Dr. Ramesh Gurumurthy

Prostrate gland needs surgery. Medical treatment is temporary. You should plan for surgery for permanent cure.

Mr Rupesh, If your blood sugars are well controlled then there is a possibility of being able to build the muscles. Your diet should include some more proteins along with other things. So llok for some specific protein supplements with less of or nil carbs.

5 heart healthy and cardiac reversal tips for post ptca and cabg pts.maintain ideal wt. Sleep well 6-8 hrs.eat light at night.brisk walking 30-40 MTS mor eve.low salt low cho diet rich in veg fruits fibre soya lean meat fish flack seeds olive oil.red purple fruits and veg almond nuts brocolli turmeric cinnamon.garlic and onion.for diabetics take methi Karelia jamun saragwa and mamuju.

Today 26th september is the world contraceptive day. Sex is a basic human right. But to have sex safely and without fear of unwanted pregnancy should be the priority. Many women across the world die everyday as a result of unwanted pregnancy, mostly due to unsafe abortion.

So, couples can avoid pregnancy and enjoy sex life fully, only if they can follow safe and effective contraceptive advice. Let me clarify some popular myths and misconceptions abut contraception.

1. one contraception is useful for all

While the ideal contraceptive is necessary but it does not exist. So, what may seem suitable for a couple may not be useful for another couple. We need to assess various points like number of children they have, wish to have further children and plan to have children, general health of wife and husband (and any diseases they suffer from), frequency of intercourse, chance of infection, age of the partners etc.

2. Regarding barrier methods
Most popular barrier method is male condom. But the myths are that" condoms reduce sexual pleasure" and" condoms get easily damaged leading to failure.

Condoms are specially useful for those who are at risk of infections, who do not have very frequent intercourse and who are not suitable for other methods. Condoms do not decrease sexual pleasure, some of the condoms have medicated products which can increase the duration of intercourse and also act as lubricant to facilitate intimacy.

But men should know how to use it properly. It should be worn in erect penis expelling all the air and projecting the tip beyond the tip of penis. While withdrawing penis after intercourse, the condom should be held at the base of the penis. Actually failure/ rupture of condoms occur because of mishandling of condom or not knowing proper use of it. So, before use, please make sure that you know its correct use.

Definitely some men can feel latex allergy and they have to use non-latex condom, which are widely available.

There are barrier methods for females also- like female condom, diaphragm and cervical cap etc. But they are not very ease to use and are not so popular.

3. Oral contraceptive pills (ocp)

Myths-" ocp causes increase in weight" ocp causes cancers.

Facts- ocp seldom causes gain in weight. The gain in weight is coincidental, that means you have some other reason of gaining weight- like not having exercise, ignoring diet control and some other diseases.

Ocp rather reduces risk of cancer- especially ovarian cancer (which is very difficult to diagnose and very lethal), cancer of colon, cancer of endometrium (inner lining of uterus). Of course, there is little risk of breast cancer, but the risk is not very high, it can be easily detected by examination by doctor. So, if you take ocp, get rid of all the fears. Just try to have self- breast examination every month.

4. Intrauterine contraceptive devices (iucd)-

Most popular is copper t. Medicated iucds are also available, that contains hormonal drugs.

Copper t does not increase risk of infection, a common misconception lies among woman.

5. Emergency contraceptive pills (i pill etc).

Often couple uses these pills regularly after intercourse. Remember these pills contain very high content of hormonal drugs, which can lead to serious side effects like hormonal imbalance, irregularities in periods (and thus can prevent you from getting pregnant in future, even when you want pregnancy), ectopic pregnancy (pregnancy outside tubes that are life-threatening) etc. So, use regular contraception if you want to prevent pregnancy. I pill is not meant to be taken for every time of sex.

6. Ligation-

Ligation of male (vasectomy) and female (tubectomy) is done as permanent contraception for couples having more than 2 children. Ligation in male does not disturb sexual activity. It is easier than female ligation. Again, female ligation is also a very safe technique.

So, please remove all misconceptions and myths about contraception. Have safe sex, enjoy life.

1. Due to the vein harvest blood flow is interupted in the normal flow pattern - so swelling occurs. 2. It will slowly settle down within 12 months.

Ringworms after treatment may cause hyperpigmentaion of skin. This leaves multiple patches. these patches will become lighter as time passby.

Your blood sugar is still high and tsh is also slightly high 1. Do regular aerobic exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) 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) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly

Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in the nose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used.

Drink lot of water Put a couple of cups of tomato juice in a bucket of lukewarm water. Soak and scrub your hands and feet in this for half an hour. Apply baby powder/ talcum powder in your palms and feet Tea is rich in tannins which serves as a natural anti-perspirant. Take 1-2tea bags in a cup of boiled water. Let the water cool and after this soak your hands and foot for 15-20 minute Apple cider vinegar is an excellent home remedy for sweating palms. soak your hands in apple cider vinegar solution Do this for 5 mins for each hand and feet. Wash the vinegar with mild soap once you are done. Herbs that detoxifies blood are effective treatment Herbs such as Shatavari, turmeric, neem are effective This problem may be due to anxiety and can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost) And Get your Thyroid function test(fasting) done and review with reports

As of now take tablet evion 400 mg once a day and send us a photo of the lesion for further guidance

Holistic approach In Management of Diabetes are as follows Self-management education Nutrition Physical activity Smoking cessation Psychosocial care Therapeutic targets There are many class of Antidiabetic medicines are available Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT consult Diabetologist for further management

at this age its enough, more sex will lead to ED . its good you are maintaining your sex life. its better not to do more than 3-4 times a week. thanks

Hi there ~ Dealing with Depression Depression drains your energy, hope, and drive, making it difficult to do what you need to feel better. But while overcoming depression isn’t quick or easy, it’s far from impossible. You can’t just will yourself to “snap out of it,” but you do have more control than you realize—even if your depression is severe and stubbornly persistent. The key is to start small and build from there. Feeling better takes time, but you can get there if you make positive choices for yourself each day. do yoga and exercise , sleep well

Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach. Consult doctor.

During teenage, masturbation can be done once a week after that it should not be done more than 2-3 times a week till marriage. The vitality and vigour lost due to excessive masturbation cannot be regained back by medicines or food excessive masturbation is very bad for health. Excessive masturbation is the main reason for pre-ejaculation/ erection problem. Swpandosh or nightfall problem also occurs due to excessive masturbation (daily masturbation comes in the category of excessive masturbation). Excessive masturbation can cause weak body, cheeky face, weak eye sight, graying of hair, less weight, fatigue, general weakness, constipation, less appetite, non-erection, low libido, nightfall and many more for any queries ask privetly for treatment medicines are ashwagandha cap 2 times a day and tab-chitrrakadivati 2 times a day.For further assistance you can concern me privately.

You have to give him Alfalfa Q / 10 drops in little water thrice a day for one month. Revert back after one month with feedback.

Mr. Lybrate-user, to say diabetes is under control - fasting should be closer to 100 mg, pp should be 150 to 160 mg and hba1c<6.8. If you have maintained this then it is good. If not then that is the main contributor for ed. Secondly you have to completely stop tobacco, there is no alternative. Because nicotine is harmful to coronary arteries as well as other blood vessels especially in diabetes.

TakeRobinia200 after breakfast. And AcidSulf200 after lunch and NuxVomica200 after dinner for 1month and see the change

If dns is severe, operation is needed and advised. Kindly also consult a physician for blood test, haemoglobin level and cardiopulmonary status.