#which exercise is best for fissure
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lasertreatmentindia · 2 years ago
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Something You should Know about Recurrent Anal Fissures : Laser 360 Clinic
The use of laser treatment for fissures has significantly increased as a speedier method of healing. The procedure is without difficulties. Read More >>
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Would love to learn more about each of the bullet points, but if I had to pick just one, the pantheon around the world sounds interesting
You can send in as many as you like, I will absolutely answer them all. It's one of the reasons I set up the Tumblr blog for my fics, asks like this help me do character voice and worldbuilding and it's good for warmups & breaks from the main writing itself. Very "so y'all found the one NPC I forgot to name" kind of GM exercise. I did it for my book series and I got more worldbuilding done that way than I had in ages, so genuinely, there's not an upper limit to these, I might just have to put them in queue.
That said, I'm going to hand this over to the princess and Marela, I think they'll have the most insight on this topic.
The Pantheon Around the World w/ Princess Zelda & Marela
Zelda: "That is an entire field of discussion. It would take books to cover the full breadth of theological differences across the world. I can give you a summary to the best of my ability, but some topics do require further reading to explore.
"There are some matters of religion that are easy to define in our world. For instance, we have definitive proof of the Golden Goddesses; Din, Nayru, & Farore, along with a handful of other divine beings, like Hylia. But different cultures will value these divines, well, differently. While they all generally share worship for the main Three, and with secondary worship to Hylia for Her connection with the legends and the cycle, it can manifest uniquely based on a culture's primary relation with divinity.
"Take Hyrule for example. Due to our proximity to the Sacred Door, our kingdom has been central to the cycle and the legends as the source of magic evil has always sought out. For this reason, as well as for Her sacrifices, worship for Hylia is more prevalent that in other nations. Many Hyruleans take Hylia's story, of being mortal and of achieving ascension through the forging of the Master Sword and the imprisoning of Demise, as an act of inspiration, of Hope. Now, more recent study would suggest Hylia was already incredibly powerful, of at least two Sage lineages before Her ascension, but Her story still proves primary in Hyrulean faith. That isn't to say that the Golden Trio aren't still highly revered, but many in Hyrule find Hylia to be more..."
Marela: "Personable? Relatable? Achievable?"
Zelda: "Perhaps not the last one, but yes. In that vein. Hylia was the most like us, Her story is the one also most intertwined with our culture, so entangled with the legends as it is. But it's certainly not the only one. And other countries will favor other Goddesses. Unsurprisingly, Rahaal sees Din as a primary inspiration, as does Teromac. Farona chiefly holds Farore in worship."
Marela: "And Naydrana and Kohno hold Nayru in higher esteem!"
Zelda: "Precisely. Then there's Lyberic, which holds the Goddesses in equal value. And Holan, whose current theological debates have put the eight Sages of the Convergence in higher value. For similar reasons that Hylia is favored here, current leading Holanii ideology views the Sages as the most achievable, and thus the mantle most worthy of respect and reverence."
Marela: "It's hard to imagine not having the Goddesses so central to worship. Particularly living here. I know it's true. My family visited the coves in Kohno once. Seeing Din's underwater was a surprise! The lava fissure certainly sold it, if the fire coral hadn't."
Zelda: "Every culture has different centered fixtures in their worship with the Goddesses, none more correct than the others. Like our connection to the Sacred Door."
Marela: "You've been to the other great temples, Zelda. I think you could give some examples."
Zelda: "I have. The closest to us would be the Arborage, the temple within the boughs of the Great Maru Tree in Farona's capital, Pabatta."
Marela: "Great Maru Tree? Like the Great Deku Tree?"
Zelda: "Older even. As old as the Creation, so the stories say. She is an infinitely wise being. And not the only one in the nation. At each of the Goddesses' glades in Farona, one of her daughters has grown. Pilgrimage to them is of both religious significance and part of the ceremony for becoming ruler of the country. Unsurprisingly, Farore holds significant sway. Though I've been to the Endless Ember, it's definitely connected with Din."
Marela: "What about our other friendliest neighbor, Rahaal?"
Zelda: "In Rahaal, the high influence of Gerudo cultures does hold Din in the highest esteem. The Temple of Radiant Fire is said to contain the flames that were used to forge the Master Sword, though the sanctum where they would be held has long been sealed. But in Rahaal, theology and science are opposite sides of the same coin. There are universities built around each of the Goddesses's forges, the University of Arcanum & the Metaphysical for Nayru, the University of Practical & Material Sciences for Din, and the University of the Natural Order for Farore, divided across the nation. Only the University of the Forum is separate, and that's because the Temple of Radiant Fire is so sacred."
Marela: "There are different titles, I've noticed as well. Here in Hyrule we call spiritual leaders priestesses. But in Kohno, they were called anchorites or by a familial title."
Zelda: "It does vary widely. In Naydrana, they call their spiritual leaders mystics, in Farona attendants, and in Holan ministers. Like I said, it would take books to truly delve into this topic, and how widely is varies. I'm afraid I only have so much time to give to this answer, as interesting as its discussion might be. We haven't even had time to discuss the Dreeka and their Goddess, there is truly so much more to explore."
Marela: "I would look forward to continuing this discussion in the future though! Perhaps when we've had more time to travel. And after this little plan of yours in Hylia's temple-"
Zelda: "I think we're getting ahead of ourselves there, Marela. Somethings are better left unsaid, I think."
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Mark of a Hero (Updates on Tuesdays & Fridays, 1 of 9)
Hyrule is at peace, or so the Royal Family would have its people believe. Something is afoot in the kingdom, and someone needs to do something about it. Least likely would be Marksmen Link Sayre- a mercenary and monster hunter doing his best to get by. Until a job goes wrong, and he gets roped into the secret plans of Hyrule's princess. Now Link must play the part of the Hero to dive deeper into the mystery, and maybe stumble into a legend of his own.
AO3 - Wattpad
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apuckishwit · 2 years ago
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Platonic Max and Eddie: “want me to stay?”
(Only if you’re still accepting prompts, of course! ❤️)
“Want me to stay?”
The offer is made quietly. Softly. Barely a whisper that nonetheless carries across the width of the downstairs guestroom in the Harrington house. She still insists on calling it a guestroom, even though it’s hers now for all intents and purposes. It’s been her room for months, but she’s still not quite ready to admit that. Not quite ready to admit that her mother isn’t going to be coming back for her—to take her back to the rebuilt trailer park, or another apartment, or even out of Hawkins altogether. No one can find Susan Mayfield and Max isn’t sure if her mother is one of the many victims of the fissures that had ripped through Hawkins last year or if she sought shelter somewhere else and just doesn’t know that Max survived or if she did know and just chose to leave anyway. Start somewhere new.
Max doesn’t know which option to hope for.
So she calls her room at Steve’s place the guestroom and Steve lets her, nodding along even as he uses the credit card his parents have never stopped payments on even though he’s supposed to be cut off to buy her furniture she likes and clothes she can maneuver into and out of easily on bad pain days and any color of paint she wants for the walls.
She shifts now on the bed, letting the big, fluffy comforter that El helped her pick out fall from her shoulders, and clicks the light on the bedside table. Eddie is lounging in her—the—doorway, hair a wild nest of tangles, dressed in flannel pants and a Hawkins High basketball team shirt that she knows will say Harrington on the back.
“Heard, uh, heard you yelling,” Eddie says sheepishly, rubbing the back of his neck.
“You’d sleep through an air raid,” she mutters, sharp and short, but Eddie just shrugs.
“Steve heard you yelling and woke me up,” he amends.
Neither of them have outright said anything, but they all know Eddie spends more nights here than anyone else except Max herself, and those nights are most certainly not spent in one of the other guestrooms.
And here is the thing.
On her good days—days when her limbs don’t ache quite as much, when she feels like she can walk for a while, when her head isn’t aching and her now shitty, shitty vision isn’t blurring worse—she wants Lucas and El. Dustin. Will and Mike, and now Nancy and Robin. She wants her friends (and more in the case of Lucas), wants to go out into Hawkins…to the newly-rebuilt arcade, or to one of the restaurants that are slowly coming back. She wants to claw back any bit of normalcy she can. She wants to smile and laugh with El, and hold Lucas’s hand and let him play with her hair and kiss her like she’s something beautiful and precious when the others are distracted.
On physical therapy days, or days where she knows she has to do her exercises or she’s going to regret it later, she wants Steve. She wants his firm, sure grip on her hands or shoulders, wants his steady presence at her back, wants the way he never coddles her, but also never, ever lets her fall. She wants the way he knows when she can push her muscles and when she really does need to slow down and take a break and the way he lets her rage and snarl and snap at him and just takes it in stride, bitching right back to her the way some of the others still seem afraid to do.
In the night, though…when the dreams won’t let her rest, when every shadow seems to be too dark, too menacing, when she swears she hears a growling, evil voice just underneath the wind, she wants Eddie.
El and Will are the ones who understand what Vecna and the Upside Down did to her best. But Eddie understands it all. The horror of being used by Vecna to hurt their friends. The terror of thinking they would never find a way out, that they’d be trapped and forgotten in that hellscape forever. But Eddie also understands that sometimes her dreams aren’t of Vecna at all. That some monsters can grow in the human world—no horrific government agencies, or interdimensional hell beings needed. Eddie understands all the ways a hard life can break you down, all the ways that people who are supposed to love you and care for you can let you down hard. And he understands all the sharp bits she had to develop to protect herself, is never cut by them the way the others are sometimes, because he had to develop them himself once upon a time, had to keep some of them even after he came to live with his uncle.
Max knows her friends all love her. Accept her. Will never leave her.
But Eddie gets her.
She doesn’t answer his question verbally, but gives a slow nod. Eddie just grins, scrambling into the room and immediately grabbing the overstuffed armchair in the corner and dragging it over to sit by the bed. He flops into it dramatically, and kicks his legs up onto the foot of the bed.
“So, fair maiden, shall I find something to read, shall we discuss the truly hilarious display that was Mike Wheeler trying to convince Hopper that those condoms that fell out of his backpack weren’t his—spoiler alert, they weren’t, teach that little shit to try and peek at my DM notes—”
“I knew it was you!” Max laughs, the tension already draining from her shoulders. She sits back against the headboard, tucking her comforter around her more securely. Sleep probably won’t be coming for a while, but the shadows aren’t as deep and Eddie’s voice drowns out the wind and though Steve never intrudes on their little bubble, she knows eventually the scent of hot chocolate is going to drift in from the kitchen.
Maybe tomorrow will be a good day.
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silcodependent · 2 years ago
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Sway Chapter 6
Silco x Fem!Reader 4.2K Words
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The building Remy had procured for your lodging was located in what he referred to as “The Promenade”, which was a fancy way of saying that you were in the best part of the worst part of town. Living on the Promenade afforded you many luxuries unavailable to some in the Undercity. One you were particularly fond of was hot water. There was nothing like a long hot shower to start the day or to relieve your muscles after a strenuous rehearsal, something that most people in fissures would never know the simple joy of. But this morning, luxuries be damned, you were draining the entire Undercity of every drop of cold water you could physically stand. 
The chill of the cold tiles pressed to your hands complemented the frigid water running down your back, your neck, your face serving as the perfect punishment and distraction from the evening before. 
You couldn’t help your dreams. You knew that but…
Somehow, this felt more dangerous. Less like a dream and more like a fantasy.
You shook that thought from your mind sending water splattering onto the walls of your shower. Absolutely not. And you were determined to stay in the shower until you had washed away all traces of him. 
His velvet voice. His captivating eyes. That cocky calculated attitude. The brush of those long elegant fingers on your skin that left you wanting more.
No. None of that. It was a stupid dream and now it was up to you to put as much distance from you and last night as possible. It was up to you to regain your composure. To regain control. 
But truthfully, that wasn’t going as well as you would like. You had endured the icy water of this shower for over 20 minutes now and it had done nothing but make you long for his hands to warm you. It was time to change strategy. 
Temperature change, intense physical exercise, and paced breathing and muscle relaxation were a foolproof way to save yourself from distressing thoughts and this stubborn infatuation had you pulling every tool from your tool box as you loaded up your dance bag and made your way to check the second step off your list. It was rare you ever needed step two but Silco was proving a frustrating exception to most of your rules after only your second encounter.
Usually, you went to the club to dance, either working on your routines or simply enjoying the art of moving your body but today required much more than the usual. That is what led you to the door of the towering gutted out structure that was the abandoned Piltover Opera House.
You had spent many a night staring at it from your balcony while taking in the view of the promenade before the bridge, set against the bright lights of the city of progress. Every city had the haves and the have-nots, you knew that better than most, but Piltover was different. A divide this great screamed for revolution as any historian would caution. 
Perhaps the scream had already come, you thought to yourself as you stepped over rubble and bits of the ceiling that collapsed into aisles of theatre. It would explain why so much of the promenade was left to rot by those of the undercity and the elite of the other side of the bridge. 
You had certainly missed the prime of this theatre. What was left of the white marble in the lobby was hardly discernible from what appeared to be layers of soot and grime sealed by time. This whole place felt like it had been sealed by time, like it had seen some horrible act of violence and was left to stew its abandonment and destruction for years. Until today. There was a stillness in the air that made you feel like you were the only person to discover this forgotten treasure. Although you knew that couldn’t be true this place spoke to you nonetheless.
The stage had seen better days as well. It was certainly weathered by time and neglect but still structurally sound. It would do.
As you leaned upon a forlorn chair dragged from backstage as your makeshift bar, you could hardly believe that this could be the place you visited with your parents all those years ago. You had sat in one of the private boxes in the mezzanine and watched the audience fall in love with your father's romantic tenor and your mother’s captivating arias. This place had seemed like a palace then with its enormous crystal chandeliers and elaborate gold trim. Now it was a mere shell of its regal countenance, all traces of its former grandeur conspicuously absent, which in itself told another story. 
This morning’s cold shower certainly didn’t help your muscles warm up any faster but by the end of your barre work you had worked up a little sweat. That’s one of the things you loved about dance, especially ballet; it took all your concentration. When you danced, you were fully present, lost only to the art and not at all in the world around you or the thoughts in your head. You were the dance; nothing more, nothing less.
For today, a ballet fully improvised, existing only to you the dancer in this moment and once danced never to be seen again. And here, the decaying remains of a past life seemed the most fitting for such a dance. You had no lights, no barre--only this rickety old chair and a large hole in the ceiling over the house for light. You had no pointe shoes, only your basic ballet slippers. You had no music, although the stage gave birth to an orchestra pit that you were sure once brought to life compositions from around the world. But today, in the stillness of the forgotten, the past lingered as the only audience. There could only be one song for such a dance. 
Your mother’s aria rang in your mind as you took your opening steps, slowly with the grace and precision that the opening notes of a lament call for. Gradually, you built to the emotion until your fortes spinning in bright burning energy slowed into the ache of longing reaching out with the gentle fingers of an arabesque.
Remember me but forget my fate. 
When I Am Laid In Earth, or Queen Dido’s Lament. This was the last place she had performed that song all those years ago. It suited the ruins of this place.
The string instruments draw to a close the final notes and you linger in the last moment of the dance, holding your closing position until the bows have left their strings and the stillness of the room has returned. You make no move to bow, there isn’t a point, although that dance felt like it had been a true performance. Like it had been seen, witnessed by something more than your mother’s memory and the dust in the air. 
That’s why the sound of applause from the back of the house shouldn’t have surprised you but it did. But not nearly as much as the person giving such praise.
His perfectly put together visage felt surreal in such a place. So much so that you had to look twice to make sure you weren’t imagining him, some left over specter from the night before. But no, there Silco was making his way down the aisle still applauding, a small smile haunting his features.
“I didn’t know someone could do something so beautiful with silence”, he said as he approached the edge of the stage.
You couldn’t help the smile that spread across your face as you went to retrieve your water bottle.
“Isn’t it too early for you to be this charming? That’s champagne talk.”
That earned you a chuckle as he eyed you carefully, “Perhaps. I didn’t take you as a fan of ballet.” 
“I could say the same.” you added in between sips. 
Your eyes lingered on each other for a long moment. Was this a stand off? Were you going to engage with him again after the night and subsequent morning you’d had? He seemed to ooze danger and devilish charm that drew you in like a moth to a flame. So, yes, it was a stand off but not in the way you had originally imagined. It was you and your reasoning looking down a sea of decisions, most of them better than the ones you were about to make.
The sound of your footsteps was louder than you expected as you joined Silco on the edge of the stage, perhaps it was the sound leading you to your doom. He offered you his gloved hand to help you sit as though he were helping a foreign diplomat out of a carriage. But for all his chivalry and charm his eyes still scrutinized you as though he was looking for something hidden under the first layer of your skin. And from what you had heard about him, he wasn’t opposed to removing such obstacles to find the answers.
“What are you doing here?”
“I could ask you the same” Silco retorted
“I came here to dance, what’s your excuse?”
You could tell he didn’t think much of your answer by the way he didn’t regard you as he spoke.
“You have an entire club dedicated to your dancing and you came to this rotting edifice?” He was lost to his own reverie as he looked out into where an audience once sat. 
“It’s good to shake it up a bit, to know the place you live. I’ve been eyeing this place from my balcony since I arrived. Today seemed just as good as any other to explore.” His elbows leaned with his back on the stage as you both took in the scene before you.
“You make for an interesting tourist if these are the kind of places you frequent.” 
“The kind of places we frequent.” You corrected.
By the way he exhaled, you could have sworn you were close to getting a laugh out of him. At least he found you amusing. That boded well for your first layer of skin.
“So, what brings you to this ‘rotting edifice’?” Your smile creeped into your voice as he continued to stare off at something you couldn’t see. It was startling how easy it was to settle back into the teasing banter of the night before. You refused to be led back down that road but this wasn’t that it was just…
You drank him in as he considered your question, determining his answer, sucking his teeth as if you had asked him something truly difficult. Which you hadn’t. It was almost enough to make you laugh. Fortunately, you were able to suppress that impulse which made his next words all the sweeter.
“Sometimes…I walk to clear my mind. Places like this serve as a good reminder of what I’m fighting for. For Zaun, for it’s people. For something more than the complacency of survival. Today this happens to be where my feet led me.” 
Suddenly you understood the deliberation. You had only just met this man within the last twenty four hours but there was something to his words that made you certain he’d never told that to anyone before. The information wasn’t particularly sensitive but saying something aloud for the first time always was. He had to weigh it, the intimacy and vulnerability of this seemingly useless information about his habits. It painted him in a new light and reminded you of the way his hands flexed furiously at his sides when you startled him last night.  When he wasn’t in control. There was something oddly sweet about it all.
“Did it work?”
“Hmmm?” Silco still seemed to be fixed on something in the audience that was more memory than reality.
“Is your mind clear?” You leaned in, with a gentle whisper ghosting his ear. 
He turned his face to you ever so slightly, revealing the lines of his deep scars and unblinking poisonous eyes. It was enough to have sent shivers down the spine of most people, something he seemed keenly aware of. But you simply smiled a cheeky smile, happy to finally have gotten his attention. 
“No, I’m afraid not.” He said, fully turning to face you. 
“Although, your performance was a much needed distraction. May I convince you into an encore?” A familiar smirk returning to his lips, as the same familiar charm returned to his words.
“If you’re good at something, never do it for free.” You teased, shaking your head.
“That's too bad. I get the feeling this isn’t something I’m going to be seeing in your club.”
A heavy sigh expelled from your chest as a resigned smile settled on your lips. “Probably not.” You had already started to stand when Silco’s words pulled you back.
“May I ask you something?” The pause that followed after proved that he was sincere. 
Don’t get involved. We’re putting distance between last night. 
But after his little truths earlier it felt dirty, cruel even, to walk away now. Without a word, you sat back down at your spot on the edge of the stage, knowing that was answer enough.
“You dance beautifully, exquisitely.” The compliment made you blush with its earnestness.
 “Why did you choose Burlesque over Ballet?” 
Silco’s mismatched eyes lingered on you, implored you, bore through you. He looked at you like you had the secret to unlock the world hidden inside of you. Like if he looked hard enough, he could truly see you, past the walls you two erected and demolished in between sentences and glances. Perhaps even solve the mystery he was so focused on. 
But the question weighed on you more than you realized. It was your turn to dive into the waters vulnerability.
“I love ballet, I truly do. But the energy, the creative freedom, is not the same. Ballet can give you a range of emotions and experiences as both the dancer and the audience but it’s like viewing a masterpiece through glass. An unnecessary distance between the art and those experiencing it. It’s rigid that way, exclusive and committed to its own ideas of right and wrong. Burlesque is not known for evoking the same range of emotions as a ballet--not that it couldn’t, but the ones it does evoke are shared with everyone who sees it. It’s a conversation with the audience where the dancer is in full control; the speed, the tenor, how much is being shared, what is being communicated. You create something and share that same breath with the audience and for a moment the room is experiencing the same emotion, the same thread of life together.” The answer escaped you like a confession and left you a little breathless at the end of the telling.
Silco’s face was impassive and unreadable. He simply stared at you, eyes fliting over the features of your face. A sure sign that you had gone too far with your own truth. You closed your eyes at the embarrassment of it all. 
“It’s a celebration.” replied the silk voice from in front of you. Your eyes fluttered open in surprise. Silco was closer to you now than he had been when you closed them. Or was it just your imagination? There was some sort of keen interest burning behind his eyes now as they were fixed on your face and softness there that you were sure you must be in your mind. But it caused your breath to hitch in your chest just the same.
“A celebration.” You repeated in hushed tones, afraid to break the spell. He was right. Did he genuinely understand you or was this a trick of his silver tongue? It was funny how easily he took your words and effortlessly extracted their meaning, respinning them into their most pure concise sentiment. It was a gift and he certainly had it. 
A small shiver ran through your body, immediately catching his attention.
“Cold?”
“I must have forgotten to turn on the heat.” You remarked looking over the brokenness of the room around you. 
“I’m afraid this building is far past the days of comfort.” Silco’s gaze drifted back out to the audience, where the light spilled in from the hole in the ceiling.
“Can I ask you something?” It was your turn now.
Silco seemed to understand that too as he chuckled and nodded his permission.
“What happened to this place?”
“Revolution.” 
He did nothing to clarify his statement even when seeing your brows furrowed in confusion. So revolution had come and gone but that did little explain the state of things now.
“It’s ancient history now. Something that neither time nor the ever advancing City of Progress remember.”
“You know, Cyrano,” The sound of your voice seemed to chase away the ghosts of the past he was fixated on, “if I didn’t know any better, I would think you’re holding out on me.”
There was no doubt that Silco had earned every bit of his reputation as the most dangerous man in the undercity and you certainly didn’t intend to give more than you got with him. Distance hadn’t worked out quite how you’d hope, so the next best thing you get would be tit for tat, an equal exchange. You had opened up, now it was his turn except he didn’t seem so keen to repay the gesture. How far was it appropriate or safe to push the city’s most notorious kingpin?
His amused exhale relaxed your nerves minutely. 
“Perhaps. It’s not a pretty story.”
“Then it’s good I didn’t ask for one.” Challenging him like this couldn’t be a good idea. Especially not after last night but you couldn’t help yourself. There was something about him that brought it out of you, stoked a fire in you for better or worse, one you weren’t sure you knew how to control.
Sea green and glowing red considered you for a moment, perhaps deciding your fate. But you didn’t budge an inch on what you wanted, despite the sound of reason’s screams bouncing off the ceiling of your skull. The slightest turn of Silco’s lip let you know that you were too interesting to kill--yet.
“Some years back people from the Undercity banded together to stand up to Piltover and their mistreatment of their citizens. Piltover responded to it’s own people with violence instead of reason. That wasn’t entirely surprising but it changed things. The enforcers took the bridge and we took everything else we could get. Looting and burning any Piltie establishment on this side of the river.” Silco’s jaw tightened, like there was something he was fighting to keep in.
“What happened to them?”
He had you on the edge of your seat without trying. 
“To who?”
“The people of the undercity. The ones fighting against Piltover.”
“Did they get arrested for their crimes, you mean?” Silco scoffed.
“No. Did they take this fight across the bridge? Did Piltover listen?” 
“What do you think.”
His answer was honest and cold and echoed in the empty silence of the room. You felt a little smaller for asking it. But you didn’t begrudge him the truth. Now you were even.
“It’s a shame.” You said without looking at him as you got to your feet.
Silco’s mismatched gaze followed your silhouette back to your makeshift barre as you began to move through your positions again.
“Places like that, that have more than enough for everyone, have an obligation to its people. All it’s people. There is no excuse for the greed that keeps some in excess and others in poverty. It’s a disgrace.” 
Once satisfied with your barre work, you decided to show off just a little. Forte turns were on your list anyway, why not now? You chose your spot in the audience along your sight line, above Silco’s head. 
One. Two.
Your first couple of turns were gentle and easy, building speed for the next. 
Out of the bottom of your vision you noted movement, the stage giving way to a heavy creak.
Three.
“This place serves as a good reminder of how the other half lives while they deny us clean air and water. It's a good reminder of what we are fighting for.”
Four. 
The light changed next to you but you didn’t pull your eyes away from where you were spotting. Had he come on to the stage? 
Five.
He was distracting you, causing you to falter even if only briefly. You could feel his presence around you, but where? Uncertainty forced you to end your rotation there. Slightly out of breath from annoyance rather than exhaustion. Your eyes swept the stage from right to left but there wasn’t any sign of him. You turned to grab your water only to realize that Silco was inches away from you. Your body naturally retreated from the shock, letting out a sharp gasp and nearly falling over had there not been strong steady hands already around your waist. 
“Careful now. I wouldn’t want you to fall.”
Interesting choice of words. 
“Lucky for me, you’re quite the gentleman.”
It should feel wrong, those long elegant fingers sliding around your waist. The warmth of his body so close to yours, the feeling of his breath on your face, it should all feel wrong. But it doesn’t. It feels like fire dancing under your skin, like a spark. A spark quickly growing into a blaze.
“Did you say ‘we’?” his words felt different now, landing somewhere in between your ribs as you imagined the man before you all those years ago toe to toe with enforcers on the bridge.
His regal features were impassive as he hummed his response, gloved hand making it’s way from your waist to tuck an errant piece of hair behind your ear. Somehow you doubted that it was your words he was lost to now.
“I would be happy to tell you all about it over dinner.”
He was asking you on a date.
He was asking you on a date.
No, no, no.
His hand is on your waist and in your hair and he’s asking you to dinner. How had you let it get this far? 
This was the opposite of distance. This was bad. This was a nightmare. 
“I--” The words momentarily failed you as you recoiled from his soft touch. Far too soft.
“--I don’t get involved with men from the club.”
The words are forced but practiced and true from many years of repeating them under less compelling circumstances. But that didn’t stop the slight tremble hung in the spaces between them. It gave you away and he knew it.
“The first time you told me that I almost believed you.” Silco’s eyes examined you more like an artifact than someone he was asking out on a date. Cooly, methodically, in a way that made you feel naked and not by choice. Seen in all the ways you were afraid to be seen. In all the ways you were afraid to see yourself. 
But certainly he couldn’t--
That predatory stare and unwavering focus made you not so sure. So much for the idea of him sparing you this topic. 
“I see now it’s a protection instead of principle.” He approached slowly, leaving you plenty of time to get away if you weren’t glued to the spot. Somehow transfixed by him.
Stopping but a breath away his eyes washed over you again with interest/intrigue. Silco reached a gloved finger to caress your face, igniting something within you and rekindling your voice.
“Who says it can’t be both?” you challenge, catching his hand gently. Not nearly as harsh as he had been when you had done the exact same thing the evening before, but you hoped he appreciates the irony.
A smirk pulled at his handsome features. You can tell he’s killed for less, but whatever this is survives off you pushing your luck with him.
“And what would you need protection from?”
“Oh, Cyrano--Clever men with witty words who would distract me from dancing for their own…interests.” Your sickly sweet delivery paired with the knife hidden in your smile had the exact desired effect. Silco chuckled lightly and balance was restored. Cat and mouse once again.
“Forgive me. I hate to distract such an artist.” Silco’s eyes lingered on you once more before he turned on the spot to take his leave/exit.
Don’t go. Not like this. ….
“Still interested in an encore?” You heard yourself asking before you could even understand why.
Silco’s tall frame paused at the edge of the stage giving you just enough time to feel the full weight of your impulses.
Whatever game this was, it was time to check the score. Last night you had won, publicly. Privately you had lost more ground than you could possibly own up to but that was your little secret. But today…
Today you didn’t want this to end and were willing to call it a draw, even if only to have those mismatched eyes on your body appraising your movements for just a few moments longer.
Silco turned to face you, his features a light with subdued intrigue.
“By all means.”
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Ok, I'll be honest--I hated this chapter which is why it's taken me so long to get it out here! BUT I've decided to move forward with the story and let this be different than I imagined it so I can get some of the moments I'm really excited about next chapter! So if you didn't like this one, hang on because next time things are getting REAL!
Also, just thank you to anyone who reads my blabbering. Really, thank you.
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thegoldenestat · 1 year ago
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Elderly Care Home and Constipation In Seniors
Constipation is a widespread health problem that may affect anyone at any age; 22% of the population has it, but it's most frequent in the elderly, where 40% of senior individuals in India have it. It is a disorder that develops when a person has trouble passing feces, leading to irregular bowel motions, lumpy or hard stools, and a sense of incomplete evacuation. Hemorrhoids, anal fissures, and rectal prolapse are just a few of the issues that can develop from constipation if it is not addressed. These conditions can be painful and necessitate surgery.
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A low-fiber diet, a lack of exercise, certain medicines, dehydration, and underlying medical problems including irritable bowel syndrome (IBS) and hypothyroidism are just a few of the many things that can cause constipation. Due to the broad presence of risk factors such a sedentary lifestyle, bad eating habits, and a lack of knowledge about preventative measures, constipation is becoming a significant problem in India. These issues are given utmost importance at the elderly care home with a doctor on call at their service. 
Consuming a high-fiber diet rich in fruits, vegetables, whole grains, and legumes is essential to avoiding constipation. Regular physical exercise, such as brisk walking or yoga, can help to encourage regular bowel motions. However, constipation can occur as a side effect from several drugs, including opioids, antidepressants, and antacids.
Speak to your healthcare provider about precautions or other choices if you're on any of these drugs.
Constipation signs include:
weekly bowel motions of little more than three
straining when having a bowel movement
eructation of lumpy or firm stools
an impression of an incomplete evacuation
abdominal discomfort or bloating
It's critical to get medical assistance if you have any of these symptoms so that your constipation's underlying cause may be identified. Changing one's lifestyle can help with some cases of constipation, while other situations could need medicine or other medical attention.
Numerous herbal treatments are available in India to aid in the prevention of constipation. Triphala, a herbal mixture made up of three different fruits, has been used for generations as a constipation treatment. Other well-liked all-natural treatments for constipation include ginger, castor oil, and aloe vera juice.
In India, a number of drugs are sold that can relieve constipation in addition to natural therapies. Constipation is frequently treated using the synthetic sugar lactulose, which attracts water into the colon. Other drugs that can induce bowel motions include bisacodyl and sodium picosulfate. However, because they might have negative side effects including diarrhea and stomach cramps, these drugs should only be given while a doctor is present.
Elderly care home provides the best possible diet to the seniors including a high-fiber diet that contains fruits, vegetables, whole grains, and legumes to avoid constipation. Regular physical exercise, such as brisk walking or yoga, as well as maintaining hydration can help to encourage regular bowel movements. But as a side effect, several drugs, including antacids, opioids, and antidepressants, might make you constipated. Talk to the doctor on call at the elderly care home about preventive measures or other choices if you're on any of these drugs.
Finally, constipation is a common health problem in India, especially among the elderly. It is brought on by a number of things, including a low-fiber diet, inactivity, certain drugs, dehydration, and underlying medical disorders. Adopting a healthy lifestyle that includes regular exercise, a high-fiber diet, and adequate water is crucial to preventing constipation. To identify the underlying reason and avoid any problems, it's critical to get medical assistance if you're exhibiting constipation symptoms. In India, there are a number of herbal treatments and pharmaceuticals that can aid with constipation, but they should only be taken under medical supervision.
It's critical to understand when to seek medical attention for constipation at elderly care homes, particularly if the symptoms last longer than two weeks or are accompanied by other unsettling signs and symptoms like blood in the stool, stomach discomfort, or unexplained weight loss. At The Golden Estate, you are given an opportunity to change your lifestyle with the best professionals always at your disposal. 
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gisuregoninjaipur · 5 days ago
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The Fissure Surgery Recovery Journey: What to Expect and How to Heal Faster
Fissures, though common, can cause significant discomfort and pain. Fortunately, with advanced treatment options like fissure surgery, the path to recovery is smoother and quicker than ever. If you’re planning or have already undergone fissure surgery, understanding the recovery process is essential for a faster and more comfortable healing journey. Here’s a breakdown of what to expect and how you can speed up the healing process.
1. What is Fissure Surgery?
Fissure surgery is a procedure to treat anal fissures that cause chronic pain, bleeding, or itching in the anal region. It involves the removal of the fissure and often includes a procedure like lateral internal sphincterotomy (LIS) to reduce muscle tension and allow the fissure to heal.
2. Post-Surgery Symptoms
Immediately following fissure surgery, you can expect some pain and discomfort. This is common and can be managed with pain-relieving medications prescribed by your doctor. Some swelling and slight bleeding may also occur for the first few days, but this should subside as healing progresses.
3. Pain Management: Key to a Comfortable Recovery
Managing pain effectively is crucial to your recovery. Your doctor will guide you on the best pain management techniques, which may include:
Over-the-counter pain medications
Sitz baths (sitting in warm water to relieve pain)
Ice packs to reduce swelling
Prescription ointments or creams
4. Dietary Changes for Faster Healing
Diet plays a major role in speeding up recovery from fissure surgery. Focus on a high-fiber diet that includes:
Whole grains, fruits, and vegetables
Plenty of fluids, especially water, to keep stools soft
Avoiding spicy or irritating foods
Additionally, incorporating stool softeners as advised by your doctor can prevent constipation, which is a common issue post-surgery.
5. Keeping the Area Clean
Good hygiene is essential during the recovery period. After bowel movements, gently clean the area with warm water, and avoid using harsh soaps. Applying a mild, doctor-approved ointment or cream can also aid healing and prevent infection.
6. Physical Activity and Rest
After fissure surgery, rest is important for the first few days. Avoid any strenuous physical activities, such as heavy lifting or intense exercise, as this could strain the healing area. However, light walking can help improve circulation and encourage healing.
7. Follow-Up Appointments
It is important to follow up with your healthcare provider for scheduled check-ups. They will monitor your recovery, ensure the area is healing properly, and adjust any medications or treatments as needed.
8. When to Seek Help
While recovery from fissure surgery is generally smooth, it’s important to be aware of any signs that might indicate complications, such as:
Increased pain or swelling
Persistent bleeding
Signs of infection (redness, discharge, fever)
If you experience any of these, contact your doctor immediately.
9. The Road to Complete Healing
Recovery from fissure surgery usually takes about 4-6 weeks. While the pain and discomfort will significantly reduce within the first few days, full recovery takes time. Following your doctor's instructions closely, maintaining a healthy diet, and practicing proper hygiene are key factors in ensuring the success of your surgery.
Why Choose Fissure Surgery in Jaipur?
If you're considering fissure surgery, Jaipur offers some of the best healthcare providers and modern medical facilities for treatment. With highly experienced surgeons, like Dr. [Name], specializing in fissure surgery, you’re guaranteed to receive world-class treatment that ensures a quick and effective recovery.
Final Thoughts
Fissure surgery is an excellent option for those suffering from chronic anal fissures. With the right aftercare, you can heal faster and return to a pain-free life. If you’re looking for top-notch fissure surgery in Jaipur, consult with an expert today to begin your journey toward healing and comfort.
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drnishargpatel · 2 months ago
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Chronic Constipation: When to See a Specialist 
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Chronic constipation can be more than simply an unpleasant bother; it can demonstrate a basic issue that requires medical treatment. While incidental constipation is normal, chronic constipation can have a negative impact on existence and wellbeing. But, how can you decide when to visit a specialist? We should take a look at what chronic constipation is, what causes it, and when to look for professional help.
What is Chronic Constipation?
Constipation is commonly characterized as having less than three bowel motions each week. Chronic constipation, then again, happens more than a little while or even months. You may also have hard, lumpy stools, considerable straining, or a sensation of incomplete evacuation.
If these side effects continue for over 3 months, they may be categorized as chronic, and focusing on your health is basic.
Common Causes of Chronic Constipation
Chronic constipation can result from various of conditions, including:
Dietary Habits: A lack of fiber, insufficient water, and a high intake of processed food might make it hard to produce regular bowel movements.
Lifestyle Factors: Inadequate exercise, conflicting toilet habits, and stress can all contribute to constipation.
Medical Conditions: Medical conditions like hypothyroidism, diabetes, irritable bowel syndrome (IBS), and neurological diseases can all cause chronic constipation.
Drugs: A few drugs, like pain killers, antidepressants, and calcium or aluminium antacids settling agents, could cause constipation.
When Should You See a Specialist?
So, how can you tell whether your constipation is more serious? Here are some signals that it's time to see a specialist:
Constipation continues for more than 3 weeks.
If you've tried a stab at working on your diet, exercising regularly, and remaining hydrated but are still experiencing constipation, now is the ideal time to consult a best gastroenterologist in surat. Chronic constipation could flag an underlying issue that requires evaluation and treatment.
Severe pain or discomfort.
Consistent acute stomach pain, cramps, or swelling alongside with is a warning. This could show a deterrent, irritation, or a more serious gastrointestinal condition.
Blood in the Stool
If you find blood in your stool or on the toilet paper, you should look for clinical help immediately. This could imply haemorrhoids, anal fissures, or, in rare conditions, colorectal cancer growth.
Unintentional Weight Loss
Losing weight without trying, along with constipation, could show a more serious medical condition, like a stomach related disease or cancer growth. It is critical to have this assessed by a healthcare expert.
Family background of colon cancer.
If colon disease runs in your family, chronic constipation should never be ignored. An expert might suggest a colonoscopy or other screening methods to rule out serious conditions.
What to Expect from a Specialist Visit?
When you see a specialist for chronic constipation, they will most likely undertake embrace a complete evaluation, which includes a physical test and potentially tests, for example,
Blood tests to look at thyroid function and other potential problems.
Colonoscopy is used to really take a look at the colon for obstructions, polyps, or cancer.
X-rays or CT scans are used to picture the digestive tracts and recognize abnormalities.
The specialist may also ask about your food, lifestyle habits, and drugs to rule out frequent causes.
Want to Know More? Check out our related blog on “Are You Suffering from Constipation? Causes and Remedies”
Treatment Options for Chronic Constipation
If a professional identifies ongoing chronic constipation, they will make a treatment plan that is specific to your needs. Normal medicines include:
Dietary Changes: Increasing fiber intake (by natural products, vegetables, and whole grains) and drinking more water are as often as possible the initial measures.
Drugs: Over-the-counter laxatives or prescription drugs may be used to promote bowel movements or soften stool.
Behavioural treatment: Biofeedback and pelvic floor treatment can help with retraining your body to easily pass stools more effortlessly.
Surgery procedure: In rare circumstances, If constipation is caused by a structural problem or blockage, medical procedure might be required.
How to Prevent Chronic Constipation
Making a couple of way of life changes can frequently assist with forestalling obstruction.
Remain Hydrated: Drink a lot of water throughout the day to help with keeping your stool soft.
Eat a Fiber-Rich Diet: Include more organic fruits, vegetables, and whole grains in your meals.
Exercise regularly: Physical activity stimulates bowel motions, so try to move around each day.
Lay out a Daily practice: Try to use the bathroom at the same time every day, ideally after dinners when your digestive tract is most active.
While it may be awkward or humiliating to talk about constipation, it is basic to pay attention to your body. Chronic constipation can be an indication of a larger health problem, and looking for professional care early on can help avoid issues in the future. If you have chronic problems, don't hesitate to see a doctor to get the help you need.
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lunimasafetyt · 3 months ago
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If you or a loved one is suffering from piles, finding the right medical care is crucial for your comfort and long-term health. In the bustling city of Ghaziabad, Piles Fistula Clinic stands as a beacon of hope for individuals seeking specialized, expert care for piles and other anorectal disorders. Our clinic is committed to offering modern, painless treatments that address the root cause of piles, ensuring effective relief and long-term results.
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Understanding Piles: What You Need to Know
Piles, also known as hemorrhoids, are swollen veins located in the lower rectum or anus. They can be internal or external, leading to symptoms such as discomfort, pain, itching, and bleeding during bowel movements. While piles are common, they can become chronic and significantly affect your quality of life if left untreated.
Many people in Ghaziabad are unaware of the severity of piles until the symptoms worsen. Delaying treatment can lead to complications such as severe pain, infection, or even a thrombosed hemorrhoid. This is where Piles Fistula Clinic steps in — to provide immediate, expert care that alleviates discomfort and ensures a full recovery.
Why Choose Piles Fistula Clinic in Ghaziabad?
At Piles Fistula Clinic, we are a leading piles clinic in Ghaziabad known for offering comprehensive and compassionate care. Here’s why we stand out:
Expert Specialists: Our clinic is staffed with highly trained proctologists and colorectal surgeons who have years of experience in treating piles, fistula, and fissures. Our experts have successfully handled numerous complex cases, providing relief to countless patients.
Advanced Treatment Options: We believe in offering the most advanced treatments available for piles. We use minimally invasive techniques such as laser surgery for piles, which ensures faster recovery, minimal pain, and a lower risk of recurrence. This is in contrast to traditional surgeries, which involve longer recovery times and more discomfort.
Personalized Care: At Piles Fistula Clinic, every patient is unique. We offer personalized treatment plans that are tailored to meet your specific needs and severity of the condition. Whether your piles are mild or require surgery, we make sure to provide the best solution for you.
State-of-the-Art Facility: Our clinic is equipped with modern technology and diagnostic tools to ensure accurate assessment and effective treatment. From diagnosis to post-surgery recovery, our facility is designed to provide comfort and efficiency at every step.
Painless and Effective Treatments: Fear of pain often prevents individuals from seeking medical care for piles. However, at our clinic, we specialize in painless treatments like laser surgery, which ensures minimal discomfort. Most of our patients are able to return to their normal activities within a few days of treatment.
Common Symptoms and When to Visit Piles Fistula Clinic
If you experience any of the following symptoms, it may be time to visit a piles clinic in Ghaziabad:
Pain during bowel movements
Rectal bleeding or blood in the stool
Swelling or lumps near the anus
Itching or irritation in the anal area
A feeling of incomplete evacuation after a bowel movement
Even if your symptoms seem mild, it’s important to get a professional diagnosis. Early intervention can prevent the condition from worsening and lead to faster recovery.
Piles Treatment at Piles Fistula Clinic
At Piles Fistula Clinic, we offer a wide range of treatment options depending on the severity of your condition:
Lifestyle Modifications: For mild piles, lifestyle changes like increasing fiber intake, drinking plenty of water, and regular exercise can alleviate symptoms.
Medications: Over-the-counter medications and ointments are prescribed to reduce discomfort and swelling for less severe cases.
Minimally Invasive Procedures: For more advanced cases, we offer laser surgery and other minimally invasive procedures. These procedures are painless, require minimal downtime, and have a high success rate.
Surgical Interventions: In rare, severe cases, traditional surgery may be necessary. Our skilled surgeons ensure that even complex cases are handled with the utmost care and precision.
Trust Piles Fistula Clinic for Your Health
Choosing the right piles clinic in Ghaziabad is key to getting the relief you need. At Piles Fistula Clinic, we combine expertise, cutting-edge technology, and compassionate care to ensure that you have the best possible treatment experience. Don’t let piles disrupt your life—visit us today and take the first step toward a pain-free life.
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tremendouspersonarbiter · 9 months ago
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Top 10 Myths And Facts Of Anal Fissure
Anal fissures are a common yet constantly misunderstood condition that can bring significant discomfort and pain. Despite its frequency, there are many myths surrounding anal fissures that can conduct to misconceptions and needless anxiety. In this article, Dr. N Subrahmaneswara Babu, a famed gastroenterologist in Hyderabad will debunk the top 10 myths surrounding anal fissures and deliver substantiation-based facts to support your understanding of this condition. By separating fact from fiction, we aim to empower individuals to seek proper treatment and support for anal fissures, promoting better common health and well-being.
Myth 1: You are the only one suffering from Fissure.
Fact: Anal fissures are a common condition, affecting people of all ages and backgrounds. It’s estimated that around 10% of the population will witness an anal fissure at some point in their lives. You are not alone in dealing with this issue, and there are operative treatments popular to support take and heal anal fissures
Myth 2: Fissures affect only the elderly.
Fact: While anal fissures are more common in aged grown-ups, they can occur at any time. Factors similar to constipation, diarrhea, childbearing, and certain medical conditions can boost the threat of developing an anal fissure, regardless of time.
Myth 3: Anal Fissure treatment needs surgery.
Fact: Surgery isn’t invariably necessary to treat an anal fissure. In numerous cases, conservative treatments similar to salutary changes, fiber supplements, and topical remedies can help cure the fissure and relieve symptoms. Surgery is generally considered only if conservative treatments fail.
Myth 4: Spicy foods and cold surfaces cause fissures.
Fact: Spicy foods and cold surfaces do not directly cause anal fissures. However, they can itch an existing fissure and worsen symptoms. Anal fissures are frequently the result of trauma to the anal conduit, which can be caused by passing hard or large droppings, habitual diarrhea, or childbirth.
Myth 5: Exercises must be avoided if you have Fissure.
Fact: Exercise is important for overall health and can prevent constipation, which is a usual cause of fissures. Still, emphatic exercises that increase intra-abdominal pressure, such as heavy lifting, may aggravate symptoms in some cases. It’s best to counsel with a healthcare provider before starting any new exercise routine.
Myth 6: Fissures can be cured by herbal remedies.
Fact: While some herbal remedies may give temporary relief from symptoms, there is no scientific validation to support the claim that they can cure anal fissures. It’s forever best to counsel with a healthcare provider for proper opinion and treatment. In numerous cases, conservative treatments similar to salutary changes, fiber supplements, and topical remedies are more operative in healing anal fissures.
Myth 7: There is a possibility of recurrence of anal fissure after surgery.
Fact: While recurrence is practicable, it isn’t ineluctable. Proper Post-operative care, involving salutary changes and good hygiene, can support and reduce the threat of recurrence. In some cases, further treatments may be necessary to prevent recurrence
Myth 8: Fissures are sexually transmitted diseases.
Fact: Anal fissures aren’t sexually transmitted conditions. They’re generally the result of trauma to the anal conduit, similar to passing hard or large droppings, habitual diarrhea, or childbearing. While certain sexually transmitted infections can beget symptoms that may be incorrect for an anal chink, fissures themselves aren’t caused by sexual activity.
Myth 9: Fissures are caused by poor hygiene.
Fact: While poor hygiene can contribute to the evolution of anal fissures, they’re generally caused by other factors similar to constipation, diarrhea, or childbirth. Maintaining good hygiene, involving regular washing, and avoiding harsh detergents, can support prevent fissures but may not be the sole cause.
Myth 10: Anal fissures are embarrassing conditions that should not be discussed.
Fact: Anal fissures are a common medical condition and shouldn’t cause embarrassment. Seeking early medical concentration is pivotal as it can prevent complications and ameliorate your quality of life. Open communication with a healthcare provider is crucial for proper opinion and treatment, ensuring you receive the necessary care and support.
Conclusion:
An anal fissure is a common condition that can be effectively treated with various nonsurgical techniques. Indeed if surgical intervention is demanded, numerous procedures are minimally invasive and do not involve significant cuts or injuries. Adopting a healthy lifestyle can also prevent the evolution of anal fissures. thus, if you are experiencing symptoms of anal fissures, it’s important to remain calm and book an appointment with Dr. N.S. Babu for appropriate diagnosis and best fissure treatment in Hyderabad.
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arogyadhamin · 10 months ago
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Natural Relief: Home Remedies for Hemorrhoids
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Hemorrhoids, also known as piles, are swollen veins in the rectal area that can cause discomfort, itching, pain, and bleeding during bowel movements. While seeking medical advice is crucial for proper diagnosis and treatment, there are several effective home remedies that can provide relief from hemorrhoid symptoms. When combined with Ayurvedic treatments for piles, these natural remedies can offer holistic relief and promote healing. Let's explore each remedy in detail:
Warm Sitz Baths: A sitz bath involves sitting in a few inches of warm water to help alleviate discomfort and promote healing. The warm water helps to increase blood flow to the rectal area, reduce swelling, and soothe irritated hemorrhoids. To take a sitz bath, fill a bathtub or a special sitz bath basin with warm water (not hot) and sit in it for about 15-20 minutes. Repeat this several times a day, especially after bowel movements, to experience relief.
High-Fiber Diet: A diet rich in fiber is essential for maintaining regular bowel movements and preventing constipation, which can aggravate hemorrhoids. Fiber adds bulk to stools, making them softer and easier to pass, reducing strain on hemorrhoids. Include plenty of fruits, vegetables, whole grains, and legumes in your diet to ensure an adequate fiber intake. Aim for at least 25-30 grams of fiber per day and drink plenty of water to help fiber move through the digestive system smoothly.
Witch Hazel: Witch hazel is a natural astringent with anti-inflammatory properties that can help reduce swelling, itching, and pain associated with hemorrhoids. Apply witch hazel to the affected area using a cotton ball or soft cloth. You can also use pre-moistened witch hazel pads for convenience. Repeat this several times a day for relief from hemorrhoid symptoms.
Aloe Vera: Aloe vera is well-known for its soothing and anti-inflammatory properties, making it an excellent remedy for hemorrhoids. Apply pure aloe vera gel directly to the affected area to reduce inflammation, itching, and pain. Aloe vera gel can provide instant relief and promote healing of irritated skin. Make sure to use pure aloe vera gel without any added chemicals or fragrances for the best results.
Coconut Oil: Coconut oil is a natural moisturizer with anti-inflammatory properties that can help reduce swelling and discomfort associated with hemorrhoids. Apply a small amount of coconut oil to the affected area using clean hands or a cotton swab. The moisturizing properties of coconut oil can help soothe irritated skin and promote healing of anal fissures, which are common complications of hemorrhoids.
Triphala: Triphala is an Ayurvedic herbal remedy composed of three fruits: Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula). It is known for its gentle laxative properties and can help regulate bowel movements, relieve constipation, and reduce the risk of hemorrhoid flare-ups. You can take Triphala powder or tablets as directed by a qualified Ayurvedic practitioner to promote digestive health and prevent hemorrhoids.
Buttermilk: Buttermilk is a fermented dairy product that contains probiotics, which are beneficial bacteria that support digestive health. Drinking buttermilk with a pinch of salt can aid digestion, promote bowel regularity, and reduce the risk of constipation, which is a common trigger for hemorrhoids. Incorporate buttermilk into your diet as a refreshing beverage or use it in smoothies and lassi for additional health benefits.
Yoga and Exercise: Engaging in regular physical activity, such as yoga, walking, or swimming, can improve circulation, stimulate bowel movements, and reduce the risk of constipation. Yoga poses that involve gentle stretching, twisting, and breathing techniques can help relieve tension in the abdominal area, promote relaxation, and improve overall digestive health. Practice yoga regularly to strengthen the muscles of the pelvic floor and prevent hemorrhoid development.
Conclusion
While these home remedies can provide temporary relief from hemorrhoid symptoms, it's essential to consult with a healthcare professional for proper diagnosis and treatment, especially if symptoms persist or worsen. Ayurvedic treatments for piles, such as herbal supplements, dietary modifications, and lifestyle changes, can complement home remedies and promote long-term healing and prevention of hemorrhoids. By adopting a holistic approach to hemorrhoid management, individuals can find relief from symptoms and improve their overall quality of life.
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sonalimittra · 10 months ago
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Change is Easy
How to Change Habits?
“The only constant in life is change” Heraclitus, Greek Philosopher
Change is inevitable in this ever-so dynamic world. Yet we resist and react to change unless it is out of an aberration or danger. In the past few years, the Pandemic has created fissures in the old structures, forms, and significances and paved the way for the ‘new normal’. This new world demands a much faster rate of change and resilience. It requires us to look at our own old beliefs, thoughts, perceptions, and expectations that no longer works for us. Here are a few insights into why change is hand and what can we do to have ease with it? 
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How many of us find change difficult, challenging, tedious, unfavorable? There may be some specific areas in our lives where we feel change is difficult.  It could be your habit, relationship, body, finances, or anything else. For instance, people who struggle with their weight. No matter how much they exercise or diet, the weight doesn’t seem to budge. Relationships are even harder to change. No matter how much people try to communicate, compromise, they aren’t able to have the relationship they desire with that person. Habits have a reputation to be difficult to change, be it addiction or the simplest of the habits of getting up early in the morning. 
Now would be a good time to look at the basic and fundamental reasons why change is so difficult. 
Conditioning (Judgments and projections)
The point of views we form about ‘change’ itself can be limiting to create a change. The best place to start unlocking these limitations is to ask a question: Whose point of views about change am I buying into that doesn’t allow me to change with ease? 
Our brains are hardwired for familiarity, which makes change difficult. We are socialized from an early age to look for solace in the familiar. Deeply rooted habits and routines that feel safe and predictable are formed as a result of this conditioning.
Our minds see each change as a danger to this security. It sets off a stress reaction that makes the fight-or-flight reflex active. Furthermore, creating new habits and kicking old ones is often necessary for change. It requires patience, perseverance, and time to reroute a well-traveled trail through a dense forest.
Status Quo (The value of not changing) 
The other reason why we can’t change something is because it serves us something. We’ve been used to it like a comfortable blanket that gives our life a sense of stability and security. As long as we don’t acknowledge the benefits of it, we can’t change it. The status quo is a representation of our everyday lives, complete with routines, relationships, and habits. We are comfortable with it, so even though it’s not ideal, that familiarity brings us comfort.
Entering the unknown entails entering a state of transformation. It is similar to leaving behind a comfortable blanket in favor of something unknown and possibly difficult.
Also, even when it conflicts with our long-term objectives or preferences, the status quo frequently provides instant advantages or rewards. What is the value or benefit for not changing? Is a question we need to ask ourselves if we find changing something difficult
Fear of the unknown (Control) 
The fear of the unknown is so powerful that it can convince us to stay in the misery of our current situation rather than change. A change is misidentified as losing control over the known. Known is comforting; whereas the unknown can be out of control. As our brains are programmed to seek security and consistency, we naturally resist change. Being out of control, limitations, definitions and structures is what creates a new reality – be it with relationships, body, finances or health. The false sense of control can only be broken with unconditional trust in self. With trust, comes ease and that in turn creates change. What would it take me to trust myself unconditionally? 
Sonali Mittra is a certified therapist, a transformation coach, Founder of Treta Foundation. Suvanjali Lama is a research associate, Treta Foundation, India.
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hemantgrag · 11 months ago
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Top 5 piles Doctor in Jaipur: Ensuring Renal Health Excellence
Introduction:
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Piles, also known as hemorrhoids, are a common medical condition affecting millions of individuals worldwide. Characterized by swollen and inflamed blood vessels in the rectal area, piles can cause discomfort, pain, and bleeding, impacting one's quality of life. In Jaipur, a city known for its robust healthcare infrastructure, several expert doctors specialize in the diagnosis and treatment of piles. In this article, we'll explore the top five piles doctors in Jaipur who are dedicated to providing exceptional care, alleviating symptoms, and ensuring the well-being of their patients.
Dr. Hemant Garg:
Dr. Hemant Garg  is an Best Piles Doctor in Jaipur. At present, he is working as a Piles doctor in Jaipur, Rajasthan. he provides Piles Treatment and Fistula Treatment and Fissure Treatment services at SDMH Hospital, Rambagh, Jaipur. He obtained his MBBS from J.L.N.M.C. Ajmer and his DNB degree in General Surgery from New Delhi, following which he gained valuable experience at SMS Medical College, Jaipur for a period of two years.
Dr Garg is a fellow and life member of the prestigious Indian Association of Gastrointestinal Endoscopic Surgeons. He has completed fellowships in Endoscopic Surgery from Kanpur and Minimal Access Surgery from SMS Jaipur, and is well-regarded for his expertise in laser proctology, including piles and pilonidal sinus. His contributions to the field are evidenced by his publications in international journals, presentations at numerous national and state-level conferences, and recognition for the best poster presentation
Dr. Pankaj Kumar:
Dr. Pankaj Kumar is another prominent piles doctor practicing in Jaipur, known for his comprehensive approach to hemorrhoidal care and commitment to patient satisfaction. With a specialization in colorectal surgery, Dr. Kumar possesses extensive experience in treating complex cases of piles, fissures, and fistulas. He utilizes a combination of medical and surgical interventions, including rubber band ligation, sclerotherapy, and surgical excision, to effectively manage hemorrhoidal symptoms and improve patients' quality of life. Dr. Kumar's empathetic demeanor and dedication to patient education empower individuals to make informed decisions about their health and well-being.
Dr. Neha Gupta:
Dr. Neha Gupta is a leading female piles doctor in Jaipur, known for her compassionate care and clinical expertise in proctology. With a focus on women's health, Dr. Gupta specializes in addressing hemorrhoidal issues during pregnancy and postpartum, offering safe and effective treatment options tailored to the unique needs of expectant mothers. Patients appreciate her gentle approach and holistic perspective, as she emphasizes lifestyle modifications, dietary changes, and pelvic floor exercises alongside medical interventions to alleviate hemorrhoidal symptoms. Dr. Gupta's commitment to women's health and well-being has earned her the trust and admiration of her patients across Jaipur.
Dr. Rajesh Sharma:
Dr. Rajesh Sharma is a seasoned piles doctor practicing in Jaipur, known for his proficiency in performing advanced procedures for the treatment of hemorrhoids. With a background in general surgery and proctology, Dr. Sharma offers a comprehensive range of treatment options, including hemorrhoidectomy, stapled hemorrhoidopexy, and infrared coagulation, tailored to each patient's specific needs and preferences. Patients commend Dr. Sharma for his professionalism, expertise, and dedication to delivering optimal outcomes with minimal discomfort and downtime. His commitment to staying abreast of the latest advancements in proctology ensures that patients receive the highest standard of care for their hemorrhoidal concerns.
Dr. Anjali Singh:
Dr. Anjali Singh is a highly skilled piles doctor practicing in Jaipur, known for her compassionate approach and commitment to providing personalized care to her patients. With expertise in both conservative and surgical management of hemorrhoids, Dr. Singh offers a comprehensive array of treatment options, including dietary counseling, topical medications, and minimally invasive procedures such as rubber band ligation and infrared coagulation. Patients value Dr. Singh's thorough evaluation, clear communication, and dedication to ensuring their comfort and well-being throughout the treatment process. Her patient-centric approach and clinical proficiency make her a trusted choice for individuals seeking relief from hemorrhoidal symptoms in Jaipur.
Conclusion:
In conclusion, the top 5 piles of doctors in Jaipur exemplify excellence in the field of proctology, with their clinical expertise, compassionate care, and dedication to patient satisfaction setting them apart. Whether it's through advanced surgical techniques, conservative management strategies, or specialized care for specific patient populations, these doctors demonstrate a commitment to providing comprehensive and effective treatment for hemorrhoidal conditions. If you're in Jaipur and seeking relief from piles-related symptoms, you can trust in the expertise and compassion of these esteemed doctors to guide you toward improved health and well-being.
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bgchospitals22 · 1 year ago
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Constipation Treatment in Bangalore
We all have experienced difficulty passing stools during bowel movements at least a few times. The condition is called constipation, which produces the symptoms of dry stools, pain while passing stools, and straining during bowel movements. Sometimes severe constipation causes rectal or anal bleeding and a feeling of blockage in the rectum.
Constipation occurs when our dietary habits change, we drink less water, include less fibre in our diets, and exercise less. It will go away with dietary and lifestyle changes or after using over-the-counter laxatives. However, some intestinal conditions like colorectal cancer, inflammatory bowel disease, intestinal blockage and some neurological disorders cause constipation which may not resolve with simple dietary and lifestyle changes.
Severe constipation or constipation for a long time can also give rise to several complications like diverticulitis, anal fissures, and haemorrhoids or piles. Sometimes excessive use of over-the-counter laxatives can also cause constipation. Hence, health experts suggest specialist medical care for persistent constipation.
Visit Bangalore Gastro Centre Hospitals in HSR Layout to get the best constipation treatment in Bangalore. The gastro centre houses Bangalore's most trusted digestive health specialists who work as a team with nutritionists and endoscopy technicians to find the root cause of your constipation. The centre also provides colonoscopy tests and laser treatment for fissures and piles. Make an appointment today to get treatment for constipation.
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drmanastripathy · 2 years ago
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Haemorrhoidectomy | Piles Clinic in HSR Layout, Bangalore by Dr. Manas Tripathy
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A haemorrhoidectomy is a surgery to treat hemorrhoids or piles. Piles are soft, fleshy lumps that form inside just inside the anus. They easily bleed during bowel movements. Though they are not usually painful, they can cause itching. If the lumps grow, they can protrude outside through the anus in a condition called prolapsed pile. You can feel the lump while cleaning yourself. Hemorrhoids generally develop gradually, over a lengthy duration of time and are often related to constipation. Sometimes, the condition is genetic and made worse by pregnancy.
Treatment
Hemorrhoids can often be dealt with by eating more fiber and more intake of fluid. If these measures do not work, they may be treated with ‘banding’ or dissolving the lumps with injections. If these methods do not work, patients will need to undergo a haemorrhoidectomy to surgically remove the piles.
A haemorrhoidectomy is usually performed under general anesthesia and takes about twenty minutes. The surgeon will usually just cut away the hemorrhoids or use the staple gun technique, which does not create an open wound
Complications
A haemorrhoidectomy may cause the usual complications like pain, bleeding, infection of the surgical wound or blood clots. More serious complications may include the following:
Incomplete haemorrhoidectomy
Difficulty passing urine
Anal stenosis
Developing skin tags
Developing an anal fissure
Incontinence
Recovery
same day. The wound takes several weeks to heal completely. You should drink plenty of water during convalescence. Talk to your doctor about an exercise regime that can help you recover faster.
The hemorrhoids can occasionally redevelop.
Suffering from Piles? Consult Best Piles Clinic in HSR Layout, Bangalore.
To Know more visit https://drmanastripathy.com/ or call us at +91 8150000200
Also, Listen to our Podcast to learn more about Hemorrhoids and their treatment options:
What are Hemorrhoids?
Everything You Need to Know About Hemorrhoids
Advanced Laser Piles Treatment in HSR Layout
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Kabj Hari Churn - Instant constipation relief medicine, with no side effects
Constipation is a common digestive problem that can cause discomfort and inconvenience in our daily lives. The most common symptoms of constipation are infrequent bowel movements, passing hard stools or straining during bowel movements. Talking about the main cause or reason for constipation is poor diet and very less exercise.
In this blog we go a bit deeper to know more about the effects of constipation and its treatment through ayurvedic medicines.
Effects of Constipation
Abdominal Pain and Bloating: Constipation can cause abdominal pain and bloating. The longer stool remains in the colon, the more water is absorbed, making it harder and more difficult to pass. This can lead to abdominal discomfort and bloating.
Haemorrhoids: Straining during bowel movements can cause haemorrhoids, which are swollen veins in the rectum and anus. Haemorrhoids can be painful and cause rectal bleeding.
Anal Fissures: Constipation can also cause anal fissures, which are small tears in the skin around the anus. These tears can be painful and cause rectal bleeding.
Bad Breath: When stool remains in the colon for an extended period, it can lead to bad breath. The longer the stool remains in the colon, the more bacteria will produce foul-smelling gases.
Fatigue: Constipation can also cause fatigue. When stool remains in the colon for too long, it can cause the body to absorb toxins that can lead to fatigue and a feeling of general malaise.
Constipation Treatment in Ayurveda
While there are several medications available to treat constipation, Ayurveda offers natural remedies that can help alleviate the symptoms of constipation and promote better digestive health. Ayurveda is an ancient Indian system of medicine that focuses on achieving balance and harmony between the body, mind, and spirit. According to Ayurveda, constipation is caused by an imbalance in the Vata dosha, which governs the movement of the body and the elimination of waste. When the Vata dosha is imbalanced, it can cause dryness and sluggishness in the digestive system, leading to constipation.
Ayurveda offers several natural remedies that can help balance the Vata dosha and promote better digestive health. Here are some of the ways Ayurveda can help heal constipation.
Shri Chyawan Ayurveda has formulated best medicine for constipation - Kabj Hari Churn, it helps in a lot of stomach related issues like gas, constipation and abdominal pain. Consumption of this churn will ease down the pain during constipation and ultimately will help you get rid of the regular constipation issues, gases and acidity.
Kabj Hari Churn is made using all herbal and natural ayurvedic ingredients like Harde, Sonth, Mulethi, Baheda, Hing, Variyali, Amaltas, Black Salt, Black Pepper, Amla.
Benefits of Kabj Hari Churn
Improves Digestion: Shri Chyawan Ayurveda’s Kabj Hari Churn effectively helps to cure your problems related to digestive system and facilitates smooth digestion process.
Relieves Constipation: It effectively helps to give you relief from stomach issues and constipation.
Bloating and Gases: Kabj Hari Churn reduces stomach bloating, digestion issues and gases and reduces indigestion.
Pure and Natural Product: Kabj Hari Churn is made using all natural and herbal ingredients and ensures smooth digestion process.
Kabj Hari Churn is by far the best instant constipation relief medicine available in the market. It will not only help you by treating Constipation, but also help with Acidity, Bloating, Gases and other stomach related issues.
How to Use
Kabj Hari Churn can be used by mixing 1-2gm of this churn with half cup of water, consume every day before going to bed.
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chaitalitrivedi · 2 years ago
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A Brief Introduction to Vaginismus
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The fear of not being able to conceive is one of the significant causes of anxiety among females. It is advised that anybody with vaginismus seek the advice of a gynaecologist to overcome the challenges and establish an everyday, healthy sexual life.
According to Dr. Chaitali Mahajan Trivedi, who provides the best vaginismus treatment in Mumbai, vaginismus is a fairly common but very little-discussed condition caused by involuntary vaginal tensing. Most women find it challenging to communicate their concerns with others because they are embarrassed to do so. This causes women to suffer for a long time and prevents them from enjoying their sexual relationships.
Causes of Vaginismus 
Vaginismus develops due to psychological and physiological conditioning to the expectation of pain. This subconscious activity is similar to a reflexive reaction to fear or pain. This can be especially painful for women since they want to act upon the desire yet cannot engage in penetrative sex. This leads to less arousal and more anxiety as they get increasingly nervous.
Poor sex education is typically a reason for vaginismus, leading to fear of the male penis not fitting properly or being damaged or torn.
A woman may have endured sexual assault or abuse in the past, and the trauma connected with these events may cause her to be highly fearful of penetration. 
There are also physical causes, such as the discomfort induced by vaginal infections such as fissures, thrush, urinary tract infections, dermatitis, and the repercussions of a traumatic vaginal birth. Ladies in menopause may develop vaginismus as a result of hormonally-related vaginal dryness.
Treatments for Vaginismus
Since each woman's body is unique, the treatment time will vary, and progress might be observed quickly. Psychosexual education, careful and regulated practice, and pelvic floor exercises are used in treatment.
If the reason is evident, like an infection, it is related to proper medicine.
If the reason is psychological, sex treatment in psychotherapy or cognitive-behavioral therapy is indicated (CBT). These therapies can assist in addressing any underlying mental health concerns, such as anxiety or fear, and can address any illogical or wrong views they have about sex, as well as educate them about sex if needed.
Vaginal trainers can also help with vaginismus treatment in Mumbai. They teach the vagina to accept penetration without shutting reflexively. Vaginal trainers recommend tampon-shaped items in various sizes, which might help people become accustomed to having anything pushed inside their vagina.
Baths, breathing exercises and massages are all effective methods to unwind. Breathing exercises and mild touching activities might assist one in learning to calm the vaginal walls.
Pelvic floor exercises, like releasing and squeezing the pelvic floor muscles, can aid in gaining control of the muscles that cause the vaginal opening to shut reflexively. Pelvic floor exercises such as squeezing and releasing might help you develop control of vaginal muscles. These workouts are typically advised while consulting vaginal trainers.
Vaginismus can negatively impact a blooming relationship between a man and a woman. However, many women don’t feel uncomfortable discussing these issues with a male doctor. Hence, if looking for a leading female sexologist in Mumbai, one can visit Dr. Chaitali Mahajan Trivedi at Nanavati Super Speciality Hospital. 
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