Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 27 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.
Book Clinic Appointment
Diagnostic Cardiac Procedures
Treatment of Endoscopic Sinus Surgery
Treatment of Lumbar Radiculopathy
Oxygen Therapy Treatment
Hiv Prophylaxis Post Exposure
Restylane Vital Procedure
Treatment of Shin Splints
Treatment of Shin Splits
Management of Smoking Cessation
Treatment of Tetracycline Stains
Weight Management Treatment
Asthma Management Program
Skin Detoxification Treatment
Head And Neck Pain Treatment
Health Check Up
Health Screening For Men
Submit a review for Dr. Karanth J VYour feedback matters!
Hi Dr's. Mere beta 10 years old, sans lene mai bhut dikkat hoti hai, spacially in wheat cutting n wether changing humne uske PGI CHANDIGARH mai bhi sare test kraye unhone use inhelar ka suggest kiya by we want parmanent solution of this. Ti humne ek homeopathic Dr. ko consult kia last 10 month se hum unse treatment kra rhe hai bt we did'nt find any improment in him. Thoda sa cold hua or usko cough bn gyi or ab breathing mein bhut preshani ho rhi h.puri puri raat so nhi pata. Breathing ki aawaz bahr tk sunai deti h.
Hi. Want some observation .i am presently 8 weeks pregnant. I went for usg at 7 weeks 6 days. It shows live pregnancy in normal position. Fetal pole seen. Fhr 167 / min. Sac measures 5.3 mm.crl 7 wks 5 days .1 day behind. I hv a cyst in left ovary .want to want are the measurements rite corresponding 7 weeks 5 days? please rply. Really worried. Do not hv gyn s app till nxt week.
Doctor I am 17+ years old suffering from pimples problem, rashes, dark spot on my face, I also have stomach problem, and digestion problem please advice me. Glad to you doctor.
I am having a bad habit of masturbation. I do it daily even without a reason .How can I get rid of it?
I want to what we to to do when we are feel bad from cold. Its very dirty. We are not feel good when we have cold. So tell me the best answers for cold.
I had sex with prostitute (csw) while using condom and my condom didn't break. This was happened on 17of October. And now it's March 6 today at morning sharp 10 :00clock I went for testing of (hiv) and at 6: 00 pm I got my result. Under result it's return that HIV ANTIBODY 1&2 (RAPID) TEST - NON REACTIVE. So what's my status I'm negative or not? I'm getting worry and in worry I'm loosing few hair.
I think I have diabetics. When checked the device showed 254 in the morning before breakfast. What do you advice me.
In my CBC report hemoglobin11.40g/dL, PCV 35.30, RBC 6.17, MCV 57, MCH 18.4, RDW 15.40 In my Lipid profile Triglycerides 252.0, HDL 22.00, VLDL 50.40 is there any medication should be in this case to normalize these parameters?
Can I take ginseng to increase my penis strength. Is it safe to take or will have any side affect. Please tell me. What are the benefits.
I am suffering from dry cough from the last 2 weeks and there is pain in my chest as well so please suggest me so that I can feel good and I will get relieved from this.
I am suffering from migraine since childhood. please help me reduce it. I have sight also. Im suffering daily wth it.
Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.
1. Stress incontinence
• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Electrical stimulation
Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.
• Combination of the above
Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.
• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters
Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.
The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.
Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.
An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.
2. Urge incontinence
• Bladder training
• Pelvic floor exercises
Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.
Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.
Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.
Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.
3. Overflow incontinence
Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.
4. Total incontinence
Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.
Treating faecal incontinence
Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.
Let’s look at some of the treatment options available for FI:
Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.
Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.
Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.
Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.
Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.
Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
The thigh area either sides legs close to pubic part is dry and often get rash like red dark/ black patches. Please advice how to avoid dryness and patches rash in the effected area.
I am 20 years old I have night fall for once in twenty days so what I do I to treat nocturnal ejaculation I masturbate on 19th or 21st day after my earlier ejaculation. Now night fall have stopped am I treating it correctly or this masturbation may also cause some problems in me? Help me plz.
My finger nail was trapped inside a car door and it is very painful. It has become black there. The blood has become think. Please suggest any home remedies for it. I do not want to take any medicines for it.
I've been having sex with just one girl since the past 1 month everyday. Recently I see I'm having a bit difficulty in having the erecting like before. I'm sure the girl has no disease. Please tell me what to do about this. P. S. In between I had sex with one another girl but that was just ones. Gave this information in case it matters.
Hiiii how RU sir I am suffering from a last headache from last two weeks please suggest a best drug sir.
My daughter is having type 1 diabetes. As told earlier about her condition that she is getting lo frequently. She is not taking insulin since 3 days but still she is getting lo and she is not able to get up in that condition. She is eating all the varieties that normally should not be eaten like sweets, Chocolates Banana, juice etc .What should she do to increase her blood sugar levels.
Your knee is guarded and cushioned by a cartilage known as meniscus. A meniscus tear, therefore, is an extremely painful and discomforting situation. It occurs very frequently and has emerged as one of the most commonly occurring cartilage injuries. What makes a meniscus tear an extremely common phenomenon is the way it can tear that is all it takes is a twist of the knee for it to happen.
People involved in sports mostly face the brunt of this form of injury. The risk of getting meniscus torn increases with age and tends to occur at the slightest change of direction of movement.
Some of the symptoms of a torn meniscus are:
- Pain and inflammation: It goes without saying that an internal injury of the cartilage or tearing away of it would inevitably result in extreme pain and inflammation near the knee.
- Immobility: The extreme pain and inflammation, which follows will inevitably make it difficult to move. Since the pain occurs in the joint, you will have difficulty in walking and any forceful movement will only aggravate the pain.
- Locking of the knee: Locking of the knee refers to a situation when you are unable to move your knee. This occurs most commonly after you have your meniscus torn.
Notwithstanding its frequency of occurrence, there are several ways, by which you can treat a torn meniscus. Some of the ways are:
- Apply ice: In order to get some relief, applying ice is a suitable option. If you apply ice every day for some time, it wonders in reducing swelling and the consequent pain.
- Use a bandage: In order to control the swelling, it is important that you cover your knee with an elastic bandage.
- Change the posture: It is important that you keep the affected knee in an elevated plane, in order to ensure an efficient blood supply and a consequent relief from pain.
Some Medical Treatments
There are many things to consider when deciding how to treat your torn meniscus, including the extent and location of the tear, your pain level, your age and activity level, your doctor's preference, and when the injury occurred. Your medical treatment choices are:
- Nonsurgical treatment with compression, elevation, and physical therapy. This may include wearing a temporary shoulder brace.
- Surgical repair to sew the tear together.
- Partial meniscectomy, which is surgery to remove the torn section.
- Total meniscectomy, which is surgery to remove the entire meniscus. This is generally avoided, because this option increases the risk for osteoarthritis in the shoulder.
- Whenever possible, meniscus surgery is done using arthroscopy, rather than through a large cut in the shoulder.