Dr. R. Punniyamurthy

CONSTIPATION:is due to an incorrect lifestyle and irregular eating patterns, not taking enough fluids,sedentary lifestyle.Foods that are heavy and difficult to digest, as well as oily, spicy, fried, and junk foods are the culprits. Eating food in a disturbed atmosphere or in front of the television and being awake late at night all lead to bowel disturbance. Psychological factors like stress, anxiety, fear, jealousy, and sorrow also play an important role. DIET & LIFESTYLE ADVICE: Increase intake of fiber, especially fruits and cooked vegetables. An Apple or Pineapple/Pomegranate each day is helpful.  Drink 7-8 glasses of lukewarm water each day. Take daily morning and evening walks for at least 20-30 minutes each. Eat whole grains /nuts/sprouts and Muesli in breakfast Avoid removing bran from the flour because it clears the intestines  Avoid refined foods like white flour, bread, pasta, pizza, white rice,or high protein foods like cheese,meat and cold foods like ice cream or chilled drinks  Take meals in a relaxed and calm atmosphere. The food should be warm and freshly -prepared, as cold food slows the digestive power. Take 30 ml/6 tsp of syp Duphalac thrice daily after meals with lukewarm water. Soak 3-4 dried figs after washing them overnight in water. Eat them first thing in the morning,

Good morning my Lybrate frnd, you take a medicine Calc. fl. - 3X/ 4 tabs thrice daily for one month.

That is going to be different from person to person. Drink lemon juice with salt and sugar as it can prevent infections and side effects and also protect you.

Hello, At your age evaluation of Lipid profile, Blood sugar and blood pressure is required. Then treatment can be done accordingly. If required Doppler ultrasound of pelvic vessels can be done.

Common reason for varicose veins are increase in blood column pressure in veins due to long standing. It is potentiated by lack of exercise. They occur mainly in lower limbs. Please kindly Avoid long standing Do regular exercise Have habit of doing regular walk Take salads and fruits more Take Chyawanprash daily as it contain vit c which is must for blood vessels Please wear stockings of good quality.

Hi Take ½ glass of carrot juice + Add ½ glass of spinach juice + Mix well + Drink this juice to cure headache 1-1 drop of cow ghee in both nostrils at night time before sleep. Take pranacharya no tens capsule 1_1 twice a day. Take shirshooladi vajra ras twice a day with honey. Avoid tea and coffee.

1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.Drink plenty of water 3.Take rest 4.If no relief do blood examination like ESR, CBC, Widal/ Typhidot test, Blood for mp/malaria antigen and Dengue antigen(NS1) test after consulting doctor 5. consult me for further advice

Stay away from allergen if you can identify it. Try some cough suppressant syrup with bronchodilator also. Rule out asthma.

Dear user. There is nothing to worry. There is nothing called SEAL for a male. Therefore, it will not be broken. You can try masturbation and release your semen. Do talk to your friends about the matter for guidance. I suggest sex counseling. Take care.

Elisa test will be negative after 27 days of exposure and it doesn't gives you a clean chit. Kindly repeat it again after 3 months.

At this age, before taking medicines, first get to know the cause of PE by consulting doctors. Often drug is not needed.

Because allergic constitution it may be possible in such case complete investigation needed and at the time of attack anti-histamine can be used, allergic test need to be done

Any of these people are at risk of developing heart disease.

1. Uncontrolled diabetes
2. Hypertension
3. Smoking (very strong factor)
4. Obesity
5. Family history of heart disease
6. Stress and angry nature
7. High ldl (bad cholesterol)
8. Low hdl (good cholesterol)
9. Sedentary lifestyle (lack of exercise)
10. Older age.
11. Indians are in high risk group,

Some other factors like men are more susceptible, and post menopausal women are at more risk of having a coronary artery disease (heart attack).


If you have single factors from above given list, you are at a lesser risk, but if you have multiple- (3 to 4 or more) factors. You must take a good care and heal the cause.

the only way to control is to take prescribed regularly, take a balanced but restricted diet as advised by your doctor, avoid sweets, direct sugar, exercise regularly for more than 1 h and also avoid deep fried foods. There is no easy way out.

Hi take chitrakadi vati and shool vajrini tab 1-1 tab after lunch and dinner....take pranacharya udar bhaskar kshar churna twice a day......and pranacharya live cure capsule twice a day..avoid spicy food and non vegetarian...

Try kegel exercises this is a great way of strengthening your pelvic muscles and gain strength for sex. It is like going to the gym, but for sex. Let me tell you how to do kegel exercises. You have to practice it first. When you urinate, try to stop the flow of urine without your hands, just by contracting your muscles. The muscles you contract then are the pelvic muscles that are used during sex. Do not do this while urinating again, you can do this while you are sitting or standing, while working or doing other things. Once you know how to contract them try doing this a few times every day and this will strengthen them. Aim for at least three sets of 10 repetitions a day. You should see results in a few week.

Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 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 BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.

1.Masturbation is a normal way of relieving sexual tension. 2.It is, not harmful if done in moderation, preferably 2-3 times a week. 3.Excess indulgence may cause physical problem like weakness, tiredness, loss of memory, lack of energy, lack of concentration, loss of facial glow and sexual problem.. 4.Consult sexologist for further advice

Head weight is surely not the reason unless it is pathologically heavy. Kindly consult further for detailed assessment and treatment.

Treatment 1. Consult doctor with blood report like widal/typhidot test. 2. If it is typhoid, you have to take a full 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 adequate rest 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.