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Dr Ashit

Dr Ashit Hegde  |180 Answers  |Ask -

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on Jul 09, 2023

Dr Ashit Hegde specialises in internal medicine and intensive care. He has nearly 40 years of experience and is consultant physician, intensivist and head of the critical care section at the PD Hinduja Hospital and Medical Research Centre.
He is actively involved in teaching and training residents for post graduate programmes in internal medicine and critical care.
He holds an MD degree in general medicine and therapeutics from the Lokmanya Tilak Municipal Medical College, Mumbai, and an MRCP from the Royal College of Physicians, Edinburgh.... more
PADMAKUMAR Question by PADMAKUMAR on Jul 09, 2023Hindi
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Dear sir, I was operated for spine in 2016 and post operative status was PIVD L5-S1. After a period of two years, again back pain and weakness in left leg was felt. On taking treatment, improvement was seen. The same occurred in 2018, 2020 and now in 2022 I was diagnosed with ACUTE LUMBOSACRAL PAIN AND PIVD L5-S1 as was finding it difficult to walk, weakness in both the legs (extreme weakness in left leg and other complications. I was administered with EPIDURAL INJECTION. Thought at present relief is felt but still finding it difficult to climb the stairs, continuous walking etc and severe back pack is sometimes felt. Doctor had advised for second surgery but I am not open to the surgery. Can you please guide for further medical process.

Ans: I don't think I am qualified to answer your question. You can take a second opinion from another spine surgeon.
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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Dr Hemalata

Dr Hemalata Arora  |186 Answers  |Ask -

General Physician - Answered on May 25, 2023

Asked by Anonymous - May 25, 2023Hindi
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Hello Doctor-DD here and am 50 years old. I had lower back pain on left hand side along with radiating pain in left groin area since end of March 2023. After initial local pain management, the pain did not go, so my GP asked me to do LS Spine MRI. The report suggested some nerve root issue in L4 and L5, so I was asked to refer it to spine specialist. I tried to connect with Dr. Bapat at Nanavati Hospital, but could not see him as his assistant reviewed the reports and said its mild and suggested medicines – Ultracet 1-0-1 for 10 days, Vitencial – 0-1-0 for 30 days and Calciman K10 – 0-1-0 for 30 days. However, the pain persisted with bit of increase in pain in groin area. So the assistant suggested that for pain in groin area better to check with general surgeon about hernia and / or prostate. Since my regular GP is out of town and I had to take my mother to see Dr. Pande, Urologist at Kokilanben Hospital for Urinary Tract problems. So I checked with him about my problem. So he first did Uroflow test and then physically examined the prostate also and later said it’s all fine. He said due to L4-L5 nerve issue, there is pain in groin area and suggested medication – Synaptol 50mg 1-0-1 for 3 weeks, Pregablin (50mg) 0-0-1 for 6 weeks and Etoshine 90mg – 1-0-0 for 10 days and said to do USG of Groin, PSA (total) test and HBA1C after 6 weeks and then again see him. I have started his medication from 20.5.23. He said this type of pain is due to L4-L5 nerve falls under his area and now there is no need to again see Dr. Bapat (I am scheduled for his appointment on 29.5.23). I had also done MRI for hip joints in Nov 22 and the reports were normal. Please note all through last 2-3 months, most of the time the pain is dull and mild specially when in sitting position and at times in sleeping position. If I stand, walk, there is as good as no pain or very very minimal pain. But the pain still continues but in less intensity. Since yesterday, I have also started getting pain on right hand side also, but it pains only while getting up and / or twisting the body a bit here and there. Also, today morning I was having some burning sensation in pelvic area in sleeping position but no pain at that time. I am worried about all this and do not understand what the problem could be and why it is taking so long to become normal and whether all these pains is only due to L4-L5 nerve root issue or is it due to some other complications. I had done CBC test, LFT, KFT, Routine Urine and stool test around one month back and the reports were all normal.
Ans: This would need a thorough examination in addition to the tests that were done. The possibilities are nerve root pain both in the lumbosacral and cervical areas accounting for the arms pain and pelvis and leg pain, vitamin B12 deficiency, folic acid deficiency, or a kind of nerve inflammation. Please do keep your appointment with Dr Bapat on 29th and in fact you may please come meet me as well on the same day.

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Nidhi

Nidhi Gupta  |140 Answers  |Ask -

Physiotherapist - Answered on Feb 20, 2024

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Hello Coach, Arun from delhi, 43 years old (weight 81 Kg, Height 5 ft 8 inch), sedentary job style. I was very health conscious about diet, fitness. But during workout for abdominal strength, there was some pain in my back & doctor suggest for MRI and found there was slip disc / disc herniation issue of L4-L5. During last 2.6 years, does several physiotherapy with renowned physio center, yoga & focusing on my diet plan. After 1.6 years also comparing MRI report, shows almost same situation. Need your guidance in this matter, how to recover from pain. Because my current situation is, while standing 5-6 minutes, or walking 5-10 minutes, pain increase from buttock to left side feet. Then I have to take rest for 3-4 minutes, to start again. So, please guide me or suggest me as per your experience. Thanks Arun kumar
Ans: Hello Arun,
Please do let me know more details about the physiotherapy done. Did they give you a Mckenzie program for slipped disc as that is one of the best treatment for disc issues. It includes systematic exercises like wall side glides, road kill position, back extensions. If you are having pain on left side of leg/feet it seems to be a posterolateral disc protrusion for which the wall side glides are very important.
Have you been working on your core? Are your Vitamin D3 and B12 levels ok? How much is your weight now?
If not already please goto a Mckenzie certified physiotherapist and it can make a lot of difference.
If not ok after that also then you may need to go to an orthopedic doctor and consider a minor surgery for the disc.
All the best!

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Nidhi

Nidhi Gupta  |140 Answers  |Ask -

Physiotherapist - Answered on Oct 16, 2023

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i am 55 years old. Retired defense pilot. Have lots of sports injury which is showing up at this age. Body biochemistry is all with in limits, only fasting sugar is 108. For last few months i am having pain in outer left thigh muscles which increases during sleep as well as while lying down resulting in sleepless nights hence general body fatigue due lack of sleep. My exercise includes 5-6 km walk in the morning and occasionally thrice a week cycling. Orthopedic , General surgeon, neurologist as well as ayurvedic doctor has been consulted with MRI report. FINDINGS: Dorsal and lumbar vertebrae are normal in attenuation and alignment. Straightening of lumbar lordosis. Desiccation of lumbar intervertebral disc from L2-L3 to L5-S1 levels. Mild diffuse disc bulges at L2-L3, L3-L4 and L4-L5 intervertebral discs indenting anterior thecal sac with mild narrowing of lateral recesses and neural foramina. No significant compression of the cauda equina. Mild disc bulge at L5-S1 level indenting anterior thecal sac. Bilateral facet arthropathy is seen at L4-L5 level. Dorsal spinal cord, conus medullaris and cauda equine are normal. Para spinal soft tissues are normal. IMPRESSION: Mild lumbar spondylosis with mild diffuse disc bulges from L2-L3 to L5-S1 levels. Kindly help me and advice
Ans: Hello Partha,
You need to consult a physiotherapist who knows the Mckenzie treatment for slipped disc. At times pain in outer thigh can be due to slipped disc.
Or you may have a hip bursitis which will not come up in lumbar spine MRI, only hip MRI will show it. Outer thigh pain while sleeping on left side can cause pain if it is a left hip bursitis.
Or this could be a Iliotibial band tightness which is a band of muscles on the outer thigh.
A good sports physiotherapist who also knows the Mckenzie treatment needs to evaluate you, understand the root cause and accordingly give you the treatment and you should be fine.
All the best!

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |1374 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 04, 2024

Asked by Anonymous - May 04, 2024Hindi
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Hi I am 25 years old with monthly salary of 50000. I want to buy a home in 3 to 4 years and also want to create wealth. How and where to invest please suggest. As of now no savings.
Ans: It's great that you're thinking about your financial future at such a young age. Saving for a home and building wealth is wise.

Budgeting: Create a simple spreadsheet or use a budgeting app to track your income and expenses. This will help you understand where your money is going each month.

Emergency Fund: This fund acts as a safety net in case of unexpected expenses like medical emergencies or job loss. Aim to save enough to cover three to six months of your living expenses.

Investments for Wealth Creation: Mutual funds and Systematic Investment Plans (SIPs) are popular options for long-term wealth creation. They pool money from multiple investors to invest in a diversified portfolio of stocks, bonds, or other securities.

Saving for a Home: Fixed deposits (FDs) or recurring deposits (RDs) are low-risk options for saving towards your home purchase. They offer guaranteed returns over a fixed period, making them suitable for short-term goals like a down payment.

Risk Management: Since your goal is to buy a home in 3 to 4 years, it's crucial to avoid high-risk investments like individual stocks or cryptocurrencies. These investments can be volatile and may not align with your short-term goals.

Diversification: Spread your investments across different asset classes to reduce risk. For example, you could invest in a combination of FDs, mutual funds, and SIPs to achieve a balanced portfolio.

Consultation: While these are general suggestions, it's essential to seek personalized advice from a Certified Financial Planner. They can assess your financial situation and provide tailored recommendations based on your goals, risk tolerance, and time horizon.

By following these steps and staying disciplined in your savings and investment approach, you can work towards achieving your goals of homeownership and wealth creation.

...Read more

Archana

Archana Deshpande  |27 Answers  |Ask -

Image Coach, Soft Skills Trainer - Answered on May 04, 2024

Asked by Anonymous - Apr 20, 2024Hindi
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Hello Sir/Ma'am I'm facing problems regarding money and career related. However I'm working I'm earning but I not able set a goal, and day by day I'm becoming older, family responsibilities can't be handled because of salary issues. What to do, when I was in 12th standard my sister advised me to choose engineering line, she gave me wrong advise now I'm suffering and she is also working earning well n good she is getting high package but I'm. I think my problem is I'm not able to set a goal. Please suggest me, guide me.
Ans: Hi!!

Can I begin by saying, "stop blaming anyone for your circumstances". Your sister advised you for your own good. Engineering is a good degree to have. If you are not happy with doing technical work then see if you can add an MBA or some other skills to increase your chances of earning more. Life is all about taking decisions on a minute to minute basis. Take the right decisions now, let's leave the past behind, thinking about it has no meaning now.
... will you promise me not to indulge in the three c's- don't COMPLAIN, CRITICIZE and CONDEMN!!
Let's look forward now ...
I always believe in putting everything that overwhelms me on paper... then it starts looking doable and simpler!
So that's your first task, put everything on paper( make a goal book, write everything in it), your desires, your dreams, your goals and a everyday to-do list.
The goals should be in every aspect of your life....
1. Financial Goal
2. Career Goal- what other skills do you need to earn the money you need and move ahead in your career
3. Relationships Goal, the quality of your life is based on the quality of your relationships
4. The goal of your physical and mental well being, if you are mentally and physically fit then you can live life well
5. How to be happy without any reason, that's your primary goal.... ask yourself "what are the ways in which I can have fun where money is not involved" - looking at the sun, spending time in nature, listening to the birds singing, playing with small children( they just want you, not your money), helping someone in need, sipping coffee peacefully, make a list of all these and try doing at least two of them every day.

I don't know how good is your relationship with your sister, you say she is doing well, can you ask for her help, without blaming? Ask for help and learn from her. I am sure blood is always thicker and she will help you.

Life is never a straight line, there will always be an up and a down!

Keep up your spirits, everyday is a new day, don't blame yourself, don't blame others. be kind to yourself and be kind to others.

Everyday, take one step towards your goals, move forward... and as regards to ageing, believe me age is just a number, you are as young as you think!!

Here's wishing you a happy, healthy , wealthy life ahead!!

...Read more

Ramalingam

Ramalingam Kalirajan  |1374 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 04, 2024

Asked by Anonymous - May 04, 2024Hindi
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Sir,Iam retiring this month I want to invest one core, so that I can getdecent return and also consider inflation.
Ans: As you prepare for retirement, it's crucial to invest your corpus wisely to ensure a steady income and protect against inflation. Here are some considerations and recommendations:

Risk Profile: Assess your risk tolerance and investment objectives. Since you're retiring, you may prefer a more conservative approach with lower-risk investments that offer stability and income.
Asset Allocation: Consider a diversified portfolio comprising a mix of asset classes such as equities, bonds, and fixed-income instruments. Allocate a portion of your corpus to equities for growth potential and the remainder to fixed-income securities for stability and income.
Fixed-Income Options: Explore fixed-income instruments such as government bonds, corporate bonds, and fixed deposits. These provide regular interest income and are relatively safer than equities. Consider laddering your fixed-income investments to manage interest rate risk.
Inflation Protection: To protect against inflation, consider inflation-linked bonds or mutual funds that invest in inflation-protected securities. These investments adjust their returns based on changes in inflation rates, helping to preserve purchasing power over time.
Dividend-Paying Stocks: Dividend-paying stocks of established companies can provide a steady income stream in retirement. Look for companies with a history of consistent dividends and strong fundamentals.
Systematic Withdrawal Plan (SWP): Instead of investing a lump sum, consider setting up an SWP from your investment portfolio. This allows you to withdraw a fixed amount periodically, providing a regular income stream while keeping your capital invested.
Consult a Financial Advisor: Given the importance of your retirement funds, consider consulting with a certified financial planner or investment advisor. They can assess your financial situation, goals, and risk tolerance, and recommend a tailored investment strategy to meet your needs.
Regular Review: Regularly review your investment portfolio to ensure it remains aligned with your retirement goals and financial needs. Rebalance your portfolio as necessary to maintain the desired asset allocation and risk profile.
By carefully considering these factors and seeking professional advice, you can make informed investment decisions to secure a comfortable retirement and protect against inflation.

...Read more

Ramalingam

Ramalingam Kalirajan  |1374 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 04, 2024

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I started sip with 500 per month 6 years ago and now I have been investigating 1,20,000per month and do have plan to increase this to 2lac per month (including me and my wife's portfolio) I do invest in direct stocks as well. What would be the advise for me , is it wise decision to invest 2lac per month in mutual funds (70%equity) ? My Target is to build 5 crore by 2030.
Ans: It's commendable that you've been consistently investing and increasing your SIP amount over the years. Here are some considerations and advice:

Diversification: Investing in mutual funds alongside direct stocks provides diversification, which can help mitigate risk. Given your target of building a substantial corpus by 2030, diversification is crucial for long-term wealth creation.
Risk Tolerance: Assess your risk tolerance carefully, especially since you mention investing 70% in equity. Equity investments can offer higher returns over the long term but come with greater volatility. Ensure that your risk appetite aligns with your investment strategy.
Review and Adjust: Regularly review your investment portfolio to ensure it remains aligned with your financial goals, risk tolerance, and market conditions. Consider rebalancing your portfolio periodically to maintain the desired asset allocation.
Financial Planning: Consider consulting with a certified financial planner to create a comprehensive financial plan tailored to your goals, risk tolerance, and investment horizon. A professional can provide personalized advice and help optimize your investment strategy.
Emergency Fund: Ensure you have an adequate emergency fund set aside to cover unexpected expenses or financial setbacks. This can provide peace of mind and prevent the need to dip into your investment portfolio during times of need.
Tax Planning: Keep tax implications in mind, especially as your investment amount increases. Explore tax-efficient investment options and strategies to optimize your returns and minimize tax liabilities.
Stay Informed: Stay updated on market trends, economic developments, and changes in investment regulations. Continuous learning and staying informed can help you make informed investment decisions.
Ultimately, investing 2 lakh per month in mutual funds can be a wise decision if it aligns with your financial goals, risk tolerance, and investment strategy. Just ensure you have a well-thought-out plan in place and continue to monitor and adjust your investments as needed.

...Read more

Ramalingam

Ramalingam Kalirajan  |1374 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 04, 2024

Asked by Anonymous - May 04, 2024Hindi
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Dear Sir, I am a 31 year old married man.I am in a huge debt trap of multiple loans plus credit card mounting around 9 lakhs. I work in MNC company earning 70k per month. Please advise or suggest if I can come out of this.
Ans: I understand your concern about being in a debt trap, but there are steps you can take to address the situation and work towards financial stability:

Assess Your Debt: Start by listing out all your debts, including the outstanding amounts, interest rates, and minimum monthly payments. This will give you a clear picture of your financial situation.
Create a Budget: Develop a detailed budget that outlines your monthly income and expenses. Identify areas where you can cut back on spending to free up more money to put towards debt repayment.
Prioritize Debt Repayment: Focus on paying off high-interest debt first, such as credit card debt. Consider using the debt avalanche or debt snowball method to systematically tackle your debts.
Negotiate with Creditors: Reach out to your creditors to discuss repayment options. They may be willing to negotiate lower interest rates, waive fees, or offer a repayment plan that fits your budget.
Explore Debt Consolidation: Consolidating your debts into a single loan with a lower interest rate can make it easier to manage and potentially reduce your overall interest costs. However, be cautious and carefully evaluate the terms and fees associated with any consolidation offer.
Increase Your Income: Look for opportunities to increase your income, such as taking on a part-time job, freelancing, or seeking a higher-paying position within your company.
Seek Professional Help: If you're feeling overwhelmed or unsure about how to proceed, consider seeking assistance from a financial counselor or debt relief agency. They can provide guidance and support tailored to your specific situation.
Avoid Taking on New Debt: While you're working to pay off your existing debt, avoid taking on any new debt if possible. Stick to your budget and focus on living within your means.
It may take time and discipline, but with a solid plan and commitment to debt repayment, you can overcome your debt challenges and regain control of your finances. Remember to be patient with yourself and celebrate small victories along the way.

...Read more

Ramalingam

Ramalingam Kalirajan  |1374 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 04, 2024

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Hi, I am 27 years old and and employees earning around 28k. I would like to create a corpse of approx 1 cr. Also I want to 30 lakhs save my parents for retirement. What should I do please advice?
Ans: To achieve your financial goals of building a corpus of 1 crore for yourself and saving 30 lakhs for your parents' retirement, here's a suggested plan:

Start Early and Save Consistently: Given your age, starting early and saving consistently will work in your favor. Allocate a portion of your income towards savings and investments each month.
Emergency Fund: Begin by building an emergency fund equivalent to at least 3-6 months' worth of living expenses. This fund will provide financial security in case of unexpected expenses or loss of income.
Investment in Mutual Funds: Consider investing in mutual funds through SIPs (Systematic Investment Plans). Choose a mix of equity and debt mutual funds based on your risk tolerance, investment horizon, and financial goals.
Equity Mutual Funds for Long-Term Growth: Allocate a significant portion of your investment towards equity mutual funds, which have the potential to deliver higher returns over the long term. Since you have a long investment horizon, you can afford to take higher risks for potentially higher rewards.
Debt Mutual Funds for Stability: Allocate a portion of your investment towards debt mutual funds for stability and capital preservation. Debt funds can provide steady returns while minimizing the overall portfolio risk.
Retirement Planning for Parents: For your parents' retirement savings, consider investing in a mix of fixed income instruments such as Senior Citizen Savings Scheme (SCSS), Pradhan Mantri Vaya Vandana Yojana (PMVVY), and debt mutual funds. These options provide regular income with capital protection.
Regular Review and Adjustments: Regularly review your investment portfolio and make adjustments as needed based on changes in your financial situation, market conditions, and investment goals.
Consult with a Financial Advisor: It's advisable to consult with a certified financial planner or investment advisor who can assess your financial goals, risk tolerance, and investment options, and provide personalized recommendations tailored to your specific needs and circumstances.
By following these steps and investing wisely, you can work towards achieving your financial goals and securing a comfortable future for yourself and your parents.

...Read more

Archana

Archana Deshpande  |27 Answers  |Ask -

Image Coach, Soft Skills Trainer - Answered on May 04, 2024

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Hello Archana, hope you’re doing well. My name is Sundeep Prakash with 10 years of experience into Software development in Bangalore, I would like to understand how could improve my visibility with my Org level. Any to-do list to follow. Kindly advise. Thanks
Ans: Hello Sundeep!
Yes I am doing well and hope the same for you!!

I would love to help you on this.
Here's the to do list for you to increase your visibility in your organisation-
1. always dress up for the next level. Always wear ironed clothes. A collared shirt, formal trousers, polished shoes. Your socks need to match your trousers. A neat formal belt. Belt and shoes to match . Look the part
2. hone your communication skills. Communicate in a concise and precise manner, with the right tonality. Be an assertive communicator
3. develop leadership qualities
4. build on the three C's - Confidence, Capability and Credibility
5. be an enthusiastic team player
6. develop public speaking skills, just look at all the leaders, they all speak so well, it is a learnable skill
7. grab the opportunities that come your way and prove that you are ready for the next level
8. don't participate in office gossip
9. help your juniors, every leader does this. The benefits of this are immense, you become better when you teach, you develop leadership skills, you create positivity in the office, you develop communication skills and you become popular
10. work hard, work smart

I don't want to overwhelm you with more, just do these 10 pointers and see the difference it'll make to your image in the office.

And above all believe in yourself, you have 10 yrs of experience and believe that you are ready to scale upwards now!

At the end of the day...be happy and spread happiness too!!

All the very best and more power to you!!

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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