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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1058 Answers  |Ask -

General Physician - Answered on Aug 09, 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
xxxx Question by xxxx on Aug 09, 2024Hindi
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Doctor I am 61 year male retired and my gall bladder was removed in 2016 and that time i was having slight fatty liver but no pain or discomfort any where other than severe constipation . However , since than I was taking Pan D daily morning . But suddenly 1 and half year back I had severe coughing which continued till last month and local physician prescribed antibiotics and cough syrups and foracourt 200 but coughing did not go . All my chest xray and sputum test came negative . Coughing was more severe when I lie down on bed and was not able to take turn to left side as it was worst coughing that time. i was not able to sleep and severe anxiety , palpitation , dry throat , excessive sweating , all of a sudden feeling cold or hot etc were there . Then I consulted the surgeon who operated the gall bladder he asked for LFT and sonography of upper abdoman . Everything came fine including fasting sugar and HB except SGPT and SGOT levels are high SGPT 200 and SGOT 85 . After this doctor prescribed Veloz IT cap in the morning empty stomach and Obetohep 5mg after lunch both for 2 months and Reflux fort syrup for 7 days along with Anxozap 15mg. Also asked to take no fat meal , fruits , and as I am vegetarian all leafy vegetables , very low sugar and salt . I have followed sincerely and I am walking at least 6000 steps daily. I left smoking for more than 2 months now . I am non alcoholic . Since then situation has improved a bit but not fully . In these conditions it is very difficult to travel to other place as I need to go what should I do will this ever be all right and I can resume my normal food . Please suggest best possible way out .

Ans: Travel with the sensitivity to your body's inner clock.
If you are aligned with your inner biological clock and have discipline in your food, sleep and Activity, I suppose you can travel
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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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.
Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score

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Financial Planner - Answered on Sep 08, 2024

Asked by Anonymous - Sep 05, 2024Hindi
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I am investing monthly around Rs 18,000 in MFs, as per the following: Canara Robeco Small capMF - Rs 4.5k, PGIM Mid Cap Opportunities - Rs 4.5k, Tata Digital - Rs 4.5k, Quant Active - Rs 4.5k. I am intending to increase monthly investment in MF from present Rs 18k to Rs 40k & needed a corpus of at least 1 cr in next 10 years. Can you check suggest if my portfolio needs any changes or the same appears to be in order?
Ans: To reach a corpus of Rs 1 crore in 10 years, you will need to invest in funds that generate around 10-12 per cent annual returns. Your current portfolio is diversified across small-cap, mid-cap, digital, and active funds, which can work well but also carries some volatility, especially in sectoral and small-cap/mid-cap funds.

Portfolio Review:

• Canara Robeco Small Cap Fund: Good for aggressive growth but highly volatile. Keep it if you're comfortable with higher risk.
• PGIM Mid Cap Opportunities Fund: Another growth-oriented fund with decent potential. It's good to have some exposure to mid-caps.
• Tata Digital Fund: Sectoral funds are risky because they are dependent on the sector's performance. Digital/technology funds can be volatile; consider reducing exposure here.
• Quant Active Fund: A multi-cap approach with flexibility across market caps. This fund provides balance and is good for diversification.

Suggestions:

• Increase Allocation to Large Cap/Index Funds: You may want to balance your portfolio with a large-cap or index fund like UTI Nifty 50 or Mirae Asset Large Cap Fund. Large-cap funds provide stability and reduce overall portfolio volatility.
• Reduce Sector-Specific Exposure: Consider trimming your allocation to Tata Digital Fund, as sectoral funds can face prolonged underperformance during sector downturns. You can reallocate this to a more diversified fund.
• Balanced Fund: Add a balanced or hybrid fund like HDFC Balanced Advantage Fund or ICICI Prudential Balanced Advantage Fund for better risk management while maintaining growth potential.
• Debt Component: To hedge against equity risk, consider adding a small portion to a short-term debt fund or gilt fund, which can provide stability during volatile periods.

Suggested Structure After Increase:

• Canara Robeco Small Cap Fund: Rs 6,000
• PGIM Mid Cap Opportunities Fund: Rs 6,000
• Quant Active Fund: Rs 6,000
• Mirae Asset Large Cap Fund: Rs 6,000
• HDFC Balanced Advantage Fund: Rs 6,000
• ICICI Prudential Multi Asset Fund: Rs 5,000
• UTI Nifty 50 Index Fund: Rs 5,000

This adjusted allocation will maintain growth potential while providing a cushion against volatility.

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Kanchan

Kanchan Rai  |331 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Sep 08, 2024

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I'm seeking guidance on improving my communication with my daughters. I want to create a more positive and supportive environment at home, especially when discussing their mistakes or weaknesses. Could you please share some strategies on how I can provide positive feedback and encouragement, even when addressing their mistakes? I aim to help them feel comfortable discussing their challenges without fear and to focus on turning negative thoughts into positive ones. Your advice on how to approach this in a friendly and constructive manner would be greatly appreciated. Thank you for your support
Ans: It’s really commendable that you're seeking ways to improve communication with your daughters, especially when it comes to handling mistakes or weaknesses. The goal you're aiming for—creating a supportive environment where they feel safe to share their challenges—is a key part of nurturing a healthy and open relationship.

When addressing their mistakes, it’s important to remember that how they interpret your feedback can shape how they see themselves and their ability to handle difficulties. You want them to feel like they’re not being judged or criticized but instead being guided towards growth. One way to start is by focusing on empathy in your conversations. When they make a mistake, it’s natural to want to correct it quickly, but it can be more productive to begin by acknowledging how they might feel. This lets them know that you understand their experience, and that mistakes are part of life and learning. It shifts the focus from the mistake itself to their emotions, which builds trust.

Another aspect is how you frame the conversation. Instead of honing in on what went wrong, it’s helpful to highlight the effort they put in and the process they went through, even if the outcome wasn’t perfect. Letting them know that their effort is noticed and appreciated can boost their confidence. When they feel that their hard work is valued, they’re more likely to discuss their challenges openly, rather than feeling like they failed. If they feel supported during these moments, they will be more inclined to seek your guidance in the future without fearing a negative response.

Listening is another vital tool. When they make a mistake, resist the urge to immediately jump in with advice or corrections. Instead, ask them how they feel about what happened or what they think they could do differently next time. This not only gives them ownership of their problem-solving but also empowers them to reflect and learn from their experiences. Sometimes, when children are given the space to voice their thoughts, they can surprise you with their insights. And even if they don’t have an answer right away, they’ll appreciate being part of the conversation rather than being lectured.

It’s also important to be patient with progress. Instead of expecting a big shift in behavior or attitude overnight, focus on the small steps they take. Recognizing these smaller victories can go a long way in motivating them to keep improving, even when they stumble. They need to see that progress is more important than perfection, and your role is to guide them through the ups and downs without focusing too much on the final result.

Finally, your own approach to challenges and mistakes plays a big role in shaping how they will handle their own. When they see you approach difficulties with a positive mindset—whether it's a work challenge or a personal frustration—they’re learning that setbacks don’t define them. Modeling this kind of attitude will encourage them to talk about their own struggles more openly and with less fear of judgment.

In essence, the goal is to build trust and maintain a positive tone, even when discussing difficult topics. With this approach, your daughters will not only feel comfortable coming to you but will also develop a stronger sense of resilience in facing their own challenges. You’ll find that as they feel more supported, their confidence in addressing their weaknesses will naturally grow.

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Relationships Expert, Mind Coach - Answered on Sep 08, 2024

Asked by Anonymous - Aug 30, 2024Hindi
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Hi Kanchan, this query is regarding dealing with our teenage daughter (13 yrs). It is almost difficult to get her to do anything at home. She does not clean her room, take care of her share of chores. She is not dumb, but below average student in class. She used to go to guitar class and once faced stiff competition in her school , she is not participating in music competitions after that . Both me and my wife had been industrious and competitive students. We are ok with her not picking up studies, but what i don't see, is a spark to excel at anything. Her friends have passed French level 1 exams and even though she is learning for last 4 yrs, she doesn't appear for them. Everyday is escalating into huge arguments between her and my wife , with few broken items at home. As I mentioned studies excellence is not a concern, but we are unable to motivate her to put up a fight for the things she wants in life. She would come home from school and watch YT, reels, etc for hrs at stretch. Since we both husband wife are working, it is very difficult to monitor her all the time. We fear that she is already influencing our 9 yr old son , who is a discplined kid otherwise. We feel helpless most of the time, as she is not amending her ways. Please suggest what to do?
Ans: One of the things that might be happening here is that your daughter is at an age where identity and confidence issues often come to the forefront. At 13, she’s navigating a lot—social pressures, changing emotions, and maybe even a fear of not being able to meet the expectations of her parents, peers, or even herself. The fact that she stopped participating in music competitions after facing stiff competition might indicate she’s dealing with fear of failure or rejection. It’s not that she doesn’t care, but more that she may be afraid of not being good enough, and in response, she avoids trying at all.

Instead of pushing her to excel, the first step might be to understand what’s going on emotionally. Teenagers are notorious for shutting down or rebelling when they feel pressure, even if it’s unintentional. Try creating an environment where she feels safe to open up without fear of judgment or comparison to others. Sit down with her and have an open, calm conversation where you genuinely listen to her side. She might not know how to express her frustrations or fears, but giving her the space to talk could help her feel supported instead of criticized.

I understand your concern about her spending hours on YouTube or watching reels. This can be both a form of escapism and a way for her to feel connected to her peers. Rather than banning or limiting screen time strictly, which could create more conflict, try to understand what she’s watching and why she’s so drawn to it. Maybe this can lead to finding a common ground or encouraging her to pursue interests related to what she enjoys online, without the pressure of competition.

It’s also possible she’s feeling the weight of expectations, even if you don’t consciously put them on her. Sometimes just knowing that her parents were high achievers can make her feel like she’s falling short. Helping her feel that it’s okay not to have everything figured out yet might ease some of the pressure.

You’re also right to be concerned about her influence on your younger son. His more disciplined nature may make him vulnerable to picking up some of her habits. But rather than positioning them as opposites, encourage them both to find balance—showing her that discipline and effort don’t have to come with the weight of pressure might help her change her behavior, too.

The arguments with your wife and the escalation at home are clearly a sign that things are reaching a boiling point, but remember that this doesn’t mean she’s unreachable. This is a tough stage, but with patience, empathy, and a bit of flexibility in your approach, it’s possible to guide her without feeling like you’re losing control of the situation.

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Kanchan

Kanchan Rai  |331 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Sep 08, 2024

Asked by Anonymous - Sep 07, 2024Hindi
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HI, I am don't want to disclose name I am facing some mental issue from last two year. In March my father passed I have not good relation with my parent, because their exception are very high which is not possible for me to satisfied. So after my father my mother start daily fight with me for small small thing, my mother has long history of mental issue, and my father did not address that . Now she want to what she did with my father. Due to daily quarrel my daily day to activity got affected. I can’t concentrate on my self. My confidence is loosing. I want to be alone and in peace. I have loving wife and caring son, but still I feel lost. And after covid my office atmosphere also get dirty. My senior keep me irritating without any issue. I know my problem is my mother and second is my office boss. Is there is any way without leaving to them. Otherwise, I am determined to leave both of them and live my life peacefully. Please advice
Ans: First, regarding your mother, it’s crucial to establish boundaries. Her mental health struggles are serious, but they shouldn’t be allowed to overshadow your own well-being. It might be helpful to seek professional support for her, such as counseling or therapy. If she’s unwilling, then finding ways to distance yourself emotionally from her criticism is key. It's not easy, but learning not to absorb her negativity can help protect your mental health. You might also consider speaking to a counselor yourself to help you process these feelings and find strategies for coping with her behavior without having to completely sever ties.

As for your work situation, it sounds like the toxic environment is wearing you down. If leaving isn’t an immediate option, try to find small ways to shield yourself from the negativity. Can you limit your interactions with your senior or find ways to compartmentalize work stress so it doesn’t bleed into your personal life? Sometimes, focusing on things outside of work—hobbies, time with your wife and son—can provide a needed escape.

It sounds like you're craving solitude and peace, and while leaving both your mother and your job might seem like a solution, it may not be the only one. Start with small, manageable changes: establishing firmer boundaries with your mother, finding a counselor to talk to, and protecting your emotional space at work. These steps can help you regain control and give you the peace you're seeking without drastic decisions. Remember, you deserve that peace, and it’s possible to find it with the right support.

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Kanchan

Kanchan Rai  |331 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Sep 08, 2024

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