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Dr. Amuda A

General Physician, Bangalore

Dr. Amuda A General Physician, Bangalore
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Amuda A
Dr. Amuda A is an experienced General Physician in Yelahanka, Bangalore. You can consult Dr. Amuda A at Railway Hospital in Yelahanka, Bangalore. Save your time and book an appointment online with Dr. Amuda A on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 29 years of experience on Lybrate.com. You can find General Physicians online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Railway Hospital

Doddallapur Main Road Yelahanka New TownBangalore Get Directions
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She is suffering from fever, when ever water gets changed, she will get fever or cold. What precautions need to taken to avoid such things.

MBBS
General Physician, Mumbai
She is suffering from fever, when ever water gets changed, she will get fever or cold. What precautions need to taken...
Few tips- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
KIDNEY HEALTH TIPS
Monitor BP and cholesterol
Control wt
Donot overuse over the counter pain killer.
Monitor blood sugar.
Get annual health check.
You if any one suffering from ckd/hypertension/DM in family ,then most likely to suffer from CKD.
Do not smoke.
Exercise regularly
Follow a healthy diet
Get tested for CKD if under risk
15 people found this helpful

I have sevior neck pain from last 2 days what can I do? please refer any tablts or ointments.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.
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Everytime when I get fever, I am getting rashes on my mouth. 2 days back I got fever and now the same situation. How can I overcome this?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Everytime when I get fever, I am getting rashes on my mouth. 2 days back I got fever and now the same situation. How ...
If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water. You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too. To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water. Remember, this won’t make the ulcer disappear, but it can help reduce the pain. Honey is a natural humectant. It helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer. Chew a few leaves of tulsi along with some water about three to four times every day. This will help in getting rid of ulcers faster and also have a preventive action against their recurrence. Applying a little coconut oil directly onto the mouth ulcer or chewing some coconut (fresh or dry) helps reduce pain and inflammation and hence, ulcers heal faster. Mix some sugar to crushed khus-khus seeds and consume this mixture for instant relief from ulcers. You could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Mouth ulcers left untreated generally go away in a week or so; with these home remedies, you can expect faster relief. However, if you notice an ulcer in the mouth that is persistently present although it does not cause you any pain, do not neglect it or try to treat it with home remedies beyond a few days. Make it a point to see a doctor soon because often, a painless mouth ulcer is one of the earliest signs of oral cancer.
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Sir, I have a skin disease, that I got the disease before 2 years back and on that time I had a lot of itching's, but now that is completely gone but the black marks are not going yet please suggest me a exact solution. And I meet the some doctors and I took treatment also but that black marks are not going please suggest me the best solution sir.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Sir,
I have a skin disease, that I got the disease before 2 years back and on that time I had a lot of itching's, but...
Hello- try this ayurvedic treatment for skin disease- a) paripatahadi kwath 2 tsp twice a day with water b) patoladi kwth 2 tsp twice a day with water c) gandhak rasayana 1 tab twice a day d) go to bed early before 10 pm, and avoid spicy diet, curd, non-veg, and green leafy vegetable.
1 person found this helpful
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Psoriasis - How it Effects Your Skin?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Dermatologist, Delhi
Psoriasis - How it Effects Your Skin?

An often persistent and long-lasting condition, psoriasis interferes with the life cycle of skin cells and causes them to increase rapidly on the surface of the skin. These generally appear as dry, itchy and red patches of skin having thick, silvery scales.

Psoriasis can be subdivided into the following:

  1. Plaque psoriasis: The most common form, characterized by dry, red skin lesions covered with silvery scales and can be seen anywhere on the body.
  2. Scalp psoriasis: These appear on the scalp and may extend beyond the hairline.
  3. Nail psoriasis: These affect the toenails and fingernails.
  4. Guttate psoriasis: Characterized by blister-like appearances and are stimulated by bacterial infections.
  5. Inverse psoriasis: Caused by fungal infections.
  6. Erythrodermic psoriasis: Can cover the entire body with a reddish rash that may peel.
  7. Pustular psoriasis: Capable of causing chills, fever and diarrhea.

The usual signs and symptoms of psoriasis include:

  • Red, sensitive patches of skin
  • A silvery, scaly cover
  • Dry and cracked skin that may bleed when scratched or agitated
  • Tiny scaling spots (witnessed in children)
  • Persistent itching, soreness or burning sensation
  • Ridged, thickened or pitted nails
  • Stiff and swollen joints

Possible causes of psoriasis may include:

  1. Skin infections or strep throat infections
  2. Stress
  3. Skin injuries, like cuts, bites or sunburns
  4. Smoking
  5. Cold weather
  6. Chronic alcoholism
  7. Certain medications such as high blood pressure medications

Risk factors

The following factors may further increase the risk of developing the disease:

  1. Fungal and bacterial infections
  2. Family history
  3. Obesity
  4. Stress
  5. Smoking

Ayurveda and Psoriasis

Although the root cause of the disease is yet to be identified, according to traditional Ayurveda, the vitiation of Vata and Kapha causes psoriasis. As per ayurvedic principles, Vata and Kapha are the two basic energies that uphold the balance of our body equilibrium. Strong genetic predisposition, sun deprivation, and intense streptococcal infection on the upper respiratory tract can badly aggravate psoriasis. As per ayurveda, these conditions are strong enough to create several visible pathological changes that take place are mainly due to the accumulation of dooshi vishas or low potency poisons.

Uneven and unhealthy food habits, consumption of foodstuffs in the wrong combination (Example: dairy products with fish or chicken), too much intake of yogurt, black gram, seafood, sour or salted food stuffs, etc. can trigger the psoriasis inducing pathogenesis. Other catalysts that cause psoriasis includes stress, alcohol, and tobacco consumption

Psoriasis can be effectively treated through panchakarma therapies, which include ayurvedic treatment methods for the complete detoxification of the body, and successful elimination of harmful toxins from the body fluids.

A few health tips for psoriasis patients:

  1. Maintain safer distance from the possible variables that cause or aggravate psoriasis
  2. Practice yoga regularly. Yoga can lessen the intensity of psoriasis.
  3. Avoid pricking, peeling or scratching your skin.
  4. Make sure to pat your skin dry after washing, and avoid rubbing vigorously with towel or any rough cloth.
  5. Avoid artificial cleansers and use gram flour (besan flour) instead.
  6. Use cotton clothes
  7. Avoid cold water bath or immediate cleaning up right after heavy work-out, long walks, or travel.
  8. Avoid food stuffs that can cause indigestion.
  9. Avoid excessive salty and acidic food stuffs, radish, urad dal, sesame, jaggery (gur), curds, fish and other sour food stuffs that can trigger psoriasis.
4150 people found this helpful

.what are raw garlic consumption benefits than what quantity can I eat daily suggest me more food which has Decreasing LDL within short period and regular controlling also.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
.what are raw garlic consumption benefits than what quantity can I eat daily suggest me more food which has Decreasin...
Hello, cap garlic pearls (ranbaxy) available at medical store 1 in morning and 1 around 5 p. M. Is ideal dose report after 1 month stay healthy - naturally.
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I am 30 years old from Bangalore. Past 2 months I having facing dust allergy. What should be the reason.

MBBS
General Physician, Faridabad
its allergic problem,there is no permanent cure, 1tab sinarest before bed, steam inhalation. Wear mask to avoid dust, it will help. Thank you
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I am 16 years old. I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

Doctor of Medicine
General Physician, Surat
I am 16 years old. I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home r...
First of all you have to come out of the stress and anxiety, try some exercise, yoga, relaxation therapy and have some hot milk prior to bed
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I am 31 years old Male, Have been struggling with sleeping problems, what should I do? Can you suggest any doctors in particular for treatment in Noida or which branch of medicine like allopathy or homeopathy should I go for?

DHMS (Hons.)
Homeopath, Patna
I am 31 years old Male, Have been struggling with sleeping problems, what should I do? Can you suggest any doctors in...
Hello, Lybrate user, to over come ,insomnia ,please go through the under noted tips.  •go for a walk in d morning to restore your blood circulation to nourish your body& brain.  ⁃go for meditation to reduce your stress, anxiety and to calm your nerve to ease insomnia, checking ischemia.  ⁃Tk, banana,apples, coca, almonds,pumpkin -seeds, spinach to get magnesium to ease insomnia.  ⁃ Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism to absorb protein, vitamins, minerals, energy & other important substance essential to upkeep ,repair & energise the body. ⁃ Your diet b easily digestible, simple,non-irritant, on time. Your dinner b at least 2 hrs before going to bed with 1 cup of milk, finally before going to sleep to prevent constipation. ⁃ Avoid, caffiene, nicotine, alcohol,junk food, watching Tv in d late night.  ⁃ Homoeo medicine, gentle,rapid without any side effect b administered: @ coffea cruda 30-6 pills ,thrice/ day. Your feedback will highly be appreciated for further follow up ,please. Tk, care.
3 people found this helpful
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I am 27 years, I m suffering from stone problem & fatty liver, please guide my the treatment and medicine. I have taken ultrasound today, in the report indicate right side kidney shows a small calculus of 4.3 mm in middle and left side shows a calculus of 4.5 mm. And fatty liver b/l renal calculi. Please suggest me.

Advanced Aesthetics
Ayurveda, Gulbarga
Kidney stones are a very common health problem. They form from the chemicals in urine, such as uric acid, phosphorous, calcium and oxalic acid. Other common causes of kidney stones are excessive consumption of vitamin d, a mineral imbalance, dehydration, gout and an improper diet. The combination of lemon juice and olive oil is traditionally used as a home remedy to expel gallbladder stones but it can also be used to treat kidney stones. The citric acid present in lemons helps break down calcium-based kidney stones and stops further growth. 1. Take four tablespoons or a quarter cup of fresh lemon juice. 2. Add an equal amount of olive oil. 3. Drink this mixture followed by plenty of water. 4. Do this two to three times a day, up to three days. You need not continue this remedy if you pass the stones in a single dose. Any queries inform me.
2 people found this helpful
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I am 54 years old getting problem in stomach 01. Always feel gases 02. Constipation 03 regular bowels 04. During toilet very uneasy I feel.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 54 years old getting problem in stomach
01. Always feel gases
02. Constipation 
03 regular bowels 
04. During to...
You should go for tests stool r/m, stool c/s, Lft . blood sugar , Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy).Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take. Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal,avoid stress,non-veg.,. drink plenty of water.take digestive meal ,salaad,green veg,whole grain foods,oats.go for walk. You can take tab. Charcol at night. Syp. Aristozyme 10 ml thrice a day.syp. Livoluk 10 ml at night. These can help cure in constipation.
1 person found this helpful
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Hi from last few year I started facing P E n now from last one year i'm suffering from erectile dysfunction. I used to drink twice thrice in week bt now it dropped to once or twice in month, I hv smoking habit. I smoke approx 5cigrate in a day in next few days going to get married n I know well it can harm my sex n personal life. I want to quit smoking is there any treatment for P E and E D please suggest or should I visit to doctor. Or should I talk wid my fiance abt it. I feel hesitated to visit to doc.

MBBS
General Physician, Cuttack
Hi from last few year I started facing P E n now from last one year i'm suffering from erectile dysfunction. I used t...
Erectile dysfunction occurs due to 1. Fatigue, stress, depression, 2. Relationship issues, performance anxiety, 3. Alcohol consumption, smoking, consumption of tobacco, 4. Obesity, diabetes, hypertension, heart disease, 5. Thyroid, kidney problem, enlarged prostate, parkinsonism etc 6. Consult doctor to rule out these diseases. 7. Go for regular exercise, reduce your weight if over weight 8. Stop smoking, tobacco and alcohol consumption9. Take good nourishing diet, plenty of green leafy vegetables, fruits. Take water melon, pomegranate, dark chocaolate 10. Avoid stress, anxiety, physical and mental exertion. Take adequate rest 11. Do yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 12. Topical androgel/testosterone replacement/ zinc supplement can help. 13. Do serum testosterone examination and if low take testosterone injection after consulting physician 14. If no relief consult sex therapist/ sexologist.
1 person found this helpful
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My granddaughter, aged 15 1/2, been suffering from low grade fever for almost 2 weeks with vomiting episodes for the same period. The vomit is usually light yellow though initially had flakes of blood. Vomit happens usually after a heavy meal. Vomiting is quite frequent ranging from 5 to 10 times daily. Endoscopy, ultra sound, blood, urine and tests for malaria and dengue have not shown any abnormality. Generally a healthy individual. Has consulted three different doctors physician, gastroenterologist and Pediatrician who have not been able to find the cause of fever and vomiting. Has been taking medication as per advice to include Pantocid or Pantop, Emset, Lesurpride, Oflotas, Zocef 500 mg, DOMDT 10 mg, calpol 650 mg Received injections ondem IV. Fever now ranges between 101 to 103 mainly at night and vomiting persists. The pediatrician has opined that the parents of the child are passing through divorce proceedings and her relations with her father are very tense. Other symptoms are normal and clear. Including throat and lungs. Could be case of Bulimia. Advised counselling and CBT.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My granddaughter, aged 15 1/2, been suffering from low grade fever for almost 2 weeks with vomiting episodes for the ...
Since she is sick for 2 weeks and running fever ranging between 101 to 103 mainly at night, it may not be a case of Bulimia in spite of strained relation with father. even then counselling may be useful. You can stop all medicine and maintain Temp chart 4 times in a day for 4-5 days. Paracetamol 500 mg may be given if temp is more than 101 degree F and can be repeated after 6 hours if needed. Watch her general behaviour.
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I have suffering from fever last 1 month and no any medicine worked to stop fever.

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
I have suffering from fever last 1 month and no any medicine worked to stop fever.
It is a case of pyrexia of unknown origin and warrants detailed examination and investigation, 1. Complete haemogram, 2. Crp 3. Xray chest 4. Blood sugar 5. Urine culture and sensitivity 6. Routine urine test.
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Scope of Homoeopathic in treating Epilepsy

BHMS, MD - Homeopathy
Homeopath, Chennai
Epilepsy is a disorder that results from the generation of electrical signals inside the brain, causing recurring seizures. Seizure symptoms vary. Some people with epilepsy simply stare blankly for a few seconds during a seizure, while others have regular convulsions.

A seizure is a abnormal, disorderly discharging of the brain's nerve cells, resulting in a temporary disturbance of motor, sensory, or mental function. There are many types of seizures, depending primarily on the part of the brain involved.

Every person suffering from epilepsy has different experience. Hence homoeopathy offers many remedies to treat epilepsy, depending on the sign and symptoms. Homoeopathy can treat epilepsy very successfully.

Risk Factors
Early childhood
Above 65 years
Men are affected more
Family History of epilepsy
Fall on head, injury, accident
Brain Infections

Causes
Healthy people may have seizures under certain circumstances. If the seizures have a known cause, the condition is referred to as secondary or symptomatic epilepsy. Some of the more common causes include the following:
Tumour
Chemical imbalance such as low blood sugar or sodium
Head injuries
Certain toxic chemicals or drugs of abuse
Alcohol withdrawal
Stroke including hemorrhage
Birth injuries
Developmental Disorders: Epilepsy can be associated with other developmental disorders, such as autism and Down syndrome.

Symptoms
Almost any type of behavior that happens repetitively may represent a seizure. Types are:

Generalized seizures: All areas of the brain (cortex) are involved in a generalized seizure. Sometimes these are referred to as grand mal seizures.
To the observer, the person experiencing such a seizure may cry out or make some sound, stiffen for some seconds, then have rhythmic movements of the arms and legs. Often the rhythmic movements slow before stopping.
Eyes are generally open.
The person may not appear to be breathing. The person is often breathing deeply after an episode.
The return to consciousness is gradual and should occur within a few moments.
Loss of urine is common.
Often people will be confused briefly after a generalized seizure.

Partial or focal seizures: Only part of the brain is involved, so only part of the body is affected. Depending on the part of the brain having abnormal electrical activity, symptoms may vary.
If the part of the brain controlling movement of the hand is involved, for example, then perhaps only the hand may show rhythmic movements or jerking.
If other areas of the brain are involved, symptoms might include strange sensations or small repetitive movements such as picking at clothes or lip smacking.
Sometimes the person with a partial seizure appears dazed or confused. This may represent a partial complex seizure. The term complex is used by doctors to describe a person who is between being fully alert and unconscious.

Absence or Petit mal seizures: These are most common in childhood. Symptoms include
Impairment of consciousness is present with the person often staring blankly.
Repetitive blinking or other small movements may be present.
Typically, these seizures are brief, lasting only seconds. Some people may have many of these in a day.
Other types of seizure are particularly found in small children

Investigations
Neurological Examination
Blood Tests
EEG
MRI Scan
CT Scan

Diagnosis
The doctor uses neurological tests and other investigations to diagnose epilepsy.

Complications
Falling: If you fall during a seizure, you can have severe head injury.
Status Epilepticus: This condition occurs if you're in a state of continuous seizure activity lasting more than five minutes or you have frequent recurrent seizures without regaining consciousness in between them. People with status epilepticus have an increased risk of permanent brain damage and death.

Role of Homeopathy
Homeopathy is a form of healing based upon the principle of ‘Similia similibus curentur’ or ‘like cures like’. It was founded by a German doctor, Dr. Samuel Hahnemann in 1810. Homoeopathy offers vast scope in the treatment of various illnesses, both acute and chronic including epilepsy.

Homeopathy takes into account the entire person like the patients family history, past history, etc. Homoeopathic doctors study each case thoroughly, analyze and evaluate the symptoms and then prescribe the medicine.

Homeopaths treat the patient’s mental, emotional and physical make-up i.e. the constitution. This is known as ’constitutional treatment’. Constitutional treatment treats the disease and removes it from its roots. The Constitutional method is employed in the treatment of epilepsy in Homoeopathy. This method is gives amazing results in many cases.

Homeopathy has immense scope in the treatment of Epilepsy. In fresh cases, where the child is new to epileptic treatment, homoeopathy can relieve complaints by giving ‘constitutional treatment’.

In other cases where the child is already taking treatment, homoeopathy can taper off the doses gradually and thus treat the patient effectively. Thus, in both the cases, homoeopathic treatment is beneficial in treating epilepsy.

In either of the cases, a constitutional medicine is given to treat epilepsy. Constitutional treatment relieves the patient from seizures, convulsions, etc. Thus the child can attend school daily and concentrate on his studies. In about 1/3 cases of epilepsy, a surgery known as ‘seizure surgery’ is performed. Regular constitutional treatment is very useful in such cases.

Homeopathic medicines are completely side-effect free and are not habit-forming. They can be taken by children, adults and even by pregnant women. They must be taken only after consultation from a homoeopathic practitioner.

Our team at Newlife Speciality Centre is completely dedicated to serve the patients and relieve them from illnesses. The doctors have skill and knowledge to handle different cases effectively. They strive for the well being of their clients.
2 people found this helpful

I had done intercourse with my girlfriend so many times without using comdoms. When I am done I teke out my penis and then relise my semen. Is it posible that a girl can get pregnent in this situation?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
1. For safe sex without getting pregnant condoms advised. 2. The method you follow is ok, but you will not get the full sexual satisfaction. 3. Only with fear the act of sex is done. Sometimes if the timings slips and semen enters the vagina, pregnancy is definite, if she is in her ovulation stage. Marry soon and enjoy freely.
3 people found this helpful
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When I fuck my wife I will discharge in 2 min. And size of my penis in 3.5 inch only please help.

MBBS
General Physician, Mumbai
When I fuck my wife I will discharge in 2 min. And size of my penis in 3.5 inch only please help.
Don't concentrate on the size of the penis and increase your self confidence and take tablet nurokind more 1-1 for a month
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I had sex with 2 girl without protection yesterday I had sex with my wife i am very scared can I diagnose with hiv or hiv western bolt what is that western bolt? How hiv occur how its effect on body? Shall I now sex with my wife in future?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
If the two girls are commercial sex workers, then you must be on guard. Unprotected sex with any unknown partner can be a high risk activity and may result in transmission of hiv infection. As per your saying, you had unprotected sex with 2 girls and also had sex with your wife, this act of yours is very irresponsible one. When a person comes in sexual contact with a hiv infected person, the hiv virus can enter the body. Hiv virus is intracellular virus, it needs a cell to multiply body immunity helps in fighting the hiv virus and can keep the virus destroyed, unless the virus has multiplied in vast quantities and has damaged the" protective" white blood cells. This takes time. If the infection is well controlled then the elisa will be negative. That a person is free from hiv, can be said with confidence only after 2 elisa tests 6 months apart, and both being negative. The earliest marker is hiv viral load. This is in the first weeks after infection (usually from 1 to 6 weeks after exposure). A high viral load is related to seroconversion symptoms. The first hiv protein (antigen) that can be measured is p24 (from 2 to 8 weeks after exposure). Viral load and p24 tests are not accurate for diagnosing early hiv if the results are negative. An hiv antibody response can be detected as early as two weeks in a few people and in more than 99.9% of people by 12 weeks. An antibody test at 4 weeks will detect 95% of infections. Antibody testing at 4 weeks can give you a good indication of your hiv status, but you need a test at 12-24 weeks after the exposure to be considered hiv negative. All this will matter if those 2 girls were hiv positive! if they are negative, there will not be any chances of you or your wife getting hiv also, it would be better to abstain from sex with your wife or anybody for the next 6 months or if that is not possible, then a condom with a spermicidal coating is the best option.
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Sir, today I am doing sex. But when we finished. I saw that I loosing my strength and capacity to satisfy anyone. Sir just would you help me in this matter. How can I increase my sex potential as well as sperm countability.

MD-Dermatology, MBBS
Sexologist, Pune
Sir, today I am doing sex. But when we finished. I saw that I loosing my strength and capacity to satisfy anyone. Sir...
If you have problem of premature ejaculation you can do Kegel's exercises ( start and stop flow method while urinating) if problem persists You need male sexual function analysis, consult a sexologist.
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