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Dr. Nisha Vardraj

MBBS

General Physician, Bangalore

5 Years Experience  ·  200 at clinic
Dr. Nisha Vardraj MBBS General Physician, Bangalore
5 Years Experience  ·  200 at clinic  ·  ₹ online
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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. Nisha Vardraj
Dr. Nisha Vardraj is one of the best General Physicians in RT Nagar, Bangalore. She has helped numerous patients in her 5 years of experience as a General Physician. She has completed MBBS. She is currently practising at NishaV Clinic in RT Nagar, Bangalore. Book an appointment online with Dr. Nisha Vardraj on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 35 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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Education
MBBS - North Bengal Dental College - 2011
Languages spoken
English

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200 at clinic
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What should I do if I have a severe stomach ache and cold and cough from last two weeks.

MBBS
General Physician
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What should I do if I have a severe stomach ache and cold and cough from last two weeks.
Stomach pain and cough and cold. You may be having gastritis with bronchitis. Start regular warm saline gargle and have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection.

I have several head ache when I got more sun heat what can I do for that headache?

cc USG, MBBS
General Physician
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I have several head ache when I got more sun heat what can I do for that headache?
Hello, you can take: 1. Tablet crocin (paracetamol 650 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ent evaluation to rule out sinusitis 5. Get your bp checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach.

I am diabetic since 15 years.I have undergone bypass surgery 15 monthes back. I got prostate enlargement 60%. With tablets my sugar levels uncontrolled .Iam 73years old.Is it advisable to go for insulin.Please advice.Presently with tablets my fasting sugar level is 150and post lunch is around 250. Three months average is 7.6. Please advice dose of insulin per day.Thank you doctor.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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I am diabetic since 15 years.I have undergone bypass surgery 15 monthes back. I got prostate enlargement 60%. With ta...
at your age and with the current b.sugar levels,i dont feel insulin is the absolute necessity..fasting around 140-150 and pp around 180-200 is good enough..do regular exercises ..and dietery restriction of sweet foods...it will be enough

He goes for Peeing (loo) many times. When he is outside on job its all normal. But in room he goes in every 10-15 mins. He doesn't have Diabetes also. What are possible cases? Or is it normal? (He doesn't drink too much water too).

MBBS
General Physician
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He goes for Peeing (loo) many times. When he is outside on job its all normal. But in room he goes in every 10-15 min...
For your age excessive Urination could be due to 1.Drinking lot of water/ excess tea/ coffee/alcohol 2.Urinary Tract/bladder Infection 3. Bladder stone causing a blockage in ureter/bladder, stone in urinary tract, cystitis, interstitial nephritis 5.Diabetes mellitus/Diabetes inspidus, Hypertension, , 6. Do urine Re/Me , Take USG KUB and consult urologist for advice

Hello, I am 21 years old male I hear that jaggery and Amla powder mix make sperm quality and quantity good, what are home remedy to make semen thick, my problem is semen leakage every movement is every thin semen please tell me home remedies please please please.

MBBS
Sexologist
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Hello, I am 21 years old male I hear that jaggery and Amla powder mix make sperm quality and quantity good, what are ...
You have semen leakage problem & wants to control it . It is due to weakening of parasympathetic nerve or Over masturbation . I advise you to tell me your weight,eating habits & any addiction to alcohol or cigarette ?. ,for better guidance & treatment.

My wife is 60 year old and her ht is155 cm. Her muscles are week and fat is more. Suggest reason and treatment.

MBBS
General Physician
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My wife is 60 year old and her ht is155 cm. Her muscles are week and fat is more. Suggest reason and treatment.
Please Take her for morning and evening walk regularly Give her salads and fruits more Give her vegetables juices and soups regularly Give her dates jaggery beet root, almonds apples regularly Give her Sy Balarishta 20 ml twice daily with water Do massage by Patanjali tejas oil regularly.

I have cold for two days. It will make headache also and how can I cure it? Please help me.

PDDM, MHA, MBBS
General Physician
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I have cold for two days. It will make headache also and how can I cure it? Please help me.
Get plenty of rest, especially while you have a fever. Rest helps your body fight infection. Stop smoking and avoid secondhand smoke, which can make cold symptoms worse drink lots of fluids such as water and clear soups. Fluids help loosen mucus. Fluids are also important because they help prevent dehydration. Gargle with warm salt water a few times a day to relieve a sore throat. Throat sprays or lozenges may also help relieve the pain. Avoid alcohol. Use saline (salt water) nose drops to help loosen mucus and moisten the tender skin in your nose.

Male 28 yrs. Maximum for 10 days he is going continuous motion - watery stool. He used medicines but of no use. He became very weak so they kept salin for him. May be it is diarrhoea. No blood in stool, stomach pain, fever. Only watery stool.

BHMS
Homeopath
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Male 28 yrs. Maximum for 10 days he is going continuous motion - watery stool. He used medicines but of no use. He be...
Please do a stool examination. If he was having any disease earlier and or taking any other medicines earlier that needs to be again thought off. Give him bland diet. Blood test needs to be done for - cbc/lft. Give him arsenic alba 200 - twice daily for next 2 days - if no relief get back to me for proper treatment.

I am 16 years old now and I have elevated levels of alkaline phosphatase in my blood what should I do?

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician
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Thanks for your query. It means you have some infection or injury to your liver. You need to do a few blood tests to detect which infection it is. Please also inform me if you consume alcohol regularly. For medicines please contact me in private question section.

My son is suffering from Varicocele in his testicles. What is the treatment. It is very painful for him.

M.D. (Ayurveda )
Ayurveda
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My son is suffering from Varicocele in his testicles. What is the treatment. It is very painful for him.
kindly take chirubilvadi kshsyam, 3 tsf in half a glass of warm water, before meals, twice a day. Take mahayogarajah guggal tabs, 2 tabs, twice a day after meals with sarivadhyasava, 3 tsf in half a glass of warm water. Stop cold water and other cold eatables in your diet. Cut down sugar and salt in your diet. Continue the regime for 45 days. Stay in touch. good luck

Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions

Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.
Erectile dysfunction

I have lump (hard muscle) in my stomach, lower part of rib and in my left hand. What is it and what I have to do?

B.H.M.S., Senior Homeopath Consultant
Homeopath
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I have lump (hard muscle) in my stomach, lower part of rib and in my left hand. What is it and what I have to do?
Please take cal. Fluor. - 0/2 three times a day for one week. Revert back after one week with feedback.

I am male of 57 Years, have done hard work in life, without take meal, water in time, not urine out in time in front of work, Always give Importance of work in a life. So my bones are always and Regular pain in body. Kindly suggest treatment Or Good Tonic Name for Recovery of this problem.

BAMS
Ayurveda
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I am male of 57 Years, have done hard work in life, without take meal, water in time, not urine out in time in front ...
So, you are suffering your past. do not worry, now concentrate on good food, sound sleep, no stress.

My hemoglobin is very low. Could you please suggest me how to increase it as soon as I can?

BHMS
Homeopath
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Hello, Take Biofungin syrup, 2 tsp twice daily. Take Ferrum met 3x, 2 tabs twice daily. Eat green leafy vegetables , carrots and beetroot and dry fruits. Revert after 15 days.

I have low blood pressure problem what should I need to do? I feel very cold and weakness in my body.

PGDHHM, MBBS
General Physician
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For low blood pressure, take lots of liquids as fluids increase blood volume and help prevent dehydration, both are important in treating hypo tension. Take little more salt in diet (if no heart problem or kidney problem). Medicines are required to treat low blood pressure that occurs when you stand up. Take coffee as it will temporarily increase the bp. Take adequate rest. Hope this helps you.

Can a diabetic have beer or scotch which is better and please let me know the quantity.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Can a diabetic have beer or scotch which is better and please let me know the quantity.
Mr. Lybrate-user, according over all information in relation to alcohol, it is not recommended at all for a diabetes patient. So whatever may be type of alcohol (beer, scotch), hence quantity is not the case.

I am 22 years old female, having headache migraine from long back. I was taking medicines and then shift to ayurvedic treatment. It was under control, but by the past 2 days I can not bear the pain and cough is also there. Due to which am suffering from bleeding throat and slight nose bleeding also due to the pressure. What should I do?

MBBS
General Physician
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Madam, You need to be assessed for chronic headache. Now you are having bleeding from throat and nose. what is your B.P. Get back to me for proper advice

I have vitamin b12 and vitamin D deficiency. How can this be addressed through vegetarian diet

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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you take green leafy vegetables n cabbage fruits n paneer,milk ,curds white til(sesame seed) soya milk n soya paneer.

I am 19 years old boy suffering from cold and a light fever near about form last 2 months. There is no symptoms of typhoid in my reports. What should I do dr.

CCH, CGO, CVD, BHMS
Homeopath
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I am 19 years old boy suffering from cold and a light fever near about form last 2 months. There is no symptoms of ty...
Do the cbc, esr, chest xray, sr ige, start tab levocet m once a night 10 day. Tab septillin (ayurvedic) 2 tab three times a day. Tab calpol 650 for fever if require tab azee 500 once a day 3 day. Thanks.
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