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41-year-old with recurring Ulcerative Colitis after COVID vaccine: How to get back to normal?

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 21, 2024

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more
Dan Question by Dan on Jun 19, 2024Hindi
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I am 41 years old. I had been detected with Ulcerative Colitis at age of 21. I had suffered for 5 years and then got cured. I had trying everything so I do not know what worked for me. I was healthy for past 11 years without any medication and without food restrictions. Then I took covid vaccine and symptoms resurfaced in 2022. Since then I am taking allopathy and ayurvedic medicine but it's on and off. I was okay for past 1 year but it's again have come back and ayurvedic medicine I used to take are no more giving me complete relief. I am stressed out. How will I get back to normal again.

Ans: Ulcerative colitis can be an intermittent and somewhat progressive illness. I would suggest taking allopathic medications to get complete relief and then maintaining with diet, fitness and some alternative medicines as you prefer.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Asked by Anonymous - Nov 15, 2024Hindi
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Sir, Im 54 yrs, present monthly take home pay in hand of Rs.2.5Lacs after all I.Tax etc. deductions. Car EMI till Dec 2026 to be paid will be Rs.5000 per month. Have Health Insurance cover for 25 lacs, Term Insurance for Rs.2Crores but no Life Insurance cover. Monthly SIP is Rs.1Lac. Had made a lump-sum investment of Rs.55Lacs in Mutual Fund which is now valued around Rs.75Lacs. I'm not able to save anything beyond this due to family responsibilities and have to start repaying my son's education loan of Rs.20Lacs which would commence after 2.5 years (as he is studying now). Can you please let me know how much of corpus I might have at the time of my retirement if I continue to work till the age of 58years? Regards
Ans: Based on the information you’ve shared, let us assess your situation and provide insights into your potential retirement corpus.

Current Financial Position
Take-home salary: Rs. 2.5 Lacs per month
Car EMI: Rs. 5,000 per month (ending Dec 2026)
Health insurance: Rs. 25 Lacs
Term insurance: Rs. 2 Crores
Monthly SIP: Rs. 1 Lac
Lump-sum investment in mutual funds: Rs. 75 Lacs (current value)
Education loan repayment: Rs. 20 Lacs starting after 2.5 years
Retirement age: 58 years (4 years from now)
Assumptions for Projection
Your SIP of Rs. 1 Lac per month continues until retirement.
Your lump-sum mutual fund investment grows at an assumed annual rate of 10%.
Monthly SIP investments grow at an assumed annual rate of 10%.
Education loan repayment starts in 2.5 years. Let’s consider this doesn’t disrupt your SIPs.
Estimated Retirement Corpus
1. Growth of Existing Lump-Sum Investment
Current value: Rs. 75 Lacs
Growth for 4 years at 10%: Approximately Rs. 1.1 Crores
2. Future Value of Monthly SIPs
SIP: Rs. 1 Lac per month
Duration: 48 months (4 years)
Growth at 10%: Approximately Rs. 63 Lacs
Total Corpus at Retirement
Lump-sum mutual fund value: Rs. 1.1 Crores
SIP investments: Rs. 63 Lacs
Total corpus: Rs. 1.73 Crores
Recommendations
Education Loan Repayment: The repayment may require adjustments in your budget. Consider partial withdrawals or rebalancing investments if necessary to avoid disrupting your SIPs.
Increasing Savings: Once your car loan ends in 2026, channel the Rs. 5,000 EMI into SIPs to further enhance your corpus.
Financial Review: Regularly review your investments and retirement goals with a Certified Financial Planner to ensure alignment with market conditions.
Final Insights
If your investments grow at an average rate of 10%, you may have a retirement corpus of approximately Rs. 1.73 Crores by age 58. Focus on maintaining your SIP contributions and ensuring liquidity to manage upcoming education loan repayments effectively.

Best Regards,
K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

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If you go to a STEM school in the US, especially in a field like healthcare, you might be able to find new job opportunities in advanced medical technologies, research, or management that you might not be able to find in India. It's possible that the 3-year work visa will help you learn about the global healthcare industry while also letting you make money.

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Ans: Hello;

Kudos for holding judicious blend of assets in equity(stocks and MFs), real estate, EPF.

Your thought process is absolutely spot on. You should prepay the car loan through shares corpus and close the EMI.

If you maintain monthly sip of 1 L with yearly top-up of 10% for 15 years then you may accumulate a corpus of around 8.68 Cr.

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EPF balance of 40 L will grow into a corpus of 1.27 Cr over 15 years. Fresh contributions, if any, will be bonus.

So cumulatively your total corpus at the end of 15 years from now will be 8.68+5.31+1.27=15.26 Cr.

Due to your sound financial planning you may not need education loan for son's education.

Modest return of 12%, 10% and 8% are considered from mutual funds, direct stocks and EPF respectively.

Happy Investing;

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Doctor, could you kindly recommend specific brands of toothpaste suitable for children of different age groups? I’m particularly interested in knowing which brands would best support their dental health at various stages of development, considering factors like fluoride content, flavor, and overall safety. Could you provide guidance on which options are most effective for toddlers, young children, and older kids?
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1. *Fluoride-free toothpaste* (0-2 years): For infants and toddlers, a fluoride-free toothpaste is recommended. Look for a toothpaste specifically designed for this age group, like "Baby Toothpaste" or "Training Toothpaste". Please note that Fluoride, although extremely beneficial when used locally can lead to fluorosis if accidentally ingested. This is the reason toddlers need to use fluoride-free toothpastes.

2. *Children's toothpaste with low fluoride* (2-6 years): For young children, a toothpaste with a low fluoride concentration (around 500-600 ppm) is suitable. This helps prevent fluorosis (white spots on teeth) while still providing cavity protection.

3. *Gentle ingredients*: Opt for a toothpaste with gentle ingredients, to minimize irritation.

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Most popular toothpaste brands offer multiple options for toddlers and young children.
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