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Dr. A.Balasubramanium

General Physician, Chennai

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Dr. A.Balasubramanium General Physician, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. A.Balasubramanium
Dr. A.Balasubramanium is a popular General Physician in Kodambakkam, Chennai. You can visit him/her at Dr.Balasubramanium's Clinic in Kodambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. A.Balasubramanium on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 31 years of experience on Lybrate.com. You can find General Physicians online in Chennai 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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No.15, United India Colony, 3rd Main Road, Kodambakkam, ChennaiChennai Get Directions
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Why Do I Get Knots in Muscles in Neck and Back ?

MPT, BPT
Physiotherapist, Noida
Why Do I Get Knots in Muscles in Neck and Back ?

What are muscle knots?
Muscle knots are points within a muscle where contracted fibers are unable to release, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

What causes muscle knots?
The most common causes of muscle knots are:

1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles

2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly

3) overstimulation

I (24 years old) am not satisfying my wife during sex. My semen comes out within a minute. Can I use MANFORCE tablets? Is there any dangerous side effects of regular use of these tablets?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I (24 years old) am not satisfying my wife during sex. My semen comes out within a minute. Can I use MANFORCE tablets...
Manforce is trade name of sildenafil citrate it is similar to viagra. Viagra is not a medicine to increase time at sex. Having said that, stamina to alst longer at sex is an entity thats to be" built" it cannot happen in a day if you want to get more time at sex, then you must try to control your ejaculation. When a man has sex, pleasurable sensations are sent to the brain, and when they reach a point, a signal is sent to cause release of sperms. This results in ejaculation. Every man knows that while masturbating or having sex, there comes a point when even stoppage of the act can not prevent ejaculation. You must try to get to know this point. If you can learn to control ejaculation it will help to increase sex time. For this you must do some specific exercises. Masturbate leisurely, using lubricant. Just before the point of no return, stop masturbation and squeeze the penis between your thumb and index finger below the head. If you have squeezed at correct time, then this pressure applied for a minute will stop the ejaculation. When this is done, sometimes the penis looses some hardness. But you must remasturbate, come to same point and reapply the squeeze technique. Continue doing this till you can sustain the erection for a good 15-30 minutes. If you can do this it will help during sex also you must use same technique and pause thrusting, withdraw and apply the squeeze. This way you can last long without medicines.
13 people found this helpful
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Sir hame bhukh bahut kam lagata hai aur mai buhut kamajo ho Gaye hai hame koi aisa dava batayiye jisase thik ho jaye.

MSc
Dietitian/Nutritionist, Hyderabad
Sir hame bhukh bahut kam lagata hai aur mai buhut kamajo ho Gaye hai hame koi aisa dava batayiye jisase thik ho jaye.
Hi gain weight you need to combine a balanced eating pattern with regular physical activity. You should be eating at least 6 small meals a day, rather than sticking to 3 square meals. You could divide it as 3 main meals and 3 snacks. You need to be eating every 2-3 hours. Space out snacks during the day so you don't spoil your appetite. Bread, cereal, rice, whole wheat, dalia and pasta: biscuits, and corn-bread are good sources of carbohydrates. Fruits: dried fruits, fruit nectars, and large quantities of fresh fruits vegetables: include, potatoes, peas, corn in your diet. Meat, poultry, fish, dry beans, eggs, and nuts: beef, pork, lamb, poultry, salmon, omelets, nuts, peanut butter, kidney beans, chickpeas will help you gain weight. Include dairy products like milk, yogurt, and cheese: milk, fruited yogurts, hard cheeses, ice cream, puddings, custards, milkshakes. -nuts and seeds make a healthy option for snacks. -roasted channas and peanuts are good -peanut butter on the sandwiches are a great mid-meal choice. -you must know that cereals actually contain some healthy calories. Stay hydrated: drinking plenty of water and other fluids like juices, milk, soups etc, will work in your favour. Do not drink water before a meal and in between the meal as it may make you lose your appetite, thus calorie intake suffers. Sleep: at least 8 hours of sound sleep is a must. Since your body is actually building up muscles, while you rest. Weight gainers have long term side effects.
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Am not getting sleep at night and what precautions I should take to sleep well at night.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Am not getting sleep at night and what precautions I should take to sleep well at night.
Do Not Take Sleeping Pills. Stay away from Negative thoughts,do not watch Serials or action based thrilling programes. Drink warm milk with honey. listen to soothing music,read motivational books.
1 person found this helpful
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Pre-surgery Testing - Know The Importance!

MBBS, MS
Ophthalmologist, Navi Mumbai
Pre-surgery Testing - Know The Importance!

Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.

The preoperative assessment consists of--

A test for your existing glasses prescription:

It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.

A full ocular examination: This includes looking at-

  • The eyelid anatomy and inflammation.
  • The state of the tear film, dry eye changes could make surgery difficult
  • The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
  • The amount of dilation the iris undergoes with dilating drops.

The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule.

The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.

Biometry Tests

This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.

Corneal Topography

This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.

Optical Coherence Tomography (OCT)

This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.

Blood Pressure Measurements

It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.

Blood Sugar Measurements in Diabetic Patients

Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher. In case you have a concern or query you can always consult an expert & get answers to your questions!

4340 people found this helpful

Hi Sir In my childhood days, I eat lot of sugar & sweets. At age of 10, a big worm came out from the anal. After that I hv started reducing intake of sweets. Now a days I hv completely stopped taking sugar. But sometimes if I take sweet even once in a month. I feel small worm biting. Kindly help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Sir
In my childhood days, I eat lot of sugar & sweets.
At age of 10, a big worm came out from the anal. After that...
Mr. Lybrate-user, first let me clarify that eating sweets does not cause worms in the intestine. Worms such as round worm (big long ones), hook worm, pin worm all occur because of contaminated water or food containing their eggs goes in our intestine and then those eggs get converted to adult worms. Eating unclean food, roadside eating, drinking unfiltered water, unhygienic habits are the cause for most worm infections, the symptom now experienced is mostly due to pin worm (enterobious vermicularis). There are specific drugs which can eradicate them, but these are some of the toughest worms do eradicate.
15 people found this helpful
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I'm having the problem of sneezing when I wake up in the morning and get out of my room. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
homoeopathic medicine ALLER AID ( BAKSON) Chew 1 tab twice daily POTHOS 30 ( Dr Reckeweg) Drink 5 drops in 1 spoon fresh water 3 times daily report after 2 months Avoid Cold drinks,citrus fruits,nuts and fried food nd ketchup. Start doing ALOM VELOM PRANAYAM daily for 10-25 minutes early morning.
1 person found this helpful
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Recently I had blood test to check calcium and vitamin d levels. My calcium was 9.3 in normal range but vitamin d was 11.3 below normal. Please suggest what should be done.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Recently I had blood test to check calcium and vitamin d levels. My calcium was 9.3 in normal range but vitamin d was...
Hello, You need to get it corrected immediately, as, insufficient vitamin D will surely hamper efficient absorption of calcium. The utilisation of calcium get hampered massively.
1 person found this helpful
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I have blocked nose. Wt sud I do in order to have a relief because I hv tried vaporizer as well and some bams.

MS - ENT
ENT Specialist, Gandhinagar
Endoscopy of nose, CT scan PNS , etc will help to come to diagnosis. Avoiding allergens, will help you. You may require Antihistaminics and nasal decongestants.
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Doctor I have suffering from urination doctor spotted my diabetes in 25 age my urination normal now I check blood sugar on acuu check I have no diabetes I continue insulin medicine for 8 years now I stop all medicine I am normal now any problem can occur in future. I have now take zolpidem 10 mg for one month for sleep problem my sleep also normal.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Doctor I have suffering from urination doctor spotted my diabetes in 25 age my urination normal now I check blood sug...
Mr. lybrate-user, Thanks for the query. I have gone through the details given. I only understand that you had diabetes and have been taking Insulin for controlling blood glucose. But now there is no high glucose. However, there are no details about present glucose levels, (fasting or PP) or HbA1c%. So I am unable to comment or give any opinion on the present situation. Thanks.
2 people found this helpful
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