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Dry skin remedies ....
Tips to soothe dry skin:Got dry skin? There are many things you can do to make it smooth and supple.
In many cases, all it takes is making a few adjustments to your daily skin care routine.Here are our recommendations:

Oil therapy: Rub on some olive, almond or coconut oil and massage lightly on to your hands, legs and the rest of your body before heading for a shower. Heat the oil and then apply. Post shower, use a light moisturizer / sunscreen.
Scoop some milk cream: Milk cream makes for a very good moisturizer. Mix a few drops of lime, a teaspoon of milk and two teaspoon of milk cream and rub onto your hands and legs. Leave it on for a while before you head for a shower.
Curd : Curd makes for an excellent skin hydrant, and its antioxidant, anti-inflammatory properties will help soothes your dry, itchy skin. Apply curd just as it is or mix it with some honey and a few drops of lime. Leave it on for at least 10 minutes before you wash it off. It is sure to do wonders for your skin.
Honey: Honey helps lock in moisture, has antioxidant and anti-microbial properties, which makes it a sought after ingredient in many over-the-counter skincare products. Why shell out money on those, when you can buy yourself a bottle of honey (which is cheaper) and use it to treat your skin. Lightly heat 2 tsp. of honey any apply it onto your skin , while warm. Leave it on for 15 minutes, and then wash it off.
Aloe vera: After bath, slice a piece of aloe, squeeze all the gel out and apply onto your face, hands or legs. It will not only moisturise your skin, it will also form a protective layer that will keep impurities from entering your pores. Although aloe is a good skin hydrant, it can leave your skin feeling tight.
Milk: In 4 tsp. of raw milk add a few drops of rose water/ lime and rub it all over your body and wash with cold water. Do this twice a day. And your skin will feel baby soft.
Vitamin-E : Take Vitamin-E capsules( 2 capsules) squeeze out the oil, mix a few drops of lime juice and apply all over your body. Take a shower and feel the difference.
Glycerine: Glycerine helps absorb and retain moisture . Mix a teaspoon of glycerine with a few drops of lime and massage onto your skin. Leave it on for a few minutes before you wash it off.
Coconut milk: Coconut milk not only reduces skin dryness, but also helps combat dark spots and blemishes. Rub it onto your face and body, and leave it overnight. Make sure to spread out an old bed-sheet and pillow cover.
Scrub: Use a body scrub that isn’t very rough on your skin (apricot or walnut) and scrub your body at least once a week.
Do not use any exfoliator until your dry skin heals a little, else it gets worse!
And yes, do drink enough water to keep your skin hydrated.
Avoid scratching: which damages the skin. If itching is a problem, try the following:
Keep the itchy area well moisturized. Dry skin may make itching worse.
Try an oatmeal bath to help relieve itching.
Wrap 1 cup of oatmeal in a cotton cloth and boil as you would to cook it. Use this as a sponge and bathe in tepid water without soap.
Try a nonprescription 1% hydrocortisone cream for small itchy areas.
Use the cream very sparingly on the face or genitals.
If itching is severe, your doctor may prescribe a stronger cream.
If you are using this cream for larger areas like your arms or legs, you may want to mix some of this cream with a moisturizer before putting it on your skin.
Try a nonprescription oral antihishamine.
Cut your nails short or wear gloves at night to prevent scratching.
Wear loose and comfortable clothing. Avoid scratchy fabrics next to your skin.

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sex and pregnancy
If you want to get pregnant, you have sex. No surprises there. But what about sex while you're pregnant? The answers aren't always as obvious.
Here's what you need to know about sex during pregnancy.
Is it OK to have sex during pregnancy?
As long as your pregnancy is proceeding normally, you can have sex as often as you like — but you might not always want to.
At first, hormonal fluctuations, fatigue and nausea might sap your sexual desire. As your pregnancy progresses, weight gain, back pain and other symptoms might further dampen your enthusiasm for sex.
Your emotions might take a toll on your sex drive, too.
Concerns about how pregnancy or the baby will change your relationship with your partner might weigh heavily on your mind — even while you're eagerly anticipating the addition to your family. Fears about sexual activity harming the baby or anxiety about childbirth might team up to sap your sex drive. Changes in your self-image might play a role as well, especially as your pregnancy progresses.
Can sex during pregnancy cause a miscarriage?
Although many couples worry that sex during pregnancy will cause a miscarriage, sex isn't generally a concern. Early miscarriages are usually related to chromosomal abnormalities or other problems in the developing baby — not to anything you do or don't do.
Does sex during pregnancy harm the baby?
Your developing baby is protected by the amniotic fluid in your uterus, as well as the strong muscles of the uterus itself. Sexual activity won't affect your baby.
What are the best sexual positions during pregnancy?
As long as you're comfortable, most sexual positions are OK during pregnancy.
As your pregnancy progresses, experiment to find what works best. Rather than lying on your back, for example, you might want to lie next to your partner sideways or position yourself on top of your partner or in front of your partner.
Let your creativity take over, as long as you keep mutual pleasure and comfort in mind.
What about oral and anal sex?
Oral sex is safe during pregnancy. If you receive oral sex, though, make sure your partner doesn't blow air into your vagina. Rarely, a burst of air might block a blood vessel (air embolism) — which could be a life-threatening condition for you and the baby.
Generally, anal sex isn't recommended during pregnancy. Anal sex might be uncomfortable if you have pregnancy-related hemorrhoids. More concerning, anal sex might allow infection-causing bacteria to spread from the rectum to the vagina.
Are condoms necessary?
Exposure to sexually transmitted infections during pregnancy increases the risk of infections that can affect your pregnancy and your baby's health.
Use a condom if:
Your partner has a sexually transmitted infection
You're not in a mutually monogamous relationship
You choose to have sex with a new partner during pregnancy
Can orgasms trigger premature labor?
Orgasms can cause uterine contractions, but these contractions are different from the contractions you'll feel during labor. Orgasms — with or without intercourse — aren't likely to increase the risk of premature labor or premature birth.
Similarly, sex isn't likely to trigger labor even as your due date approaches.
Are there times when sex should be avoided?
Although most women can safely have sex throughout pregnancy, sometimes it's best to be cautious.
Your health care provider might recommend avoiding sex if:
You have a history of preterm labor or premature birth
You have unexplained vaginal bleeding
You're leaking amniotic fluid
Your cervix begins to open prematurely (cervical incompetence)
Your placenta partly or completely covers your cervical opening (placenta previa)
What if I don't want to have sex?
That's OK. There's more to a sexual relationship than intercourse.
Share your needs and concerns with your partner in an open and loving way. If sex is difficult, unappealing or off-limits, try another type of contact — such as cuddling, kissing or massage.
After the baby is born, how soon can I have sex?
Whether you give birth vaginally or by C-section, your body will need time to heal. Many health care providers recommend waiting four to six weeks before resuming intercourse. This allows time for your cervix to close and any tears or a repaired episiotomy to heal.
If you're too sore or exhausted to even think about sex, maintain intimacy in other ways. Stay connected during the day with short phone calls, email messages or text messages. Reserve a few quiet minutes for each other before the day begins or while you're winding down before bed.
When you're ready to have sex, take it slow — and use a reliable method of contraception if you want to prevent a subsequent pregnancy.

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QUIT SMOKING .......JUST FOLLOW IT ANS SEE THE RESULT YOURSELF
1: Know Why You Want to Quit
So you want to quit smoking, but do you know why? "Because it's bad for you" isn't good enough. To get motivated, you need a powerful, personal reason to quit. Maybe you want to protect your family from secondhand smoke. Maybe the thought of lung cancer frightens you. Or maybe you'’d like to look and feel younger. Choose a reason that is strong enough to outweigh the urge to light up.
No. 2: Don't Go Cold Turkey
It may be tempting to toss your cigarettes and declare you've quit, plain and simple. But going cold turkey isn't easy to do. Ninety-Six percent of people who try to stop smoking without therapy or medication end up relapsing. The reason is that nicotine is addictive. The brain becomes used to having nicotine and craves it. In its absence, the symptoms of nicotine withdrawal occur.


No. 3: Try Nicotine-Replacement Therapy


When you stop smoking, nicotine withdrawal may make you feel frustrated, depressed, restless, or irritable. The craving for "just one drag" may be overwhelming. Nicotine-replacement therapy can help reduce these feelings. Studies suggest nicotine gum, lozenges, and patches can help double your chances of quitting successfully when used with an intensive behavioral program. But using these products while smoking is generally not recommended.
No. 4: Ask About Prescription Pills





To ease nicotine withdrawal without using products that contain nicotine, ask your doctor about prescription medications. There are pills that help reduce cravings by affecting chemicals in the brain. They may also make smoking less satisfying if you do pick up a cigarette. Other drugs can help reduce troubling withdrawal symptoms, such as depression or inability to concentrate.
No. 5: Don't Go It Alone
Tell your friends, family, and co-workers that you're trying to quit. Their encouragement could make the difference. You may also want to join a support group or talk to a counselor. Behavioral therapy is a type of counseling that helps you identify and stick to quit-smoking strategies. Combine behavioral therapy with nicotine replacement products and/or medication to boost your odds of success

No. 6: Manage Stress
One reason people smoke is that the nicotine helps them relax. Once you quit, you’ll need another way to cope with stress. Try getting regular massages, listening to relaxing music, or learning yoga or tai chi. If possible, avoid stressful situations during the first few weeks after you stop smoking.
No. 7: Avoid Alcohol, Other Triggers
Certain activities may boost your urge to smoke. Alcohol is one of the most common triggers, so try to drink less when you first quit. If coffee is a trigger, switch to tea for a few weeks. And if you usually smoke after meals, find something else to do instead, like brushing your teeth or chewing gum.
No. 8: Clean House
Once you've smoked your last cigarette, toss all of your ashtrays and lighters. Wash any clothes that smell like smoke and clean your carpets, draperies, and upholstery. Use air fresheners to help rid your home of that familiar scent. You don't want to see or smell anything that reminds you of smoking.

No. 9: Try and Try Again
It's very common to have a relapse. Many smokers try several times before giving up cigarettes for good. Examine the emotions and circumstances that lead to your relapse. Use it as an opportunity to reaffirm your commitment to quitting. Once you've made the decision to try again, set a "quit date" within the next month.

No. 10: Get Moving
Physical activity can help reduce nicotine cravings and ease some withdrawal symptoms. When you want to reach for a cigarette, put on your inline skates or jogging shoes instead. Even mild exercise is helpful, such as walking the dog or pulling weeds in the garden. The extra calories you burn will also ward off weight gain as you quit smoking.

No. 11: Eat Fruits and Veggies
Don't try to diet while giving up cigarettes -- too much deprivation is bound to backfire. Instead, focus on eating more fruits, vegetables, and low-fat dairy products. A study at Maulana azad medical college ,i have found suggests these foods make cigarettes taste terrible. This gives you a leg up in fighting your cravings while providing disease-fighting nutrients.

No. 12: Choose Your Reward
In addition to the tremendous health benefits, one of the perks of giving up cigarettes is all the money you will save. Reward yourself by spending part of it on something fun.

No. 13: Do It for Your Health
There's more than the monetary reward to consider. Smoking cessation has immediate health benefits. It lowers your blood pressure and reduces your pulse after only 20 minutes. Within a day, the carbon monoxide level in your blood returns to normal. Within two weeks to three months, your risk of a heart attack decreases and your lungs begin to function better. Long-term benefits include a reduced risk for coronary heart disease, stroke, lung cancer, and other cancers.

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DENGUE DIET MANAGMENT
..THE GOST COMES AGAIN....
With the ghost of Dengue effecting a significant number of people in india , its imperative that we all should be aware of the treatment modalities. There are no specific anti-viral tablets or injections that can kill the virus. However a lot of supportive care and treatment can go a long way to save a patient suffering from dengue fever.

Fever is treated by anti-pyretics, like paracetamol.

Pain in the bone should be treated by analgesics or pain killing tablets.

In case of Dengue Hemorrhagic Fever or Dengue Shock Syndrome hospitalization is a must. The mortality rate in the absence of hospitalization can be as high as 50%. With proper treatment the mortality comes down to 3%. More supportive treatment, like intravenous fluid replacement is required to prevent shock in these patients.

Vaccines are being developed against all 4 serotypes and they will definitely be the most effective way to prevent the disease.

Prevention of mosquito breeding has by and large failed in most endemic countries.
Patients are prone to dehydration hence they should drink plenty of fluids. If necessary a few days of intra-venous fluids can be administered in the form of normal saline or dextrose saline. Besides these measures as advised by doctor certain other aspects should also be taken care for effectively dealing with the disease.
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Diet management for dengue patient ----

Avoid fried foods and foods with oil, spices and salt. You can use lemon juice or certain herbs to enhance the flavour of your food.

TAKE--
1. RAW PAPAYA LEAVES - It is a natural cure for dengue fever. The juice of Papaya leaf is a sure cure for platellete deficiency. PREPARATION:
- You need 2 pcs. of raw papaya leaves
- Wash thoroughly, pound and squeeze with filter cloth.
- Drink 1 tablespoon per leaf. Therefore, 2 tablespoons per serving, once a day.
- Do not boil or cook or rinse with hot water, it will loosen its strength.
2. FRUIT & VEGETABLE JUICES - pure organic fruit & vegetable juices can provide all the basics of human nutrition. It will definitely boost your immune system.
- Make Fruit juices from guyabano, guava, dalandan, pomelo.
- The orange juice is a great enemy of fevers. It also helps with digestion, increased urinary output, promotes antibodies for faster healing and recovery. It gives energy and vitamins, over all agreat source for fighting fevers.
- Make vegetable juices from carrots, cucumber, sweet potato tops, moringa juice and other green leafy vegetables.
3. WATER & FLUIDS - Drink at least 12 glasses of water a day. Maintaining the water balance of the body is necessary and also helps alleviate the fever. Drink lots of fluids and avoid in order to replace fluid loss. It will also help to bring down body temperature and prevents dehydration.
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4. YOUNG COCONUT WATER - one of the highest sources of electrolytes, minerals and other trace minerals lost by the body to dehydration. Drinking the juice from a young coconut is like giving your body an instant blood transfusion.
5. HOLY BASIL / TULSI - The leaves of basil are used for many fevers. Tulsi leaves strengthen the stomach and induce copious perspiration. Tender leaves of the holy basil boiled in water is a very effective preventive treatment for the rainy season fevers, which include malaria and dengue. For better taste the tender tulsi leaves can be taken as a tea with a pinch of cardamon powder in it.
PREPARATION:
In case of acute fevers, a decoction of the leaves boiled with powdered cardamom in half a liter of water and mixed with sugar and milk brings down the temperature. The juice of tulsi leaves can be used to bring down fever. Extract of tulsi leaves in fresh water should be given every 2 to 3 hours. In between one can keep giving sips of water. In children, it is every effective in bringing down the temperature.
6. SWEET POTATO GREENS / CAMOTE TOPS – Sweet Potato Tops is rich in antioxidants which can boost our immune system and may able to fight even against cancer and cardiovascular diseases. It can help improve platelet counts also.
PREPARATION:
Boil leaves for 5 minutes to extract the juice.

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YOGA AND DIET IN DIABETES
THE IMPORTANCE OF YOGA AND DIET MANAGMENT IN DIABETES CARE---

HOW IMPORTANT IS EXCERCISE?

Exercise plays an important role in controlling diabetes because it lowers blood sugar and helps insulin to work more efficiently in the body. Exercise also enhances cardiovascular fitness by improving blood flow and increasing the heart's pumping power. It also promotes weight loss and lowers blood pressure. Exercise only has value, however, when it is done regularly—at least three to four sessions per week for 30 to 60 minutes per session. People with type 2 diabetes who exercise regularly have been shown to lose weight and gain better control over their blood pressure, thereby reducing their risk for cardiovascular disease (a major complication of diabetes). Studies have also shown that people with type 1 diabetes who regularly exercise reduce their need for insulin injections


YOGA--WHICH YOGA IS BENIFICIAL?

Pranayama –
There are 8 types of Pranayama mentioned in Hatha Yoga. One of the basic preparations for Pranayama is Nadi Shodhan Pranayama or alternate nostril breathing, this type is found useful in diabetes as Alternate nostril breathing has calming effect on nervous system, which reduces stress levels, helping in diabetes treatment. Also research has shown that Bhramari and Bhasrika Pranayama help in diabetes. Bharamari has calming effect on mind, brain and nervous system. Bhasrika Pranayama is revitalizing Pranayama, which increases oxygen levels and reduces carbon dioxide levels in the blood. In bhasrika Pranayama, the abdominal muscles and diaphragm are used which puts pressure on the internal organs. But before practicing these Pranayama, one must learn and practice deep breathing, fast breathing, alternate nostril breathing, Bandhas (Jalandhar bandha or chin lock, moola bandha and Uddiyan bandha or abdominal lock)
Sun Salutation is very good exercise for people suffering from diabetes, it increases the blood supply to various parts of body, improving insulin administration in the body, it gives all the benefits of exercise .

HERE IS A LIST OF HERBS USEFULL FOR DIABETES--

Numerous herbs have been used traditionally to regulate glucose levels in the body.
• Onion (Allium cepa)
• Garlic (Allium sativum)
• Andrographis (Andrographis paniculata)
• Green tea (Camellia sinensis)
• Indian cluster bean (Cyamopsis tetgonolobus)
• Gurmar (Gymnema sylvestre)
• Bitter melon or karela (Momordica charantia)
• Tinospora gulancha (Tinospora cordifolia)




Dr. NITIN SHAKYA

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