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Dr. Peshan

General Physician, Bangalore

300 at clinic
Dr. Peshan General Physician, Bangalore
300 at clinic
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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. Peshan
Dr. Peshan is a popular General Physician in Singasandra, Bangalore. You can consult Dr. Peshan at Live 100 Hospital in Singasandra, Bangalore. Book an appointment online with Dr. Peshan 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 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.

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Live 100 Hospital

#104/1, Hosur Main Road, Singasandra. Landmark: Opp. Keys HotelBangalore Get Directions
300 at clinic
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Hello doctor, I am 27 years old I have heavy cold with rough cough. But I do not have running nose. How to reduce cold.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
You can reduce the rate of infection by taking milk products, high protein diet and iron rich diet as this will produce mucus in the mouth which will help you in over passing the bacteria of the mouth by trapping into it and releasing in to stomach where bacteria gets digested and you escaped.
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My age is 26 I have bleeding piles I feeling very uncomfortable during motion please suggest me something.

BHMS
Homeopath, Delhi
Hello,take homoeopathic medicine Hamamelis 30 (4 drops in little water) thrice a day for 3 days and revert.
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How do I take Phosphoricum Acidum (Homeopathic) for my semen or viscous fluid leakage during stool? I am a frequent masturbation.

BHMS
Homeopath, Sindhudurg
You need to consult homoeopath for selection of constitutional homoepathic remedy for you .there are many homoepathic remedies for spermatorrhoea.
2 people found this helpful
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I continue suffering from vomiting and cough. Due this body temperature goes on increasing. What should I do? f.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
take tab. perinorm -5 mg sos for vomiting. Now seasons of viral infections. pl. Go for Tests..mp,cbc.urine r/m,ns1, blood c/s, After tests you can take antibiotics by doctor. You can take tab. Combiflaim sos , tab. Lcz-10 mg once a day. Cap. Zevit once a day.syp. Honeytus 10 ml twice a day. Never take asprin medicines. feel cold then cover body with warm cloths, avoid dust area, clean body, change cloths daily, change bed sheet daily, avoid stress.avoid non-veg.,avoid alcohol intake if smokes avoid also that. Cold sponging if get high fever. drink warm water, juice,green veg. Soups,lquid diets, dalia, take protein diets, tulsi leaf in tea or warm water, geloy juice, avoid cold area,cold things .i.e. ice creams, fast/junk foods, chinese foods,spicy foods, fat meal, take bed rest ,
1 person found this helpful
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

asthma problem how to solve any solution I have asthma from 5 year any solution give fast.

MBBS
General Physician, Cuttack
1. You have to do steam inhalation 2-3 times daily 2. Take viscodyne ls syrup 2 tsf thrice daily 3. You have to take antibiotic, use inhaler and do nebulisation along with it if required4. Consult physician for advice 5. If it is due to allergy do an allergy test after consulting allergist/immunologist to find out the cause of allergy and follow rhe advice and treatment accordingly.
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Iam a heart patation from 6 years I belun s take medicine dely. Is it any side effect.

MBBS
General Physician, Mumbai
You have been given medication as per the protocol and many times we tell the patient to continue the same lifetime varying the dosages because it increases the lifespan and the quality of patients
1 person found this helpful
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I am diabetic patient since 7 years my blood sugar is 180-200 generally comes on reports. So my question is which type of food ,take to down sugar. My weight 74 kg height 5.2" .or whom I consult proper dietician for diabetic.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
Hello, . Regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet#11;a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta#11;b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food,#11; include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, legume.#11; avoid sweetened fruit like banana, mango, litchi, chickoo, sapota,seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot)#11;e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal.#11;avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle.avoid red meat. Take fish/chicken. avoid alcohol and carbonated drinks like soft drink Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly. Restrict salt intake .
2 people found this helpful
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I am a 18 years boy and my skin has turned darker without sun exposure. What must be done in diet or something else?

BHMS
Homeopath, Faridabad
do follow CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally sunscreen with SPF-30 – a thick layer of Bakson's Suncare cream may be, 20-30 minutes before going out daily and repeat it's application after every 3-4hrs.) after washing your face daily; use the products as per your skin type. This will change the skin texture and skin tone. In case you do have tanning, apply honey with a dash of lime on your face. You can also use homoeopathic cream - Medicynth's Whitch Hazel daily at night. Eat right and healthy that too on time, relieve your stress/ tensions, sleep well, lead a healthy lifestyle! If the dull skin tone is due to any underlying ailment or diseases, need to look into the matter. Home remedies: Apply fresh-squeezed lemon juice to your entire face and neck. Leave it on for 10 minutes and then wash it off with lukewarm water. After this, rub cucumber slices on your skin to soften and moisturize it. Do this daily or every other day. Another option is squeeze the juice of one-half lemon and mix one to two tablespoons of raw honey in it. Apply it on your face, leave it on for 15 to 20 minutes and then rinse it off. To exfoliate your skin, mix two teaspoons each of lemon juice and sugar. Apply the mixture on your face, neck and hands. Scrub in a circular motion and leave it on for 10 minutes. Then rinse it off with lukewarm water. Follow this remedy once a week to enjoy glowing skin.
4 people found this helpful
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I m suffering from cold and I can not breath properly because of cough and having little fever.

MBBS
General Physician, Mumbai
Take steam inhalation avoid cold stuff take calpol tablet for fever for cold take tab montair lc one at night for ten days.
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Neck Cancer Symptoms and Treatment

MBBS, MS - ENT
ENT Specialist, Delhi
Neck Cancer Symptoms and Treatment

Neck cancer refers to the formation of cancer cells in the throat or neck region of your body. Neck cancer is commonly seen in people above sixty years of age .But people above forty can also have the chances of getting neck cancer. Though the symptoms of neck cancer can vary from one person to the other, 

Some of the common symptoms are stated as follows:

  1. Neck cancer affects the voice box, so a change in your voice can be noticed.
  2. Weight loss is also a symptom for neck cancer.
  3. A person suffering from neck cancer can also suffer from dysphagia or difficulty in swallowing.
  4. Sore throat in some cases can be considered as a symptom of neck cancer
  5. Bleeding from mouth or through your nose is also a common symptom for neck cancer.
  6. Ear pain in some cases is a symptom of neck cancer.
  7. Coughing persistently is also regarded as a symptom of neck cancer.
  8. Sometimes a lump in the neck is also noticed and it is usually painless.
  9. Some people also encounter breathing problem.
  10. In some cases a swelling of the neck, jaw or eyes can also be noticed.

Neck cancer involves certain risk factors too. Neck cancer can be treated in many ways. The following are few treatments available for neck cancer:

  1. Surgery: Your doctor can conduct a surgery for removing the tumors from your neck region. The doctor may decide to do either a microsurgery or laser treatment or endoscopy.
  2. Chemotherapy: If the tumor spreads to other regions or is large in size, then your doctor may recommend chemotherapy. 
  3. Radiation: It is used to destroy the malignant cells. It is usually conducted after removing the tumor.

These three are the common treatments followed by doctors. Your doctor may also take help of other treatments like administering drugs to control the growth of cancer cells. But, sometimes treatments fail to work if the process of metastasis starts. So you should not ignore it, as soon as you encounter any of the symptoms stated above, visiting an oncologist is highly recommended.

4603 people found this helpful

I'm getting severe headache when I visit cool places. Why was this happening? What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
take crocin pain relief one sos if headache is severe, check your eyes. check your BP. Take rest and good sleep. avoid stress. inform if not ok.
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My mother is suffering from Asthma and have breathing problem when she walk advise me the medicine.

MD - Homeopathy, BHMS
Homeopath, Indore
Take homeopathic bacillinum 1 m one dose alternate day pattern at morning for 15 days. Take ashtha aid 1 tab thrice a day from bakson compamy of homoeopathy for 15 days also. Please also check your ige level blood test & reply. I wish to inform that your problem is curable with concept of modern homeopathy cure in complete, permanent, easy, safe, fast & costeffective mode. This would be permanently resolved, dont worry.
1 person found this helpful
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I have fever since 10 days I had medicines from the same but their is no result so what would you suggest me?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Take homoeopathic medicine Belladonna 30 at hourly interval 3 times in the morning and Arsenic album 30 at hourly interval 3 times in the evening for 4 days. Take light and easily digestible food and complete rest. Drink lots of water to hydrate and eliminate toxins from your body.
1 person found this helpful
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Hi sir frm some days I cant concentrate on my mind means lagyness n I do not want to do any work, I sleep more now.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach.
1 person found this helpful
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Hi I'm 24 recently diagnosed with type 2 diabetes I checked my blood test of hba1C MY range was 9.7 and very next day again I checked my blood test the fasting sugar levels are 184 and post lunch it was 287 and I approached doctor and he gave me tablet called Glicalz -M I'm taking before 15 mins of my breakfast .and I maintained strict diet and after 10 days I went for blood test again my sugar levels are 120 before breakfast and after breakfast it is 147. Can any one suggest me if I maintain same diet and exercise can I stop taking medicines? Please help me. Because what I read is 120 before breakfast and 147 after breakfast is called prediabetes So prediabetes can be overcome with change in diet and regular exercise so please help me can I stop taking Glicalz-m.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details given. Pre-diabetes is diagnosed when a person has FBG is 108 to 125 mg, PP 141 to 199 mg & HbA1c% 5.9 to 6.4. But these levels are without taking any medication. The levels you are referring are with medication. In your case already diabetes is diagnosed and the levels mentioned have been achieved because of taking medication. The moment you stop treatment blood glucose levels will shoot up. Please understand if a person is in pre-diabetes state, then he can prevent developing diabetes for a considerable time. But once diabetes is diagnosed there is no way of achieving normal glucose levels without proper medication plus diet and exercise. If you have any doubts please come back. Also look at your HbA1c%. Thanks.
2 people found this helpful
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When I do sex I discharge very early less then in 1 minute please suggest me any beneficial medicine which doesn't have any side effect. And tell me in simple language. And tell me medicine time table regularly or monthly.

MBBS
General Physician, Cuttack
You are having premature ejaculation. It may be due to 1. Anxiety, depression 2. Fatigue, stress 3. Relationship issues, performance anxiety, 4. Consumption of alcohol, tobacco etc 5you can take the following measures a) avoid stress, anxiety, depression b) avoid alcohol and tobacco consumption c) go for regular exercise d) lead a healthy living style e) practice relaxation technique by deep breathing exercise (take deep full breath for 5 seconds, hold it for 3 seconds, exhale slowly for 5 seconds). Do it for 5 minutes without breaking the rhythm. It controls arousals and tension that lead to early ejaculation. F) use condom to reduce sensation g) take foods to increase testosterone like eggs /asparagus/dark chocolate/carrots/oats/ashwagandha/avocado/blue berries/ banana/walnut/cereals/onion/garlic/almonds/bean/ mushroom h) consult sex therapist/sexologist for advice.
1 person found this helpful
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