Dr. Shailesh Jain

Dear lybrate user, sperm cells are being continuously produced inside human testis. A single sperm cell needs about 4 months to mature before being ejaculated. Masturbating ejaculates many mature as well as immature sperm & results in the temporary deficit of sperm count. This loss of sperm results in the increased production of sperm. A sperm is mainly made up of protein. An increased production of sperm count needs a steady supply of protein. This supply of protein is met from the amount of protein we intake daily. Over masturbation increases the rate of production of sperm to such extent that the demand for protein cannot be fulfilled naturally & it often results in breakdown of protein from muscle tissues. This breakdown of muscle tissues is externally manifested as fatigue, weakness etc. Addiction to masturbation denotes that you are continuously indulged in sexual thoughts. This type of thoughts is common in people who live a sedentary life. If you really have a sedentary life-style you should get yourself out from it immediately. Socialize yourself. Do some physical exercise daily. Drink a lots of water. Create a routine of your daily schedule & maintain it. Stop watching porn in case you have developed a habit of watching it also you can take homoeopathic mother tincture origanum q, 10 drops, thrice daily, after meals, in a cup of water. This medicine will help to control your excessive sexual desire. However, you can masturbate for twice in a week. In order to minimise the after-effects of over-masturbation you can take homoeopathic cinchona officinalis 30 or china 30, 5 drops, thrice daily in empty stomach. This medicine will help to fight the seminal debility caused by the sexual exertion created by over-masturbation. Also I would like to advise you to conduct your semen analysis test. It will reveal the abnormalities in your semen if you really have any. If you find any abnormality in your semen analysis report.

If the blood pressure is low and no symptoms, then it is fine. But if you have any such symptoms, the immediate response should be take sugar in any form. Either glucose water, electral powder, ORS, etc. Stress, anxiety or depression are the things which affect all the individuals and yes it can cause heart and other problems. Best to continue exercising, so that it can be avoided.

1. Take paracetamol 500mg, 1 tablet as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of waterl 3. Take adequate rest 4. Have adequate sound sleep in the night for 7-8 hours if you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist 9. Consult me for further advice.

Dear lybrate user! check your blood sugar and urine sugar level, and reply us, we can help you in very better way. Thank you

For lips use glycerine and rosewater combination to be applied daily for eyes use refresh eye drops. Get the eyes examined by opthalmologist.

For stomach pain take tablet Meftalspas-Ds with rantac and Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water

You may think that if you’re lactose intolerant, you just have to sacrifice the benefits of dairy. Yet there’s an alternative: Popping a couple of lactase enzyme supplements right before consuming dairy could help ensure that all the nutrients wind up in your muscles, not the toilet. Lactase enzymes have been shown in several clinical trials to effectively increase lactose digestion; these studies indicate that even subjects who are considered highly lactose intolerant can consume dairy products if they take enzyme supplements. When choosing a lactase enzyme supplement, look for a product standardized for Food Chemical Codex (FCC) lactase units. This signifies the product is produced according to FCC standards to break the bonds holding lactose together. Each person’s ability to digest lactose varies, so you have to experiment to find out how much supplemental lactase your body needs. If you consider yourself to be moderately lactose intolerant, start by taking 2, 500–5, 000 FCC units of lactase when consuming dairy-based protein supplements or foods. Those who are more sensitive to dairy should start with 10, 000–20, 000 FCC units. If your lactase supplement is in capsule form, make sure you take it at least 15 minutes before consuming dairy so your stomach has time to break down the capsule. Lactase powders or chewable supplements can be ingested at the same time as dairy. The meal plan below is designed for a bodybuilder who suffers with lactose intolerance and who wishes to gain lean, quality muscle and strength. If lactose is consumed it can cause bloating which is undesirable for someone who needs to eat frequently. Use the structured plan to give you an idea of what are suitable foods to consume and when to consume them in relation to weight training. The plan is a guide and it's important to vary choices; don't relay too much on supplements and make sure the brands you purchase are of good quality. Adapt the plan to suit your own needs and daily routine and vary portions and food choices from day to day. Also, for maximum performance ensure plenty of rest and drink plenty of fluid. Wake 7.30am1 scoop whey protein isolate in water 8.00am Breakfast Large bowl porridge made with 250ml soya milk* + tbsp ground linseeds (+ sweetener, if desired) 2 slices granary bread toasted + natural peanut butter 200ml orange juice 10.30am2 sandwiches (4 slices granary bread) + tuna or sliced chicken breast Banana Drink water 12.30 pm LunchLarge chicken breast 200ml fresh vegetable soup 4 slices granary bread + olive oil** spread Salad Drink water 3.00pm2 squares Easy Flapjack 1 scoop whey protein isolate in water Item fruit Drink water 45 mins pre-workout 80g chicken breast Large handful mixed nuts 2 oatcakes TRAIN – 45-60 minutes Immediately post workout 2 scoops whey protein isolate + 20g maltodextrin in water 7.30 pm Lean steak or 2 lean pork chops 100g boiled Basmati rice or 5-6 small boiled new potatoes or large dry roasted sweet potato Large serving of vegetables 9.30pm No Allergy Fruit Smoothie + 1 scoop whey protein isolate 2-3 oatcakes or rye crispbread with natural peanut butter Bedtime 80g mackerel fillet.

As of now apply caladryl lotion and take tablet cetrizine at night for five days and revert back with your findings

Avoid sweet and sweet product. Avoid packed fruit juice etc. you can consult good dietician for detail list and choice.

It is mostly because of Vitamin B12 deficiency. So start taking tablet Neurokind plus once daily for 1 month.

AVOID ALL BAD HABITS. SMOKING,ALCOHOL. DO TEST FNAC FOR LUMP. CBC, BLOOD SUGAR. TILL THEN YOU CAN TAKE TAB. SINAREST THRICE A DAY. TAB. FLUKA-150 MG ONCE A WEEK FOR 8 WEEKS. AFTER TESTS RESULT CONSULT AGAIN. WELCOME IN LYBRATE.

Have cold milk at regular intervals because milk is a very good antacid, have balanced leafy vegetables and cereals. Lots of water by mouth have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection. Go for morning walk followed by free hand exercises. Avoid red meat instead have lean meat like chicken salad and fish etc it will be ok.

Hello- Since your sperm count is nil (azoospermia) the motility and other factors must be left blank in the reports. Nil sperm count may be due to two conditions, either reduced sperm production or obstructions in the sperm pathway. Both the conditions can be cured with the help of medications. Duration of treatment will range from 30-90 days depending upon which type of azoospermia you are suffering from.

The partial or complete lack of smell can be result of chronic nasal or sinus problem. Like sinusitis or nasal polyp. Ent surgeon will do the necessary examination and tests on you to reach till the root cause. Its hard to say or prescribe anything here without examination.

Hi Lybrate user as I read all your saying and suffering and medicine you have taken and what you are doing to relieve your symptoms all day and you want to get rid of these symptoms. First I let you know that you are suffering with irritable bowel syndrome ,but problem is that more than 70℅population suffering from this but they are not aware of it. It is not a disease to be cured but it is a condition which is due to depression and stressful conditions in our life which give arise these symptoms, once these symptoms occurs in patients life he focused on these symptoms and thus he increasing these symptoms more and sometimes when some conditions and seasonal changes inhance your depression and anxiety your symptoms get increased. So I suggest you that first you know the root cause of your problems is your mental state. Second you need symptomatic treatment of your problems. In Ayurveda I will suggest you to take some medicine and meditation and pranayam, specific exercise and thus you will be able to cure your problems completely. I will advice you to take boil vegetables as much as you can ,avoid sugar and tea and coffee as much as you can. Cure is possible, consult me as soon as possible. For further assistance feel free to consult me wishing you a healthier life.

You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) I am giving you some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga, i can give you address of rajyoga meditation center near your house (this is free of cost) One thing i want to tell you that if you can relax your mind by Rajyoga meditation than you can reduce your sleep upto 5-6 hour and you will feel fresh and active 4. Avoid tea coffee after 7 pm 5. You can wash your face and feet at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes Consult me if symptom persist

It could be malaria/typhoid 1. Do blood examination like esr, cbc, widal/ typhidot test, blood for mp/malaria antigen, dengue antigen (ns1) test, urine re/me after consulting physician and follow the advice and treatment 2. Consult me for further advic.

For fever take tablet paracetamol 650 mg and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports

Try to stay busy doing activities that engage you in other ways besides masturbation. Sublimate by doing things like writing, painting, drawing, playing a musical instrument, or playing sports. Eat healthy and try to cultivate some kind of skill that gives you pleasure and focuses your brain 1- leave masturbation if do 2- do not watch pron movies. 3- take nutritious and healthy diet 4- avoid fast food, spicy,and oily food. 5- may take ayurvedic medicine for strengthening your sexual strength to a grater level. 6- do abdominal crunches, leg raises ,push ups 20 nos each and yoga. 7- add up salad as staple in your food.

Vitamin B12 in Vegetarian Diets

A Critical Nutrient:
Vitamin B12 is a very important nutrient. It is required for proper red blood cell formation and for the development of the nervous system. A deficiency of vitamin B12 is a serious nutritional concern, resulting in anemia and changes in the function of the nervous system. While milk and eggs contain vitamin B12, no plant food naturally contains the vitamin. Unless they consume a B12 supplement or foods fortified with B12, a vegan is at risk of vitamin B12 deficiency.

What are the symptoms of B12 deficiency?
If blood levels of vitamin B12 drop below normal values, ANEMIA results. This may be followed by impairment in cognitive function.
Other symptoms include:
-Numbness and tingling in the arms and legs,
-Weakness and excessive fatigue,
-A range of psychiatric disorders including disorientation, depression, mood disturbances, irritability, memory loss, difficulty in concentration, and dementia.

Some people also experience an inability to maintain balance when walking, and a loss of position sense. Many B12 deficiency symptoms may be due to other causes, therefore, it is wise to be examined by a health care provider to determine the cause of the symptoms.

What are the long-term consequences of vitamin B12 deficiency?
Infants who are vitamin B12 deficient often display signs of developmental delay or regression both physically and mentally. These delays may have a long term consequence on the child, lasting into adulthood. In the elderly, neuropsychiatric disorders caused from a vitamin B12 deficiency are often irreversible.

Why are babies at risk of vitamin B12 deficiency?
A baby born to a mother who has been a strict vegetarian and who has not had reliable sources of vitamin B12 for a number of years is especially at risk. Unborn babies have a special need for vitamin B12 and this need may not be met by a mother deficient in the nutrient. In addition, the infant may not receive sufficient levels of B12 in breast milk, when breast-fed by a vitamin B12-deficient mother or a woman whose diet is not adequate in vitamin B12.

Vitamin B12 deficiency may develop in a breast fed infant within 3-6 months of age. A child with a vitamin B12 deficiency may become apathetic, lethargic, and experience failure to thrive.

Can the elderly also be at risk for vitamin B12 deficiency?
Yes. As people age, there is a decrease in the secretion of stomach acid as well as a drop in the digestive enzyme pepsin. As a result, digestion of vitamin B12 from protein is diminished, inhibiting the amount of B12 available for absorption. People over 50 years of age may show neurological changes due to vitamin B12 deficiency. It is believed that a considerable number of elderly patients have neuropsychiatric disorders due to vitamin B12 deficiency.

How long does it take to develop a vitamin B12 deficiency?
Since the liver does store extra vitamin B12, and the body has a recycling process for B12, it may take an adult 3-10 years to develop a deficiency once intake of the nutrient has ceased. If one’s past vitamin B12 intake has been very low, a deficiency may manifest itself in much less than 3 years after cessation of intake.

How much B12 do we need?
Only about 2 ½ micrograms of vitamin B12 is required per day. A cup of milk has about 1 microgram of B12, while a cup of soy or rice milk contains from 1 to 3 micrograms, and a serving of B12-fortified commercial cereal has 1.5 micrograms.


Vegetarian meat analogs that are fortified may contain anywhere from 1 to 6 micrograms of vitamin B12. More and more vegetarian foods are being fortified with B12, but it is imperative that one read the food label, as fortification levels may change from time to time.

What foods are reliable sources of B12?
Milk, yogurt and cheese, along with eggs, are the only vegetarian food items that naturally contain significant levels of vitamin B12. Plant foods may be fortified with B12. These include rice and soy beverages, plantderived meat analogs, ready-to-eat breakfast cereals, and nutritional yeast. It is important to read the labels for these foods as not all products and brands have B12 fortification, and the amount of fortification can change with time.

What foods are unreliable sources of vitamin B12 although they claim to contain
a sufficient amount?
While claims are made for tempeh, miso, and other fermented soy products, as well as spirulina, some seaweeds, brewers yeast, and leafy vegetables, these foods do not contain any significant level of vitamin B12.

Can’t we make our own B12?
Yes. The bacteria in our colon make vitamin B12. However, the absorption of B12 takes place higher up in the gastrointestinal tract, near the end of the small intestine. Therefore, it is unavailable for use in the body.

Are all supplements good sources of the vitamin?
Since the body has a limited capacity for absorption, there is really no reason to ingest more than 10 to 50 micrograms of vitamin B12 supplement per day. Larger amounts are very poorly absorbed and wasted. For effective absorption, a B12 tablet must be dissolved under the tongue or chewed. B12 capsules normally dissolve in the gastrointestinal tract and are readily absorbed. Sub-lingual B12 sprays are also a useful source of B12.

Summary
Vitamin B12 deficiency is not uncommon. Vegans must be especially careful to get adequate amounts on a regular basis, preferably daily. A daily B12 supplement is necessary when B12-fortified plant foods are not regularly consumed. Nutrition labels on processed foods must be carefully studied to determine how much B12 is supplied by one serving of the food.