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Roopa Clinicgen

General Physician Clinic

#13/2, 4th Main, 'A' Block, Subramanyanagar, Rajajinagar. Landmark: Near Punyakoti Complex Bangalore
1 Doctor
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Roopa Clinicgen General Physician Clinic #13/2, 4th Main, 'A' Block, Subramanyanagar, Rajajinagar. Landmark: Near Punyakoti Complex Bangalore
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Roopa Clinicgen
Roopa Clinicgen is known for housing experienced General Physicians. Dr. Wodeyar P C, a well-reputed General Physician, practices in Bangalore. Visit this medical health centre for General Physicians recommended by 61 patients.

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MON-SAT
11:00 AM - 09:00 PM

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#13/2, 4th Main, 'A' Block, Subramanyanagar, Rajajinagar. Landmark: Near Punyakoti Complex
Rajaji Nagar Bangalore, Karnataka
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Dr. Wodeyar P C

General Physician
Available today
11:00 AM - 09:00 PM
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Prostate Biopsies - Ways You Can Avoid It!

Urologist
Urologist, Gurgaon
Prostate Biopsies - Ways You Can Avoid It!

One of the most common issues with old age in men is the enlarged prostate. Any difficulty with urination (no constant stream, difficulty initiating, or incomplete emptying of the bladder for instance), and the first suspect is an enlarged prostate. These symptoms are followed by a digital rectal exam to check for an enlarged prostate. Once confirmed, the next step is to check for levels of prostate-specific antigen (PSA). If both the exam and the PSA are positive, it could mean prostate cancer. As with any cancer, it is believed that sooner it is diagnosed and the treatment is started, the better.

Historically, the best way to rule out the prostate cancer had been to do a prostate biopsy. This is a minor invasive procedure, wherein biopsies are taken from various regions of the prostate which are known to develop cancer (about 12). A disadvantage of this procedure includes missing out on the front part of the prostate which can also develop cancer. Secondly, it is not a very pleasant experience and given a chance, most men would not want to have it done.

There is good news for these men who would like to avoid prostate biopsies. The first is the multiparametric MRI which uses no x-rays and is considered very safe with extremely accurate results. This MRI exam requires about an hour, and once the images are obtained, the doctor will analyse these images and check for several parameters to assess for prostate cancer. The absence of cancer can be confirmed with up to 90% accuracy, which is far greater than with usual biopsies. If there is a possibility of cancer, then a biopsy can be done to confirm it.

Also, these images indicate the exact region where cancer likely is, and this guides the doctor to biopsy only where absolutely essential. The chances of false positive and false negative results are reduced drastically. The one disadvantage here is that MRI detected biopsies usually tend to be of a higher grade which requires immediate treatment.

Another way to reduce chances of the biopsy by 30% to 50% is by the 4K test. It helps detect a variety of prostate issues including cancer. It can be used once higher levels of PSA is identified and before going for a biopsy. It combined 4 prostate-specific biomarkers with clinical information to accurately provide men with a risk of developing prostate cancer. It can be used even after negative biopsies to confirm the diagnosis of prostate cancer.

These two measures can drastically reduce the incidence of prostate biopsies, which is neither pleasant for the patient nor very effective for the doctor.

I have problem if dry cough. When I want to sleep during night it will come in my throat and wake up. Because of that I can sleep only 2-3 hour. And weakness comes. Also it will affect my breathing. Its not athama. But one doctor said it is cough in your throat. please suggest. And can I drink milk in this cough problem?

BHMS
Homeopath, Secunderabad
You can try Homeopathy for your problem as it is very effective and yet gentle without creating any side effects. A detailed case history is necessary to select a suitable remedy for you. You can contact me or chat online for further details. Regarding milk, If you are unable to digest it or if the complaints get exaggerated then avoid milk. Avoid fried and junk food. Eat freshly prepared homemade food and fruits. Drink enough water to maintain good hydration. Gargle with warm water with some salt in it.
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I have headache problem from 1 month. I am 20 years old. Headache starts from morning. I feels blurred vision. Many times I gets hiccups. Headache is on one side of head. I feel fatigue.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I have headache problem from 1 month. I am 20 years old. Headache starts from morning. I feels blurred vision. Many t...
First you need to identify the trigger factor of headache and avoid it. So to treat headache you need medicine and to remove the tendency of headache you need proper counseling. Sometimes visual disturbances may indicate some kind of growth. No pain killer can relieve better than homoeopathy. If you want homoeopathic treatment you can contact us.
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My friends son, Thomas has severe headache and feels like always nerves are catching inside the head. Please advise. Thank you.

DHMS (Hons.)
Homeopath, Patna
My friends son, Thomas has severe headache and feels like always nerves are catching inside the head. Please advise. ...
Hello, Headache is not a disease, rather an indicator of a fatal  disease, produced due to irregular life style, unadequet sleep, consumption of  junkfood, alcoholism  nicotine, high blood pressure & sinusitis. Tk, plenty of water to hydrate your body preventing constipation to ease headache. Go for meditation to reduce your stress to calm nerves to ease headache. Your diet be regular, simple,  easily digestible on time to check gastric  disorder, triggers headache. Tk,  homoeopathic medicines: @ Spigelia 200-6 pills, dly morning. @ Natrum murder 200-6 pills at bed time. Ensure,  sound sleep for 6/ 7 hours. Avoid, junkfood, alcoholism watching TV in the late hour. Tk,  care.
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Slower Heartbeat - How It Can Make You Feel?

Multi-Speciality Clinic
Cardiologist, Hyderabad
Slower Heartbeat - How It Can Make You Feel?

Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.

For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.

A moderate heart rate may make you:

  1. Feel blurry eyed or woozy.
  2. Feel short of breath and feel that it’s harder to work out.
  3. Feel tired.
  4. Have neck pain or an inclination that your heart is beating or rippling (palpitations).
  5. Feel bewildered or experience difficulty concentrating.
  6. Black out, if a moderate heart rate causes a drop in pulse.

A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.

How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:

  1. In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
  2. In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
  3. In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.

Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:

  1. Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
  2. Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
  3. Getting more fit in case you have to, and maintaining a solid weight.
  4. Not smoking.
  5. Overseeing other medical issues, for example, hypertension or elevated cholesterol.

Hi doctor yesterday I fingered my girlfriend I have one doubt that when I put finger on her vagina it easily went on her hole I have doubt That her hymen is already broken or we can finger her when her hymen is already broken.

DHMS (Hons.)
Homeopath, Patna
Hello, jumping, skipping, horse riding might put pressure on hymn to be ruptured. Opening of hymn might be enlarged with the growth of girl, masturbation might cause rapture of human. Tk, care.
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How do I diagnose the real cause of my excessive uric acid production in the body? I've got few tests done Blood urea nitrogen and creatinine was normal But uric acid was 6.5.

MBBS
General Physician, Jalgaon
How do I diagnose the real cause of my excessive uric acid production in the body?
I've got few tests done
Blood urea...
Please It is not a serious problem Avoid high protein diet Do exercise regularly Take plenty of water daily Take Cap shigru by Himalaya 22 for 6 weeks.
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Natural Ways To Help You Manage Sleep!

Bachelor of Naturopathy & Yogic Sciences (BNYS), M.sc in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of Physiotherapy
Ayurveda, Delhi
Natural Ways To Help You Manage Sleep!

If you suffer from sleeplessness or disrupted sleep at night, you should consider undertaking Ayurvedic measures to deal with the problem. The principle of Ayurveda states that proper sleep is a very important part of maintaining a good health, and any compromise with it could lead to complications. There are several Ayurvedic principles that you can adopt in order to improve your sleep. They are as follows:

Maintain a disciplined sleep schedule

  • It is important for you to be disciplined regarding your sleep.
  • Your mind remains dull and slow from 6 pm to 10pm. This is an ideal time for sleeping.
  • You should sleep early, which will enable you to sleep well throughout the night, and wake up early the next morning.

Mindful eating

  • Try having dinner by 7 pm. Your digestive system cools down as the sun begins to set.
  • Having an early meal allows proper digestion, which is important for positive sleep.
  • While eating any meal, you should not concentrate on any other thing except for food.

Oil massage

  • Oil massage therapy, especially a massage on your feet with herbal oils, is an effective Ayurvedic remedy to improve sleep.
  • There are several nerve endings in your feet, which are nourished during such an oil massage.
  • Massaging relieves stress, improves your blood circulation, makes you calm and relaxed, and lets you sleep at length.

Pranayama

  • This is another important Ayurvedic way of improving your sleep.
  • You need to practice several rounds of Nadi Shodhana Pranayama on a regular basis, which involves alternate nostril breathing.
  • This method helps in calming down your nervous system, soothes your mind, and thus results in a deeper and better sleep.

Practice self-compassion

  • Ayurvedic principles state that your wellness and health depend on a proper balance between your mind, body, and soul.
  • While some people make us feel positive, other people drain us emotionally, leaving us cranky and annoyed.
  • You should be mindful over whom and about what you interact with before going to sleep. Always try to stay in a positive environment away from any negative factors.
  • Abstain from engrossing on social media activity, watching television, or browsing on your cell phone two hours before going to bed.

It is also necessary for you to work out on a regular basis and keep physically fit and healthy. A healthy body ensures a healthy mind, which in turn, is important for improved sleep. Avoid having coffee or any form of stimulant after 3 pm in the afternoon.
 

Sir am feeling something stuck in my throat after having my food. After eating food I feel something stuck in food. Kindly resolve. And I also feel burning sensation in throat repeatedly.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Sir am feeling something stuck in my throat after having my food. After eating food I feel something stuck in food. K...
Dear lybrate-user There may be a problem of acidity. You can take Pan Top 40 twice a day. It will be better if you call back me privately for sone more details.
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What are potential side effects of whey protein? If not how much it can be consumed?

MBBS
General Physician, Mumbai
What are potential side effects of whey protein? If not how much it can be consumed?
Dear Lybrateuser, - Whey protein is generally safe & does not have side effects if taken in appropriate dose - higher doses can cause side effects like increased bowel movements, thirst, cramps, weakness, tiredness, bloating, nausea & loss of appetite - consumption will depend on your other sources of protein intake, level of activity & the protein content of the brand per gram of powder, normal protein requirement of the body per day is about 1gm/ kg of body weight.
2 people found this helpful
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Hi, Almost 15 day I got urine infection, even consultant the doctor so after test he gave medicine but still I am feeling giddiness ,very tired without doing any work.

MBBS
General Physician, Mumbai
Hi, Almost 15 day I got urine infection, even consultant the doctor so after test he gave medicine but still I am fee...
Dear Lybrateuser, - Weakness can be there after the infection - have plenty of oral fluids including 8-10 glasses of water - have a well balanced diet with more of fruits & vegetables, whole grains, protein foods - sleep well & do regular exercise to keep fit.
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Improving Gum Health!

MDS - Periodontics, Certified Implantologist, BDS
Dentist, Chandigarh
Improving Gum Health!

You can exercise for healthier gums as well. Gently bite down so as to make sure that your teeth make a clinking sound when they meet. Repeat this 30 to 40 times continously. This exercise will stimulate the flow of blood and will keep your gums healthy.

10 people found this helpful

I want a long sex for a long time but I am coming in a short period please help me.

MBBS, MD - Psychiatry
Psychiatrist, Delhi
I want a long sex for a long time but I am coming in a short period please help me.
Hello. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. Thanks.
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Please suggest me Which is the best method for birth control and safe sex? Good and natural method.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
There is no natural method except withdrawal method. But its risk. You can use dotted condoms or ocp.
1 person found this helpful
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What You Should Know About Heel Pain?

Senior Registrar/ Research Associate, MS - Orthopaedics, MBBS, MCh. Orthopedics
Orthopedist, Ghaziabad
What You Should Know About Heel Pain?
  • Plantar Fasciitis is a disorder that results in pain in the heel and bottom of the foot. The pain is usually most severe with the first steps of the day or following a period of rest. The condition typically comes on slowly. In about a third of people both legs are affected. 
  • Risk factors for plantar fasciitis include overuse such as from long periods of standing, an increase in exercise, and obesity. It is also associated with inward rolling of the foot and a lifestyle that involves little exercise. While heel spurs are frequently found it is unclear if they have a role in causing the condition. Plantar fasciitis is a disorder of the insertion site of the ligament on the bone characterized by micro tears, breakdown of collagen, and scarring. The diagnosis is typically based on signs and symptoms with ultrasound sometimes used to help. Other conditions with similar symptoms include osteoarthritis, ankylosing spondylitis, heel pad syndrome, and reactive arthritis.

Know About Tuberculosis

MD(Am)
General Physician, Secunderabad

Definition

Tb is a disease which in humans is usually caused by bacteria called mycobacterium tuberculosis (m. Tuberculosis). Tb is an abbreviation of the word tuberculosis and is how people often refer to the disease.

Bovine tb is a disease caused by similar bacteria called mycobacterium bovis (m. Bovis). Bovine tb mainly affects cattle but can also affect humans.

Just a few years ago it was believed that tb was an old disease, and that it was no longer a problem in humans. But now because of such issues as drug resistance and hiv, it has become a major problem again.

History

  • On march 24, 1882, Dr. Robert koch announced the discovery of mycobacterium tuberculosis, the bacteria that cause tuberculosis (tb). During this time, tb killed one out of every seven people living in the united states and europe. Dr. Koch’s discovery was the most important step taken toward the control and elimination of this deadly disease.
  • In 1982, a century after Dr. Koch’s announcement, the first world tb day was sponsored by the world health organization (who) and the international union against tuberculosis and lung disease (iuatld). The event was intended to educate the public about the devastating health and economic consequences of tb, its effect on developing countries, and its continued tragic impact on global health.
  • Today, world tb day is commemorated across the globe with activities as diverse as the locations in which they are held. But more can be done to raise awareness about the effects of tb. Among infectious diseases, tb is now the leading killer of adults in the world, with 1.8 million tb-related deaths in 2015. In the united states, the overall number of tb cases increased over the previous year in 2015 after having declined yearly during 1993–2014.
  • Until tb is eliminated, world tb day won’t be a celebration. But it is a valuable opportunity to educate the public about the devastation tb can spread and how it can be stopped.

Epidemiology

Globally, more than 1 in 3 individuals is infected with tb. According to the who, there were 8.8 million incident cases of tb worldwide in 2010, with 1.1 million deaths from tb among hiv-negative persons and an additional 0.35 million deaths from hiv-associated tb. In 2009, almost 10 million children were orphaned as a result of parental deaths caused by tb.

Overall, the who noted the following:

  • The absolute number of tb cases has been falling since 2006 (rather than rising slowly, as indicated in previous global reports)
  • Tb incidence rates have been falling since 2002 (2 years earlier than previously suggested)
  • Estimates of the number of deaths from tb each year have been revised downwards
  • The 5 countries with the highest number of incident cases in 2010 were india, china, south africa, indonesia, and pakistan. India alone accounted for an estimated 26% of all tb cases worldwide, and china and india together accounted for 38%.

Types

1. Active tb

Active tb is an illness in which the tb bacteria are rapidly multiplying and invading different organs of the body. The typical symptoms of active tb variably include cough, phlegm, chest pain, weakness, weight loss, fever, chills and sweating at night. A person with active pulmonary tb disease may spread tb to others by airborne transmission of infectious particles coughed into the air.

If you are diagnosed with an active tb disease, be prepared to give a careful, detailed history of every person with whom you have had contact. Since the active form may be contagious, these people will need to be tested, as well.

Multi-drug treatment is employed to treat active tb disease. Depending on state or local public health regulations, you may be asked to take your antibiotics under the supervision of your physician or other healthcare professional. This program is called “directly observed therapy” and is designed to prevent abandonment or erratic treatment, which may result in “failure” with continued risk of transmission or acquired resistance of the bacteria to the medications, including the infamous multi-drug resistant tb (mdr-tb).

2. Miliary tb

Miliary tb is a rare form of active disease that occurs when tb bacteria find their way into the bloodstream. In this form, the bacteria quickly spread all over the body in tiny nodules and affect multiple organs at once. This form of tb can be rapidly fatal.

Types of tb

1. Cavitary tb

Cavitary tb involves the upper lobes of the lung. The bacteria cause progressive lung destruction by forming cavities, or enlarged air spaces. This type of tb occurs in reactivation disease. The upper lobes of the lung are affected because they are highly oxygenated (an environment in which m. Tuberculosis thrives). Cavitary tb can, rarely, occur soon after primary infection.

Symptoms include productive cough, night sweats, fever, weight loss, and weakness. There may be hemoptysis (coughing up blood). Patients with cavitary tb are highly contagious. Occasionally, disease spreads into the pleural space and causes tb empyema (pus in the pleural fluid).

2. Latent tb infection

Latent tb occurs when a person has the tb bacteria within their body, but the bacteria are present in very small numbers. They are kept under control by the body’s immune system and do not cause any symptoms.

People with latent tb do not feel sick and are not infectious. They cannot pass the bacteria on to other people. In addition they will usually have a normal chest x-ray and a negative sputum test. It is often only known that someone has latent tb because they have had a test, such as the tb skin test.

Risk factors

You are at risk of tb infection if you are around people with active tb disease who are coughing, which releases bacteria into the air. The risk of infection increases for intravenous drug users, healthcare workers, and people who live or work in a homeless shelter, migrant farm camp, prison or jail, or nursing home.

Most people who are infected with the bacteria that cause tb do not develop active disease. The following factors increase the risk that latent disease will develop into active disease:

  • Infection with hiv, the virus that causes aids and weakens the immune system
  • Diabetes mellitus
  • Low body weight
  • Head or neck cancer, leukemia, or hodgkin’s disease
  • Some medical treatments, including corticosteroids or certain medications used for autoimmune or vasculitic diseases such as rheumatoid arthritis or lupus, which suppress the immune system.
  • Silicosis, a respiratory condition caused by inhaling silica dust.

Causes

The mycobacterium tuberculosis bacterium causes tb. It is spread through the air when a person with tb (whose lungs are affected) coughs, sneezes, spits, laughs, or talks.

Causes of tuberculosis

  • Tb is contagious, but it is not easy to catch. The chances of catching tb from someone you live or work with are much higher than from a stranger. Most people with active tb who have received appropriate treatment for at least 2 weeks are no longer contagious.
  • Since antibiotics began to be used to fight tb, some strains have become resistant to drugs. Multidrug-resistant tb (mdr-tb) arises when an antibiotic fails to kill all of the bacteria, with the surviving bacteria developing resistance to that antibiotic and often others at the same time.
  • Mdr-tb is treatable and curable only with the use of very specific anti-tb drugs, which are often limited or not readily available. In 2012, around 450, 000 people developed mdr-tb.

Symptoms

Although tuberculosis (tb) is most frequently associated with symptoms involving the lungs—because the disease most often affects the lungs—it can affect any organ of the body. The disease can cause a variety of symptoms. If you have symptoms, your doctor will want to know when they began.

People with latent tb infection (an infection without active disease) have no symptoms.

The usual symptoms of tb include:

  • Fever
  • Chills
  • Night sweats
  • Cough
  • Loss of appetite
  • Weight loss
  • Blood in the sputum (phlegm)
  • Loss of energy

The symptoms may be mild and may not seem particularly worrisome to the patient. In other people, the symptoms become chronic and severe.

Other symptoms of active tb disease depend on where in the body the bacteria are growing. If active tb disease is in the lungs (pulmonary tb), the symptoms may include a bad cough, pain in the chest, and coughing up blood. If active tb is outside the lungs (for example, the kidney, spine, brain, or lymph nodes), it is called extrapulmonary tb and has other symptoms, depending on which organs are affected. For example, tuberculosis in the spine may cause back pain or stiffness.

Diagnosis and test

  • During the physical exam, your doctor will check your lymph nodes for swelling and use a stethoscope to listen carefully to the sounds your lungs make while you breathe.
  • The most commonly used diagnostic tool for tuberculosis is a simple skin test, though blood tests are becoming more commonplace. A small amount of a substance called ppd tuberculin is injected just below the skin of your inside forearm. You should feel only a slight needle prick.
  • Within 48 to 72 hours, a health care professional will check your arm for swelling at the injection site. A hard, raised red bump means you’re likely to have tb infection. The size of the bump determines whether the test results are significant.
  • If your gp suspects you may have tb, they will send you for testing. If you do have tb, it’s best to know as soon as possible. Delaying treatment makes it more likely you may develop long-term health problems and could put people close to you at risk.

Types of tb test

There are a range of tests to show if you have tb, such as a sputum test, a culture test and x-rays.

Chest x-ray

A chest x-ray can show damage in your lungs, but you might need further tests to prove you have tb, such as sputum and culture tests or scans.

Testing sputum

A lab will use a microscope to look at any sputum (phlegm) that you cough up. If there are tb germs in your sputum, you have tuberculosis of the lungs or throat (pulmonary tb). This test also helps doctors to understand how infectious you may be.

Biopsy

If it is thought that you have tb, but not in your lungs or throat, the doctor may take a biopsy to test for tb. This is a small sample of tissue or fluid taken from the area where the tb is thought to be.

Culture test

This test uses your sputum or tissue sample to grow any tb bacteria that may be there. It tells doctors how infectious you are and also whether your tb is resistant to any antibiotics. This helps ensure they put you on a combination of drugs that will cure you. As tb culture grows slowly, it may take up to eight weeks to get some of the results.

Treatment and medications

Treatment for active tb

If you have this form of the disease, you’ll need to take a number of antibiotics for 6 to 9 months. These four medications are most commonly used to treat it:

  • Ethambutol
  • Isoniazid
  • Pyrazinamide
  • Rifampin

Your doctor may order a test that shows which antibiotics will kill the tb strain. Based on the results, you’ll take three or four medications for 2 months. Afterward, you’ll take two medications for 4 to 7 months.

You’ll probably start to feel better after a few weeks of treatment. But only a doctor can tell you if you’re still contagious. If you’re not, you may be able to go back to your daily routine.

Treatment of latent tb

The treatment of latent tb is considered by many people to be an important part of tb prevention.

It is not recommended that everyone with latent tb infection (ltbi) should have tb treatment. Rather it is recommended that certain “target” groups should receive treatment. The main “target” groups considered by the world health organisation (who) to be most at risk from progressing from latent to active tb include people in low tb burden countries:

  • Who have had recent contact with an infectious patient;
  • With silicosis (there is more about tb & mining);
  • Infected with both tb and hiv;
  • Who have been or who are in prison;
  • Who are immigrants to a low burden country from a high burden country;
  • Who are homeless;
  • Who are an illicit drug user;

Who have certain clinical conditions, or conditions which compromise their immune system, such as people with diabetes, and people with chronic renal failure.

In high tb burden countries the populations that are most strongly recommended for the treatment of latent tb infection are people living with hiv, and children under five who are household contacts of pulmonary tb cases.

Treatment for miliary tb

  • Antibiotics
  • Corticosteroids
  • Sometimes surgery
  • Generally, treatment of miliary tuberculosis is similar to thetreatment of pulmonary tuberculosis.
  • Antibiotics are given usually given for 6 to 9 months, unless the meninges are affected. Then antibiotics are given for 9 to 12 months.
  • Corticosteroids may help if the pericardium or meninges are affected.
  • Tuberculosis bacteria can easily develop resistance to antibiotics, particularly when people do not take the drugs regularly or for as long as they are supposed to.
  • Surgery is needed for some complications of military tuberculosis.

Prevention

If you test positive for latent tb infection, your doctor may advise you to take medications to reduce your risk of developing active tuberculosis. The only type of tuberculosis that is contagious is the active variety, when it affects the lungs. So if you can prevent your latent tuberculosis from becoming active, you won’t transmit tuberculosis to anyone else.

Protect your family and friends

  • If you have active tb, keep your germs to yourself. It generally takes a few weeks of treatment with tb medications before you’re not contagious anymore. Follow these tips to help keep your friends and family from getting sick:
  • Stay home. Don’t go to work or school or sleep in a room with other people during the first few weeks of treatment for active tuberculosis.
  • Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn’t move. If it’s not too cold outdoors, open the windows and use a fan to blow indoor air outside.
  • Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.
  • Wear a mask. Wearing a surgical mask when you’re around other people during the first three weeks of treatment may help lessen the risk of transmission.
  • Finish your entire course of medication
  • This is the most important step you can take to protect yourself and others from tuberculosis. When you stop treatment early or skip doses, tb bacteria have a chance to develop mutations that allow them to survive the most potent tb drugs. The resulting drug-resistant strains are much more deadly and difficult to treat.

Vaccinations

In countries where tuberculosis is more common, infants often are vaccinated with bacillus calmette-guerin (bcg) vaccine because it can prevent severe tuberculosis in children. The bcg vaccine isn’t recommended for general use in the united states because it isn’t very effective in adults. Dozens of new tb vaccines are in various stages of development and testing.

I have foreskin problem. Can you suggest me best possible solution other than operation?

MBBS, MD - Social & Preventive Medicine / Community Medicine, Fellowship of european union of sexual medicine, Fellowship in diabetes
Sexologist, Chandrapur
I have foreskin problem. Can you suggest me best possible solution other than operation?
For very tight foreskin you l need a circumcision surgery or try to pull it back using a lubricant daily for 2 months. It will get loosened.
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I've suffering from a quick fall problem when I've sex with my partner so give me a good solution.

BHMS
Homeopath, Lucknow
I've suffering from a quick fall problem when I've sex with my partner so give me a good solution.
Start homoeopathy medication for best results Damiana Q 20 drops in half cup of water 2 times a day.
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Ayurveda Clinic

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Sri Venkateshwara Dental Clinic

Sanjay Nagar, Bangalore, Bangalore
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