Dr Ashit Hegde

Answered on Mar 22, 2023

Asked by Anonymous - Mar 22, 2023

I'm 60 year old. I'm fit and fine healthwise but concern was sputum from nose and throat. Consulted specialist but issue recurs. any remedies from you

Ans: It is most probably a post nasal drip. Have you seen an ENT specialist. Could try regular breathing exercises (pranayam) . Swimming helps. May need to use a steroid based nasal spray for some time.

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Answered on Mar 22, 2023

Question by Bhadresh - Mar 22, 2023

I am 52 Yrs,Male lost my weight without any reason.i first take Homeopathy medicine as per all report and Dr.View it is due to Acidity.after 2-3 months I started allopathy (as i not fell well) medicine.all report like Sugar,Thyroid is again OK.Complete vitamin Injection Course. and started Cit-V-Forte Tablets from 2 months. but yet not fell well.

Ans: How is your appetite. Do you have any diarrhea. Have your blood sugar levels been checked. Is there any stress.
There are several causes for weight loss . will need more details

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Answered on Mar 21, 2023

Question by Rohit - Mar 21, 2023

Pooping could be a result of wheat allergy or celiac disease ??

Ans: How frequently do you pass motions. Have you lost weight. Are the stools watery. Does eating wheat based products aggravate the problem? Celiac disease is one of the causes of chronic diarrhoea but certain tets need to be done to confirm the diagnosis

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Answered on Mar 21, 2023

Question by Baabu - Mar 15, 2023

Dear Doctor, I am having two stone of 5 mm in Gall bladder. Whether it has to be operated or it can be diluted.

Ans: If the stones are not causing any symptoms, you do not need any treatment. If however you get episodes of pain due to the gall stones or have had infection of the gall bladder , you need surgery. Dissolving stones is usually not successful

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Answered on Mar 21, 2023

Question by manohar - Mar 19, 2023

I am 62 yrs. my TSH is 8.7. T3 and T4 are normal. does normal TSH vary with age. one lab report says normal value of 0.5 - 8.9 is normal for ages 55-100

Ans: The TSH levels are borderline. Immediate treatment is not recommended if she has no symptoms.
I suggest that you get her Anti TPO levels and Sr TSH rechecked. after 6 months. If the Sr TSH levels then are greater than 10 , she will need treatment. If the Sr TSH levels are less than 10 but anti TPO is positive, treatment is individualised.

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Answered on Mar 19, 2023

Question by Pankaj - Mar 16, 2023

Dr Ashit, I am having the problem of falling asleep. Even though I drifted to sleep, in the morning I feel that something was going on in the background. I tend to feel that I was constantly having some dreams... but I don't remember any dream. As a result I am feeling sleepy and exhausted for the whole day. I may doze in the meeting

Ans: I have already posted areply to someone else with a similar problem.
I am posting the same reply -
You can try to improve your sleep hygeine - i.e
Try to go to sleep and wake up at the sametime everyday — even on weekends and holidays.
Avoid consuming caffeine at least 6 hrs before bedtime. .
Make your sleeping environment comfortable.
One hour before bedtime, stop doing work or other mentally-challenging tasks.
Use your bed only for sleep or intimacy.
If you are stressed , relaxation techniques like yoga or meditation before bedtime might help.
Regular exercise, a balnaced diet and adequate fluid intake might help.
Can try taking melatonin 3 mg 1 hr before bed time.
If these measures don't work , you should consult a sleep specialist

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Answered on Mar 19, 2023

Question by Akshay - Mar 16, 2023

Hello Dr. I am 43 and suffering from sleep issues since 3-4 years, i am on high BP (Amlopidine 5 mg Telmastartin , hypothyroid, cholesterol and uric acid medicines. Have tried various Ayurveda and Herbal treatment but nothing worked, i do get sleep but its not deep sleep and next day i feel little drowsy and light heavy headedness. Kindly advise

Ans: You can try to improve your sleep hygeine - i.e
Try to go to sleep and wake up at the sametime everyday — even on weekends and holidays.
Avoid consuming caffeine at least 6 hrs before bedtime. .
Make your sleeping environment comfortable.
One hour before bedtime, stop doing work or other mentally-challenging tasks.
Use your bed only for sleep or intimacy.
If you are stressed , relaxation techniques like yoga or meditation before bedtime might help.
Regular exercise, a balnaced diet and adequate fluid intake might help.
Can try taking melatonin 3 mg 1 hr before bed time.
If these measures don't work , you should consult a sleep specialist

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Answered on Mar 19, 2023

Asked by Anonymous - Mar 18, 2023

Doctor my friend is 46yrs old having Hep B+ for last 20yrs taking entalive 0.5mg regularly once at night his viral load is less tha detectable every year its monitired by blood test, sgot & sgpt also normal, is there any other treatment to get it cured or its non curing.Please advice.

Ans: I think he is on the right path. There is some risk of developing a relapse if the drugs are stopped too soon. The liver specialist is therefore continuing the treatment to prevent a relapse. As of now your friend seems to be doing well. Has his ultrasound been done, What is his HbeAg status

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Answered on Mar 18, 2023

Question by Pradip - Mar 17, 2023

If I wake up after 4 - 5 hours of sleep for going to the toilet or feeling cold or any other reason or for apparently no reason, I can't get back to sleep. I can go to sleep again if I have had 3 hours or less of sleep. I can work if I get up but after completing breakfast at around 8 AM, I have to take to bed. Even then, I can't always sleep. My head aches severely without 7.5 to 8 hours of sleep, the extent of severity depending on the extent of sleep shortage; I also get irascible, my eyes irritate and I make wrong decisions. Incidentally, I am 59, am suffering from IBD, have high myopia and glaucoma but no other serious diseases. If I get to sleep 8 hours a day, I can work as well as I did when I was 25 years old and better than and more than most 25 year olds. However, I get this sleep only 2 - 3 days a year; the result is low productivity.

Ans: This is what many sleep experts advise- Stop watching the clock when you are trying to go back to sleep, this will make you more anxious..
Tense each muscle group (starting from the toes upwards) for five seconds, then relax.
If you can’t fall back to sleep after approximately 15 to 20 minutes, get out of bed and find something boring to do and go back to sleep when you feel sleepy again.

Try to go to sleep and wake up at the sametime everyday — even on weekends and holidays.
Avoid consuming caffeine at least 6 hrs before bedtime. .
Make your sleeping environment comfortable.
One hour before bedtime, stop doing work or other mentally-challenging tasks.
Use your bed only for sleep or intimacy. .

As a last resort you can try using Melatonin gummies

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Answered on Mar 17, 2023

Asked by Anonymous - Mar 17, 2023

Dear Sir, I am eating pan masala without tobacco, not able to stop, earlier i stopped for three months, i am taking medicine for depression since 20 years taking nexito 20mg everyday and taking medicine for BP,sugar and thyroid, please suggest how to stop?

Ans: You can try chewing gum or candy whenever you get the urge to consume pan masala. Remember that pan masala even without tobacco is harmful to health. You can also consult your psychiatrist

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Answered on Mar 17, 2023

Question by Sudhir - Mar 16, 2023

Chronic constipation how to solve it.

Ans: I can only offfer common sense advice- Have more fluids, Have more fibre in your diet (whole grains,
legumes, such as lentils, black beans, kidney beans, soybeans, and chickpeas
fruits, such as berries, apples with the skin on, oranges, and pears
vegetables, such as carrots, broccoli, green peas, and
nuts, such as almonds, peanuts,). You might also need to take a mild laxative regularly

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Answered on Mar 17, 2023

Question by Siraj - Mar 16, 2023

my mother is 79 years old, shes on anti depressants & sleeping pill since last 20 years, her BP is in the range of 160-190/85-95, pulse around 45-55 almost all the time. She takes several medicines as prescribed by a good MD doctor for the same but it is not in coming down. her vitals & other reports are almost in normal range. could you please guide?

Ans: What medicines is she taking ? Is she limiting her intake of salt. ? The pulse could be low because of the anti hypertensive drugs that she is taking. I will not be able to guide unless I know what medication she is already on and get to see the results of investigation.

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Answered on Mar 17, 2023

Question by Anup - Mar 17, 2023

Yes sir its Quetiapine 250 Mg only. earlier I had bipolar disorder, now its fine, I dont take any other medicine for that. kindly help to reduce the dose.

Ans: I think it is dangerous to try to reduce the dose without expert supervision. I think you should consult your psychiatrist who will decide whether the dose can be reduced

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Answered on Mar 16, 2023

Question by Hanumanthrao - Mar 16, 2023

Dear sir, My Mother aged around 73 years. she has undergone pacemaker implantation in 2016. few days back she was suffering from cold and cough. now she is alright. but from three month she is unable to walk paroperly. not standing stably. her both legs got swelling. and she is very weak. so, my request is she should be strong as before and able to walk independently. and should take food at least two times in a day. what is the medicine for this ailment. at present following medicine are taking daily. 1.Pentacid dsr - BF 2.Cardrome - 1 AF 3.Zyloric -1 AF 4.Torsinex - 1AF 5.Nebicard-T Night1 AF 6. Zolfresh- if required PLEase please give your best suggestion- Thank u

Ans: You mother has a complex medical history. She needs to be properly assessed by a physician. I don't think it is possible to address her problems without a proper history, physical examination and investigations. (e.g. CBC, Renal function, Liver function, Thyroid function, 2 D ECHO, X ray chest, )

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Answered on Mar 16, 2023

Question by debi - Mar 16, 2023

i am 43 my BP is 150/90 is it ok or hv to take medicine

Ans: If it is consisitently at this level you need to take medcine.
You can try non drug treatment for a couple of months (salt restriction, weight loss, regular exercise, relaxation techniques , more salads and nuts in diet ) if you wish
If the BP does not decrease to below 140/90 you will need to take medicines.

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Answered on Mar 16, 2023

Question by Saurabh - Mar 15, 2023

Sir , Not able to sound asleep at night. Wake up many times in the night and the next day have headache and feel sleepy in office due to this,

Ans: You may be having a condition known as Obstructive sleep apnoea (OSA). You should undergo a formal sleep study

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Answered on Mar 16, 2023

Question by Anup - Mar 15, 2023

I Cant sleep at night, I have to take Quetiapine 250mg daily, how to get rid of that...

Ans: Quetiapine 250 seems to be a high dose. Are you on 25 mg or 250 mg. It is not possible to answer your question without knowing more details about why you have been prescribe quetiapine in the first place

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Answered on Mar 16, 2023

Question by Ratikanta - Mar 15, 2023

Diagnosed with Sleep Apenea. Advised to use CPAP. Plz advise a suitable machine which may be affordable l.

Ans: I think the pulmonary physician who has diagnosed sleep apnoea and who has advised CPAP is the best person to guide you.

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Answered on Mar 16, 2023

Question by Nirmal - Mar 15, 2023

I am a 43 year old Male , my creatinine is 2.14, it was happened due to high BP but my BP is now normal and my weight is reduced almost 15 kg after that, i took medicine of Alpha Ketoanalogue tablets for Kidney and sometime increased uric acid, Also hv tthyrod, maintained low protein diet. I want to know can it be possible to cure my kidney function as before. pl suggest

Ans: The cause of the raised creatinine needs to be investigated. If it is only due to long standing hypertension, you may not be able to reverse the creatinine but may be able to prevent further worsening by tightly controlling BP and blood sugar.

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Answered on Mar 16, 2023

Question by Swapnil - Mar 15, 2023

I am 53 years old. from last many years , I am finding difficulty to sleep uninterruptedly which is 3 to 4 hours at a stretch. I sleep around 11pm daily and do not rest during day also. My work routine is not hectic and also not too stressful. Due to this I feel tired and unenthusiastic .Pl guide

Ans: You can try going for a walk after dinner, if you tire yourself physically you might sleep better. Try exercising during the day. Avoid stimulants like coffee after early evening.
This of course is generic advice, ideally you should meet a physician who specialises in sleep.

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Answered on Mar 16, 2023

Question by Sachin - Mar 15, 2023

It does not empty completely in the morning. The first stool is without any effort but then i have to drink tea warm water etc to empty completely in another 1-2 sittings. Triphla, isabgol help at times but dont want to use regularly. I tried making the dinner very light but it didnt work. I wake up 3-4 times during night too. Please advice.

Ans: You can use Isaphgol regularly. It is quite safe. You should however have enough water along with the Isaphgol ( at least 2 glasses of warm water). Can try having more of papayas in the morning along with water.

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Answered on Mar 16, 2023

Question by Manish - Mar 10, 2023

my both hand is vibrate , thumb is high and finger is low ( as per doctor is called Tremor) it is since long time and currently it is high vibrate. as per doctor ( 90% is bimari ka koi karan nhi hota and 10% genetic) it is called by Neurologist. Please suggest ,how to less vibrate.

Ans: You have already seena neurologist and he has probably told you that it is an essential tremor. Drugs called Beta blockers may help. But these drugs should be taken under the supervision of a physician. You should check your thyroid functions if not tested.

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Answered on Mar 16, 2023

Asked by Anonymous - Feb 21, 2023

What is the best solution for IBS caused by antibiotics? I have got this twice once after taking antibiotics for food poisoning and then after 2-3 weeks when I took antibiotics for cough and cold. Please help. Thanks

Ans: IBS is not caused by antibiotics. Antibiotics however can cause diarrhoea. The solution is to avoid taking antibiotics unnecessarily , both food poisoning and cough cold do not need treatment with antibiotics. If however you genuinely need an antibiotic , you may try taking probiotics along with the antibiotic.

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Answered on Mar 16, 2023

Question by Suhas - Jan 08, 2023

Whats the reason of the pain in stomach after i hv water immediately after having food?

Ans: If your appetite is good and you do not have any weight loss , the pain may just be because swallowing air along with the water.

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Answered on Mar 15, 2023

Question by imtiaz - Mar 04, 2023

WHAT IS THYROD AND WHAT IS TREATMENT

Ans: The thyroid is a gland situated in the neck which produces a hormone called thyroxine. Thyroid is not an ailment.
The most common ailment affecting the thyroid is hypothyroidism for which the patient needs to take tablets ofThyroxine.

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Answered on Mar 10, 2023

Question by Bankim - Mar 09, 2023

I am suffering from acute insomnia. I am regularly taking Ativan 2 mg for last 10 years. Please suggest remedy as to how to get rid of sleeping pills and get good sleep.

Ans: If you have been taking Ativan for 10 years , it is going to be a bit difficult to get rid of the Ativan quickly. You can try going for a walk after dinner. Having a glass of hot milk. Go to your bed only when you are finally ready to sleep (Avoid reading , or watching Tv or using your mobile phone while you are on the bed). Can try to decrease the dose of Ativan to 1.5 mg and take Melatonin3 mg in addition. if this works , try reducing the dose of ativan by another 0.5 mg

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Answered on Mar 10, 2023

Question by Ravindranath - Mar 10, 2023

My BP is approx 134/100 since 10 years, and now its 137/90. am 43y now 5-9'' and 76kg. active . Should i worry

Ans: No immediate need for worry. However your BP is approaching the upper limit of normal. You should try to decrease your intake of salt. Increase your intake of salads and nuts. Monitor your BP (every three months ).

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Answered on Mar 08, 2023

Question by Aijaz - Mar 08, 2023

I have bp 130/70, cholesterol can i fast in Ramzan month? Also does bp cause diabetes? Age 39 weight 80 kg, 5'6 height

Ans: BP does not cause diabetes. They are independent diseases. But people with diabetes should control their BP properly. You can fast during Ramzan. Your BP is within normal limits in any case.

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Answered on Mar 08, 2023

Question by Anil - Mar 07, 2023

I am 52 year Hight 5.2ft Weight 45Kg, Sugar & BP is normal but feeling weakness not able to have good sleep due to pain in legs can I gain weight.

Ans: If you wish to gain weight , you should work out in a gym and try to gain muscle mass. Gaining weight by overeating & increasing the fat content is not advisable. You are probably feeling weak due to the lack of sleep.
Need to consult a doctor about the pain in your legs

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Answered on Mar 08, 2023

Asked by Anonymous - Mar 03, 2023

Male, aging 60 years spotting black dots in my both feet ( Inside ). no pain. slightly swelled. please update if any test/s require.

Ans: Unless I see a photo of the feet, I cannot comment.

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Answered on Mar 08, 2023

Question by D - Mar 03, 2023

I am getting tinititus sound continuously after 20 days of my arrival in india from abroad. ENT confirmed that there is some fluid and have taken hearing tests also which are normal. Doc says to take otocap for 16 days. If sound goes fine else to leave it and don’t bother. It has to go on its own. Kindly advise and your views.

Ans: I agree with what your ENT specialist has said

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Answered on Mar 08, 2023

Question by sanjay - Feb 20, 2023

HI I AM 50 YEARS. HOW CAN I QUIT SMOKING

Ans: You can try nicotine patches or nicotine chewing gum. There are certain drugs also available which might help in smoking cessation. These drugs must be taken under the supervision of a physician. Several hospitals have a smoking cessation clinic run by pulmonary physicians.

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Answered on Mar 08, 2023

Question by Sachin - Mar 01, 2023

Hello doctor Ultrasound shows, coarse liver. My LFT, INR, CBC KIDNEY FUNCTION TESTS are all absolutely normal.yes, i was an alcoholic but now Sober, I m energetic, no symptoms at all, Will i get cirrhosis in future despite living a sober life?

Ans: If the ultrasound reveals a coarse liver, it suggests that the liver is damaged. It is extremely important not to have any alcohol in the future. Need to recheck LFT and ultrasound yearly.

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Answered on Mar 07, 2023

Question by abhicrpark@gmail.com - Mar 07, 2023

I m 47 years old with current weight at 76 kg hieght 5ft 7 inch. I had borderline diabetes with Hb1Ac. 6.8 , weight 84kg in June 22. With diet control n morning walk for one hour , Hb1Ac now in range of 5.6, Fasting sugar at 10. I am without sugar medicines since September 22. My weight has been stagnant at 76kg for last 6 months. Pls advise how further i can improve my blood glucose level n reduce my stagnant weight

Ans: I think you are doing quite well. You have managed to get off the diabtes medications and have lost 8 kg in about 7 months. Subsequent weight loss is going to be much slower. I think you just need to continue with what you are doing at present (in terms of diet and exercise) . Further weight loss is going to be a very slow process. Your HbA1C levels are reasonable now. You must however understand that if you have a genetic predisposition to diabetes, diet and exercise can at best delay the onset of diabetes but may not be able to completely prevent it in the long run.

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