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.







गुरुवार, 9 मई 2024

Can syphilis be transmitted through kissing ? Syphilis in Hindi

 Can syphilis be transmitted through kissing ? Syphilis in Hindi


अपनी बात प्रारम्भ करने से पहले मैं आपको बताना चाहूंगा कि इस सवाल का उत्तर हाँ में है। 

आइये अब आपसे विस्तार से चर्चा करते हैं। 

सिफलिस के कीटाणु खाल पर या मुंह के अंदर स्थित छालों या घावों cuts से पार्टनर में इन्फेक्शन करते हैं। अगर आपके पार्टनर के मुंह के आसपास, मुँह के अंदर, जीभ पर पर सिफलिस के छाले हैं या घाव हैं तो संपर्क में आने पर आपको सिफलिस हो सकती हैं बाबजूद इसके कि आपने सेक्स किया भी न हो, केवल किस किया हो। For infection of syphilis penetrative sex and ejaculation is not the must. 

थूक या saliva से सिफलिस सामान्यतः नहीं फैलती है। 

किसिंग करते समय dental dam या कंडोम का प्रयोग करें। कंडोम लेटेक्स का प्रयोग करना चाहिए या poly urethrane  का यदि आपको लेटेक्स से एलर्जी है। 

आइये जानते हैं सिफलिस के छाले या chancre मुंह में या आसपास कैसे बनते हैं ?

छाले मुख मैथुन या ओरल सेक्स से बनते हैं। जब ओरल सेक्स बिना किसी प्रोटेक्शन से इन्फेक्टेड लिंग, योनि, या गुदा द्वार पर किया जाता है तो इन्फेक्शन ओरल सेक्स करने वाले व्यक्ति के मुंह तथा आसपास की खाल पर भी हो जाता है। 

किस करते समय पार्टनर का मुंह जब इन छालों से संपर्क में आता है तो मुंह में भी इन्फेक्टेड चले बन जाते हैं तथा सिफलिस इन्फेक्शन हो जाता है। 

छाले बनने के लिए सेक्स करना जरुरी नहीं है।  संक्रमित खाल के संपर्क में आने से भी चले बन जाते हैं। 

Syphilis disease is a common Sexually transmitted disease STD or STI present in the world since ages.

Syphilis meaning infection by a bacteria. Syphilis is caused by a bacteria name - Treponema Palladium, the syphilis causative agent.

Laboratory diagnosis of syphilis test - VDRL, RPR Rapid Plasma Reagin, confirmatory test for syphilis are - TPHA, FTA-ABS. 

Syphilis symptoms are generally appear after three weeks of sexual activity and contact with diseased partner. Syphilis spread through these. Syphilis is transmitted by vaginal, anal, oral sex and also by coming in contact with skin of infected partner.

Syphilis treatment is very simple and done by giving syphilis medicine - antibiotics especially Benzathine Penicillin, Doxycycline, azithromycin and tetracycline.

When treating syphilis always check for HIV, gonorrhoea, herpes, hepatitis b, c, Human papilloma virus HPV.

Congenital Syphilis means, it is present in child since birth.

VDRL test positive means syphilis infection may be present but we have to confirm it by further testing. full form of VDRL is Venereal drug research laboratory. 

You can See my video on syphilis symptoms in female and male and photograph of syphilis lesion on youtube. 


Syphilis cure time is not much and can be checked by reducing titers of RPR as FTAABS and TPHA are positive for life once infection occurred in body.

Is syphilis 100% curable ?

Yes, if you take antibiotics full course and check your titer under supervision of your doctor. But there is no way to repair organs damaged by syphilis infection.

Can I have syphilis by sitting on Public toilet seat, question asked by ladies ?

You can't get syphilis by touching objects like toilet seat, utensils door handles, because bacteria can't survive on objects for long.






शुक्रवार, 5 अप्रैल 2024

Fatty liver home remedies and treatment in Hindi in India

 Fatty liver home remedies and treatment in Hindi in India




Today I am talking about How to cure fatty liver especially NAFLD Non alcoholic fatty liver disease. Every patient of mine ask how to reduce fatty liver? Fatty liver ka ilaj kya hai. How to reverse it. Dr Sarin has wisely talked about it. 

What is good for fatty liver and enlarged liver. How to clean fatty liver naturally?

फैटी लिवर में क्या खाना चाहिए, what is diet plan and how to get rid of fatty liver by diet and lifestyle modification.

Generally fatty liver symptoms are not specific and don’t present early.

Fatty liver test is Fibroscan a type of ultrasound.

Lifestyle modifications are

Consider your health similar to your liver health 

Reduce weight 

Start exercise 

Drink more water 

Take good sleep 

Keep away from stress 

Leave these 3 white poisons

Sugar milk and maida

Check any cosmetics for heavy metals

Don’t take any drugs without prescription, 

No ayurvedic or herbal drugs

Check chronic medicines 

No alcohol 

Control diabetes thyroid 

Take vaccination for hepatitis 

Check vitamin d and b12 levels 

Diet plan for fatty liver—

1 eat lot of cruciferous vegetables daily

2 Eat garlic daily 

3 Take olive oil daily extra virgin prefer

4 Take lemon juice daily with raw honey 

5 Take turmeric with black pepper

6 Eat beet root steamed or cook

7 Mustard seeds are also be taken in salad or during cooking.

8 Take good fats

Consider Food is an investment for your health, it is not the expense.

Dr Puneet Agrawal 

Doctor near you taking care of your fatty liver, Gallbladder Pancreas and Piles health through diet lifestyle modification home remedies and treatment 

सोमवार, 19 फ़रवरी 2024

Hernia

 Hernia



Hernia disease is a very common condition, affects men, women and children of all ages. In most cases hernia surgery is required for achieving cure. Some of common hernia types are- inguinal hernia, umbilical hernia, hiatus hernia, hernia developing after some operation named incisional hernia etc..

What is hernia - Our stomach (Abdomen) keeps all the intestines in a closed space as air is being kept in a inflated balloon. If at some place portion of its wall weakened, contents mainly intestines comes out with its wall on using force eg on coughing, this outpouching is known as hernia. 

Hernia meaning appearance of some swelling on using force. In long standing cases swelling or outpouching is present all the time. This can be pushed inside by manipulation.

Hernia symptoms in men and women are mainly presence of swelling which is associated with dragging pain. Sometimes this swelling doesn't go inside itself then hernia operation is done in emergency to save the patient. On noticing symptoms of hernia we should not wait and should take early medical opinion for hernia repair which is definitive hernia treatment. Sometimes patients only presents with hernia pain, they did not appreciate the swelling. Hernia mesh is used during surgery to treat hernia and to strengthen muscles.

Hernia causes are - It may present since birth, it may be due to weakness of our abdomen muscles, or may be due to constant cough, obesity, due to infection of stiches of any previous surgery, constipation, smoking, family history. 

Hernia belt for men and women is not advised in healthy individuals. It may be given to people who cant tolerate operation. it may cause more harm than good in most healthy persons. it cannot be given in children. 

Hernia though is a very simple condition but it may become fatal and can be a cause of death if not treated properly on time. Life saving operation has to be performed if swelling doesn't go inside itself and on using soft pressure.

I have discussed above the following- 

हर्निया का चित्र दिखाइए






हर्निया रोग क्या है harniya kya h, 

हर्निया रोग क्या है, हर्निया क्यों होता है?

पेट की मांसपेशियों के कमजोर होने से पेट के अंदर की आंतें बाहर आने लगती हैं जिसे हम हर्निया कहते हैं। ये जन्म से हो सकता है या धीरे धीरे बनने लगता है। खांसी होने से, भारी वज़न उठाने से, सिगरेट पीने से, टांके पकने से और कमजोरी से हर्निया बन जाता है। 

हर्निया से नुकसान

हर्निया से क्या प्रॉब्लम हो सकती है?

अगर हर्निया में उतरी आंतें अपने आप अंदर नहीं जाती हैं तो हमें इमरजेंसी ऑपरेशन करना पड़ता है। ऑपरेशन न करने पर जान का खतरा रहता है। 

बिना ऑपरेशन हर्निया का इलाज - Some yoga people claim that it can be cured and controlled by soft yoga asanas and pranayama, but I have not seen any cure till now in 40 years of my carrier. 

बिना ऑपरेशन हर्निया का इलाज अभी संभव नहीं है। किसी बहकावे में न आएं। कोई गोली कैप्सूल भी इसे ठीक नहीं करता हैं। 


Dr Puneet Agrawal is hernia doctor near me and available on WhatsApp also for online consultation 9837144287.


डॉक्टर पुनीत अग्रवाल 

लैप्रोस्कोपिक सर्जन, लेज़र सर्जन, जनरल सर्जन

प्रोफेसर मेडिकल कॉलेज 

आगरा 282001 




What causes hydrocele in adults ?

What causes hydrocele in adults ? 



Hydrocele हाइड्रोसील is a very common disease among boys and men requiring hydrocele surgery, chiefly eversion of sac.  Hydrocele meaning collection of fluid around testes. Fluid collects around testes, which slowly increases with time. Hydrocele operation is best hydrocele treatment in most of patients. Some people aspirate the fluid from hydrocele but it is not advisable.

I have discussed here hydrocele in hindi, what is hydrocele. Hetrazan & banoside forte are very effective hydrocele medicine. These are basically effective drugs for filaria, which is main cause for hydrocele. 

Hydrocele symptoms are obvious when size increases, after which hydrocele pain is main symptom. Hydrocele causes, mostly it is due to Filaria and trauma and unknown causes also. Sometimes there is no cause found. Hydrocele test is by check up by doctor surgeon and followed by ultrasound scrotum. Sometimes CT scan may also be done. 

Hydrocele kya hai - testes के चारों तरफ पानी भरने को hydrocele  कहते हैं।  इसी को हाइड्रोसील में सूजन कहते हैं। 

Dr Puneet Agrawal is hydrocele doctor near me. He is expert doing hydrocele cure by operation by new methods also. 

Hydrocele medical test kya hota hai, meaning in Hindi for applying in Army- in army medical test standards for recruitment of soldiers in Indian Army, in point number 8 it is stated hernia, hydrocele, varicocele, piles should not be there. 

Hydrocele ka ilaj operation से ही संभव है। हाइड्रोसील का ऑपरेशन कैसे होता है - ये एक छोटा सा ऑपरेशन है तथा सुन्न करके, spinal अथवा बेहोश करके हो सकता है। मुझसे मेरे मरीज पूछते हैं कि hydrocele kya hota hai - गोलियों या testes के चारों तरफ पाये जानी वाली झिल्लियों में पानी भरने को hydrocele कहते हैं। 

हाइड्रोसील कैसे होता है - इसका प्रमुख कारण फ़ाइलेरिया है - अन्य कारण हैं - चोट लगना, इन्फेक्शन होने से, या कैंसर के साथ ये हो सकता है। 

In hydrocele testes is absolutely normal. Varicocele is also a different disease. Scrotum is the sac in which testes rest.

What is best treatment for hydrocele- operation is best solution for hydrocele. Aspiration of fluid is not the best option , it may cause infection, bleeding & fluid filling again. Option of surgery by laser is not advisable. 

हाइड्रोसील का परमानेंट इलाज ऑपरेशन ही है, इसके साथ फाईलेरिया बीमारी का पूरा कोर्स भी देना चाहिए। हाइड्रोसील का ऑपरेशन कितने दिनों में ठीक हो जाता है - मरीज ऑपरेशन के अगले दिन से चलना फिरना प्रारम्भ कर सकता है , एक हफ्ते बाद टांके काटने के बाद मरीज अपने काम पर जा सकता है।  मेहनत करने वाले व्यक्ति २-३ हफ्ते बाद कार्य पर जा सकते हैं। 

अंडकोष में पानी सुखाने की दवा ये हैं - diethylcarbazine, albendazole, ivermectin, doxycycline . 

हाइड्रोसील मैं क्या नहीं खाना चाहिए- चिकनाई का परहेज करें तथा प्रोटीन का अधिक सेवन करें 


Dr Puneet Agrawal

Laparoscopic, Laser Surgeon

Agra

Online consultation WhatsApp 9837144287



मंगलवार, 29 अगस्त 2023

How to cure fistula at home permanently by doctor in hindi

 How to cure fistula at home permanently by doctor in Hindi


 





  





Fistula forms because of infection present between muscles surrounding the rectum and anus

Here are my experienced advices for you to tackle fistula at home. Fistula does not heal itself, we have to operate by laser to cure it. in Ayurveda ksharsutra is available for permanent treatment.

1 Maintain good anal hygiene, keep it dry, clean or wipe from front to back, don't use any chemical at anus

2 Active lifestyle modification, do exercises 30 minutes daily, don't sit at a place for more than 30 minutes, use donut seat cushion, reduce your weight

3 Stay hydrated, drink 3-4 liters of fluids daily

4 Take 25-35 gms of fiber diet daily in form of grains, lentils, legumes, vegetables and fruits

5 Control your sugar and thyroid if present

6 Avoid spicy processed packaged fast foods refined grains sugary food etc

7 Sit in Sitz bath twice a day, hot tub bath with savlon or betadine in it

8 Take milk with haldi and honey twice a day

9 Take ginger tea twice a day

10 Apply teatree oil with olive oil seasame oil oregano oil 

11 Do not strain in defecation

12 Change underwear daily

13 take cloves water daily

14 Be careful in anal sex, use lubricants freely 






गुरुवार, 24 अगस्त 2023

Fistula bhagandar kya hota hai Fistula Symptoms Male Female fistula Meaning Surgery in Hindi

भगन्दर को जड़ से खत्म करने का उपाय दवा , भगंदर का बिना आपरेशन इलाज, फिस्टुला का स्थाई इलाज    How to heal a fistula without surgery 

बवासीर तथा फ़िशर के बाद गुदा द्वार पर  होने वाली तीसरी प्रमुख बीमारी है भगंदर । इसे हम नासूर या अंग्रेजी में फिशचुला के नाम से भी जानते हैं ।
हमारे गुदाद्वार के चारों तरफ़ मांसपेशियों के बीच में ग्रंथियों में इन्फेक्शन होकर कभी कभी फोड़ा बन जाता है । अगर ये फोड़ा गुदाद्वार में अंदर फट जाता है तो सारा पस मल के साथ बाहर निकल जाता है । मरीज़  ठीक हो जाता है, उसे कुछ मालूम भी नहीं पड़ता है । अगर ये फोड़ा अंदर फटने के साथ गुदा के आसपास की खाल पर बाहर फट जाता है तो उसे हम भगन्दर का बनना कहते हैं । ये अपने आप सही नहीं होता है । इसे सही करने के लिए हमें कुछ कारगर कदम उठाने पड़ते हैं ।




कुछ व्यक्तियों में फिस्टुला होने की संभावनाएँ अधिक होती हैं जैसे 
अधिक वजन वाले लोग 
ज्यादा नमक का सेवन करने से 
डायबिटीज होने पर 
कोलेस्ट्रॉल बढ़े होने पर 
सिगरेट तथा शराब के सेवन से 
ज़्यादा मिर्च मसालेदार ख़ाना खाने पर 
जो लोग एक ही जगह बैठे रहते हैं 
व्यायाम नहीं करने वाले व्यक्ति 
बिना रेशे युक्त ख़ाना खाने पर
गुदा पर पहले कोई ऑपरेशन हुआ हो 
जो लोग टॉयलेट सीट पर ज्यादा देर तक बैठते हों
टायलेट में बहुत जोर लगाना 

फिस्टुला इन लोगों में भी हो सकता है 
आँतों की बीमारियों में eg Crohn’s disease 
आँतों की टीबी होने पर
बिजली की सिकाई के बाद 
सेक्स से रिलेटेड बीमारियों में HIV
कुछ खाल की बीमारियों में Actinomycosis
चोट लगने पर

भगन्दर होने पर मरीज को गुदा में दर्द महसूस होता है । ये दर्द पस एकत्रित होने के कारण होता है । फोड़ा फटने पर पस निकल जाता है तथा दर्द कम या खत्म हो जाता है । इसके अतिरिक्त मरीज खुजली आँव खून आना बुखार सूजन की शिकायत भी करते हैं ।

बीमारी का पता एक गुदा रोग विशेषज्ञ देख कर तथा अपनी अंगुली से चेक अप करके कर सकता है (DRE) MRI द्वारा इसका पूरा फैलाव देखा जा सकता है ।
भगन्दर चूहे के बिल की तरह होता है ।ऊपर से एक छोटा मुँह होता है लेकिन अंदर ही अंदर ये चारों तरफ़ फैला होता है ।
एक बार भगन्दर बनने पर ये दवाइयों से ठीक नहीं होता है। इसका पक्का इलाज करवाना ज़रूरी होता है । अगर इसका पक्का इलाज नहीं करवायें तो पस इन्फेक्शन चारों तरफ़ फैलता जाता है । लंबे समय तक भगन्दर बने रहने पर कभी कभी कैंसर बन जाने का खतरा रहता है ।
एंटीबॉयोटिक्स लेने पर ये दब जाता है लेकिन ठीक नहीं होता है । थोड़े दिन बाद ये फिर से उभर आता है ।
आपके डॉक्टर आपको ये बता सकते हैं की आपके लिए कौन सी विधि अच्छी रहेगी । आजकल लेज़र से भी इसका इलाज हो रहा है ।
फिस्टुला के पुराने आपरेशन में पूरा घाव खोल दिया जाता है इसमें टाँके नहीं लगते हैं । 
आजकल नयी विधि से भी आपरेशन हो रहे हैं, जिसमें कम काटा पीटी होती है ।

आपका सर्जन आपके लिए सबसे अच्छी विधि का चुनाव कर सकता है। 
फिस्टुला का पक्का इलाज ज़रूरी है । बिना इलाज के चूहे के बिल की तरह ये अंदर ही अंदर फैलता रहता है । इन्फेक्शन होने पर ये बड़े फोड़े की तरह बन जाता है जो जानलेवा भी सिद्ध होता है । इसीलिए इसे बिना इलाज के न छोड़ें ।

डॉक्टर पुनीत अग्रवाल MS FISCP 
Fistula doctor near me 
www.drpuneetagrawal.com 

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...