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  1. Asked: June 25, 2024

    How can I stay safe from dengue fever and infections during monsoons?

    Dr. Nikita Toshi
    Dr. Nikita Toshi
    Added an answer on June 25, 2024 at 2:53 pm

    Dear Reader,  I too adore the rain, and I completely understand your concern. Staying healthy during the monsoon season in India can be challenging, especially with a busy schedule and lower immunity. Here are some tips to help you enjoy the rainy weather while protecting yourself from fever and infRead more

    Dear Reader, 

    I too adore the rain, and I completely understand your concern. Staying healthy during the monsoon season in India can be challenging, especially with a busy schedule and lower immunity. Here are some tips to help you enjoy the rainy weather while protecting yourself from fever and infections:

    1. Use Mosquito Repellents: Mosquitoes thrive during the monsoon. Dengue is a viral infection spread by mosquito bites. Use repellents and keep your surroundings clean to prevent the breeding of mosquitoes.
    2. Boost Immunity: Eat a balanced diet rich in fruits, vegetables and proteins. Foods high in vitamins A, C and E are particularly good for your immune system. 
    3. Hygiene Practices: Wash your hands frequently with soap and water, especially before eating and after commuting. Keep hand sanitizer handy for times when you can’t wash your hands.
    4. Stay Hydrated: Drink plenty of clean, filtered water. Avoid street food and beverages. Carry your own water and meals wherever possible.
    5. Stay Dry and Warm: Always carry an umbrella or raincoat to avoid getting wet. Change out of wet clothes immediately to prevent chills. Avoid sudden temperature differences.
    6. Regular Exercise and Rest: Maintain a regular exercise routine and ensure you get enough sleep to keep your immune system strong.
    7. Avoid Crowded Places: If possible, avoid crowded areas where the risk of infection is higher. Wear a mask if you need to be in crowded places.
    8. Sanitize Surfaces: Clean and disinfect commonly touched surfaces regularly, like your phone, doorknobs and study desks.

    Following these tips can help you stay healthy and enjoy the monsoon season. 

    Hope this helps

    Wish you good health.

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  2. Asked: June 21, 2024In: Health & Wellness

    How can I regain my focus and overcome popcorn brain?

    Dr. Nikita Toshi
    Dr. Nikita Toshi
    Added an answer on June 21, 2024 at 7:19 am

    Dear Reader,  "Popcorn brain" refers to the phenomenon of constant exposure to digital stimuli from devices like smartphones and computers. In this condition, your brain is so accustomed to rapid changes in focus that it struggles to maintain attention on a single task. As you've experienced, this cRead more

    Dear Reader, 

    “Popcorn brain” refers to the phenomenon of constant exposure to digital stimuli from devices like smartphones and computers. In this condition, your brain is so accustomed to rapid changes in focus that it struggles to maintain attention on a single task. As you’ve experienced, this can significantly impact work and daily life. 

    Here are several strategies to help improve your focus:

    1. Limit Screen Time: Set specific times to check your devices. Avoid using them during meals, before bed, and first thing in the morning.
    2. Create a Routine: Establish a daily routine to provide structure. Allocate specific times for work, breaks, exercise, and leisure.
    3. Pomodoro Technique: Work for 25 minutes, then take a 5-minute break. After four cycles, take a longer break (15-30 minutes). This helps maintain focus and prevents burnout.
    4. Maintain a note of tasks and prioritise them. 
    5. Practice Mindfulness: Engage in mindfulness exercises like deep breathing, or mindful walking to improve your ability to concentrate.
    6. Regular Exercise: Incorporate physical activity into your routine. Even short walks can boost cognitive function.
    7. Healthy Diet: Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Stay hydrated and avoid excessive caffeine and sugar.
    8. Consistent Sleep Schedule: Aim for 7-8  hours of sleep each night. Go to bed and wake up at the same time daily.
    9. Turn Off Notifications: Silence non-essential notifications on your devices.
    10. Professional Support: There can be numerous reasons behind your complaint of difficulty concentrating. Following the steps I mentioned above can help you, but don’t hesitate to consult a psychiatrist if your problems persist. They can better guide you by understanding your problem in detail. 

    Implementing these strategies may help mitigate the effects of “popcorn brain” and gradually restore your ability to focus. Start with small changes and gradually build up to more significant adjustments to avoid feeling overwhelmed.

    Hope this helps

    Wish you good health.

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  3. Asked: June 21, 2024

    Can flesh-eating bacteria really lead to death?

    Dr. Nikita Toshi
    Dr. Nikita Toshi
    Added an answer on June 21, 2024 at 6:53 am

    Dear Reader,  Flesh-eating bacteria infections, medically known as necrotizing fasciitis, can be very serious and potentially life-threatening. Certain types of bacteria invade deeper layers of skin and soft tissue, causing rapid tissue destruction. The severity of necrotizing fasciitis depends on sRead more

    Dear Reader, 

    Flesh-eating bacteria infections, medically known as necrotizing fasciitis, can be very serious and potentially life-threatening. Certain types of bacteria invade deeper layers of skin and soft tissue, causing rapid tissue destruction.

    The severity of necrotizing fasciitis depends on several factors, including the type of bacteria involved, how quickly the infection is diagnosed and treated, and the overall health of the affected person. In Japan or any other country, outbreaks or increases in reported cases of such infections can be concerning.

    Early symptoms may include 

    • Red or swollen skin that spreads quickly
    • Severe pain beyond proportion to the wound
    • Fever
    • Nausea

    However, it’s important to note that necrotizing fasciitis is still relatively rare, but prompt medical attention is crucial if symptoms occur. If your brother experiences any concerning symptoms or has a wound that seems to be worsening rapidly, he should seek medical help immediately.

    Prevention involves good wound care, especially for cuts or wounds that are exposed to environments where bacteria thrive (such as seawater or certain types of soil). Keeping wounds clean, promptly treating any injuries, and being aware of symptoms can help reduce the risk of infection.

    If you’re worried about your brother, encourage him to be vigilant about wound care and seek medical advice promptly if he has any concerns.

    Hope this helps.

    Wish you good health.

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  4. Asked: June 20, 2024In: Health & Wellness

    Can heatwaves cause headaches?

    Dr. Nikita Toshi
    Dr. Nikita Toshi
    Added an answer on June 20, 2024 at 6:52 am

    Dear Reader,  I understand the intense heat in Noida, with temperatures reaching up to 50 degrees Celsius. Commuting daily in such conditions can indeed be challenging.  Regarding your concern, yes, a heatwave can contribute to headaches, but it's not the sole factor. Headaches during a heatwave mayRead more

    Dear Reader, 

    I understand the intense heat in Noida, with temperatures reaching up to 50 degrees Celsius. Commuting daily in such conditions can indeed be challenging. 

    Regarding your concern, yes, a heatwave can contribute to headaches, but it’s not the sole factor. Headaches during a heatwave may stem from prolonged exposure to heat and bright sunlight, dehydration, and fluctuations in blood pressure.

    Let me share some tips that can help you:

    1. Stay hydrated – Drink plenty of water and replenish electrolytes by consuming buttermilk, lemonade, ORS at regular intervals. 
    2. Wear good quality sunglasses while driving – If you wear power glasses then your sunglasses should also have the same power since you need to wear them for long periods of time while driving. Consult an eye doctor for an eye checkup and get appropriate sunglasses made. 
    3. Take breaks – If your commute requires prolonged sun-exposure take breaks in shade or air cooled areas and hydrate yourself. This will allow your body to regulate the body-temperature. Stop driving and ask for help if you feel dizzy or low anytime while driving.  
    4. Avoid sun – I understand that you need to travel during the day, but try and schedule your travel in such a way that you can stay indoors during peak heat hours. 
    5. Cover yourself well – Cover yourself well with breathable cotton fabric. 

    Take care of your diet and nutrition. Check your BP and blood sugar levels. Visit a doctor to rule out other possible causes of recurrent headaches and follow their advice. 

    I hope the temperature drops down soon. Till then take good care of yourself to stay safe from heat wave. 

    Hope this helps

    Wish you good health. 

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  5. Asked: June 19, 2024In: Health & Wellness

    What measures should I adopt to protect myself from the heatwave and maintain my well-being?

    Dr. Nikita Toshi
    Dr. Nikita Toshi
    Added an answer on June 19, 2024 at 4:25 am
    This answer was edited.

    Dear reader,  I understand your concern. Infact, during my college days, I too faced the problem of feeling low and tired during summers.This usually happens due to dehydration and a drop in BP. I always carried ORS with me during my clinical postings to manage this. However with every passing year,Read more

    Dear reader, 
    I understand your concern. Infact, during my college days, I too faced the problem of feeling low and tired during summers.This usually happens due to dehydration and a drop in BP. I always carried ORS with me during my clinical postings to manage this. However with every passing year, the summers are getting extreme causing us to bear the brunt of heatwaves. 
     I have collated some easy to follow tips for you to stay safe from  heat waves-

    1. Avoid Going Out During Peak Hours – Prefer staying indoors between 11 am and 5 pm when the heat is most intense. You can tweak your travel time accordingly.
    2. OOTW (Outfit Of The Wave) – Dress in light colours and loose-fitting clothes to stay cool.
      1. Use scarfs, umbrellas, and caps to limit direct sun exposure.
      2. Wear sunglasses to protect your eyes and the sensitive skin around them.
    3.  Stay Hydrated-
      1. Drink plenty of fluids such as water, buttermilk/lassi, fruit juices, coconut water, lemonade, and ORS (Oral Rehydration Solution).
      2. Avoid hot tea/coffee, alcohol, and sugary sodas which can contribute to dehydration.
    4. Eat Healthy:
      1.  Consume light meals, fruits with high water content, and foods high in fiber and protein.
      2. Avoid fried and spicy foods as well as stale or leftover food, which can be harder to digest in hot weather.
    5. Apply Sunscreen- Use sunscreens with SPF 30 or above to protect your skin from tanning and sun damage.
    6. Avoid Exertion- Do not overexert, hot weather can lead to heat exhaustion.
    7. Monitor Blood Pressure and Blood Sugar- Check your blood pressure and blood sugar levels when you feel low. Consult a doctor if the readings are deranged or symptoms persist even after following these measures and maintaining hydration. 

        Hope this helps.
        Wish you good health.

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      • Asked: February 7, 2024In: Diabetes

        Is Type 2 diabetes reversal possible? If yes, then what are the measures I need…

        Dr. Mayuri Pandey, MBBS
        Dr. Mayuri Pandey, MBBS
        Added an answer on February 7, 2024 at 8:59 pm

        Reversal of Type 2 diabetes is possible. To reverse diabetes, you would have to bring down the blood glucose level to an acceptable range so that you don’t require insulin or medication support. You can follow these tips to reverse your diabetes: Contact a dietician to get on a low-calorie dieRead more

        Reversal of Type 2 diabetes is possible. To reverse diabetes, you would have to bring down the blood glucose level to an acceptable range so that you don’t require insulin or medication support. You can follow these tips to reverse your diabetes:

        • Contact a dietician to get on a low-calorie diet, as it requires extreme control over how many calories you eat in a day. 
        • Routine exercise will help you lose the extra weight and promote the reversal of your diabetes.
        • Fasting is a straightforward way to lose excess weight and cut down blood sugar levels. Still, you should do it under supervision. 
        • Bariatric surgery is an option only if your BMI is 35 or higher. The surgery will help you lose weight and reverse your diabetes. Still, it is essential to consult your physician, as surgeries involve several risks.

        If on medication, please do not stop or alter your medication without the doctor’s approval, even if your sugar comes at the normal range.

        Read more about glycemic index.

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      • Asked: February 7, 2024In: Diabetes

        My husband and I are both Type 1 diabetics? We are planning for a baby….

        Dr. Mayuri Pandey, MBBS
        Dr. Mayuri Pandey, MBBS
        Added an answer on February 7, 2024 at 4:27 pm

        Type 1 Diabetes (T1DM) is associated with genetic factors, but the exact pattern is unknown. If you and your partner have T1DM, then both of you carry individual risks for the baby to develop the same disease. Further, the risk cannot be avoided by surrogacy, as the chances are that the baby may devRead more

        Type 1 Diabetes (T1DM) is associated with genetic factors, but the exact pattern is unknown. If you and your partner have T1DM, then both of you carry individual risks for the baby to develop the same disease. Further, the risk cannot be avoided by surrogacy, as the chances are that the baby may develop the same condition since your genes will be transmitted to the baby in the process of fertilisation.
        Surrogacy, a lot of times, is the last option for women with Type 1 Diabetes mellitus because it is associated with a lot of fetus growth-related complications like miscarriages, birth defects, preterm delivery, stillbirth, and agenesis of organs. Plus, the mother has to take more than usual amounts of insulin to provide nutrition to the fetus.
        Thus, it’s best to consult your diabetologist and gynaecologist if you have severe Type 1 diabetes to check if you should go for conception or surrogacy. Make sure you know all the options available.

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      Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment/advice by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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