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Sanjivani Clinic, Belgaum

Sanjivani Clinic

  4.6  (907 ratings)

Ayurveda Clinic

2nd Stage, Rani Channamma Nagar, Near Bank of India Belgaum
1 Doctor · ₹300 · 33 Reviews
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Sanjivani Clinic   4.6  (907 ratings) Ayurveda Clinic 2nd Stage, Rani Channamma Nagar, Near Bank of India Belgaum
1 Doctor · ₹300 · 33 Reviews
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Sanjivani Clinic
Sanjivani Clinic is known for housing experienced Ayurvedas. Dr. Arun Desai, a well-reputed Ayurveda, practices in Belgaum. Visit this medical health centre for Ayurvedas recommended by 80 patients.

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MON-SAT
09:00 AM - 01:00 PM 05:00 PM - 09:00 PM

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2nd Stage, Rani Channamma Nagar, Near Bank of India
Belgaum, Karnataka - 590006
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Doctor in Sanjivani Clinic

Dr. Arun Desai

BAMS, M.D.Alternative Medicines
Ayurveda
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91%  (907 ratings)
11 Years experience
300 at clinic
₹300 online
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Patient Review Highlights

"Prompt" 5 reviews "Helped me impr..." 16 reviews "Nurturing" 2 reviews "Thorough" 18 reviews "Sensible" 17 reviews "Very helpful" 192 reviews "Saved my life" 5 reviews "Inspiring" 16 reviews "Professional" 15 reviews "Well-reasoned" 47 reviews "Practical" 10 reviews "knowledgeable" 137 reviews "Caring" 28 reviews

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I have gas problem but gas always goes and settles in my chest how do I permanently get rid of it.

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I have gas problem but gas always goes and settles in my chest how do I permanently get rid of it.
FLATULENCE (Adhmana) Flatulence or intestinal gas is the state of having excessive stomach and/or intestinal gas (waste gas produced during digestion) that is usually released from the anus with sound and/or odor. CAUSES 1.lactose intolerance, Gluten intolerance. 2.Indigestion All type proteins carbohydrates and fats due to lack of digestive enzymes 3.Gastrosophagial reflux disease Peptic ulcers 4.Helmenthesis and Giardiasis (worm infestation) 5.E.Coli infection 6.Amoebiasis,Yeast infections 7.Gall stones 8.Collitis Intestinal bacterial infections 9.Chron's Disease 10. Mal absorption syndrome DON'TS Examples of foods that can worsen flatulence include: 1.vegetables such as artichokes, broccoli, leeks, cauliflower, cabbage, garlic, onions, beans, Brussels sprouts, and turnips 2.cereals, such as wheat or oats 3.pulses, including beans and lentils 4.dairy products 5.yeast in baked products, such as bread 6.cashews 7.Beans: Complex carbohydrates in beans are difficult for humans to digest. They are digested by microorganisms in the gut known as gut flora, which produce methane. When the complex carbohydrates reach the lower intestine, bacteria feed on them and produce gas. 8.Lactose intolerance: When people consume food that contains lactose, such as milk, and lack the enzymes to break it down, the bacteria feed on the lactose. In some people, this produces large amounts of gas. 9.Celiac disease: Intolerance to the protein gluten means that some people have excessive flatulence when they consume barley, wheat, and rye. 10. Artificial sweeteners: Sorbitol and mannitol are found in candies, chewing-gums, and sugar-free sweet foods. Some people develop diarrhea, gas or both when they consume these substances. 11. Fiber supplements: Adding these too rapidly to the diet can cause flatulence, especially if they contain psyllium. 12. Carbonated drinks: Fizzy drinks and beer may cause a build-up of gas in the intestinal tract. COMPLETE TREATMENT Need to diagnose the exact cause of flatulence Diet Modifications Life Style modification YOGA Improving digestion Drinking plenty of fluids and fruits. AYURVEDIC TREATMENT Treatment depends upon the underlined cause. U need to consult me for the treatment. YOGA 1.Vajrasan 2.pavanmuktasan I NEED your DETAILED HISTORY INVESTIGATIONS AND PREVIOUS MEDICATIONS DETAILS OF your PROBLEMS. TREATMENT DEPENDS UPON THE UNDERLINED CAUSE. U CAN CONSULT ME FOR THIS PROBLEMS I WISH U HAPPY HEALTHY AND PROSPEROUS LIFE AHEAD GOD BLESS YOU.
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जब में हस्तमैथून करता हूँ तब मेरा वीर्य बहूत जल्दी निकल जाता है मुझसे ज्यादा रोका नही जाता (2 मिनट में ही)। तो जब में अपने साथी से संबंध बनाऊंगा तो उसको संतुष्ट कैसे कर पाऊंगा क्योंकि लड़की को तो वैसे भी बोहोत ज्यादा समय लगता है ओर्गास्म आने मे। ऐसा क्या कर सकते है कि उसे पहले ही इतना उत्तेजित कर दू की लिंग प्रवेश करने के कुछ समय बाद ही वो भी मेरे साथ साथ संतुष्टि प्राप्त कर सके। वरना तो मेरा वैवाहिक जीवन ही नष्ट हो जाएगा।

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
जब में हस्तमैथून करता हूँ तब मेरा वीर्य बहूत जल्दी निकल जाता है मुझसे ज्यादा रोका नही जाता (2 मिनट में ही)। तो जब में...
Hello, your PROBLEMs- 1. PREMATURE EJACULATION. Early discharge. 2. PERFORMANCE ANXIETY. Sex related anxiety lack of confidence. Generally Average sex time varies from 5 to 15 min. Sex time is not same for every person. Different for every person. CAUSES - 1.Hormonal-sex hormone and thyroid hormones disturbances 2. Neuromuscular weakness. 3.Infections. 4.Performance anxiety stress 5.Hurried sexual Act. 6.Lack of proper sex education 7.Ejaculatory system weakness and pelvic floor muscles weakness. 8.Infections in urine and semen. SOLUTION - 1.Exercises -Kegel's and pelvic floor exercises. 2.Yogasan-Halasan vajrasan pavanmuktasa Bhujnagasan 3.Start stop method. 4.Squeeze Method. 5. Counselling -Managing stress anxiety. 6.Wearing Thick condoms. 7.Masturbation 1 hr before sex. 8. Extending Fore play. 9.Using desensitizers. 10. Changing sex positions e.g.Left lateral position increases sex time. U can consult me on number Nine five three five four two zero seven seven zero. HOME REMEDIES- 1.Jamun seeds powder 1 tsf twice a day after food. 2.Nutmeg fruit powder 1 tsf twice a day after food. KINDLY CONSULT ME BEFORE TAKING THESE MEDICINES. DOSAGE DEPENDS UPON INDIVIDUAL ASSESSMENT AND PATHOLOGY. TREATMENT DEPENDS UPON THE UNDERLINE CAUSE. U need proper education treatement and counselling for your problem. I have very good ayurvedic treatment for your problem. Safe .Effective. No side effects. I can increase your sex time safe and naturally. U can consult me for your problem. I wish you happy healthy and properous life ahead. GOD BLESS YOU.
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Meri umra 23 sal he jyada mastrbution karnese Mera penis tight nahi hota me Kya Karu please help me,

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
Meri umra 23 sal he jyada mastrbution karnese Mera penis tight nahi hota me Kya Karu please help me,
ERECTILE DYSFUNCTION Regular and repeated Inability to develope or maintain the erection of penis. SOLUTIONS 1.Proper Diagnosis 2.Proper treatment 3.Healthy Diet and life style 4.Deaddictions. 5.Counselling 6.Yoga and mediation. 7.proper ayurvedic non harmful treatment. 8.Control of other diseases. TIPS TO GET HARDER ERECTION 1. Quit smoking: One major cause of impotency in men is smoking. Since you require a good blood flow to your penis for an erection, smoking ends up damaging your blood vessels. 2. Less alcohol: Alcohol ends up hurting your nerves and blood vessels more than you think. It slows down the flow of blood and can lead to erectile dysfunction and leads neuropathy. 3. Healthy diet: A healthy diet which consists of fruits and vegetables should be consumed. Do not over indulge in fatty foods as this can affect your blood flow severely. 4. Health parameters: Get your health parameters checked once if you have been experiencing smaller erection time. Issues like an arterial block or diabetes can be the reason behind shorter erection. 5. Proper sleep: Sleep deprived tend to have a bad sex life. This is because they are tired from within. Less sleep can lead to hormonal disruptions. This consequently means bad erection. 6. Don’t take stress: Too much stress can lead to releasing adrenaline hormone in your body. This can majorly hamper your sex life as the blood flow will get slow. 7. Masturbate less: If you want a good sex life, masturbate less. This is because too much masturbation can lead to weaker erections and ejaculations. Other than this, while you are at it, your sexual hunger will reduce over a period of time. 8. Don’t eat heavy food before sex: Sex does make you hungry, but indulging in heavy food is not the best choice. Since your penis requires this blood flow, it will divert itself to your stomach and you will end up having shorter erection. 9. Have more sex: The best thing to do to have better and longer erection is by having more sex. The blood flow will stimulate over a period of time and you won’t have an issue getting erection every time you want to have sex. 10. Increase zinc intake: Zinc helps produce testosterone which can lead to a long and strong erection. However, do not consume too much of zinc as it can lead to erectile dysfunction as well. You can have zinc by eating seafood. 11. Take testosterone Suppliments: The suppliments like Ashwagandha Tribulus and tongat are proven to increase the testosterone hormone thereby enhance hard erection. 12. Foreplay is important: Most couples tend to ignore foreplay and end up having a bad experience. Foreplay is important to get a good erection and to make sure that your partner’s vagina is well lubricated. If you want better penetration, start with foreplay. 13. Get fit: No matter how cliched this may sound, getting fit will give better and longer erection. Exercise increases the blood flow in your body and also enhances your stamina. 14. Safe sex: Avoid indulging in risky sex where your penis is at a delicate position. This may lead to injuries and hence ruin your erection. Missionary position or doggy style, where your penis is at a stronger position will help you get a better erection. 15. Different sex positions: Change your position. For a better and longer erection, be on top of your partner. HOME REMEDY- 1.Raw onion along with food. 2.Milk with Nutmeg powder. DOSAGE DEPENDS UPON INDIVIDUAL ASSESSMENT AND PATHOLOGY. TREATMENT DEPENDS UPON THE UNDERLINE CAUSE. I have good Ayurvedic treatment and all solutions meintioned above for your problem. Ayurvefic .Safe. No side effects. I need your detailed histroy investigations and previous medication details to understand exact cause of the disease. U have to take proper consultation to ascess your problem in detail. U can comsult me for this problems personally. I wish you happy healthy and prosperous life ahead. God Bless u. Regards.
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I'm porn addicted till 10 years how to quit. please help me I'm 24 years. Please suggest.

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I'm porn addicted till 10 years how to quit. please help me I'm 24 years. Please suggest.
HOW TO STOP OVER MASTURBATION AND PORN ADDICTIONS Some tips to try to help decrease or completely stop using: Make a pros and cons list so you can compare the negative consequences of your pornography usage with things you enjoy about it. Use a web application to block pornographic websites from your computer. Try slowly decreasing your usage over time rather than attempting to quit “cold turkey”. Treat pornography addiction the same as you would drug addiction. Understand that you will likely experience cravings for pornography, so anticipate such cravings by implementing strategies to help cope with cravings when they arise. Know what your triggers are. Ask yourself what things make you want to consume pornography and if possible, avoid those situations, events, and people. Find a hobby to replace your pornography use so you have something to fill the time and won’t be as tempted to give in and watch it. If you are in a romantic relationship, consider talking to your partner about the problem and perhaps trying some new techniques in the bedroom that may help you be less tempted to view pornography. Change your habits and routines that involve pornography use. Spend less time alone and more time engaging in social activities. If you have attempted to quit on your own and remain unsuccessful, you may want to consider professional treatment for pornography addiction, which may fall under the broad category of sexual addiction and disorders. PROFESSIONAL TREATMEMTS 1.Support groups: There are a variety of support groups available across the country, such as Sex Addicts Anonymous, that may be a helpful means of support for someone struggling with pornography addiction. 2.Therapy/counseling: U can consult me on Nine five three five four two zero seven seven zero. Cognitive-behavioral therapy and other forms of counseling can help those with a pornography addiction learn how to effectively change their thoughts and behaviors surrounding pornography addiction and address underlying emotional issues that may be contributing to the addiction. 3.Dual diagnosis treatment: In some instances, pornography and other sexual addictions are associated with mental health issues such as depression, anxiety, obsessive-compulsive disorder, PTSD, and low self-esteem. Therefore, treatment for pornography addiction may encompass treating any co-occurring mental health disorders. 4.Inpatient or outpatient rehabilitation: While traditionally people don’t enter inpatient or outpatient treatment strictly for porn addiction, if a user’s life has completely decompensated as a result of uncontrolled use, then this form of treatment may be warranted. Inpatient treatment takes place in a residential facility and is best for those with extreme cases of pornography addiction, while outpatient programs allow the patient to live at home and continue to work while attending groups and individual counseling at a treatment center. 5.Medication Safe Effective Non harmful Ayurdedic treatment to recover the over masturbation symptoms and to enhance libido naturally. TREATMENT DEPENDS UPON THE UNDERLINE CAUSE. I have good Ayurvedic treatment and all solutions meintioned above for your problem. Ayurvefic .Safe. No side effects. I need your detailed histroy investigations and previous medication details to understand exact cause of the disease. U have to take proper consultation to ascess your problem in detail. U can consult me for this problems personally. I wish you happy healthy and prosperous life ahead. God Bless u. Regards
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I am 35 years old male, never had sex before can I marry a divorcee women 3 years elder than me and having one child, if I do this can I get any problem in future in performing sexual activities.

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am 35 years old male, never had sex before can I marry a divorcee women 3 years elder than me and having one child,...
No problem. If both of you had no medical problems you can go for marriage. U can do marriage with her.
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I am now 37 years old. Due to some side effect of an allopathic tablet, which was taken for treatment of a disease for 9 years, my semen was not safe and through penis it used to releases in form of drops and sometimes in in more quantity. It had been for around 20 years. Now I am too weak. I don't feel easy while sitting, walking. Please help me. Which unani medicine can help me?

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am now 37 years old. Due to some side effect of an allopathic tablet, which was taken for treatment of a disease fo...
DHAT ROG/SHUKRA MEHA/SPERMATORRHOEA Dhatu rog, Dhatu Dosha, Dhat syndrome, Shukrameha (Shukra = sperm + meha = passage in urine), loss of semen are the common names for Spermatorrhoea or semen loss through nocturnal emissions, urine and masturbation.  CAUSES - 1.Hormonal-sex hormone and thyroid hormones disturbances 2. Neuromuscular weakness. 3.Infections. 4.Performance anxiety stress 5.Hurried sexual Act. 6.Lack of proper sex education 7.Ejaculatory system weakness and pelvic floor muscles weakness. 8.Infections in urine and semen. SOLUTION - 1.Exercises -Kegel's and pelvic floor exercises. 2.Yogasan-Halasan vajrasan pavanmuktasa Bhujnagasan 3.Start stop method. 4.Squeeze Method. 5. Counselling -Managing stress anxiety. 6.Keeping urogenital hygiene 7.Treating HOME REMEDIES- 1.Jamun seeds powder 1 tsf twice a day after food. 2.Nutmeg fruit powder 1 tsf twice a day after food. HERB REMEDIES - 1.Akarakarabha churna 2.Chandan churna 3.Kokilaksh churna KINDLY CONSULT ME BEFORE TAKING THESE MEDICINES. DOSAGE DEPENDS UPON INDIVIDUAL ASSESSMENT AND PATHOLOGY. TREATMENT DEPENDS UPON THE UNDERLINE CAUSE. U need proper education treatement and counselling for your problem. I have very good ayurvedic treatment for your problem. Safe .Effective. No side effects. I can increase your sex time safe and naturally. U can consult me for your problem. I wish you happy healthy and properous life ahead. GOD BLESS YOU.
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I am 22 years old. I have acne for past 3-4 months and it was many in amount. Now big one or two acne is present. I use suncros sunscreen and doctor prescribed me with tivenca gel. How does it works? Is it effective?

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am 22 years old. I have acne for past 3-4 months and it was many in amount. Now big one or two acne is present. I u...
Tivenca Gel has temporary relieve your acnes. U NEED some permanent solution for acne. AYURVEDA OFFERS ROOT LINE CURE TREATMENT FOR ACNE. SAFE .NATURAL. NO SIDE EFFECTS TIPS TO REDUCE ACNE 1.Properly wash your face To help prevent pimples, it’s important to remove excess oil, dirt, and sweat daily. Washing your face more than twice a day preferably with luke warm water. 2.Know your skin type-Anyone can get pimples, no matter their skin type. Oily skin is the most pimple-prone. 3.Moisturize skin-Moisturizers help skin stay hydrated. 4.Limit makeup-Greasy or oily shampoos, body washes, shaving creams, and hair styling products may all cause pimples. 5.Don’t touch your face-Your hands encounter grime and bacteria constantly throughout the day. And each time you touch your face, some of those pore-clogging impurities may get transferred to your skin. 6.Limit sun exposure-Frequent sun exposure dehydrates the skin, which over time causes it to produce more oil and block pores. Exposure- 7.Avoid certain foods-Avoid more sweet acidic fast junk food and cold beverages .Eat more fruits Vegitables and nuts. 8.Consult properly to doctor and take treatment under proper medical advise. No self medications. 9.Avoid stress-Reduce stress-Stress doesn’t cause pimples, but it may make them worsestress. 10. Drink plenty of water per day. U can consult on 7.7.0. HOME REMEDIES Steps- 1.Neem lemon turmeric honey tumari paste face wash 2.Neem turmeric aloe tumari face steam 5 min 3.Neem aloe termeric face wash. 4.Aloe neem turmeric chandan face pack 15 min 5.Luke warm water wash 6.Drink Aloe Vera amla juice 10 ml both daily once. I NEED your DETAILED HISTORY INVESTIGATIONS AND PREVIOUS MEDICATIONS TREATMENT DETAILS TO ASSESS your PROBLEMS IN DETAIL. U CAN CONSULT ME FOR THIS PROBLEM. I WISH U HAPPY HEALTHY AND PROSPEROUS LIFE AHEAD GOD BLESS YOU. REGARDS.
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My age is 25. Height 5 ft 11 inch. Weight 82 kg. Unmarried. I am currently diagnosed with azoospermia (everything is nil. Test are performed twice. I was noticing huge reduction in testis size that's why I went for these test. My total testosterone is 2.21 ng/ml. Fsh is 6.56miu/ml and lh is 1.58 miu/ml. LH and total testosterone is lower normal. Earlier I had good erection and desire. Now my moustache ,chin ,pubic and little but head hair diminishing. I have many body problem my question is that if my testis failed then will they cause any problem to body other than reproductivity do I need to take any hormone therapy lifelong?

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
My age is 25. Height 5 ft 11 inch. Weight 82 kg. Unmarried. I am currently diagnosed with azoospermia (everything is ...
Azoospermia is cause of MALE INFERTILITY. Low testosterone level you may face Regardless of your age, low Testosterone  symptoms : erectile dysfunction, or problems developing or maintaining an erection. Other changes in your erections, such as fewer spontaneous erections. Decreased libido or sexual activity. Infertility. Rapid hair loss. Reduced muscle mass. Increased body fat. Enlarged breasts. Sleep disturbances persistent fatigue brain fog depression. REAEARCH PROVED METHOD TO IMPROVE TESTOSTERONE NATURALLY 1. Exercise and Lift Weights Exercise is one of the most effective ways to prevent many lifestyle-related diseases. Interestingly, it can also boost your testosterone. 2. Eat Protein, Fat and Carbs What you eat has a major impact on testosterone as well as other hormone levels 3. Minimize Stress and Cortisol Levels Unnatural elevations in cortisol can quickly reduce testosterone. These hormones work in a seesaw-like manner: as one goes up, the other comes down. 4. Get Some Sun or Take a Vitamin D Supplement study found that supplementing with around 3,000 IU of vitamin D3 per day increased testosterone levels by around 25%. U can consult me on 7.7.0. 5. Take Vitamin and Mineral Supplements In one study, zinc and vitamin B supplements increased sperm quality by 74%. Zinc also boosts testosterone in athletes and those who are deficient in zinc. Other studies also suggest vitamins A, C and E can play a role in your sex hormone and testosterone levels. 6. Get Plenty of Restful, High-Quality Sleep study found that sleeping only 5 hours per night was linked to a 15% reduction in testosterone levels. Research suggests around 7–10 hours of sleep per night is best for long-term health and your testosterone. 7. Take Some of These Natural Testosterone Boosters. Only a few natural testosterone boosters are supported by scientific studies. The herb with the most research behind it is called ashwagandha.
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I am 33 years old and I am suffering from gas problem, I am experiencing frequent formation of gas which is released after motion,

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am 33 years old and I am suffering from gas problem, I am experiencing frequent formation of gas which is released ...
FLATULENCE (Adhmana) Flatulence or intestinal gas is the state of having excessive stomach and/or intestinal gas (waste gas produced during digestion) that is usually released from the anus with sound and/or odor. CAUSES 1.lactose intolerance, Gluten intolerance. 2.Indigestion All type proteins carbohydrates and fats due to lack of digestive enzymes 3.Gastrosophagial reflux disease Peptic ulcers 4.Helmenthesis and Giardiasis (worm infestation) 5.E.Coli infection 6.Amoebiasis,Yeast infections 7.Gall stones 8.Collitis Intestinal bacterial infections 9.Chron's Disease 10. Mal absorption syndrome DON'TS Examples of foods that can worsen flatulence include: 1.vegetables such as artichokes, broccoli, leeks, cauliflower, cabbage, garlic, onions, beans, Brussels sprouts, and turnips 2.cereals, such as wheat or oats 3.pulses, including beans and lentils 4.dairy products 5.yeast in baked products, such as bread 6.cashews 7.Beans: Complex carbohydrates in beans are difficult for humans to digest. They are digested by microorganisms in the gut known as gut flora, which produce methane. When the complex carbohydrates reach the lower intestine, bacteria feed on them and produce gas. 8.Lactose intolerance: When people consume food that contains lactose, such as milk, and lack the enzymes to break it down, the bacteria feed on the lactose. In some people, this produces large amounts of gas. 9.Celiac disease: Intolerance to the protein gluten means that some people have excessive flatulence when they consume barley, wheat, and rye. 10. Artificial sweeteners: Sorbitol and mannitol are found in candies, chewing-gums, and sugar-free sweet foods. Some people develop diarrhea, gas or both when they consume these substances. 11. Fiber supplements: Adding these too rapidly to the diet can cause flatulence, especially if they contain psyllium. 12. Carbonated drinks: Fizzy drinks and beer may cause a build-up of gas in the intestinal tract. COMPLETE TREATMENT Need to diagnose the exact cause of flatulence Diet Modifications Life Style modification YOGA Improving digestion Drinking plenty of fluids and fruits. YOGA 1.Vajrasan 2.pavanmuktasan I NEED your DETAILED HISTORY INVESTIGATIONS AND PREVIOUS MEDICATIONS DETAILS OF your PROBLEMS. TREATMENT DEPENDS UPON THE UNDERLINED CAUSE. U CAN CONSULT ME FOR THIS PROBLEMS I WISH U HAPPY HEALTHY AND PROSPEROUS LIFE AHEAD GOD BLESS YOU. REGARDS Dr. ARUN DESAI.
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I am a 54 year old woman and have had a terrible sex life after menopause. I feel the dryness and pain and sex with my partner has become more of a painful affair and a liability than a pleasure. Is there anything that can be suggested?

BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am a 54 year old woman and have had a terrible sex life after menopause. I feel the dryness and pain and sex with m...
DYSPAREUNIA Dyspareunia is painful sexual intercourse due to medical or psychological causes. The pain can primarily be on the external surface of the genitalia, or deeper in the pelvis upon deep pressure against the cervix. It can affect a small portion of the vulva or vagina or be felt all over the surface. Understanding the duration, location, and nature of the pain is important in identifying the causes of the pain. CAUSES In women, common causes for discomfort during sex include 1.Infections. Infections that mostly affect the labia, vagina, or lower urinary tract like yeast infections, chlamydia, trichomoniasis, urinary tract infections, or herpes tend to cause more superficial pain. Infections of the cervix, or fallopian tubes like pelvic inflammatory disease [7] tend to cause deeper pain. Atrophic vaginitis or vaginal atrophy which is a common condition that causes thinning, drying or inflammation of the vaginal lining in postmenopausal women Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases like candida, herpes simplex or genital warts Skin disease, such as psoriasis or lichen sclerosus. Cystitis or inflammation of the bladder wall caused by a bacterial infection 2.Malignancies of the reproductive tract, including the ovaries, cervix, uterus, or vagina. 3.Tissue Injury. Pain after trauma to the pelvis from injury, surgery or childbirth. Anatomic variations. Hymenal remnants, vaginal septa, thickened undilatable hymen, hypoplasia of the introitus .retroverted uterus. Or uterine prolapse can contribute to discomfort. 4.Hormonal causes: Endometriosis and adenomyosis ,Pelvic masses, including ovarian cysts, tumors, and uterine fibroids can cause deep pain. 5.Pain from bladder irritation: cystitis 6.Vulvodynia: Vulvodynia is a diagnosis of exclusion in which women experience either generalized or localized vulvar pain most often described as burning without physical evidence of other causes on exam. Atrophic vaginitis or vaginal atrophy which is a common condition that causes thinning, drying or inflammation of the vaginal lining in postmenopausal women 7.Muscular dysfunction: For example, levator ani myalgia 8.Psychologic, such as vaginismus. Depression, fear, and anxiety which can affect sexual arousal and lead to conditions such as vaginismus, or vaginal dryness 9.Side effects of some drugs, Allergic reaction to clothing, or spermicides MANAGEMENT 1.General measures Treatment should be directed at the underlying cause, where appropriate. Research in this field is often of poor quality but it appears that psychological treatments are as effective as medical treatments, independent of the cause of the pain. A multidisciplinary approach, which includes psychosexual medicine, physiotherapy, clinical psychology and pain management teams, may be required. Modification of sexual technique and altering position may help to reduce pain with intercourse. Increasing the amount of foreplay and delaying penetration until maximal arousal will increase vaginal lubrication and decrease pain with insertion. Women may be concerned that their vagina is too small to allow entry of a penis. In response to sexual arousal, the vagina increases in length by about 35-40% and expands in width at the upper end by about 6 cm. 2 Pharmacological Vaginal infection may need treatment. Hormonal manipulation may benefit endometriosis. Local injections of corticosteroids, local anaesthetic and hyaluronidase have been well tolerated with significant improvements in pain scores and sexual function for chronic localised pain following childbirth or vaginal surgery. Vaginal oestrogens are a safe and effective treatment for genitourinary syndrome of menopause.fections that mostly affect the labia, vagina, or lower urinary tra 3.Surgical Surgery is required for pelvic masses and sometimes to remove chronically infected tubes or to clear endometriosis or adhesions. Fenton's operation (to enlarge a tight introitus) may help. Removal of sensitive scar tissue bridge can be highly effective when there is pain following episiotomy. Ventrosuspension to 'correct' a retroverted uterus in an anteverted position is occasionally proposed but it is not known if it is effective as there are no randomised controlled trials of this procedure TREATMENT DEPENDS UPON THE UNDERLINED CAUSE The treatment of dyspareunia varies according to the cause: In case of dyspareunia which is caused by vaginal dryness, the doctor prescribes vaginal lubricants and may also suggest adequate foreplay. In case of infections and sexually transmitted diseases, the doctor will prescribe antibiotics. Psychological counselling may be required for women who have suffered from sexual abuse and trauma. Exercising for Managing Dyspareunia 1.Stretch exercises which strengthen the pelvic floor can help immensely in doing away with the symptoms of dyspareunia. Practicing yoga regularly can help in strengthening and removing the tightness of muscles that can cause the pain associated with dyspareunia. Yoga can also decrease stress levels, anxiety, depression and boost your self-image and self-confidence. 2.The Kegel Exercise Practice the Kegel exercise for a week or two. Follow the steps given below: Contract your pelvic muscles. A) Squeeze and hold for 3 seconds b) Then relax for another 3 seconds. C) Repeat the exercise for as many as 10 times each session, until you can do around 15 repetitions.
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