Many disease in teenage. Problems!

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Zeigler hold so that perineum  becomes strong so as bladder  three times a day,  need lot of patience.  To be done regularly  without a miss 3 to 5 min a session.  CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST FOR CHRONIC  FISSURE  IS THE KEY ELEMENT  AS IT IS  RELATED  TO EATING HABIT.  LEAST SPICY DIET.  TREATMENT TAB OZ TWO TIMES A DAY AFTER FOOD FOR FIVE DAYS. ANOVATE OINTMENT BY INDEX FINGER TO APPLY LOCALLY  FIRST ON BUTHOLE THAN GENTLY PUSH INSIDE THE ANUS ROTATE THE FINGER TO COVER ANAL MUCOSA COMPLETELY WITH OINTMENT  BEFORE N AFTER DEFICATION  TWO TIMES FOR THREE WEEKS  FOR COMPLETE  HEALING.  ITS RECURRENT  WHEN EVER YOU  DO MISTAKES  IN EATING  IT GIVES U ALARMING SYMPTOMS.  SO START APPLY  OINTMENT  N FOOD  TO BE CHANGE. CITRALKA SYR 15 ML WITH HALF GLASS OF WATER THREE TIMES AFTER FOOD FOR 7TO 10 DAYS.

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Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. You are experiencing three different problems • Chronic fissure • Sneezing or allergic symptoms at home • Excess urination with reduced urge to pass urine Even though they seem unrelated, each one has a clear cause and proper treatment. Advices 1 Drink enough water through the day but avoid excess intake at night as it worsens urinary frequency. 2 Avoid spicy and oily foods because they worsen fissure pain. 3 Keep your home dust free and use a mask while cleaning to reduce sneezing. What to Monitor 1 Bleeding or severe pain during passing stool. 2 Burning in urine or foul smell. 3 Sneezing that increases in morning or night. Management Chronic Fissure This happens due to passing hard stool or constipation. You need • A stool softener • High fibre diet • Warm water sitz bath twice daily • An ointment to relax the anal muscle and help healing Without these steps fissure will keep recurring. Sneezing Problem This is likely allergic rhinitis triggered by dust, pollen or mites in the house. You may need • A non drowsy anti allergic tablet • Saline nasal wash • Checking for dust, old curtains, bedding etc. Excess Urination and Low Urge In teenagers this can happen due to • Overactive bladder • Anxiety • Excess water intake • Mild infection • Urination habit disturbance You may need a urine test to rule out infection. If tests are normal, a bladder training plan and mild medicine help improve the urge sensation. Each of these problems needs a different treatment plan, and all three can be completely cured with the correct approach. After knowing your stool pattern, home environment and urine frequency, I can guide you with exact medicines and duration. When to Consult a Doctor Immediately 1 Severe bleeding in stool 2 Burning urination with fever 3 Sudden inability to pass urine at all Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to discuss each symptom in detail along with your routine and medical history. You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive 1 A personalised treatment plan 2 Safe medicine adjustments if required 3 Quick follow ups to track your recovery Take care, wishing you good health. Dr Romain Rajan General Physician