Melasma Treatment Questions

Sunprotection by sunscreen
gel beneria at night over black spot
adequate green and leafy vegetable and fresh fruit
plenty of water intake
if problem persist consult with us.

Any medicated cream have some adverse effects if u use for long,, soon it will be better to not to use it

Yes, positive changes may reverse. You can apply aloe vera juice/gel from its leaf (fresh), not from ready made gels available in market. Remove skin of an aloe vera leaf. Take /scoop out gel. Apply this gel to your face skin. Wash with plain water after an hour. Stop using soap on face. Instead take a spoon of milk, add a pinch of turmeric (haldi). Mix n apply on face with the help of cotton. Leave for a few minutes then wash off. Apply moisturizer like coconut oil.
Use some sunblock with s...more

All such cream have same side effects.
The day you will stop using them the skin becomes more dark and damaged.
Avoid it.
Work for healthy skin instead of fair skin.

Diabetes and knee replacement: diabetes can increase the risk of complications during surgery, including knee replacement surgery. However, many people with well-controlled diabetes can undergo knee replacement surgery safely. It's essential for your mother to discuss her diabetes management with her healthcare provider and the orthopedic surgeon who will perform the knee replacement. They will assess her overall health and determine if she is a suitable candidate for surgery. Close monitoring o...more

Resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to ...more

Give her iron ,calcium and vitamin d, c supplements
do regular exercises and take healthy diet
drink much water
thnks.

Yes you have to do bowel preparation before both the investigation. Stay empty stomach for atleast 12 hours. A solution name peglac is use before these investigations to completely empty your bowel.

Gouty arthritis problem
since I am a physiotherapist I cannot suggest medicine but I suggest you to hotwater fermentations that would help you to get relieved from joint pains. I also suggest you to go for good ayurvedic body massage which would help you to get relieved from joint pain and also swimming activity is advisable. But food precautions, it is better to avoid tamarind in the food rather to add lime or mango.

Hyperkalemia can cause junctional rhythm and brady. Other causes are symptomatic rbbb, lbbb and/or bifascicular block.
In certain persons brady is normal and not a cause of concern.
Beta antagonists also lower heart rate. Hypothyroidism and congenital heart disease are other causes.
Cardiac evaluation, holter monitoring, serum electrolytes and drug history are required.

Neck pain
cervical spondylosis– chronic condition with radiating pain
this is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression.
You have to go for traction and also you can do ift. Please consult the near bytherapist for quick relief. Use collar wil...more

Kindly apply ice over the painful area and you can take x-ray to confirm whether there is a sign of fracture.

I need details of the case.in the meanwhile follow this 1. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc.
2. Don't overeat3. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of plain water first thing in the morning (preferably ...more

आपको तकलीफ ज्यादा है और आपकी बातों से पता चलता है कि आपको यह तकलीफ बहुत पहले से है मेरी सलाह यह है कि आप किसी अच्छे फिजियोथेरेपी क्लिनिक में अपना इलाज करवाएं। जरूरत पड़ने पर एक्स-रे, एम आर आई जाच करावे फिजियोथेरेपी से जरूरी फायदा होगा।