Name: Mood Swings vs Clinical Depression: Subtle Warning Signs to Look For -Dr Krithishree S S KMC Manipal @doctors-circle
Uploaded: 2026-09-22T08:17:00-05:00
Duration: 8 min 17 s
Description: Mood Swings vs Clinical Depression: Subtle Warning Signs to Look For -Dr Krithishree S S KMC Manipal

Mood Swings vs Clinical Depression: Subtle Warning Signs to Look For -Dr Krithishree S S KMC Manipal

Doctors Circle Worlds Largest Health Platform 2026-09-22 | Mood Swings vs Clinical Depression: Subtle Warning Signs to Look For -Dr Krithishree S S KMC Manipal

Is Hair Transplant Surgery 100% safe procedure?| FUE | FUT | DHI-Dr.Deepak P Devakar|Doctors Circle

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Dr. Deepak P Devakar | Phone 📞 : 09845688724, 08049563861 (Online & in-person appointment can be booked online or by call) | Consultant Dermatologist and Hair Transplant Surgeon | Dermasculpt Hair Transplant and Skin Clinic, Bengaluru, India | Registration No. 69725, Karnataka Medical Council, 2004
Safety during hair transplant surgery this is the most important point. Don't neglect this point only because you're getting some offer at a lesser price. Don't go for cost cost is not the main factor your health is very important. Please take care of your health if you are doing a hair transplantation you have to do it only once perfectly. You can't repeat it again and again just for 5,000 or 10,000 if somebody is giving a discount or giving you some free bees giving free PRP's that is not going to help in long term. So safety is more important results is important in such cases do it at the right place we suggest you do it from a qualified experienced doctor. In our clinic I've been doing transplant for more than 15 years now more than 2,500 surgeries I have done and every surgery from the first hair to the last hair I will be extracting myself and transplanting. That way we can assure you safety. We have a complete trained team who will be helping and cleaning and arranging the surgery. They will be helping you out. Any doubts is there you can contact us . There are three important points for safety of hair transplant surgery. First is the patient factor. Patient should have be in good health blood test will be be done their fitness will be taken and if they are in a condition to undergo surgery a physician fitness is required. Then we will proceed with the surgery. The second factor is the surgeon factor or the clinic staff factor who is doing surgery for you that is very important find out if they are qualified or experienced doctor. You will have to check their qualifications. Don't go just if they say doctor don't go by that name please check their qualification credentials and then proceed with the surgery there are lot of fake clinics and ghost clinics which are operating all over India and abroad also. We have these issues where patients are getting complications after doing hair transplant from such unqualified or untrained centers which are not genuine. So be careful and take care of your health. Go for the right doctor and experience trained doctor only then your health is important. We will take care any doubts is there you can contact us patient factor is there doctor factor is there and the final is the technique what is used hair transplantation technique is different and everybody have their own names given to their techniques. But basically there are only two techniques which are there one is a strip surgery which is a follicular unit transplant which is old and little outdated now and there is Follicular Unit Extraction FUE. FUE is going through more advanced changes now and it is giving better results. At our Clinic we have been practicing for more than 15 years now. In the last 10 years we have been using DHI technique which is more advanced than FUT. So the hair follicles are not wasted in this the survival of the grafts are better they are lesser outside the body. This do not require slit making which will take almost 1 to 2 hours of your time and the hairs are outside the body for a longer period of time in your FUT compared to a DHI technique. So DHI is international technique which have been following at our clinic. It gives wonderful results almost 97- 98% survival of the hairs we have seen in the surgery in most of the patients. So this is a very safe procedure we have done surgeries at our clinic in men and women even men who are more aged 55 - 60 - 65 years. Also we have done hair transplantation with this technique we are able to give better results lesser downtime and faster recover. This gives better long-term safety for such patients and the patient can resume their daily activities at an early stage. If you have checked all these factors then be relaxed be be assured that we'll have a safe result relax and sleep well and go for the surgery next day. Any doubts is there you can contact us we are always there to help you.

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Vitiligo on full body or one side?Segmental vs Non Segmental Vitiligo-Dr.Rasya Dixit|Doctors Circle

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Dr. Rasya Dixit | Phone 📞 : 099018 90588 (Online & in-person appointment can be booked online or by call) | Registration No: 63654 Karnataka Medical Council, 2002
Consultant Dermatologist & Cosmetologist | Dr. Dixit Cosmetic Dermatology Clinic, Bengaluru, India
We all know that Vitiligo is a skin disease which is characterized by white skin or white patches on the skin. But there are two types of vitiligo. One which we call as a segmental vitiligo and one which we call as a generalized vitiligo. In segmental vitiligo the vitiligo is limited to one area of the body, maybe the trunk or the arm or the leg and in generalized vitiligo. There is a bilaterally symmetrical distribution of the vitiligo patches meaning on both sides of the body these patches may be distributed the difference between segmental Vitiligo and generalized Vitiligo is that segmental Vitiligo usually does not spread very much beyond that segment where it is localized but the disadvantage is that it is poorly responsive to treatment and has to usually be treated with surgical methods or laser treatment whereas in generalized Vitiligo it could affect all parts of the body and it usually responds well to treatment. Now this differentiation of Vito is basically important for the dermatologist in order to understand what are the treatment modalities to be used . For the patient it is not so much of a differentiating factor they need to anyway follow the routines which are being prescribed by the dermatologist. 25th June is World Vitiligo Day and we are trying to create an awareness about vitiligo. The fact that it can be treated by a dermatologist with the use of medications as well as creams. And the most important thing that there is no stigma associated with vitiligo . So if you feel that you have a white patch which could be vitiligo. Please do get it checked by a dermatologist and get it treated.

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Rectum protruding out | How is a Rectal Prolapse Repair done? - Dr. Rajasekhar M R | Doctors Circle

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Dr. Rajasekhar M R | Phone 📞 +919448311802 (Online & in-person appointment can be booked online or by call) Consultant Colorectal Surgeon and Proctologist | Chirag Global Hospital, JP Nagar 2 Phase, Bangalore, India | Registration No: 47861 Karnataka Medical Council, 1997
How is rectal prolapse treatment done? So what is rectal prolapse? Let us understand. Rectum is the last part of large intestine. It's about a 15 cm long tube and below that will be anal canal which is about 3 to 4 cm long tube. Anal canal will be normally closed and rectum will be fixed to the what we call a sacrum or a bone behind it and motion passes through the rectum into the anal canal and comes out through the anal canal. When the sphincters open sometimes this rectum becomes lacks and the attachments to the sacrum and other ligament will become loose. That whole rectum itself will start projecting outside through the anal canal . So then that is called rectal prolapse. In that there are different stages. Minimal prolapse will be there and there may be very big prolapse. So sometimes we see whole rectum and sigmoid colon itself will be coming out pushing it back and managing for years. I have seen a patient managing over 60 years from childhood pushing it back whenever it comes out. So now what is the treatment so treat treatment of prolapse is only surgical because it is a surgical issue it is mechanical issue it has to be corrected mechanically so if it is very mild prolapse a small procedures are there called deror procedure while we remove a part of the lining membrane and fix it back again into the rectum. So if it is not a major prolapse we can even fix. There is something called more procedure where we fix it to the sacrum through the anal canal. A stitch goes through and through the rectum and through the fascia covering the sacrum and fix it that is one more procedure developed by Indian surgeons. And then regular surgeries is through laparoscopy or laprotomy by opening the abdomen or through laparoscopy. They pull the rectum which has come out and then put a mesh between the rectum and the sacrum and fix it to the sacrum so that it will not come out. That is called rectopexy. One more procedure what we normally do is if it is too big a prolapse from outside only will resect out completely remove whatever is prolapsing and again anastomoses are join that to the anal canal at the same time. If there are any defects in the sphicnter muscles there are something called levators which are stretched all that can be repaired at the same time. So there are different approaches. We normally do from below. We don't open the abdomen and do the procedures for rectal prolapse.

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Pre-Marital Medical Counseling & importance - Dr.Rupam Arora of Cloudnine Hospitals |Doctors Circle

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Cloudnine Hospitals, Patparganj, New Delhi
In premarital counseling we counsel the couple regarding the investigation which are very important just like basic investigation, CBC, blood grouping typing, then test for diabetes then test for infectious diseases like HIV, hepatitis, HCV and VRDL for Syphillis . In CBC we just see for anemia if hemoglobin is less then we can take precautions to improve the hemoglobin before that. Because nowadays this program is going on Anaemia Mukt Bharat. So everybody should have hemoglobin of 12 after the age of 12. Then we can discuss about the other medical and genetic diseases also. Anaemia and thalassemia is a very important issue nowadays. We want no thalassemic baby should be born. So we match the anaemia status of the couple and just we see for the rubella status also. If patient is not immunized in childhood then we can give injection rubella to the female partner. And nowadays we say blood grouping is also very important. If they are not blood group compatible, then we have to see nowadays we say we should match the thalassemia and blood group status of the patient there is no official rule regarding the premarital counseling it can be any time whenever couple is prepared and when they are going to tie the knot. And it has been seen in a studies that 30% of the couple who have undergone this premarital counseling their marriages are more successful and they are leading a healthy sexual life.

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Reverse Ageing with Alternative Ayurveda | Antiageing Tips-Dr.G G Gangadharan|Doctors Circle#shorts

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Can Laparoscopic Surgery help to get Pregnant Fast?| IVF Treatment-Dr.Shipra Singla| Doctors Circle

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Cloudnine Hospitals, Patparganj, New Delhi
Laparoscopy or minimal invasive surgery. So laparoscope is a very tiny instrument with 10 mm diameter and it has attached light and camera. With the help of laparoscope we can actually see inside of abdomen we can also see the pelvic organs. So we make a small incision near the umbilicus 1 cm and through this small incision we introduce laparoscope inside the abdominal cavity and we can clearly visualize the pelvic organs like uterus ovaries and tubes so in the same sitting we can also do the fertility enhancing surgeries. For pregnancy to happen tubes and ovary relationship really matters because once ovulation happens to they capture the ovum into fimbria and then into the ampula and where sperm travels from cervix to the tubes and where the fertilization happens and tube should be healthy for this fertilization to happen and after staying in tube for 2 to 3 days and implants in the uterus. So for pregnancy to happen tubes should be healthy ovaries should be healthy and uterine environment should also be healthy. Through laparoscopy we can actually study this tubo ovarian relationship. If there are any adhesions peritubal adhesions in the same sitting we can do the adhesions and we can releasee the fimbria so that when ovulation happens they can pick up the oven to the tube. If there are any cyst in the ovaries if there is any big large simple cyst more than 5 cm or in mild endometrosis. When there could be chocolate cyst in the ovaries in the same sitting we can do the ovarian cystectomy. Now enough enough evidence says in the mild endometriosis laproscopy really helps and such patients after laproscopy they can even conceive naturally. So after these fertility enhancing surgeries 6 months are best after post surgery to conceive naturally or with minimal treatment like ovulation induction or IUI.

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How to get Rid of Pigmentation on Face with Pico Laser Treatment?-Dr. Aruna Prasad | Doctors Circle

Can Less Eggs, Low AMH lead to IVF Failure?-Dr.Gurpreet Batra at Cloudnine Hospitals|Doctors Circle

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Why do People Get Joint Pains? 3 Tips to Maintain Joint Health -Dr. Surekha Tiwari | Doctors Circle

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Dr. Surekha Tiwari |Phone 📞 : 088843 68700 (Online & in-person appointment can be booked online or by call) | Registration No: A7494 Karnataka Board of Homeopathic System of Medicine, 2001 | Homeopathic Consultant & Psychological Counsellor | Homeopathic Clinic AECS Layout, Bangalore, India
Joint pains is a very broad term it's very broad term we've got joints all over the world. Ioints are those spaces where two bones are two different areas are coming from together and they will have flexibility. So when you say flexibility then there is a whole lot of phenomena which is occurring in a particular joint there are those tendons which are inserting into the bone and maintaining the flexibility. There are the bones which are separated by cartilages and there is a fluid which keeps the fluidity of the movement. Any of this getting impacted is going to give you a joint your joint may be perfectly okay but the muscles which are feeding into the joint if they are stiff you will still have a joint pain. If you do not have enough activity and you keep on sitting for too long and after that when you start walking you have pain it's basically because the blood circulation through the joint it's taking a little while for it to regain majority of the cases of joint pain will come and tell us that when they get up from a seat after sitting for an hour or maybe more they have a lot of pain and the pain eases after maybe a few steps or a few minutes. All this is happening because the blood circulation through your joint is not happening. The joint pains can be of variety. There can be so many reasons to joint pains. So this is the first thing activity. If your activity levels are not good if you're not walking around enough and you're not you know kind of exercising your joints that's the first thing you do now. There are people who've got problems of the joints after injuries when you fall down the integrity of the muscle and the bone gets spoiled done again that it may not regain but those things are improvable by physiotherapy continuously moving passive and active physiotherapy gets the movement back for the joint. Third is age related arthritis when we have osteoarthritis. In osteoarthritis we generally find that because the muscles become flacid the activity levels become down because the stamina isn't great. That is when the bones start rubbing against each other then there are so many other arthritis which you would have all heard about but things like rheumatoid arthritis. Rheumatoid arthritis typically is a polyarthritis number of joints can get impacted especially the small joints in that case the finger joints can get impacted it's also a migrating polyarthritis sometimes here sometimes there but in all cases of arthritis believe me there are three things you can really do for yourself first definite exercise. Make sure that you exercise each and every joint individually. You know there very nice quote which says wherever attention goes energy flows so you will be able to energize your joints. So that's the first thing the second thing joints love heat you must make sure that you're able to give them blood circulation you get hurt you rub yourself you feel better. It's basically because you've called for blood circulation so a little bit of massage a little bit of tender loving care given to your joints will also give you a lot of relief. And the third thing is weight control because especially the knee the ankle and the back these are weight bearing joints. If your weight is more they tend to get worn off more easily and they will have more trouble. Let's not say about a dramatic weight loss but definitely an Optimum weight 5 kgs up and down does not matter but with adequate activity.If you can do that your joints will stay with you forever.

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How do Birth Control Pills cause Acne Breakouts? | Hormonal Acne - Dr. Rasya Dixit | Doctors Circle

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Dr. Rasya Dixit | Phone 📞 : 099018 90588 (Online & in-person appointment can be booked online or by call) | Registration No: 63654 Karnataka Medical Council, 2002
Consultant Dermatologist & Cosmetologist | Dr. Dixit Cosmetic Dermatology Clinic, Bengaluru, India
A lot of us know that hormonal changes can cause acne. But did you also know that taking a hormonal pill could also trigger acne? Yes you heard it right oral contraceptive pills though they are used to treat acne especially hormonal acne when you start them and when you stop them they cause a little bit of acne formation and this is because of the hormones that they contain and we are almost always mistaking we do not know that everything which is a birth control pill sometimes they might be taking some pill and call it a birth control pill but pill contains a lot of hormones very high dose which will trigger acne for 2 to 3 months after it is one dose of pill has been taken. So what should you do? How can you avoid this hormone pill induced acne number one don't take a oral contraceptive pill without the guidance of a dermatologist or a gynecologist or an endocrinologist. Use good cleanser salicylic acid based cleanser good salicylic acid based serums to control the acne so that the skin stays healthy and acne free. If you still have acne after all these suggestions have been followed it is time to see your dermatologist. As we all know June is Acne Awareness Month and it is very important not only to be skin aware and acne aware you should know what is the cause of the acne mostly we are thinking is it only the diet is it only the hormones is it the genetics or the skin type is it the lifestyle the stress but we should understand that the dermatologist knows what is the cause of the acne and once youve get to the root of the problem. You can address most of your acne issues. So stay healthy have a great skin and always consult your dermatologist for the best skincare routine.

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Genetic Test During Pregnancy Week by Week - Dr.Saroja Mood at Cloudnine Hospitals | Doctors Circle

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Cloudnine Hospitals, Banjara Hills, Hyderabad
So we have first trimester screening test which is offered between the 11 to 13 weeks. Along with the NT scan we offer double marker blood test which is done between 11 to 13 weeks of gestational age and we have a quadruple marker blood test which which is done between 16 to 20 weeks for gestational age and another one is non-invasive prenatal testing which is done from 10 weeks onwards. Along with this we have a invasive screening test like CVS which is done between 11 to 13 weeks of gestational age and amniocentesis which is offered from 17 weeks onwards.

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The Right Way to Use Castor Oil for Hair Growth - Myths & Facts - Aruna Prasad | Doctors Circle

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Benefits of Laser Vaginal Tightening | How to tighten lax vagina?-Dr.Sangeetha M J | Doctors Circle

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Dr. Sangeetha M J | Phone 📞: 9945639969/6364223969 (Online & in-person appointment can be booked online or by call) | Registration No.59435 Karnataka Medical Council, 2001|Consultant Fertility Specialist, Gynaecologist & Laparoscopic Surgeon | Coral Advanced Fertility and Women’s Care, New BEL Road, Bengaluru, India
With age or with child birth the vagina of the women becomes lax or torn. So that she'll have to experience different problems related to this for example there will be no satisfaction because of lax vagina . There'll be a big tear or there will be loss of support she might end up having a light prolapse of the structures including stress urinary incompetence sometimes the platus can be felt through the vagina. Because it is so wide and there will be a disharmony in the relationship between the couple. So majority of the times they will not come to a consultant so vaginal tightening for milder cases now they don't have to worry they don't have to undergo a surgery. There is something called laser vaginal tightening they might be working they will be having their time constraints it is very simple it is a 5 minutes procedure, no hospitalization required, no anesthesia required and no complications because the laser we have is a nonablative laser laser that means it doesn't harm the surrounding or underlying structures. So without any tension the women who want to undergo vaginal tightening procedures they can just opt for laser vaginal tightening and the results they can feel within 15 days or 1 month that means after one or two sessions. Yes it requires multiple sessions at an interval of 15 days or 1 month or up to 4 to 6 sessions like that and sometimes they might require a repeat procedure after 1 or 2 years or every 1 or 2 years so it is nothing but vaginal rejuvination that is laser vaginal rejuvination this laser acts on the collagen in the vaginal tissue and it constricts the collagen fibers and so the diameter of the vagina decreases and also it increases the health of the vaginal tissue so that more and more blood circulation happens more and more new collagen fibers develop and less and less harmful or pathogenic bacteria will be formed . So good bacteria good vascularity good collagen and constriction of the collagen all this help in maintaining and restoring the vaginal mucosa and the vaginal laxity can be treated just with laser. So any anyone who has this problem during intercourse or due to any other reason if they are facing this problem of lax vagina or sometimes repeated infection repeated inflammation of the vagina like they'll be having white discharge in spite of taking all the investigations all the antibiotics all the probiotics they might sometimes respond to laser therapy that means it is also effective in cases of repeat infection leading to inflammatory discharge of the vagina . So it is beneficial in three four ways so it restores the vaginal health. It helps vaginal laxity. So laser vaginal tightening can be a bon in these patients who are having lax vagina repeated wide discharge stress urinary incontinence and sometimes even mild prolapse can be treated with this and laser is also beneficial if they have small growths like wats and other growths can be treated with laser.

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EYE DISEASE in Premature Baby-ROP-Dr.Vardhelli Venkateshwarlu at Cloudnine Hospitals|Doctors Circle

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Similar to all the organs the premature babies have immature eye development which reflects in the retina where the blood vessels are not completely developed before 37 weeks of gestation. As most of the baby require oxygen therapy or breathing support or ventilation and some babies can have blood pressure circulations less growth after the birth, there can be a chance of Retinopathy Of Prematurity . Retinopathy Of Prematurity is a delay in development of the blood vessels on the retina. Every premature baby can be prone for this Retinopathy of Prematurity. Usually all the babies who are born preterm may be prone for Retinopathy Of Prematurity. The babies who are born less than 34 weeks of gestation or less than 2 kg should be subjected for Retinopathy Of Prematurity screening by an opthalmologist within 30 days of life and also the babies who are born between 34 to 37 weeks of gestation received ventilated blood transfusions or having a severe infection or blood pressure disturbances and if a pediatrician feels that this baby should be screened for of prematurity should be referred for ROP screening.

Retinopathy of prematurity ophthalmology | Retinopathy of prematurity Treatment |
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5 Reasons Why You Might be Losing Hair | Can Stress cause Hairfall ?- Dr.Vani Yepuri|Doctors Circle

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Dr. Vani Yepuri | Phone 📞: 8767200300 (Online & in-person appointment can be booked online or by call) | Registration No.93598 Karnataka Medical Council, 2011|Consultant Dermatologist | Nano Hospitals, Uttarahalli, Bengaluru, India
Hair loss is a common occurrence in various people occurring at some point of their lives. It can be due to one or one of the following causes which includes severe stress, nutritional changes which leads to Extreme Weight Loss, nutritional deficiencies and some of the illness like thyroid disorders, anaemia and hormonal changes related to either puberty, pregnancy and menopause. The amount of stress a person face is responsible for causing hair loss every day on day-to-day basis every person faces some amount of stress which is considered visible and that as such it doesn't cause hair loss. But in cases where there is extreme stress as in some severe trauma like divorce or extreme illness, long-term illness long surgeries. All these things can cause extreme stress which can lead to hairfall. Why stress leads to hairfall is the body is subjected to shock all of a sudden which leads to change in the physiological balance in the body. This physiological imbalance can change many systems of the body including the natural hair cycle. And thus the natural hair cycle is affected leading to the conversion of the growing or the anagen hairs into a resting phase and then it gives an appearance that the number of hairs or the number of the resting hairs will fall down. The act of shampooing only loens the hairs which are about to fall and does it gives an appearance that the hair fall is increased. As such this is a myth that shampooing leads to excess hair fall. On the other hand any of the hair styish procedures can weaken the hair shaft can damage the hair shaft and cause breakage of the hair shaft. So these are the things which can lead to hair damage.

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4 Best Yoga🧘‍♂️Poses|4 Simple steps to beauty and health| International Yoga🧘🏽‍♂️Day|Doctors Circle

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HPV Vaccination: Types of Vaccine, Dosage, Age group, Benefits - Dr. Soumyashree |Doctors Circle

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Dr. Soumyashree | Phone 📞: 8767200300 (Online & in-person appointment can be booked online or by call) | Registration No. 98703-Karnataka Medical Council, 2018| Consultant Pediatrician | Nano Hospitals, Uttarahalli, Bengaluru, India
Human papiloma virus has about 100 genotypes. Most of the Indian women cervical cancer is caused by genotypes 16 and 18. These are the most common cause of other cancers like anal cancers, vulval cancers vaginal cancers. HPV 6 and 11 are known to cause genital vs HPV vaccines. There are three types of vaccine balent vaccine quadrivalent vaccine and nonavalent vaccine these are known to prevent this carcinoma with 99% efficacy. Bivalent vaccine gives protection against HPV 16 and 18 quadrivalent vaccine gives protection against genotype 6 11 16 and 18. The newly introduced nonavalent vaccine that is it gives protection against nine genotypes of the HPV which are both oncogenic and non-oncogenic previously these vaccines were advised only for girls age between 9 to 14 years and catch up after 14 to 45 years but now it is advised even for men or the boys age through 9 to 45 years because they're known to prevent penile carcinomas enal carcinomas as well as oro fecal carcinomas. So what is the dosage and schedule? It is given 5 ml IM . The first dose is given through 9 to 14 years and it is repeated after 6 months. If you are taking the vaccines after 14 years then you'll have have to take three doses 0 2 and six is the schedule that is first dose at zero months and second dose after 2 months and the third dose after 6 months the vaccines are safe with minor side effects like fever and local pain which is more with the nonavalent vaccine than quadrivalent vaccine. So it can also be given with the other vaccines at the age of 10 years like T Dac and menocal vaccine. So please get your shots today.

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How do Wrinkles form? Best Anti-Ageing with Anti-wrinkle Injections -Dr.Amee Daxini |Doctors Circle

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Dr. Amee Daxini | Phone 📞 099013 54408 (Online & in-person appointment can be booked online or by call) | Registration No. 89509 Maharashtra Medical Council, 2003
Consultant Dermatologist & Cosmetologist | Think Skin Clinic, Sarjapur Road, Bangalore, India
So let's understand the process of aging . Bfore we try and understand why do we get wrinkles. So aging is a complex interrelated 3D process which affects multiple organs starting from the bone the muscle . Te fat as well as the skin now what happens to the bone. Let's begin with the bones bones because of ageing. Start getting resorbed or they start getting absorbed into the system. For example if our eye sockets are here the sockets start enlarging because the bone gets resolved that causes the eye to sunk in the eyes look smaller and that's when you start developing the under eye lines and wrinkles also if you look at the chin the chin starts start resorbing or going backwards and become shorter. So the skin starts hanging and that's when you notice sagging of skins and lines over here then after the bone comes the muscle now repeated activity of the muscles over the years changes the muscles tone that's when you start developing dynamic wrinkles. Dynamic wrinkles are wrinkles when you express on your face. Dynamic wrinkles develop when you actually start using these muscles so when you start frowning is when you see the frown muscles when you smile you start getting the crows feet this is because of the muscle activity over the years and with aging the skin over the muscle also changes then the skin starts dipping into the fold causing a static wrinkle or a static line further comes the fat now fat also starts getting resorbed and fat starts moving downwards because of gravity so you notice sagging you notice jowls and many of times there is hollowness over here because the fat volume starts reducing and last is our skin especially in the second layer of the skin which is called the dermis. It contains three very important ingredients collagen elastin and hyaluronic acid. All these three form of structure gives support as well as bounds to our skin now once they start getting deteriorated because of age because of sun exposure collagen lasting production reduces that's when the skin becomes thinner and starts sagging. That's when you notice more lines and wrinkles developing on your face so this is how a wrinkle is generated into our skin aging right from the bone to the skin now how do we treat these wrinkles there are multiple ways that we can do right from applications to surgical procedures but somewhere in between come the injectables which are which are now getting very popular. There are two ways we inject one the injectables that target the muscle. So when the muscle movement is more you notice that the skin dips in the area where the muscle moves so we stop the movement of the muscle that's why we use something called the botolinum toxin. This is derived from a bacterium it is a protein so when this is injected into the muscle the activity of the muscle starts reducing so even when you express the muscle doesn't move the skin on top doesn't change that is how you can prevent as well as reduce the wrinkle appearance. The second form of injection is where you fill in the fat or the collagen which has depleted due to age we fill that up like we fill cotton in a pillow. So when you fill that up the skin gets lifted as well as the volume comes back to the face now these are called dermal fillers there can be multiple variety of these dermal fillers the commonest that we all use in India is either hyaluronic acid or fat injections there are others that are available too which promote collagen production. Now when we inject a filler we injected bases where we need it so deeper fillers are injected onto the bone superficial fillers are injected in and around the skin. Generally if it is a good brand starts with almost 15,000 and depending on the number of injections that you do it can go all the way up to a lack. But remember all these treatments are temporary. Botulinum toxin last for about 6 months and the fillers generally last for a year to a year and a half. So you need to repeat these procedures accordingly and your skin does not get affected and there are no other side effects if injected by the right person. So I recommend that if at all you're considering any of these injectables go to a well-trained expert either a plastic surgeon or a dermatologist to undergo these treatments.

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Childbirth Epidural Anaesthesia - Does it affect the Baby & Mother?-Dr.Lavanya Gadi |Doctors Circle

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Epidural as such the local anesthetic drugs do not cross the placenta. If they cross the placenta also they cross in very minute quantities and more so these drugs do not cause any long-term side effects on the baby. In case there is a sudden maternal hypotension or sudden low blood pressure occurring in the mother this can result in the low blood pressure and heart rate changes of the fetus . Other than that the epidural does not have any side effects onto the baby.

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Best Food Habits to Stop Excessive Gas & Abdominal Bloating-Dr.Rajasekhar M R | Doctors Circle

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Pain Relief with Needle Therapy|Alternative Ayurveda Viddha Karma-Dr.Payal Khandelwal|DoctorsCircle

How to calm a Crying Baby even after after being fed and changed? - Dr.Kumari Gunjan|Doctors Circle

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There are multiple things which can bother your child and your baby has just one expression in the first few weeks of life. They will just cry to communicate with you so if you have already changed the diaper and you have already fed the child. There are other things which needs to be looked out first of all this temperature can be bothering if you feel that it's too cold or too hot both can be bothering to your baby. So if you feel that your baby is sweating a lot or there's some heat rash over the forehead you just need to decrease the layer and if you find out that the extremities by that I me palms and all the body is cold and they dusky in color that means your baby's in cold stress you need to basically increase the layer maybe add caps and mittens to the baby. Then your baby may feel cozy and will calm down. Then there can be some cloth accessory which is basically bothering your baby. So just check it out if there is some pen or some hard difficult thing which is basically pinging on your baby's skin whenever your baby's crying a lot it's always a good idea that you just expose your baby and see if there is any diaper rash or maybe some other rash and if there is there and it is quite bad you need to visit your doctor. After sorting out all these things if you feel that your baby is crying a lot and this cry is like high pitch character it is associated with clenching of fist curling of legs towards the tummy this can be a call cry and then again if the crying is like very severe you should go and meet your doctor and most of the time you will find out while you are basically traveling with your baby in the car your baby just become quiet. This is a very common finding because. This comes to my next part how do you calm your baby. So first of all is that we can distract our child while your baby is crying a lot you can move about you can go to the terrace or maybe you can go to some garden and maybe you can give a drive. If this is not helping you can especially if your baby is on bottle feeds you can dry pacifier. This can help sometime because most of the time baby just don't want feed they just want a proximity and sucking swallowing movement because this releases an hormone called endorphin so when they sucking onto the pacifier this endorphin hormone is released but they are not getting that extra milk which is going to aggravate the issues. And last but not the least again there is a concept called white noise. You can create your own white noise to distract your child maybe an exhaust fan can help maybe operating washing machine can help there. You can just go and stand for maybe 2 to 3 minutes with your baby you will find that your baby's calming down with this white noise.

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Best Ways to Slow Down Arthritis | 3 Tips to Prevent Arthritis - Dr. K N Prajwal | Doctors Circle

How to Reduce Yeast Infection in private area during Pregnancy?-Dr.Schumailla Bassi |Doctors Circle

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Microcurrent Facial Therapy for Wrinkles| Is it better than Botox?-Dr.Rajdeep Mysore|Doctors Circle

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Dr. Rajdeep Mysore | Phone 📞 + 919110865951 (Online & in-person appointment can be booked online or by call) | Registration No: 88219 Karnataka Medical Council, 2010
Consultant Dermatologist & Dermatosurgeon | Charma Chirag Hospital, Bangalore, India
Microcurrent therapy is a type of treatment where very small doses of current are used to stimulate the skin or the tissues under the skin. So this is used in various different fields of medicine and also used in physiotherapy. It's used in exercise athletes to promote muscle growth to reduce fat loss etc. In dermatology in skin microcurrent therapy is used to tighten the muscles. So you might have heard of botox or botulinum toxin which is used to reduce wrinkles and relax the muscles especially on the face. Microcurrent therapy can be an alternate to botox or botulinum toxin. It's a non-invasive treatment. The effects however are temporary they last only for a few weeks but they can be repeated over and over again. They have no significant side effects because the current used is very low and it has a mild stimulation on the muscles and thus during the therapy it tightens the skin and reduces the effect of wrinkles. However it requires to be done repeatedly at least once in 2 to 4 weeks to maintain goodlooking tight skin. This microcurrent therapy in dermatology clinic is often combined with other skin tightening modalities like bipolar or tripolar RF skin tightening and might be combined with other procedures like threads, fillers etc. To know more about this discuss with a dermatologist near you.

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Bleeding after Menopause - Is it Abnormal?- Dr.Anjali Taneja at Cloudnine Hospitals| Doctors Circle

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Any bleeding from the womb that happens 6 months after cation of your menses is not considered as normal and is called as postmenopausal bleed. So any case of postmenopausal bleed needs evaluation. It can range from mild spotting to even heavy bleeding but irrespective of the amount of bleeding it has to be seen by your doctor causes. In majority of the cases in 90% will be benign or non-cancerous which can be simply vaginitis because your hormones have decrease now citis or local infections or use of any hormone replacement therapy. But at times in 10% of the cases it can be a sign of underlying malignancy or cancer also so this is not a complete plan which should be ignored and all post menopausal bleeding should be evaluated. So once you go to your doctor doctor will check you locally from down below to see for any local cause like any poet or any growths any infections and the doctor may take your papsmear which is a cervical cancer screening test and advise you an ultrasound and maybe few hormones. So ultrasound is basically done to check the lining of the worm to see the thickness of the lining of the worm so after we have checked this under endal biopsy is advised to see why this bleeding happened. So endometrial biopsy can now be done in OPD or it can be done after admission under hysteroscopic guidance so the first one is called as office biopsy office biopsy is done in OPD without any anesthesia it is a accepted first line procedure or it can be done under hysteroscopy guided after admission with anesthesia also so once we have the biopsy as we said 90% of the time it is going to be a non-cancerous cause for which your doctor may advise you some medicines and keep you on followup however in the remaining 10% in which the cause is precancerous or cancerous or even if the cause was non-cancerous but you continue to bleed repeatedly. You may be advised surgical removal of your womb. Now the surgical removal again can be done by open surgery or laparoscopic surgery.

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How to Treat Leg Discolouration due to Stasis Dermatitis or Eczema?-Dr.Aruna Prasad|Doctors Circle

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Dr. Aruna Prasad | Phone 📞: 080 4098 8156 (Online & in-person appointment can be booked online or by call)| Registration No: 34796 Karnataka Medical Council, 1992
Consultant Dermatologist & Cosmetologist | Pranav Skin and Cosmetology Clinic, Kalyan Nagar, Bengaluru, India
Stasis eczema also like a person who has a varicose veins, the stasis eczema or stasis dermatitis both are same commonly seen in people with varicose veins or any damage to these vasculature to the lower limbs commonly seen in the lower limbs. Now when there is varicose veins or the vessel wall is weakened the pumping action of the blood back to the heart is reduced. So there's a backflow of the blood and this when it back flows the little seepage of the blood particles comes and lies from the vasculature they come and lie under the skin giving it a pigmented appearance, itchy, dry, scaly, and if it gets infected it becomes erythemaous is and swollen and painful also. So the treatment to this is treat the underlying that is the vascular deformities varicose veins or anything like that has to be addressed first. Once the underlying picture is addressed then obviously the topical creams and applications moisturizers mild steroid creams and antihistamine tablets all these will help. If the surgery is not warranted and it's not so bad vascular malformation then probably simple stockings if they wear in the daytime at night apply the creams will definitely reduce the stasis eczema. Itching has to be treated symptomatically. Can tell them to elevate their foot and elevation even when they're sitting, sleeping anytime. Footend elevation to a great extent also helps them.

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9 Major Effects on Babies born with Diabetes-Dr.Nitin Gupta at Cloudnine Hospitals |Doctors Circle

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Can Untreated Cataracts cause Blindness? | Hypermature Cataract-Dr.Sriram Ramalingam|Doctors Circle

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Dr. Sriram Ramalingam | Phone 📞 +91 80 2343 1020 (Online & in-person appointment can be booked online or by call) | Registration No: 56047 Karnataka Medical Council, 2000
Consultant Ophthalmologist | Pradnya Nethralaya Sultanpalya, Bengaluru, India
Cataract, what is cataract? In the eye there is a natural lens which we call as human lens. The lens is made of proteins this lens helps in focusing the ray of light from the outside source onto the retina. The retina then converts the rays of light into electrical signals and this electrical signals are transmitted by the optic nerve to the brain. So the eye is basically a receiving station the brain is the main processor and we see through the eye . When the human lens becomes opaque we call this condition as cataract cataract is the most common cause of reversible blindness. Cataract occurs because of aging process just like the hair on our head turns gray as we start getting old so does the lens inside the eye which is made up of proteins also turns gray. This is a gradual process so it passes through various stages. You may have what is called as a nuclear cataract where the center part of the lens gets affected or it is called as a cortical cataract where the peripheral part of the lens gets affected by cataract. When the cataract is not treated it passes through various stages we call this nuclear catarct can be graded according to the density or hardness as grade 1 2 3 4 which depends upon the color and the hardness of the nucleus. Cortical cataract also passes through various stages. Initially it must be a minimal cortical cataract as the cortical cataract progresses it may lead to a condition what is called as a mature cataract. If this mature cataract is not operated it can lead to what is called as a hypermature cra what happens in hyper mature cataract is the cortex starts becoming liquefied and the nucleus that is present in the center start shrinking if here again the Cataract is not operated liquefied cataractstarts leaking out of the cataract lens and this leads to a condition what is called as glaucoma or what is called as lens induced glaucoma. So hypermature cataract is an complication of not having undergone cataract surgery which leads to complications which can lead to what is called lens induced glaucoma. Lens induced glaucoma causes severe pain redness watering and as the pressure remains high. It can damage the optic nerve which carries the impulses to the brain and even it can lead to irreversible damage or loss of vision to the eye. So cataract as I told you first is the most common cause of reversible blindness. If this cataract leads to hypermature cataract it can lead to irreversible blindness. So one should not allow the Cataract to the reach a stage of hypermaturity and go to this complications. The decrease in vision is the important symptom of any cataract. So if there's a decrease in vision kindly get your eye examined by an ophthalmologist.

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What causes High Blood Pressure in Pregnancy & its Complications-Dr. Sushma Dikhit | Doctors Circle

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Cloudnine Hospitals, Patparganj, New Delhi
There are various factors which can increase the chances of hypertension in pregnancy like the extremes of reproductive ages like in teenage pregnancy or in mothers who are early pregnant. Similarly if obese patient they have more chances of hypertension in pregnancy. The patients who is already hypertensive or who has a kidney disease have high chances of high blood pressure in pregnancy. Similarly diabetic patients have high chance of high blood pressure in pregnancy. So these are few risk factors if patient had hypertension in previous pregnancy then they also have high chances of high blood pressure in this pregnancy. Similarly if patient has family history of hypertension or pregnancy induced hypertension in mother or sisters then she will also have higher chances of pregnancy induced hypertension. So these are the few risk factors for the PIH. This high blood pressure in pregnancy is again a problematic condition and we are always afraid of that's why in every antenal visit we do checkup for blood pressure in pregnant girls. This high blood pressure affects the health of mother and baby both. In baby the moment the blood pressure rises in the mother the blood supply to the baby decreases that's why the growth of the baby is impaired and fluid around the baby also decreases and when the blood supply of the baby is decreases too much the heartbeat of the baby also becomes abnormal and we have to do preum delivery to save the life of the baby. So chances of pre-term delivery also increases. If the observation ation or the treatment was not done properly sometimes it causes the death of the baby inside the uterus. This high blood pressure if not controlled properly it can cause separation of placenta, heavy bleeding during pregnancy which is very harmful to the baby. For mother this high blood pressure can affect any organ of the mother which includes brain, it causes convulsions, brain edema, brain hemorrhage, it affects heart, it affects liver and it can damage kidney also. So as a whole body is affected by this high blood pressure of the mother during pregnancy.

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Who needs an Endoscopy? What to expect during ENDOSCOPY?- Dr. Anantha Krishna | Doctors Circle

Blue Baby & High Lung Pressure-TAPVC❤Heart Surgery in Babies-Dr. Durgaprasad Reddy|Doctors Circle

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How to wash hair after Hair Transplant?Post Op Care - Day 3 - Dr. Deepak P Devakar | Doctors Circle

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Dr. Deepak P Devakar | Phone 📞 : 09845688724, 08049563861 (Online & in-person appointment can be booked online or by call) | Consultant Dermatologist and Hair Transplant Surgeon | Dermasculpt Hair Transplant and Skin Clinic, Bengaluru, India | Registration No. 69725, Karnataka Medical Council, 2004
So today is your third day after hair transplantation the third posttop day. So what are you supposed to do today? You have to keep spraying a normal saline spray which we have provided to you every 1 hour till you sleep. You can avoid doing spray at night only during the day you have to do it every 1 hour you should not touch the recipient area today the donor area from the back of scalp or the beard area or the body if it is done then this has to be cleaned with the mild shampoo watch we have baby shampoo you can use to clean the area. Tap and dry the area and leave it open apply an antibiotic ointment on the donor area. The recipient area should not be touched continue with all the medications what we have given antibiotics painkillers and ointments tablets anti-d what we have given continue everything the recipient area will have brown crust which is visible this will be visible like this for the next 2 weeks. If you have to go out you can start going out from today. But don't stand out in sunlight for hours together just go out sit in a cab and travel. Long distance travel is fine no need to be concerned you can wear a loose fitting cap like a baseball cap should not be hugging very tight. Skull cap should not be used you can't wear a helmet for almost a month. You can't do any exercise intense workouts or pumping exercises blood should not happen. So don't do any vigorous exercise or walking also. Casual walking can be started in the evening or early mornings where peak our sunlight should not be exposed you can't stand out in sunlight for hours together it should be only for few minutes if you want to travel. Otherwise if you have opportunity of working from home you can continue working from home. You should not sleep on your face down at night as it may cause more swelling. There's a possibility on the third or fourth day you can start seeing swelling on the forehead which can trickle down around your eyes and there may be some swelling in some patients we have very minimal swelling which will reduce with the medication already we have provided in some patients the swelling can be more based on their health condition . But it is nothing to be worried about this is just a fluid collection and plasma collection which is happening under the skin and it will not cause you any side effect even if the swelling is there around your eyes it will not cause any issues with the eyes there is no blindness or eye problem will not happen. So nothing to be worried about the swelling will go by itself you can apply some aloe vera gel and gently massage from the center to the outright direction. If your swelling is more you just sleep on your back and just let the fluid drain for half an hour 1 hour if you do that in between two to three times a day the swelling will come down by itself if required we will suggest you some medications also if the swelling is more. So sleeping position is also important on this day. For the next few days don't sleep on the sides if you have done transplant land on the temporal area or the side burns you can sleep on your back if the frontal area is done you can sleep on the sides if only the frontal area is done the vertex is done where the crown area transplant is done then sleep on your sides you cannot sleep on your back because this hairs which is transplanted which may touch the pillow and the hair follicles may come out and hair will not grow in the area. So for the next 10 to 15 days you have to avoid sleeping on your back if you have done on vertex area and on the sides if you have done on the temporal area. So the position is can be fixed if you are using long bolster like pillows on the sides if you're sleeping on on sides at night. So that you don't accidentally turn if you're sleeping on your right side keep the pillow on your left side supporting your back if you sleeping on your left side keep the pillow on your back on the right side so that you don't accidentally turn at night when you are sleeping. Brown crusts will be visible this can be there for 10 to 15 days. You can avoid smoking and avoid drinking don't have any heavy oily spicy foods for the next 4 to 5 days. All the best your hairs will grow well. Take care. Any doubts is there you can contact us.

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Babys cord around neck - Normal or Cesarean Delivery?- Dr.Nandyala R Padmapriya | Doctors Circle

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Cloudnine Hospitals, Hitech City, Hyderabad
Umbilical cord is a lifeline for a baby inside the womb. It is a connection between the naval and the placenta. So the blood flows and baby gets it oxygen and nutrients through the umbilical cord umbilical cord entangles is a very common phenomenon in that cord around the neck is very common. It's 30% of the normal deliveries have cord around the neck cord around the neck is definitely not a contraindication for normal delivery definitely. The thought about cord around the neck is worrisome to many pregnant women in the later stages of pregnancy . Aound the neck is usually harmless and it is because of random movements of the baby or it's because of excessive long long cord or even because of excessive liqor around the baby . It is harmless and it does not pose any problem for vaginal delivery. Cord entanglement around the other parts of the body only cause fetal distress . In case of a good uterine contractions whenever the cord is compressed otherwise cord entanglement even around the other parts of the body around the trunk is harmless it doesn't matter whether it's a single loop of cord around the neck or double Loop or multiple loops. All patient can be delivered vaginally what are the complications of cord entanglement cord entanglement sometimes causes fetal distress there is compression on the cord due to labor utrine contractions in cases of short cord and if there is a cord on the neck it may prevent descent of the baby. Only in cases of fetal distress but the patients have to be taken up for a C-section otherwise all patients cord around the neck can be tried for vaginal delivery. There's no way to prevent cord entanglement. No sleeping positions which prevents cord entanglement as is generally thought of.

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How to SHRINK LOOSE SKIN after massive weight loss?|Tighten loose skin-Dr.Srikanth V|Doctors Circle

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Dr. Srikanth V | Phone 📞 +91948220240 (Online & in-person appointment can be booked online or by call) | Registration No: 35868, Karnataka Medical Council
Consultant Plastic & Cosmetic Surgeon | Clinique Belle Koramangala, Bangalore, Indiaafter Massive weight loss the skin will shrink and this shrinks starts after the weight loss and continues for a process of about 1 and a half to 2 years. At the end of 2 years depending on the age at which you get a weight loss the skin shrinkage will stop as expected if you are younger then the skin shrinkage is more as you grow older the elasticity of the skin is limited. So the skin will shrink to a certain extent and then stop and with massive weight loss the skin tends to sag this can happen in the chest resulting in droopy chest walls droopy sides of the chest wall droopy abdomen on the back on the butocks etc. Now can this be tightened yes it can be tightened for the common procedure this is known as is a profileoplasty wherein the entire belt of skin around the waist is removed this is done with the sensation which is so placed that it is inside the undergarment line and the abdomen looks nice and tight the other thing that commonly people come for is a thigh lift because whatever they do the thighs don't seem to shrink well and tightening the thighs into the undergarment line gives a nicely conically shaped contoured legs. In other people you following massive weight loss you can can have sagging breasts is both in men and women and these can be tackled effectively with plastic surgery you should discuss with the plastic surgeons because these will result in some kind of incisions and scars and these can be well hidden discuss this with your plastic surgeon and then you can go in for this procedure.

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How to stop worrying about Fertility in Women?-Dr.Monika Narang at Cloudnine Hospital|DoctorsCircle

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Eye Nourishment Therapy with Alternative Ayurveda|Netra Tarpan-Dr.Payal Khandelwal |Doctors Circle

What is Restless Legs Syndrome or RLS?|Leg movement not in control?-DrLeela Mohan PVR|DoctorsCircle

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Dr. Leela Mohan P V R | Phone 📞 : +91 9019888883 (Online & in-person appointment can be booked online or by call) | Registration No: 82908 Karnataka Medical Council, 2009
Consultant Internal Medicine | Padithem Health Care HSR Layout, Bangalore, India
Restless leg syndrome is nothing but improper movements or what in the local language or normal language we'll call it as like unauthorized movements. There are two types of restless leg syndrome, like one is a primary RLS we'll call it as in secondary RLS. The primary RLS the cause mainly we don't know it can be a neurological disorder. It can be triggered due to any other reasons. The secondary RLS is can be caused mainly due to the iron deficiency anaemia or if the person is having any kidney related impairments or kidney diseases and some other metabolic disorders also can trigger this problem. Restless leg syndrome is nothing but disease we also call it as Willis- Ekbom disease. So usually it is characterized by improper movements or what we say unauthorized movements or we won't be knowing when we are doing movements. Basically it is a neurological disorder the patient sometimes will not be aware also the movements are happening in the leg and sometimes they will be knowing also which will not be under their control. During they are sitting at one place in the chair or during sleep or when they are on the bed some people usually say it increases over the night. Basically it is a neurological disorder so causes which mainly include as I said iron deficiency anaemia or if any iron deficiency if anybody is having if the hemoglobin is less than five or something like that or the serum ferritin levels if they are low the patient can develop this restless leg syndrome. That is a main cause and genetic predisposition there are certain categories of families or people they can easily develop this restless syndrome pregnancy also is one of the main cause for this resless leg syndrome usually it occurs mainly in third trimester. But not every pregnant people will get it there are certain people they can develop this restless leg syndrome and then other medications. There are certain medications like antipsychotic drugs and then there are medicines which have been taken for depression all medications also as a side effect this RLS can be caused so there are certain chronic diseases like kidney diseases and all also can cause this stress like know the main symptoms . Usually patient feels aching of legs itching over the legs or crawling feeling or tingling sensation in the legs during the night. Usually they feel it more and then it can cause uncontrollable movements or as I said unauthorized movements of your own legs without knowing to yourself also can happen. So these are the major symptom in this problem so how do we diagnose this RLS the medical history we have to observe the medical history of the patient when they are saying to us we have to clearly understand the history. That is one of the major important diagnosis tool for us. And other thing is the blood test as usual it is there we can find out the iron deficiency anemia or we can get it done the iron profile serum fertin levels iron levels all other blood tests. So physical examination in examining legs and other body parts also helps in diagnosing the leg syndrome study is of the study we'll call it as polysomnography which mainly helps in determining restless leg syndrome. I'll tell you how to you know how we'll treat this mainly the lifestyle changes doing the physical activity regularly doing 30 to 40 minutes walking per day taking regular physiotherapy sessions at your home or going to the physiotherapist which will help you in treating the disease certain medications will give the iron supplements which will be available in the market or even your doctor can provide or your nearest pharmacist can provide these tablets very easily and benzodiazepens. These are the drugs which will be available by the doctor's prescription and opioids or certain drugs which will help you in treating the problem so establishing regular sleep pattern will also help you in treating half of problem and avoid voiding certain drugs and such as caffine and avoid drinking outside beverages also will help you in regulating this disease. Basically this disease treatment is mainly treated by your physician that means like depend upon the symptoms or like how many times you are getting the episodes in the night depend upon that the treatment will be planned so you should consult your doctor for the same.

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What does Low & High Risk mean in Pregnancy Test? | 1st Trimester Test-Dr. Dhani Reddy Sai Keerthana

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The combined First Trimester screening report gives us a risk value. It can be either high risk low risk or intermediate risk low risk means the risk is more than 1 in 1000. If it saves low risk that means the chances of your baby getting chromosomal problems is less like and when the risk is intermediate risk which is between 100 to 1000 we should test it further. With either NIPT or amniocentesis and if the risk shows as high risk that means which when it is less than one 100 we need to definitely go for invasive testing called amniocentesis. If the risk is high it means the probability of your baby getting chromosomal problem is high. So we need to confirm whether it is really an abnormality or if it is is a false positive. For that we need invasive testing either chorionic villus sampling or amniocentesis based on the period of gestation. If it crosses 16 weeks we go for amniocentesis and if it is less than 16 weeks we go for chorionic villus sampling and when the NIPT report shows it has low risk that means the chances of baby getting chromosomal problem is less likely and after the high risk report in the combined first trimester screening. If the NIPT shows it as low risk that means the probability is less likely if it again shows as high risk in NIPT we need to definitely confirm with invasive testing again.

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How To Get Chin Dimple Fast? | Care after Chin Dimple Creation-Dr.Girish A C |Doctors Circle#shorts

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Functional Beverages-Drinks That Keep Skin Healthy|Collagen Drinks-Dr.Rajdeep Mysore|Doctors Circle

Types of Cesarean or C-Section delivery - Dr.Vinatha Puli at Cloudnine Hospitals | Doctors Circle

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Some cesareans are planned cesarean section maybe because they had so many cesareans before or they were told to have a cesarean for some reason these are planned or also called elective cesarian section. So the other types or the most common types of cesareans that we do are an emergency cesareans means we don't plan that cesarian we go thinking that women will have a normal delivery something or other changes and then the cesarean will become necessary for them. So they are called emergency cesarian sections so we have so many categories of cesarian sections also. Depending on how soon we have to do a cesarian we have categories like category one is the the cesarean is must to save the life of mother or the baby and it is so emergency that you have to have the baby out within 20 minutes. These are called category one cesareans that is an extreme emergency and we do drills to make sure that you know it can happen and the whole team is ready to do so. This is only when you think if the previous cesarean section is trying for a normal delivery and we think that car has ruptured then the baby can die very quickly. So this is only many times that we think minutes matter we do this category of cesareans. Sometimes a cord is a cord around the baby can come down the position of the baby is not right it's not head down it's across then the chances of this cord coming down with water break is high. So these are the times that we have to do in a very very emergency situation we call it as category 1. What is Category 2? When cesarean is necessary but it is not an emergency that we have to do in you know 10 - 20 minutes but it has to be done within that hour when we think baby is a little distressed but not so much that we have like you know the baby's heartbeat is down and not picking up. But baby's heartbeat is going down each time it's not correcting we think there is a problem with the baby. So we need to be a little hening things but not to an extent that you know everything is dropped down without consent we are going in wheeling straight to theater we call it. So usually we just done within 1 to 2 hours of decision these are category two what are category three cesarians which is it has to be done but to. So the time of women and the team we can plan like see we are planned to do aan but you come in an emergency with pains. So it has to be done but it is not an emergency baby is fine mother is fine but we have to do in that day. So around 6 hours or 8 hours we can plan based on various other things when you have had food to eat, you can wait till you are safe to have anesthesia and then get this done, we call it as category three. Category four is when you plan a cesarean you give a date you come and vision then we call it as category four. So this is categories of cesarean and now we have seen planned and unplanned emergency and elective cesarean. These are types of cesarean sections.

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Revolutionary Treatment of Diabetic Foot Ulcer with Oxygen Therapy-Dr.Belehalli Pavan|DoctorsCircle

How to control MOOD SWINGS during pregnancy?-Dr.Kanupriya Jain at Cloudnine Hospitals|DoctorsCircle

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Early closure of head bones or joints in Babies |Craniosynostoisis-Dr.Vybhav Deraje|Doctors Circle

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Dr. Vybhav Deraje | Phone 📞: +91 6366789520 (Online & in-person appointment can be booked online or by call) | Registration No.79493 Karnataka Medical Council, 2008 Consultant Plastic Surgeon | Aesthetica Veda, Whitefield Main Road, Hobli, Sadaramangala, Krishnarajapura, Bengaluru, India
How is craniosynostosis diagnosed? Now most times the diagnosis is just clinical. What I mean when I say clinical is it is enough if we actually examine the child and also ask some history from the parents about how things have progressed since birth . In addition to our clinical examinations we still might have to do a few tests to confirm the diagnosis. The best test to confirm craniosynostosis is CT scan of the head with a 3D reconstruction of the CT scan. This gives us very detailed knowledge about how the anatomy of the bone is and how the sutures have fused According to which suture has been affected by craniosynostosis. Most of the single suture craniosynostosis babies will only require one CT scan to diagnose craniosynostosis conclusively. But sometimes in syndromic craniosynostosis or in multi- suture craniosynostosis we might also need an MRI scan to see how the brain is doing. The CT scan is very good for us to know about the bone . But MRI can give us good knowledge about the soft tissue that is the brain inside the skull. In addition to this we also do an eye checkup to see how the optic disc is because optic disc is like a window for us to see how the condition of the brain is. If there's a lot of pressure on the brain it shows up as papilloedema on the optic disc. So we do an eye test for every patient with craniosynostosis. Now sometimes we might have a very minor doubt or whether this is craniosynostosis or deformational plagiocephaly. In such scenarios we might only do a skull x-ray to confirm whether it is a craniosynostosis or it is a deformational plagiocephaly.

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How to STOP Early Pregnancy Bleeding & Spotting? - Dr.Soumya Choudri Valluri | Doctors Circle

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Cloudnine Hospitals, Banjara Hills, Hyderabad
Vaginal beding in first trimester. Most of them come to us worrying asking whether I am ending up in a miscarriage because I'm having bleeding in the first trimester. But the thing to know is not all bleeding will lead to miscariage. So there are many reasons for the bleeding in the first trimester. Because your cervix and vagina are very sensitive even for the pelvic examination or the intercourse you might even bleed that's bleed on touch . The most common reason for vaginal bleeding in first trimester is the implantation bleeding because before the egg has been implanted into your uterus if there is any mobility that's where you will even see the vaginal bleeding. What exactly your doctor will advise when you have a vaginal beding they usually ask you to avoid lifting heavy weights and when you come visit your doctor they'll have an examination over you. They'll order few tests as well they are the ultrasound and even sometimes they might check with a doppler also for the baby's heartbeat. They make sure the baby is doing fine inside or there is any hemorrhage all the bleeding collected posterior to your placenta and they even check that so the Doppler that's a machine only used to see your baby's heartbeat. Usually it is carried out after 11 to 12 weeks of your gestation. What treatment will be given to me? There is no specific treatment that have been show proven to be effective in the case of vaginal bleeding. Usually to continue your pregnancy your doctor might start you on progesterones and if you're bleeding excessively that's where your doctor might even start you on something called as tranexamic acid also depending on the situation. Now the other reasons they come up and they ask is ma'am I'm having a bleeding is that my mistake or I'm going through a miscarriage is that something I've done which have lead to this condition absolutely not. Please don't blame yourself for anything which has happened nothing you know the activity or any foood will actually lead to any vaginal bleeding or abortions. To be frank most of the abortions which might happen in the first trimester it's a nature's way of calling. That is the abnormal babies are usually expelled in the first trimester. So it is not your fault it is just a nature.

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How to Cure ARTHRITIS? | When to get Total Knee Replacement Surgery?-Dr.K N Prajwal |Doctors Circle

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Dr. K N Prajwal | Phone 📞: 8767200300 (Online & in-person appointment can be booked online or by call) | Registration No.107822 Karnataka Medical Council, 2014|Consultant Orthopaedic Surgeon | Nano Hospitals, Uttarahalli, Bengaluru, India
The treatment of arthritis depends on the stage. So initial stages like grade 1 and grade two can be managed with physiotherapy medications. Usually in some patient we might requires some injection intraarticular injections to knee like hyaluronic acid. So that hyaluronic acid is a gel type substance which mimics what's there in our knee and it can prolong the further damage up to one year as proven as studies. Then again in later stages of arthritis. So the best treatment as for today is total knee replacement . Total knee replacement when the patient is unable to walk around for at least small distance and unable to do his day-to-day activities. So join knee replacement is the best till now.

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Anti-Acne Diet to Get rid of Acne FAST! | Pimple free skin-Dr.Rajdeep Mysore |Doctors Circle#shorts

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Cyanosis or Blue Skin Colour in Newborn Baby-Dr.Kumari Gunjan at Cloudnine Hospitals|Doctors Circle

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Cloudnine Hospitals, Patparganj, New Delhi
Cyanosis of hand and feet is medically known as acrocyanosis and just after few hours of birth. This is a normal finding because baby is in a transition phase and body is trying to basically conserve heat to the core of the body so that vital organs like kidney, brain, heart, lung they are getting the heat and they are compromising the peripheral temperature so that more vital organs are getting heat to basically function well. But after a few hours of birth if you feel that your baby is extremities are dusky that is acrocyanosis is there. That it can be like because of hypothermia. So first of all we have to sort out the temperature by that I mean change the temperature if you're using AC and it is quite chilling then you should turn it off and second thing is that you can increase the layer of the child and maybe you can add a cap mittens socks so that baby is warm. Second thing if you have already rewarmed the child and but still you feel that hands and feet that is extremities they still old on touching or they are still dusky in color. That means that you are dealing with some other serious things like infection, like hypoglycemia and maybe some critical congenital heart disease. These all three conditions are like life-threatening and you should immediately meet your doctor if you have not been able to rewarm your child even after increasing the layer increasing the temperature even after that if this acrocyanosis or bluish discoloration of hand and feet is still there. You should meet your doctor to rule out infection, critical congenital heart disease or hypoglycemia.

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How to STOP Eye Twitching due to Facial or Hemifacial spasm or Tic-Dr.Divya Sundaresh|DoctorsCircle

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Dr. Divya Sundaresh, DO, DNB, FICO, FRCS | Phone 📞 +080 2545 3655 (Online & in-person appointment can be booked online or by call) | Registration No: 71318 Karnataka Medical Council, 2005 | Oculoplasty Consultant & Lid Lacrimal Surgeon | Zamindar Microsurgical Eye Centre, Kalyan Nagar, Bangalore, India
So facial spasms or facial tics, hemifacial spasms are mainly when the facial muscles are twitching. It generally tends when the entire one half of the face is involved. There can also be muscle twitching when only both the eyes are involved where it is called as blepharospasms. These are involuntary closures and they cannot be really controlled by the patient. It can be pretty disturbing especially when you're talking to somebody when they're thinking that you're winking or when there's a lot of disturbance because you cannot open when you want to open your eyes. So this is the main issue with blepharospasm and hemifacial spasms. So it generally starts with light twitching usually in the lower eyelid area and then it spreads to the entire eye surrounding and then when there's a hemifacial spasm it spreads next to the nose and the lips area where there's constant twitching. When the patient will feel that whenever he's trying to talk the muscle is going not in the way that he wants to or she wants to go when it's blepharospasm there's constant closing of the eyelids. Sometimes it starts with very few episodes and then it slowly starts increasing over a period of time where the frequency of closure keeps on increasing such that they'll be finding it difficult to open their eyes . It takes some time for the eyes to open. So hemifacial spasms again there's irritation of the nerves supplying the facial muscles it can be where there's a blood vessel compressing on the nerve and that is causing the nerve to constantly fire. There's still a lot of work being done is to find out the exact cause of why this starts. Sometimes is on investigation we do not find any particular reason then we call it idiopathic. To rule out any neurosurgical cause we generally have to do an MRI and go along to trace along the facial nerve to see if there's any surgical cause or like a vessel causing compression which might need a surgical intervention. Once that is ruled out then we can go for other treatments. So rarely muscle spasms may also be a part of Meek Syndrome. It can also be a part of Parkinson's disease it can also be a part of Bell's paly where there is irregular growth of nerve fibers causing the patient to have muscle contractions. When it's not required like he's trying to make another facial expression and his muscle is causing him to smile or his eyes causing him to close . We can also have tardive dyskinesias and we can also have Wilson's disease which can cause these kind of facial spasms. So these will also be need to ruled out when the patient presents to us. No hemifacial spasms or blepharospasms will not cause blindness because they do not affect the eye or the vision per se. It just causes disturbances in vision or dry eyes because of this irregular movements of the muscle. So facial muscle spasms once we've ruled out any organic cause we can consider giving botox injections. These injections will reduce the muscle twitching because it acts at the neuromuscular junctions and generally this treatment lasts for about 3 to 4 months depending on the body type of the patient. Rarely sometimes when the patient is not responding adequately to Botox or may require surgery like myomectomy where the muscles around the eyelid are operated for for reducing the number of muscle spasm. When we give Botox usually it lasts for about 3 to 4 months. Sometimes temporarily it can have some minor side effects where there is droopiness of the eyelids or there mild double vision. This generally resolves in about 2 weeks time. Otherwise botox does not have any significant side effects.

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