Disease Info

List of Common Diseases found, treatment and procedures done in Nepal.

Information here is only for education and information purpose. Self treatment is NOT recommended and is risky to your health.

Please seek proper medical advice.

Swine Flu H1N1

Swine Flu H1N1 - February 2015

Swine Flu H1N1 is currently affecting India deadly with more than 800 people have already lost their lives since their outbreak in December 2014. With our open borders with India, Nepal is a Country most susceptible for spreading of Swine Flu H1N1, from its Neighbor.

The H1N1 flu virus, originally called as Swine flu, caused a World Wide Pandemic in 2009. It is now a seasonal Human Flu, which can also circulate in Pigs. Thus, seasonal Flu Shots (vaccines) can prevent H1N1 Flu viruses, which are presently available in Advanced Polyclinic in Kathmandu and Pokhara.

What is Swine Flu?

Swine flu is a respiratory illness caused by H1N1 influenza viruses, that infect the pigs. Occasionally Humans with close contacts with Pigs (farmers and Vets) can get Swine flu from Pigs. Then Humans sick with Swine Flu can start spreading this Flu Virus to other Humans, thus occasionally it can spread widely and effect lot of people. Swine Flu is transmitted from person to person with Flu symptoms, which includes mainly coughing and sneezing. The droplets of sneezing and coughing contains Flu Virus and when inhaled by another person gets transmitted. First outbreak of Swine Flu - H1N1 was on 2009, since then it has been circulated in Humans as a seasonal Flu. The recent outbreak of H1N1 is in India, where more than 800 people have already lost their lives. The seasonal Flu Vaccine today covers the protection against this H1N1 virus as well and it is the best method to get protected against the Swine Flu. Advanced Polyclinic in Nepal, at Kathmandu and Pokhara can provide this Vaccine for the protection from Swine Flu along with the Seasonal Flu.

You cannot get Swine Flu by eating Pork.

Common Symptoms of Swine Flu:

Symptoms of Swine Flu are same as Human seasonal flu, which develop with in 3 days of exposure to the virus and lasts for 7 days, which includes:

  • Fever more than 100 degrees F
  • Bodyache
  • Soar Throat
  • Cough
  • Running or stuffy nose
  • Headache
  • Chills
  • Fatigue
  • Diarrhea
  • Vomiting

Disease Course:

Swine Flu (H1N1) is a self-limiting disease, just like Seasonal Flu, and does not require any specialized treatment. However for some people with compromised immunity can lead to complications like Pneumonia and even Death.


Treatment of Swine Flu is same as in seasonal flu, which requires only symptom relief. Usually anti-cold medicines like Rhinex 3 times a day for one week is sufficient. If temperature is more than 101 degrees F, then medicines to reduce fever like Flexon is recommended.

But those who have a chronic illness, like bronchial asthma, heart diseases, old age and children can develop complications, thus, it is recommended to visit doctor as soon as possible and maybe anti-viral medicines like Tamiflu might be needed to prevent complications and death. In severe cases hospitalization is required.


Protective measures like wearing a mask and washing hands, staying away from people with cough and sneezing, not shaking hands and not hugging are universal method of Flu protection. Season Flu vaccines like Vaxigrip are effective against H1N1 Swine flu.




Gastritis, Acidity and GERD

Gastritis, acid reflux and GERD (Gastro-eosophageal reflux disease):

As it is very common in Nepalese community to say that everyone in Nepal has “Gastric”, a term commonly used for Gastritis. Many also mistakenly think that gastritis is a gas formation in the stomach (or intestine). Many of us also say it correctly as Acidity.

What is Gastritis? Gastritis (or simply Gastric, as most commonly called in Nepal) is an irritation of the inner layer of the stomach by natural acid, produced in our stomach. This acid is required for digestion. Thus, whenever we eat, stomach starts to produce this acid. If the amount of acid is more than normal or acid is produced excessively than required, or when gastric juice is produced, even when we are not eating anything, then this acid will start to irritate and burn the inner layer of our stomach. Which will cause discomfort and abdomen pain. This condition is known as Gastritis (or gastric in Nepal). The pain is usually located on the upper part of the stomach, just below the chest in the middle. Lot of people in Nepal also say “mutu” (heart) pain.

PAP Smear

Pap smear test (also known as Pap test) is a screening test for cervical cancer.

Cervical cancer can almost always be prevented, and having regular Pap tests is the key to this. Pap test is a medical procedure in which a sample of cells from woman's cervix (the lower part of the uterus that opens into the vagina) is collected and smeared (spread) on a microscope slide in order to look for cancers and precancers. Precancers are cell changes that might become cancer if they are not treated on the right time using the right way.

A Pap smear is a simple, quick, and relatively painless screening test. Two peculiar traits of Pap smear test are; its specificity, which means its ability to avoid a "false positive" result and its sensitivity, which means its ability to detect every single abnormality. Thus, there is a rare chance of developing a Cervical Cancer if you have having regular Pap smear test.

Silent Killers

Yes. The name itself sounds like a horror movie. You won't have a slightest idea, that they are already after you and it's just a matter of time when one day, you will realize that they are killing you. Unfortunately, for most us, it will be too late. Either you will be dead or at the mouth of death.

Rotary Club of Pokhara New Road and Advanced Poly Clinic Pokhara Branch had previously joined hands to fight against these silent killers in Pokhara.

Who are they - these silent killers?

They are Diabetes, High Cholesterol, High blood pressure and Cancer. They are called silent killers, because they do not cause any symptoms. First symptoms may be death or heart attack, stroke and paralysis. Often, when first symptoms appear they have already irreversibly damaged your internal organs and health. These silent killers, 50 years back were rare in Nepal. But due to massive urbanization and change of life style in cities, these silent killers are increasing in alarming rates. Yes, these silent killers are getting more and more aggressive and invading more and more younger population especially in cities like Kathmandu, Pokhara and other large cities. Unfortunately, due lack of knowledge and awareness regarding these killers in Nepalese population, Nepalese are taken by surprise.

Heart Attack

Incidence of Heart Attacks are increasing in Nepal in alarming rates. More and more younger people are dying of heart attacks in Nepal.

The name itself is a red alert warning: Attack. Why?

Because it comes like a surprise without any prior symptoms.

Because 50% of people who get a heart attack will never reach hospital in Nepal. They die.

Bird Flu

Key Facts About Avian Influenza (Bird Flu) and Highly Pathogenic Avian Influenza A (H5N1) Virus

Avian influenza is flu infection in birds. The virus that causes the bird infection can change (mutate) to infect humans. Such mutation could start a deadly worldwide epidemic.

The first avian influenza virus to infect humans occurred in Hong Kong in 1997. The epidemic was linked to chickens and classified as avian influenza A (H5N1).
Human cases of avian influenza A (H5N1) have since been reported in Asia, Africa, Europe, Indonesia, Vietnam, the Pacific, and the near East. Hundreds of people have become sick with this virus. Slightly more than 60% of those who became ill have died.
The more the avian flu virus spreads, the greater the chances of a worldwide outbreak in humans. There is a tremendous concern that H5N1 poses an enormous pandemic threat.
The following people have a higher risk for developing the bird flu:

Diabetes - Everything you need to know.

What is diabetes?

Diabetes Mellitus is nothing but a high level of sugar (glucose) in our blood. This disease is commonly known as just "Sugar" or "Diabetes" in Nepal.
Sugar (glucose) is a source of energy for us and we cannot survive without it. If sugar is a source of energy and good for us, why then high levels of sugar in our blood is bad? But, unfortunately as a famous proverb says: "Too much sweet is bitter", it is true for us as well. Why?
When we eat sugar (glucose, carbohydrates), it is absorbed in our intestines and circulates in our blood. Then, this sugar needs to enter our cells as a source of energy. But our cell does not allow sugar just to enter or leave the cell. It has a door with a lock. Fortunately there is a key known as Insulin, that unlocks this door and sugar enters the cell. If due to some reason,

Advanced Polyclinic

Kathmandu Clinic:
Pani Pokhari/Lazimpat (opposite to Japanese Embassy)
TeL:(977-1) 4431078, 4443386

Pokhara Clinic:
S&S Complex, New Road (100 meters North from City Hall)
Tel: (061) 522984, 522985

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