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Dr. Gopinathan

General Physician, Chennai

Dr. Gopinathan General Physician, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Mi mother has been operated for hernia. Its her 9th operation. N due to thinning of her skin. operation ws not successful n again we hv to go thru plastic surgery. N now adhesion in pelvic inflamtn has been observed. We hv kept her gvng cyclopam whenever pain cums. please sugest wat to do. Is there any way to gt rid of adhesion wdout surgery?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
nothing can be done for adhesions. more surgery more adhesions. inflammation will subside dont worry.
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I am 34 years old muze 2 month se neck pain shoulder pain and left handmai bhi pain hai muhze aten25 rosetime 10 pan 40 yeh tablet hai.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 34 years old muze 2 month se neck pain shoulder pain and left handmai bhi pain hai muhze aten25 rosetime 10 pan ...
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
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My creatinine level shows 1 mg. Is it risky? I often facing pain in my abdomen while urinating.

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist,
My creatinine level shows 1 mg. Is it risky? I often facing pain in my abdomen while urinating.
It points towards urine infection. Probably cystitis. You need certain investigations and course of regimen of antibiotics. Drink plenty of fluids especially cranberry juice.
1 person found this helpful
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I am a working professional, a software engineer. Working 9 to 10 hours 5 days in a week. The problem is this that most of the days while working I feel headache for some time and automatically it gets okay. Is this a serious problem? Please suggest. Thanks in advance.

MBBS, cc USG
General Physician, Gurgaon
I am a working professional, a software engineer. Working 9 to 10 hours 5 days in a week. The problem is this that mo...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 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 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 consult physician for further management.
1 person found this helpful
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hello doctor, I have been stomach cramps And loose stools since 2 days. I vomited Twice yesterday After having food. What should I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
hello doctor, I have been stomach cramps And loose stools since 2 days. I vomited Twice yesterday After having food. ...
Hello take grahini gajendra ras with water twice a day. Take chitrakadi vati 1-1 tab twice a day. And pranacharya atisarantak capsule twice a day. Avoid junk food. Spicy food. And fermented food. Take fresh buttermilk empty stomach in morning.
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I can't stop the masturbation from my life. I can't to control myself. What is the remedies for control masturbation.

BHMS
Homeopath, Sindhudurg
I can't stop the masturbation from my life. I can't to control myself. What is the remedies for control masturbation.
Strictly avoiding that triggers which compel you to do masturbation like porn, friends and privacy etc. Doing regular yoga and aerobics will definitely help you. Healthy diet like fresh fruits dry fruits specially dates almonds anjeer etc avoiding fish egg n chieken strictly mutton can be taken. And last not least medicine. For this there are special medicine for this problem which reduces your urge to do masturbation with helping you to regain lost vigour and vitality plus boosting overall health. Homoeopathic treatment takes away the habit of masturbation and remove its bad effects. Do not ignore the necessity to consult the qualified homoeopaths to avoid sexual embarrassment at the time of marriage. Consult me for homoepathic treatment without side effects. Recommend me by clicking on recommend option and leave feedback.
2 people found this helpful
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Aids kyaa hai or ye kaise failta hai iske bare me vistaar se samjhaiye aur iske lakshan kyaa hote hai jisse ptaa lagaya ja sake ki ye aids hai?

C.S.C, D.C.H, M.B.B.S
General Physician,
Aids kyaa hai or ye kaise failta hai iske bare me vistaar se samjhaiye aur iske lakshan kyaa hote hai jisse ptaa laga...
HIV stands for human immunodeficiency virus. If left untreated, HIV can lead to the disease AIDS (acquired immunodeficiency syndrome). Unlike some other viruses, the human body can’t get rid of HIV completely. So once you have HIV, you have it for life. HIV attacks the body’s immune system, specifically the CD4 cells (T cells), which help the immune system fight off infections. If left untreated, HIV reduces the number of CD4 cells (T cells) in the body, making the person more likely to get infections or infection-related cancers. Over time, HIV can destroy so many of these cells that the body can’t fight off infections and disease. These opportunistic infections or cancers take advantage of a very weak immune system and signal that the person has AIDS, the last state of HIV infection. No effective cure for HIV currently exists, but with proper treatment and medical care, HIV can be controlled. The medicine used to treat HIV is called antiretroviral therapy or ART. If taken the right way, every day, this medicine can dramatically prolong the lives of many people with HIV, keep them healthy, and greatly lower their chance of transmitting the virus to others. Today, a person who is diagnosed with HIV, treated before the disease is far advanced, and stays on treatment can live a nearly as long as someone who does not have HIV. The virus can be transmitted through contact with infected blood, semen or vaginal fluids. Within a few weeks of HIV infection, flu-like symptoms such as fever, sore throat and fatigue can occur. Then the disease is usually asymptomatic until it progresses to AIDS. AIDS symptoms include weight loss, fever or night sweats, fatigue and recurrent infections. No cure exists for AIDS, but strict adherence to antiretroviral regimens (ARVs) can dramatically slow the disease's progress as well as prevent secondary infections and complications.
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Can rupture penis vein or artery and damage sponge like material of penis repair itself? I have pain in penis similar like pain during anal fissures.

BHMS
Homeopath, Sindhudurg
Can rupture penis vein or artery and damage sponge like material of penis repair itself?
I have pain in penis similar...
you have to take treatment for it now only.Orlese it can get complicated later like it can cause erectile dysfunction. ..
1 person found this helpful
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I having constipation day one. After my deliver it became the worst now. All the time I have to strain my self.

PDDM, MHA, MBBS
General Physician, Nashik
I having constipation day one. After my deliver it became the worst now. All the time I have to strain my self.
Kindly increase fluid and fiber intake and do not strain while passing stools otherwise you may get haemorrhoids. Take liq cremaffin plus 2tsf at night.
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I am 28 years old and I have done masters in pharmacy. I was having pain in left arm from six months, but doctors said I am ok. Today I went to pathlab for complete blood tests and ECG and result shocked meSerum Cholesterol262mg/dlHDL Cholesterol 40.9Triglycerides 191LDL 183VLDL38ESR (Wintrobe) 25mm in 1st hourSGOT36, 4SGPT71Serum protein globulin1.24Fasting Blood Sugar80.7mg/dlECG report is OK as per physicianUltrasound diagnosed Grade 1 Fatty Liver what should I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 28 years old and I have done masters in pharmacy. I was having pain in left arm from six months, but doctors sai...
dear there is nothing shocking in your report..cholesterol and ldl are raised and fatty liver is only grade 1 i.e. very mild.. raised cholesterol levels is a lifestyle disorder....when raised for long time it starts getting deposited in the liver ,which has started in your case..since u r young and must be eating out just you have to bring some changes in your lifestyle... exercise daily for atleast 30 min..eat plenty of water ..say completely no to junk food ,fried food,take saffola oils for cooking your food..dont smoke or drink alcohol coz these put stress on liver.avoid non veg food....sleep well in night on time at around 10-11 o clock...your fatty liver and cholesterol are manageable with such steps done regularly for 2-3 months..otherwise drugs ,if started for your raised cholesterol levels will have to be taken LIFELONG ...and u r too young to take them lifelong..now choice is yours
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My daughter having PCOD Problem age 17 yrs, Weight 96 kgs, She is under Treatment last 2 months with gyenic doctor, and doing Physical exercises in a gym, now she is loose her weight 6 kgs in three months. How much period she wants Treatment.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My daughter having PCOD Problem age 17 yrs, Weight 96 kgs, She is under Treatment last 2 months with gyenic doctor, a...
Hi lybrate user, she should have healthy lifestyle daily exercise and diet till achieve optimal weight. It will help her to regularise periods and in future she may have to take treatment for fertility.
3 people found this helpful
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Does Premature ejaculation cause bad to future? Sir please tell in an allopathic way?

C.S.C, D.C.H, M.B.B.S
General Physician,
Does Premature ejaculation cause bad to future? Sir please tell in an allopathic way?
It will not cause any problem. YOu can gain time practice. Ejaculation of semen during sexual intercourse before or immediately after penetration. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation. Psychological causes Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as: •Situations in which you may have hurried to reach climax in order to avoid being discovered •Guilty feelings that increase your tendency to rush through sexual encounters Other factors that can play a role in causing premature ejaculation include: •Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. •Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues. •Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem. Biological causes A number of biological factors may contribute to premature ejaculation, including: •Abnormal hormone levels •Abnormal levels of brain chemicals called neurotransmitters •Abnormal reflex activity of the ejaculatory system •Certain thyroid problems •Inflammation and infection of the prostate or urethra •Inherited traits •Nerve damage from surgery or trauma (rare) Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you. Behavioural techniques In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1.Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2.Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3.After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4.If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique. Topical anaesthetics Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available.
2 people found this helpful
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I am having cold and have a runny nose with yellow coloured mucus from the past five days. Which medicine should I take to cure it?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you can take tamiflu twice a day.nasal spray otrivin in to both nostril.The common cold, including chest cold and head cold, and seasonal flu are caused by viruses. Use over-the-counter cold medications to relieve symptoms including sore throat, runny nose, congestion, and cough. Flu symptoms are similar, but include fever, headache and muscle soreness.
1 person found this helpful
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I am 48 years old having Diabetes (upto 210 after 2.5 hrs of meal. While sleeping my throat becomes dry. Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 48 years old having Diabetes (upto 210 after 2.5 hrs of meal. While sleeping my throat becomes dry. Please advise.
Mr. lybrate-user, Thanks for your query. PP 210 mg after 2.5 hours is high. It is better if you had given following readings: FBG, PP (after 2 hours) & HbA1c%, that would have given a clear idea of your blood glucose control. Usually if blood glucose is high, then more glucose is passed in the urine, which in turn leads to excess thirst and dryness of throat. So it is essential to control blood glucose effectively. FBG should be <100 mg, PP 150 to 160 mg & HbA1c%<6.8. Hence if you have any doubts please come in a private conversation with all the above details plus, deitary pattern and extent of daily exercise being done, then I will be able to guide specifically. Thanks.
7 people found this helpful
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From 7 8 I am suffering from stomach pain & having gas whole day. What should I do.

MBBS
General Physician, Mumbai
From 7 8 I am suffering from stomach pain & having gas whole day. What should I do.
For stomach pain take tablet Meftalspas-Ds with rantac and Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
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Before sexual intercourse iz it ok to take manforce50 or viagra50 for more erection & satisfaction. Kindly tell in detail.

BHMS, DEMS
Homeopath, Pune
Before sexual intercourse iz it ok to take manforce50 or viagra50 for more erection & satisfaction. Kindly tell in de...
No it has many side effects .Common side effects of viagra headache, flushing in the face, neck, or chest, upset stomach, indigestion, abnormal vision, nasal congestion, back pain, muscular pain or tenderness. Nausea, dizziness, rash, diarrhea serious side effects of viagra change or loss of vision, ringing in ears or hearing loss, chest pain or irregular heartbeat, shortness of breath, lightheadedness, swelling in the hands, ankles, and feet. Instead of using viagra take homoepathic treatment.
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I am hepatitis b positive since 2009. What precautions I must take? Can I go for injection / vaccination.

MBBS
General Physician, Jalgaon
I am hepatitis b positive since 2009. What precautions I must take? Can I go for injection / vaccination.
Please Take Tab liv 52 HB BY Himalaya 1 1 for 3 mths Avoid oily spicy and fast food, non veg food, maida containing items like biscuits toast bread khari etc for 3 months Check your Hbsag status after 3 months Consult me regularly on Lybrate.
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I have pain in my stomach for last three days and full body pain last night please advise me.

MBBS
General Physician, Cuttack
I have pain in my stomach for last three days and full body pain last night please advise me.
1.Take bland diet, avoid oily and spicy food, 2.Drink plenty of water 3.Take one Tablet of meftal spas Ds twice daily after food 4.Take one tablet of rantac150 mg twice daily before food 5. If no relief consult
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I fallen down from top having chest pain continuously. Now that's pain gone to back. What I have to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I fallen down from top having chest pain continuously. Now that's pain gone to back. What I have to do?
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am a 17 old male and I have some injure in my ankle for past few weeks. What do I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Ideally I would like to ask you when did you sustain your injury and what management has been for it. Normally most of the ankle injuries can be managed conservatively with early protective mobilization with a brace, physical therapy as advised etc. Do not hesitate to contact me if you need any further assistance.
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