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Dr Shyam

Dr Shyam Jamalabad  |86 Answers  |Ask -

Dentist - Answered on May 23, 2023

Dr Shyam Jamalabad holds a bachelor’s degree in dental surgery from Government Dental College and Hospital, St George Hospital, Mumbai. He has been practising independently at his clinic in Mumbai since 1983.His patients range from celebrities to slum dwellers.... more
Anil Question by Anil on May 18, 2023Hindi
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Greetings Sir can we use mouth washer once or twice in a week?

Ans: Hi Anil
Most dentists stress the fact of not replacing proper oral health care of brushing and flossing with mouthwash. It’s more important to have a well-established routine of cleaning your teeth twice a day than using mouthwash. There is no harm in using a mouthwash once or twice a week or even once every day so long as you do not neglect your brushing and flossing.
While mouthwashes used in moderation have well documented benefits they can never be a substitute for thorough tooth brushing and flossing. And if you brush well and floss your teeth regularly you may never need a mouthwash!
Please note mouthwashes that contain high levels of alcohol can irritate the tissues in the mouth. Excessive mouthwash use can cause mouth dryness, leading to potential tooth sensitivity.
A lot of people believe that mouthwash cures halitosis (bad breath) when in reality the minty effect is short-lived. There is a difference between masking the odour and treating the condition.
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 Shyam

Dr Shyam Jamalabad  |86 Answers  |Ask -

Dentist - Answered on Dec 19, 2024

Asked by Anonymous - Dec 19, 2024Hindi
Health
Hi Doctor, I’ve been hearing a lot about mouthwash and floss lately, and I’m confused about whether I really need to use it. I brush regularly 2 times, but sometimes I feel like my breath isn’t as fresh as I’d like it to be. I also want to keep my teeth strong and prevent any issues with bacteria. Can you tell me if mouthwash is necessary even if I’m already brushing and flossing? If yes, which type of mouthwash would be best for someone like me? I’ve heard that it can sometimes cause mouth sores or sensitivity, so I want to make sure it’s safe for me.
Ans: Hello
I'm happy to know you brush and floss regularly. Please continue to do so.
While poor oral hygiene is the leading cause of bad breath, it is definitely not the only cause. Please be informed that it can be caused by various other factors, too.

Here are some of the most common causes of bad breath, also known as HALITOSIS.

Oral Health Issues
1. _Poor oral hygiene_: Infrequent brushing and flossing can lead to the buildup of bacteria, plaque, and tartar, causing bad breath.
2. _Gingivitis and gum disease_: Inflammation and infection of the gums can cause bad breath.
3. _Tooth decay and cavities_: Bacteria in the mouth can break down food particles, especially sugars, and release volatile sulfur compounds (VSCs) that cause bad breath.

Food and Drinks
1. _Onions and garlic_: These foods contain sulfur compounds that can be released in the mouth and cause bad breath.
2. _Coffee and tobacco_: These substances can dry out the mouth, leading to an increase in bacteria and VSCs.
3. _Spicy or acidic foods_: Foods like citrus fruits, tomatoes, and spicy dishes can irritate the mouth and cause bad breath.

Medical Conditions
1. _Diabetes_: Uncontrolled diabetes can lead to dry mouth, which can contribute to bad breath.
2. _Gastroesophageal reflux disease (GERD)_: Stomach acid can flow up into the mouth, causing bad breath.
3. _Sinus infections and respiratory issues_: Postnasal drip and respiratory infections can cause bad breath.
4. _Kidney disease and liver disease_: These conditions can cause a buildup of toxins in the body, leading to bad breath.

Lifestyle Factors
1. _Smoking and tobacco use_: Tobacco products can dry out the mouth and cause bad breath.
2. _Alcohol consumption_: Excessive alcohol consumption can lead to dry mouth and bad breath.
3. _Medications_: Certain medications, such as antidepressants, antihistamines, and decongestants, can cause dry mouth and bad breath.
4. _Hormonal changes_: Hormonal fluctuations during menstruation, pregnancy, or menopause can lead to bad breath.

Other Factors
1. _Dry mouth_: A lack of saliva can contribute to bad breath.
2. _Mouth breathing_: Breathing through the mouth instead of the nose can dry out the mouth and cause bad breath.
3. _Poor digestion_: Undigested food particles in the stomach can be released into the mouth, causing bad breath.


If you're concerned about bad breath, it's essential to consult your dentist so that he can examine your teeth and gums thoroughly to rule out local factors and address any underlying medical conditions.

Mouthwashes definitely help by keeping the oral bacteria under control. At least temporarily. They mask mouth odours and give you a feeling of freshness.
But the root cause of the problem still needs to be identified and suitably treated. Also, please note that mouthwashes are not a substitute for regular brushing and flossing.
Your dentist will guide you on what mouthwash suits you best depending on your lifestyle, oral hygiene and medical history.
Meanwhile, here are some good attributes to look for in a mouthwash:

Active Ingredients
1. _Antibacterial agents_: Chlorhexidine, triclosan, or essential oils (e.g., tea tree oil) to combat bacteria and plaque.
2. _Anti-inflammatory agents_: Ingredients like aloe vera or chamomile to reduce gum inflammation.
3. _Antifungal agents_: Ingredients like domiphen bromide to combat fungal infections.
4. _Fluoride_: To strengthen tooth enamel and prevent decay.

Additional Benefits
1. _Anti-plaque and anti-gingivitis properties_: To help prevent the buildup of plaque and reduce the risk of gingivitis.
2. _Bad breath prevention_: Ingredients like chlorine dioxide or zinc to help eliminate volatile sulfur compounds (VSCs) that cause bad breath.
3. _Sensitivity relief_: Ingredients like potassium nitrate or strontium chloride to help desensitize nerves and provide relief from tooth sensitivity.
4. _Whitening agents_: Mild abrasives or hydrogen peroxide to help remove surface stains and whiten teeth.

Safety and Comfort
1. _Alcohol-free_: To avoid drying out the mouth and reducing saliva production.
2. _Sugar-free and artificial sweetener-free_: To make the mouthwash suitable for people with dietary restrictions or preferences.
3. _pH balanced_: To ensure the mouthwash doesn't disrupt the natural pH balance of the mouth.
4. _Gentle and non-irritating_: To minimize the risk of mouth irritation, especially for people with sensitive teeth or gums.

..Read more

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Ravi

Ravi Mittal  |508 Answers  |Ask -

Dating, Relationships Expert - Answered on Jan 20, 2025

Asked by Anonymous - Jan 11, 2025Hindi
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Relationship
I am a 20 years old guy and in my past romantic relationships, have shown signs of emotional instability, too much dependency and lack of awareness of boundaries which affected my relationships badly...I hadn’t interacted with people in a long while since 2020 (precisely when lockdown had started) and feel that some aspects of my personality are not developed fully as they should be at this age. How to work on this? Also, i have noticed that I am able to create a good first impression but it soon pales and I feel like I am subtly disrespected or talked down to, and this has been happening in all interactions...i am always respectful (often to a fault!) and even have people pleasing tendencies...i sometimes ask immature weird questions and that might probably be the reason (but they’re never inappropriate)...but i do want to gain insights into why i am experiencing what i am and how to navigate this situation well so that I can maintain healthy relationships in future. Thanks you!
Ans: Dear Anonymous,
First of all, I want you to understand that it is no small feat to realize the quirks and imperfections in ourselves- you have done it. Your effort to understand and rectify them deserves to be acknowledged and appreciated.
Now, coming to your question, I can only give you some general advice on each-
Emotional instability and dependency- these behavioral patterns can stem from various factors; it can be a lack of confidence or some past issues that are left unresolved. It is difficult for me to tell you exactly why it is happening. It can also arise from a lack of validation. To manage it, you can focus on self-regulation- like meditation or journaling whenever you feel these emotions rising. This way you are expressing them but not damaging your relationships. Take up new hobbies or goals. Achieving milestones can build confidence.
Navigating Boundaries- You can speak to your partner in the early stage of the relationship to understand their boundaries. This way there will be clarity and you won't overstep. You can set up some boundaries too.
For better interpersonal skills, you can proactively follow some rules- like active listening, avoiding overthinking, asking open-ended questions, and resisting the urge to seek your partner's approval.
About the awkward questions- it is important to understand that you might perceive them as awkward, but the person opposite to you might think of it as a genuine curiosity. As long as it isn't intrusive or inappropriate, there are no awkward questions.
Like these, I can only offer you some general advice. But the best advice of them all would be to seek counseling. It has done wonders for people. And the first step, which is identifying the issues is already done. Bravo! What's wrong with taking a little professional help in navigating the next steps? They can guide you in a more structured manner.
Hope this helps.

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Kanchan

Kanchan Rai  |499 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 20, 2025

Asked by Anonymous - Jan 09, 2025Hindi
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Relationship
I’ve been in a relationship with a girl for the past 4 years, but due to various issues, things have become extremely complicated. Her father doesn’t approve of me, and my mother doesn’t like her either. Despite this, we’ve managed to stay together all these years. The problem is now escalating. My family is pressuring me to marry someone else, but I’m unable to leave her. At the same time, I feel I can’t marry her either because of her behavior and the ongoing issues with my family. I’ve tried to ask her to change certain things, but she hasn’t made any efforts in that direction. To make matters worse, her mother supports our relationship and trusts me, which makes it even harder for me to walk away. I don’t want her to marry someone else, but I also feel stuck because of my family’s expectations and the challenges in our relationship. Even If I leave her I don't know what she is going to do. What should I do in this situation to make the best decision for everyone involved?
Ans: it's crucial to reflect on what you truly want and need from a relationship. Ask yourself if this relationship brings you the happiness and fulfillment you seek, or if the challenges you face are too significant to overcome. It's important to differentiate between staying out of love and staying out of fear or obligation.

Talking to your partner openly is essential. Share your concerns honestly and listen to her perspective. If there are changes you've hoped for, express why they matter to you. At the same time, recognize that change is a two-way street—it requires effort and willingness from both sides. If she hasn't made efforts in the areas you've discussed, it may be worth considering whether this is a pattern that can be changed or a fundamental mismatch in expectations.

Your family's disapproval complicates things further, but it's important to remember that this is your life and relationship. While their opinions are significant, they shouldn't be the sole deciding factor in your happiness. Balancing respect for their wishes with your own needs is a delicate task, but ultimately, you need to make a decision that feels right for you.

If the relationship feels unsustainable despite your efforts, it may be time to consider a different path. It's understandable that you’re concerned about her well-being, especially given her mother's trust in you, but staying out of guilt or obligation can lead to further unhappiness for both of you. If you decide to part ways, doing so with kindness and honesty can help mitigate some of the hurt.

Ultimately, this decision is deeply personal. Weighing your feelings, the relationship dynamics, and your family's expectations will guide you toward a resolution that prioritizes your well-being and future happiness.

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Kanchan

Kanchan Rai  |499 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 20, 2025

Asked by Anonymous - Jan 09, 2025Hindi
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Relationship
My age is 41 years. I have two kids. Nurturing n looking after them n whole home single handedly. I am a visiting faculty in a institute . Earns very nominal earning. My husband hits me, taunts me and use very arrogant words to me like tumhe belt se maarunga n similar many worst words. His family has been always unsupportive to me . Now after 16 years of marriage, he still wants me to please his mother n other family. Which I completely avoid as they have never supported me and always boycotted me. His real brother is in politics and all family members including his cousins do follow him and boycotted me n husband. Now for everything my husband blames me and says if you gave pleased them, all might have good. But inspite of pleasing them a lot , they are like treating me like I am a stranger. I handle n manage everything still by the end of the day.... everything is in vain. Husband says...What you did for home? I will never ever give my money to you and so on. I am literally in trouble thoughts, what to do ? I even many times thought to end my life but my kids are the reason I continuously bears everything. Please suggest what shall I do.
Ans: it's important to acknowledge that no one deserves to be treated with such disrespect and abuse. Your feelings of isolation and frustration are valid. It can feel overwhelming when the people who should support you instead make you feel like an outsider.

In situations like this, it’s crucial to find support outside the immediate family. Reach out to trusted friends, family members, or support groups who can offer you emotional strength and practical advice. Consider speaking with a counselor or therapist who can help you navigate these complex emotions and provide strategies for dealing with the abuse and stress.

You’ve shown immense resilience, especially for your children. They need you to be strong, and seeking help is a vital step in preserving your mental and emotional well-being. Remember, prioritizing your health is not selfish; it’s necessary for you and your children’s future.

Also, explore any legal avenues or resources available for individuals in abusive relationships. Local support organizations, legal aid, or women’s shelters can provide advice and assistance if you decide that leaving the relationship is the best option for your safety and well-being.

You have already shown great courage by managing so much on your own. Continue to seek out support and know that you are not alone in this journey. There are people and resources willing to help you find a path to a healthier and more secure life.

...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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