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Pushpa

Pushpa R  |21 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Oct 25, 2024

Asked by Anonymous - Oct 24, 2024Hindi
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Resected Madam, I am a 72 years male . I had undergone left hemicolectomy with diversion ileostomy ( open "Surgery" )for carcinoma descending colon on 23 March,2024 and the stoma closure was done on 17th July,2024. As per the consultant Oncologist the carcinoma was localized , did not spread to other parts of the body and I was not advised to undergone chemotherapy etc for the same reason. Kindly advise which Yoga postures I can practice now to ease constipation and also the yoga postures I must not / avoid now. With Kind Regards,
Ans: After your surgery, gentle yoga postures can help ease constipation and improve digestion. Start with simple poses like Pawanmuktasana (Wind-Relieving Pose), which can relieve gas and promote bowel movements. Lie on your back, hug one knee to your chest, and gently press it down to your abdomen, then switch legs. Practicing Supta Baddha Konasana (Reclining Bound Angle Pose) can also be very calming and helps stimulate digestion. Breathe deeply and allow your body to relax fully.

However, avoid intense twisting poses (like Ardha Matsyendrasana) and deep forward bends as these may strain your abdominal area. Also, postpone advanced poses or any practice that puts pressure on your core until you’ve fully regained strength and mobility.

Consulting a certified yoga coach is essential to ensure you perform these poses safely, especially after surgery. A coach can help you adapt postures to your current needs and gradually increase the intensity as you progress.

Warm Regards,
R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

Asked by Anonymous - Oct 25, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 02, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 28, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 26, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 23, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 24, 2024Hindi
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Hi Doctor, I'm 37 yrs Male physically and mentally fit. For last several years I'm following a strict diet where I eat 4 times in a day - Breakfast, Lunch, Snacks, Dinner. Nothing in between. I don't eat junk food. I have 2 questions for you: 1) Lately I have observed an urge to eat in-between (eg. an hour after breakfast) probably due to reduced sugar levels. Is it fine to eat some Jaggery/almonds/cashew in between? 2) When I have early dinner around 7pm, I get an acid reflux at night (especially if I eat Tur dal/any pulses). What can be the reason and what are the ways to tackle acid reflux? Thanks in advance.
Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1125 Answers  |Ask -

General Physician - Answered on Oct 24, 2024

Asked by Anonymous - Sep 09, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 15, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 09, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

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Dr Chandrakant

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 12, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Asked by Anonymous - Sep 08, 2024Hindi
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Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

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Pushpa

Pushpa R  |21 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Oct 24, 2024

Health
please suggest uterus prolapse yoga asanas. thanks
Ans: For managing uterine prolapse, yoga can be a supportive practice to strengthen the pelvic floor muscles and enhance overall core stability. However, it is important to approach yoga gently and avoid poses that place excessive strain on the abdomen or pelvic region.

Here are some yoga asanas that can help strengthen the pelvic floor and support recovery from uterine prolapse:

1. Malasana (Garland Pose)
This deep squat helps open the hips and strengthens the pelvic floor muscles. You can use a bolster or folded blanket under your heels for support if you have tight hips. Keep your spine long and breathe deeply into the pelvic area.

2. Supta Baddha Konasana (Reclined Bound Angle Pose)
This restorative pose gently opens the hips and allows relaxation while toning the pelvic region. You can place cushions or blocks under your knees for support and to reduce pressure on the pelvic floor.

3. Setu Bandhasana (Bridge Pose)
Bridge Pose strengthens the pelvic floor, glutes, and core muscles. Be mindful not to overarch your back. Begin with gentle lifts and gradually increase height. Engage the pelvic floor as you lift your hips off the ground.

4. Mula Bandha Practice (Pelvic Floor Engagement)
Mula Bandha involves the contraction of the pelvic floor muscles. Practice this while seated in a comfortable position, or during poses like Tadasana (Mountain Pose) and Vajrasana (Thunderbolt Pose). Gently engage and release the pelvic floor muscles with controlled breathing.

5. Tadasana (Mountain Pose) with Pelvic Floor Awareness
This simple standing pose helps improve posture and pelvic floor engagement. Stand tall with your feet hip-width apart, and focus on engaging the pelvic floor while maintaining good posture. This helps in strengthening the pelvic muscles without straining them.

6. Balasana (Child’s Pose)
Child's Pose is a restorative posture that can gently stretch the lower back and relax the pelvic region. While not directly strengthening, it promotes relaxation and mindful breathing, which is crucial for healing.

7. Utkatasana (Chair Pose)
This pose strengthens the lower body and engages the pelvic floor. Keep your feet hip-width apart and ensure your knees are aligned over your ankles. Focus on engaging your pelvic floor as you hold the pose.

Additional Tips:
Avoid intense forward bends: Deep forward bends and heavy core exercises can increase pressure on the pelvic floor, which is not recommended for prolapse.
Practice pelvic floor awareness: Throughout your practice, focus on engaging the pelvic floor muscles gently.
Restorative yoga: Incorporating restorative postures with the support of props can help your body heal and restore balance.
Breathing exercises: Practice diaphragmatic breathing and pranayama techniques like Nadi Shodhana (Alternate Nostril Breathing) to promote calmness and reduce stress, which can aid in recovery.
Important Notes:
Before starting yoga for uterine prolapse, it’s essential to consult your healthcare provider or a pelvic health specialist to ensure these exercises are suitable for your specific condition. Be gentle with your body, and practice with mindfulness to avoid placing too much strain on the pelvic area.

Yoga, combined with regular pelvic floor strengthening, can be a powerful way to support your body's recovery and long-term health.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Komal

Komal Jethmalani  |362 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 24, 2024

Asked by Anonymous - Feb 10, 2024Hindi
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Komal

Komal Jethmalani  |362 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 24, 2024

Asked by Anonymous - Feb 03, 2024Hindi
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Komal

Komal Jethmalani  |362 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 23, 2024Hindi
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I am 50 year old Man and no BP but sugar is lies between 120 to 167 after food and 90 to 157 in fasting. I am taking medicine glymate gp1 for last 2 years . 3month avg Glucose in blood is 6.8 Should I consult Endocrinologist or Dibetician Problem is is I feel pain in leg and in sole I feel pain and warm Please guide
Ans: I'm sorry to hear about the pain you're experiencing. Given your blood sugar levels and the symptoms you're describing, it might be a good idea to consult with your physician. Diabetes can cause nerve damage (neuropathy), which often leads to pain, tingling, or warmth in the legs and feet. An endocrinologist or a diabetic specialist can assess this and recommend appropriate treatments. Diabetes can cause nerve damage (neuropathy), which often leads to pain, tingling, or warmth in the legs and feet. An endocrinologist or a diabetic specialist can assess this and recommend appropriate treatments. Managing your blood sugar levels through diet is crucial. Dietary modifications include opting for whole grains like quinoa, brown rice, and whole wheat bread instead of refined grains. Incorporate plenty of non-starchy vegetables such as green vegetables like spinach, broccoli, and bell peppers. Include healthy fats from sources like avocados, olive oil, and nuts. Foods high in fiber, such as beans, lentils, and oats are important to slow the absorption of sugar. Have lean protein sources from legumes, chicken, fish, turkey, etc Avoid sugary snacks, beverages, and desserts. Exercise regularly.
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Pushpa

Pushpa R  |21 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Oct 23, 2024

Asked by Anonymous - Oct 22, 2024Hindi
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Hi Pushpa, i am 52 years old and not in a habit of exercising, i have spindylosis and have repaired umblical hernia before 18 years. How can i start doing yoga
Ans: It's inspiring that you want to start yoga, even with your health concerns. Given your age, history of spondylosis, and past umbilical hernia repair, it's crucial to take a gentle and mindful approach to ensure you practice safely.

Steps to Start Yoga:
1. Consult Your Doctor First
Before beginning yoga, it's important to consult with your healthcare provider, especially considering your spondylosis and previous hernia surgery. Once you get the go-ahead, you can gradually incorporate yoga into your routine.

2. Begin with Gentle Movements
Given your condition, avoid intense poses. Start with slow, mindful movements to gently stretch and strengthen your muscles, especially around your spine and core.

Suggested Asanas:
1. Cat-Cow Pose (Marjaryasana-Bitilasana)
This pose is excellent for gently mobilizing the spine, relieving stiffness due to spondylosis. Move slowly between Cat and Cow to avoid strain.

2. Child’s Pose (Balasana)
This restorative pose helps release tension in the back and hips. It's gentle on the spine and can offer relief from back discomfort without exerting pressure on your hernia repair.

3. Bridge Pose (Setu Bandhasana)
This pose strengthens your core and lower back while being gentle on your spine. Make sure to start with smaller lifts, focusing on controlled movements.

4. Supta Baddha Konasana (Reclined Bound Angle Pose)
This restorative pose helps stretch the inner thighs and lower back. It’s gentle and doesn’t put pressure on your abdomen, making it suitable after a past hernia repair.

5. Mountain Pose (Tadasana)
A simple standing pose, Tadasana helps improve posture and balance without putting strain on your spine or abdomen. It’s a great foundational pose to build body awareness.

6. Seated Forward Bend (Paschimottanasana)
If you can bend forward without discomfort, this pose can gently stretch your back and hamstrings. Avoid forcing the stretch, and if you feel any discomfort in the spine or abdomen, stop.

Breathing and Relaxation:
1. Diaphragmatic Breathing
Focus on deep, diaphragmatic breathing to enhance relaxation and core stability. This can help you reconnect with your breath and gently tone your abdominal area without straining the hernia repair site.

2. Nadi Shodhana (Alternate Nostril Breathing)
This pranayama practice helps balance the nervous system, reduces stress, and promotes overall wellness. It's a good starting point to ease your body into a mindful practice.

Additional Tips:
Avoid forward bends: Deep forward bends may put pressure on your hernia site and strain the spine.
No intense twists: Avoid deep spinal twists, which may aggravate your spondylosis.
Listen to your body: Start slow and be mindful of any discomfort. It’s important to stop immediately if you feel any strain, especially around your abdomen or spine.
Restorative Yoga:
Incorporating restorative yoga poses with the help of props (bolsters, cushions) will allow you to gently stretch and relax without pushing your body. These poses focus on healing and can be especially beneficial for you.

Practice Duration:
Begin with 10-15 minutes of gentle practice, gradually building up to 30 minutes. Consistency is more important than duration, so practicing daily will yield better results than long, sporadic sessions.

With patience, mindful movement, and regular practice, yoga can help alleviate some of your discomforts and improve flexibility, balance, and overall well-being. You can always explore yoga with a certified instructor who understands your specific health concerns to ensure you're practicing safely.

Wishing you a peaceful and safe yoga journey!

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Pushpa

Pushpa R  |21 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Oct 23, 2024

Asked by Anonymous - Oct 22, 2024Hindi
Health
What yoga asanas can I do to reduce body fat nd lose weight after a spine surgery in 2018 ndc section in 2022
Ans: It's great that you're thinking about incorporating yoga after spine surgery and a C-section. Yoga can be a safe and effective way to gradually improve strength, reduce body fat, and aid in weight loss, but it's important to proceed with caution, especially after these major surgeries. Here are some yoga asanas and practices you can begin with, keeping your spine and core in mind:

1. Modified Surya Namaskar (Sun Salutations)
Sun Salutations are excellent for full-body conditioning and fat loss, but after surgery, you can practice a modified version with gentle movements. Focus on slower transitions and avoid straining your back or abdomen.

2. Bhujangasana (Cobra Pose)
This pose strengthens the lower back and core muscles, but avoid over-arching. Begin with small lifts and gradually increase the height as your strength improves. It also improves digestion, which aids weight management.

3. Setu Bandhasana (Bridge Pose)
Bridge pose strengthens the glutes, lower back, and legs without putting much pressure on the spine. It's a gentle backbend that can also help tone the abdomen and stimulate fat loss in the hip and lower back area.

4. Utkatasana (Chair Pose)
This standing pose engages the legs, core, and back muscles, building strength and endurance. It's a great pose for weight loss and body fat reduction, as it activates larger muscle groups.

5. Marjaryasana-Bitilasana (Cat-Cow Pose)
Cat-Cow is wonderful for maintaining spinal flexibility without straining it. It gently tones the abdomen and provides relief to the back, promoting circulation to the spine and core.

6. Ananda Balasana (Happy Baby Pose)
This is a great pose to gently stretch the spine and the hips, releasing tension in the lower back, while also calming the nervous system. It helps release tightness in the hip area, where fat can sometimes accumulate.

7. Supta Baddha Konasana (Reclined Bound Angle Pose)
This pose can help gently open the hips and improve circulation. It also provides a nice stretch for the lower back while keeping the core lightly engaged.

Additional Tips:
Core strengthening: Since you’ve had a C-section, it’s important to focus on rebuilding core strength, but gently. Avoid deep twisting poses and heavy abdominal work at first.
Pranayama: Practicing breathing exercises like Kapalbhati (Skull Shining Breath) can be very effective for weight loss by increasing your metabolic rate, while still being gentle on your body.
Restorative Yoga: Incorporate restorative postures to promote healing and relaxation. This will help you stay committed to the practice without overexerting your body.
What to avoid:
Avoid intense twists: They can put pressure on your spine and abdomen. Stick to mild spinal stretches.
Avoid deep backbends and inversions: These could strain your spine post-surgery.
Avoid abdominal-heavy poses: Especially right after a C-section, it’s important to protect your core and pelvic floor. Strengthen gradually.
Before starting any yoga practice, especially after surgery, it's essential to consult with your doctor and get clearance. As you progress, listen to your body and avoid pushing beyond your limits. You can slowly increase the intensity as your strength returns.

Wishing you a safe and mindful journey toward wellness!

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Pushpa

Pushpa R  |21 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Oct 23, 2024

Asked by Anonymous - Oct 23, 2024Hindi
Health
Namasjaram Pushpa Impressed by the article Stopped doing yoga for 4 years, due to heavy commotments. Will i be able to start off again,what is it that i need ho begin with
Ans: Namaste! It's wonderful that you're considering returning to yoga. After a four-year break, it's completely natural to feel uncertain, but the good news is that yoga is always there for you, no matter how long the gap has been.

Here are some steps to ease back into your practice:

Start with gentle movements: Don’t rush into advanced poses. Begin with basic stretches, simple asanas like Cat-Cow (Marjaryasana-Bitilasana), Child’s Pose (Balasana), or Mountain Pose (Tadasana). These will help you reconnect with your body.

Focus on breath: Reintroduce yourself to pranayama (breathwork). Practicing deep breathing exercises like Diaphragmatic Breathing or Nadi Shodhana (Alternate Nostril Breathing) can help you center your mind and bring mindfulness back to your practice.

Listen to your body: Avoid pushing yourself into postures that feel uncomfortable. With time, your strength and flexibility will return. It's important to honor where you are now rather than where you used to be.

Set a regular routine: Start with short, manageable sessions, even 15-20 minutes a day. The consistency is more important than the duration, and gradually you can build from there.

Consider guided sessions: Since you’ve had a break, it might help to follow guided yoga or meditation classes online. This will offer structure and support as you rebuild your practice.

Stay patient and mindful: It's easy to get frustrated, but yoga is a journey of self-discovery. Be kind to yourself as you progress.

Reconnecting with yoga can be incredibly fulfilling. You're already on the right path by simply having the intention to start again!

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |117 Answers  |Ask -

Physiotherapist - Answered on Oct 23, 2024

Asked by Anonymous - Oct 23, 2024Hindi
Health
My question refers to an answer you provided regarding heel pain and calcaneal spurs. In your response, you mentioned the importance of using supportive footwear or orthotics to help reduce strain on the heel. 'm looking for both shoes suitable for office wear and comfortable chappals for home use. Some of my friends have also suggested using good-quality sports shoes with gel heel inserts for extra cushioning. I’d appreciate your thoughts on whether this approach is effective and, if so, what types of inserts or shoes I should consider. I'm aiming to purchase footwear that will provide long-term relief and comfort both at work and at home.
Ans: Thank you for your question, and I'm glad you reached out regarding the footwear options. While I am a physiotherapist and not an orthotist or podiatrist, I can offer insights based on my experience and personal use of always wearing shoes to prevent injuries and heel pain. Using sports shoes with gel heel inserts is an effective strategy for managing heel pain and calcaneal spurs. These shoes often provide better cushioning, arch support, and shock absorption, which helps reduce strain on the heel. The gel inserts offer additional padding, alleviating pressure and making walking more comfortable.

For office wear, I recommend shoes with cushioned soles to reduce the impact on your heels, good arch support to help distribute pressure evenly, and a wide toe box for added comfort, especially if you're on your feet for long periods. At home, orthopedic chappals or sandals with cushioned insoles and soft soles can provide the necessary support. Look for options that have an ergonomic design to support proper foot alignment and soft cushioning, like memory foam or gel-based insoles, for added comfort. Also foot wear must be light weight and sturdy.

While this advice is based on my personal experience of always wearing shoes particularly sports shoes, I would still recommend consulting an orthotist for more personalized guidance. However, ensuring your footwear offers sufficient cushioning and support is a great approach to managing heel pain along with Physiotherapy. Unfortunately I cannot recommend brands however I use Redtape walking sports shoes. Hope that helps
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Dr Chandrakant

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 23, 2024

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General Physician - Answered on Oct 22, 2024

Asked by Anonymous - Oct 21, 2024Hindi
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Physiotherapist - Answered on Oct 22, 2024

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

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