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Dr. Joseph

General Physician, Chennai

100 at clinic
Dr. Joseph General Physician, Chennai
100 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Joseph
Dr. Joseph is a renowned General Physician in Kodambakkam, Chennai. You can meet Dr. Joseph personally at Srinivasa Hospital in Kodambakkam, Chennai. You can book an instant appointment online with Dr. Joseph on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 38 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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English

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No 47, Railway Station Road, Kodambakkam. Landmark: Near Kodambakkam Railway Station, ChennaiChennai Get Directions
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I have suffered by headache for last few days. Can you please help me to overcome?

MBBS, MD - Community Medicine
General Physician, Jaipur
I have suffered by headache for last few days. Can you please help me to overcome?
Hi, Headache could be because of various reasons. Your headache could be due to stress/fatigue/tension or it could be an indication to another type of headache called migraine. Since the exact cause of your headache and symptoms are not known, I would advise the following - 1. Try to take adequate rest. 2. Distract yourself from TV/ Computer or anything that puts a pressure on your eyes and head. 3. Keep yourself stress free. 4. Try to take adequate sleep. 5. Take Tablet Paracetamol 500mg after taking food (as and when required). Share your symptoms in detail including status of your blood pressure and eye sight, I will prepare an advice accordingly. ***Get Well Soon*** “Yoga/meditation has a great relaxation power.”
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During sexual intercourse my hormones/ sperms will release in very short time and I am not satisfied with that. Can you please suggest me how to improve my sexual intercourse satisfaction. Means how to control sperm release in short time.

BHMS, DEMS
Homeopath, Pune
During sexual intercourse my hormones/ sperms will release in very short time and I am not satisfied with that. Can y...
Hello. You take homeopathic treatment to treat premature ejaculation. Homeopathic medicine treat pe completely without any side effects. If you want medicine consult me. Advise= do exercise 45 min. Eat healthy. Limit your alcohol. Stop smoking. Try deep breathing. Do kegel exercise.
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I watch any sex video my body is hot & after 5 to 10 falling my sex. Its a diseases. If diseases please give me solution.

MBBS, cc USG
General Physician, Noida
I watch any sex video my body is hot & after 5 to 10 falling my sex. Its a diseases. If diseases please give me solut...
This problem can be solved within week, by meditation i can give you address of two Rajyoga meditation center near your house (this is free of cost) Tell me name your city than i will give you address of centre
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I am 44 years old male. I have not satisfied with my sex performance . Weekly I have 4 to 5 days sex with my wife. But every time I couldn't sex more than 3 to 4 minutes. Please help me.

DGO, MBBS
Sexologist,
I am 44 years old male. I have not satisfied with my sex performance . Weekly I have 4 to 5 days sex with my wife. Bu...
Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also there are exercises to control it. You can learn to control pe by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique: when you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time.
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Hello doctor, I use to masturbate without using hands. Keeping penis in between bed and moving like fucking .This is bad habit or is it good? It is better than masturbation? My penis erects but not fully before penetration after insertion it becomes tight and then ejaculates. I need strong erection before penetration. Please advice me. My penis size during flaccid state 3.5 inches too short want to increase and erect penis is 6 inches girth 5.1 inches.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Hello doctor,
I use to masturbate without using hands. Keeping penis in between bed and moving like fucking .This is ...
Excessive of anything is bad same applies with masterbation. 2 things happen when one masterbate excessively 1. Premature ejaculation you can correlate when you started mastrrbation what was time and check current timing. You will find time to ejaculate might hv reduced significantly. Some people even ejaculate while rubbing in bed 2. Second problem is weak erection. Over a period you will feel lesser or weaker erections. One may feel shrinking penis due to this. If your erection and timing is still good then do not worry. Otherwise with guidance and ayurvedic medicines it can be cured. dont worry about size as far as you get good erection and timngs. women vagina initial 2 inches is sensitive so size aythg bigger than 2 inch is sufficient. imprtant is good erection and timings. consult for detailed discssion and solve your erection and timing issues.
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MY dauther not sleep well in night she crying at night and she not eat any thing all day why I use tonic but not effects.

BHMS
Homeopath, Faridabad
MY dauther not sleep well in night she crying at night and she not eat any thing all day why I use tonic but not effe...
Hello, don't worry, give her alfalfa q, 5 drops with little water thrice daily. Don't make her sleep in the day time, so that she can properly sleep in the night.
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I am a recently diabetic patient. I have tention very much regularly and then please tell me simple care tips.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am a recently diabetic patient. I have tention very much regularly and then please tell me simple care tips.
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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Sir I have a bad habit are good habit I don't know that I will not eat food at morning time so that everyday stomach is paining is it the reason are else another reason was there behind that.

MBBS
General Physician, Faridabad
Sir I have a bad habit are good habit I don't know that I will not eat food at morning time so that everyday stomach ...
take meftal spas if pain abd, tab pan 40 empty stomach daily morning for 15 days, drink 3-4 litre of water daily, isabgol in a glass of water at night, if required get u/s whole abdomen done and back with report it will help. thanks
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Hii I am 19 years old sir do masturbation is bad for health .what is side effect of masturbation.

Fellowship ,council of Sex Education and Parenthood , BAMS, B-Pharm
Sexologist, Jaipur
Hii I am 19 years old sir do masturbation is bad for health .what is side effect of masturbation.
Masturbation is a normal phenomenon and most of the males and females masturbate in some phase of their life. There is no harm in masturbation.
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How to stop masturbating quickly my friend is fed up with this problem his release time is 2-3 min how it can be increased and is it possible for him to recovers with out any medicine from this habit, he is facing - Hair loss Shaking of hands White hairs Please do reply on my question please Sir.

MD - General Medicine
Sexologist, Nashik
How to stop masturbating quickly my friend is fed up with this problem his release time is 2-3 min how it can be incr...
Hi, I had gone through your question and understand your concerns, MASTURBATION IT the release of semen from your penis. Semen is made up of fluid and sperm. Many guys masturbate. In fact, one study of 15- and 16-year-olds found that 75% of boys said they masturbated. There are many myths IS ASORT OF SEXUAL PRACTICE NOT ONLY HUMANS BUT ALSO SEEN IN ANIMALS ALSO, IS PERFORMED When- you masturbate, you release sexual tension. You'll have what's called an ejaculation. Ejaculation is about masturbation. For example, some people say it will stunt your growth. But there is nothing wrong with doing it as long as it doesn't become a constant desire or get in the way of other things you want or need to do. See you r overdoing, means not normal. Its addiction not normal, try to control, by will power, make a schedule of masturbation first, stick to it. When you plan to masturbate, But if you have a little extra time, “edging”—also called the stop-and-start method—can help you achieve more intense orgasms, I promise. Work yourself right up to the edge of ejaculation and then take a short break—just enough time for your erection to soften a bit. Then start the process over again. Do this three or four times before you orgasm, and you’ll experience more profound, powerful ejaculations, will make you more satisfied ,hence you feel not to masturbate too often, avoid situation provoking you to masturbate, as being alone, watching porn, reading erotic’s, do physical exercise, be more active in social life, If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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I have acidity problem. Even feel like that there is something burning or blocking in my liver. This problem is from last 3 yrs. I have consult doctors but dont get solution. Help me out.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have acidity problem. Even feel like that there is something burning or blocking in my liver. This problem is from ...
Take syp gaviscon 2 tsp thrice daily And sompraz d tablets twice daily before meals Get urself checked for h.pylori infection in stomach as it causes chronic acidity Avoid tea ..coffee and hot beverages...drink plenty of fkuids
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Bipolar Affective Disorder - Symptoms and Treatments

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Bipolar Affective Disorder - Symptoms and Treatments

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

  1. Bipolar I Disorder: Defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
  2. Bipolar II Disorder: Defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  3. Cyclothymic Disorder (also called cyclothymia): Defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  4. Other Specified and Unspecified Bipolar and Related Disorders: Defined by bipolar disorder symptoms that do not match the three categories listed above.

The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both, your relationships and work. When it isn't so extreme, it is called 'hypomania'. In case a person has become maniac, you may notice the following things:

Emotional

  • Very happy and excited
  • Irritated with other people who don't share your optimistic outlook
  • Feeling more important than usual. 

Thinking

  • Full of new and exciting ideas
  • Moving quickly from one idea to another
  • Hearing voices that other people can't hear.

Physical

Behaviour

  • Making plans that are grandiose and unrealistic
  • Very active, moving around very quickly
  • Behaving unusually
  • Talking very quickly - other people may find it hard to understand what you are talking about
  • Making odd decisions on the spur of the moment, sometimes with disastrous consequences
  • Recklessly spending your money
  • Over-familiar or recklessly critical with other people
  • Less inhibited in general.

If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong, although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues and with other people's feelings. 

Depression

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional

  • Feelings of unhappiness that don't go away
  • Feeling that you want to burst into tears for no reason
  • Losing interest in things
  • Being unable to enjoy things
  • Feeling restless and agitated
  • Loss of self-confidence
  • Feeling useless, inadequate and hopeless
  • Feeling more irritable than usual
  • Thinking of suicide.  

Thinking

  • Can’t think positively or hopefully
  • Finding it hard to make even simple decisions
  • Difficulty in concentrating. 

Physical

  • Losing appetite and weight
  • Difficulty in getting to sleep
  • Waking earlier than usual
  • Feeling utterly tired
  • Constipation
  • Going off sex

Behaviour

  • Difficulty in starting or completing things, even everyday chores
  • Crying a lot or feeling like you want to cry, but not being able to
  • Avoiding contact with other people.

Causes

  1. Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
  2. Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
  3. Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.

Treatment Methods

  1. Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

  2. Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

  3. Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

  4. Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

  5. Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.

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Is there any ayurvedic tablet available which can be used for erectile dysfunction.

MBBS
General Physician, Jalgaon
Is there any ayurvedic tablet available which can be used for erectile dysfunction.
Daily yoga pranayam daily kegel and perineal exercises take cap kapikachhu by himalaya 1 1 youvan churna by patanjali 1 tsf twice with milk apply himcolin gel before intercourse read instructions on pack all for 3 months minimum re consult me on lybrate if needed.
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I am 21 year old I am suffering from ulcer. How do I solve it ?

MBBS
General Physician,
If you r talking about peptic ulcer than we need to drink only liquids for two weeks and for we need to start a drug which reduces the acid secretion
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Can you please tell if age like me having sugar so what vl be sideffect to me commonly to clarify.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Can you please tell if age like me having sugar so what vl be sideffect to me commonly to clarify.
If you don't control your sugar, after few years you are at risk to suffer from blindness, kidney failure heart failure and amputation of leg etc.
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My penis has bend so what can I do that my penis become straight again. Is any treatment for this?

BHMS
Homeopath, Sindhudurg
My penis has bend so what can I do that my penis become straight again.
Is any treatment for this?
A curved penis is not that unusual. But, it can make sex difficult. Or, even impossible. However, it is easy to fix with homoeopathic treatment, without any need for surgery, 99% of the time. The fact is: more than 50% of men have a curvature in their erection. So, you are not alone. Consult for homoepathic treatment.
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I am a female of 62 yrs. Till the marriage of my son in Nov, 2014, I was a normal, healthy and active person. For obvious reasons, thereafter I was disturbed, tensed and often fall ill. I am with my husband who is 66 years old and is a sugar patient. Now my BP is 160. Whether this can be kept under control without medication ? Kindly advise

MBBS
General Physician, Delhi
Normal B P at your age is less than 150/90. Check your life style, Do some exercise /morning walk regularly. Reduce salt in any form.Avoid junk foods, take fresh fruits,toned milk,soya products. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI
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I am 27 year old, I am female, I am feeling so tired, for last 2 weeks, vomiting sense, but, not vomiting, backbone pain, early morning while waking my stomach is paining, in abdomen. Before 6 months only I got married, my last menses date is may 8, what is the reason, while in day time, my body is getting too much tired.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am 27 year old, I am female, I am feeling so tired, for last 2 weeks, vomiting sense, but, not vomiting, backbone p...
Dear lybrate user, according to your symptoms, it seems that you are suffering from acidity and over exertion. You should avoid at present heavy oily spicy and junk food. Drink plenty of watery take ocid 20 empty stomach one cap. Daily and stemetil twice daily. Regarding back pain, check your posture. Do not lift weight. Take arnica 200 once daily five drops in water for three days.
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I have pyria in mouth please tell me the best tooth paste and medicine ?

BDS
Dentist,
Pyoria is due to presence of deposits around teeth. First you need to clean your teeth. After that you can use gum paints and mouth wash twice a day till you get result.
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