गुरुवार, 20 मार्च 2025

Piles- Ultimate guide to cure Piles fissure Fistula Permanently

Ultimate guide to cure Piles fissure Fistula Permanently

https://youtu.be/ZkjUbHT0XDQ




In my clinic patients often ask me piles kaise theek karen & bavasir kyon hota hai. They are also interested in knowing best food for piles, bavasir mein kya khana chahie, high fiber diet, fiber foods for piles and piles home remedies eat. With medicines I also communicate them piles ka gharelu ilaaj, bavasir ki desi dava, which is nothing but diet and lifestyle modifications. Bavasir ka ayurvedic ilaaj & khooni bavasir ki dava is only effective if added with lifestyle and diet modifications. Most of the people ask me bavasir ka kya ilaaj hai, bavasir ka operation kaise hota hai ? Bavasir mein parhej ka important role hai - bavasir mein kya nahin khana chahie. Bavasir kya hai - these are enlargements of cushions around anal margin. Bavasir ki dava is not a single tablet, it is combination of modifications in life and diet with allopathic & ayurvedic medicines. Piles problem treatment is a long term process to cure a patient. Piles doctor bawasir  ke lakshan dekh kar babasir ki dabai and babasir ka upchar karte hein. 

****

मेरी वीडियो में पाइल्स का इलाज हिंदी में बताया गया है। Piles exercise, piles yoga & piles hand mudras are also narrated by me in video. Piles care capsule are also helpful in mulvyadh upchar. Fistula symptoms are differentfrom piles and can be identified by a proctologist. If we know pails kya hota hai , we can tackle piles problem. Piles cure cream and piles pain relief tablet are effective when piles disease is more aggresive. Bawaseer ke lakshan dekh kar khuni bavasir ki dava prescribe ki jati hai. Internal piles symptoms are different from external piles. symptoms of piles in female are not different from males. Badi bawasir ke lakshan. For piles images you can go in my piles play list and can see the video. 

Difference between piles and fissure can be diagnosed by a piles doctor. He can also determine piles stages for proper treatment. My talk runs around home remedy for piles in woman and man. There is not a single best tablet for piles bleeding. Treatment is simple if we know why does piles occur. bavasir ka laser operation meri video mein available hai.Witch hazel cream is among the best ointment for piles. Piles treatment near me is available at Dr. Puneet Agrawal's piles clinic, who is working as leading proctologist. Now don't think which doctor to consult for piles. My 12F program teaches you how to cure piles naturally.



 बवासीर का रामबाण आयुर्वेदिक इलाज , बवासीर की गारंटी दवा कौन सी है मेरे मरीज मुझसे अक्सर यह सवाल करते हैं। बवासीर के मस्से को जड़ से खत्म करने का उपाय है मेरा 12F lifestyle modification प्रोग्राम। इससे न केवल देखते ही देखते बवासीर जड़ से खत्म कैसे होता है आप नहीं जान पायेंगे। बवासीर के लिए टेबलेट भूल जाइये , मेरे प्रोग्राम को follow कीजिये। मैंने वीडियो में उसे विस्तार से सबको बताया है। इसे आप खूनी बवासीर का रामबाण इलाज तथा बवासीर के मस्से सुखाने के उपाय के साथ कर सकते हैं। For piles cream name list see my video & also see my video on pilex tablet uses in hindi . बवासीर में दूध पीना चाहिए या नहीं , अगर आपको दूध सूट करता है तो आप इसे पी सकते हैं, वैसे मठा छाछ ज्यादा फायदा करते हैं। A herbal hemorrhoids spray is also available for hemorrhoids treatments. Bavasir ko english mein kya kahate hai - Piles or hemorrhoids. I advise hydrocortisone cream if itching is there for short term use. 

Can hemorrhoids be cured - They are the just indication of your poor gut health & can improve with modification in life & diet. Daflon 500 is a common medicine for piles. One of cause of piles is constipation meaning passing of hard fewer stools. Donut pillow for piles can be used if piles are paining. Fissure treatment is no different than piles treatment and my 12F program suits for both.

If you want to know - how to prevent piles follow my 12F  Program. 



मंगलवार, 24 सितंबर 2024

Can I drink alcohol after my gall bladder is removed?

 Can I drink alcohol after my gall bladder is removed ?


Gallbladder has no direct role in digestion. It stores the bile which is required to initiate the fat digestion. Bile is formed in liver continuously and about 50% of it collects in gallbladder. If there is no gallbladder then bile go directly into intestines.

Alcohol is not metabolized in intestines. Its absorption starts from mouth and then stomach and then from intestines. It causes irritation of lining of all intestines stomach and mouth.

Alcohol is directly metabolized in liver into acetaldehyde, and then into acetate and finally into co2 and water. About 10% passes unchanged in urine, sweat and breath.

SIBO

After gallbladder removal amount of bad bacteria in small intestines increases and alcohol potentiates this. Patient may have bad digestion, gas formation, heaviness, bloating, distension, pain and constipation.

Cancer

It is seen that alcohol intake causes an increase in cancer formation of bile tract in prediabetics and diabetics. 


Problems appear after operation and continued intake of alcohol

Patient may complain of following conditions after gallbladder removal and continued alcohol intake-

*Alcohol intolerance

*Pancreas inflammation

*Migraines

*Allergic reactions

*Stomach pain

*Discomfort


Interactions of painkillers & antibiotics with alcohols


Painkillers ( Ibuprofen, Aspirin )and antibiotics ( Metrogyl, septran, and cephalosporins) may have interactions with alcohol so they should be avoided in post operative phase.

Take your decision wisely. Alcohol intake is not advised till painkiller and antibiotics are taken by the patient.

When all the drugs are stopped by the patient small amount can be taken with lots of water and non oily and spicy eats.

A last word quoted by me "As Dr Sarin even single drop of alcohol is poison for the body".

Happy recovery




सोमवार, 16 सितंबर 2024

Orange is high In Oxalates Should we consume it in Kidney stones

 Orange is high In Oxalates . Should we consume it in Kidney stones ? Is orange juice good for kidney stones ?
Can I eat oranges if I have kidney stones? Can you eat oranges on a low oxalate diet? 




Most common kidney stones are formed from calcium oxalate. It is advisable to avoid high oxalate diet and food items which are high in Oxalates. To know contents of oxalate in different foods Click here

Oranges are considered high in oxalate. We should avoid it but it is advised by scientists to drink one glass of orange juice daily even in kidney stones.

Orange juice is high in citrates. It is also high in potassium magnesium, folate and vitamin C.

All these substances reduce oxalate crystals formation and oxalate stone formation. Citrates present in the juice combines with calcium and prevents absorption of oxalates. Always remember lemon is best source of citrates followed by orange and grapefruit.

Orange as whole contains more oxalate than orange juice because orange fruit contain fiber surrounding the juice. Even if you are taking this juice, don't take more than one glass per day because it is very high in sugars especially fructose and high sugar consumption is not allowed in kidney stones. 

Oranges are also not allowed if your kidneys are not functioning well because It contains lot of potassium which is dangerous in kidney failure.

While one orange contains 29 mg of oxalate, one cup of orange juice contains only 2 mg of oxalate.



मंगलवार, 10 सितंबर 2024

Can we eat rice in kidney stones ? If yes then which one white or brown ?Is rice high in oxalate ?

 Can we eat rice in kidney stones ? If yes then which one white or brown ?Is rice high in oxalate ? 


Rice is the staple diet for most of Indians especially in South India. It is available as white or as brown which unprocessed.

Brown rice is a whole grain, It is rich in Magnesium, fiber, sodium, phytates and calcium, vitamin b comples.

White rice is stripped in bran and germ. 

A cooked cup of white rice contain 4 mg of oxalate while a cooked cup of brown rice contain 24 mg of oxalates. 

Brown rice contain 86 mg of magnesium in one cooked cup. It also has 3.5 gms of fiber, 2 mg of sodium and 20 mg of calcium.

It has good source of phytates, although anti-nutrients yet it slows down the stone formation.

Mix your rice with low oxalate vegetables and one servings of milk.


So yes you can consume rice, both varieties  with some precautions.

Brown rice  Image by Racool_studio on Freepik

सोमवार, 2 सितंबर 2024

Know foods and their oxalate contents, what is the best food to eat when you have kidney stones, Stone in Kidney

Know foods and their oxalate contents, What is the best food to eat when you have kidney stones ? Kidney stone diet chart, High oxalate foods, Good food for kidney, Best food for kidney stone, Low oxalate diet, How to pass kidney stone fast ?


Most genuine question is How to prevent kidney stones and Food to avoid kidney stone. Kidney stone me kya nahi khana chahiye is more important than kya khana chahiye.

Most of the persons consume about 200-300 mg of oxalate with their food every day. 

If you have family history of oxalate stones or you have passed stones in your urine in past or if you have been operated for stones in past you are at high risk and should consume about 100 mg of oxalate in your diet. 

If you are at very high risk then you should consume only 50 mg of oxalate per day in your diet. 



From where oxalate reached to our body?

1 The main source of oxalate in our body is different chemical and metabolic activities. And we can't regulate or govern these automatic activities of our body. It's a byproduct of metabolic reactions. From blood it is excreted in our urine. 

2 Secondly it is an essential constituent of our different food items. Naturally whatever we eat contain some amount of inherent oxalate in it. When we eat oxalate of food combines with calcium available in food. It makes calcium oxalate and excretes into the feces. If it is not excreted it is get absorbed in the urine and excreted in our urine. If urine is concentrated and thick because of less hydration or other causes crystals start forming and slowly stones form.

3 Oxalates are also produced from vitamin c breakdown. That's why don't take not more than 1 grams of synthetic vitamin c in your diet per day.


You should plan your diet to keep yourself stone free. Drinking lots of water in day and before going to bed and keeping yourself well hydrated is key to success. 

These are the main points while preventing oxalate stones:-

1 Keep yourself well hydrated with 2 lts of urine per day

2 Consuming less than 2 gms of salt per day

3 Consuming not more than 150 gms of nonvegetarian food per day

4 To eat low oxalate diet

5. To have 3 servings of milk or milk products per day

6. Lifestyle modification to keep yourself active and non obese.

Read my blog to know further about these points-

Ways to prevent kidney stone formation




Foods classification 

In day to day life we eat several types of foods. For convenience of patients I will start from one type of food one at time. 

I have divided every food item into 3 categories :- 

1 Food with high oxalate which should be avoided at any cost, 

2 Food with medium oxalate contents which should be consumed in limited amount, 

3 Food with low oxalate contents which can be consumed in any amount.

How to reduce oxalate in food items ?

Try to cook your food before you eat. Cooking reduces the amount of  oxalate in food items. You can boil, steam, bake or sauté.


Whole Fruits:-

1 Fruits high in Oxalate, should be avoided:-

Avocados

Dates

Grapefruit

Kiwi

Orange

Raspberries 

Chikoo


2 Fruits moderate in oxalate, eat in moderation:-

Tangerine

Figs


3 Fruits low in oxalate:-

Apple sauce

Apple

Apricots

Banana

Blackberries

Blueberries

Cantaloupe

Cherries

Grapes

Honeydew melon 

Lemons

Limes

Mango

Nectarine

Peaches

Pears

Pineapple

Plaintain

Plums

Raisins

Strawberries

Watermelon


Vegetables

1 Vegetables high in oxalates:-

Bamboo shoots

Beets

Fava beans

Navy beans

Okra- Ladies finger

Olives

Parsnip

Red kidney beans

Refried beans

Rhubarb

Rutabaga

Spinach

Tomato sauce

Turnip

Yams


2. Vegetables moderate in oxalate

Artichokes

Asparagus

Carrots

Collards

Soybeans

String beans

Tomato


3 Vegetables with low oxalate

Alfalfa sprouts

Bok choy

Broccoli

Brussels sprouts

Cabbage

Celery

Chives

Corn

Cucumber

Endive

Green pepper

Iceberg lettuce

Kale

Mung beans

Mushrooms

Mustard greens

Onions

Peas

Pickles

Sauerkraut

Sea vegetables

Waterchestnuts

Yellow squash

Zucchini


Potatoes

1 Potatoes with high oxalates

French fries

Baked potato with skin

Mashed potatoes

Potato chips

Potato salad

Sweet potatoes


Dairy

Typically all dairy products are having low, very low or none oxalates for example

All cream products

All ice creams

All yogurt products

All cheese products

All Eggs

All dairy spreads

All types of milk


Breads and grains

1 Breads with high oxalates

French toast


2 Breads with moderate oxalates

English muffins whole wheat

Pancakes

Biscuits

Bran muffins

Wheat bread

Rye bread

Tortillas

White bread

Whole oat bread

Whole wheat bread


3 Breads with low oxalates

Corn bread

oatmeal bread

oat bran muffin, bread


Pastas, Rice & Grains


1 With high oxalates

All purpose flour

Brown rice

Buckwheat groats

Cornmeal

Millets 

Miso

Rice bran

Soy flour

Wheat flour, Whole grain


2 With moderate oxalate

Spaghetti

White rice flour


3 With low oxalate

Barley malt flour

Corn flour, bran 

Flaxseed

Hummus

Macroni & Cheese

Oat Bran raw

White rice cooked


Meats  

1 With high oxalate

Tofu

Vegggie burger

Soy burger


2 with low oxalate

Antelope

Bacon

Buffalo

Chicken nuggets, dog, liver

Ground beef

Hamburg

Hot dogs

Liver

Meatballs

Moose

Turkey dogs


Fish

1 With high oxalate

Tuna salad


2 With low oxalate

Frozen fish sticks

Alaskan king crab

Bluefish

Clams

Cod liver fish oil

 Flounder

Haddock

Halibut

Herring

Oysters

Pollock

Salmon

Sardines

Shrimp

Swordfish

Tuna fish

Whiting


Nuts and Seeds

1 High in oxalate

Almonds

Cashews

Peanuts

Pecans

Pistachios

Mixed nuts

Pumpkin seeds

Sunflower seeds

Trail mix

Walnuts


2 With low oxalate

Flaxseed


Cakes, Candies, Cookies, Pudding Snacks


1 With high oxalate

Brownies

Cake

Candies with nuts

Chocolate syrup, cake

Fudge sauce

Milk chocolate candies

Pies

Apple pie

Pudding popsicle


2 With low oxalate

Fig bars

Oatmeal cookies

Rice cake, pudding

Custard

Pudding


Crackers, Chips & Miscellaneous

2. With moderate oxalate

Tortilla corn chips


Beverages 


1 With high oxalate

Carrot juice

Hot chocolate

Lemonade

Tea

Tomato juice

Prune juice


3 With low oxalate

Apple juice

Apricot juice

Coffee decaff

Orange juice

Pineapple juice

Coffee

Grape juice

Grapefruit juice

Mango juice

Sodas all type

Iced tea instant

Water


Alcoholic beverages

3 with low oxalate

Beer

Red wine

White wine

Liquor 80 proof


Spreads , sauces & Toppings

1 With high oxalate

Chocolate syrup

Fudge sauce

Miso

Peanut butter

Stuffing

Tahini


3 with low oxalate

Cream sauce

Olive oil

Soy sauce

Butter

Ketchup

Jam, jelly

Italian salad dressing

Mayonnaise

Mustard yellow

Salsa

Whipped cream, topping


Ingredients

1 with high oxalate

All purpose flour

Brown rice flour

Cocoa powder

Cornmeal

Soy flour

Wheat flour, whole grain

White rice flour


2 With moderate oxalate

Chili powder

Brewer's yeast

cornstarch, flour

Lemon juice

Artificial sweetner

Brown sugar

cream

eggs

Garlic powder

Gelatin

Honey

Lard

Oat flour

Salt

Sugar


Fast food items or meals

1 With high oxalate

Cheeseburger

chili with beans

Lasgna with meat

Nachos with cheese

Pizza with cheese

grilled cheese sandwich

Tacos

2 With moderate oxalate

Doughnut

Eggroll

Hotdog with bun

onion rings



Try to remember what you have not to eat and rest you can eat.

Make your own list of food items and save into your purse or into your mobile.

Oxalate rich foods should be avoided at every cost. With the help of above list you can make your kidney stone diet chart in Hindi. Search for kidney stone doctor near me and discuss the management with him.

Dr Puneet Agrawal Laparoscopic and laser Surgeon
Emergency and General Surgeon


It is important to know foods for kidney stones. To reduce oxalate burden we should know which kidney foods to avoid ? Stones in kidney is a common problem world wide. About 15% of Indians sometimes suffer from stones in kidney in their life. Foods for kidney stones are low in sodium, animal proteins, oxalates and well hydrated lifestyle. In my previous video and article I have described kidney stones food to eat. You can check the list and can make your 7-days diet chart. Calcium oxalate kidney stones are most common yet we should not reduce the calcium consumption. We should avoid oxalate foods. 

What are the worst foods for kidney stones:-

Foods which are high in oxalate, sodium and animal proteins are the worst foods. Our body should be well hydrated. 

What foods help clear kidney stones :-

For melting and expulsion of kidney stones we should drink 3 liters of fluid daily, consume 125 ml of lemon juice, consume 2 grams of salt daily, should not eat more than 150 grams of meat, should take more vegetarian proteins, should take 3 servings of milk with active lifestyle.

What is the best food to eat when you have kidney stones ?

There is no best food, we have to take multiple diet approaches to get rid of kidney stones as described above.


Dr Puneet Agrawal MS

Laparoscopic surgeon and Laser surgeon

 

गुरुवार, 29 अगस्त 2024

Hydrocele Doctor in Agra, Hydrocele in Hindi, Hydrocele surgery, Hydrocele meaning, Hydrocele treatment

Hydrocele Scrotum

Left Hydrocele

Hydrocele Doctor in Agra

हायड्रोसील पुरूषों में होने वाली एक आम बीमारी है। याद रखें हर्निया तथा हाइड्रोसील अलग अलग बीमारियां हैं। 




Hydrocele meaning 

इस बीमारी में हमारे अंडकोष के चारों तरफ पानी भर  जाता है। इसमें मरीज को भारीपन दर्द उलझन की शिकायत हो सकती  है। 
एंटीबायोटिक्स देने के बाद बादभी ये अगर नहीं सही हो तो ऑपरेशन करवाना चाहिए। 

Hydrocele symptoms 

कुछ पुरुषों में ये बहुत बड़ी हो जाती है तथा असुविधा करती है। इसमें रगड़ लग जाने पर ये छिल जाती है। आकार बड़ा  होने से चोट लगने का डर रहता है।  खून जमा हो सकता है। 
ये एक तरफ या दोनों तरफ हो सकती है। 

बीमारी होने का भारत में मुख्य कारण -

भारत वर्ष में hydrocele होने का एक मुख्य कारण फ़ाइलेरिया का इन्फेक्शन है। 

Hydrocele Medical Test 

इसके जाँच हम अल्ट्रासाउंड से कर सकते हैं। 

Hydrocele treatment Hydrocele Surgery Hydrocelectomy हाइड्रोसील का परमानेंट इलाज Hydrocele treatment tablets

अगर दवाइयों Hetrazan या banoside forte  ठीक न हो तो ऑपरेशन करवाना चाहिए। 
आजकल इसका ऑपरेशन में  आधुनिक लेज़र विधि से कर रहा हूँ। इस विधि से बहुत कम दर्द होता है। 

हाइड्रोसील में क्या नहीं खाना चाहिए

वादी वाले खाद्य पदार्थ नहीं खाने चाहिए। 

अधिक जानकारी के लिए संपर्क करें :-


डॉ पुनीत अग्रवाल 
MS 
लेज़र तथा लप्रोस्कोपिक सर्जन 
Hydrocele doctor near me
आगरा 282001 
0562 2301402 

Hydrocele surgery cost
The cost is minimum with us. We are doing with total care and 100% results. You are in safe hands. Our team is one of the most experienced team of Agra.

Hydrocele kya hota hai 
Hamare andkosh ke charon taraf pani bharne ko hydrocele kahte hain.

Hydrocele treatment without surgery in Hindi in adults
Kuch doctor sui dwara hydrocele ka paani nikalte hain. Ye risky hota hai aur mein iske salah nahin deta hun.
kabhi kabhi testes ke infection mein bhi paani bhar jata hai jo antibiotics lene par theek ho jata hai 

Hernia with hydrocele is known as 
There is no specific term for it. Sometimes fluid is present inside hernia also.

What is best treatment for hydrocele
Laser operation of hydrocele is currently the best treatment available.

Hydrocele pain
When it is large in size it causes pain. Support the scrotum and take pain killers under guidance of your Hydrocele specialist doctor.


See my all videos on Hydrocele here-









 

सोमवार, 26 अगस्त 2024

Stone in kidney hindi, Kidney stone banne se kaise roke, किडनी स्टोन बनने से रोकने के लिए, आप ये उपाय अपना सकते हैं, गुर्दे की पथरी को रोकने के तरीके

 Kidney stone banne se kaise roke, किडनी स्टोन बनने से रोकने के लिए, आप ये उपाय अपना सकते हैं, गुर्दे की पथरी को रोकने के तरीके Ways to prevent kidney stone formation repeatedly:







क्या आप भी किडनी स्टोन या गुर्दे की पथरी के मरीज हैं, आपका ऑपरेशन हो चुका है या आपके किसी परिजन को पथरी की समस्या है ? क्या आपको पथरी बनती रहती हैं तथा पेशाब के रास्ते निकलती रहती हैं तो ये जानकारी आपके लिए है। यदि आपके परिवार के किसी सदस्य को पथरी की बीमारी है तो आपको भी पथरी की समस्या हो सकती है।  यदि हम कुछ सावधानियाँ रखें तो पथरी को बनने से रोक सकते हैं।  यदि ऑपरेशन हो चुका है  तो विशेष सावधानियों की आवश्यकता है ताकि पथरी दुबारा न बने।


2018 के एक सर्वे के अनुसार भारत वर्ष में लगभग १५% लोग पथरी रोग से पीड़ित हैं। एक बार पथरी बनने के बाद अगले दस सालों में दुबारा पथरी बनने की संभावनाएं ५०% तक अधिक होती हैं। 

Kidney stone symptoms: kidney me stone ke lakshan in Hindi

गुर्दे की पथरी एक सामान्य बीमारी नहीं है। इस बीमारी में मरीज को पेट में बहुत तेज दर्द होता है।  दर्द के साथ पेशाब में जलन, बदबू आना, झाग दार पेशाब आना, गहरे रंग की पेशाब आना तथा पेशाब में खून भी आ सकता है। समय पर इलाज न लेने पर किडनी फेल भी हो सकती है या किडनी में पस भी भर जाता है। 

कुछ प्रदेशों में पथरी ज्यादा बनती हैं जैसे राजस्थान, हरयाणा, पंजाब, मध्य प्रदेश, महाराष्ट्र, बिहार, गुजरात, झारखण्ड, पश्चिम बंगाल। ये हिस्से स्टोन बैल्ट में आते हैं। हमारे खाने के कुछ तत्व स्टोन बनने के लिए जोखिम का कार्य करते हैं। अपने खाने पीने के तरीकों में बदलाव करके हम पथरी का बनना कम कर सकते हैं। जैसे:-  प्रोटीन का ज्यादा सेवन करने के बाद पेशाब में कैल्शियम की मात्रा बढ़ जाती है। पशु खाद्य उत्पाद खाने के बाद पेशाब तंत्र में कैल्शियम, ऑक्सालेट तथा फॉस्फोरस की मात्रा बढ़ जाती है। ज्यादा कार्बोहायड्रेट तथा वसा का अधिक सेवन से भी ये होता है। खाने में अधिक नमक होने से भी पेशाब में कैल्शियम की मात्रा बढ़ जाती है जो पथरी बनने का एक प्रमुख जोखिम तत्व है। यदि हम बहुत कम कैल्शियम वाली डाइट लेते हैं तो ऑक्सालेट का अवशोषण अधिक हो जाता है। फलों तथा सब्जियों का खाने में कम प्रयोग पथरी बनने की संभावनाओं को बढ़ता है, क्योंकि ये सिट्रिक एसिड, पोटैसियम तथा मैग्नीशियम से भरपूर होते हैं। विटामिन सी का अधिक सेवन खास तौर से सिंथेटिक विटामिन सी का अधिक सेवन पथरी बनने की संभावनाओं को बढ़ता है। 

यों तो गुर्दे में कई प्रकार की पथरी बनती हैं पर कैल्शियम ऑक्सालेट की पथरी ज्यादातर पायी जाती है।  अपने इस लेख में मैंने इसी पथरी के बारे में चर्चा की है। कैल्शियम का नाम सुनकर कैल्शियम का सेवन कम न करें, इससे पथरी बनने की संभावनाएं अधिक हो जाती हैं। इसके विपरीत अधिक ऑक्सालेट युक्त खाद्य पदार्थों के साथ दूध या दूध के अन्य उत्पादक लेने से पथरी कम बनती हैं। दूध का कैल्शियम आतों में खाने के ऑक्सालेट से मिलकर मल में निकल जाता है। जिन लोगों की पेशाब में पथरी निकलती रहती हैं उन्हें पथरी को एकत्र कर जांच करवानी चाहिए । इससे हमें पथरी का मूल कारण पता चलता है। 

आइये अब खानपान में बदलाव की चर्चा करते हैं :

१ तरल पदार्थों का अधिक से अधिक सेवन करें -

हमें २-३ लीटर तरल द्रव्य लेने चाहिए। (आठ से बारह कप, एक कप = २५० ml) 

इसमें आधा भाग पानी का होना चाहिए। बाकी आधे भाग में हम दूध, कॉफ़ी, चाय, जूस तथा कोकोनट वाटर ले सकते हैं। 

ध्यान रखिये 

* फलों के रस या काली चाय की एक सर्विंग से अधिक न हो, एक सर्विंग = २०० ml 

* चॉकलेट दूध, हॉट चॉकलेट, बादाम का दूध का सेवन न करें 

गाजर का जूस तथा क्रैनबेरी जूस का सेवन न करें 

* मीठे तरल पदार्थ, कोल्ड ड्रिंक्स, मीठे फलों के रस, लेमोनेड का सेवन बिलकुल नहीं करना है। 


हमारा लक्ष्य होना चाहिए कि हमें प्रतिदिन कम से कम दो लीटर पेशाब बने। इसे हम पेशाब के रंग से समझ सकते हैं, जो हल्की पीली होनी चाहिए। पेशाब का रंग देख कर पानी  की मात्रा बढ़ा घटा दें क्योंकि रोज पेशाब को मापना मुश्किल है। पानी अधिक पिएं यदि गर्मी अधिक हो, आपको अधिक पसीना आ रहा हो, आप मेहनत का कार्य कर रहें हों, या आपको बुखार, दस्त या उल्टियां हो रही हों। 

सम्मिलित करें -

अपनी  डाइट में नीबू के रस को सम्मिलित करें, नीबू का रस प्राकृतिक नीबू का होना चाहिए सिंथेटिक नहीं। इसमें सिट्रिक एसिड होता है जो कैल्शियम से मिलकर पेशाब में कैल्शियम सिटरेट की तरह निकल जाता है तथा ऑक्सालेट स्टोन नहीं बनने देता है। आप १२५ ml दो लीटर पानी में मिलाएं या जितना भी आप ले सकें अच्छा है। 


२ अपने खाने में सोडियम - नमक का सेवन कम से कम करें -

अपने खाने में नमक का प्रयोग कम से कम करें। इसको एक छोटी चम्मच Teaspoon से कम करें < २००० mg या २ ग्राम से कम। 

अगर आप अधिक नमक खाते हैं तो पथरी अधिक बनने लगती हैं।  ज्यादा नमक लेने से पेशाब में कैल्शियम की मात्रा बढ़ जाती है। 

सावधानियां -

* डिब्बा बंद खाने में, प्रोसेस्ड फ़ूड में, तुरंत तैयार होने वाले खाने, canned फूड में नमक अधिक होता है। इसके सेवन से बचें। 

* अचार चटनी पापड़ से बचें। 

* अधिक नमक वाली चीज़ cheese का सेवन न करें जैसे - फैटा चीज़, ब्लू चीज़, क्राफ्ट सिंगल्स चीज़। 

* सूप तथा शोरबा में अधिक नमक पड़ता है , इससे बचें। 

* अगर बाहर खाना खा रहे हैं तो शेफ से कम नमक प्रयोग करने को कहें। 

* घर पर जहाँ तक हो सके नमक का प्रयोग न करें या बहुत कम करें। 

* नमक के अतिरिक्त अन्य मसालों तथा हर्ब्स का प्रयोग करें। 

* खाने में ऊपर से नमक न छिड़कें 


डिब्बा बंद खाने का लेवल चेक करें -

अगर लेवल पर ५% of Daily Volume से कम सोडियम है तो प्रयोग कर सकते हैं। 


३ पशुओं से मिलने वाले प्रोटीन का सेवन कम करें। 

पशुओं से हमें ये प्रोटीन खाद्य पदार्थ मिलते हैं -

* Poultry मुर्गी 

* लाल मीट 

* मछली 

* Organ Meat अंग मांस जैसे लिवर किडनी दिल ब्रेन आदि 

- प्रतिदिन २ सर्विंग्स से ज्यादा न खाएं ( one serving size is =75 gms )

इन शाकाहारी खाने तथा प्रोटीन को चुनें -

दालें, फलियां तथा legumes 


४ ऑक्सालेट युक्त खानों का सेवन कम से कम करें -

यह भाग सबसे आवशयक है। ऑक्सालेट कुछ फलों, सब्जियों, नट्स, बीज तथा साबुत अनाज में मिलते हैं। 

उदाहरण के लिए इन खाद्य पदार्थों में ऑक्सालेट की मात्रा अधिक होती है, इनसे बचें:-

कोको पाउडर, चॉकलेट, बादाम, बीट्स, कुट्टू, भिंडी, संतरा, आलू, पालक, खजूर, अंजीर, रास्प्बेर्रिज, Rhubarb, अखरोट, बीन्स, quinoa आदि 




मैंने सभी खाद्य पदार्थों को तीन भागों में बांटा है - अधिक ऑक्सालेट युक्त, मध्यम ऑक्सालेट युक्त, कम ऑक्सालेट युक्त। अधिक जानकारी के लिए मेरी अगली वीडियो या लेख देखें। 

Food list with their oxalate contents


५ दूध तथा दूध से बने खाद्य पदार्थों का खाने के साथ सेवन करें। 

दूध का कैल्शियम खाने के ऑक्सालेट से मिलकर मल में निकल जाता है तथा पेशाब में नहीं पहुँच पाता है।  

अगर हम ३ सर्विंग्स दूध के पदार्थों की खाते हैं तो हमें ४०% पथरी कम बनती है। 

१ सर्विंग्स ऑफ़ डेरी बराबर है -

* एक कप दूध २५० ml 

* सदा दही Plain Yogurt ३/४ कप / ६ ozs / १७५ gms 

* कम नमक वाली चीज़ ५० gms या १.५ ozs, लगभग १'' क्यूब 

* सोया मिल्क एंड राइस बेवरेजेज 

*  अगर लैक्टोस से एलर्जी है कम लैक्टोस वाले पदार्थ का सेवन करें जैसे भेड़ का दूध, बकरी का दूध 


कैल्शियम सप्लीमेंट्स न लेकर अधिक कैल्शियम वाले खाने लेने चाहिए। 

कैल्शियम तथा विटामिन डी सप्लीमेंट्स एक साथ नहीं लेने चाहिए, इससे कैल्शियम का अवशोषण आंतों से  अधिक होता है। 

विटामिन सी सप्लीमेंट्स का १००० mg से अधिक सेवन न करें।  विटामिन सी ऑक्सालेट में बदलता है जिससे पेशाब में ऑक्सालेट की मात्रा बढ़ जाती है। 


६ मोटापे से बचें 

मोटे होने पर पथरी बनने की संभावनाएं बढ़ जाती हैं। 

पुरुषों में पेट १०२ cms या ४० '' तथा स्त्रियों में पेट ८८ cms या ३५" से कम होना चाहिए। 


डॉ पुनीत अग्रवाल 

लैपरोइस्कोपिक सर्जन, लेज़र सर्जन, इमरजेंसी सर्जन 

Dr Puneet Agrawal's web site









मंगलवार, 20 अगस्त 2024

India Mpox Outbreak, Mpox virus in india, Monkeypox Symptoms Treatment Vaccine Spread

 India Mpox Outbreak, Mpox virus in india, Mpox Symptoms, Treatment, Vaccine, Spread, Monkeypox



Mpox global health emergency-

Monkeypox or Mpox virus was declared Public health Emergency of International Concern by WHO recently due to its outbreak which started in Congo Basin.  Till now 99,176 Mpox cases are reported from 116 countries of World, about 208 deaths are also reported worldwide. 

Mpox in India-

in India about 30 cases are reported, last case was reported in March 2024.

It was first detected in monkeys in 1958 and first human case was detected in 1970.

What is Mpox- Monkeypox kya hai-

This is a zoonotic disease. This disease is caused by Monkeypox virus, now known as Mpox virus.

This virus is a DNA virus, from Orthopox virus family which includes Variola virus and smallpox viruses. It has 2 subtypes

1 Clade 1 it is more virulent, endemic in Congo Basin, 10% deadly. Now Clade 1b is of real concern. Spread easily by close contact, bedding, touching, kissing and sexual contacts- oral, vaginal and anal. On 15th August Mpox news is that one person in Sweden is infected with this strain. He travelled the infection area recently. One case is reported in Pakistan recently. 

2 Clade 2 Endemic in West Africa, very safe, 99% safe

Monkey pox disease is usually self limiting. Patient recovers with supportive treatment.

Incubation period is from 5-21 days. It means that after coming in contact with infected person infection comes after 5-21 days.

Mpox symptoms-

Initially skin rash appear, which later turns into blisters. Crusts appear in these blisters. Patients heal with falling of crusts. 

Oher symptoms are Fever, headache, sore throat, muscle pain, weakness and swollen lymph nodes. Patients are infectious since onset of symptoms until all lesions scabbed and healed.

With skin lesions patient also develops fever, body pain, muscle pain, back pain and swollen lymph nodes.

Serious symptoms presents with involvement of nerves and heart.

Mpox treatment-

No definitive treatment is available. Tablet Tecovirimat can be tried but results are not encouraging.

Most people with mpox usually recover fully within 2-4 weeks without any specific treatment.

Mpox vaccine-

2 vaccines are available, same as for smallpox. These are give at four weeks of interval and immunity comes after two weeks of last injection.

Mpox Spread is by

1 face to face by talking and breathing

2 skin to skin by touching and vaginal/anal sex

3 mouth to mouth by kissing

4 Mouth to skin by oral sex and kissing skin

5 Respiratory droplets on bedsheets etc

6 consuming meat of infected animal

7 Mother to child in pregnancy


Prevention by 

1 avoid close contact with suspected person

2 Avoid handling things of a patient

3 Use soap and water or alcohol based sanitizer for hand washing

4 Avoid animals that carry virus

5 Avoid sexual contact and kissing with strangers. Using condoms can't prevent you from disease because Mpox disease also spreads by skin contact.

Can monkeypox spread from human o animals-

Yes it may be possible.

Mpox vaccine in India- 

First case was reported in India was at 14 July 2022.

No vaccine is available in India at present.

Monkeypox look like smallpox disease. There is no monkeypox outbreak in India. Only 30 cases are reported. Monkeypox bimari or Monkeypox disease is caused by virus. Monkeypox patient recovers fully in most cases. Monkeypox look like smallpox and everything is so similar. Mpox pictures are available on internet. 


Dr Puneet Agrawal MS

Laparoscopic and Laser Surgeon

WhatsApp 9837144287







शनिवार, 17 अगस्त 2024

Know your ideal weight at home

 Know your ideal weight at home


Weight loss may be the goal for most of adults, but our body weight gain so quickly, it is really impossible to lose weight. Weight chart and weight calculator are available and we can compare after weighing on weight machine.

For our journey of how to lose weight to diet for weight loss calculation of ideal weight is important. There is no weight formula but weight loss diet plan are effective if combined with weight loss exercise. You can also calculate bmi from your height and weight.

Intermittent fasting and chia seeds for weight loss are common in people with weight loss drinks. Oats for weigh loss are also very popular.

In India there are various people in weight loss as Dr Shikha Singh weight loss, payal malik weight loss, Indian weight loss diet by richa, 

Most of my patients of fatty liver ask me weight loss kaise karen ? What are weight loss exercise.


See my video on knowing ideal weight here- 



मंगलवार, 13 अगस्त 2024

पेशाब की थैली में पथरी के लक्षण Pathri in Hindi पथरी का इलाज

 पेशाब की थैली में पथरी के लक्षण Pathri in Hindi 

शरीर में मुख्यतया पथरी या स्टोन्स Kidney गुर्दे में, पेशाब की थैली में, पित्त की थैली में /  Gallbladder में बनती हैं। अगर पथरी का इलाज समय से न लिया जाय तो ये खतरनाक भी हो सकती है।  

पथरी को जड़ से खत्म कैसे करें -

Pathri ka ilaaj पथरी की दवा तथा Pathri Operation से किया जाता है। Pathri ka Operation आजकल बिना चीरे के भी संभव है। Pitt ki thaili ki pathri तथा gurde ki pathri major सर्जरी हैं जो लैप्रोस्कोपिक या दूरबीन द्वारा संभव हैं। Pathri ki dawai पथरी को खत्म नहीं करती हैं, उनका बढ़ना रोक सकती हैं। 

Pathri ka dard बहुत जोर से होता है तथा मरीज को भर्ती भी करना पड़ता है। 

Pathri kaise hota hai - पेशाब की थैली में पथरी छोटे बच्चों में कुपोषण तथा कम पानी से, अधिक कार्बोहायड्रेट खाने से बनती हैं। बड़े लोगों में पेशाब रुकने से पेशाब की थैली में पथरी बनती हैं। पथरी कैसे होता है ये समझ कर हम पथरी बनने को कम कर सकते हैं। 

गुर्दे की पथरी कम पानी पीने से तथा अनियंत्रित खान पान से बनती हैं। 

pitt ki thaili me pathri  कोलेस्ट्रॉल की अधिकता से बनती हैं। 

Pathri ka gharelu ilaaj प्रारम्भिक अवस्था में ही संभव है।कुछ लोग pathri ka desi ilaaj करवाते हैं, लेकिन मैंने कभी भी उनको सफल होते नहीं देखा है। किसी भी तरह की पथरी की दवाई १००% सफल नहीं हैं, यदि पेशाब के रास्ते में पथरी १० mm से कम है तो ये पेशाब के साथ निकल सकती है। 

पथरी तोड़ने की दवा १००% सफल नहीं हैं। 

पथरी के लक्षण - 



गुर्दे की पथरी का आपरेशन आजकल सभी अच्छे अस्पतालों में संभव है। RIRS technique से चीरे की भी जरुरत नहीं पड़ती है। 

पथरी का दर्द किस साइड में होता है -

जहाँ पर पथरी होती है वहीँ पर पथरी का दर्द महसूस होता है। 

Pathri ko English mein kya kahate bolate hain - In English pathri is called Stone or Calculus. 


गुर्दे की पथरी 

गुर्दे की पथरी 

कैल्शियम ऑक्सालेट पेशाब की थैली की पथरी 

यूरिक एसिड पेशाब की थैली की पथरी 





 डॉ पुनीत अग्रवाल लैप्रोस्कोपिक सर्जन 
लेज़र सर्जन 
Professor of Surgery 
WhatsApp Only  9837144287 

सोमवार, 5 अगस्त 2024

How can I stop blood in Piles ? Bleeding Piles Medicine Tablet खूनी बवासीर का रामबाण इलाज

 Piles bleeding stop tablet name





Piles is a very common problem in all males and females. About 50% of population suffer from piles at 50 years of age.

Today I will discuss about bleeding while pooping or bleeding in stools, which piles tablet, piles medicine can control and stop bleeding effectively. My patients ask me best tablet for piles bleeding. In piles there is bleeding from anus no pain. If fissure is associated with piles patient has severe pain also. Piles without bleeding require lifestyle modification and constipation control. Piles and bleeding is also known as  hemorrhoids bleeding.

Piles bleeding medicine does not work if taken alone. lifestyle modification with sitz bath complete the list of management. High fiber foods for piles is taken on regular basis if you are having family history of piles blood.

Piles symptoms and bleeding piles symptoms are swelling around anus, may be inside which comes out or may be outside, itching, mucous discharge, discomfort etc. Piles meaning presence of engorged veins around anus. Most of the time piles without bleeding are present. 

How to stop bleeding piles ?

For Bleeding piles treatment I have created my own formula of success just not to control bleeding but to cure piles also.

My treatment for piles bleeding is as follows: 

1 Medicine for piles bleeding 

*Tab Ethamsyl bd/tds

*Tab Trexanamic acid bd/tds

*Tab styplon bd/tds

*Tab Diosmin 1 gm od / Tab Daflon 500

2 Piles cream

*Anovate or smuth or crema ano - use these before and after defecation

3 Lifestyle modification

A Drink at least three liters of fluid

B Eat 25-35 gms of fiber per day

*Fiber is present in salad, fruits, vegetables, green leafy vegetables, whole grains, cereals, lean proteins 

C Say no to Alcohol, smoking, caffeine, tea, coffee

D Fat free life

*Reduce fats in diet

*Maintain healthy weight and BMR

*Regular exercises 200 minutes per week

E Flush habits

*Choose Indian toilet or put a stool in front of english toilet seat

*Go to bathroom when urge to pass

*Avoid sitting straining on toilet seat

*Never take mobile, book, newspaper inside

*Wipe bottom with damp toilet paper

*Gently push any pile inside after defecation

F Fomentation

*Warm sitz bath, may be twice a day

*Perform Ashwini Mudra while sitting, for details see this blog

G Free from stress

* To reduce stress do yoga, meditation, listen to music, long drive, rest from work etc

4 Relieve constipation

* Try Isabgol husk or other laxatives

5 Injection Sclerotherapy into bleeding piles

6 Intervention 

* Band ligation, 

*Laser

*Operation


If bleeding from piles doesn't stop call Piles Doctor near me Dr Puneet Agrawal who is a Proctologist and serving the society from last forty years from his piles clinic and piles hospital.

Dr Puneet Agrawal is treating piles with bleeding piles medicine  first and perform piles surgery as last resort only.

Anal bleeding is challenging and to consult doctor early prevents us from complications.

Take any medicine under medical supervision only. Bleeding piles homeopathic medicine are also available in market.


Dr Puneet Agrawal

Proctologist near me

Piles specialist doctor near me at Agra

Best piles doctor near me

Best Women Doctor For Piles in Agra

Best Piles Surgeon in Agra

Website Dr Puneet Agrawal


Only WhatsApp 9837144287






शनिवार, 3 अगस्त 2024

Proctologist Near Me, Best Piles Doctor near me

 Proctologist Near Me, Best Piles Doctor near me, Best proctologist in Agra 




I am Surgeon Dr Puneet Agrawal Practicing for more than 40 years at Agra. I am piles specialist doctor in Agra, also professor in Medical College Agra.

My main interest of area  is piles and other related diseases of Anus and Rectum. 

People often ask me how to search Piles specialist doctor near me and Piles treatment near me, piles hospital in Agra.

I Started piles laser treatment in Agra. I am a laser surgeon and Piles surgeon near me as I am dealing with all sorts of anal diseases eg Piles, fissure, fistula, polyp, anal wart, anal itching, pruritis etc

I am attached with several piles hospital near me which are recognized by insurance companies.

My patients consider me doctor for piles near me and Piles Dr near me.

I am practicing at my piles clinic near me at Adarsh nagar, opposite ayodhya Kunj, kheria crossing Agra 282001.

Piles operation cost in Agra is minimal with us. Patients which can not afford the private can be operated free at my place.

Piles treatment is dependent on piles symptoms. You can discuss with your piles doctor about piles in Hindi. What is Piles - Piles meaning engorged veins around anus inside and outside. Piles medicine best work if you control your constipation first. There are several Piles Hospital near me where I perform Piles surgery if required. Most of the time I am curing piles without operation only.

Piles cream is very popular and given with medicine for piles. 

Allopathic and ayurvedic medicines achieve piles cure. Piles pain also becomes better with piles tablet and other treatment for piles. 

Piles Fissure many times exist simultaneously, fissure treatment is priority because of pain.

Hemorrhoids Piles hindi meaning is बवासीर, अर्श, mulvyadh.  

Piles operation is sometimes done if there is no effect of medicines on piles. You can see piles images in my videos on You tube.

Major symptoms of piles are swelling around anus, bleeding and pain, mucous discharge and itching, constipation.

Which doctor is best for piles ? I have experience of treating piles patients from last 40 years. My results are wonderful.

What doctor remove piles? A surgeon with vast experience of anal surgery can operate piles and related conditions.

Which is better treatment for piles ? First I correct the piles without surgery and later take help of several interventions like - Laser, rubber band ligation, piles injection sclerotherapy, piles operation.

Can a doctor see piles ? I have seen that many patients are visiting quacks for piles. This is not correct nowadays. Modern doctors can see the piles by DRE and Proctoscopy.

What teat confirm piles ? Proctoscopy and sigmoidoscopy can diagnose piles in patients.

How to check piles at Home? It is very difficult to do self examination for piles. You may notice some swelling, itching, discharge, or blood. But for confirmation you have to be examined by a doctor.

What food to avoid in piles? Spicy non fibre foods are absolutely contraindicated  in piles.

Is piles a serious problem ? Yes piles are causing problems we have to find a solution for it.

What is the first stage of piles ? When piles does not come out from anus but bleed it is called first grade. Injection and control of constipation work well in this grade.

Can piles go without surgery ? Initial stages can be controlled with lifestyle modification.

Is curd good for piles ? Yes curd and chach are good for piles.

What are grade three piles ? Piles which come out during defecation and have to be pushed inside are termed grade 3.

What size of piles need surgery ? Any grade of piles if causing problems are a good candidate for surgery.

Is piles surgery painful ? Open surgery is painful but can be controlled with good pain killers.

How to avoid piles ? By having a healthy life style, water intake, fiber rich diet and active life.

Pristyn care is a e commerce company serving the patients.

Dr Puneet Agrawal

Piles Doctor

Laser piles specialist

Piles specialist doctor in Agra

Best proctologist in Agra

Piles hospital in Agra






 

Can Hydrocele be cured without Surgery Naturally ?

 Can Hydrocele be cured without Surgery Naturally ?


Hydrocele may appear in males at any time of their life. Clear fluid collects around testis in its surrounding membranes.
Generally these form because of trauma to scrotum or other infections like syphilis, tuberculosis or commonest cause in eastern India is Filaria. Sometimes they accompany tumour or cancer of testes.

About 10% of new born males are having hydrocele at birth but most disappear with time in next one year.
If any infection is present in scrotum they disappear within six months to one year after taking proper treatment.

Sometimes they appear after hernia surgery.

Prevent your testis with any type of trauma. Wear v shaped underwear. 
Keep your scrotum clean all the time.
Drink lots of water so that you can avoid urinary tract infection.
Practice safe sex to avoid STD.
Examination to rule out cancer etc.

If  hydrocele persists even after 6-12 months operation is advised. Some people aspirate the fluid from hydrocele, but I never give this advice to my patients to avoid complications.

For filaria tab hetrazan can be give.
 
I have never seen a large hydrocele disappearing with any treatment.

Hydrocele  Doctor near me
Best Hydrocele doctor
Hydrocele specialist doctor near me
WhatsApp 9837144287

गुरुवार, 1 अगस्त 2024

Hydrocele Pain Relief Medicine

 Hydrocele Pain Relief Medicine, which pain killer is best for testicle pain ? 

What is Hydrocele ?

Hydrocele meaning collection of fluid or water around our testicles.

Definitive Hydrocele treatment is Hydrocele surgery or Hydrocele Operation

Here I am discussing Hydrocele in Hindi

Causes of Hydrocele in adults and child

Hydrocele is a disease of Men, may be present in all ages from new born to old ages. There are several causes of hydrocele, in majority no cause is known (Idiopathic). Other common causes may be trauma, infection, inflammation, filaria present since birth and rarely tumor or cancer.

How to control Hydrocele ?

Pain may be due to increase in scrotal size. Pain may also occur while you are engaged in sports activity, strenuous exercises and your testicles are moving and are not well supported.

Hydrocele treatment allopathic medicine 

Here I am discussing first aid hydrocele pain relief medicine. 

This has to be taken if proper medical advice is not available. After taking these medicines proper medical opinion and examination by surgeon is done as soon as possible. Examination is must because there may be hidden tumor or cancer which may be overlooked.

For testis or hydrocele pain the first effective medicine is Flexon, which is combination of Paracetamol and Ibuprofen. This tablet can be taken up to three times a day, after meals. You may also take Combiflam ,  Flozen AA if former is not available. For readers I am giving link on clicking the drug name.

Best medicine for Hydrocele

Pain is also associated with infection. For this antibiotics should be given.

Take tablet Sensiclav 625 three times a day with cap  Gut OK twice a day for five days after meals.

If filaria is suspected take tab  Hetrazan 100 mg three times a day for 14 days.

Scrotal swelling treatment

Take advice of a qualified doctor as soon as possible.

Wear v shaped underwear so that your testicles should remain rested.

Avoid running and cycling to prevent trauma to testicles and hydrocele.

What is best treatment for hydrocele ?

Surgery or operation is best treatment of hydrocele

Dr Puneet Agrawal
Hydrocele doctor near me
Hydrocele specialist doctor near me 


शनिवार, 22 जून 2024

Symptoms of Rabies in Dogs

 Symptoms of Rabies in Dogs


Rabies is a 100% fatal disease. It is caused by the bite of rabied dogs, monkeys, cats, cows or bats or may be humans.

99% of human rabies cases are caused by an infected dog bite.

Today I will discuss about rabies in dogs - How they catch the infection of rabies, how can we diagnose rabies and how can we prevent rabies in dogs and transmission in humans ?

Remember Hydrophobia which is fear of drinking water, commonly present in humans but it is not present in dogs (or rarely).


Symptoms


When we heard about rabies, we think of a mad dog, who is barking without a reason and unprovoked, having his tongue out and jaws are full of saliva and foam.

But in reality this is not true picture always.

A rabied dog may look completely normal in initial stages but may be having most lethal virus in his mouth and in saliva.

Remember each dog that bites does not have rabies and each rabied dog doesn't bite.

A dog is infected with rabies virus if an infected wild animal or another infected animal or infected bat bites the dog.

Rabies in dogs presents as Furious form 80% and as paralytic form 20%.

A dog will die in 4 days after rabies symptoms, that's why we observe the dog for 10 days, which includes some grace period.


Beware of rabies in puppies

Rabies in puppy is usually ignored because aggresiveness of puppy is considered normal (bite + scratching).

If you are vaccinating dogs, give vaccine to all puppies also.

Symptoms according to WHO

1 Hypersalivation

2 Paralysis

3 Lethargy, twitching, fits

4 Abnormal vocalization, strained or hoarse barking

5 Unprovoked abnormal aggression - Biting other animals or persons

Furious type rabies - 80%

Dog is hyperactive, aggressive and irritable

Dog may bite each and every thing which is nearby

Dog's voice is changed , it may be strained or hoarse barking

Dog may have abnormal twitching of muscles, may have seizures and may bite other animals or persons without provoking. 


In paralytic rabies 20% or dumb form

In this type dog develops paralysis and weakness of muscles

Dog may not be able to walk properly.

Dog may not be interested in playing, looks sleepy and lethargy.


Rabies do paralysis of tongue and muscles of jaw -- That's why tongue is loose, coming out of jaws. jaw remains open, saliva comes out & jaw is full of saliva and foam.

Every dog has different symptoms. Some are not able to drink water, some eat very easily.

What to do if other stray animal bites your dog

If a wild or stray animal bites your dog-

Call your vet or someone from vet clinic

Let him examine the wound and clean the wound to prevent infection

dog will also be given booster of rabies vaccination.


What not to do

You do not clean wound yourself because you can catch rabies from dog. Or wear gloves.

Dog vaccination

Dog 1st shot at 6 weeks then every 3 weeks till 16 weeks old

Adult dogs to be revaccinated every 1-3 years.

Every dog has different symptoms. Some are not able to drink water, some eat very easily.

What to do if other animal bites your dog 

If a wild or stray animal bites your dog-

*Call your vet or helper from vet clinic

*Let him examine the wound and clean the wound to prevent infection

*Dog will also be given booster of rabies vaccination


What not to do

You don't clean wound yourself, you can catch rabies from dog.

or wear gloves.

Don't give vaccination to a symptomatic unvaccinated dog - may cause a seere adverse reaction

Dog vaccination

Dog 1st shot at 6 weeks

then every 3 weeks till 16 weeks old

Adult dogs to be revaccinated every 1-3 years.


Diagnosis

There is no test for diagnosis of rabies, can only be diagnosed by direct examination of brain.

The safest possibility for diagnosis is to sacrifice the animal or strict quarantine for many months.

I also have videos on these topics-

How many days after dog bite rabies symptoms appear

What happens if a vaccinated dog bites you

What to do if a dog bites you but doesn't break skin, and breaks the skin

Dog bite injection dose days

Can I take rabies vaccine without dog bite 

Which injection is used for dog bite

Dog bit

Anti rabies vaccine dose for adults

How long anti rabies vaccine is effective in humans in India


A dog rabies patient can be prevented by rabies injection known as rabies vaccine. Rabies video showing them is really frustrating. Rabies ka injection is given after dog bite in upper arm in deltoid muscle. Rabies kya hota hai, actually rabies virus is transmitted by rabied animals esp dog, cat, monkey etc.. Rabies hindi mein apni video mein bataya hai. Rabies symptoms, rabies ke lakshan are general symptoms, symptoms of brain, hydrophobia etc.. Dog bite rabies is more common than other animals. Rabies in humans is as deadly as in other animals. More than 95% of rabies case is due to dog bite. Rabies in dog comes from bite by another rabied animals. Rabies treatment is possible by anti rabies injection after dog bite. Dog rabies injection price is company specific. Rabies injection for dogs are available. Rabies immunoglobulin injection is given in category III wounds. Anti rabies vaccine is 100% safe.







Piles- Ultimate guide to cure Piles fissure Fistula Permanently

Ultimate guide to cure Piles fissure Fistula Permanently https://youtu.be/ZkjUbHT0XDQ In my clinic patients often ask me piles kaise theek k...