Monthly Archives: May 2020

How to cure my piles by Ayurveda?

How to cure my piles by Ayurveda? 

Are you also suffering from the problem of Piles? If yes, then stop worrying now, as it can be treated using the Ayurveda treatment. Yes, you heard it right, Ayurveda can help in the holistic treatment of Piles. You will easily find piles specialists in Delhi who are known for treating piles using the ayurvedic remedies. We know that there are other treatments also available for piles. But they take time, and they may not help you in curing piles completely.

piles specialists in Delhi

Piles which is also known as Hemorrhoids, is one of the painful diseases. It causes swelling and pain in the veins, which are around your rectum or anus. Piles can be both internal and external. There can be different reasons which cause piles, like pregnancy, lifting heavy weights, diarrhea, improper digestion, chronic constipation, and a few others. Sometimes, the piles also make one bleed internally near the rectum only. But thanks to Ayurveda, that we have a curable treatment for piles. If you are looking for piles treatment in Delhi, then you must visit, Dr.Monga Ayurvedic Medi Clinic. We know that many of you are quite afraid to share the problem of piles with doctor or anyone, especially ladies. But at this clinic, ladies’ piles specialist is also there, so there is no need to hesitate.

Different Ayurvedic Treatments for Piles The ayurvedic treatment for piles varies from person to person. Or we can say it depends on the type of piles you have and its severity. Below, we are sharing details about some of the ayurvedic pile’s treatments that are being used by Ayurveda doctors.

Medication – If you are suffering from a minor problem of piles, then you need the right medication. Check with your Ayurveda doctor and ask him/her to recommend some medications. Also, ask them to help you know the changes that you need to bring in your diet or lifestyle. If you do not bring the required changes in your lifestyle and diet, it will become challenging to prevent piles.

piles specialists in Delhi

How to cure my piles by Ayurveda

Herbal Application – In this kind of treatment, herbal paste, known as Kshara, is being used to treat piles. Kshara is considered as one of the best methods for the treatment of piles. It is an alkaline paste that is being applied to the piles using a slit proctoscope, which is a specialized device. To get the best doctor for Piles Treatment using the herbal method, we suggest you visit Monga Ayurvedic Medi Clinic only.

Surgical Method – This kind of piles treatment is being used when other methods do not work. It is also being used when one has severe piles problem. This surgical method is known as Kshara Sutra. This method is being used so that the piles can get detach itself. Ayurveda doctors use a medicated thread for tying the piles. Due to this, the blood does not reach the veins, which leads to shrinkage of piles. It takes around a week or 10-days’ time to completely cure piles using this treatment.

There are a few other Ayurvedic treatments also which are being used for curing Piles. We suggest you all that never delay visiting a doctor when suffering from piles. Otherwise, the problem may increase and can become more painful.

Dental Caries: Types and Treatment

Dental caries is the gradual disintegration of dental tissues due to the incidence of bacteria that lodge on its surface. The destruction of the teeth by caries action is mostly given by the lifestyle, that is; In hygiene habits, the food we eat, the toothbrushes and toothpastes we use – or, we DO NOT use – and even the hereditary line can play a role in the sensitivity of tooth decay, explains the best dentist in Delhi.

Although children are more likely to get tooth decay because of their weakness in dairy – candy and also because the enamel layer is thinner.

Adults can also run the same risk especially if there is excessive consumption of caffeine and cigarettes.

To explain this, there are several types of dental caries that can affect people of different ages:

Types of dental caries

Crown caries: these are the most common type of caries. It can be visualized on the chewing surface, or between each of the teeth. It affects both children and adults.

Root caries: over the years, the gums are modified becoming less and less resistant, they gradually retract what the tooth root exposes and since they do not have an enamel coating, they are more susceptible to caries.

Recurrent caries: proliferate greatly on the crowns, since in these areas dental plaque accumulates more strongly.

In all these cases the level of severity is almost the same. If cavities are not treated in time, the next thing that happens is that they will end up damaging the teeth from the inside to the outside. Within that period the so-called abscesses (infection at the root of the tooth) can be formed. For these cases the only viable treatments are surgery, and endodontics (Root Canal Treatment in Rani Bagh).


In adults, a disorder that can lead to tooth decay is dry mouth. This disorder can be caused by the consumption of medications or by radiation therapy treatments in cancer patients.

Dental caries can be aggravated according to the patient. If oral care is minimal, the next thing that happens is that the person experiences an increase in the number of cavities.

When dental plaque is formed and it is not eliminated with good hygiene habits, cavities get stronger. It is advisable to have an annual consultation or twice a year with the dentist in Rani Bagh to prevent gum disease, enamel loss and tooth decay.

The types of caries can be identified by the dentist with the use of X-rays at the dental clinic in Rani Bagh.

Causes of tooth decay

The formation of caries is progressive, it is given according to the habits of each person. That said, then some of its causes are mentioned:

Plate Formation:

It is a thin transparent mantle that covers the denture, it is created with the excessive consumption of sugary foods and drinks combined with poor oral hygiene, two aspects that if they come together lead to the formation of tartar that accumulates in the bases of the gums as a strong barrier that hinders the destruction of the bacteria that cause many oral diseases.

Plaque Attacks:

The acidic elements that make up the dental plaque destroy the enamel minerals, causing erosion of the teeth. By crossing this first barrier, the bacteria form a chorus around the dentin, a thinner layer that is not very resistant to acids. The dentin is designed to house tiny ducts that connect it to the nerve of the tooth causing extreme sensitivity to food temperatures and flavors.

Continuous Destruction:

The critical stage in the progress of caries is when they happen to enter the inside of the tooth where the “pulp” is located or what is equal the amount of vessels and nerves, in this period the person experiences a greater degree of pain and inflammation due to the spread of the infection throughout the tooth.


The treatment is subject to the phase in which cavities are found, so it is essential to have a consultation every so often to avoid problems of major caries.

When it is an initial caries, the specialist removes the affected area with the help of tools and places a filling in the treated area.

On the other hand, if tooth decay has invaded the dental pulp, the dentist in Delhi proceeds to perform a root canal treatment, getting rid of the nerve.

And for the most critical cases, the dentist can remove the affected tooth and replace it with a piece that suits the patient.

Hygiene is a key point in the prevention of dental caries. Brushing your teeth properly and after eating food and before going to sleep is the first step to attack the root problem, avoiding the accumulation of plaque and oral diseases.

Replacing the toothbrush every two or three months is another way to create a protective barrier on the teeth, this prevents the proliferation of bacteria on the bristles of the brush, and after a while it wears out and loses its function.

Choose a good fluoride toothpaste, as well as flossing and mouthwashes.

Avoid consuming sugary foods and drinks excessively. In addition, it is not recommended to eat them between meals as this exposes the tooth to the acid in the bacteria. That’s why it’s better to consume them outside of meals and brush your teeth after that.

The next step to prevent tooth decay is the custom of attending the dentist in Delhi at least once or twice a year.

This also depends on the recommendation made by the specialist. With a premature diagnosis, the need to have to undergo major treatments that can lead to extensive processes and higher costs is avoided.

male sexologist doctor in Delhi

Male Sexologist Doctor in Delhi:-

How to cure my sex problem?

 Frequent sex among the couple helps them to lead a longer, happier, and healthier life. Only those couples who are sexually satisfied can have a longer relationship. Hence, it becomes imperative that you should pay enough attention to your sexual life as it contributes to your emotional as well as physical well-being. This will make their relationship beautiful and improves self-esteem in men. However, if the male sexual problem in Delhi persists then you should not shy away and should get it treated by the sexologist.

Male Sexual Health

 The men who have sexually good healthy has the ability to perform well during sexual intercourse. This will make them and their partner satisfied. For a man to have a healthy sexual life, they should have healthy sperm in abundance. If the man is unable to produce enough sperm, then this should be taken seriously and should be consulted with male sexologist in Delhi.

 Some of the occupations that will affect a man’s sexual life are:


  • Organic solvents,
  • Mercury radiation
  • Radioactive substances
  • Benzene
  • Boron
  • Heavy metals
  • Toxic chemicals


Apart from occupational problems, the sexual problems in men are caused because of alcohol, cigarettes, high blood pressure medication, anti-anxiety medication, antidepressants, cocaine, and major tranquillisers.


If a man is so embarrassed and doesn’t want to discuss this, then he will have to suffer from this agony. Several sexual disorders will put a man’s sexual life at risk. Some of the diseases associated with male sexual problems are:


  • Erectile dysfunction (ED) or impotence
  • Premature Ejaculation (PE)
  • Nightfall (NF)
  • Penis enlargement
  • Low libido or desire for sex


Almost 70% of men around the world are affected by anyone of the above diseases. Hence, you need not have to think that you alone are suffering from sexual disorders. All you need to do is to talk to the male sexologist doctor in Delhi who will provide you with a treatment to get rid of these problems and you can lead a normal and healthy life.


Your doctor will prescribe you with regular exercise and diet. When you have a nutritious diet, moderate exercise, and restrict recreational drugs,it will increase your libido and provide you with overall health benefits. The regular exercise will also avert the risk of prostate cancer. It will also control bladder problems and impotence at an older age.

When you go for treatment, you will also be provided with psychological counseling, nutrient supplementation, and medication that will help improve your sexual health. Only your healthcare professional can provide you with prescription medicines that are ideal for you. Mostly they will advocate on Ayurvedic treatment that will provide you with longevity in your sexual health as it uses natural ingredients and also addresses the root cause of your disease and provides a cure for it. These medicines are made from plants, their roots, stems, leaves, and flowers. Along with it, vitamins and minerals are also added in the right proportion. When this is consumed it provides the desired result without any side effects or wild behavior. It provides permanent salvation for your sexual problems.

These days, male sexual problems are openly discussed as there are solutions available for them. As most of them are caused due to natural reasons, the cure is also available in nature.

treatment of hip fracture

Uses of Hip Implants in the Treatment of Hip Fractures

Hip fractures are one of the most common types of bone fractures, a hip fracture is the most common reason why people require surgery for a fracture older than 65 years. Unfortunately, this difficult problem generally affects the most vulnerable and fragile patients. While some common orthopaedic injuries occur in more vigorous and active people, most broken hips occur in more sedentary and fragile people, says orthopaedic in Delhi.

Because of this, many people who suffer from these injuries, or their families, are worried about the recovery process. Is major surgery useful? What is the probability of recovery? What is the best method to help an older person who has broken his hip?

Treatment for broken hip:

Almost all people who break their hips will need surgery to solve the fracture problem. The surgical procedure is performed using implants and orthopaedic instruments. There are several treatment options that depend on the injured patient and the location of the fractured bone. The options are necessarily to repair the broken bone or replace all or part of the hip joint. Most fractures will have a preferred treatment method, although in some situations, your orthopaedic surgeon in Delhi will make a recommendation where there may be more than one treatment option.

Sometimes, families consider non-surgical treatment for these injuries. While that may be an option for very sick or very fragile patients, it is usually not a good option. Non-surgical treatment is only considered for very specific types of fractures, for example, if the rupture is only on the side of the pelvis of the hip joint (and not on the femur), then a non-surgical treatment is possible. But most hip fractures of the femur bone will need surgery with orthopaedic tools. The problem with non-surgical treatment of most types of broken hip may be almost impossible, explains the orthopaedic in Najafgarh.

There are many problems with not being able to move a person who has been injured:

  • It can cause more problems: – Being still can lead to several problems with people. The development of other medical conditions is one of the main problems with the non-surgical treatment of hip fractures. Immovable people are prone to develop blood clots, pneumonia and pressure sores. These conditions are already problems for the elderly, and if you cannot move someone, the possibility of developing one of these types of problems increases considerably. For these reasons, even in very sick or very fragile patients, repair of a hip fracture is generally recommended by the orthopaedic in Delhi.
  • It can be difficult to take care of people: – Caring for someone who cannot move is very difficult. Simple tasks, such as going to the bathroom and bathing someone who can’t move, are difficult. While the management of painful symptoms of a hip fracture can be achieved by making someone sit still, it is not reasonable to take care of someone without moving it. Therefore, even when broken hips occur in people who depend entirely on other people for support, they are usually surgically repaired to allow this care to take place.

The surgical procedure used to repair a hip fracture may differ according to several factors. In general, fractures of the upper part of the thigh bone, called the femoral neck, are treated with hip replacement in Delhi. If the fracture of the femoral neck is not completely displaced (out of place), a rupture repair can be considered. Fractures under the neck of the femur, called peri-trochanteric or intertrochanteric fractures, are treated with surgical repair using bone plates, bone screws or rods.


Diabetes is the leading cause of kidney failure in the developed world, says the nephrologist in Delhi.

The diabetes characterized disease excess blood glucose can affect various organs of the body including the kidneys (diabetic nephropathy) or eyes (diabetic retinopathy). Good diabetes control can prevent, delay or reduce the appearance of these and other complications of the disease, explains the nephrologist in Noida.

The constant maintenance of high levels of glucose (sugar) in the blood causes an alteration in the wall of the arteries. Consequently, the blood does not reach the tissues correctly and this results in a disorder in the structure and function of different organs of the body.

The mechanism by which excess glucose affects the arteries is very complex. On the one hand, the wall of the arteries is made up of proteins. Glucose tends to bind to these proteins and this phenomenon, in the long run, can deconstruct the arterial wall. On the other hand, the insulin deficit of diabetes itself means that the transformation of glucose for energy is carried out through a specific type of metabolic pathway. Therefore, the body accumulates a series of substances that can also cause alterations in the walls of the arteries.

The occurrence of complications in a diabetic person also depends on their personal susceptibility to changes caused by elevated glucose levels.

According to the nephrologist in Gurgaon, diabetes is the leading cause of kidney failure in the developed world and accounts for approximately 35-40% of new cases of kidney failure each year. It is important to know that:

The development of early stages of diabetic nephropathy is common.

During life, around 50% of people with type 1 diabetes develop microalbuminuria – presence of albumin protein in the urine, which is a deterioration indicator of renal function.

Approximately 20% of people with type 1 diabetes develop kidney failure.

In Caucasian people with type 2 diabetes, between 5 and 10% develop chronic end-stage renal failure (IRCT), while among non-Caucasians the proportion is even higher.

Diabetic renal failure is the most common cause of admission to renal replacement, dialysis or transplantation programs, in most countries of the world, says the kidney specialist in Noida.

In India about one third of people with end-stage chronic renal failure suffer from diabetes. It is estimated that this population will grow at an annual rate of 8%.

Up to 40% of new cases of IRCT can be attributed to diabetes.

The risk of IRCT is 12 times higher in people with type 1 diabetes compared to those with type 2 diabetes.

There are two treatment options when the kidneys fail.

Dialysis in Delhi – peritoneal dialysis or hemodialysis – and kidney transplant in Delhi. The costs of both treatments are high. It is estimated that diabetes represents between 5 and 10% of the national health budget in developed western countries.

Diabetic renal failure develops so slowly that it may not show symptoms for many years.

The best way to detect the problem is the analysis of urine for proteins, which normally should not be present, such as albumin. It is recommended that every person with diabetes undergo a urinalysis every year for albuminuria.

A close control of the blood glucose level reduces the risk of microalbuminuria, and therefore of future terminal chronic renal failure by up to 35%.

There is conclusive evidence that good blood glucose levels can significantly reduce the risk of developing complications and slowing their progression in all types of diabetes.

The control of high blood pressure and high levels of blood fats (hyperlipidemia) is also very important, advices the kidney specialist in Gurgaon.

Premature Ejaculation – The Most Common Causes

Premature Ejaculation – The Most Common Causes

What is premature ejaculation?

Many men face sexual dysfunction. One of the most common is premature ejaculation, found in sexually active men, most often under the age of 40.

Premature ejaculation is defined by sexologist in Delhi as the occurrence of uncontrolled ejaculation either before or shortly after penetration, with minimal sexual satisfaction.

The time of onset of premature ejaculation is variable and there is no threshold value to be exceeded, it is more than the partners engaged in the intimate relationship, their expectations and personal experiences. Occasional occurrence of premature ejaculation should not cause concern, but if the problem persists in more than 50% of sexual relationships, the cause should be sought and properly treated, says the best sexologist in Delhi.


The causes of erectile dysfunction can be multiple, most often being the psychological factors, daily stress, fatigue. Premature ejaculation is not an organic disease, but may be a symptom of a chronic condition.

The premature ejaculation of the psychological cause is often encountered at the beginning of the sexual life, at the young people with complexes regarding the physical aspect, at those with a strict religious education when the feeling of guilt and shame appears, and for the adult man it can be the first sign of a depression or signs of a chronic condition. Excessive masturbation also leads to disruption of normal sexual functions, which can have the effect of premature ejaculation, explains sexologist doctor in Delhi.

The most common conditions that can lead to premature ejaculation are diabetes, hormone dysfunction with low levels of testosterone, thyroid disorders, inflammation or infections of the prostate, disorders of the urethra.

Some cardiac treatments, such as beta-blockers, hypocholesterolemic treatments: statins, fibrates, some antidepressant and anticonvulsant drugs, relievers cause various sexual disorders manifested differently from one man to another.

The lifestyle greatly influences the body’s functions, thus, excessive alcohol consumption, smoking, sedentary lifestyle and obesity lead to decreased sexual capacity and may cause premature ejaculation. Exposure of the testicle to heat for a long time is a risk factor for infertility and testicular cancer. Holding the laptop on the abdomen, which is not usually known to most men, can have adverse effects on the body and trigger complex pathologies, warns top sexologist in Delhi.

Premature Ejaculation – The Most Common Causes


Most often premature ejaculation treatment in Delhi, the simple discussion with the sexual partner can solve the problem, if it is of a psychological nature. You can also call for specialized help from a sex specialist in Delhi, at couple therapy hours or at yoga and fitness sessions to get rid of the negative energies and stress accumulated during the day.

Because the daily life does not allow us a proper nutrition the body often suffers from vitamins and minerals. Zinc dietary supplements promote normal sexual function by increasing the serum testosterone level and most often bring benefits in the premature ejaculation problem.

Magnesium, a mineral indispensable to the body, participates in hundreds of biochemical reactions and ion exchanges in cells, its deficiency is expressed as a first sign through fatigue, muscle cramps, nervousness.

Deficiency causes premature ejaculation through the impossibility of maintaining an optimal ion exchange at the cellular level, through neurological manifestations: anxiety , depression, irritability and general manifestations: nausea, headache, muscle pain. Other minerals that help treat premature ejaculation are: calcium, participates in ion exchange in the cell, is indispensable for muscle contraction and selenium, contributes to the proper functioning of the thyroid gland.

If you are young, you have a healthy diet, a free discussion with your partner and the only problem is that you are at the beginning of the journey, you do not have to worry! Premature ejaculation occurs very frequently in inexperienced men. There is no need for treatment and the problem disappears after a variable period of time. However, if the situation creates discomfort, one of the solutions would be condoms, suggests sexologist in East Delhi.

Condoms decrease the sensitivity of the penis and lead to delayed ejaculation . There is a wide range on the market, the thicker ones are recommended by sexologist in South Delhi, but their effect varies from person to person.

Pelvic exercises have high efficacy in increasing control and delaying ejaculation. Masturbation also helps young people to experience the sensations of sexual stimulation and to anticipate ejaculation. For cultural or religious reasons, young people avoid the practices of self-knowledge, confronting it.

When it comes to diabetes, sexual dysfunction is difficult to treat. It is recommended by sexologist in Delhi to prevent hyperglycemia attacks, compliance with the regimen and medication. Optimal treatment can be prescribed by a sexologist in Delhi after specialized analysis and consultation.

If premature ejaculation occurs after the administration of the specialized treatment, this should be reported to the sexologist in Delhi and a suitable solution found: changing the drug, lowering the dose; the treatment should not be stopped without the doctor’s announcement, especially antidepressant or cardiac treatment, stopping it may endanger the man’s life.

Thyroid and prostate disorders should always be carefully investigated, as they can hide a far more serious problem than symptomatology. The thyroid nodule is searched and endocrine treatment is given, and the prostate is searched for the cause of inflammation, combating with drug treatment, if we are experiencing an infection and ultrasound examination to evaluate the size and consistency.


Premature ejaculation is not an organic disease, it is a common situation in men without experience and disappears most with experience. If it does not disappear immediately, the most optimal solutions are using the right condoms, pelvic floor exercises and self-knowledge through masturbation.

If ejaculation occurs in an experienced man, a sudden change in sexual dynamics is indicated, correction of lifestyle, nutrition and mineral supplements.

Whenever the dysfunction becomes troublesome or a more serious problem is suspected, a sex doctor in Delhi should be consulted.

Also Check:

Improvement of Sexual Life

Impotence or erectile dysfunction is sexual anomaly. This condition refers to the inability to maintain the erection long enough for sexual satisfaction. And when this happens in a couple’s life, neither party can be happy.

However, this anomaly occurs frequently among men and is something to be taken very seriously, says sexologist in Delhi.

Natural potent for improving sexual life

No matter how hard someone desires, sex life is just as important in a couple, as is the affection and communication between partners.

And if the first factor fails, even if the last two are favored, the frustration between the two lovers can be installed and the relationship can break down very simply.

Impotence is a sexual dysfunction on the part of the man that can appear for a number of reasons.

Impotence can be caused by diabetes or certain heart conditions. Therefore, with a small treatment or with little help from nature, this problem can be improved or cured, for a fulfilled sex life, suggests the best sexologist in Delhi.

Causes of erectile dysfunction. How can impotence be counteracted?

It can be about certain heart diseases, hormonal insufficiency, the effects of some medicines or even diabetes. But, as well, erectile dysfunction can occur in the landscape and due to psychological problems.

Therefore, a cause must be found for the power to be improved, both for the good of the relationship and for the self-esteem of the man, says top sexologist in Delhi.

erectile dysfunction treatment in Delhi

Symptoms of erectile dysfunction

The main symptom of erectile dysfunction is the impossibility of obtaining and maintaining a sexual act. As explained by sexologist in Delhi, erectile dysfunctions come with a number of aspects that need to be considered:

  • Absence of erection;
  • Reduction in time of the rigidity or the number of erections;
  • Maintaining a firm erection in order to obtain a sexual act;
  • Maintaining the erection during the entire sexual act;
  • Erectile dysfunctions are a precursor to heart problems.

Erectile dysfunction treatment

Any erectile dysfunction treatment in Delhi begins with a physical examination to rule out the possibility of side effects of certain medications or conditions such as diabetes, high cholesterol, kidney disease, says sexologist doctor in Delhi. Depending on the symptom you have, you can choose one of the three remedies below:

  • Exercises to revitalize the pubococcygeal muscle by means of a vacuum pump;
  • Surgical intervention performed to restore the blood flow to the penis area;
  • Natural supplements such as Tianli, with a complex of herbs and aphrodisiac plants;
  • Natural ginger-based treatments that help revitalize the body, damiana that helps increase fertility or maca that helps increase sexual drive.

Erectile dysfunction can be caused either by guilt or by inhibition of sexual desire. For each man, it may be a different diagnosis, but the solution is always available to everyone, says sex specialist in Delhi.

The degree of seriousness of impotence can be delimited by a short period of time or by a complete inability to maintain the erection and complete the sexual act.

There are aphrodisiac plants that may conflict with certain drug treatments, a medical check-up is recommended before resorting to their properties, says sexologist in Delhi.

Infant Care – How to Do It Right?

If you have just had a baby, proper care is essential. Newborns are very demanding and it can be overwhelming if you are not well prepared. They require constant feeding and regular diaper changes to keep them comfortable. Most new parents become sleep deprived and this can lead to anxiety and depression. There are some simple tips you can use to make sure your infant is well taken Infant Daycare in Noida of.

The most important thing to think about when you bring your baby home is feeding. You can either breastfeed your baby or use a bottle. If you decide to breastfeed, you should know that it takes patience. You should breastfeed your baby after every 3 hours to create a routine. You can ask your doctor to recommend the best way to hold the baby when they are breastfeeding. If you prefer to use a bottle, make sure you hold the infant while they feed. This will allow the two of you to bond and it prevents the infant from taking in too much milk.

Bathing is another essential aspect when it comes to Infant Daycare in Noida. When you are giving your infant a bath, you should make sure there are no open windows. It is important to collect all the items you need before you start the bathing process because it is dangerous to leave an infant unattended. If you need to get an item, make sure you carry your baby with you. The water temperature should not be too cold or too hot. Test the water with your wrist or elbow to make sure it is just right. Avoid using soap on the infant’s face and dry the baby immediately after the bath. The umbilical cord should be kept dry until it heals completely. When putting on the infant’s diaper, make sure it is below the umbilical cord to avoid contamination.

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What Causes Pain in Kidney Failure?

The literature reveals that up to 58% of patients with Chronic Renal Failure (CRF) have some pain that is difficult to control. Despite this, there is a lack of consensus that addresses its diagnosis and treatment in this type of patients. The pain seems to be generally of musculoskeletal origin, although neuropathic pain is also common. It is according to the degree of renal impairment that certain doses of drugs must be adjusted to avoid the accumulation of active metabolites. To dose we must consider a decreased clearance of the drug (Cl), changes in the volume of distribution (Vd), lower protein binding, threshold to decreased respiratory depression, suggests nephrologist in Delhi.

The use of analgesics in patients with CRF is relatively uncommon, considering the prevalence of severe pain in this population. Paracetamol is a safe alternative in this type of patients, and yet it is prescribed very little. The frequency of prescription of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) impresses with being inappropriately high, and the precaution of restricting them in patients with a Glomerular Filtration (GFR) less than 35 ml / minute is rarely taken to avoid further deteriorating renal function. The opioids that are frequently prescribed are of the weak type, and some have inadequate pharmacokinetic properties for patients with kidney disease, says best nephrologist in Delhi.

To treat pain in a patient with CRF, several factors must be considered; the degree of insufficiency, drug interactions and comorbidities. Opioids should be used conservatively and with low titres. The use of NSAIDs is not recommended chronically, but they may have a role in the treatment of renal colic by inhibiting the synthesis of prostaglandins. Its use should not exceed 7 days. In post-dialysis patients kidney specialist in Delhi suggests to start the dose of gabapentin at 100 mg every other day, and pregabalin can be started at doses as low as 25 mg every other day.

It is estimated that up to 50% of patients with CRF have diabetes mellitus. Of these, one third suffer from diabetic neuropathy. Gabapentinoids are not only useful in the treatment of this, they have also been shown to play an important role in other symptoms, such as pruritus and insomnia.

Joint pain is another common problem in patients with CRF. They often have severe shoulder pain without a clear etiology. One hypothesis is that pain is caused by accumulation of B2 microglobulin in the joint. In those patients in whom the pharmacological treatment is not successful, an arthroscopic synovectomy may be a good option. B2 microglobulin deposition can also cause mononeuropathies, including Carpal Tunnel Syndrome (STC), caused by extrinsic compression of the median nerve, which often requires surgical decompression.

Next, best kidney specialist in Delhi will talk about some of the frequently used analgesics and their implications in the IRC:

Paracetamol: It is a powerful analgesic and antipyretic. It is the analgesic of choice in patients with kidney disease (except in those who also have liver failure). Its maximum dose is 3000 mg per day. It usually does not require adjustment according to the glomerular filtration rate (GFR), although some top kidney specialist in Delhi recommends spacing doses every 8 hours when GFR is <10 mL / min.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): May decrease opioid requirements by up to 30%. However, due to its gastrointestinal and renal adverse effects its prolonged use in patients with CRF should be avoided. If your prescription is necessary, it should be limited to no more than 7 days, always monitoring the renal function suggests top nephrologist in Delhi.

Morphine: It is the most widely studied opioid analgesic in kidney disease. It is an agonist of the µ receptors. It causes pain relief through its µ1 agony and respiratory depression through µ2. It is metabolized in the liver to various metabolites. Of these, morphine-6-glucoronide is approximately 10 times more potent than morphine. It accumulates in the CRF causing respiratory depression and depression of the Central Nervous System (CNS), since once it crosses the blood brain barrier (BHE) the effect persists for several days after the drug has been suspended and even after a hemodialysis. It is recommended by kidney doctor in Delhi to reduce the dose by 25%, 50% and 75% in patients with CKD stages 3,4 and 5, respectively.

Codeine: A series of active metabolites (codeine-6-glucuronide, norcodeine, morphine, M3G, M6G, and normorphine) are metabolized via the liver, which are excreted via the kidneys. Its half-life is prolonged up to 5 times in patients requiring hemodialysis. Coidein and its metabolites accumulate in the IR and cause hypotension and respiratory depression.

Fentanyl: It is rapidly metabolized via liver to inactive metabolites. It does not accumulate significantly in the IRC, so it is a safe option. No dose reduction is necessary.

Tramadol: It is an opioid analgesic that also inhibits the re-capture of serotonin and norepinephrine. It is effective in both nociceptive pain and neuropathic pain and has the advantage of producing less sedation and respiratory depression than the rest of opioids. A common adverse effect is nausea. A rare but important effect is seizures, especially in patients taking medications that lower the seizure threshold, such as serotonin reuptake inhibitors. It can also cause serotonin syndrome. In advanced CRF, the elimination half-life may even double, so the dose should be reduced to 200 mg / day in patients with a GFR <30 ml / min, and to 50 mg / day if the GFR is <10 ml / min. Tramadol is eliminated with dialysis, so it should be administered after it.

What is the treatment for the loss of libido?

What is the treatment for the loss of libido?

Loss of libido (sex drive) can be defined as one of the most common sexual problems found in men, which affected many men by disturbing their sexual life. It acted as one of the key reasons behind relationship issues, tiredness, stress, and can also be an indication for other underlying medical issues, like reduced hormone levels.

If you are suffering from this problem, then don’t feel shy as It happens to many guys, and only a few talk about it, especially in the case when “it” is a low libido. The society believes that virility plays a severe role to express manhood.

Low Libido Treatment

Physical issues which can be responsible for low libido may include low testosterone, the taking of prescribed medicines for other health issues, Lack of required body exercise, and to much consumption of alcohol and drug.

If you are looking for the Best Low Sex Desire Treatment, which is essential for you is to look for low libido Doctor, having years of experience in treating such problems. One of the notable specialists in this field is Dr.Monga. He cured many patients having this problem and helped them in leading a healthy and satisfying sex life with a partner.

The secret behind the best Treatment for Loss of Libido is to identify the root cause behind the same. The nature of treatment and the medications suggested will depend on the root cause.

Best Low Sex Desire Treatment

In short, the best treatment for the loss of libido is a mix and match of ayurvedic medicines, food, lifestyle, and exercise. Patients are suggested to follow the advice of the doctor strictly, and that will help in enjoying a fast improvement in the body, followed by great sex desire perfect for satisfying both you and your partner. Visit the clinic of Dr.Monga after taking a prior appointment best sexologist doctor.