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Dr. Nishant Lal

MBBS

General Physician, alappuzha

2 Years Experience  ·  400 at clinic
Dr. Nishant Lal MBBS General Physician, alappuzha
2 Years Experience  ·  400 at clinic  ·  ₹ online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nishant Lal
Dr. Nishant Lal is a popular General Physician in Punnapra, Alappuzha. He has over 2 years of experience as a General Physician. He studied and completed MBBS. He is currently associated with T. D. MEDICAL COLLEGE HOSPITAL in Punnapra, Alappuzha. Save your time and book an appointment online with Dr. Nishant Lal on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 39 years of experience on Lybrate.com. Find the best General Physicians online in alappuzha. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Govt T D Medical College,Alappuzha,Kerala. - 2014
Languages spoken
English

Location

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Room No 404, PG Hostel, Medical College Hospital, Vandanamalappuzha Get Directions
400 at clinic
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Hi I am 29yrs old and suffering from headche on daily basis

MD - Alternative Medicine
Alternative Medicine
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Do u have history of constipation? r-16 20 drops three times in a day before meal homeopathic non side effect remedy

I am diabetic patient and my creatinine level is 1.4 but sugar and hba1c is under control, how to lower my creatinine level?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am diabetic patient and my creatinine level is 1.4 but sugar and hba1c is under control, how to lower my creatinine...
Mr. Lybrate-user kumar, you have take a low protein diet (0.6 g to 0.8 g/kg per day), avoid strenuous exercise, drink more fluids. Also reduce potassium and phosphorous containing foods. Achieve strict sugar control. All these measures will help in reducing creatinine.
2 people found this helpful

I am 27 years old and suffering from viral fever last 1 month what can I should do?

MBBS
General Physician
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I am 27 years old and suffering from viral fever last 1 month what can I should do?
Do blood examination like CBC, Widal/ Typhidot test, Blood for mp and Dengue antigen(NS1) test after consulting doctor

I am 72 years.I have to pass urine on an interval of 3 hours especially at night which is an hindrance to sound sleep.How can I rectify this? Kindly advise.

MBBS
General Physician
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Get urine test for infection. Blood test for sugar. Ultrasound for prostate. If you find any problem ask again. Thanks Dr B M GUPTA
1 person found this helpful

I do night shift. Which medicine or supplements I should take so that there is no deficiency in my body due to night shift. Any also suggest me eye drop as I wake whole night.

MBBS
General Physician
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I do night shift. Which medicine or supplements I should take so that there is no deficiency in my body due to night ...
There is no supplement to replace a good nights sleep. Sleep disorders and having too less sleep can affect your immunity and general well being. So try to make up for lost sleep and avoid night shifts for too long. Take omega 3 fatty acid supplements for your well being.
1 person found this helpful

I am 52 years. Suffering diabetic last 7yrs and now I inject insulin novomix30 56uts/daily with tab golvus50 and metformin 1g bd. But bl suger is 230 (pp). What should I do? ut.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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You may need to change your insulin regime to basal bolus regime. Get in touch with your Dr. For details on this.
1 person found this helpful

I had leg pain from 2 day, I am sufferings from headache, I am also sufferings from cold.

MBBS, MS - Orthopaedics
Orthopedist
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I had leg pain from 2 day, I am sufferings from headache, I am also sufferings from cold.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

Can you please suggest me some ways to get rid of sunburn and regular cold?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician
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Put a cold, damp towel on your skin. Do this for 10 or 15 minutes a few times every day. That will help take some of the heat out of your skin. You also can take frequent cool baths or showers to help relieve the pain. As soon as you get out of the bathtub or shower, gently pat yourself dry, but leave a little water on your skin. Then, apply a moisturizer to help trap the water in your skin. This will help ease the dryness.

Premature Ejaculation and its treatment

Advanced Aesthetics
Ayurveda
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PME Overview

Early / Rapid (Premature) Ejaculation is not a disease The most common sexual dysfunction in men is Premature Ejaculation (PE). In fact it is more common than common cold and will not go away by itself, unless diagnosed and treated.
Premature Ejaculation happens before penetration or after penetration before partner achieves satisfaction. Men with PE have short ejaculation times from penetration to ejaculation, inability to delay ejaculation and negative personal consequences from PE.

Adequate ejaculatory control refers to a reasonable degree of voluntary control, which allows a man to continue to continue sexual performance, until he chooses to “let go” and ejaculate. Most guys are able to prolong their sexual act, on the basis of partners need for 3 to 7 minutes.

Premature ejaculators are unable to achieve this level of voluntary control and they have no choice and they ejaculate rapidly and involuntarily as soon as they reach a high state of arousal, whether they want it or not. Many men with early ejaculation attribute it to guilt about masturbation, lack sexual confidence and they tend to be anxious about their ability to perform. Each time their negative experience convinces them that they are “losers” and this increases their performance anxiety. During anxiety there is a release of adrenalin and nor adrenalin which are our body’s emergency hormones which reach penile circulation in less than a second and instantly constricts the blood vessels reversing the erectile process and they naturally lose the erection also, which can be devastating.

Lifelong PE is characterized by 'ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration leading to frustration of the partner.



In our society, men often measure their self worth by the hardness of their erection and by their “staying power”. Men who have poor control, especially if they are unsure of themselves in other ways, may end up with a general sense of inadequacy and failure, and may develop additional sexual difficulties. Early ejaculation is not good for romantic relationships, not because women reject them on account of the PE, but because they develop self-destructive patterns of sexual avoidance and lead a bitter and frustrated life. Many women who complain bitterly about their husband’s PE are really less upset about their PE, but are more concerned by the partner’s insensitivity to their feelings. Naturally, such deep unhappiness on the part of the partner creates pressures, which only worsen the couple’s problems, and in fact they avoid having sexual activity.

The only way to diagnose is when the individual feels or the partner complains about it.

Treatment

Preventive Exercise

By modifying the stimulation in masturbatory exercises (Stop-start technique), Yoga (Vajroli & Ashwini Mudra), Unani approach (interrupting the flow of urine) a man with premature ejaculation can learn to slow his response or in severe cases surgical cutting of the nerve.

Reducing sensation

Wear a condom: sounds too simple to be true, but it works for a lot of men.

Use an analgesic cream or spray: There are two classes of these products. The first is the traditional "numbing" creams and sprays that have been on the market for some time. The upside is that you'll feel less sensation, which will delay ejaculation. The downside is your partner may suffer a loss of sensation as well and of course less sensation is not very appealing to men and women.

There is a new class of topical medications that absorb into the skin to deliver a mild anesthetic to the sensory nerves below the stratum corneum (top layer of skin) of the penis. This allows men to have ejaculatory control but with less loss of sexual sensation, and reduces the transference to their partners.

Apply strategic pressure:

Youcan delay an oncoming ejaculation by applying pressure to one of two spots.

Perineum pressure: Pressing on the perineum by yourself or your partner, a spot midway between your scrotum and your anus, will help to stop ejaculation because this spot reaches through to the prostate gland. It is the prostate that contracts and expands during orgasm and then expels the ejaculation fluid.

Testes tug: When a man nears orgasm his scrotum raises up closer to his body. You can delay ejaculation by gently pulling your testes down and away from your body.

Reduce anxiety:

For many men anxiety and pressure to perform is a major contributor to premature ejaculation. Relax and remember that your partner probably cares about more than the timing of your orgasms, and that premature ejaculation doesn't mean you can't still be good in bed

Medications

Selective serotonin reuptake inhibitor (SSRI), group of drugs delay ejaculation.

In very severe cases, rarely surgical option is considered, to denerve the penis of its sensations.

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Premature Ejaculation and its treatment
1 person found this helpful

I am 58 years old, male with Schizophrenia since 10 years. At present I am put on Amisulpride 200 mg 0-0-1 and Sizopin 100 mg 0-0-1. Of late, I am thinking of replacing Amisulpride with Paliperidone 3 mg OD (Of course, only after the consent of my Psychiatrist, with whom I have an appointment next week). In the mean time, I want to know, how safe it is and will it react with Sizopin? Please confirm.

MD - Psychiatry, MBBS
Psychiatrist
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I am 58 years old, male with Schizophrenia since 10 years. At present I am put on Amisulpride 200 mg 0-0-1 and Sizopi...
If you have been stabilized with amisulpiride and sizopin , its better to continue the same treatment. if you have any side effects or if there is no improvement, then only you think of changing the medication. As such paliperidone has no serious side effects but can cause stiffness of muscles and shaking in some pts.

I had sex wit sexgirl with direct nd I kissed her so I wnt to kno did I suffering from hiv aids ,so please help me.

MBBS, PG Diploma (HIV Medicines)
General Physician
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I had sex wit sexgirl with direct nd I kissed her so I wnt to kno did I suffering from hiv aids ,so please help me.
There is risk of HIV.. I am HIV AIDS Specialist. For further management come to private chat so we can do one to one live discussion and solved your problem.
1 person found this helpful

Hii im getting ear pain n it is relax sometime n sme time getting more so what should I do pls give me rply.

BHMS
Homeopath
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Hii im getting ear pain n it is relax sometime n sme time getting more so what should I do pls give me rply.
Olive oil can provide fast relief from an earache. It serves as a lubricant and helps get rid of an infection in the ear. Olive oil can also be helpful in stopping buzzing sensations inside the ears. • Put 3-4 drops of lukewarm olive oil as ear drops into the ear canal. • Alternatively, you can dip a cotton bud in the oil and put it firmly into the ear. You can also use mustard oil in the same way.

Understanding Retrograde Ejaculation

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist
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A very uncommon and rare condition, which can occur in case a person is diabetic or has undergone a surgery, a medical disorder known as retrograde ejaculation. It is a condition in which semen enters the bladder rather than going out of the penis after orgasm. This causes a problem as very little or no semen is ejaculated.

That is why this is sometimes also called as 'Dry orgasm'. The only treatment for retrograde ejaculation is to make the male fertile again because retrograde ejaculation is not particularly harmful to the individual. It has the following symptoms:

There are only three main symptoms associated with retrograde ejaculation.
1. Dry orgasms
2. Urine that is cloudy immediately after an orgasm
3. Male infertility

The possible causes of retrograde ejaculation are:
1. Surgery such as prostate surgery
2. Certain medications which cause side effects. These medications are usually administered for high blood pressure, prostate enlargement and mood disorders.
3. Nerve damage

It is worth noting that Dry orgasms have other causes as well, which includes:
1. Prostatectomy, which is the removal of the prostate by surgery
2. Cystectomy, which is the removal of the bladder by surgery
3. Radiation therapy, which is especially used to treat cancer in the pelvic area

Here is how retrograde ejaculation may get more complications
There are only two main complications which occur due to retrograde ejaculation. These include:
1. Male infertility
2. Worries about retrograde ejaculation which may lead to less pleasurable orgasms

Treatment for retrograde ejaculation.
It is worth noting that certain medications, which are used to treat retrograde ejaculation can lead to serious complications and others may lead to a higher heart rate and blood pressure.

Medications which are usually used:
1. Imipramine which is also called Tofranil
2. Chlorpheniramine and Brompheniramine
3. Ephedrine, Pseudoephedrine and Phenylephrine

It is also worth noting that the treatment for male infertility is different and more advanced.
Understanding Retrograde Ejaculation
3704 people found this helpful

2 days I did my usg scan and I have fatty liver the size is 12.1 cm .is there any big problem please answer my concern .m so terrified .what should I do to change my condition. thanks.

MBBS
General Physician
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2 days I did my usg scan and I have fatty liver the size is 12.1 cm .is there any big problem please answer my concer...
Fatty liver can be controlled but not cured fully and we have to follow a proper diet and- few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.

I am suffering from viral fever and there is a infection in my throat from many days, so what is the best medicine to cure it.

MBBS, MBA (Healthcare)
General Physician
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I am suffering from viral fever and there is a infection in my throat from many days, so what is the best medicine to...
Do saline water gargle. Take sinarest one tab 2 times daily for 3 days. Take dolo 650 mg one sos if fever is more than 100 degree f. It will help you.

I am 45 years old and some red dane in my tounge, what should I do ?

BDS
Dentist
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Kindly visit the dentist coz we need to check oral cavity and diagnosis is made along with treatment prescribed.

I have typhoid what should I do?

MD - Internal Medicine, MBBS
Endocrinologist
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For prevention the dehydration in typhoid fever take plenty of water. if you have severely dehydrated, you may need to receive fluids through a vein (intravenously). Avoid contaminated water.,avoid open foods and foods at outside of home. Wash proper hand before meal and after toilet . Drink warm water. Take liquid diet,juice,papaya, dalia, green veg., avoid oily meal. Do tests cbc,typhi-dot, lft,kft,urine r/m,blood c/s,for find out infections in body. Take OTC medicines as :- tab. Dolo 650 mg thrice a day. Cap. Aristozyme once a day. After test blood c/s you can take antibiotic by doctor.

I always have a headache on the right side of heaf and right eye too, what could be the probable reason?

MBBS, MBA (Healthcare)
General Physician
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I always have a headache on the right side of heaf and right eye too, what could be the probable reason?
check your BP. Check your eye sight. take crocin pain relief in case of severe headache. take good sleep and rest. avoid stress. inform if not ok.
1 person found this helpful

I suffering from head Ache what should I do.

MBBS
General Physician
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I suffering  from  head Ache  what should  I do.
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be migraine headache kindly follow advises given below: you can take: 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) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis Consult physician for further management

Dear sir /mam I have a problem if I am siting in a car with open wind glass I do not have any problem but after closing glass and starting ac I fell vomating and can not sit in the car please tell me what should I do help me out.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Seek prompt medical attention if nausea and vomiting are accompanied by other warning signs, such as: chest pain severe abdominal pain or cramping blurred vision fainting confusion cold, clammy, pale skin high fever and stiff neck fecal material or fecal (foul) odor in the vomit I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in nausea. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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