Lybrate.com has a number of highly qualified Internal Medicine Specialists in India. You will find Internal Medicine Specialists with more than 44 years of experience on Lybrate.com. Find the best Internal Medicine Specialists online in AURANGBAD. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Migraine Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Treatment of H.I.V
Treatment of Joint And Muscle Problems
Liver Problems Treatment
Hiv Prophylaxis Post Exposure
Irritable Bowel Syndrome (Ibs) Treatment
Viral Fever Treatment
Management of Surrogacy
Treatment for Constipation Treatment
Submit a review for Dr. Sandeep WyawahareYour feedback matters!
I'm put on weight after second delivery since I have two kids living in abroad I can not go out for walk or gym how to loose my weight at home and suggest me the diet chart to lose my weight.
Kya ek students ko, morning me chna ,khane k bad wo kela ka sevan kre to kya nuksan h, ya chay hi piye? Ek student k breakfast me kya hona chahiye sir, agr morning 6.30 am pr class ho,
Have you ever wondered why in most cases, when you visit your doctor, he/she asks you to stick out your tongue? While it is true that doctor has a better view of the throat when your tongue is stuck out there is also an other fundamental reason for it. The doctor would also like to know the soundness of your tongue. You might have heard this old adage that a lot can be said about you by looking at your tongue. This holds certainly true in modern times and if your tongue looks unhealthy, it is time to get yourself evaluated by a physician. Let us look at some common symptoms and what you can infer from them:
- If your tongue has a white coating or white spots: A white tongue or a tongue with white spots can be an indication of a yeast infection that develops inside your mouth. It is common among infants and can also say that you have a weak immune system. In some cases, these white coating can appear after you have taken antibiotics.
- If your tongue is red: A red tongue could be a sign of vitamin deficiency. Folic acid and vitamin B-12 deficiencies may cause your tongue to give out a reddish appearance.
- Geographic tongue: The condition is caused when the redness causes map like patterns on the surface of your tongue. These patches can have a white surrounding and resemble like a country on a map.
- If your tongue is black and hairy: Much like hair, the papillae on your tongue grows throughout the lifetime. They become excessively long in some people and they can harbour bacteria. They look like dark patches and can resemble a mole on your skin. The condition may be common for people suffering from diabetes and for people who take antibiotics regularly.
- If your tongue is sore or bumpy: If your tongue is always sore, it can be due to a result of an accident or an injury. You might have accidently bit your tongue and the place is prone to infections and redness. The place may not be able to secrete enough saliva on its own and can cause these rashes or a sore tongue. They are also caused by smoking and in some cases, people with mouth ulcers can get them. Mouth ulcers in the tongue can be painful and can be especially messy.
Doctors advise that you have check your tongue on a daily basis and any changes should not be ignored and should be treated with the seriousness it deserves. Seek medical help immediately if these changes do not away even after a week or two.
I am 47 years old with weighing 53 Kgs. My health was fall down on the age 27 after that there is no any improvement, what time of supplement we use to improve our health.
Hiii I am 30 years old female. I have past history related to laproscopic cholelithiyacis (2013). Presently I am suffered by gastritis problem and heavy constipation. Thyroid profile and other relevant examination were normal. I also consult to Gastroenterologist in Jodhpur but never have any relief. Presently I am taken following treatment:- Tab. Pantoprazole 40mg BD Liq. Laxative 4tsf HS. But nothing have relief. What can I do.
Mera penis 6 month se sahi se khada nhi ho rha hai pura soft ho gya hai lagta hai sayad mera nas kamjor ho gya hai ya fir tut gya hai please koi upay batao.
The answer is unfortunately. Yes!
Meningitis, sometimes referred as spinal meningitis, is an inflammation of the membranes surrounding the brain and spinal cord. Usually caused by a viral infection, but it can also be caused by a bacterial or fungal infection.
Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Infection of the sphenoid sinuses, however, merits concern. These thin-walled sinuses develop late in childhood, and their deep location places them adjacent to the dura mater and other critical structures.
Sphenoid sinusitis is identified in approximately 3% of cases of acute sinusitis, typically in the context of pansinusitis. Significant development of the sphenoid sinuses does not begin until age 4 to 6 years, thus, sphenoid sinusitis is restricted.
Viral infection causes most cases of spinal meningitis. Viral meningitis is usually mild and heals without treatment. Bacterial meningitis is more severe and requires treatment with antibiotics. Streptococcus pneumoniae and neisseria meningitidis are strains of bacteria that cause pneumococcus and meningococcus meningitis respectively.
It can be life threatening condition owing to its proximity to brain and spinal cord and infective media is the fluid surrounding them.
• Lumbur puncture – csf examination (cell count, glucose, proteins) and culture
• Blood culture
• Chest x ray
• CT scan of head and nose – pns
• MRI brain
Symptom checker in meningitis secondary to sinusitis:
• Fever (92%)
• Headache (85%)
• Nausea, vomiting (62%)
• Altered consciousness (31%)
• Seizure (31%)
• Hemiparesis (23%)
• Visual disturbance (23%)
• Meningismus (23%)
Conclusion and quick pearls:
• Complications that are less common with antibiotics
• Orbital (cellulitis, abscess)
• Intracranial (subdural empyema, thrombosis of cavernous sinus)
• Bony osteomyelitis.
• Can result in drastic sequelae
• Drain abscess and open involved sinuses
• Ent surgical involvement – functional endoscopic sinus surgery
- Usually amenable with medical treatment
- Drain sinuses if no improvement after 48 hours
• Ophthalmology check up
• Neurosurgery intervention
A low index of suspicion is necessary for early diagnosis and treatment of sphenoid sinusitis, orbital complications and prevention of intracranial complications including meningitis.