Dr. R.Narayanswamy

Hi lybrate-user! The best way to clear your doubts is to consult with Pulmonologist or Cardiologist and undergo certain tests as per their advice and rule put any underlying causes. If there is nothing wrong then you need not worry, but if something is wrong before it is too late you can undergo treatment for the same and get cured at the earliest since you have started smoking very recently only so the effects are less. Take care. Be relaxed.

The nose bleeding is dangerous, it signifies that the blood pressure is very high & is not under control. I adviced you to regularly check the blood pressure & take the blood pressure medicine regularly. Even if blood pressure is high then tell me about it so that I can help you to control the blood pressure to normal level.

Dengue symptoms-fever severe body ache especially retrobulbar pain and rash best way do dengue antigen test which blood test it will confirm whether yu have dengue or not/

Ejaculation of semen during sexual intercourse before or immediately after penetration. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation. Psychological causes Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as: • Situations in which you may have hurried to reach climax in order to avoid being discovered • Guilty feelings that increase your tendency to rush through sexual encounters Other factors that can play a role in causing premature ejaculation include: • Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues. • Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem. Biological causes A number of biological factors may contribute to premature ejaculation, including: • Abnormal hormone levels • Abnormal levels of brain chemicals called neurotransmitters • Abnormal reflex activity of the ejaculatory system • Certain thyroid problems • Inflammation and infection of the prostate or urethra • Inherited traits • Nerve damage from surgery or trauma (rare) Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you. Behavioural techniques In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique. Topical anaesthetics Anaesthetic creams and sprays that contain a numbing agent

Hi, No desire for sex is called as low LIBIDO. Poor Eections - ED Erectile dysfunction. PME. It's because of Hormone Imbalance, less semen count, nutritional deficiency, high Stress levels. So once do semen analysis & usg of scrotum & testosterone estrogen FSH LH hormones test. These foods to cure premature ejaculation pump the body with essential vitamins and minerals and boost sex drive. -asparagus -eggs -dark chacolates -oats -ashwagandha -avocados -blueberries -bananas -wallnuts -cereals -green celery -onions & garlic -almonds -beans & mushrooms once consult a doctor he can diagnose after seeing your reports then gives medication for better results.

1. Use good soap like teddy bar. 2 use moisteuriser and sunscreen on regular basis. Do not scrub too hard. Gentle scrubbing in enough. You can take all vegetables. Keep roatating your choices of vegetables for a balanced diet.

avoid day time sleep. avoid tea , coffee in late evening and after, take rest and balanced diet. 8 hours sleep is ok. 10 pm to 6 am is perfect timing.inform if not ok.

Homeopathic remedies can assist people who want to work on their emotional, mental and spiritual growth and development. The remedies can help people who strive to achieve a more positive mindset and a feeling of well being. Negative moods, thoughts and actions can bring about imbalances. Personality traits, such as impatience, fear, depression, bitterness, lack of self-confidence or motivation affect a person’s vitality and can adversely affect health. Homeopathic remedies do not profoundly change the personality of the individual. It is individual differences which make life so rich. Homeopathic remedies help to restore balance within the personality. For example, a chronic worrier can become an occasional worrier, a highly critical and judgmental person can become more tolerant, and a person with a poor self-image can gain more self-confidence. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects

1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily if it is a dry cough or viscodyne syrup if cough is associated with sputum 3. You may have to take antibiotic along with it after consulting physician, if no relief4. Avoid smoking if you smoke.