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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1146 Answers  |Ask -

General Physician - Answered on Mar 08, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
AShok Question by AShok on Mar 07, 2024Hindi
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I am 46 years old and I have a unique problem, actually I didn't drink alcohol everyday but for last few months, I observe one thing that when I drink alcohol on night (4 pegs or 180ml). Next morning I feel very discomfort in my stomach. In midnight I go for pee but it seems my bladder was not fully emptied. Now the problem start, after that around 2 hours later I feel urge for urination but it doesn't come till some /whole poo is not come out and after that I feel lot of weakness in my body and this process continue till evening for next day. I feel very bloated. Around navel, many times I feel very discomfort and after urination it got relaxed for little time but after around 1 hour it start again. After that I become normal. I tested myself and almost everything is ok. just little high cholestrol and little enlarged prostrate gland. Interesting thing is that after 1 day that there is no more problem in urination but it seems that I go for urination more than a normal person

Ans: Prostrate is the problem
Get a Ruoflow dynamics study to check the flow and stream
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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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?
Ans: Hello
For toddlers and young children, it's essential to choose a toothpaste that is safe and effective for their developing teeth and gums. Here are some recommendations:

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.

5. *Flavor and texture*: Select a toothpaste with a child-friendly flavor and texture to make brushing teeth a fun experience!

Most popular toothpaste brands offer multiple options for toddlers and young children.
In addition to these there are a few brands specially formulated for children which are ethically promoted (not commercially advertised, but sold through chemists on dentists' prescriptions) You may speak to your child's dentist for specific recommendations.

Remember to always supervise your child while brushing teeth and teach them proper oral hygiene habits from an early age!

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Dr. Shyam, I had my teeth cleaned 6 months ago and after that was done I saw discoloration on certain teeth that wasn't there before. Years ago I had my teeth cleaned and one particular tooth after the cleaning was sensitive to touch. I had a crown put in from two different dental offices. The first one did the crown right, but was trying to charge me $3,500 more than the agreement they made with Medicare. Medicare corrected that. I other dentist did a crown and it didn't go all the way up to my gums and is sensitive to especially cold things. I'm not having very good experiences with dentist by and large. Can't find an honest one or one that can actually do the job right. I feel being on Medicare your a target to bring in money. Not sure what to do next. Supposed to go back and have them redo the crown that didn't go to my gums, but it also was ttd place to didn't clean my teeth right and discolored some of them. Any suggestions on how to trust there is actually an capable and honest dentist out there who can perform properly?
Ans: Identifying a capable and honest dentist is crucial for your oral health and well-being. Here are some tips to help you find one:

1. Ask for referrals: Ask friends, family, or coworkers for recommendations. They can provide valuable insights into a dentist's work quality and bedside manner.

2. Check credentials: Ensure the dentist has the necessary qualifications, certifications, and licenses. You can verify this information with your state's dental board or professional organizations like the American Dental Association (ADA).

3. Check online reviews: Look up the dentist on review platforms. Pay attention to the overall rating and read the comments to understand the strengths and weaknesses. At the same time, do not rely on reviews alone as these can be manipulated, fake reviews can be easily generated.

4. Evaluate their communication style: A good dentist should listen to your concerns, explain procedures clearly, and answer questions patiently. Ensure you feel comfortable asking questions and discussing your treatment.

5. Assess their facility and equipment: A well-organized and modern dental office with up-to-date equipment is a good sign.

6. Check their approach to preventive care: A capable dentist emphasizes preventive care, including regular cleanings, exams, and education on oral hygiene.

7. Be wary of over-treatment: A honest dentist will not recommend unnecessary procedures. Be cautious if you feel pressured into extensive treatments.

8. Trust your instincts: If something feels off or you don't click with the dentist, it's okay to explore other options.

10. Schedule a consultation: Many dentists offer initial consultations or meet-and-greets. Use this opportunity to assess their approach, ask questions, and gauge your comfort level.

By following these steps, you can increase your chances of finding a capable and honest dentist who prioritizes your oral health and well-being.

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