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Dr. N.b. Shivakumar

General Physician, Bangalore

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Dr. N.b. Shivakumar General Physician, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. N.b. Shivakumar
Dr. N.b. Shivakumar is an experienced General Physician in Sampangiram Nagar, Bangalore. You can consult Dr. N.b. Shivakumar at Vijaya Clinic in Sampangiram Nagar, Bangalore. Book an appointment online with Dr. N.b. Shivakumar 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 34 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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English

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Vijaya Clinic

Cotton Pet, Milll RoadBangalore Get Directions
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Earlier 2 days mine maternal uncle age 38-40 reported to diabetes. Then what will be the initial steps to cure the diabetes as it is in first stage? What types of precautions should he hv to take? Is diabetes curable? What are the causes of diabetes? Explain all this plz.

MBBS, PG Diploma in HIV Medicine
General Physician,
Earlier 2 days mine maternal uncle age 38-40 reported to diabetes. Then what will be the initial steps to cure the di...
Everything we eat will convert into sugars, protein and fats by body. Sugars breakdown inside the body and produce energy for which insulin is necessary. Whenever the pancreas stops producing insulin. Sugar levels tend to raise in the blood and alters several body metabolism and prone to infection. This condition is known as diabetes. There is no cure for diabetes yet. Strict diet, physical activity and medication will improve the quality of life and prolong life time. Check his sugar levels regularly both fasting and 2 hours after breakfast. Take anti diabetic medication prescribed by a physician regularly. Contact if need further assistance.
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Hello sir I am 20 years old boy and I am suffering from typhoid since 2 months. So please give me some suggestions.

MBBS
General Physician, Cuttack
Treatment 1. Consult doctor with blood report like widal/typhidot test. 2. If it is typhoid, you have to take a course of antibiotic for 10-14 days 3. Take bland semi solid diet like rice with yogurt, porridge, barley, fruit (avoid skin/seeds) custard, avoid spicy, oily and fatty food. Take light and easily digestible diet. Take meals at short interval to avoid nausa/vomiting. Avoid meat/poultry/egg 4. Drink plenty of water/lime juice/ glucose water/ coconut water, sugar cane/ fresh fruit (avoid citrus fruits) juice, milk 5. Take rest (4 fold risein h &oantigen titer>1: 160, negative test does not rule out typhoid h&o antigen will gradually decrease after 6 months. O agglutinin appear early and h appears later and lasts longer. Typhidot test (igg/igm, rapid detection,) prevention typhoid is a bacterial infection affecting the gastrointestinal system and is due to fecal contamination of food, milk and water. It can be prevented by 1. Avoiding contaminated food and water/milk from out side sources like junk food etc 2 use purified drinking water and have warm home made food, 3. Avoid fly contamination of food, maintain food hygiene 4, properlyl wash your hands before taking food 5. Wash vegetable, fruit before consuming.
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I am frequently urinating due to active bladders is there any treatment to control it? Any homoeopathy or ayurveda medicines are there to control bladder.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), certificate in panchkarma
Ayurveda, Haldwani
I am frequently urinating due to active bladders is there any treatment to control it? Any homoeopathy or ayurveda me...
Vangeshwar Ras -1 tab twice a day or bahumutrantak vati-1 tab twice a day or trivang bhasm-60 mg twice a day with lukewarm water.
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I am 28 years old, I ejaculate with in 30 seconds in the intercourse suggest me the medicine.

BHMS
Homeopath, Kolkata
I am 28 years old, I ejaculate with in 30 seconds in the intercourse suggest me the medicine.
Use Natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - Including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation. For further queries get back to me.
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Sometimes I feel severe stomach ache. Even I can't sit or lie on bed. But it happens very rare ones in an year since 2012. That time my age was 16.

MBBS
General Physician, Mumbai
Sometimes I feel severe stomach ache. Even I can't sit or lie on bed. But it happens very rare ones in an year since ...
Avoid spicy food in your diet and eat only curd rice or khichdi for few days and drink only boiled water
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Premature ejaculation. From a long period. I am in live in relation with my partner.

BHMS
Homeopath, Sindhudurg
Premature ejaculation. From a long period. I am in live in relation with my partner.
There are a homoeopathic medicines like agnus cast, selen , calad, lyco, damiana etc by which you can increase sex time ..   Tips - *stop-start technique, squeeze technique also help to some extend.. *Lifestyle changes to last longer- 1.Eat the right kind of foods 2. Quit smoking and alcohol 3. get enough sleep. 4. lose weight. i need detailed case history to find out cause and treat accordingly. you can consult me online for homoeopathic treatment without side effects. premature ejaculation can be cured completely in 3months.
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Sir please tell me how should I increase my penis size? I am 19 years old. My penis size is 6 inches. Please suggest some ways in which it can work.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir please tell me how should I increase my penis size? I am 19 years old. My penis size is 6 inches. Please suggest ...
Hi. 6 inch size of penis is normal. It will be sufficient for sexual satisfaction. Size does not matter hardness does matter. Avoid masturbation. Taking ginseng for better stamina and increasing size of penis.
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Hello doctor my self jaya khatri I am 45 year old married woman I have blood sugar problem last two years what should I do please tell me doctor.

MBBS
General Physician, Cuttack
Hello doctor my self jaya khatri I am 45 year old married woman I have blood sugar problem last two years what should...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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Approach to Ramadan Fasting In Patients with Heart Diseases

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Approach to Ramadan Fasting In Patients with Heart Diseases

Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.

Heart disease patients tend to fast during ramadan but they have many questions:

1. Cardiac patients can fast?

The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.

Common types of cardiac conditions as follows:

A. Patients who had heart attack or recent stenting or open heart surgery

Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.

B. Patients with low pumping of heart i. E, reduced ejection fraction 

Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.

C. Patients with high blood pressure.

Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.

2. How to take their cardiac drugs during this month?

Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.

3. Lifestyle during ramadan

Avoid over eating while breaking the fast

Avoid exercise after a large meal

Stop smoking

4. Can cardiac patients do hajj pilgrimage?

Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj

Full medical workup is mandatory before hajj.

Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.

Take home messages-:

A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.

B. Comply to medication

C. High risk patients should avoid fasting

D. Unfit cardiac patients should not try hajj pilgrimage.

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