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

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- 

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 

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

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 ?

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.

Dr Puneet Agrawal

Hydrocele  Doctor near me

Best Hydrocele doctor

Hydrocele specialist doctor near me

WhatsApp 9837144287

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