Namaste Saif ji,

Hyperhidrosis (zyada paseena aana) ka treatment kaafi tariko se kiya ja sakta hai. Agar aapko traditional treatments se relief nahi mil raha hai, to surgery bhi ek option ho sakta hai.

🔹 Hyperhidrosis ke Treatment Options:

1. Prescription Antiperspirants:

   • Strong aluminium-based antiperspirants jo doctor ke prescription se milte hain, inka use aapke sweating ko control karne mein madad kar sakta hai.

2. Oral Medications:

   • Kuch oral medications jaise anticholinergics sweating ko reduce karte hain, lekin iske kuch side effects ho sakte hain (jaise mouth dryness, blurred vision).

3. Botox Injections:

   • Botox ko underarms, hands, ya feet mein inject kiya jaata hai jo temporary taur par sweating ko rokta hai. Yeh usually 4-6 months tak effective hota hai.

4. Iontophoresis:

   • Yeh ek non-invasive treatment hai jisme ek mild electric current ka use hota hai sweat glands ko temporarily deactivate karne ke liye. Yeh mainly hands aur feet ke liye hota hai.

5. Microwave Therapy (MiraDry):

   • Yeh procedure underarm area mein sweat glands ko microwave energy se destroy karta hai. Isse long-term relief milta hai.

🔹 Surgical Option:

• Endoscopic Thoracic Sympathectomy (ETS):

  • Agar upar wale treatments se fayda nahi mil raha ho, to surgery ek option hota hai. Is surgery mein chest mein chhote cuts karke, nerves ko block kiya jaata hai jo sweating ko control karte hain.

  • Yeh surgery kaafi effective hoti hai, lekin kabhi-kabhi compensatory sweating (body ke doosre parts mein zyada paseena) ka risk ho sakta hai.

🔹 Precautions for Hyperhidrosis Management:

• Daily Hygiene: Antiperspirants ka use karein aur regular bath lein.

• Loose Cotton Clothes: Aise kapde pehene jo skin ko breathe karne dein.

• Stress Management: Stress aur anxiety ko manage karna zaroori hai kyunki yeh sweating ko trigger karte hain.

• Diet Adjustments: Spicy foods aur caffeine ko avoid karein, kyunki yeh sweating ko badha sakte hain.

🔹 Best Hospitals in Pune for Hyperhidrosis Surgery:

• Ruby Hall Clinic

• Jehangir Hospital

• Deenanath Mangeshkar Hospital

• Sahyadri Hospitals

Kaunsa treatment effective hoga, woh aapko doctor hi bataa paayenge aapki condition ke hisaab se.

Hello Mr Bhardwaj Ji,

Thank you for reaching out.

We understand your concern regarding the elevated Anti-TPO levels. However, at HexaHealth, we focus on evidence-based allopathic treatment and currently do not provide guidance on homoeopathy or Ayurveda.

We recommend consulting a qualified specialist in that field for the most appropriate treatment options.

Take care and wishing you good health!

Hello Ravi Pratap Ji,

Thank you for reaching out.

Hum samajhte hain ki aapke liye aapke bache ke liye sahi treatment kitna zaroori hai. Hum aapko Vapi mein exact pediatric neurologist ke naam nahi de sakte, lekin hum aapko Shalby Multispeciality Hospitals se treatment dilwa sakte hain. Ye Gujarat ka sabse bada hospital chain hai, jahan ek experienced team of neurologists aur pediatric specialists hai jo bachon ke seizures ka ilaj karte hain.

🏥 Shalby Hospitals in Gujarat:

• Shalby Hospital, Surat – Vesu Main Road, Surat

• Shalby Hospital, Ahmedabad – SG Highway, Near Karnavati Club, Ahmedabad

Agar aap chahen toh hum aapki appointment aur treatment ke liye madad kar sakte hain.

Best Paediatric Neurologist Kaise Choose Karein?

1. Qualifications: DM/DNB Pediatric Neurology ya bachon ke neurological issues mein experience dekhein.

2. Experience: Aise specialist ko choose karein jo seizures aur pediatric epilepsy ka achha experience rakhe.

3. Patient Reviews: Dusre parents ke feedback dekhein, jo similar conditions se guzre ho.

4. Hospital Facility: Aise hospitals ko prefer karein jahan neuroimaging, EEG aur emergency care available ho.

Wishing your child a speedy recovery! 🌟

Hello 👋

Thank you for your concern. Eye blinking or jerking during sleep in a 2-year-old can be due to several reasons, and while some are harmless, others may need closer attention. Here are a few possibilities:

• In infants and toddlers, brief muscle jerks (including around the eyes) can occur during sleep and are usually harmless.
• Sometimes, repetitive blinking can be part of a transient tic, which typically resolves on its own.
• If the eye jerking appears rhythmic and repetitive and is associated with other unusual body movements, it could suggest seizure-like activity and needs urgent evaluation.
• If the eyes are dry, irritated, or strained, children may blink more—even during sleep transitions.

What can you observe and share with your paediatrician?

• Does this happen only during sleep or when awake as well?
• Is the child otherwise behaving normally—alertness, feeding, development?
• Any history of fever, head injury, or recent illness?

📌 Recommendation: While this could be benign, it's best to consult a pediatric ophthalmologist or your child's paediatrician for an in-person evaluation.

Namaste Neeraj ji,

Lungs mein paani (pleural effusion) aur Tuberculosis (T.B.) ka treatment expert Pulmonologist (Chest Specialist) ke under hona chahiye.

🩺 Ayushman Bharat ke under aapke area ke paas kaunse hospital empanelled hain, yeh jaanne ke liye yeh link visit karein:
🔗 https://hospitals.pmjay.gov.in

📌 Zaroori Salah aur Savdhaaniyaan:

1. Pura Ilaj Poora Karna: TB ka treatment lamba hota hai (6-9 mahine), lekin dava ek din bhi miss na karein. Beech mein rokne se TB wapas aa sakta hai aur zyada khatarnak ho sakta hai.
2. Alag Kamra (Isolation): Jab tak infection active hai, Dada ji ko ek alag kamre mein rakhein, khaaskar agar ghar mein chhote bachche ya buzurg hain.
3. Mask ka Istemaal: Dada ji aur parivaar ke log mask pehnein, khaaskar jab unke paas ho.
4. Achhi Khuraak: TB se ladne ke liye protein-rich aur nutritious diet dena zaroori hai – doodh, daal, anda, sabziyaan aur seasonal fruits included honi chahiyein.
5. Rest aur Fresh Air: Dada ji ko poora aaram milein, lekin clean aur fresh hawa wali jagah mein rakhein. Damp ya gandi hawa se bachayein.
6. Doctor ki Regular Jaach: Pulmonologist ki regular follow-ups lena na bhoolen – TB aur pleural effusion dono mein monitoring zaroori hoti hai.
7. Khaansi ya Bukhar Mein Savdhaani: Agar khaansi, bukhar ya saans lene mein dikkat badhe, to turant doctor se sampark karein.

Hi Sakshi,

Thank you for your question!

To answer your query — dehydration and urinary tract infection (UTI) can indeed affect the colour and composition of urine, but the presence of bile salts in urine is usually not directly caused by these two conditions.

🧪 Let’s break it down:

✅Dehydration

• It can make urine appear dark yellow or amber due to concentrated waste products.

• Once you hydrate properly, the colour usually returns to normal — which seems to be the case with you.

✅ UTI

• It may cause cloudy, foul-smelling, or dark-coloured urine due to inflammation or the presence of pus/blood, but not bile salts specifically.

⚠️ Bile salts in urine

• This could indicate a liver or biliary system issue (like hepatitis, gallstones, or bile duct obstruction), where bile leaks into the bloodstream and is filtered by the kidneys into urine.

• If your urine color normalized within 2 days, it may not have been bile salts but something more transient, like concentrated urine or pigment from food or medication.

📍 What you can do:

• If you’re feeling fine now and have no other symptoms (like yellowing of the eyes or skin, pain in the upper right abdomen, or persistent dark urine), it’s likely nothing serious.

• But if this recurs or you had lab reports indicating bile salts, it’s best to get:
  • Liver function test (LFT)
  • Urinalysis
  • Possibly an ultrasound of the abdomen

💬 Feel free to share any lab reports or more symptoms if you have them. We can help guide you better.

Take care and stay hydrated! 💧

Dear Mohit,

Your Liver Function Test (LFT) results show SGOT (AST) = 81 and SGPT (ALT) = 73, which are slightly elevated. While these levels are higher than normal (typically SGOT <40 and SGPT <45), they are not critically alarming but do indicate some liver stress.

🔍 Possible Causes of Elevated SGOT & SGPT

• Fatty Liver Disease (common in alcohol use, obesity, or diabetes)
• Viral Infections (Hepatitis A, B, C, or recent viral fever) Alcohol Consumption (excessive drinking damages liver cells)
• Medications or Supplements (painkillers, antibiotics, or herbal supplements)
• Liver Inflammation (Hepatitis) or Liver Damage
  
  

Diet & Lifestyle Recommendations for Liver Health

• Increase: Fruits & Vegetables – Papaya, apple, berries, beets, carrots
• Whole grains – Brown rice, oats, quinoa
• Healthy fats – Nuts, seeds, olive oil
• Lean protein – Fish, chicken, eggs, tofu
• Hydration – Drink plenty of water and fresh coconut water
  
  

Avoid

• Alcohol & Smoking – These worsen liver health
• Fried & Processed Foods – High in trans fats and preservatives
• Sugary & Refined Foods – Avoid sweets, bakery items, soft drinks
• Excess Salt & Red Meat – Can strain the liver
  
  

Is It Alarming? When to Worry?

If SGOT & SGPT continue to rise, further liver ultrasound and tests (Hepatitis B, C, lipid profile) may be needed.

If you experience jaundice (yellow skin/eyes), fatigue, nausea, or abdominal pain, consult a gastroenterologist immediately.

Repeat the LFT in 4–6 weeks after following a liver-friendly diet.

Stay healthy! 

Hello Vibhoo ji,

Are you looking for maternity-covered hospitals under the PMJAY scheme?

You can view empanelled hospitals near your area by visiting this link:https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew.

If you need any additional support or wish to explore private hospital options for your treatment, please feel free to contact us. We're here to help!

प्रिय बृज मोहन जी,

आपकी स्थिति को समझते हुए, हम सुझाव देंगे कि आप तुरंत डॉक्टर से परामर्श लें, क्योंकि सांस लेने में तकलीफ और बेचैनी कई कारणों से हो सकती है, जैसे कि फेफड़ों की समस्या, दिल से जुड़ी परेशानी, एलर्जी, एंग्जायटी, या इंफेक्शन।

तुरंत डॉक्टर से संपर्क करें यदि:

✅ आपको सीने में दर्द, भारीपन या दबाव महसूस हो रहा है।
✅ अत्यधिक पसीना आ रहा है या बेहोशी जैसा महसूस हो रहा है।
✅ तकलीफ आराम करने पर भी बनी हुई है।

कुछ ज़रूरी सवाल जो आपकी स्थिति को समझने में मदद करेंगे:

🔹 आपको यह समस्या कब से हो रही है?
🔹 क्या आपको खांसी, बुखार, या बलगम आ रहा है?
🔹 क्या आपको अस्थमा, बीपी, दिल की बीमारी या कोई पुरानी बीमारी है?
🔹 क्या आपको किसी चीज़ से एलर्जी है या कोई नई दवा ली है?
🔹 क्या समस्या चलने, बोलने या लेटने पर बढ़ जाती है?

अभी के लिए क्या कर सकते हैं?

✔ शांत और आरामदायक स्थिति में बैठें, गहरी सांस लेने की कोशिश करें।
✔ अगर अस्थमा का इतिहास है और इनहेलर है, तो उसका उपयोग करें।
✔ अगर लक्षण गंभीर हैं, तो तुरंत अस्पताल जाएं। 🚑

आपकी सेहत हमारे लिए महत्वपूर्ण है। कृपया जल्द से जल्द डॉक्टर से परामर्श लें। 🙏

Dear Temsula,

A sudden rise in blood pressure to 155/95 mmHg can be concerning, especially if it is causing tension and sleeplessness. Let’s assess the situation better:

🔹 Since when have you been experiencing these BP spikes?
🔹 Do you have any symptoms like chest pain, headache, dizziness, or shortness of breath?
🔹 Do you have a history of hypertension or take any BP medications?
🔹 Have you had excess salt, caffeine, alcohol, or stress recently?
🔹 Do you have other medical conditions like diabetes, thyroid issues, or kidney disease?

For now, here’s what you can do:
✅ Stay Calm & Rest: Anxiety can further elevate BP. Try deep breathing (inhale for 4 sec, hold for 4 sec, exhale for 4 sec).
✅ Hydrate & Monitor: Drink water and avoid salty or processed foods. Check your BP again in a relaxed position after 30–60 minutes.
✅ Seek Urgent Care If Needed: If you have severe headache, blurred vision, nausea, or chest pain, consult a doctor immediately.

Would you like help booking an appointment with a specialist? Stay safe!

Hello Uttam Singh Ji,

Thank you for reaching out. Unexplained weight loss can be a symptom of tuberculosis (TB), but it can also be caused by other health conditions. TB symptoms may include persistent cough (lasting more than 2 weeks), fever, night sweats, fatigue, and loss of appetite.

To better assist you, could you share if you are experiencing any of these symptoms? Also, have you had any recent exposure to someone with TB, or do you have any underlying health conditions?

We recommend consulting a doctor for proper evaluation. A chest X-ray, sputum test, or other tests may be needed to confirm or rule out TB. Early diagnosis and treatment are important for recovery.

Please take care!

Hello Sintu Ji,

We understand your patient's medical concerns and suggest the following treatment:

1. Hospitalization Consideration – If the patient is extremely weak, dehydrated, or showing signs of complications (confusion, persistent vomiting, abdominal pain, high fever, or difficulty breathing), hospital admission should be considered for IV fluids, electrolyte balance, and close monitoring.

2. Medication & Treatment Plan:  We suggest taking a second opinion from medical specialist so that the current treatment plan can be reviewed and planned accordingly.

3. Symptomatic Management:

   • Fever control
   • Hydration: Encourage oral rehydration with ORS/electrolytes; IV fluids if necessary.
   • Nutritional Support: A soft, easily digestible diet and high-protein foods are recommended to prevent weakness.
     
     

4. Close Monitoring & Follow-up:

   • Daily assessment for warning signs (persistent high fever, confusion, low urine output, jaundice, difficulty breathing).
   • If fever persists beyond 5 days despite treatment, repeat blood tests to check for complications like severe anaemia, liver/kidney involvement, or resistance.
   • If platelets drop significantly, watch for Dengue co-infection.
     
     

5. Rest & Recovery:

   • The patient should avoid exertion, take ample rest, and follow strict hygiene precautions to prevent further infection.

If symptoms worsen or the patient is unable to maintain hydration and food intake, urgent hospital admission is a must.

Dear Bushra Ji,

We're sorry to hear about the challenges you're facing. It's understandable to feel concerned upon discovering white spots on your brain MRI, especially when dealing with seizures. Let's address your concerns systematically:

1. Understanding the MRI Findings:

• White Spots on MRI: These spots, often referred to as white matter lesions or hyperintensities, can result from various conditions. Common causes include small vessel disease, migraines, demyelinating diseases like multiple sclerosis, or even normal ageing processes. The significance of these lesions largely depends on their size, location, and your clinical history. Discussing these findings in detail with your neurologist to determine their relevance to your seizures is essential.

2. Current Medication Regimen:

• Lamitor 100 (Lamotrigine): This anticonvulsant is commonly prescribed to manage seizures. It's crucial to take it exactly as directed by your doctor. Common side effects include headaches, dizziness, blurred vision, and sleep disturbances. If you experience severe or persistent side effects, inform your doctor promptly.

• Antidepressants: Managing the psychological impact of chronic neurological conditions is vital. Antidepressants can help address symptoms of anxiety and depression. However, if you're feeling overly sedated or emotionally numb, or if the medications don't seem effective, it's important to communicate this to your psychiatrist. Adjustments or changes in your medication regimen might be necessary.

3. Addressing Your Concerns:

• Anxiety About MRI Findings: Feeling anxious about such findings is natural. However, not all white matter lesions are indicative of a severe condition. Their significance can vary widely. A thorough evaluation by your neurologist, considering both your MRI results and clinical symptoms, will provide a clearer picture.

• Seeking a Second Opinion: If you remain uncertain or uneasy about your diagnosis or treatment plan, consider seeking a second opinion. Another neurologist might offer additional insights or reassurance.

4. Recommendations:

• Open Communication: Maintain an open dialogue with your doctor. Share your concerns, ask questions, and ensure you understand the rationale behind your treatment plan.

• Regular Monitoring: Attend all scheduled follow-ups. Regular monitoring allows for timely adjustments to your treatment and ensures any new developments are promptly addressed.

• Self-Care: Incorporate stress-reducing activities into your routine, such as gentle exercise, meditation, or engaging in hobbies you enjoy. Adequate rest and a balanced diet can also support overall well-being.

Remember, your healthcare team is there to support you. Don't hesitate to reach out with any concerns or questions.

Dear Gulab Abbas Ji,

Thank you for reaching out. Given that traditional sleeping pills have not been effective and your sleep is limited to a few hours after 4 a.m., it's important to explore alternative approaches to improve your sleep quality.

Melatonin Supplements:

Melatonin is a hormone that regulates the sleep-wake cycle. While melatonin supplements can benefit certain sleep disorders, such as jet lag or shift work-related sleep disturbances, their effectiveness in treating chronic insomnia is limited. Studies have shown that melatonin may not significantly improve sleep onset or duration in adults with chronic insomnia. Additionally, over-the-counter melatonin supplements can vary in dosage and purity, leading to inconsistent results. It's advisable to consult with a healthcare professional before starting melatonin to determine if it's appropriate for your situation.

Alternative Approaches:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I):

   • CBT-I is a structured program that helps identify and replace thoughts and behaviours that cause or worsen sleep problems. It has been shown to be more effective than medication in treating chronic insomnia. CBT-I addresses the underlying causes of insomnia rather than just the symptoms.
     
     

   Sleep Hygiene Practices:

   • Consistent Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends.
   • Bedtime Routine: Establish a relaxing pre-sleep routine, such as reading or taking a warm bath.
   • Sleep Environment: Ensure your bedroom is quiet, dark, and calm.
   • Limit Stimulants: Avoid caffeine and nicotine, especially in the afternoon and evening.
   • Screen Time: Reduce exposure to screens (phones, computers, TVs) at least an hour before bedtime, as the blue light can interfere with melatonin production.

2. Consult a Sleep Specialist:

   • A sleep specialist can conduct a comprehensive evaluation to identify any underlying conditions contributing to your insomnia and recommend appropriate treatments.

Addressing chronic insomnia requires a multifaceted approach. Implementing behavioural strategies and making environmental adjustments can significantly improve sleep quality. Working closely with your doctor to develop a personalized plan tailored to your needs is essential.

Dear Aman Islam Ji,

To assist you effectively, could you please provide more details about your blood test? Specifically:

• Testing Facility: Where did you have your blood drawn?
• Date of Test: When was your blood sample collected?
• Type of Test: What specific blood test was conducted?

Blood tests are typically performed in specialized laboratories or hospital settings. The time required to receive your results can vary depending on the specific test conducted. For instance, some routine tests may provide results within a few hours, while others might take several days.

To obtain your results, it's best to contact the healthcare provider or laboratory where the test was performed. They can provide information on when and how you can access your test reports.

If you have any further questions or need assistance, feel free to ask.

Hello Prakash ji,

Pain after plastic surgery, especially in elderly patients, can be due to various factors such as nerve sensitivity, healing issues, or underlying conditions like poor circulation or arthritis. Since your father is 90 years old and having difficulty sleeping due to pain, it is important to consult his doctor for a proper evaluation. They may recommend pain management strategies, physiotherapy, or medication adjustments. Ensure he stays comfortable and keeps his leg elevated if advised by the doctor. Let us know if you need further guidance!

Hello Vinod Ji,

Aapke kandhe dono taraf dukhne, pair me dard hone aur ek ungli me sujan ke karan chalne me dikkat ho rahi hai, jo kisi neuromuscular ya joint-related problem ka sanket ho sakta hai. Yeh arthritis, nerve compression (jaise cervical spondylosis ya sciatica), ya kisi aur musculoskeletal samasya se juda ho sakta hai.

Aapke lakshanon ko behtar samajhne ke liye kuch aur sawal hain:**
🔹 Kya yeh dard kisi specific activity ke baad badhta hai ya rest par bhi rehta hai?
🔹 Kya aapko subah uthne par zyada stiffness hoti hai?
🔹 Koi pehle se existing medical condition jaise diabetes, arthritis ya uric acid ki problem hai?
🔹 Kya aapne kisi recent injury ya overexertion ka experience kiya hai?
🔹 Kya aapne kisi doctor se consult ya kuch tests karwaaye hain?

Kuch precautionary tips jo aapke dard aur sujan me madad kar sakte hain:
✔ Sahi Posture Rakhein – Galat posture nerve compression ka karan ban sakta hai.
✔ Halki Exercise Karen – Gentle stretching aur physiotherapy exercises dard kam kar sakti hain.
✔ Garam ya Thandi Sek – Ice pack ya garam sek (as per doctor’s advice) sujan aur pain me rahat de sakti hai.
✔ Healthy Diet Follow Karen – Anti-inflammatory foods jaise haldi, omega-3 rich foods (machhli, akhrot) aur green vegetables apni diet me shamil karein.
✔ Comfortable Footwear Pehnen – Galat footwear bhi pain aur sujan ka ek bada karan ho sakta hai.

Humara sujhav hai ki aap ek orthopaedic ya neurologist se turant salah lein taki sahi diagnosis aur treatment mil sake. Agar aapko aur details share karni hain to zaroor batayein, hum aapki madad karne ke liye yahan hain!

Hello Pawan Ji,

High or low blood pressure can have various causes, including stress, diet, or underlying health conditions. It’s important to monitor your BP regularly and consult a doctor for proper evaluation and management. If you're experiencing symptoms like dizziness, headache, or chest discomfort, seek medical advice immediately. Let us know if you need any further guidance!