Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 44 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. PrakashYour feedback matters!
I am suffering from low blood pressure to last 2 weak at 2 to 4 time in a day what should I do please tell me?
I am 53 years old (Male) & suffering from chronic appendicitis. Pl advise what medicine I will take so that it can be cured without surgery & same time what diet I will take?
Hi, once time I'm fight with a man, then he hit me on leg left side on nee with fat wood, now 7, 8mnth later but my nee not well, what I do, please tell me, when I on work this fine, when I free this is in pain, n some time is in pain, for over leg, please sole my problem for my last time Thanks.
How to make sperm count increase and make sperms strong and stay long time in intercourse. Sperms should be ejaculate very late while in Intercourse.
I am 21 year old male having headache not able to study pls let me get out of this problem plus I am having problem in my back also including how to gain weight.
My penis is small so can you suggest how enlarge my penis & what are the side effects of viagra capsules?
Dear sir, My problem in my head. My head is very pain at evening time everyday. please tell me solution Thanks.
Hi, I am suffering from cervical spine. Lots pain in evening & morning time on neck. Swelling on neck and sometime feel like unconscious.
My mom's face itches at night and when woke up in morning it has been swollen. She has gone through all checkup but every single test is negative. What is this actually? How can it be cure or prevented?
Hai I am facing a problem with rashes on my hands. There are not in reddish and there is no itchy but there are growing. First there are coming like white spot ad there are growing like infection. please suggest me any help.
Male Erectile Disorder (Impotence)
Persistent or recurrent inability to attain, or to maintain until completion of sexual activity, an adequate erection.
This is also know as erectile dysfunction.
The disorder may cause marked distress or interpersonal difficulty. There are different patterns. Some individuals report inability to obtain erection from the beginning of sexual experience ;while others report being able to experience erection only during masturbation or on awakening, but not during the coitus. Some experience adequate erection,lose it when attempting penetration. Still other report that have an erection that is sufficiently firm for penetration, but they lose erection before or during thrusting.
Male erectile disorder is frequently associated with anxiety, fear of failure, pressure of sexual performance, and decreased sexual excitement and pleasure. This can disrupt marital relationship and may be the cause of unconsummated marriage and infertility.
Aging:with advancing age,
-The orgasm is less intensive,
-The ejaculate is reduced
The interval between the two successive acts is increased.
Fear of failure,
Low self esteem
Traumatic initial experience
Negative feelings towards the partner
Use of tobacco/Alcohol
Venous leak or occlusion
Harmonal causes :
Estrogen excess Adrenal
pituitary of Hypothalamic disease
Neurogenic causes :
Autonomic neuropathy (in Diabetes)
Spinal cord disease
Drug related casuses :
Stamp Test :A long strip of postal stamps in wound around the base of the penis at night before going to bed. Next morning if the perforations of the strip are found to be torn off, impotence is supposed to be of psychological in origin.
Peno-brachial index : The ratio of penile systolic blood pressure to that of brachial systolic blood pressure is normally 0.6. If found to be low, impotence is vascular in origin .
Papaverine Injection Test : Papaverine is a vasoactive drug. Using a 26 gauge needle, 30 mg papaverine is injected at the mid-shift of Corpus cavernosum of the penis. He is isolated, asked to stoke the penis and expose to erotic literature. An erection will occur in 10 to 15 minutes. If the erection is short-lived or partial, then impotence is considered as vasculogenic. If the erection is full, then impotence is considered to be neurogenic or psychogenic. In origin.
Caution : This test should be performed in a hospital setting or where the facilities for detumescence are available. The patient should be observed for next few hours till the erection subsides.
Rigiscan Test :
This is a gold standard for evaluation of Nocturnal Penile Tumescence and Rigidity (NPTR). This test is based on the physiological principle that a male gets erection 3 to 5 times during REM sleep. At night before going to sleep one ring of Rigiscan is slid over the base of the penis and the over the tip. Next morning, the tracing obtained are studied. This test can quantify erectile tumescence and rigidity. Rigiscan tracing indicates whether the impotence is organic or psychological in origin.
Arterial insufficiency and venous leaks can also be suspected on the basis of Rigiscan graphs. Patients with purely artery disease have low levels of rigidity but of adequate duration. Patients with venous leak will have varying rigidity levels with shortened duration.
Penile Ultrasound :
This test is for evaluation of the functioning of the penile arteries. A simple acoustic Doppler emits auditory signals or a colour Doppler can help visualization of arteries. Cavernosometry and caver nosography: this haemodynamic test is useful for diagnosing venous-occlusive dysfunction of the corpora. Biothesiometry, electromyography , nerve conduction studies: these are for evaluation of neurogenic impotence.
Sexual dysfunction is a marital unit problem and therefore both, husband and wife, should attend. Counselling is towards strengthening the marital relationship. Wife is requested to co-operate. The client is requested to quit smoking and alcohol. He is advised relaxation exercise, yoga. The couple is educated about anatomy, physiology of sexual organs sexuality are countered. Their myths and misconceptions about sexuality are countered. They are also explained that he does not have to do anything to have an erection. Erection is a physiological response to effective stimuli.