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Dr Natasha

Dr Natasha Kumrah  | Answer  |Ask -

GP, Diabetologist, Gastroenterologist - Answered on Mar 20, 2023

Dr Natasha Kumrah is a general physician and diabetologist practising at Ruby Hall Clinic, a multispecialty hospital in Pune.
She has 11 years of experience in diabetes management, gastroenterology and general medicine.
Dr Kumrah completed her MBBS from the Maharashtra Institute of Medical Sciences And Research, Pune and her MD in general medicine from the Armed Forces Medical College, Pune.
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Chandan Question by Chandan on Mar 12, 2023Hindi
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My father is 88 years old...he has IBS since last 8 years. Last 6 months, along with IBS he has excessive gas issue which is leading to abdominal cramp, which is further increased drastically in last 2 weeks..I have consulted with gastro specialist 2 months back as well as ayurvedic doctor one week back....nothing abnormal found in investigation..As per them , due to age he has bowel movement problem. They has given some medication, which my father is regularly taking without no improvement. Pls also note that , my father's gall bladder also removed 12 years back..He is also on very restricted diet as per advice of doctor. Can you pls suggest for any improvement in the situation?

Ans: Hello Chandan ji.. I totally agree that with age digestive system becomes slow.. I will advise to take frequent small meals, avoid lying down immediately after meals, little increase in water intake at least up to 2 lit / day, and avoid milk and milk products. All thes may help to improve symptoms. Eating diary will help that what food items he is not tolerating.
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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Hi komalji, I am 50 year old and Ihav what they call Irritiable Bowel Syndrome from 1998. since then i skipped breakfast and wud eat small snack in late afternoon and full meal in nights since eating in the morning or until i am very hungry wud intesity the stomach pain as my intestines were badly swollen for 15 years. From last two years i am having meal in the late afternoon and snacks in the night.but there is no consistency. I prefer to stay on empty stomach although it causes giddiness hunger etc. as eating worsens my condition as i cant digest food at all. i hav serious discomfort/pain/bloatedness after eating. this affects my mind too. My stomach is highly intolerant of many foods (i am vegetarian) including milk,dairy products, protein foods (they cause extreme anger within 20 mins) or vegetables that contain high content minerals. if i take supplements for vitamins or minerals they cause serious side effects including diarrhea, stomach pain, anger etc. but the poor nutritious food is also causing lot of health issues and doctors advise to eat a protein vitamin filled diet which i cant digest. its a catch 22 situation. i hav been to many doctors including homeo ayurveda and been abroad from last 25 years with no results. from last ten years my mind is seriously affected where i rage with anger 24/7 (thats right) for no reason since the deficiencies are causing anger and anxiety too. i am not working from last three years and unable to drive because of anxiety. i cant sleep until early morning and wake up within three to four hours of disturbed sleep from last ten years. my life is ruined becoz of this conditon which many people/doctors dismiss as trivial. friends relatives,siblings dont understand my situation and think i am making this up to compensate my failures in having a good job/income and hav cut off ties with me many years ago. I cud not marry becoz of this condition. gastro enterologists and neurologists hav told me that i will be like this all my life and i know they are right. however, i wud like to know your opinion.
Ans: Stress is a prominent factor in your diagnosis. One of main symptoms of stress is IBS. Follow a low residue and fiber diet. Eat small frequent meals in the day. Have lots of fluids. Have nutrient dense foods in small portions. You must not give in to your negative thoughts. Be positive and work towards improvising your lifestyle.
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Hi Sir, My wife as sever pain in left foot at point where finger starts from foot. pain is like that some wound is there, but from outside its ok. could you please guide what can be cause for this and how to cure this. Thanks Sunil
Ans: Hello,

I'm sorry to hear about your wife's pain. The location you described, where the pain is at the point where the finger starts from the foot, could indeed be caused by various conditions such as corns or plantar fasciitis, as you mentioned.Corns are small areas of thickened skin that develop as a result of pressure or friction. They can cause pain and discomfort, especially when walking or wearing tight shoes. Plantar fasciitis, on the other hand, is inflammation of the thick band of tissue (plantar fascia) that runs across the bottom of the foot. It commonly causes stabbing pain near the heel or along the arch of the foot, but it can sometimes affect other areas of the foot as well.To determine the exact cause of your wife's pain and the best course of treatment, it would be advisable for her to visit a physiotherapist or a healthcare professional specializing in foot conditions. They can conduct a thorough examination, possibly including imaging tests if necessary, to make an accurate diagnosis and recommend appropriate treatment options. In the meantime, she can try some self-care measures to alleviate the pain, such as resting the foot, applying ice packs, wearing comfortable and supportive footwear, using over-the-counter pain relievers, and possibly using orthotic inserts or pads to reduce pressure on the affected area.I hope your wife finds relief soon.
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I am 25 years old and investing 2k in quant small cap, 2k in Nippon small cap, 1k in parag Parikh flexi, 1k in Motilal Oswal midcap, 1k in HDFC mid cap. Is it good for long term like 30 years. Plz advice me
Ans: Hello,

Your portfolio seems to be well-diversified across different sectors and market caps, which is generally a good approach for long-term investing. Here are a few things to consider:

Performance History: Look at the historical performance of each mutual fund scheme over various time frames (1 year, 3 years, 5 years, and since inception). Compare it with relevant benchmarks and peer group averages to assess how well the fund has performed.

Fund Manager Experience: Evaluate the experience and track record of the fund manager. A skilled and experienced fund manager can significantly impact the performance of the fund.

Expense Ratio: Consider the expense ratio of each mutual fund scheme. Lower expense ratios mean more of your investment returns stay with you rather than being eaten up by fees.

Investment Strategy: Understand the investment strategy of each mutual fund scheme. Make sure it aligns with your risk tolerance, investment goals, and time horizon. For example, small-cap funds tend to be riskier but offer higher growth potential, while flexi-cap funds offer more flexibility in asset allocation.

Asset Allocation: Ensure that your overall portfolio is well-diversified across different asset classes, sectors, and market caps. Avoid overconcentration in any single fund or sector.

Risk Management: Assess the risk management practices of each mutual fund scheme. Look for funds with a disciplined approach to risk management and a focus on preserving capital during market downturns.
Fund House Reputation: Consider the reputation and credibility of the mutual fund house managing the scheme. A well-established and reputable fund house is more likely to have robust investment processes and governance standards.

Regular Review: Regularly review the performance and portfolio composition of each mutual fund scheme. Make adjustments to your portfolio as needed based on changes in your investment objectives, market conditions, and fund performance.
It's also a good idea to consult with a SEBI registered investment advisor who can provide personalized advice based on your financial situation, goals, and risk tolerance. They can help you build a well-structured investment portfolio tailored to your needs.

It's also a good idea to consult with a SEBI registeredinvestment advisor who can provide personalized advice based on your financial situation, goals, and risk tolerance. They can help you build a well-structured investment portfolio tailored to your needs.
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Why continue investing through SIPs in a volatile market?
Ans: Hello,

Continuing to invest through SIPs (Systematic Investment Plans) in a volatile market can be a prudent strategy for several reasons, especially in the context of the Indian stock market:

Rupee Cost Averaging: SIPs allow investors to buy more units when prices are low and fewer units when prices are high. This averaging effect can potentially reduce the overall cost of investment over time, mitigating the impact of market volatility.
Disciplined Approach: SIPs encourage a disciplined approach to investing by automating the investment process. Investors commit to investing a fixed amount regularly, regardless of market conditions, which can help avoid emotional decision-making during periods of volatility.
Long-Term Focus: Investing through SIPs is ideal for investors with a long-term investment horizon. While short-term market fluctuations can be unsettling, they are often smoothed out over the long term. By staying invested through SIPs, investors can benefit from the compounding effect and the potential for higher returns over time.
Opportunity to Buy Low: Volatility in the market presents opportunities to buy quality stocks at discounted prices. SIP investors can take advantage of these market dips by continuing to invest regularly, potentially enhancing their portfolio's overall returns when the market rebounds.
Diversification Benefits: SIPs allow investors to spread their investments across different market segments and asset classes over time. This diversification can help reduce overall portfolio risk and enhance long-term returns, even in a volatile market environment.
However, it's essential for investors to review their investment objectives, risk tolerance, and financial goals periodically, and consult with a qualified financial advisor to ensure that SIPs align with their overall financial plan. Additionally, investors should be prepared for short-term fluctuations and exercise patience during periods of market volatility.
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Financial Planner - Answered on Apr 19, 2024

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Hello sir, I have started SIP in motilal oswal Nasdaq 100 of 100 fund since last 6 months. Should I continue with this?
Ans: Hello Vaibhav,

Firstly, it's essential to assess your investment goals, risk tolerance, and the suitability of the investment in your portfolio. The Motilal Oswal Nasdaq 100 Fund offers exposure to some of the largest and most innovative companies listed on the Nasdaq Stock Market, providing an opportunity for diversification and potential growth.

Considering you've been investing in the fund for the past six months, it's a good start to evaluate its performance against your expectations and the broader market trends. While short-term fluctuations are common in the stock market, analyzing the fund's performance relative to its benchmark index and peers can offer valuable insights.

Additionally, review the fund's investment strategy, portfolio composition, and expense ratio to ensure they align with your investment objectives and risk profile. Regular monitoring of your investments is crucial to adapt to changing market conditions and make necessary adjustments to your portfolio.

Ultimately, the decision to continue with your SIP in the Motilal Oswal Nasdaq 100 Fund should be based on your long-term financial goals, investment horizon, and comfort level with market volatility. If the fund continues to meet your expectations and remains in line with your investment strategy, it may be prudent to stay invested.

However, if you have concerns about the fund's performance, changes in your financial situation, or shifts in your investment objectives, it's advisable to reassess your investment strategy and consult with a qualified financial advisor to explore alternative options.

Remember, investing is a journey that requires careful planning, patience, and periodic review. I encourage you to stay informed, stay focused on your goals, and make decisions that align with your financial aspirations.
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Financial Planner - Answered on Apr 19, 2024

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My brother purchased a piece of land in Assam in October 1983 which he gifted me by a deed in August 2010. I sold the same piece of land in March 2024. The stamp duty fair price is about Rs 1,40,00,000. Will this transaction attract Capital Gain Tax? How can I myself calculate the LTCG if such a situation presents itself?
Ans: Yes, in this scenario, you will likely incur capital gains tax when you sell the land.

Here's why:

• Gifts are exempt from receiving taxes: When your brother gifted you the land in 2010, you weren't liable to pay any tax on receiving it.
• Tax on sale of gifted property: However, when you sell the property you received as a gift, capital gains tax applies to the profit earned on the sale.

Calculating Long Term Capital Gains (LTCG):

Since your brother purchased the land in 1983 and you sold it in 2024, it qualifies as a long-term capital gain (LTCG) assuming you held the property for more than 2 years.

Here's a simplified formula to estimate the LTCG (consult a tax advisor for the exact calculation):

• LTCG = Sale Price - Indexed Acquisition Cost
• Sale Price: Rs 1,40,00,000 (Given)
• Acquisition Cost: Rs 0 (Gifts typically have an acquisition cost of Rs 0)
• Indexed Acquisition Cost: Acquisition Cost * (Current Year Index / Acquisition Year Index)

Indexation Benefit:

• Indexation helps adjust the acquisition cost for inflation, reducing your tax burden.
• You'll need the official government published ‘Base Year Index’ for 1983 and 2024 to calculate the indexed acquisition cost.

Example (using hypothetical index values):

Let's assume (for calculation purposes only) the base year indices are:

• 1983: 100
• 2024: 630 (This is a hypothetical value, you'll need the actual index for 2024)
• Indexed Acquisition Cost = Rs 0 (Acquisition Cost) * (630 / 100) = Rs 0
• LTCG = Rs 1,40,00,000 (Sale Price) - Rs 0 (Indexed Acquisition Cost) = Rs 1,40,00,000

Tax on LTCG:

LTCG on land is currently taxed at 20% with indexation benefit.

In this example (assuming the above index values), your LTCG tax would be Rs 1,40,00,000 * 20% = Rs 28,00,000

Disclaimer:

This is a simplified explanation for illustration purposes only. Consulting a qualified tax advisor is recommended for accurate tax calculations and to consider any specific aspects of your situation. They can guide you through the intricacies of property tax laws, exemptions, and filing requirements.
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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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