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Dr. Lakshmi Deepa

MBBS, MD - General Medicine

General Physician, Bangalore

11 Years Experience  ·  0 at clinic
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Dr. Lakshmi Deepa MBBS, MD - General Medicine General Physician, Bangalore
11 Years Experience  ·  0 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Lakshmi Deepa
Dr. Lakshmi Deepa is an experienced General Physician in Banashankari, Bangalore. Doctor has helped numerous patients in his/her 11 years of experience as a General Physician. Doctor has completed MBBS, MD - General Medicine . You can visit him/her at Devagiri Hospital in Banashankari, Bangalore. Book an appointment online with Dr. Lakshmi Deepa and consult privately on Lybrate.com.

Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 35 years of experience on Lybrate.com. Find the best General Physicians online in Bangalore. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MBBS - Kurnool Medical College, Kurnool - 2007
MD - General Medicine - Osmania Medical College, Hyderabad - 2012

Location

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Devagiri Hospital

#2461,24th Cross, Banashankari 2nd Stage, Bangalore 560070 Landmark : Opp to BDA parkBangalore Get Directions
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Hi Doctor, I have short term sex problem, I get released just in 50 second or one minutes, please suggest.

MD - Psychiatry
Psychiatrist, Chennai
Hi Doctor,
I have short term sex problem, I get released just in 50 second or one minutes, please suggest.
Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration or foreplay. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist online or in person Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best There are excellent medications for PE, but you need to answer few questions on general health as well as PE for any psychiatrist to prescribe. Consult anyone in person or online if you wish. All the best.
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Acid Reflux And Oesophagitis Heartburn

MBBS, Doctor of Medicine, Member of the Royal College of Physicians, UK (MRCP UK)
General Physician, Patna
Acid Reflux And Oesophagitis Heartburn

Acid Reflux and Oesophagitis Heartburn

Acid Reflux and heartburn are a very common problem faced by many of us. And so I decided to discuss in a very simplified way.

Let us understand the oesophagus and stomach first

When we eat, food passes down the gullet (oesophagus) into the stomach. Cells in the lining of the stomach make acid and other chemicals which help to digest food. Stomach cells also make mucus which protects them from damage from the acid. The cells lining the oesophagus are different and have little protection from acid.
There is a circular band of muscle (a sphincter) at the junction between the oesophagus and stomach. This relaxes to allow food down but then normally tightens up and stops food and acid leaking up (refluxing) into the oesophagus. In effect, the sphincter acts like a valve.

What are Acid reflux and oesophagitis?

Acid reflux means that some acid leaks up (refluxes) into the gullet (oesophagus).

Oesophagitis means inflammation of the lining of the oesophagus. Most cases of oesophagitis are due to reflux of stomach acid which irritates the inside lining of the oesophagus.

The lining of the oesophagus can cope with a certain amount of acid. However, it is more sensitive to acid in some people. Therefore, some people develop symptoms with only a small amount of reflux. However, some people have a lot of reflux without developing oesophagitis or symptoms.

What is Gastro-oesophageal reflux disease (GORD)

This is a general term which describes the range of situations - acid reflux, with or without oesophagitis and symptoms.

What are the symptoms of acid reflux and oesophagitis?

Heartburn: this is the main symptom. This is a burning feeling which rises from the upper tummy (abdomen) or lower chest up towards the neck. (It is confusing, as it has nothing to do with the heart!)
Other common symptoms: these include pain in the upper abdomen and chest, feeling sick, an acid taste in the mouth, bloating, belching, indigestion and a burning pain when we swallow hot drinks. Like heartburn, these symptoms tend to come and go and tend to be worse after a meal.
Some other uncommon symptoms: these may occur and if they do, can make the diagnosis difficult, as these symptoms can mimic other conditions. For example A persistent cough, particularly at night, sometimes occurs. This is due to the refluxed acid irritating the windpipe (trachea). Asthma symptoms of cough and wheeze can sometimes be due to acid leaking up (reflux).
Other mouth and throat symptoms sometimes occur, such as gum problems, bad breath, sore throat, hoarseness and a feeling of a lump in the throat.
Severe chest pain develops in some cases (and may be mistaken for a heart attack).

What causes acid reflux and whom does it affect?

The circular band of muscle (sphincter) at the bottom of the gullet (oesophagus) normally prevents acid leaking up (refux). Problems occur if the sphincter does not work very well. This is common but in most cases it is not known why it does not work so well. In some cases, the pressure in the stomach rises higher than the sphincter can withstand - for example, during pregnancy, after a large meal, or when bending forward.

What are the causes of  Heartburn and what are the  Treatment options
Most people have heartburn at some time, perhaps after a large meal. However, about 1 adult in 3 has some heartburn every few days, and nearly 1 adult in 10 has heartburn at least once a day. In many cases it is mild and soon passes. However, it is quite common for symptoms to be frequent or severe enough to affect the quality of life. Regular heartburn is more common in smokers, pregnant women, heavy drinkers, those who are overweight and those aged between 35 and 64 years.

What tests can be done to arrive at the diagnosis?

Tests are not usually necessary if you have typical symptoms. Many people experiencing acid leaking up (refluxing) into the gullet (oesophagus) are diagnosed with 'presumed acid reflux'. In this situation, they have typical symptoms and the symptoms are eased by treatment. Tests may be advised if symptoms are severe, or do not improve with treatment, or are not typical of GORD.
Gastroscopy (endoscopy) is the common test. A thin, flexible telescope is passed down the oesophagus into the stomach. This allows a doctor to look inside. With inflammation of the lining of the oesophagus (oesophagitis), the lower part of the oesophagus looks red and inflamed. However, if it looks normal it does not rule out acid reflux. Some people are very sensitive to small amounts of acid and can have symptoms with little or no inflammation to see. Two terms that are often used after an endoscopy are:

Oesophagitis. This term is used when the oesophagus can be seen to be inflamed.
Endoscopy-negative reflux disease. This term is used when someone has typical symptoms of reflux but endoscopy is normal.A test to check the acidity inside the oesophagus may be done if the diagnosis is not clear. Other tests such as heart tracings, chest X-ray, etc, may be done to rule out other conditions if the symptoms are not typical.

What can be done to relieve with symptoms?

The following are commonly advised. However, there has been little research to prove how well these lifestyle changes help to ease reflux:

Smoking. The chemicals from cigarettes relax the circular band of muscle (sphincter) at the bottom of the gullet (oesophagus) and make acid leaking up (refluxing) more likely. Symptoms may ease if you are a smoker and stop smoking.Some foods and drinks may make reflux worse in some people. It is thought that some foods may relax the sphincter and allow more acid to rfleux. It is difcult to be certain how much foods contribute. Let common sense be your guide. If it seems that a food is causing symptoms then try avoiding it for a while to see if symptoms improve. Foods and drinks that have been suspected of making symptoms worse in some people include peppermint, tomatoes, chocolates, hot drinks, coffee and alcoholic drinks. Also, avoiding large-volume meals may help.

There are some medicines which can make symptoms worse. They may irritate the oesophagus or relax the sphincter muscle and make acid reflux more likely. The most common culprits are anti-inflammatory painkillers (such as ibuprofen or aspirin). Others include diazepam, theophylline, calcium-channel blockers (such as nifedipine) and nitrates. But this is not a complete list. 

Weight. If you are overweight it puts extra pressure on the stomach and encourages acid reflux. Losing some weight may ease the symptoms.

Posture. Lying down or bending forward a lot during the day encourages reflux. Sitting hunched or wearing tight belts may put extra pressure on the stomach, which may make any reflux worse.

Bedtime. If symptoms recur most nights, the following may help: Go to bed with an empty, dry stomach. To do this, don't eat in the last three hours before bedtime and don't drink in the last two hours before bedtime.

If you are able, try raising the head of the bed by 10-20 cm (for example, putting two normal sized pillows under your head. This helps gravity to keep acid from refluxing into the oesophagus. 

What are the treatments for acid reflux and oesophagitis?

Antacids
Antacids are alkaline liquids or tablets that reduce the amount of acid. A dose usually gives quick relief. There are many brands which you can buy. You can also obtain some on prescription. You can use antacids 'as required' for mild or infrequent bouts of heartburn.

Acid-suppressing medicines

If you have symptoms frequently then see a doctor. An acid-suppressing medicine will usually be advised. Two groups of acid-suppressing medicines are available - proton pump inhibitors (PPIs) and histamine receptor blockers (H2 blockers). They work in different ways but both reduce (suppress) the amount of acid that the stomach makes. PPIs include omeprazole, lansoprazole, pantoprazole, rabeprazole and esomeprazole. H2 blockers include cimetidine, famotidine, nizatidine and ranitidine.
In general, a PPI is used first, as these medicines tend to work better than H2 blockers. A common initial plan is to take a full-dose course of a PPI for a month or so. This often settles symptoms down and allows any inflammation in the gullet (oesophagus) to clear. After this, all that you may need is to go back to antacids 'as required' or to take a short course of an acid-suppressing medicine 'as required.
However, some people need long-term daily acid-suppressing treatment. Without medication, their symptoms return quickly. Long-term treatment with an acid-suppressing medicine is thought to be safe and side-effects are uncommon. The aim is to take a full-dose course for a month or so to settle symptoms. After this, it is common to 'step down' the dose to the lowest dose that prevents symptoms. However, the maximum full dose taken each day is needed by some people.

If you have any question you can write down to me.

4 people found this helpful

Does cod liver oil contain vit B-12, I mean capsules of seven seas cod liver oil. Is it that only Tuna fish has B12.

Diploma in Clinical Nutrition, Certified Diabetes Educator, Diploma in Sport & Exercise Nutrition, Diploma in Human Nutrition, Lifestyle Medicine, BSC IN LIFE SCIENCES
Dietitian/Nutritionist, Bangalore
Does cod liver oil contain vit B-12, I mean capsules of seven seas cod liver oil. Is it that only Tuna fish has B12.
Fish oil has oil not B12. Vit B12 is a water soluble vitamin and in present in whole fish, not in oil. Also it is present in meat, eggs and milk.
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Hello, I am regularly getting cold. It is starting from roof of the mouth and transfer to the nose. What's the reason for this? Is it allergy or cold? Will it naturally disappears?

BHMS
Homeopath, Hooghly
Hello, I am regularly getting cold. It is starting from roof of the mouth and transfer to the nose. What's the reason...
Yes it is due to infection or allergic reaction,,take ginger juice,,take honey in warm water,, gurgle with laung,,this will help,, otherwise u need to do homoeopathic treatment
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Hii daily I am suffering from cold and running nose sneezing and headache in the early morning in winter season which type of medication is suitable for me home or ayurveda bcaz tge the whole season is same for me.

MBBS
General Physician, Mumbai
Hii daily I am suffering from cold and running nose sneezing and headache in the early morning in winter season which...
For headache take tablet paracetamol and For cold take tablet cetrizine at night and Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly
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I am male. I had made anal sex with my room mates since 6 years. But now I am feeling guilty about that .so I there any disease or any side effects can I get by this activities. Please sir tell me suggestion or give me any medicine .i am only one son in my home.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I am male. I had made anal sex with my room mates since 6 years. But now I am feeling guilty about that .so I there a...
Dear user. I can understand. anal sex is not conventional way of sex. Therefore it is not advised. But there is no need to feel guilty. Just because there is no way you can correct the past. Regarding infections, YES. There are many chances of infections to your body or penis. Do consult a doctor when you have symptoms. Take care.
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Sir kya kya khana khau penis ko mota or lamba karne k liye. Long ka ras penis mey lagakar massage karne se wo mota or lamba hota hai ki nahi? Plese sir madad ki jiye.

MD - Ayurveda
Ayurveda, Hyderabad
Sir kya kya khana khau penis ko mota or lamba karne k liye. Long ka ras penis mey lagakar massage karne se wo mota or...
Long ka ras agar lagaoge to size ka pata nahi magar jalan zaroor hogi. Pehle porn videos dekhna band karo aur zyada imagine mat karo. Agar aapka penis tight hone ke baad 4-6 inch hota hai to ye kafi hai aapko aaapke partner ko satisfy karne ke liye. Agar aapko aur details chahye to consult karo.
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I am suffering from diabetes type 2. What precautions should I take. Recommend some medicine.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am suffering from diabetes type 2. What precautions should I take. Recommend some medicine.
Mr. lybrate-user, Thanks for the query. From your query it is clear that you have T2 DM, but there are absolutely no other details which can help me to understand the situation better. Unless all the following details are known:(Fasting, PP blood glucose levels, HbA1c%, dietary habits and extent of daily exercise, plus present medications if any with dosage,), it is not possible to suggest any medication. In this communication we are supposed to give just general guidelines like what general precautions to be taken and lifestyle changes to be done, but we can not recommend any drugs. That is possible only when one comes in a private conversation with all the above mentioned details, then I can prescribe specific medications. Thanks.
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