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Dr. Manu Gujral

MBBS, MD - Medicine

General Physician, Agra

18 Years Experience  ·  0 - 150 at clinic
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Dr. Manu Gujral MBBS, MD - Medicine General Physician, Agra
18 Years Experience  ·  0 - 150 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Manu Gujral
Dr. Manu Gujral is a trusted General Physician in Awadpuri, Agra. Doctor has been a successful General Physician for the last 18 years. Doctor has completed MBBS, MD - Medicine . Doctor is currently practising at Dr. J.So. Gujral Clinic in Awadpuri, Agra. Book an appointment online with Dr. Manu Gujral and consult privately on Lybrate.com.

Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 31 years of experience on Lybrate.com. Find the best General Physicians online in Agra. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Volgograd State Medical University - 2000
MD - Medicine - Volgograd State Medical University - 2003
Professional Memberships
Indian Medical Association (IMA)
Indian Association of Clinical Medicine
Cardio Diabetes Research Society

Location

Book Clinic Appointment with Dr. Manu Gujral

Dr. J.So. Gujral Clinic

Infront Of District Hospital, AgraAgra Get Directions
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150 at clinic
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Geetanjali Memorial Hospital

Shaeed Nagar, Near Bhagat Singh Murti, Agra. Landmark: Centre For Sight.Agra Get Directions
100 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hello sir, I am 21 years old, I have ommiting problem, there is no problem with my health, all the food taken /eat by me doesn't digest, what should I do??

PDDM, MHA, MBBS
General Physician, Nashik
Hello sir, I am 21 years old, I have ommiting problem, there is no problem with my health, all the food taken /eat by...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
4 people found this helpful
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Taking heart medicine since 9 years rebaloc tab used to take for acidity problem. Now suggested neksium 20/day. Not much effective shall I go for 40 mg neksium or alternative you will suggest.

BAMS, PGFP
Ayurveda, Jalgaon
Taking heart medicine since 9 years rebaloc tab used to take for acidity problem. Now suggested neksium 20/day. Not m...
Hello do not take medicines on your own decision. For acidity you should take ayurveda treatment its more effective. Also you will have to make lifestyle changes. Avoid spicy food. Indigestion if any should be corrected. Regularize food eating timings. Avoid fast food. Do daily morning walk 30 mins. Do not eat late night. Revert back if problem is not solved will prescribe you effective ayurveda medicines.
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I have bought a gluco meter as my parents are the patient of diabetes. I have got 10 lanset free with it whether there are 25 test strips. My query is. Can I use one lancet for multiple time. If yes then how should I clean it after using one time.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I have bought a gluco meter as my parents are the patient of diabetes.
I have got 10 lanset free with it whether ther...
Practically yes you can use lancet multiple times of you are using for same person considering usage is on same day or within couple of days. Repeated usage of same lancet for same person increases risk of infection. Lancet need to be changed each time if you are using for multiple patients.
3 people found this helpful
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Hi I was shaving area near my penis with scissor n by mistake I had cut on my penis. Is it dangerous? Do I need to do something for this?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi I was shaving area near my penis with scissor n by mistake I had cut on my penis. Is it dangerous? Do I need to do...
Dear Lybrate user. The cut should be washed immediately with dettol water and kept cleaned. I also suggest to apply any anti-bacterial ointment on the cut to heal it. There is nothing to worry and don't panic. Take care.
4 people found this helpful
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What are the symptoms of typhoid? And how much time foes it requires to get cured completely?

MBBS
General Physician, Cuttack
1. Continuous high fever of long duration 2. Headache, body ache, lethargy 3. Loss of appetite, pain abdomen 4. Diarrhoea or constipation 5. Intestinal bleeding and perforation (in severe cases) treatment 1. Consult doctor with blood report like widal/typhidot test. 2. If it is typhoid, you have to take a course of antibiotic for 10-14 days 2. Take bland semi solid diet like rice with yogurt, porridge, barley, fruit (avoid skin/seeds) custard, avoid spicy, oily and fatty food. Take light and easily digestible diet. Take meals at short interval to avoid nausa/vomiting. Avoid meat/poultry/egg 3. Drink plenty of water/lime juice/ glucose water/ coconut water, sugar cane/ fresh fruit (avoid citrus fruits) juice, milk 4. Take rest for 2 week.
1 person found this helpful
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मैं 2 सालों से बादी बवासीर से पीड़ित हूं इसका सही इलाज बताइए ताकि मैं पूर्ण रुप से ठीक हो सकूं।

BAMS
Ayurveda, Bangalore
मैं 2 सालों से बादी बवासीर से पीड़ित हूं इसका सही इलाज बताइए ताकि मैं पूर्ण रुप से ठीक हो सकूं।
Hi, Please follow these tips: 1. Drink 2-3 lts of water per day. 2. Consume lot of fibre in your diet like raw vegetabes, fruits, whole grains, oats. Etc. 3. Eat one fully ripe big banana at bed time. 4. Drink one glass of hot milk with one spoon of ghee in it at bedtime. 5. Take your food at regular intervals. Avoid spicy and oil fried food. 6. Never curb the urge to pass stools. 7. Never put in lot of pressure to pass stools. 8. Take 1tsf of Isabgol powder with a glass of hot water at bedtime to get an easy evacuation. 9. Apply pilex ointment before and after passing stools. 10. Take tab Arshonyt 1-1-1 for about a month and inform. 11. Do sitz bath twice daily.
5 people found this helpful
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Homeopathy For Migraine!

BHMS
Homeopath, Faridabad

Migraine is a type of headache which can occur in varied intensities; the pain resulting from a migraine is pulsating and throbbing. This sort of a headache is usually accompanied by extreme sensitivity to sounds and light as well as severe nausea. One feature that significantly differentiates between migraine and any other type of headache is that the headache resulting from migraines usually develops on any one side of the head.

Causes of Migraine-

The exact cause behind migraine is yet to be fully understood. Migraines are thought to be a result of combination of genetic and environmental factors.In majority of cases, migraines tend to run in families . There are few well known trigger factors for migraine. These are – stress, exertion, gastric disturbances, eating heavy food stuff, taking alcoholic drinks, coffee intake, hormone changes in females.

Symptoms of Migraine-

The most characteristic symptom of migraine is one sided headache mostly of violent, throbbing and pulsating in nature. The accompanying symptoms include nausea, vomiting, blurring of vision, flashes of light before eyes, double vision, light/sound sensitivity, confusion and weakness.

Homeopathic Treatment for Migraine Headaches-

Conventional mode of treatment only gives temporary relief in migraine cases. While homeopathic relief for migraine promises a permanent cure for headaches. Homeopathic medicines treat the person as a whole and try to eradicate the tendency towards a particular disease. Homeopathic treatment for migraine is done in two phases. In first phase, the homeopathic medicines aims to reduce the intensity and frequency of migraine attacks. In second phase. homeopathic medicines works to eradicate the chronic tendency to migraines. Some of the commonly used homeopathic treatments for migraines have been discussed below:

  1. Glonoine: This can be a very effective remedy if the symptoms include redness of the skin and a sensation of rush of blood to the head. The pain in the head is usually aggravated when you are out in the sun.
  2. Belladonna: Belladonna is the most effective remedy for migraines if you experience symptoms of a throbbing headache in parts of your head. The pain tends to worsen by sudden movements, sound or light.
  3. Natrum muriaticum: Migraines that are caused by mental stress or grief are very effectively treated by Natrum muriaticum. These headaches may be accompanied by temporary loss of vision. These symptoms tend to aggravate during the day.
  4. Sanguinaria: This remedy is effective in treating any pain that starts on the right side of the head and spreads to the right eye. Usually, the veins around the sides of the head tend to become enlarged.
  5. Warning:Never treat yourself for migraine problems. Any form of migraine is complex and treatment needs to be supervised by an experienced health practitioner.
2 people found this helpful

Don t Ignore Erectile Dysfuntion: It s Treatable!

MS Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Don t Ignore Erectile Dysfuntion: It s Treatable!

If you are a man with diabetes, we’ve got good news and bad news about your sex life.

The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed.

The good news: ED is one of the most treatable complications of diabetes. In fact, over 95 percent of cases can be successfully treated. With proven treatments available, diabetic men with ED have options. It isn’t something you—or your partner—should have to live with.

What ED Is—and What It Isn’t

ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. ED is not an inevitable part of the aging process.

ED does not mean:

• An occasional failure to achieve an erection. The adage is true: It really does happen to everyone. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. It isn’t fun, but it is totally normal.

• Diminished interest in sex. ED occurs when a man is interested in sex, but still cannot achieve or maintain an erection. Many men with diabetes also experience a decreased sex drive, often as a result of hormone imbalances or depression. Decreased sex drive is quite treatable, but it is treated differently from ED.

• Problems with ejaculation. Such problems often indicate a structural problem with the penis. The most common treatment is surgical.

How Diabetes Causes ED

Human sexual response requires several different body functions to work properly and together: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these functions.

• Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. Neuropathy to either system can cause ED.

• Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. “Erection is a hydraulic phenomenon that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire.

• Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual response.

• Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED!

• Medications: About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED. That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED.

Treatments for ED

ED is easily and successfully treated! If your sex drive is unaffected, but you experience problems achieving or sustaining erection for a period of four to five weeks, you may have ED. Talk to your doctor immediately. Don’t delay—erectile dysfunction doesn’t “just go away!” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. Ignoring your ED because it’s embarrassing could jeopardize your health.

Most men seek treatment from their family doctor, who may or may not be familiar with the range of treatment options. A specialist may be a better choice. Specialists include urologists and doctors practicing at ED treatment centers.

A thorough physical exam and medical history, along with certain laboratory tests, can help your doctor determine what is causing ED, and then choose an appropriate treatment. The most common treatments for ED fall into four categories: medications, external mechanical devices, counseling, and surgery.

Medications: 

Oral medicines: The best known ED medications are the Big four. The four are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive (these medicines have become the treatment of choice for most men experiencing ED.

The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.

In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).

Topical medicines: When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. To prevent this, the man should use a condom.

Penile Injection Medication: This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. A popular version of this medication is Upjohn Corporation’s Caverject. The MUSE System, by VIVUS, involves the same medicine (a pellet of alprostadil) applied with an eye-dropper-like applicator, directly into the urethra.

External Mechanical Devices:

This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out. Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. All are portable, and costs range between $200-$500, covered under most insurance plans and Medicare Part B.

The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.

Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.

“Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom).

Couples Counseling:

The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Do not view such a diagnosis as an insult. Most psychologically-based ED is easily and successfully treated.

Surgery: 

There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction. Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort.

The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.

Prostheses: Many different types of penile prostheses are available, in three categories: rods, inflatable prostheses, and self-contained prostheses. Semi-rigid or malleable rods are the simplest and least expensive of all. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment.

Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. Parts are inserted surgically into the penis and scrotum, and activated by squeezing. When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Self-contained single-unit prostheses are similar to the inflatable types, but more compact. The entire device is implanted into the penis. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used.

Vascular Reconstructive Surgery corrects defects in penile blood vessels. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. Less than five percent of men with ED may benefit from vascular surgery.

Preventing ED

Like all diabetic complications, ED can occur even when you have followed your doctor’s advice and carefully managed your diabetes. Also like all diabetes complications, ED is less likely to occur with good blood sugar control. Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In addition, regular smoking and alcohol use can contribute to ED.

You are not alone; others have faced these difficulties. ED is treatable; you do have options!

3 people found this helpful

I am 28 year Male from last 4 month I have Upper Middle Abdominal Pain with more belching and feel, Abdominal fullness, chest pain I was consult gastroenterologist doctor I have done CT SCAN, X-RAY, Ultrasound, Upper Endoscopy but all came normalDoctor give antacid medicine but Today I still feel sharp Abdominal pain please tell me what should I Do.

BHMS
Homeopath, Ludhiana
I am 28 year Male from last 4 month I have Upper Middle Abdominal Pain with more belching and feel, Abdominal fullnes...
Hello. I think its because of acidity. Follow these steps to decrease pain:- 1. Eat simple food. Avoid spices because it increase acidity. 2. Drink 10-12 glass of water daily. Water regulate ph balance of stomach which regulate acidity. 3. Avoid junk food and fried things because it increase acidity. 4. Avoid carbonated drink. Prefer fresh juice. 5. Start morning walk and half an hr walk after having dinner. It regulate ph balance. 6. You can drink milk when you feel acidity. You can also take ajwain with warm milk. You can also give heat to painful area with hot bottle. It also decrease pain. All these steps will solve your problem. If you want to take medicine for full cure you can consult me privately. Treatment will give you permanent relief from this problem. Get well soon.
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How can I prepare my lady sex partner, for doing sex? Are the previous activities like kissing, breast pressing sucking obvious? Can these previous activities make my sex partner like a whore?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
How can I prepare my lady sex partner, for doing sex? Are the previous activities like kissing, breast pressing sucki...
Hello, There are no such things, these are emotional trigger points which form a part of foreplay and incites excitement in women before they get prepared and interested.
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