो सकती है।

जैसा कि किसी भी इंजेक्शन प्रक्रिया के साथ होता है, इंजेक्शन की जगह पर संक्रमण होने की संभावना होती है। इंजेक्शन स्थल पर संक्रमण के लक्षणों में शामिल हैं:

गंभीर दर्द
लालपन
सूजन
गर्मी या जल निकासी
इन लक्षणों को तुरंत अपने डॉक्टर को सूचित किया जाना चाहिए।
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Top 10 Gastroenterologist In Bangalore

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
1. Dr. Raj vigna venugopal

Https://www. Lybrate. Com/bangalore/doctor/dr-raj-vigna-venugopal-gastroenterologist



Mbbs, md - internal medicine, dm - gastroenterology

27 years experience 1000 at clinic

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Dr. Raj vigna, a gastroenterologist and hepatologist, practises in bangalore at manipal hospitals. Additionally, he oversees this institution's gastroenterology division. After completing his mbbs, he pursued a dm in gastroenterology. Additionally, he completed his internal medicine md.

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He is well-versed in hepatology, gastroenterology, and liver diseases. He also has extensive expertise in medical gastroenterology, therapeutic endoscopy, ultrasound, and endoscopy.

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He is regarded as one of bangalore's top gastroenterologists and was the city's first physician to establish an endoscopy unit. He has been engaged in more than 750 instances of diagnostic and therapeutic endosonography, which is an impressive amount of expertise. He was recognised for being the first gastroenterologist in bangalore to establish an endosonography unit.



2. Dr. Ravindra bs

Https://www. Lybrate. Com/bangalore/doctor/dr-ravindra-bs-gastroenterologist

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Dm - gastroenterology, md, dnb, mbbs

22 years experience 700 at clinic

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With more than 22 years of experience, Dr. Dr. Ravindra bs is one of the most skilled medical gastroenterologists, interventional endoscopists, and hepatologists. He has a lot of experience with gastroenterology, liver and pancreatic diseases, and inflammatory bowel diseases like crohn's disease and ulcerative colitis.

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He started hepatitis support groups, ibd support groups, and pancreas support groups to help people with these long-term illnesses feel less pain and suffering.

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He has been a lecturer at mumbai lokmanya tilak medical college, a consultant at meenakshi mission hospital, a senior consultant developmental paediatrician, and the head of department (hod) at bgs global hospital. He belongs to the american society of gastroenterology (asge), the indian medical association (ima), the indian society of gastroenterology (isg), the society of gastroenterointestinal endoscopy (sgei), and the association of interventional gi endoscopy (aige).

3. Dr. Manish joshi

Https://www. Lybrate. Com/bangalore/doctor/dr-manish-joshi-gastroenterologist

Fellowship in colorectal surgery, dnb - surgical gastroenterology, fellowship in minimal access surgery, in hpb surgery, in colorectal surgery

22 years experience 1110 at clinic



Dr. Manish joshi has an mbbs and an Ms. In general surgery. He was previously employed by hpb surgery, st. John's medical college and hospital, bangalore, which was his former employer. ;



Dr. Manish joshi provides sophisticated surgical therapy for patients with digestive illnesses, including cancer, at the global institute of gastrosciences.

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His specialties include bariatric, upper gi, transplant, colorectal, general, and laparoscopic surgery. He specialises in tumours of the gastrointestinal tract, colon, rectal, gastric, pancreatic, liver, gallbladder, and bile duct systems. His paper on" single incision laparoscopic splenectomy" appeared in a respected publication.

4. Dr. Shabir ahmed

Https://www. Lybrate. Com/bangalore/doctor/dr-shabbir-ahmed-k-gastroenterologist

Dm - gastroenterology, mbbs

47 years experience 600 at clinic

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Dr. Shabir ahmed is a famous gastrointestinal, laparoscopic, and bariatric surgeon with more than 47 years of extensive surgical experience. The association of laparoscopic surgery (als) in the uk also recognises him as a teacher and mentor.

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He oversaw a number of research projects and clinical trials in dundee (uk). His contributions to the medical literature also include peer-reviewed publications, review articles, and abstracts.

5. Dr. Sreenivasa d

Https://www. Lybrate. Com/bangalore/doctor/dr-sreenivasa-d-gastroenterologist

Dm - gastroenterology, mbbs

33 years experience 550 at clinic

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Dr. Sreenivasa is a highly respected senior consultant at cytecare cancer hospital. He is one of the most experienced and skilled gastroenterologists. He has worked at hospitals like king edward vii memorial hospital in mumbai, kanva diagnostics, and mallya hospital. Additionally, he continued to lecture as a professor of gastroenterology at kles, svims, and bangalore's vydehi institute of medical sciences. He has a gold medal in both md and dm.

6. Dr. Vijay shanker

Https://www. Lybrate. Com/patna/doctor/dr-vijay-shanker-gastroenterologist

Mbbs, md (medicine), dm - gastroenterology

22 years experience 500 at clinic 500 online

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Dr. Vijay shankar s is well regarded in the shivaji nagar community in bangalore, where he practises. Dr. Vijay shankar s has been practising medicine for over 20 years, during which time he has successfully treated a variety of patients by drawing upon the breadth and depth of his expertise. 



Both the smiles institute of gastroenterology in shivaji nagar, bangalore and the smiles institute of gastroenterology in mathikere-bel, bangalore are locations where he sees patients as a practising gastroenterologist.

7. Dr. Aravind gubbi

Https://www. Lybrate. Com/bangalore/doctor/dr-aravind-gubbi-gastroenterologist-1

Maha, fics, ms, mbbs

27 years experience 750 at clinic

 

Dr. Aravind gubbi is an acclaimed endoscopic surgeon who specialises in gastroenterological illnesses, endoscopy, and colonoscopy. His credentials are extensive. In addition to disorders of the pancreas, liver, and gallbladder, he has a particular interest in these conditions. 

 

He has effectively treated his patients during his more than twenty years of expertise working in the area of gastroenterology and illnesses of the digestive tract. 

 

His key interests are the diagnosis of illnesses like loose stools (diarrhoea), blood in stools owing to haemorrhoids (piles), and fissures. In addition, the management of heartburn, stomach and intestinal ulcers, as well as gastritis, are all areas of interest to him. 

 

He has participated in organisations such as isg, sgei, inasl, aga, and asge in the past. He has a demeanour that is gentle, sociable, and he loves nature. 

 

8. Dr. Ashwinikumar d kudari

Https://www. Lybrate. Com/bangalore/doctor/dr-ashwinikumar-d-kudari-gastroenterologist-1

M. Ch, Ms. - general surgery, mbbs

25 years experience 250 at clinic

Dr. Ashwinikumar kudari is a highly qualified gastroenterologist, and he does his job as a staff member at sumathi nursing home on a regular basis. In addition to that, he is employed as a consultant at the msr memorial hospital in mathikere. 

 

He has an extensive understanding of gastroenterology, and one of his areas of interest is the treatment of gastro-specific issues. In addition to offering therapy, he provides direction and guidance to his patients. 

 

As a gastroenterologist with more than 25 years of expertise, he has been successful in curing every single one of his patients. Don't even think about it, and instead, be sure to schedule a consultation with him so that you can improve the quality of your life.

9. Dr. Kilari mounika

Https://www. Lybrate. Com/bangalore/doctor/dr-kilari-mounika-gastroenterologist

Dm - gastroenterology, md - general medicine, mbbs

11 years experience 500 at clinic 500 online

 

Dr. Kilari mounika, who specialises in gastroenterology, lives in whitefield, bangalore. Over the course of her 11 years working in this industry, she has provided medical care to in excess of 250 different patients. She is employed by the bangalore mallige medical center, kanva diagnostics, and mallya hospital's whitefield km gastro center.

 

Her educational background includes an mbbs, an md in general medicine, and a dm in gastroenterology. Colonoscopy, therapy for liver disease, endoscopy, acidity, sigmoidoscopy, and other procedures are only some of the medical services that the doctor offers.

10. Dr. Parvesh kumar jain

Https://www. Lybrate. Com/bangalore/doctor/dr-parvesh-kumar-jain-gastroenterologist-1

Dm - gastroenterology, md, mbbs

23 years experience

 

Dr. Parvesh kumar jain, who practises gastroenterology in the banashankari neighbourhood of bangalore, has more than 23 years of professional expertise. Dr. Parvesh kumar jain maintains a medical practise at sagar hospitals in bangalore's banashankari neighbourhood, rangadore memorial hospital in bangalore's basavanagudi neighbourhood, and apollo hospitals in bangalore's seshadripuram neighbourhood.

 

He has an mbbs degree, as well as doctorates in gastroenterology and general medicine. Irritable bowel syndrome (ibs), endoscopy, bladder cancer surgery and treatment, acidity treatment, and vomiting blood are only a few of the treatments that the doctor offers. Other services include: in addition to that, he is an active participant in the indian society of gastroenterology.
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10 Dietary Tips for Fast Recovery From Tuberculosis

Ayurvedic Doctor,
10 Dietary Tips for Fast Recovery From Tuberculosis
Tuberculosis can be categorized as an infectious disease which can turn out to be very dangerous if not checked or taken care of properly in time. Tuberculosis is a bacterial disease which spreads through a bacteria called mycobacterium tuberculosis.

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This disease is generally developed and observed in people who are undernourished and do not have a balanced diet. Now, there is a substance to combat tuberculosis as found by researchers which is named as lactone ez120, this interferes with the formation of bacteria's mycomembrane.

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The substance which the researchers have found is seen to have an action which inhibits biosynthesis of the mycomembrane and oftenly kills it with immediate effect.



Few symptoms could be seen if a person has been infected with tuberculosis such as loss of weight, weakness and shortness of breath. ;



So, there are certain foods whose consumption could turn out to be very beneficial for a person suffering from tuberculosis. And if a person has an intake of these healthy foods then this is surely going to help him dealing with the disease.

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Few foods which have proved helpful for a good recovery from tuberculosis:





High calories intake: food rich in calories means food which has so many nutrients. This nutrient rich food could be seen meeting up the rising metabolic demands of the patient. This food is surely going to prevent the patient from having any further weight loss. Some food products such as banana, cereal porridge, peanut chikki, wheat and ragi prove so helpful and beneficial for a person suffering from tuberculosis.


Food rich in vitamin a, c and e: some food and vegetable products such as orange, mango, sweet pumpkin and carrots, guava, amla, tomato, nuts and seeds could be seen as an excellent source of vitamin a, c and e. These are the must-have food products which are to be included in a patient's diet who is suffering from tuberculosis.


Protein rich food: appetite loss is a serious problem faced by a tuberculosis patient. So, it is necessary for the patient that they have food products introduced in their diet which are very rich in protein content. There are food products which are very rich in protein content such as eggs, paneer and soya chunks belong to this category. These food products are known to provide the required amount of energy to the patient with absorption of it by the body of the patient. One thing should be kept in mind that these protein rich products should be easily digested by the patient without putting much stress to the patient's food pipe.


Food rich in b complex vitamin: seeds, nuts, fish, chicken, grains and cereals are some products which are known to have very high content of vitamin b complexes. These food products are known to be taken in a moderate amount by the patient suffering from tuberculosis. This is done to prevent any kind of adverse effect of vitamin b complex overtake.


Food rich in zinc: nuts and seeds are known to be a great source of zinc which provides our body with the essential nutrients that it requires. Nuts and seeds like sunflower seeds, chia seeds, pumpkin seeds and flaxseeds have proven to be very beneficial for a patient having tuberculosis. If these certain food products are introduced and included in a patient's daily diet program he will surely be able to fight disease in a much more effective manner. ;


Water: water should be drunk in excessive quantities by the patient. The patient should have water and ors type of liquids to drink (spoonful of honey with warm water and fresh lemon juice). This ors type of drink will surely prove to be very helpful because it has citrus fruits like lemon, oranges, etc involved which are known greatly for their effect of increasing immunity of a person. This increase in immunity means faster recovery for a patient.


Seasonal vegetables and fruits: these food products can be given to the patient because they will easily make the patient feel full as they are too filling. But some precautions are to be taken like these vegetables and fruits should not be given to the patient in place of essential food products which are important for proteins, carbs and healthy fats. These vegetables and fruits should be taken in adequate amounts because they are rich in so much fiber and the patient is restful which can prove to have an adverse effect like bloating up.


Simple carbs and fats: the patient's diet should have coarse grains, potatoes, oats and boiled rice which are in the category of simple carbs whereas maida or refined flour, pizza, burgers, and every other processed and packaged food should be avoided because they fall in the category of bad carbs. Fats (all of them) are considered to be a bad effect for the liver. But healthy fats like a spoon of pure ghee or butter, various nuts (soaked and peeled almonds, peanuts, walnuts, cashews, dry roasted chana) are arranged in minimal quantities. Carbohydrates are to be taken in the same amount as proteins. ;


Soups or boiled foods: for non vegetarians they can have chicken soup without any cream. For vegetarians they can have various boiled food products such as chickpea. And they can also use the clear liquid in which the chickpea was soaked as a soup after boiling it.


Milk: milk has a lot of proteins which can help the patient go through the full day's activities. If the milk is given to the patient in the form of a milk shake (not thick, to avoid stress to the food pipe) by adding a variety of fruits such as mango, banana, berries of different kinds (strawberry, blueberry etc). This shake will help the patient to have carbohydrate along with protein in his diet which will be a good energy booster and thus, increase the metabolism for the patient.



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Tuberculosis is known to have a very great effect on the life of the infected person. A healthy and a balanced diet enhances and ensures quick recovery for the patient and quality of life. After a patient has recovered from tuberculosis this will improve your productivity in life (post recovery).
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Common Cancer - Signs And Symptoms

MBBS
General Physician, Fatehabad
Play video
While there is no way to prevent cancer, but early detection through its symptoms can help in timely treatment.
1 person found this helpful

Pancreatic Cancer Facts That You May Want To Know

MBBS
General Physician, Fatehabad
Pancreatic Cancer Facts That You May Want To Know
Pancreatic cancer, this type of cancer ;originates in the pancreas, the organ that lies behind the lower portion of your stomach. Abnormal cells start to grow and divide to form tumours. Over time, the disease may spread to other parts or organs of the body, making it hard to treat.

Knowing all about pancreatic cancer will give you an idea of the signs and risks of the disease. Here are a few facts you probably never knew about this grave illness:



Cancer of the pancreas ranks twelfth in the list of most common cancers across the world


Pancreatic cancer is the seventh most common cause of death worldwide


Pancreatic cancer affects women and men alike


The more you age, the more you are at risk of developing pancreatic cancer. About 90% of people living with this type of cancer are over 55 years of age. The average age of patients is 72 years when the cancer is detected


People who are in the habit of ;smoking regularly for a long period are prone to pancreatic cancer. Studies claim that at least three out of ten such cases are caused by smoking and tobacco use.


Lack of physical activity and ;obesity are the most common factors that put you at risk of pancreatic cancer


Pancreatic cancer signs can be vague, depending on the site of occurrence of the tumour whether it is present in the tail, body, or head of the pancreas


Pancreatic cancer symptoms include yellowing of the eyes and skin (like in the case of jaundice), abdominal pain, fatigue, digestive problems, and unexplained weight loss.


Physical examination, as well as imaging tests like mri and ct scans, are used to diagnose the ailment


Among all types of cancer, pancreatic cancer has the lowest rate of survival only 3-6% of people diagnosed early survive for about five years


Studies show that keeping your body weight in check and abstaining from alcohol and smoking reduces one s risk of developing cancer of the pancreas


Usually, this type of cancer is diagnosed in the later stages with about 80% of the patients having a terminal illness with an average life expectancy of 4-6 months


Although the rate of survival for other forms of cancer may have improved over the years, the same cannot be said about pancreatic cancer



Pancreatic cancer is an aggressive and fatal form of cancer. It often spreads without revealing symptoms, which makes diagnosis difficult. However, if detected early, there are ways to treat the disease.

Treatment of pancreatic cancer mainly involves chemotherapy, radiotherapy, and surgery. Which line of treatment would suit your condition best, depends on your health, the prognosis of the disease, and your doctor s opinion.

Common Types Of Cancer You Don't Know!

MBBS
General Physician, Fatehabad
Common Types Of Cancer You Don't Know!
India is slowing making its way towards the top listed countries with the maximum number of cancer ;patients. It actually ranks third in the world after china and the usa. The statistics are alarming. While genes play a part in determining who will contract cancer and who won t, you can still reduce your chances of getting it, if you spot the signs early on and seek treatment right away. Read on to learn about the most common types of cancer in the country and some of their symptoms.

Breast cancer

The incident rate of this disease is 25.8 among 10, 000 women in india. And the mortality rate is around 12.7 in 10, 000.

The symptoms of breast cancer are-



A lump in the breast


Change in the shape of the breasts or nipples


Pain in the breasts


Retraction of the nipple


Discharge of blood from the nipples



If you notice any of these symptoms, consult a doctor who will recommend mammography. A woman who has reached her 40s should opt for regular mammography. And every woman should perform self-examination as soon as she turns 20.

Oral cancer

Of all the reported oral cancer incidents around the world, 86% of the cases are from india. The chief reason why so many cases of oral cancer arise in india is due to the inclination of indians for tobacco consumption. Alcohol too contributes to it. Detected in the early stages, oral cancer may not be fatal. ;Here are some signs you need to watch out for-



Ulcers in the mouth


Teeth falling out prematurely


Voice becoming harsh


Pain while ;swallowing saliva and food



Kicking the habit of smoking and excessive drinking is suggested. But if you cannot quit, make sure you regularly check your mouth for abnormalities.

Cervical cancer

The cervix is present at the lowermost part of the uterus. And cancer of this organ is shockingly common. Some of the symptoms of cervical cancer are-



Bleeding between periods


Unnatural discharge


Bleeding after sex


Pain the lower abdomen



Cervical cancer can be detected through a pap smear test.

Lung cancer

It is one of the leading causes of death in india. Both first hand and passive smoking can lead to it. Some of the symptoms are-



Breathlessness and hoarse voice


Pain in the chest


Blood while coughing



Try avoiding smoking at all costs. Wearing a pollution mask will help. Cancer can be lethal. But the right action at the right time can save you.
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Oesophageal Cancer - Signs And Symptoms

MBBS
General Physician, Fatehabad
Oesophageal Cancer - Signs And Symptoms
Oesophageal cancer ;refers to cancer of the oesophagus, the long tube that connects the throat to your stomach. Malignant tumours usually originate in the lining of the oesophagus. As cancer spreads, muscles and tissues present deep within the oesophagus are affected too.

Types of oesophageal cancer

Oesophageal cancer is of two types



Squamous cell carcinoma ;cancer develops in the thin, flat cells that form the oesophagus lining. Usually, this type of cancer originates in the middle or top of the oesophagus but may occur elsewhere too.


Adenocarcinoma cancer stems from the glandular cells of the oesophagus, which are primarily responsible for producing fluids mucus. This type of cancer is more common in the lower portion of the oesophagus.



A poorly controlled ;acid reflux and ;smoking are the most significant factors that put you at risk of developing the above forms of oesophageal cancer.

Signs of oesophagus cancer

During the initial stages of cancer, you probably will not encounter any symptoms. However, as cancer becomes more aggressive and starts spreading to other body parts, you will have to look out for the following symptoms



Unintentional weight loss


Loss of appetite


Persistent heartburn or indigestion  usually lasting three weeks or more


Discomfort or pain in the chest, back, or upper abdomen


Difficulty swallowing


Choking more often when eating


Hiccups and coughing, hoarseness


Fatigue and tiredness


Shortness of breath


Vomiting, sometimes with bouts of blood coming out


Food coming back up the oesophagus soon after having a meal



Many of the above symptoms are similar to those of other diseases and conditions. This is why you may not be able to identify the signs. Nevertheless, it is better to get yourself checked and consult a specialist as early as possible to avoid any complications.

Early diagnosis and treatment can help manage the symptoms of oesophageal cancer, and even cure the disease while there is still time. The sooner you identify the signs and undergo treatment, the better your chances of recovery.
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