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Dr. Sridhar C N

General Physician, Bangalore

200 at clinic
Dr. Sridhar C N General Physician, Bangalore
200 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sridhar C N
Dr. Sridhar C N is a popular General Physician in Nagarbhavi, Bangalore. You can visit him at Unity Life Life Hospital (India) Pvt.Ltd in Nagarbhavi, Bangalore. Book an appointment online with Dr. Sridhar C N 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 41 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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English

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No.193 Ekadantha, 80 Feet Road 2nd Block 2nd Stage, Nagarabhavi Layout. Landmark:- Near Bda ComplexBangalore Get Directions
200 at clinic
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Doctor sometimes I feel a strong feeling for sex. I don't want to be in a relationship and do sex before marriage. How to handle this feeling? What to do that will not effect my virginity and social values?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Doctor sometimes I feel a strong feeling for sex. I don't want to be in a relationship and do sex before marriage.
Ho...
Sex thoughts, Sex addiction, masturbation addiction, porn films addiction etc comes under behavior addiction. Behavioral addiction is a form of addiction that involves a compulsion to engage in a rewarding non-drug-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being. Behavior addiction needs to be curbed or controlled using your own self will power. Diverting your mind and body away from the circumstances which compels you for the addictive habit, with the help of physical exercises, games, entertainment etc can help you. Never sleep alone. Be always with your family even at night etc are some other tips. Willpower is the key always. Behavioral therapy also works well. Take care.
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I start sneezing and later difficulty in breathing when in vicinity of wheat dust and fine dust. There never was any such issue since my birth.

MBBS
General Physician, Cuttack
You are having allergic rhinitis due to wheat dust.Avoid exposure.use face mask.Consult ENT Specialist
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I am 40 years lady having nerves cramps internally with pain and with pulling sensation from hip to toe. Please advise.

MBBS
General Physician, Ahmedabad
What is your weight? your BP//sugar //thyroid reports? only one side. Do regular exercise.//physiotherapy. Eat more salads//vegetables//fruits.
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I am not able to speak the word properly start with'R' or the words end with'ED' like created, related. Please guide.

MBBS, cc USG
General Physician, Noida
Hello, This problem can be solved by Collection of Exercises, Speech therapy, treatment and home cure 1.Exercises are effective in treatment In general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs. Kindly consult to good speech therapy clinic 2.Deep breathing exercise are very effective 3.chewing Indian gooseberry, Almonds, Black pepper, Cinnamon and dried dates are known to clear speech congestion 4.This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost) Consult me for further Management
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I Am 23 years old. I am working in pharma company. Because the problem is little bit of hot that means in my stomach create a hot and causes worm-thing sensation. Thats why am not concentrate properly. Please give me any suggestion.

MBBS
General Physician, Delhi
I Am 23 years old. I am working in pharma company. Because the problem is little bit of hot that means in my stomach ...
u may be suffering from gastritis. antacids & H2 blockers may help. avoid tea / coffee / pain killers
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Dear sir, how do I refill my deficiency of vitamin b?

BPT
Physiotherapist,
In market vit d suppliments are available in the form of sachet and tablets. Like calcitriol sachet. Once a week for 6 weeks.
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I'm 19 years old and I feel pain around my navel and I'm experiencing a pain through my spinal cord for the past 2 days please help me.

MBBS
General Physician, Cuttack
Take one tablet of meftal spas twice daily after food and one tablet of rantac 150 mg twice daily before food. take bland diet, avoid spicy food, drink plenty of water. If no relief, consult
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I am minor thalassemic? But I don't know what is it? Please tell me what type of problem this is. Why it occurs in me?

MBBS, cc USG
General Physician, Noida
Thalassaemia, is an inherited blood disorder caused by a defect in a gene. The condition causes the body to produce abnormal haemoglobin red blood cells, which in turn causes anaemia. Persons with thalassemia minor have (at most) mild anemia (slight lowering of the hemoglobin level in the blood or may be asymptomatic with no medical problem
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What are symptoms of dengue and how can we keep our self safe from dengue. I have rashes on my hand so consult me any good medicine.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What are symptoms of dengue and how can we keep our self safe from dengue. I have rashes on my hand so consult me any...
The principal symptoms of dengue are: -high fever and at least two of the following: -severe headache -severe eye pain (behind eyes) -joint pain -muscle and/or bone pain -rash -mild bleeding manifestation (nose or gum bleed, petechiae, or easy bruising) Watch for warning signs as temperature declines 3 to 5 days after symptoms/fever began, as this is the most dangerous period when platelet counts decline significantly. Report immediately to hospital if any of the following warning signs appear: -severe abdominal pain or persistent vomiting -red spots or patches on the skin -bleeding from nose or gums -vomiting blood -black, tarry stools  -drowsiness or irritability -pale, cold, or clammy skin -difficulty breathing There is no specific medication for treatment of a dengue infection. -Use analgesics with acetaminophen (crocin or dolo -650 mg) and avoid those containing ibuprofen, naproxen, aspirin or aspirin containing drugs. -Take rest, drink plenty of fluids like coconut water, lime water etc.to prevent dehydration. -Avoid visiting heavily populated residential areas, if possible. -Use mosquito repellents/mosquito nets when indoors.  -When outdoors, wear long-sleeved shirts and long pants tucked into socks.
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Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions

Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

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2 months back I went on a outing. There my son was playing with a monkey child. He got a red mark on his hand, I am not sure if it is due to monkey's nail or teeth. What should I do? Does my son need rabies or any other injection? Please advice.

MBBS
General Physician, Mumbai
we needed to give him anti rabies injection within 10 days of the contact and for now- if the monkey did not have any rabies virus with him hence even your son won't get rabies
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I am 21 year old. I have accidentally ruptured my ear drum 7 days ago & buzzing happening. First 2-3 days blood comes out but from last 2-3 days water like fluid coming out & I feel pain also. Today I showed my ear to family doctor physician he said there is pus inside my ear. He gave me cefpodoxime proxetil tablets (opox-200) and diclofenac, ofloacin, lignocaine HCl ear drops (otain ear drops).

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am 21 year old. I have accidentally ruptured my ear drum 7 days ago & buzzing happening. First 2-3 days blood comes...
No mention of your exact question. In my personal opinion in rupture of ear membrane with discharge of blood or mucus, sound called tinnitus or giddiness is common. However ear has to be kept absolutely dry to the extent possible by cotton from outside only. No local medication ear drops water oil should go in. Effective antibiotics are to be given for a long duration. At the end of it when pain, discharge is controlled it is necessary to see ENT specialist for direct ear examination by magnifying ear scope to assess actual damage to the ear and to follow up accordingly.
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Sir I am 21 years old and I am suffering g with ankylosing spondylitis. Doctors has said that I can never overcome with this problem. I feel bitter pain in my waist, right shoulder and right side of my chest. My HLAB27report is positive and I had stopped taking any pain killer. Sir please suggest me regarding my issue. Thank You.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Sir I am 21 years old and I am suffering g with ankylosing spondylitis. Doctors has said that I can never overcome wi...
It is right it is autoimmune disorder. Life long. But sreroids has good role. Taper slowly down under giudance. Physiotherapy play role.
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Dear Sir, I have the problem of premature ejaculation, can you please suggest me treatment to solve out this problem? Thanks n regards.

BHMS,NDDY
Homeopath, Jaipur
Dear Sir, I have the problem of premature ejaculation, can you please suggest me treatment to solve out this problem?...
Dear lybrate-user take homeopathic medicine acid phos 200 3 dose once in a day take damiagara 15drp twice in aday and update me.
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I have severe headache for the past few months and it continues.

MBBS
General Physician,
I have severe headache for the past few months and it continues.
Kindly follow advises given below to get rid of Headache: you can take: 1. Tablet Crocin (Paracetamol 650 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 your 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/relieving/ triggering/ associated factor to reach diagnosis
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I am 68 I am type 2 (182/274) what about 1 or 2 Dates per day and what about one banana after lunch and dinner? Rahman.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am 68 I am type 2 (182/274) what about 1 or 2 Dates per day and what about one banana after lunch and dinner?
Rahman.
Hello, Early morning apple consumption will help, you better. Try and have small banana during the day time, specially before exercise.
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i am a 18 yr old man and i have headache

General Physician,
i am a 18 yr old man and i have headache
check your BP. Check your eye sight by refraction. take crocin pain relief one sos. if not ok consult physician or neurologist.
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Dr. My for skin of penis is attached and when my penis is in erect position it is very hard to push for skin back. And after doing sex it causes pain in penis. please advice?

BHMS
Homeopath,
Dr. My for skin of penis is attached and when my penis is in erect position it is very hard to push for skin back. An...
Dear lybrate user, you are suffering from a clinical condition called phimosis. The most conventional mode of treatment to get rid of phimosis is circumcision surgery. It is a minor surgery & you will be able to continue your daily activities within 10 days of that surgery. However, if you are unwilling to undergo surgery then I could offer you a home therapy to get rid of your problem. Follow the process as described below:- 1) buy any local anaesthetic gel (e. G. Lidocaine, lignocaine, xylocaine) from local allopathic retail shop. 2) apply a little amount of that anaesthetic gel at the lower part of the penis where the foreskin is attached. 3) after application of the gel, try to retract your foreskin backwards as far as possible. 4) due to the anaeathetic property of the gel you will be able to retract the foreskin to slight extent more backwards than you can do in normal condition. 5) you will feel pain at a certain point of retraction. Release the foreskin as soon as you feel pain. 6) again repeat the same process. Do it continuously for 30 minutes daily. Follow the aforesaid process for at least one month. After one month if you feel that your foreskin has not become loose then you should surely go for surgery.
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I noticed pain on the right side of the chest but its not typically in the chest rather somewhere in the bone when pressed little hard. Is that a matter of concern? Which specialist should I consult- a gynecologist or a physician to examine it first?

MBBS
General Physician, Mumbai
I noticed pain on the right side of the chest but its not typically in the chest rather somewhere in the bone when pr...
Dear Lybrate user, -Your chest pain is due to bony problem -do not exert, bend, lift heavy weight till it reduces -apply over the counter pain killer gel 3-4 times a day -do hot fomentation on affected area -get x-ray chest done, consult a physician.
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