Author: Dr. Shailesh Yadav

Nature’s Harsh Realities: Confronting Grief on Life’s Journey

Dear Friends,

Today, I wish to share a profound experience I had recently with a remarkable individual, a brave woman who has been grappling with more than just physical ailments.

In the realm of healthcare, it is not uncommon to encounter cases that appear to be textbook diagnoses at first glance. However, as a physician committed to a personalized approach, it is my duty to delve deeper and unravel the intricacies of each patient’s story.

Encountering a strong and determined spirit, a 36-year-old lady who sought help for recurrent acidity, accompanied by a burning sensation in her chest and throat. She carried the weight of persistent headaches and body pain, relieved only temporarily by painkillers. A dear doctor colleague referred her to me, recognizing the need for a more profound understanding of her situation.

As we embarked on this journey together, it became evident that her symptoms were more than mere physical manifestations. Yes, there were signs of GERD and migraines, but the real challenge lay in deciphering the person behind the illnesses. It was about understanding the root cause, comprehending why her complaints recurred, and identifying what hindered her body’s ability to cope with these seemingly common ailments.

As we began to peel back the layers, her lifestyle took center stage. We probed into possible dietary and lifestyle causes, Finding out a touching part of her story, Two years ago, she lost her husband suddenly to a fatal acute illness. The news left her in shock, rendering her listless and lost in her emotions for months. Sleep eluded her despite the best sleeping pills, as she grappled with the unbearable loss, even contemplating ending her own life.

Yet, the responsibility of three young children – a daughter and two sons – compelled her to rise from the depths of grief. With minimal support from extended family, She gathered the courage to support her kids..A woman, unfamiliar with the outside world and without much education, found comfort in a little tailoring business from her home in busy Mumbai. Her gaze spoke volumes during case taking, revealing the burden she carried, far beyond her physical capacity.

Indeed, life can be really tough, especially when dealing with difficult situations like loss. Let me share what I learned after talking with the person and understanding their situation.

1)The Weight of Loss:

Losing someone close is an experience that transcends words. It’s a harsh reality, Creating an emptiness that feels impossible to overcome. The pain is not just emotional; it permeates every fiber of our being. It’s a heavy burden, one that can be both debilitating and painful.

2)The Journey to Self-Rediscovery:

Yet, in the face of such adversity, there lies a defining moment – the journey to rediscover oneself. It’s a process that requires strength beyond measure. While some may find solace in the warmth of easy paths, for others, like the brave lady in our story, the road to healing is marked by resilience and a tenacious spirit.

3)The Common Person with Genuine Problems:

Her story is not that of a supermodel or a celebrity, but that of an everyday person facing genuine problems. Her struggle is relatable, and it reflects the common person’s battle against the harshness of life. It’s a reminder that heroism exists not just on grand stages but in the quiet corners where ordinary people face extraordinary challenges.

4)Emotion’s Impact on the Body:

Emotions, the invisible threads weaving through our experiences, play a crucial role in our well-being. The mind and body are intricately connected, and the manifestation of psychosomatic illnesses is a testament to this connection. When the weight of grief, loss, and unresolved emotions lingers, it finds a voice in physical ailments.

5)The Far-Reaching Effects:

The pain she carries is not merely emotional; it has etched itself into her body, expressing itself as recurrent acidity, headaches, and body pain. Emotions, when unaddressed, have the power to create a ripple effect, influencing our physical health in ways we might not immediately comprehend.

6)Addressing Emotions for Desired Results:

Recognizing this interplay between emotion and physical health is vital. To achieve the desired results in healthcare, we must tap into the emotional aspects of pain. It’s not just about treating symptoms; it’s about acknowledging the emotional landscape that often forms the backdrop of physical ailments.

In the end, our emotions shape our experiences, and understanding their impact on our bodies is an essential aspect of providing comprehensive and compassionate healthcare. The lady’s life reminds us that healing goes beyond just fixing the body; it involves caring for the heart and soul.

“In my practice, I’ve witnessed the profound connection between emotions and physical well-being. As a homeopathic doctor, I believe in a holistic approach, where addressing the emotional aspect of pain is as crucial as treating its physical symptoms. Healing begins when we acknowledge the power of emotions in shaping our health. 

In sharing this story, I am reminded of the importance of holistic healthcare. It is not merely about treating symptoms but understanding the person – their struggles, losses, and triumphs. This experience reinforces the notion that life.

To all my patients and colleagues, let us approach healthcare with empathy and a commitment to understanding the individual behind the symptoms. Each person carries a unique story, and it is our duty as healthcare providers to listen, comprehend, and tailor our approach accordingly.

I wish you all good health and a compassionate journey in the realm of healthcare.

Dr. Shailesh Yadav

Cheers to Another Year: 40 Lessons from My Journey

Hey there,

So, I’ve officially joined the 40 Club, but mentally, I’m still feeling like I’m in my 20s—at least that’s what I tell myself. This year has been a game-changer for me. With the hustle and bustle of more than a decade in medical practice and the personal whirlwind finally settling down, it’s time to pause and ponder on the kind of life I want ahead. It’s not just about marking another year on the calendar; it’s about showing up for life, knowing who I am and how I choose to live.

This morning, in a reflective mood, I thought back on the many lessons life has thrown my way. It struck me that these reflections might resonate with you—not because I know you need help, but because I’m always learning from others, and maybe, just maybe, sharing these insights can be a small way to offer a bit of encouragement. We could all use some positivity after the rollercoaster that was last year, right?

  1. Life is cyclic:- Life is a bit like a rollercoaster, with its ups and downs. There are times when everything feels like a celebration, and then there are moments when things seem to hit rock bottom. But remember, if you stay smart and keep pushing forward, you’ll eventually see significant growth and success in the long haul. It’s a journey filled with highs and lows, much like the ups and downs of the stock market.
  1. Money Spent on Trips and Memories is Almost Always Worth It:-Spending money on trips and making memories is usually a good investment. It becomes even more worthwhile when you take pictures, videos, and write about each adventure. Someday, these memories will mean more to you than your car.
  1. Suffering:- Feel the pain when it’s happening, not before or after. Pain is like the moment the needle goes in. Suffering is what you feel when you worry about it beforehand.
  1. Pain:- While it’s true that some pain can bring gains, not all pain necessarily leads to rewards. It’s not just about enduring more pain; it’s about choosing the right kind of pain for meaningful gains.
  1. Try new things—go to new places, try different foods, and join new groups. Behind every successful and polished moment are hidden struggles and messy processes, like when you’re figuring things out with effort and maybe a bit of chaos. It’s completely fine not to have everything sorted. Just do your best, have fun, and know that nobody has all the answers. Embrace the uncertainty, enjoy the ride, and keep going!
  1. Goal:– Life becomes simpler when you understand yourself, and it gets even easier when you know the kind of life you’re aiming for. The best part is when you focus on living your own way and not someone else’s.
  1. Start – End:- The toughest part of most things is beginning and ending—like starting work or exercise, or stopping yourself from eating too much. It’s a struggle to begin and a challenge to stop. Whether it’s starting a task or deciding not to, you’re always battling against the resistance to move.
  1. Progress is not Linear:- Life’s journey is not a straight line; it’s a collection of twists and turns. In my 40 years, and probably in your life too, there’s no perfect upward climb. The idea that setting goals leads to constant success is a myth. Life throws challenges like unemployment, breakups, loss, tragedy, or financial struggles that can wipe you out.

But here’s the inspiring part: it’s in those wipeout moments that you often find the strength to start anew. Embracing a fresh beginning breaks the illusion of a straight, easy path to success. Starting over is a chance to learn from mistakes, making your progress unique and resilient. Life’s setbacks are just setups for an even more remarkable comeback.

  1. Laziness:- There will be days when you feel lazy. That’s a sign you might need a break. It’s okay not to be super productive every day. It’s fine to take a lazy day indoors, gazing out the window. It’s not missing out; it’s a chance to rest and reflect on what’s been happening.
  1. Parenting:- Nobody’s a perfect parent, and that includes me. I mess up too. For instance, I might yell at my kid when I shouldn’t. But, hey, I’m still learning. When I make a mistake, I just shake it off and try again. I don’t have all the answers to parenting, but in the past seven years, I’ve found that showering my kid with love, being there for them, spending time, understanding, and paying attention really makes a big difference.
  1. Say No:- It’s okay to say no. You don’t have to do everything everyone asks. In fact, saying no is not just okay; it’s necessary for survival.
  1. Just Zip it:- Keep your complaints, criticisms, and judgments to yourself. Nobody, and I mean nobody, wants to hear them. Ninety-eight percent of the time, just zip it.
  1. IQ < EQ ?:- People often think high IQ and impressive degrees are the keys to success, but that’s not always true. While being smart matters, it’s just a starting point. In most jobs, like being a doctor, lawyer, or banker, once you’re smart enough, your success isn’t determined by your IQ. Other qualities, like creativity, communication, and problem-solving skills, become more important. For example, think of a chef or an entrepreneur—they may not need a super high IQ, but they need different skills to excel. So, it’s not just about how smart you are; it’s about what else you bring to the table.
  1. Creativity:- Being creative is super important. If you only stick to what others tell you, your choices are kinda stuck. Let’s say you’re 40, and you’ve been doing the same exercise routine for years—running every day. Suddenly, your knees start hurting. If you’re creative about it, you might explore low-impact exercises like swimming or cycling instead. This way, you’re thinking outside the box to maintain your health, adapting to changes, and not just sticking to the same routine that might be causing problems. Creativity in how you approach your health can make a big difference as you navigate the challenges of aging. If you can think outside the usual ideas, you’re not limited to what everyone else does. It’s not just a saying; being creative helps you find new and better ways to do things.
  1. Events:- Go to important stuff like weddings, Furenals and birthdays, but you can skip events with lots of small talk, like parties and conferences. I don’t go to much, and it hasn’t hurt my career. I also don’t join nonprofit boards. I find helping directly is better than chasing status and networking. It’s more effective to do things directly, like supporting organizations with money, ideas, and connections.
  1. Start Early:- I wake up early, around 5 or 5:30. I have a routine that helps me be focused and get things done during the day. It involves working out, praying, meditating, taking care of a garden, getting my son ready for school, reading books…etc.
  1. Aging:- As I’ve grown older, I figured out that taking care of myself is like having a secret weapon for being happy and getting things done. So now, I make sure to get enough sleep, hit the gym, do some meditation, and try not to turn into a junk food ninja. It turns out, being a health superhero is way cooler than being a workaholic!
  1. Risk:- Taking risks might seem scary, especially if you worry about money. But, you know what? Everything in life involves some risk—like investing, buying a house, getting hitched, or having a kid. 
  1. Easy things aren’t usually valuable, and valuable things aren’t usually easy:-.Things that come easily are often not very valuable, and things that are truly worthwhile usually require effort and perseverance. In other words, the most meaningful achievements often demand hard work and dedication, while quick and easy wins may not bring lasting value or satisfaction.
  1. Knowing and not doing is not Knowing:- It’s not enough to just know something; you have to put that knowledge into action for it to truly count. Simply having information without applying it is like having a tool but never using it. The real understanding comes from doing what you know.
  1. Your Environment:- The world around you has a more powerful influence on you than just your personal determination. It’s like saying, no matter how strong your will to eat healthy is, if you’re constantly surrounded by tempting snacks, it becomes harder to stick to your goal. The environment you’re in plays a big role in shaping your choices, sometimes even more than your own willpower.
  1. Your Response:- How you react to what happens can completely alter the result. Life is full of events, some good and some challenging, like a rainy day. You can’t control the rain, but you can choose whether to complain or grab an umbrella and enjoy a walk in it. Your response, whether positive or negative, can make a regular day memorable or miserable. It’s not just about what’s happening; it’s about how you handle it that makes all the difference in the end.
  1. Focus > Time:- Concentrating on what you’re doing is more important than how much time you spend on it. It’s like when you’re reading a book. Spending hours on it doesn’t matter if your mind is wandering. But if you focus, even a short time can help you understand and enjoy the story. Quality attention beats just clocking in the hours.
  1. Direction:- If you don’t have a clear destination in mind, you might end up anywhere. It’s like setting off on a journey without a map or a goal. While it’s essential to have a specific destination (your goal), don’t be too rigid about the path you take to get there. It’s like planning a road trip to a beautiful beach; you know where you want to go, but you’re open to exploring different routes and enjoying unexpected sights along the way. Stay focused on your goal but be flexible in how you reach it.
  1. Your senses:- Taking control of your senses is the key to mastering your life. It’s like being the boss of your five senses—seeing, hearing, tasting, smelling, and touching. When you manage them well, you can navigate life more effectively and make better decisions. It’s about being in charge of how you perceive and respond to the world around you.
  1. Root Cause:- Finding the root cause means digging deep into a problem, whether it’s a patient’s health issue or a personal challenge. It’s like being a detective, understanding what might be causing the problem, not just fixing the surface. For instance, imagine someone having headaches. Instead of just giving a quick painkiller, I’d try to figure out if it’s stress, lack of sleep, or something else causing it. It’s about going beyond a quick fix to solve things most helpfully.
  1. Priority:- Giving priority to your work means deciding what tasks are most important and doing those first. It’s like making a to-do list and choosing to tackle the most crucial things before the less important ones. By prioritizing, you ensure that you’re focusing on what really matters and making the most of your time and effort.
  1. Money:- Handling money is not just about making it; it’s about what you do with it. It’s like having a pizza—earning money is getting the pizza, but managing money is deciding how to slice and share it wisely. It’s not just about getting more; it’s about making the most of what you have.
  1. Ask Help:- It’s totally fine to ask for help! You don’t have to face everything alone. Many people need assistance, but some don’t ask for it or ask too late. So, if you can, and before it’s too late, reach out to someone you trust—friends, family, or professionals. Don’t hesitate to seek the support you need.
  1. Forgive Yourself:- It’s okay to forgive yourself for old mistakes. I know it might be tough to think about, but facing and forgiving yourself is important to make peace with the past.
  1. Honest:- Being honest with yourself is a big favor you can do. I used to tell myself comforting lies because I was scared of facing the truth, my truth. Even though the truth can be hard to accept, you deserve to know it. It’s okay to take your time, but the sooner, the better.
  1. Cheerleader:– Cheer for yourself! Support yourself, especially when no one else is around. Be your own biggest fan.
  1. Give it A shot:– If you never give things a shot, you won’t have a chance to succeed. I used to avoid trying new stuff because I was scared of failing. This fear held me back in my health, work, and relationships. Thankfully, I realized this wasn’t the way to live. Yes, trying new things is scary, and yes, you might fail sometimes. But you could also succeed or learn something important. Taking the risk is worth it.
  1. Eat well:- Eating healthy is like giving your body superhero powers. At first, you might worry it won’t taste as good, but the more you eat well, the more awesome you feel. Soon, you’ll actually crave healthy food and notice when you eat something not-so-healthy, and you won’t feel as great. I turned my kitchen into an experiment, trying everything from satvic to vegan to keto, and more—thanks to my amazing wife and helper! Even though it had its challenges and my family became my taste-testing team, it was a journey worth taking. I faced moments of weakness, irritability, and frustration, wondering why I was doing this. Despite it all, it gave me a new understanding and ways to help patients dealing with chronic diseases. It’s been a truly inspiring adventure!
  1. Extremist:- Going to extremes usually doesn’t last. Whether it’s your diet, exercise, or anything else, being super strict or completely giving up is often not sustainable. Following the 80/20 rule (or maybe 90/10 if you want to be a bit stricter) makes life easier and happier for most of us.
  1. Listen:- Listen to your body—it’s crucial! If it says rest, take a break. If it craves something healthy, grab some veggies. The more you tune in to what your body needs, the better it works.
  1. Introvert:- Being an introvert is okay. Sure, we might envy those outgoing folks at parties, but being introverted has its perks. We have fewer but meaningful relationships, we’re good listeners, and we think carefully before speaking. Plus, we can totally get lost in a good book for days. Being introverted isn’t so bad after all!
  1. Health Fad:- Don’t fall for health trends. Companies always try to sell a magic solution for health, lose weight pills, etc but there isn’t one. It’s all about working hard, eating well, and staying consistent—no shortcuts.
  1. Comparison:- Don’t bother comparing yourself to others. No matter how much you try, you can’t be someone else. Instead, focus on your strengths, be yourself, and be the best version of you. Embrace who you are!
  1. Read:- Read all kinds of books—business, fiction, self-help. There are so many good ones, and they can change you. Books might cost a bit, but they’re like a treasure of the author’s wisdom and experience for just a few pennies. Worth it!

Final Thoughts

Life can be tough sometimes, but guess what? We’ve got this one life, so let’s make it count. Don’t stress too much about being perfect—just do what feels right and makes you happy. Surround yourself with people you care about, do things that make you feel good, and you’ll be alright.

Life is a bit like a puzzle, and we might not understand all of it. But that’s okay. This is our world, our shot at happiness. The good news is, every one of us can make the most of it. So, let’s cherish the people we love, enjoy what we do, and make the most of this wonderful journey together!

Cheers to life,

Dr. Shailesh

Painful menses – you could be dealing with endometriosis

I know dealing with monthly pain can be tough. It’s like a hidden battle that not everyone talks about. But we are here for you – your doctor and friend

Behind those strong faces, there’s a story of discomfort that many keep to themselves. It’s not just physical; it touches your emotions and strength. Let’s dive in together, understand the reality of painful periods, and find ways to make those days easier.

Entering womanhood is celebrated in many parts of the world, but for some, it introduces a hidden struggle with endometriosis. While cramps are expected during periods, some women face intense pain, disrupting daily life, school, or work. Sadly, these symptoms are often brushed off as ‘normal,’ delaying diagnosis and causing frustration. 

Endometriosis goes beyond physical pain, impacting relationships, sexuality, and mental health. It can lead to anxiety, depression, and changes in how one experiences pain, affecting overall well-being and treatment success. Today, let’s uncover the impact of endometriosis on women’s lives and well-being.”

This silent health menace affects about 247 million women worldwide, with a staggering 42 million cases in India alone. The impact is profound – from excruciating pain and fatigue to depression and infertility, endometriosis takes a toll on both physical and mental well-being.

Shockingly, 10 percent of women in their reproductive years face this struggle, hitting hardest between ages 25 to 29. Despite these alarming numbers, endometriosis remains hidden, often misdiagnosed and undertreated. Its silent nature and the normalization of symptoms contribute to its elusive grip.

In this blog, we’ll unravel the layers of endometriosis, exposing the harsh realities and striving to bring this silent battle into the glaring light. Join us for an eye-opening journey into the depths of endometriosis, where awareness becomes the first step towards empowerment and change.

What is Endometriosis?

Endometriosis is more than just a “period problem.” It’s a condition that affects your entire body. Imagine some tissue, similar to the lining of your uterus, moving to the wrong places outside your uterus, mainly in your pelvic region. These wandering tissues respond to your monthly hormones, particularly estrogen and progesterone, and can cause significant pain. This is what we call endometriosis.

Endometriosis isn’t just about physical discomfort. It messes with your immune and hormonal systems. As it grows, it triggers inflammation, leading to adhesions, scarring, and various complications like internal bleeding, bowel or urinary issues, constipation, painful intercourse, and even infertility. The pain isn’t just physical; it can also take a toll on your mental well-being.

Where does endometriosis typically occur in the body?

Endometriosis is generally located in the pelvic cavity, attaching to female reproductive organs like the uterus, fallopian tubes, ovaries, uterosacral ligaments, or peritoneum. It can also impact non-reproductive areas such as the bowel, bladder, intestines, appendix, rectum, or leg nerves. 

Additionally, it may settle into spaces between the bladder, rectum, uterus, or vagina. In rare cases, endometriosis can extend beyond the pelvic region, reaching organs like the kidneys, lungs, diaphragm, or brain. Understanding these locations is essential for recognizing and addressing endometriosis-related concerns.

When does endometriosis typically impact women?

Endometriosis can affect individuals even before their first period, often starting in their pre-teen years. Symptoms may intensify during high school and college, with the majority experiencing the most severe effects in their 20s and 30s. Understanding these age patterns is crucial for early recognition and management of endometriosis.

How does endometriosis affect various aspects of an individual’s life?

Endometriosis significantly impacts all areas of someone’s life. It can interfere with education, hindering school attendance and participation in activities. 

Career choices may be altered, and individuals might even be compelled to give up a career due to the condition. Financial struggles may arise during the quest for a proper diagnosis or treatment and in dealing with work disruptions. 

Relationships with romantic partners, friends, and family can be affected, especially when there’s a lack of understanding about the disease and its effects. Moreover, the disease can contribute to lower self-esteem, with some individuals facing dismissal of their pain as “normal” or psychological.

What causes endometriosis?

  • Multiple theories regarding the cause of endometriosis exist, but no proven causes can adequately explain every aspect of the disease. Below are some of the proposed theories and beliefs regarding endometriosis:
  • Retrograde menstruation:- occurs when tissue flows back into the body, implanting on organs. While many women have it, only one in 10 are diagnosed with symptomatic endometriosis.
  • Müllerian Remnant Theory:- these precursors remain dormant until activated at puberty, with increasing estrogen levels.
  • Coelomic Metaplasia and Stem Cell Transition:- theories suggest cells like peritoneal coelomic cells or bone-marrow stem cells may differentiate into endometriosis.
  • Genetic Component: Girls with a close female relative with endometriosis are three to seven times more likely to have it. However, more research is needed to understand the genetic characteristics fully.
  • Immune and Clearance Systems:-Their role is not entirely understood, but they play a part in either causing or controlling endometriosis.

What are the symptoms of Endometriosis?

  • Abnormal Periods
  • Painful Periods
  • Painful Intercourse
  • Gastrointestinal Distress
  • Neuropathy
  • Infertility
  • Fatigue

How is endometriosis diagnosed?

The primary method is through a diagnostic laparoscopy with pathology confirmation of biopsy specimens. A small incision is made in the abdomen, and tissue samples are sent to a lab for microscopic examination to confirm endometriosis.

Are imaging tests definitive for endometriosis?

No, despite common belief, clear evidence of endometriosis is not visible through CT, MRI, or ultrasounds. While these tests can indicate suspicion, they cannot confirm the presence of endometriosis.

Can lab testing diagnose endometriosis?

No, there is no blood, urine, or saliva test for endometriosis. Ongoing research is exploring potential biomarkers, but more study is needed.

Why is there a delay in endometriosis diagnosis?

On average, it takes about 10 years from symptom onset to receive an accurate endometriosis diagnosis. This delay is due to a lack of awareness and knowledge, leading to misdiagnoses and inappropriate treatments. Increasing awareness and supporting research is crucial to addressing this issue.

Why do medical professionals often misdiagnose endometriosis?

Two main reasons: limited education about endometriosis in medical schools and symptoms resembling those of more common conditions.

What are some common misdiagnoses for endometriosis?

Women with endometriosis may be misdiagnosed with IBS, appendicitis, ovarian or colon cancer, pelvic inflammatory disease, fibroids, diverticulitis, ovarian cysts, or even sexually transmitted diseases.

Is it common for women to be told their pain is mental?

Yes, surprisingly, many women are told that their pain is psychological rather than physical. Instead of addressing physical symptoms, some physicians refer them to mental therapists.

Common Myth

Endometriosis is believed to only occur in women who are at least 20 years old.

Contrary to the misconception, endometriosis can develop before a woman has her first period. It’s not limited to those who are 20 years or older.

Some believe that a hysterectomy is a cure for endometriosis.

The fact is, a hysterectomy doesn’t cure endometriosis. Many women who undergo this procedure still experience pain associated with endometriosis.

What are Treatment Options for Endometriosis?

When it comes to treating endometriosis, there are several options, each with its considerations:

1. Minimally Invasive Surgery:

   -Deep Excision: Surgeons remove the entire lesion, including tissue beneath the surface, often done through laparoscopic excision surgery.

   -Cold Excision: Aiming for minimal heat and electricity use during surgery to avoid damage to healthy tissue.

2. Other Surgical Approaches:

   -Ablation and Cauterization:- These methods may not be as effective for deep endometriosis as they only treat surface tissue.

   – Hysterectomy:- Contrary to a common myth, it’s not a guaranteed cure. Decisions should involve an experienced doctor and be patient-specific.

3. Symptom Management:

   – Conventional Medications: Low-dose oral contraceptives, hormonal intra-uterine devices, and painkillers (NSAIDs) can help manage symptoms.

   – Hormone Therapy: Gonadotropin-releasing hormone (GnRH) therapy may be considered.

   – Alternative Approaches: Acupuncture, dietary changes, Homeopathy, Ayurveda, and individualized plans can be explored based on the patient’s response.

Remember, everyone responds differently, and what works for one may not work for another. Each patient must collaborate with their physician to find the most effective pain management strategy. If considering surgery, discussions with the surgeon about the chosen method are essential.

Let’s delve into the homeopathic approach to endometriosis. Homeopathy considers each person unique, and the treatment is tailored to your symptoms and experiences.

In homeopathy, we aim to understand your specific symptoms, the nature of pain, any associated emotional factors, and the impact on your daily life. This detailed understanding helps us prescribe remedies that resonate with your body’s own healing mechanisms.

Now, when it comes to endometriosis, the goal is to not just alleviate the symptoms but to address the root cause. Homeopathic remedies work by stimulating your body’s vital force, encouraging it to restore balance.

Individuals with endometriosis must work closely with their healthcare team to set realistic goals and create a personalized treatment plan tailored to their unique needs and aspirations.

It’s important to note that homeopathy doesn’t operate with a one-size-fits-all mentality. Your treatment plan will be unique to you, considering your overall health and lifestyle. This could involve medicinal remedies, dietary suggestions, and lifestyle modifications.

I understand that you might have questions or concerns, and that’s why we offering a free preliminary consultation to discuss how homeopathy can benefit you specifically. We can explore whether a more acute management approach is necessary or if a combination of medicinal and non-medicinal strategies would be most effective.

Remember, your health is a priority, and finding a comprehensive solution is key. Feel free to reach out for your free preliminary consultation, where we can address any doubts or questions you may have. Your well-being matters, and we are here to support you on your journey to better health.

Tiffin Treasures: Cracking the Code of Lunchtime Barter at My Son’s School

Have you ever wondered about the magical world of lunchtime decisions in a kid’s life? Well, let me take you on a journey through my son’s adorable tiffin trade tales and explore how it dance on the edges of sharing, donation, charity, and business – all in a language that even a 7-year-old would nod along to!

The Tiffin Trade Unveiled:

So, here’s the scoop: my little one, in all his innocent wisdom, a few days back while we were having our dinner, as a ritual to share day experience he said. “Papa do you know today I have traded my tiffin with my friend”…. I was curious to know what trading meant to him (the doctor in me got activated). He said, “Papa, first I look at my friends’ lunch boxes. If I like someone’s lunch, I ask, ‘Can you share a few bites with me, and I’ll share a few bites of mine with you?'”

This made me think. It’s not just about gobbling down his goodies; it’s about the art of the trade he meant to be. He checks out a friend’s lunch, and if something tickles his taste buds, or something looks him interesting, negotiations start. It’s a friendly swap – a few bites of his lunch for a sneak peek into the treasure chest of someone else’s snacks.

Now, let’s embark on an epic journey to unveil the layers of human decision-making, like peeling an onion of mystery. Picture it as a suspenseful adventure, where every layer reveals a new twist in the tale.

Unpacking the Layers of Human Decision-Making:

  • Assessment of Preferences: At the core of every decision lies the assessment of preferences. In the case of the tiffin trade, my son’s decision is influenced by his personal taste and desires.
  • Negotiation and Exchange: The concept of trade inherently involves negotiation and exchange. Similarly, in our daily lives, we negotiate choices, be it in personal relationships, professional endeavors, or even during a simple lunch break.
  • Risk and Reward: Trading tiffins, even on a small scale, introduces the notion of risk and reward. Will the new tiffin be as satisfying as anticipated? Such considerations are omnipresent in decision-making across various contexts.
  • Social Dynamics: The tiffin trade is embedded in social dynamics, highlighting the influence of peers on decision-making. Human choices are often shaped by social norms, expectations, and the desire for social connection.
  • Sensory Experience: Decision-making is not solely a cognitive process; it involves sensory experiences. The appeal of the food in the tiffin goes beyond logical reasoning—it’s about the sensory pleasure derived from the taste, smell, and appearance.

So, after my son shared his lunchtime adventures, I found myself scratching my head, wondering how to explain to him that there are other words like sharing, charity, business, and donation. I wanted him to know that these are also ways of giving things, but with different intentions. It’s like having a little puzzle to solve in my mind, and I need to find a simple way to explain it to him.

This is how, i would like to put forward

1. Trading – The Snack Swap Adventure:

   – Think of the tiffin trade like a mini snack market where bites are like the coolest coins. Everyone gets a taste of what they like, making it a super awesome win-win game of tiny barter!

2. Donation – A Bite of Big-Heartedness

   – Now, imagine if you shared your entire lunch without asking for anything back. That’s like being a lunchtime superhero! It’s like saying, “Here, take a piece of my delicious world, no strings attached.”

3. Sharing – The Friendly Food Fiesta:

   – Sharing is a bit like trading but without all the serious stuff. It’s like throwing a fun food party where you spread happiness and flavors without expecting anything back. It’s your own little buffet of friendship!

4. Charity – Filling Hearts, Not Just Tummies:

   – If you decide to give your lunch to a friend who doesn’t have one, that’s a sprinkle of charity. It’s like being a kindness wizard, looking out for others and adding a sprinkle of goodness to their day.

5. Business – The Smart Exchange Game:

   – Imagine if your lunch swaps were like a clever game, not just about taste but also a bit of strategy. That’s a bit like business – making smart choices and maybe even becoming a negotiation master! It’s like a tasty adventure where everyone goes home happy.


In the giggly world of tiffin trades, there’s a subtle dance between playful exchanges and the profound concepts of sharing, donating charity, and even a sprinkle of business smarts. So, the next time your little one swaps snacks, remember, that it’s not just about the food; it’s a tiny lesson in the art of human connection and the joy of giving and receiving, one bite at a time.

Whether negotiating a lunch exchange or navigating the complexities of adult life, the fundamentals remain remarkably consistent. By delving into the intricacies of our daily decisions, we can uncover valuable insights that enhance our understanding of ourselves and the world around us.

From Clinic Diary- A Heartfelt Encounter -Generational Struggles

Hey there,

I wanted to share something pretty eye-opening that happened in my clinic recently. I met this lovely lady in her 60s who came in complaining about some health issues. At first, she linked it to a hiking trip she had taken, but as we chatted, it became clear there was more to the story.

Turns out, her discomfort wasn’t just about physical strain; it was about the emotional strain from her rocky relationship with her daughter-in-law. We all know in-law tensions aren’t uncommon, but this one hit differently. It revealed the kind of daily battles people face just to keep their families together and happy.

I realized how quick we, the younger generation, are to jump to conclusions without really understanding the struggles of our parents and grandparents. This lady’s story made me pause and think.

As she poured out her feelings, it became apparent that decisions made in the heat of the moment had caused her son a lot of pain. What’s even sadder is that her daughter-in-law had moved out, leaving not only her husband but also her own child behind.

This got me reflecting on how we handle family matters. It’s so easy to let egos and small issues drive a wedge between us. In our fast-paced lives, we sometimes forget to slow down and understand the pain our older generation might be going through.

Few question that let me too ponder was 

1. Values and Lessons from Our Roots:

As I sit here, pondering the first question, it’s hard not to recognize the subtle erosion of values that were once the bedrock of our families. The fast-paced world we live in has a way of blurring the lines between personal ambition and the core principles handed down through generations.

I can’t help but wonder if, in our pursuit of individual goals, we’ve inadvertently set aside the timeless lessons of humility, respect, and resilience that our ancestors held dear. The hustle for success, while important, seems to have overshadowed the importance of community, cooperation, and the simple joy of shared moments. It’s a sobering thought—one that makes me question whether our relentless march forward has caused us to leave behind the very values that could anchor us in times of turbulence.

2. Prioritizing Relationships and Family Bonds:

The second question strikes a nerve, forcing me to confront the uncomfortable reality of our priorities. In a world that glorifies personal success, it’s easy to get swept up in the pursuit of individual achievements. Yet, as I reflect, I can’t shake the feeling that we may be sacrificing something precious on the altar of ambition.

Our relationships, the ties that bind us to our roots, are often the casualties of our relentless drive for personal success. It’s as if we’re racing towards a finish line, oblivious to the fact that the true measure of our lives lies not in solitary victories but in the strength of the connections we build. I sense a growing ache, a quiet pain, as I realize that perhaps we’ve become so accustomed to chasing dreams that we’ve forgotten the profound impact of a simple, shared smile around the family dinner table.

3. The Need for Social Reform in Family Dynamics:

The third question digs even deeper, prompting me to question the very fabric of our familial interactions. It’s not an easy realization, but as I reflect on my own experiences, I can’t help but acknowledge the pressing need for a shift in our approach to family dynamics.

Empathy and understanding, often overshadowed by ego and individual desires, seem like endangered species in our modern family structures. The pain I feel is not just in recognizing this societal trend but in acknowledging my own culpability. Have I, too, unknowingly contributed to a system that places personal needs above the collective well-being of my family?

As I grapple with these questions, I can’t escape the conclusion that a reevaluation of our values, priorities, and the very essence of familial bonds is not just desirable—it’s essential. The ache within grows, urging me to be part of the change, to infuse our family interactions with the empathy and understanding that can heal wounds and fortify the foundation of generations to come.

Life throws us curveballs, doesn’t it? As a family doctor, I’m often amazed by the stories people bring to my clinic.

Sometimes, finding the perfect solution feels like trying to catch a shooting star—it’s just out of reach. And you know what? That’s what makes this job so fascinating.

Every now and then, we feel a bit helpless. It’s a reminder that we’re not superheroes with all the answers. Maybe we’re just seeing one part of a bigger story.

Then there are those stories that hit you right in the feels. The struggles of families, the pain they go through—it becomes our pain too. It’s like this unspoken connection we have with our patients.

In these stories where easy solutions are hard to find, there’s something special. It’s a chance to marvel at how people connect. We’re not just fixing illnesses; we’re navigating the emotional rollercoaster that comes with them.

Life’s stories remind us to look beyond the obvious. Healing isn’t just about medicine; it’s about understanding the feelings that hide beneath the surface.

In the end, these stories teach us that healing isn’t just about prescriptions and diagnoses—it’s about acknowledging the human spirit, understanding the pain, and being there for each other. So, as we navigate this incredible journey called life, let’s marvel at its unpredictability, cherish the connections we make, and strive to be not just healers of bodies but also companions in the intricate dance of emotions. Here’s to the stories that shape us and the healing that goes beyond medicine.

Dr.Shailesh Yadav

Breaking the Silence: The Migraine Struggle Affecting Millions—Time for Women to Speak Out Against Stigma.

Today, I want to address a topic that often lingers in the shadows, affecting the lives of millions—migraines. Specifically, I want to reach out to the incredible women out there who may be silently battling this condition, either ignoring the persistent head pain or attributing it to the hustle and bustle of everyday life.

Migraines are not just another inconvenience to be pushed aside or dismissed. They are a significant struggle, impacting not only your physical well-being but also casting a shadow over your daily activities, relationships, and overall quality of life. It’s time for us to break the silence surrounding migraines and for you, brave women, to speak out against the stigma that often surrounds this condition.

I want to share some insights about migraines—something that affects many, including a significant number of women between the ages of 20 and 50. According to the Migraine Research Foundation, migraines rank as the third most prevalent illness globally.

Did you know that approximately 15% of the global population, which is around 1.2 billion people, experience migraines? It’s quite common, and here’s something interesting: women are three times more likely to have migraines than men.Women with migraines experience a 50 to 60 percent increase in headaches during perimenopause and menopause.

“For those who think a migraine is just another intense headache, here’s something to ponder: In a recent survey, women rated their worst migraine pain as even more severe than childbirth. According to the American Migraine Foundation (AMF), approximately one in four women will experience a migraine attack in their lifetime, and in severe cases, this can happen up to 15 times a month. If you have migraines frequently, it’s termed as chronic migraines, meaning you often experience these intense headaches, as defined by the AMF.”

Now, this higher prevalence among women is connected to your hormonal processes, like menstruation, pregnancy, and menopause. These processes involve hormones, especially estrogen, which can play a big role in how often and how intense migraines can be.

I understand that in the midst of your busy lives, it might be tempting to downplay the pain, to attribute it to stress or simply being too occupied. But here’s the truth—your pain is valid, and it deserves attention. Ignoring it or brushing it off as just another women’s problem perpetuates the silence and adds to the stigma.

Many women skip seeing a doctor for migraines, assuming it’s normal because family members had similar issues. But imagine a young woman enduring months of pain, losing entire days. It’s a real tragedy that needs attention.

Migraines are more than just headaches. They can affect your energy levels, trigger food cravings, and, in severe cases, lead to visual disturbances, nausea, and cognitive difficulties. It’s a complex, often invisible struggle that many endure in solitude, fearing judgment or dismissal.

Migraines not only affect us physically but also have an impact on our social and emotional well-being. Many people, especially women, might think that experiencing these headaches is just ‘normal’ or something ‘expected,’ especially if there’s a family history.

This kind of thinking can lead to a lack of proper treatment or, in some cases, completely ignoring the issue. It’s essential to change this perception and make everyone aware of the importance of seeking medical help. Imagine a teenager who starts having migraines during puberty and continues to struggle with them for years. This kind of prolonged pain could lead to missing out on valuable moments in life.

So, let’s shift the mindset and emphasize the significance of consulting with a medical professional. If you or someone you know is dealing with migraines, remember that it’s okay to seek help. Your well-being matters.

I want you to know that you don’t have to bear this burden alone. It’s crucial to recognize that migraines are not a sign of weakness or a consequence of being too busy. They are a legitimate medical condition that deserves understanding and proper attention.

So, let’s challenge the stigma together. Speak out about your experiences, share your journey, and let’s debunk the myth that migraines are just another women’s problem. By breaking the silence, we pave the way for a more supportive and compassionate understanding of this condition.

If you’re grappling with migraines, I want you to know that you’re not alone. I’m Dr. Shailesh Yadav, and my focus is on helping individuals like you find relief from the challenges that migraines bring. Migraines aren’t just headaches—they can disrupt your daily life with throbbing pain, fatigue, and other unsettling symptoms.

I understand that over-the-counter medications may not always provide the relief you need, especially when migraines come with additional symptoms like flashing lights, blurred vision, or nausea. That’s why I approach migraine treatment with a personalized touch, recognizing that one-size-fits-all solutions won’t suffice.

Migraines can be connected to other health issues, so it’s crucial to undergo a proper assessment. I’ll work to rule out conditions that mimic migraines, ensuring you receive the right diagnosis. Triggers such as weather changes, lack of sleep, or specific foods can play a role, and I’ll guide you on managing them effectively.

The positive news is that you don’t have to let migraines dictate your life. I’m here to recommend personalized lifestyle changes, dietary adjustments, and even homeopathic medications tailored just for you. While it may take some time, finding the right solution can lead to more pain-free days.

Remember, your experience with migraines is unique, and seeking help from a specialist like me can genuinely make a difference. Please don’t hesitate to reach out and take the first step towards a life with fewer migraines.

Remember, your voice matters, your pain is real, and it’s time to break free from the shadows of silence.

Wishing you strength and empowerment,

Dr. Shailesh Yadav 

Rediscover Intimacy: Understanding and Healing Erectile Dysfunction with Homeopathy

I understand that addressing such matters can be challenging, but consider this a friendly conversation between us. I’m Dr. Shailesh, and I want to assure you that you’re not alone on this journey.

We’re diving into a topic that affects many men but is often hushed in everyday conversations: Erectile Dysfunction (ED). Imagine this – you’re ready to enjoy a moment of intimacy, but your body isn’t on the same page. It can be frustrating and disheartening, but fear not! We’re here to shed light on this common issue and explore how, with homeopathic expertise, can guide you towards a more fulfilling and confident life

Understanding Erectile Dysfunction:

Erectile Dysfunction, often referred to as ED, is more than just trouble in the bedroom. It’s like having a conversation with your body that’s lost its rhythm. The inability to achieve or maintain an erection can be a result of various factors, and it’s more common than you might think. It’s not just about aging; ED can knock on the door at any stage of life.

Everyday Examples:

Let’s make this relatable. Imagine you’ve had a stressful day at work, deadlines looming over you like dark clouds. When you finally get a moment for intimacy, your mind is still racing with stress. This mental block can translate into physical challenges, affecting your ability to perform.

Now, picture this: you’ve been indulging in a bit too much alcohol lately. Your body, trying to tell you something, might respond with difficulty in achieving or maintaining an erection. It’s like a gentle nudge to reconsider your lifestyle choices.

Several factors can contribute to erectile dysfunction, and they can be categorized into physical and psychological causes. Physical causes may include:

1.Vascular issues: Problems with blood flow to the penis, such as atherosclerosis (hardening of the arteries), can restrict blood flow and lead to erectile dysfunction.

2. Neurological disorders: Conditions such as multiple sclerosis, Parkinson’s disease, and injuries to the spinal cord or pelvic area can affect nerve signals related to erections.

3.Hormonal imbalances: Conditions such as low testosterone levels can contribute to erectile dysfunction.

4. Medications: Some medications, particularly those for hypertension, depression, or prostate conditions, may have side effects that impact erectile function.

5. Lifestyle factors: Smoking, excessive alcohol consumption, obesity, and lack of physical activity can contribute to ED.

Psychological causes of erectile dysfunction may include:

1. Stress and anxiety: High levels of stress and anxiety can interfere with the normal functioning of the sexual response cycle.

2. Depression: Feelings of sadness or hopelessness can affect libido and sexual function.

3. Relationship issues: Difficulties in a relationship or communication problems can contribute to ED.

4. Performance anxiety: Worrying about sexual performance or fear of not satisfying a partner can lead to erectile dysfunction.

Patients with erectile dysfunction often have a range of questions and concerns when discussing their condition with healthcare professionals.  

1. What Causes Erectile Dysfunction?

   Patients often want to understand the underlying factors contributing to their condition, whether it’s related to physical health, psychological factors, or a combination of both.

2. Is My Lifestyle Affecting My Erection?

   Many patients inquire about the role of lifestyle choices, such as diet, exercise, smoking, and alcohol consumption, in contributing to erectile dysfunction.

3. Could Medications Be the Culprit?

  Patients may ask about the potential impact of their current medications on erectile function. Some medications, including those for hypertension or depression, can have side effects related to sexual function.

4. How Common Is Erectile Dysfunction?

   Patients often seek reassurance about the prevalence of erectile dysfunction and whether it’s a common issue among men of their age.

5. Can Stress and Anxiety Cause Erectile Dysfunction?

  Understanding the connection between mental health, stress, anxiety, and erectile dysfunction is a common concern. Patients may want to explore the psychological aspects of their condition.

6. What Tests Are Needed to Diagnose the Problem?

  Patients might ask about diagnostic procedures and tests to identify the root cause of their erectile dysfunction. This may include blood tests, imaging, or other examinations.

7.What Treatment Options Are Available?

   Patients often want to know about available treatment options, including medications, lifestyle changes, and therapeutic approaches. They may also inquire about potential side effects of treatments.

Homeopathy: Your Natural Solution:

Enter homeopathy, my area of expertise. Homeopathic remedies, derived from natural sources, are like personalized whispers to your body, urging it to find balance. Whether your ED is rooted in physical or psychological causes, homeopathy addresses both aspects by considering your unique constitution.

Let me share a real-life example. Consider someone experiencing stress at work and feeling the weight of responsibilities. This stress, if left unattended, can manifest in the form of ED. Homeopathy, by understanding the individual’s mental and physical state, can provide remedies that work on both the stress and its impact on intimacy.

The Healing Process:

In homeopathy, we don’t just treat symptoms; we look at the whole picture – your personality, behaviors, fears, and responses to life. It’s a holistic journey toward rediscovering not just physical vitality but emotional well-being too.


So, dear reader, if ED has been knocking on your door, don’t let it linger. Consider homeopathy as your ally in this journey towards rediscovering intimacy. Imagine a life where you’re not just addressing the symptoms but achieving a wholesome balance. Consult with me, Dr. Shailesh, and let’s embark on this path together. Your well-being is my priority.

Here’s to a vibrant and fulfilling intimate life!

Understanding:-Fibroadenomas and Their Homeopathic Management

Fibroadenomas, benign breast tumors composed of glandular and connective tissues, are a common concern for women, particularly in their 20s and 30s. While generally non-cancerous, these tumors can cause discomfort. Understanding their causes, types, and symptoms is crucial for effective management. Additionally, exploring homeopathic approaches provides an alternative perspective on treating fibroadenomas.

Types of Fibroadenomas:

There are four main types of fibroadenomas: simple, complex, juvenile, and giant. These tumors develop from glandular tissues and ducts in the breast, often characterized by their mobility, leading to their colloquial term “breast mice.”

Causes and Risk Factors:

Hormones, especially estrogen, may contribute to the development of fibroadenomas. Factors such as oral contraceptive use before the age of 20, family history, and obesity can increase the risk. The exact cause remains unknown, but these tumors are more prevalent during reproductive years and may change in size with hormonal fluctuations.

Microscopic Pathology:

Microscopic examination reveals uniformly distributed sheets of epithelial cells, a hypovascular stroma, and characteristic growth patterns. Differentiating between pericanalicular and intracanalicular growth patterns aids in the diagnosis of fibroadenomas.

Signs and Symptoms:

Fibroadenomas typically manifest as painless, firm, and mobile breast lumps with distinct borders. While usually benign, the risk of developing malignant breast cancer may increase for individuals with complex fibroadenomas.

Differential Diagnosis:

Distinguishing fibroadenomas from breast carcinoma, phyllodes tumors, breast lymphoma, and metastases requires careful consideration. Diagnostic tools such as clinical examination, ultrasonography, mammography, and biopsy play a crucial role in accurate identification.

Why Choose Homeopathy?

Homeopathy, a system of medicine that addresses not just symptoms but the root causes of ailments, can offer a unique perspective in managing fibroadenomas. Dr. Shailesh and Dr. Rajeshwari, with their wealth of experience, bring a compassionate and thorough understanding to their practice, ensuring each patient receives personalized care.

Tailored Treatment Plans:

Understanding the emotional and physical aspects of your health journey, Dr. Shailesh and Dr. Rajeshwari craft individualized treatment plans. Their approach goes beyond the surface, considering factors such as stress, family history, and overall well-being. By choosing their expertise, you embark on a journey toward comprehensive healing.

A Holistic Approach:

Homeopathy recognizes the interconnectedness of physical and emotional health. By seeking an appointment with Dr. Shailesh and Dr. Rajeshwari, you open the door to a comprehensive healing journey, acknowledging the impact of stress and emotional well-being on fibroadenoma development.

Why Dr. Shailesh & Dr. Rajeshwari?

These distinguished homeopathic doctors bring a wealth of experience and a track record of successful fibroadenoma management. Their commitment to patient-centric care, combined with a deep understanding of homeopathic principles, makes them the ideal choice for those seeking a holistic approach to health.

Take the First Step:

Don’t let fibroadenomas disrupt your well-being. Take the first step towards holistic healing by scheduling an appointment with Dr. Shailesh and Dr. Rajeshwari. Your journey to optimal health begins with a consultation that prioritizes you as a whole person, not just your symptoms. Trust in the expertise that these renowned homeopathic doctors bring to fibroadenoma management. Your path to well-being starts here.

Get Your Free Preliminary Consultation With Dr.Shailesh or Dr.Rajeshwari, to see how we can help you

Click Here to avail for free consultation


Homeopathic management offers a holistic approach to treating fibroadenomas, addressing the patient’s overall well-being. While surgical intervention may be necessary in certain cases, homeopathy can be a valuable complementary option, especially for cases with a BI-RADS-2 score. For patients with specific characteristics, such as immobile masses or inconclusive biopsies, surgical excision may be recommended. Cases of post surgical recurrence can also be treated effectively with Homeopathic medicines. Understanding fibroadenomas and their management options empowers individuals to make informed decisions about their health.

Understanding Varicose Veins and What to Do About Them

Do You Have?

  • Notice giant blue creepers climbing on your leg & feet .. known as varicose vein
  • Prominently dilated veins that are clearly visible superficially
  • Notice myriad of symptoms ranging from dragging or heavy sensation in legs to skin pigmentation to multiple nonhealing ulcers

So What Next?

  • Do all varicose vein need tretament ?
  • Should all visibly dilated veins be treated?
  • What happens if you don’t get your veins treated immediately?
  • Is it life-threatening?
  • When should you take the pain to consult a Doctor?

So lets us now understand first, what is the classical definition of varicose 

What are varicose veins?

Varicose veins are large, ropy veins that often appear on the lower leg. For some people, varicose veins are a non-issue; they simply cover them up with long pants and dark tights or flash them with style. For others, however, they can be a source of embarrassment and even shame. This is due in large part to the fact that these veins are associated with age and are considered unattractive.

Varicose veins can also be painful, causing swelling and throbbing in the legs as well as itching.

What are the symptoms?

  • Bulging, bluish vein or veins
  • Swelling in the legs
  • Aching pain in the legs
  • A feeling of heaviness in the legs and feet
  • Itching around the vein or veins
  • Skin color changes around the vein or veins
  • Nighttime leg cramps

How are varicose veins caused?

Varicose veins are usually caused by poor circulation in the lower leg. Instead of flowing smoothly, the blood pools in the leg causing the veins to swell. When this happens to the veins just under the skin’s surface, they develop the prominent, ropy appearance common to varicose veins.

There are several reasons why your circulation could be obstructed including:

  • Standing or sitting for long periods
  • Damage to the veins
  • Heredity
  • Usually occur in older individuals. This is due in large part because the veins have lost elasticity which makes it difficult for the vein to return to its normal size.
  • Pregnancy is another factor. When a woman is pregnant the blood that normally flows into the legs and feet and then back up to the heart, is rerouted to the growing fetus. And as the pregnancy goes on and the baby gets bigger, more blood is diverted.
  • Obesity,  Much like pregnancy a person who is overweight has blood that is diverted to other areas, typically areas that are fatty. Fat cells require more blood than muscle for sustainability, and as the veins work harder because they are transferring more blood, they wear out faster and lose their elasticity.

Learning more about the cause of your varicose veins can go a long way toward helping you cope, and finding the right solution.

Diagnosing Varicose Veins

  • A physician can usually diagnose varicose veins by looking at them and asking questions. 
  • Ultrasound of the lower limbs is recommended to check and locate any damaged valves. 
  • Other investigations include Color Duplex Ultrasound scan and Venograms (X-rays of the area taken after injecting a special dye).

Do all varicose vein need tretament ?

If a person has no symptoms or discomfort and does not mind the sight of the varicose veins, treatment might not be necessary.

When should you take the pain to consult a Doctor?

  • Leg pain – Pain due to varicose veins is typically an aching type, commonly starts during the evening and aggravates at night while lying down in bed. It is typically seen in professions that mandate standing for a long time eg: Teachers, Bus conductors, Police constables, etc.
  • Skin Discoloration –  Varicose veins result in the impaired return of blood to the heart causing stagnation and pooling of blood in the lower aspect of the leg. As a result, Hemosiderin or Iron that is present in the blood stains your skin resulting in skin discoloration. It is advisable to consult your doctor and get your veins treated during the initial stage.
  • Itching – Blood, Hemosiderin, and Fluid leak into the tissues due to varicose veins causing an inflammatory response that includes scaling and intense itching. The trauma produced by the scratching is of great concern because it can result in excoriation, secondary infection, and large non-healing ulcers.
  • Ulcers – Ulcers in varicose veins can be due to repeated itching resulting in skin trauma or spontaneous. These ulcers are large, painless, and typically present around the ankle. Hence unless you get your veins treated it is less likely to heal.

Complications in varicose vein  

  • Phlebitis (inflammation)  
  • Blood clots (actually in very rare complications)  
  • Varicose eczema  
  • Bleeding and venous ulcers 
  •  Deep vein thrombosis

The conventional treatment for varicose veins usually involves techniques like 

  • Sclerotherapy –  involves injecting a liquid or foam through a chemical injection to redirect the blood to a healthier vein
  • Laser surgery – employs the use of light energy to block off a vein
  • Micro sclerotherapy – similar to sclerotherapy
  • Endoscopic vein surgery – uses a small scope with a light that is inserted into the vein through a small incision to block it off.
  • Endovenous ablation therapy – uses radiofrequency waves and heat to block off a vein.

These treatments tend to have some very common side effects that include nerve damage, deep vein thrombosis, wound complications like skin infections, blood clots, vascular injuries, scarring, and staining of the skin.

Also, despite an invasive surgery, the chances of recurrence of the problem are common. Homeopathy has an excellent scope for treating varicose veins.

Scope of Homeopathy in Varicose Vein

The symptoms like pain, cramping, tiredness, and a sensation of heaviness in the legs are well-managed with homeopathy medicines. Homeopathy for varicose veins works at strengthening the valves of veins in the legs, reducing blood engorgement, and aiding in the symptomatic management of the varicose veins. 

Managing Varicose Veins

  • Regular exercise can help increase the blood flow throughout the body and also reduce inflammation.
  • Exercises, like calf raises, side lunges, and leg lifts help stretch and strengthen the veins around the legs
  • Low-impact activities like bicycling, walking, and swimming also help alleviate pressure from the veins in the legs.
  • Sitting and standing for long hours should be avoided, and gentle stretches and exercises should be incorporated into everyday life to keep the circulation up.
  • Avoid wearing high heels for long durations.
  • compression stockings squeeze the leg muscles and help them move the blood efficiently.

Research paper on Efficacy of Homeopathy in varicose vein

What Is Gout – Causes, Symptoms, and Treatment

Gout, also known as “gouty arthritis”, is a painful form of arthritis caused by excessive uric acid in the body. 

Once one patient visited me with complaints of pain in his big toe. he said his toes were red, painful and so swollen he could not dare put shoes on. he said as soon as his feet touch the floor he was screaming in pain.

I can verify that gout is a very painful disease. This is also not the first time I have seen him in pain.

With the fast-moving world, and continuous improvement of living standards, people have more and more choices in diet, desserts, fried chicken, barbecue, etc. are all popular foods. But what many people don’t know is that these foods are high-purine foods. Long-term excessive intake is likely to cause us to experience elevated uric acid levels. If the uric acid level is high, the risk of gout will also increase.

The increase of uric acid in the body will not only cause the appearance of gout but also affect the blood vessels and kidneys to different degrees. In severe cases, it will even damage the normal metabolism of blood sugar in the body and cause the occurrence of diabetes symptoms.

It is a common form of inflammatory arthritis that attacks more males than females, due to higher levels of uric acid in the blood. Unfortunately, after menopause, women develop an increase in uric acid and are more likely to develop gout.

Younger people can also develop the disease and when they do they are at a higher risk of developing blood clots. The deposition of urate crystals in the blood is implicated in the formation of clots.

During the regular Blood investigation, you will find that there is a column of uric acid value in Blood investigation. When the value for men exceeds 7 and the value for women exceeds 6, it means that uric acid is high. And now one out of ten people has high uric acid, so high uric acid has become the fourth highest after hypertension, hyperlipidemia, and hyperglycemia.

Causes Of Gout

Diet: Foods rich in purines such as cooked or processed food from animal and seafood origin are a key element of increasing uric acid precursors. They are:

  • Red meat
  • Fish
  • Alcohol 

Endogenous urate production: Turnover of urate crystals increases in the following conditions:

  • Chronic hemolytic anemia
  • Haemoglobinopathies
  • Secondary polycythemia
  • Thalassemia
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency,
  • Lesch-Nyhan syndrome
  • Malignancies (cancer)
  • Lead poisoning

Drugs: Some drugs are linked with the overproduction of uric acid. These include:

  • Diuretics
  • Low dose salicylates
  • Pyrazinamide
  • Ethambutol
  • Cytotoxics

Decreased excretion of uric acid

Most urate excretion occurs in the kidneys while the rest is excreted through the gastrointestinal tract (GIT). Reduced renal excretion is seen in the following:

  • Hypertension
  • Hypothyroidism
  • Sickle cell anemia
  • Hyperparathyroidism
  • Chronic renal disease

What are some symptoms of gout?

  • People complain of sudden “flares” or attacks of severe pain, most often in the area of the big toe, ankle, or knee.
  • Sometimes the joint becomes red and swollen. 
  • Only one joint is generally affected at any given time, though some people can present with pain in multiple joints simultaneously.
  • Gout flares tend to happen more often during the night.
  • The pain from gout can be extreme. The pain and swelling are worst at the beginning of a gout flare. The symptoms then get better within a few days to weeks. It is not clear how the body “turns off” a gout flare.

Is there a test for gout?

Yes. To be tested, a sample of fluid from the affected joint is taken. If typical gout crystals are in the fluid, then you are diagnosed with gout. A simple blood test can also confirm the presence of gout.

Conventional Medicines used for Gout

  • NSAIDs — Non-Steroidal Anti-Inflammatory Drugs — This group of medicines are anti-inflammatory medicines but do not contain steroids.NSAIDs may not be safe for those with kidney or liver disease or bleeding problems.
  • Colchicine — This medicine helps with gout but it can also cause diarrhea, nausea, vomiting, and stomach pain.
  • Steroids — are by nature anti-inflammatory but long-term use can have unpleasant side effects, like weight gain, increasing blood glucose, etc. They reduce swelling and pain

Homeopathic Treatment  for Gout 

  • Homeopathic management has adequate potential in not only alleviating the serum uric acid in gout but also a significant role in improving the well-being, activity, and quality of life of patients with gout, without any adverse effects
  • With homeopathic treatment, the relapse of complaints is very minimal.
  • Homeopathic medicine work by reducing uric acid overproduction by the body and accelerating the removal of this waste product through the kidneys.

Foods you should avoid in gout 

  • Red meats, beef.
  • Seafood and shellfish.
  • Alcohol including wine.
  • Beans and peas.
  • Few vegetables, eg: spinach, asparagus, mushrooms

Other ways to prevent gout flares

  1. Losing weight.
  2. Be mindful of foods that contain uric acid.
  3. Avoid alcohol and sugars.
  4. Keep hydrated.

Gout is an inflammatory arthritic disease. It is chronic in nature and requires stringent management to be at your optimum.

There are several proven ways you can manage your disease. Follow the advice of your medical provider and avoid “gout-triggering” foods.

While some home remedies help to relieve gout pain. Do not rely solely on this if you are experiencing continued pain, the longer you wait the longer it will take for your symptoms to get better.

Research article on the efficacy of homeopathy treatment for gout