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Dr. Sunil B H

BAMS

General Physician, Bangalore

10 Years Experience  ·  50 at clinic
Dr. Sunil B H BAMS General Physician, Bangalore
10 Years Experience  ·  50 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sunil B H
Dr. Sunil B H is a renowned General Physician in Kanakapura, Bangalore. He has been a practicing General Physician for 10 years. He has completed BAMS . He is currently practising at Relief Clinic in Kanakapura, Bangalore. You can book an instant appointment online with Dr. Sunil B H 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 35 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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Specialty
Education
BAMS - DGM Ayurvrdic Medical College Gadag, - 2007
Languages spoken
English

Location

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#13/16, Kanakanagar, Kanakpura Road, Landmark: Beside 5th Cross RoadBangalore Get Directions
50 at clinic
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I am 22years old n im experiencing severe headache from the past three days. Im suffering from runny nose and eyes are also getting stressed please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 22years old n im experiencing severe headache from the past three days. Im suffering from runny nose and eyes ar...
This headache can be a viral fever related and you need to take brufen and go for a check up . For runny nose wikoryl can be taken
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I am 69 years. Old having frequent occurrence of mouth ulcer especially on the rear portion of tongue and some times of the inside of cheek. Please advice and suggest remedial action.

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
You have to take care about your bowel habit. Take tab dulcolex one tab once daily at night after meal for one week. Cap a to z one capsule once daily for two weeks.
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Whenever I get up in the morning I feel little sourness in my tongue and even colour of my urine is slightly yellow . An even I sleep almost 8 hours but still feels sleepy whole day help me on this matters plz.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Whenever I get up in the morning I feel little sourness in my tongue and even colour of my urine is slightly yellow ....
Sir, Do you have any tiredness. How is your appetite. Is your weight increasing. Are you on any medication. Drink lot of water. Get back to me with details for proper advice. You can consult me online through lybrate
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I have pain in my heart whenever I get too much stressed. Is this an indication of a big disease?

MBBS
General Physician, Mumbai
I have pain in my heart whenever I get too much stressed. Is this an indication of a big disease?
It might be muscular pain and we need to check your vital parameters of the body for further guidance
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I am getting dry cough every evening for the past 1 month. It's all fine during the day. What do I do about it?

MBBS
General Physician,
your dry cough for last one month without any associated symptoms like fever, chest pain, breathing difficulties, loss of weight, etc gives an indication that problem can be easily cured on the line of ch bronchitis, allergic to some local allergen, mild swelling in pharynges leading to irritation, causing cough. It can be reaction to environmental change, smokers cough, pollution etc we will test your blood for eosinophils also. Non sedative cough suppressants, saline gargles, antiseptic throat l, mouth wash, will help initially. Till proper cause, diagnosis is reviled avoid curd, sour, citrus fruits, green veg, banana, guava. Cold water and cold drinks. Eat hot fresh food, not fringed food, stop smoking if so. I am sure of fast recovery. Best wishes.
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I am 25 years old male with no other health problems, I was a frequent masturbation now I am having a mild erectile dysfunction. I can not chieve erections without physically touching penis and i cant hold it for very long, please help.

MBBS
General Physician, Cuttack
I am 25 years old male with no other health problems, I was a frequent masturbation now I am having a mild erectile d...
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, behavioural disorder, stress, depression, and sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Etc 4.Consult sexologist for further advice.
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I am 21 year old girl and suffering from allergy due to sunlight and sweating. Due to allergy I used to have rashes which are cured after sometime of its own. What should I do?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 21 year old girl and suffering from allergy due to sunlight and sweating. Due to allergy I used to have rashes w...
1. Cover for body while going out in sun 2. Avoid certain food that may cause allergy- bhindi, brinjal, egg, fish 3. Do not use soap - use besan 4. Take plenty of butter milk- chhaachh good luck.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
2 people found this helpful

I have cold, cough, fever and headache from yesterday night and dandruff on my head. What should I do?

MBBS
General Physician, Mumbai
I have cold, cough, fever and headache from yesterday night and dandruff on my head. What should I do?
For cold take tablet cetrizine at night and For cough take syp ascoril-D 2.5 ml twice a day and For fever take tablet paracetamol 650 mg and for dandruff we have to examine you for further guidance
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Hi doc I am Bharath 25 years male. Recently I had sex with ma better half and that time my penis foreskin has been tared and I am getting irritation does it is a serious problem or it is normal please reply ASAP. Or suggest me a ointment. And my penis is circumcised after sex but before sex it was non circumcised.

MBBS
Sexologist, Panchkula
Hi doc I am Bharath 25 years male. Recently I had sex with ma better half and that time my penis foreskin has been ta...
After sex, your penis foreskin get torn. It is normal problem. I advise you to take proper balanced diet. Take fruits and vegetables in daily diet. Take 8 to 10 glasses of water daily. Don't apply soap or oil on affected part.
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I want to go for premature ejaculation treatment permanently. Pls give me names of the medicines for this treatment.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I want to go for premature ejaculation treatment permanently. Pls give me names of the medicines for this treatment.
Hello- ayurvedic aphrodisiacs can cure your pe permanently with in a month depending upon the onset of your symptoms.
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My friend is a 30 year old male. Having problem in swallowing due to over grown tonsils since a month. Have tried warm water gargling but still no relief. Sometimes swallowing saliva is also painful. I'm avoiding sour and cold edibles.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
My friend is a 30 year old male. Having problem in swallowing due to over grown tonsils since a month. Have tried war...
Hello. Try with bico 10 4 tab 4 times a day for 15 days or remove a tonsil if painful after condultstion of ent tab available at homoeopathy pharmacy best wishes.
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Hi, Doc. I am 18 year old. My problem is nightfall I'm totally disturb plzzz suggest me something how to control on nightfall?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
Hi, Doc. I am 18 year old. My problem is nightfall I'm totally disturb plzzz suggest me something how to control on n...
Your night fall problem can be solved following by some tips 1 you should stop all sexual activity immediately 2.keep your stomach clear there should not be constipation gas 3.do yoga exercises daily which increase your blood flow in the body particularly to those involved in sex in addition 4.avoid eating fast and spicy food chicken fish egg 5.use amla murabba with cold mil.
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When I eat some junk food so I feel pain over the stomach. Please tell me what should I do?

MBBS
General Physician, Faridabad
When I eat some junk food so I feel pain over the stomach. Please tell me what should I do?
avoid junk food, its not good for health, Take tab meftal spas when required, drink 3-4 liter of water daily, take tab pan 40 1tab morning empty stomach for 10-15 days. get ultrasound of abdomen done if required, come back with report, so that I can help further. Thank you
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Got exposed To HiV 2 months ago had unprotected sex with a partner whos hiv status is not confirmed got tested after 2 months negative but suffering from symptoms like stomach flu and also got a mouth sore I am healthy a bit fat my partner at that time was also a healthy n fat (Had penovaginal and oral sex)

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Got exposed To HiV 2 months ago had unprotected sex with a partner whos hiv status is not confirmed got tested after ...
If you are negative after two months good .for oral ulcers after taking good treatment also take a lot of lemon juice which wil heal it faster and also help in flu.
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Hi.I am 23 yrs old. Is jaggery safe for diabetic patient?

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine,
Hello, JAGGERY IS NOT SAFE FOR DIABETICS. Jaggery has immense medicinal value and has been used in Ayurvedic Science as a sweetener which purifies blood, aids digestion, improves lung health, strengthens the nervous system, prevents anemia, promotes bone health and also protects the body against environmental toxins.
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My friend have a pain in hand and leg after hi walk litilbeat he takes sleeping pills to sleep because he can't sleep immediately after he rest on bed.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My friend have a pain in hand and leg after hi walk litilbeat he takes sleeping pills to sleep because he can't sleep...
Dear lybrate user, One thing you tell me first why he is taking sleeping pills. I want to know the details about your friend's mood either he is under depression or he is sick. Consult privately.
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I am 34 year married man I am suffering from pre ejaculation since last 8 years. Now it has become very critical and my.

BHMS
Homeopath, Thane
I am 34 year married man I am suffering from pre ejaculation since last 8 years. Now it has become very critical and my.
Hi, take Phos acid 30 4pills to be sucked thrice a day for 1mth Your complaints will reduced if you take medicines regularly
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This is my friend problem. 28 years old male. To get rid of intestinal worms he used to eat raw garlic thrice a day from last 5 months. He says now he got relief from worms as he used to see large amount of worms in toilet . He says he's free from stomach pain n free from tiredness. He also says he last longer in bed with his girl , from the time he used eat raw garlic. But he's worried is there any side effect of eating raw garlic. Please guide.

PDDM, MHA, MBBS
General Physician, Nashik
This is my friend problem. 28 years old male. To get rid of intestinal worms he used to eat raw garlic thrice a day f...
Garlic has been used safely in research for up to 7 years. When taken by mouth, garlic can cause bad breath, a burning sensation in the mouth or stomach, heartburn, gas, nausea, vomiting, body odor, and diarrhea. These side effects are often worse with raw garlic. Garlic may also increase the risk of bleeding
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