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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1058 Answers  |Ask -

General Physician - Answered on Aug 27, 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
K Question by K on Aug 07, 2024Hindi
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My wife has complained twice in last 15 days of a severe pain in the left upper abdomen . No dizziness or sweating associated but only severe pain. No earler complaints of that nature was reported. She has occasional acidity problems and sleeping towards left side causes some times pain whenever spicy food is taken. But she avoids spicy food though very much fond of. She engages in some times mopping and cleaning activity of house. Both times ,pain occurred in morning between 7 Am to 10AM. I would like to know possible resaons and necessary checkups to be made. Right now she is in UK and is scheduled to return by end of the month. She is not covered by the National health Scheme of the local Govt , though has a travel insurance.

Ans: This could be as simple a M scale catch to pain referred from organs.
Please get it evaluated.
Before mopping she needs to warm up the body
And after mopping tell her do stretches.
While mopping she should initiate the movement from between her shoulder blades and not from the arm and ask her to breathe well.
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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Dear Sir, From last week I am having pain in my lower right back (after in periods end), it is more when I wake up (start when I get into sitting position for the first time after waking up... I don't feel it if I continue to lie down). It start reducing as soon as the start moving... in 2-3 hr is down by 50%-60% and get nearly 0 till evening or night, and the same happen next day. But from last 2 days it is very cold here and the intensity of pain has increased... it’s getting uncomfortable. If I have to compare the pain: If feel like the pain you have the next day after doing heavy exercise, like the muscle is solidify and every movement it stretch it with pain making it loose. It is mostly concentered at the dimple of my right hip. Feel like originate from under the skin and radiating outward. Not on surface but deep inside toward the surface. Also, I was feeling burning sensation in the lower right side of the abdomen (again inside not on the surface). It started with winter getting cold, I consult the doctor and was told that it may be due to accumulation of acid (HCL) in my large intestine. She ask me to eat more (many times a days- include fruit and nut in between proper meals) and 15 days of medication (homeopathy) it is gone. For the history of all this- In November – One day after I wake up when I was getting into sitting position ... I don’t know what I did wrong or how I jerk my body up.... I feel a sudden sharp pain on my back same point... I was not in sitting position still half way in air little bend toward right.... And I know I have pulled something wrong...a muscle, nerve or ligament something... The pain was a lot like a sudden cramp you feel in your calf... I slowing get back to lying position and the pain die down in minutes... It was uncomfortable, little tight, but no pain when I again get to sitting position slowing. I started feeling soreness or tightness in my back someday not daily when I wake up. And it goes after some time has passed (30min -1 hr). It was like that till the weather get cold in mid dec. and I started have little pain in morning and burning sensation during days as told above.... I don’t have both (pain and burning) when I was on medicine... and for the next week till I get my periods... and as soon as the period ends the pain is back (on my 5th day). I don’t remember having pain during my period both in nov and dec... (I going to check the same in Feb if that the case). I know it a lot of reading and I should go to doctor.... Sorry to say my experience with back pain treatment (in 2011 after falling from vehicle) was very bad...firstly No doctor in interested in listening your part how you feeling and what you think. Secondly If you are feeling some non-standard problem (not in the book) always my case... you suddenly became a test sample... they ask you to take all the test... from blood test to MRI to bone marrow and if very test report in negative they give you more test. (I know it’s part of diagnosing the root cause). But it’s very disturbing... the test goes on and you are given strong painkillers and asked to rest and wait... as back pain take long time to heal (2 years though I stop going to doctor after initial 3-4 months of tests an no answers). The second time (2019) I went to my homeopathy doctor after my sciatic nerves get pull during exercise. With medicine I feel the pain traveling down from my back to thigh to knee then ankle - toe and out (same right side), It took 5-6 months and lot of endurance I don’t know why I am so scared this time... Please suggest me what should I do... which type of doctor I should go or what type of test I should take or simple allow time to heal... Or is it some kind of symptoms of some other underlying problem... what should I do? I am 36 year old / female, weight 70kg, Average building, 5.4ft height, having 8hr sitting job. For last 2 days I am taking medicine from my homeopathy Doc for my back pain (soreness/ sprains/ stiffness)
Ans: ``````````````````````````````````````````````````````````````````````````Sorry to hear about your condition. It is advisable for you to visit Physiotherapist considering you may have disc involvement. It is necessary that you complete minimum 10 sessions and later do exercises at home regularly. This will ensure your condition remain manageable.

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Moneywize   |145 Answers  |Ask -

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.

...Read more

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.

...Read more

Kanchan

Kanchan Rai  |331 Answers  |Ask -

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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Relationship
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.

...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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