Monthly Archives: May 2020

Chronic Kidney Disease

CHRONIC KIDNEY DISEASE: KNOW THE MAIN PHYSIOTHERAPEUTIC TREATMENTS

The kidneys are a pair of bean-shaped organs located in the upper-posterior part of the abdomen. Its main function is to filter the blood, eliminating toxins and excess salt and water from the bloodstream.

The proper functioning of the body depends a lot on the kidneys. Therefore, it is necessary to take special care to avoid possible kidney problems, which can lead to failure and the need for dialysis or hemodialysis.

Chronic kidney disease (CKD) is a slow, progressive and irreversible loss of renal structures that affect the glomerular, tubular and endocrine functions of the kidneys, leading to the body’s inability to maintain metabolic and electrolyte balance.

Characterized by the presence of functional and/or structural changes in the kidneys, for a period longer than three months, with a glomerular filtration rate (GFR) lower than 60 mL/min./1.73m.

CKD has been considered a public health problem worldwide due to its high rates of morbidity and mortality and its impact on physical and biopsychosocial aspects, drastically affecting the quality of life of patients, says the best nephrologist in Delhi.

With that in mind, nephrologist in Delhi prepared this article with the main types of treatment for Chronic Kidney Disease. Keep reading and learn more about them!

Treatment for Chronic Kidney Disease

Treatment for Chronic Kidney Disease aims to help the kidneys maintain homeostasis for as long as possible.

With the deterioration of renal function, dietary intervention is necessary with careful control of protein intake (allowed must be of high biological value – dairy, eggs, meat – to provide essential amino acids), fluid intake (quantity of fluid allowed is 500 to 600 ml more than the 24-hour urine output) to counteract fluid losses, sodium intake to counteract sodium losses, and a certain potassium and phosphate restriction.

At the same time, adequate caloric intake and vitamin supplementation must be ensured.

In general, dialysis in Delhi is started as a form of treatment for Chronic Kidney Disease when the patient cannot maintain the usual lifestyle with the conservative method.

Unfortunately, not all patients are candidates for dialysis or transplantation due to severe psychological problems, ischemia, vascular complications from diabetes and old age, says kidney specialist in Delhi.

Types of dialysis

There are two types of dialysis – hemodialysis (HD) and peritoneal dialysis (PD), both types involve the use of a fluid used to filter impurities in the blood, toxins and fluids passing from the blood through a semi-permeable membrane.

Physiological principles of dialysis

Dialysis is a process of treatment for Chronic Kidney Disease whereby the composition of solutes in a solution A is changed by exposing solution A to a second solution B through a semipermeable membrane.

Water molecules and low molecular weight solutes from the two solutions can pass through the pores of the membrane and therefore mix, while larger solutes (such as proteins) cannot pass through this semi-permeable membrane and thus the amounts of high molecular weight solutes on either side of the membrane will remain unmodified.

The transport of solutes will take place in two ways:

  • Diffusion: transport of solutes through a semi-permeable membrane, obeying the concentration gradient and the molecular weight of the solute;
  • Ultrafiltration: transport of water through the transmembrane pressure gradient with the passage of water from the higher side to the lower pressure.

Peritoneal dialysis

Peritoneal dialysis uses the peritoneum as a natural permeable membrane to balance water and solutes.

The technique is less physiologically stressful for the patient, does not require vascular access that can present numerous complications, it can be performed at home and, for this reason, allows patients greater flexibility in its performance.

Although, with so many advantages, the technique requires much more patient involvement than in a hemodialysis at dialysis centre in Delhi, it needs to be performed carefully and sterile maintenance is of great importance.

Peritoneal dialysis can be done manually or using an automatic device (periodic, overnight, or continuous), and in general, the dialysate is instilled through a catheter into the peritoneal space, remains for a period, and then drains. In the double bag technique, the patient drains the fluid instilled into the abdomen into one bag and then infuses fluid from another bag into the peritoneal cavity.

Quality of life of patients

Although the different dialysis methods of treatment for Chronic Kidney Disease are equivalent in issues related to patients’ rehabilitation and mortality, the quality of life needs to be evaluated.

In a study, it was possible to observe that PD was more favorable to a better quality of life for the patient, as it presents three significant variables (work, patient satisfaction and less contact with the team – less likely to experience situations of stress), while HD presented two significant variables (emotional and physical function).

However, it should be taken into account that the two significant items in HD are more relevant to the daily quality of life of the patient outside the clinic.

Conclusion

Kidney replacement therapies, hemodialysis and peritoneal dialysis, as a treatment for Chronic Kidney Disease represent, in most cases, a life expectancy for those who undergo it, since the disease is characterized as an irreversible process.

Conservative treatment (medicines, changes in diet and lifestyle) can be used to delay the worsening of renal function or stabilize its progression, reduce symptoms (malaise and fatigue, itching and dry skin, headache, loss of unintentional weight, loss of appetite and nausea), prevent complications and improve the quality of life of these patients.

Adapting to this new reality is not an easy process, nor is it a very smooth process, the health professionals involved in the patient’s treatment must understand and help the individual in all aspects, as well as his family, says the kidney doctor in Delhi.

 

Kidney Stones Treatment

Kidney Stones: what they are, what are the symptoms and treatments

The kidney stones are a very common disease of the urinary tract, known by the disabling pain it causes.

Knowing the symptoms and carefully controlling them is important so that an adequate therapeutic strategy can be found.

After all, it is through treatment that you can regain general well-being, affected by the presence of this pathology.

Urologist in Dwarka discusses what are the most effective methods to get rid of kidney stones.

What are Kidney Stones and why do they form?

They are hard formations (hence the term used, “stones”) resulting from the aggregation of minerals and salts present in the urine.

In fact, the correct technical designation is kidney stones. The existence of kidney stones gives rise to a condition known as Renal Lithiasis.

Although they form in the kidneys, the stones can move to another part of the urinary tract, namely the ureters and bladder.

They may have different biochemical compositions, which distinguish them: calcium (such as calcium oxalate, the most common or calcium phosphate, for example), uric acid, struvite and cystine, among others, explains the urologist in Dwarka.

It is not always possible to identify the cause of the problem, but there are some risk factors related to kidney stones that seem to increase the probability of its occurrence, such as:

  • Family history of urinary lithiasis;
  • Insufficient fluid intake;
  • Unhealthy diets (mostly high in salt, sugar and protein);
  • Obesity;
  • Low urinary output;
  • Pathologies in certain glands or kidneys;
  • Certain medications and supplements;
  • Low urinary concentration of protective elements such as citrate or magnesium (which help to inhibit stone formation).

How do they manifest?

When lodged in the kidneys, kidney stones may not cause symptoms.

However, if they move along the urinary tract, the first warning sign appears – a sudden, intense pain, usually near the flank or lumbar region, which may radiate to the abdomen or other areas such as the groin.

Known as renal colic, this pain is extremely disabling and has no relief position. It is one of the most intense pains that human beings can experience, says the urologist in Hari Nagar.

These stones may also be at the origin of other symptoms:

  • Nausea and vomiting;
  • Increased voiding frequency, burning when urinating or sudden urge (especially when the stone is close to the bladder);
  • Bloody urine (haematuria);
  • Fever (which is usually an indicator of infection).

Incidence of Renal Lithiasis

It is estimated that this pathology affects between 2 to 3% of the world population, predominantly white men.

The probability of having an episode of renal colic, in patients with stones, up to 45 years of age, is around 9%, explains the urologist in Hari Nagar.

How to Treat Kidney Stones

The basis of correct treatment is making an accurate diagnosis, as kidney stone treatment in Dwarka depends on information such as the location and size of the kidney stone.

Thus, it is necessary to know the clinical history, perform an objective exam and resort to some complementary exams, namely imaging.

This assessment is essential because there are other diseases with similar symptoms, and it is essential to exclude them.

What are the options for kidney stone treatment in Hari Nagar?

In the acute phase of the disease, when pain is intense, if there are signs of infection/obstruction, urgent surgery may be necessary.

The aim is to eliminate stones, and, for this, different strategies can be followed by the urologist in Uttam Nagar.

When the stone is small and the pain is tolerable/controllable, it is possible to expect it to be spontaneously eliminated through the urethra. Various medications can be used, either to control pain or to facilitate the elimination of the stone.

When the dimensions are larger or the stones is closer to the kidneys and does not progress along the ureter, it is necessary to resort to other methods – namely surgical, even if minimally invasive.

One of the options is to carry out Extracorporeal Lithotripsy by Shockwaves (LEOC), which promotes the fragmentation of the stones, which then are naturally eliminated. Although efficient, it has some contraindications, limiting its performance.

Another method, used in most cases, is Endoscopic Surgery, which consists of ureterorenoscopy or retrograde intrarenal surgery.

Through a semi-rigid or flexible ureteroscope, which is inserted into the urethra and bladder, the ureter is accessed, and the ureteral/kidney stones are fragmented with a laser guided by an optical fiber and removed using surgical instruments.

These procedures are extremely precise and controlled, thanks to the use of video surgery, with a camera included or attached to the ureteroscope, says the urologist in Uttam Nagar.

Endoscope procedures may vary depending on the type of calculation:

  • Inside the kidney: with a flexible ureterorenoscope, through which the laser fiber passes and very small instruments (“baskets” or tweezers, for example), to remove the stones;
  • In the ureter: with a semi-rigid ureteroscope, with the same type of instruments, although larger;
  • Percutaneous nephrolithotomy: in some cases, namely for very large stones that cannot be removed with the equipment and instruments mentioned above, the kidney is punctured from the skin of the lumbar area to introduce devices that fragment and remove the stones.

What are the results?

Endoscopic Surgery is a very efficient method at Kidney Hospital in Dwarka, with high success rates.

However, it is important to remember that Kidney Lithiasis is a disease with a tendency to relapse.

Thus, it is important to bet on preventing the formation of new stones, by changing some habits such as:

  • Increase fluid intake;
  • Improve eating habits;
  • Monitor urine color (light-colored, almost transparent urine is a sign that it is diluted and less likely to form new stones).

Contact Best Urologist in Delhi for all your urological disorders.

How to Become More Feminine in your Daily Life?

How to Become More Feminine in your Daily Life?

As females, we all are born feminine. But somehow, somewhere down the line in the quandary of daily life, we lose touch with our feminine energy. After all, the modern age demands us, women, to be strong and independent just like our male counterparts.

And in an effort to be accepted and acknowledged at the workplace and in public life, we often lose the echo of our feminine side. So, if you too as a girl or a woman feel less feminine as you want to, don’t lose heart. There are a lot of ways of how to become more feminine and feel good in your skin.

To get you started here are six simple tips to be more feminine in your daily life without sacrificing any career opportunities or feel like being at the receiving end.

  1. Wear red lipstick

Want to look more feminine?

Wear red lipstick.

how to become more feminine

No matter what clothes you are wearing, how’s your hair-do and footwear, once you put on red lipstick you will instantly transform yourself into a diva!

Yes, that is the magic of red lips on a woman. So, girls swipe on your red lipstick and carry it with you all the time because you never know what you may run into.

Nothing speaks more feminine than a woman who smells nice. But this doesn’t mean you go overboard with it or apply any scent to your body. Wearing perfume is an art. Check out this post to learn how you can find the right fragrance and then use it to your advantage as a great femininity infuser or a beautifying tool.

  • Keep your hair healthy and clean

Studies suggest that women with shiny, clean and lush hair look undeniably more feminine than women with dry, limp or over-styled hair. So girls take care of your hair. Keep them clean and healthy by eating well, using good-quality hair-care products and choosing the right hairstyle.

Getting dressed in an attractive manner doesn’t mean you start prancing around in frou-frou dresses. True, skirts, frills, ruffles and laces look feminine on women and you can dress up in attractive clothes occasionally from time to time.

But you can look as attractive and feminine in a business suit or simple jeans & tee as in an evening gown if you choose to wear clothes that fit you properly and enhance your natural silhouette.

how to become more feminine

If you are one of those women, who would make big investments in buying expensive outfits and accessories but pay no attention to their undergarments, this one is for you.

Yes girls, never underestimate the power of underwear to lift up both your confidence and attraction quotient. Feeling like a woman is as important as looking like one. Your underwear may not necessarily be seen by anyone but you know what you are wearing inside.

And if you’re wearing dated and ragged underwear from five years ago, it’s definitely not going to add any value to make you feel good about yourself and worse still can make you feel less confident or less of a woman inside.

Now imagine yourself wearing nice lingerie set underneath your clothes with feminine details like lace or silk. Doesn’t this feel empowering delightful?

If yes, then you must check out this online boutique MarieMur.com for investing in some high-quality lingerie pieces. From handmade custom leather lingerie to any strappy or kinky women’s accessory, the store is chock-full of masterful lingerie items that appeal to your authentic feminine self.

Have you ever wondered why all the beautiful cool women in the show-biz wear high heels?

Simple.

Because heels make women look ultra-sassy, glamorous, classy and feminine.

So, if you also want to look more feminine and stylish, wear high heels. And if you find it difficult to walk in high-heeled shoes, consider buying shoes with kitten heels.

Even a little heel to your shoes is enough to lift you up a little, add oomph to your silhouette and make that magical sound while you’re walking.

So, girls, you see it’s not enough to be born a female to feel yourself a woman. To really feel feminine and confident in your skin you not only need to take care of your looks but also of your mindset.

Agreed, modern women are required to be strong and decisive. But this doesn’t mean that if a woman is tender and soft in nature she is weak and vulnerable. A truly feminine woman is one who is not afraid to express her authentic self.

In fact, she is someone who is caring and receptive to others’ needs just like what nature expects in the female gender. So my dear peeps stop pondering over how to become more feminine and just start being you!

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Prostate treatment in Pitampura

Benign Prostatic Hyperplasia: Symptoms, Causes & Treatments

What is Benign Prostatic Hyperplasia (BPH) or prostate adenoma?

Benign Prostatic Hyperplasia (or prostate adenoma) is the non-malignant growth of prostate tissue that occurs in middle-aged men onwards. In a young individual, the prostate gland is rudimentary, almost undetectable, and spreads like a cluster of seeds over the lining of the urinary tract. However, at puberty, this anatomy begins to change due to the high production of the hormones testosterone and dihydrotestosterone, explains the Best Urologist in Delhi.

Testosterone causes “seeds”, called acini, to germinate and grow. Thus, in adult life, and due to their growth and proliferation, these small glandular structures can cause obstructive symptoms associated with urinary flow disorders.

Benign Prostate Hyperplasia is one of the most common diseases in men and is considered part of the physiological aging process. The incidence of this disease is 51% in men 60 to 69 years of age and 75 to 90% in the eighth decade, says the Best Urologist in Delhi.

Symptoms

Although the concept of BPH encompasses an enlarged prostate and mechanical obstruction to voiding flow, there is not always a direct relationship between the volume of hyperplasia and the intensity of symptoms. Very enlarged prostates may not cause symptoms and minor ones can be a source of intense discomfort, explains the Urologist in Delhi.

The symptoms of Benign Prostate Hyperplasia can be divided into obstructive and irritative.

Obstructive symptoms

  • Weak and / or intermittent urine flow.
  • Decrease in the force and calibre of urine.
  • Feeling of incomplete emptying of the bladder.
  • Double urination (urinating a second time in a 2-hour period).
  • Post void drip.
  • Difficulty or delay in starting urination.
  • Urinary retention.

Irritative Symptoms

  • Polyakiuria, or increased frequency with which you urinate.
  • Nocturia, or the need to urinate frequently at night.
  • Sudden urgency.
  • Urge urinary incontinence.

Causes of benign prostate hyperplasia

Prostate hyperplasia is related to age, so that over 80 years of age, 9 out of 10 men have it, and may or may not produce symptoms depending on the magnitude of their growth, says the Urologist in Delhi.

How is benign prostate hyperplasia diagnosed?

Although prostate hyperplasia is a benign disease, in the presence of symptoms such as those mentioned in the previous section, prostate cancer must always be ruled out. To do this, it is necessary to perform a digital rectal examination, determine the concentration of PSA (prostate specific antigen) in a blood test, and perform an ultrasound of the prostate, says the Kidney Specialist in Pitampura.

In those cases where the PSA value is high, it is necessary to perform a prostate biopsy. The biopsy is done transrectally, that is, inserting a needle into the anus and puncturing through the rectum. For this, the biopsy is guided by rectal ultrasound.

An ultrasound probe is inserted through the anus and several biopsies are obtained with a fine needle. About 6 biopsies are usually obtained so as not to leave any area of ​​the prostate without evaluating, explains the Urologist in Delhi.

What care does it require?

Patients with this disease require periodic check-ups to assess the possibility of developing cancer. However, having benign prostatic hyperplasia does not imply that there is a higher risk of developing cancer.

How to treat benign prostate hyperplasia?

Early diagnosis of Benign Prostate Hyperplasia is essential to avoid complications such as urinary tract infections, kidney or bladder damage, bladder stones, or incontinence.

The possible existence of these secondary processes derived from urinary obstruction, together with the degree of discomfort of the patient, will determine the treatment against BPH.

The indications for Prostate treatment in Rohini, depends on the discomfort that the disease is producing. These discomforts are generally related to difficulty urinating, subsequent dripping and the permanent feeling of wanting to urinate, mainly at night. If there are no discomforts, no treatment is indicated, says the Kidney Specialist in Pitampura.

Medical treatment

Initial Prostate treatment in Rohini is usually with medication. Two types of drugs can be used, which are usually used together:

  • 5α reductase inhibitors. These drugs block the effect of male sex hormones (androgens) on the prostate, which prevents it from continuing to grow and even favours its reduction in size, with subsequent improvement in symptoms. A typical drug in this group is finasteride.
  • Α-adrenergic blockers. They relax the urethra and facilitate urine output. They do not modify the evolution of the disease or the size of the prostate. Drugs in this group are doxazosin, tamsulosin, and terazosin.

Surgical Treatment

When the discomfort continues to be very important despite Prostate treatment in Pitampura with medicines, when infections are frequent, when there is bleeding with the urine or when there are stones in the bladder, the prostate surgery in Pitampura is usually recommended by the urologist in Delhi.

The prostate surgery in Rohini involves removing the prostate, which is called a prostatectomy. Prostatectomy can be done through the urethra (transurethral route) or by opening the abdomen and directly accessing the pelvis. The decision to perform one technique or another depends on the size of the prostate, the patient’s health status and their preferences.

The most used are transurethral resection techniques. These techniques are done through the urethra (the hole in the penis where urine comes out) and can be done with general anaesthesia, spinal anaesthesia, or epidural anaesthesia (leaving the lower half of the body asleep after puncturing the anaesthesia in the spine) or with local anaesthesia and sedation. There are different ways to remove the prostate transurethrally:

  • Prostate Urethral Lift (PUL): This procedure uses permanent implants to lift and keep enlarged prostate tissue out of the way, so it no longer blocks the urethra.
  • Transurethral resection of the prostate (TURP): This procedure involves the use of a heated wire to cut the prostate tissue and has been used for years to treat an enlarged prostate.
  • Transurethral Incision of the Prostate (TUIP): One or two small cuts are made in the prostate gland, making it easier for urine to pass through the urethra.
  • Transurethral Microwave Thermotherapy (TUMT): Microwave energy from the electrode destroys the inner portion of the enlarged prostate gland, reducing it and facilitating the flow of urine.
  • Transurethral needle ablation (TUNA): An endoscope is passed into the urethra to place needles into the prostate gland. Radio waves pass through the needles, heating and destroying excess prostate tissue that blocks the flow of urine.

For more info contact the best urologist in Delhi.

joint pain treatment in Delhi

Osteoarthritis: Symptoms, Causes, & Treatment

If you feel pain in your joints, it may be due to osteoarthritis. But, to clear up any doubts, perhaps the time has come to look for the best rheumatologist in Delhi. Rheumatologists are the specialists in charge of treating this and other diseases of the bones and muscles.

Osteoarthritis is a painful joint disease that is frequently disabling and affects more than 10% of the population in our country. In fact, although it is believed to be a pathology related to the elderly, the reality is that more and more people are suffering from osteoarthritis problems in India. This ailment affects the joints, as a consequence of the progressive wear of the cartilage located at the beginning or at the end of the bones. Therefore, age is an obvious risk factor for the development of osteoarthritis. But not the only one.

There are genetic factors that are transmitted between descendants. That is, if your father, your mother or your grandparents have suffered this disease, you run a greater risk of having it at some point in your life. Sex —although it occurs in both men and women, it tends to appear earlier in them— and, especially, being overweight, are elements that powerfully influence their condition.

Given that bone wear is the cause that produces it, the passage of time and the effort that is required on the bones, to bear the additional load that an excessive weight produces, accelerate this deterioration and generate, much earlier, swelling, pain and reduced mobility in the joints that characterize this problem.

The appearance of this ailment can degenerate into a deformation of these parts of the body. Therefore, and given that prevention is the only effective way to combat it, it is essential to anticipate and detect the risk of suffering it as soon as possible, to apply palliative remedies as soon as possible.

Organs involved in rheumatic diseases

Surely you know that a rheumatologist in Delhi is the professional who treats diseases that affect the joints, resulting in inflammation and pain and requiring treatment. However, there are several pathologies of this nature that also involve very disparate organs.

Therefore, a rheumatologist in Delhi is not limited to comprehensive examinations to take care of your skeleton. If you go for the joint pain treatment in Delhi, it is most likely that, depending on your case, the rheumatologist will be interested in evaluating other aspects of your health. Autoimmune diseases make up a large group with more than 200 clinical entities. The common denominator of most of the diseases grouped in this category is the alteration of the immune system. As a consequence, the defense mechanisms that the body’s foreign molecules and cells should fight back against your tissues, inflaming and injuring them.

It is not uncommon for some of them to affect the tissues of the eye, triggering what is called uveitis. At the level of the cardiovascular system, these conditions can lead to injuries to the heart valves, the inner lining of the arteries or the pericardium, a fibrous tunic that surrounds the heart, causing pericarditis. In all these cases, you can also suffer from arteriosclerosis, which leads to premature coronary disease.

Another organ that is often damaged is the liver, which can suffer from autoimmune hepatitis exclusively related to this organ. It can also be damaged by a clinical entity such as lupus, which is generalized. Other organs that are involved in the evolution of several of these diseases are the pancreas, kidneys, skin and the membrane that covers the lungs, generating pleurisy, explains the rheumatologist in Delhi.

Symptoms of osteoarthritis

Osteoarthritis is one of the most common degenerative diseases affecting a large number of the population. The symptoms appear and are noticed little by little and with the passage of the years they increase. For this reason, it is very important that at the first signs and problems of osteoarthritis you go to consult a specialized rheumatologist in Delhi who will analyze your situation, determine the degree of osteoarthritis and decide on the best possible treatment.

At the beginning, osteoarthritis always manifests itself with pain, since when moving the joints the patient experiences discomfort, such as an uncomfortable pinch that prevents him from flexing with normality and customary functionality. Suddenly, something as normal as getting up from a sofa, reaching for a saucepan of water or simply getting out of bed becomes a problem because of the pain they cause. The joints that suffer the most from this disease are the hip, knee and hands.

Most of the patients who go to a joint pain specialist in Delhi to treat their osteoarthritis problems, they complain that staying in the same position for a long time, for example, going to the movies, taking a car trip or at bedtime, becomes an ordeal. Pain is often accompanied by swelling and numbness. Thus, patients with osteoarthritis usually notice the affected parts more swollen and more rigid. Sometimes when osteoarthritis is very advanced, the fingers or the affected joint begin to deform.

It is very important that, if you think you may suffer from osteoarthritis, at the first symptoms you go to a top rheumatologist in Delhi.

Causes of osteoarthritis

First of all, it must be clarified that the word osteoarthritis designates a disease caused by the wear and tear of the joints, which leads to inflammation, pain and inability to carry out certain tasks or even move in a general way. It is a chronic disease that affects all joints from the cartilage to the synovium. Likewise, osteoarthritis doctors in Delhi will tell you that you should not confuse osteoarthritis with arthritis, as this is nothing more than an inflammation of the joints, explains the rheumatologist in Delhi.

But what are the causes of osteoarthritis? Not only age influences, but also genetics, overweight, some diseases and the overload of the affected areas. At the beginning of the disease, the joints suffer pain due to one of the aforementioned causes, which, over time, causes dehydration, causing inflammation that ends with the degeneration of cartilage. This destruction causes friction between the bones causing their final wear.

The growth of this pathology in younger and younger people has alerted specialists. This increase in injuries to the locomotor system is due to the increase in the practice of sport in a massive way in recent times. The impact that athletes exert on their body often causes wear and tear on the joints that evolves into acute or chronic pain if we do not treat it in time. If this pathology is uncomfortable and painful in general, in the case of athletes it is aggravated by being limiting and disabling in their sporting exercise and even in their daily life. The disease affects more females than males. In addition, there is a tendency to mistakenly think that it is a disease of the elderly and that it has no cure, says the rheumatologist in Delhi.

Treatment of osteoarthritis

Treatments to relieve symptoms range from anti-inflammatory drugs to a series of physical exercises through physical therapy. In the most serious cases, an operation should be performed to avoid incapacitation of the patient.

Also, you can follow some tips that will ease your pain. For example, exercise moderately, use insoles, canes or shoes with soft and thick soles so that the joints rest better, eat a balanced diet and, when you feel pain, apply heat to the area.

The important thing, above all, is to receive adequate treatment early. So, if you feel pain in any of your joints, it is best to receive the opinion of a specialist rheumatologist in Delhi.

The rheumatologist in Delhi can make a proper diagnosis and indicate the best treatment to follow, if necessary. Likewise, he will give you some indications to alleviate those symptoms of pain or stiffness, so annoying in this type of disease.

when to go to a sexologist

When To Go To A Sexologist

Sex is the most important and vital part of a couple. It’s a wonderful moment that fun has to be complete. If this does not happen and the person does not enjoy it, it will cause problems for the couple.

Given this, it is important to seek help as soon as possible to prevent such problems from ending the relationship. However, there are many people who have difficulty realizing that they have a sexual problem and do not want to go to a sex therapist.

When to go to a sexologist in Delhi

A sex specialist in Delhi should be a priority when relationships are at risk due to sexual intercourse with a partner. If pleasure is replaced by problems and worries, there is something wrong and a solution must be found as soon as possible. Here are some of the reasons why it’s important to go to a sexologist doctor in Delhi:

Remember that the moment you have sex with your partner should be fun, so if you have any of the problems described above, you should immediately go to the best sexologist in Delhi, India who can help solve such a problem.

There are some cases where it is advisable to contact a specialist:

  • Doubts about different forms of contraception.
  • Common symptoms of sexually transmitted infections.
  • Marital unfaithfulness.
  • Masturbation.

Visiting a sexologist clinic in Delhi

Today and even though you are in the XXI century, there are still many people who are reluctant to go to a consultation with a sexologist in Delhi. However, going to a specialist is the key to being able to speak openly without any problems with the sexual problem that the person may have.

The best sexologist in Delhi must always ask what the cause of the sexual problem is. From here, the top sexologist in Delhi will have to put in place other strategies to help solve the problem. The number of programs will always depend on the type of problem to be treated and the individual’s participation. With the right sex treatment in Delhi the problem should disappear and make sex more enjoyable for couples.

In short, going to a sexologist in Delhi is an issue that needs to be overcome. Today there are many men and women who find it difficult to believe that they have a sexual problem and it is not easy for them to talk about something intimately with someone they do not know. Home sex education is inadequate or desirable, which is a bad thing when it comes to talking openly about sex. Therefore, it is important to know that a sexologist in Delhi is a professional who will help solve a problem that may be at risk for your partner.

sexual appetite

5 Tips that will help you if you have a poor sexual appetite

Going through certain times with little sexual appetite in which your libido is reduced is totally normal. Sexual desire varies dramatically in some people. And the fact that we suffer from sexual disinterest at some point is not worrisome as such. However, if we want to increase our libido there are some methods explained by sexologist in Delhi, India that can help us.

Several factors are interconnected with it. Hormonal changes, a personal bad streak, job anxiety or a high expectation in sexual relations have direct consequences on our brain and this in turn on our body.

In this article sexologist doctor in Delhi explains some applicable tips that you can put into practice as soon as you want.

  1. Poor Sexual Appetite and Rest 

Sleep is one of the essential bases for optimal functioning. The same thing happens with sexual health.

Sleeping properly is more than important for libido. When we rest well, our body secretes all its hormones in a scrupulous way. More specifically, our hormone production is at its highest point in the REM phase.

Some studies reveal that people who slept less than 7.5 hours a day, increasing one hour of sleep saw their sexual desire increase the next day.

Different sleep disorders such as insomnia or apnea occur more and more in men of different ages. So, in a few years ago the cases of poor sexual appetite, erectile dysfunction or psychological impotence have increased, says the best sexologist in Delhi, India.

Little acts like not viewing screens half an hour before bed, having dinner early, and avoiding exercising late will help you with your sleep hygiene.

Experts stipulate 7.5 hours of daily sleep as recommended.

  1. Improve the quality of your Relationship 

The truth is that many people experience a decrease in sexual appetite at certain points in the relationship. Normally, this happens when the couple is consolidated, and a long period of time has passed.

In those moments it is essential to stop and think about what you really want. Improving our communication and partner habits can make your libido increase in an unsuspected way.

Some examples that can help you are:

  • Plan a romantic night: Everything can start with the preparations. Go shop together, plan a romantic menu, and cook it side by side. Talk about your feelings and emotions. And enjoy a glass of wine. (That yes in moderation)
  • Do an activity together: This is an excellent formula. You just have to find a hobby or entertainment in common with that person. They don’t have to be big commitments. A few morning walks or a while on a bicycle is enough to promote conjugal complicity.

You will see how your sexual chemistry with your partner increases and with it your emotional well-being.

  1. Poor sexual appetite – Preliminaries

Having fuller sexual experiences can help us increase our sexual appetite. The preliminaries create an environment and climate of excitement perfect for it.

On the contrary, when we go directly to penetration without having kissed, caressed or stimulated enough, the quality of our relationships diminishes quite a bit, warns sex specialist in Delhi.

Creating a relaxed atmosphere before sex, lighting candles, and thoroughly grooming are a first step on the road. Pauses, oral sex, caresses, words, and whatever else is preliminary will help you with a lack of sexual appetite, says sexologist in Delhi.

  1. Poor Sexual Appetite – Feeding

Food is one of the key pieces of the puzzle. All of the above tips can fall apart if we do not eat in a balanced way.

The question is simpler than we think. If we eat highly processed food, with many additives and rich in fats of doubtful quality, it is likely that we suffer from different diseases with a direct comorbidity with reduced sexual appetite, erectile dysfunctions and other male sexual health problems, warns sexologist in Delhi.

When you wake up avoid cookies and sugary cereals. Add to your breakfast breads made with whole wheat flour, fruits and vegetables, healthy fats of vegetable origin such as avocado or our extra virgin olive oil and proteins of high biological value such as canned mackerel, bonito or similar.

If you are a potato omelette lover to eat, you can do it in the following way: Change the poaching of the potatoes with oil by steaming them. Once cooked, sauté the onion with little oil on the grill. At this point you have all the necessary ingredients to make the omelette but with a much smaller amount of oil. Choose balanced and simple dinners.

  1. See a specialist

There are times when our decreased libido or poor sexual appetite are motivated by reasons in which our knowledge on the subject is limited.

Because of this, seeing a top sexologist in Delhi at a sexologist clinic in Delhi can save you a lot of time. Once there, everything will be streamlined, since they will be able to address all your setbacks from an experienced and prepared point of view.

Need help? Contact best sexologist in Delhi. We will start working to regain all confidence.

Matar Anda Masala Recipe | Chef Sanjyot Keer | Your Food Lab

Matar Anda Masala Recipe | Chef Sanjyot Keer | Your Food Lab

Written recipe for Matar anda masala

Prep time: 15 mins
Cooking time: 30 mins
Serves: 6

Ingredients:
• Boiled eggs 8 nos.
• Oil for shallow frying
• Turmeric powder ½ tsp
• Tomatoes 5-6 medium size (roughly chopped)
• Ghee 2 tbsp
• Jeera 1 tbsp
• Onions 2-3 medium size (chopped)
• Ginger garlic paste 2 tbsp
• Green chillies 1 tbsp (chopped)
• Turmeric powder 1/4th tsp
• Salt to taste
• Roasted besan (gram flour) 1 tbsp
• Red chilli powder 1 tbsp
• Coriander powder 1 tbsp
• Green peas 1 cup
• Water as required
• Kasuri methi 1 tsp
• Garam masala 1 tsp
• Fresh cream 2 tbsp
• Fresh coriander leaves 1 tbsp (chopped)
Methods:
• Remove the shell of the boiled eggs and poke them with a toothpick.
• Set a pan on medium heat, add oil, turmeric powder and shallow fry the boiled eggs until crispy layer formed on outside. Keep aside for later use.
• Add the tomatoes in a Grinding jar and grind to a fine puree.
• Set a pan or wok on medium heat, add ghee and jeera and allow it to splutter.
• Add onions and cook until golden brown.
• Add ginger garlic paste, green chillies and turmeric powder, mx well and cook for 1-2 minutes.
• Add the tomato puree, salt to taste and cook for 2-3 minutes. Bring it to boil.
• Add roasted besan, red chilli powder and coriander powder, mix well and cook until oil releases.
• Add green peas, mix well and cook for 8-10 mins, add water if the masala gets too dry. Continue to keep the heat on medium flame, cover and cook for 5-6 minutes.
• Add 200 ml water and bring it to a boil, add the fried eggs and mix gently.
• Add kasuri methi, garam masala and fresh cream, mix gently and continue to cook for 4-5 minutes.
• Add freshly chopped coriander leaves and mix, your matar anda masala is ready to be served, serve hot with roti, naan or paratha of your choice.

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