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Dr. Krishnan

General Physician, Chennai

Dr. Krishnan General Physician, Chennai
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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. Krishnan
Dr. Krishnan is a popular General Physician in Ambikapuram, Chennai. You can meet Dr. Krishnan personally at CARE & CURE SPECIALITY HOSPITAL in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Krishnan on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 28 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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144/347 konnur high road,joint ofiice bustop, opp to central bank of india, ChennaiChennai Get Directions
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I had chikungunya, as mentioned by the doctor I visited with my blood reports. He said that I might have dengue, got tested for that. Now I'm fine, there are no rashes on my body. However, on the back of my ear, the bone has grown or swollen. Plus, my head spins if I walk a little more. Is it because of chikungunya or something else?

MBBS
General Physician, Mumbai
I had chikungunya, as mentioned by the doctor I visited with my blood reports. He said that I might have dengue, got ...
Swelling at the back of ear can be due to inflammation of middle ear or mastoid .it can also be due to enlarged lymphnodes. It can happen after viral infection ,or due to bacterial infection following a viral infection. Please do not worry. If there is pain see an ENT spl or a general physician for a course of antibiotics. Giddiness can be related or unrelated to swelling. Drink plenty of water to avoid giddiness and weakness.
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My son is suffering from viral fever since last 5 days, presently he is taking paracetamol. Please suggest the antibiotic for easy recovery.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My son is suffering from viral fever since last 5 days, presently he is taking paracetamol. Please suggest the antibi...
Fever is not considered medically significant until body temperature is above 100.4 F (38 C). Fever serves as one of the body's natural defenses against bacteria and viruses which cannot live at a higher temperatures..Also, the body's defense mechanisms seem to work more efficiently at a higher temperature -Fevers of 104 F (40 C) or more may be dangerous and demand immediate treatment The following medications may be used at home for mild fever : -Acetaminophen (dolo-650 mg) twice or thrice can be used to lower a fever . Aspirin should not be used in children during a viral illness. -Wear comfortable loose fitting clothes and donot overdress. Overdressing can cause the temperature to rise further. -Tepid water (85 F [30 C]) baths may help bring down a fever -The body should be cooled with a wet sponge. -Fever can cause dehydration.Drink plenty of fluids.Have citrus fruits, particularly Vitamin C rich ones like mausami,Amla juice etc. -Take light and easily digestible home cooked meals .avoid outside food -Wash your hands frequently with soap and warm water especially before meals, or after returning from a public places or using public transport. -Further therapy depends on the cause of fever like urinary infection/typhoid or malaria/dengue infection and the accompanying symptoms that need to be investigated and treated accordingly
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Sir. I study and read a lot. But the problem is I don't remember anything. When I attend the exam. And suddenly I get headache. Due to which I forget the what I hv read and. My mind gets diverted to other matters thinking of something.

BHMS
Homeopath,
Sir. I study and read a lot. But the problem is I don't remember anything. When I attend the exam. And suddenly I get...
Dear lybrate user, take homoeopathic anacardium 200, 5 drops, thrice daily, in empty stomach. Also take homoeopathic mother tincture ashwagandha q, 30 drops, thrice daily, after meals, in a cup of water.
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How to control sinus problems and headache during winter and maintain perfect health conditions all time?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
How to control sinus problems and headache during winter and maintain perfect health conditions all time?
write symtoms of sinus.IF you mean sinusitis then confirm it by CTPNS. which will deside treatment. Steam inhalation and avoid dust
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I cannot sleepwell I take medicine for 2 yrs but now I stopped it for 2 months now I am sleeping at late nyt is there any remedy.

MBBS, MBA (Healthcare)
General Physician, Delhi
I cannot sleepwell I take medicine for 2 yrs but now I stopped it for 2 months now I am sleeping at late nyt is there...
avoid day time sleep, avoid tea coffee cola in late evening and after. take balanced diet, do exercise, avoid stress. inform if not ok.
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I am a male 21 yrs old suffering from diarrhea could you advice me on a diet I should follow.

MBBS
General Physician, Faridabad
Take tab flagyl 400 three times a day and tab rantac 150 morning empty stomach and before dinner for 5 days. Take tab meftal spas when you have stomachache. It will help. For daily food you can eat curd rice, khichdi, bananas, apple. Try to avoid milk.
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I suffering from headache. I took medicines for that but still it continuing. What I will do?

MBBS, cc USG
General Physician, Noida
I suffering from headache. I took medicines for that but still it continuing. What I will do?
You need complete evaluation Tell me 1.Do you have eye pain/ strain 2. Any ENT problem like cough/ cold/ blocked nose? 3.Stress/ anxiety 4.Are you taking sleep properly? Follow advise given below Adequate sleep 6-8 hr in a day Get check eyes for refractive error Get BP checked Regular physical exercise and meditation Consult Physician/ me for further management
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Sir from, 2-3 days I have a chest problem and sir when I am in tension my chest been pained a lot I do not know why sir plzz tell me how I free from these disease.

MBBS
General Physician, Ludhiana
Sir from, 2-3 days I have a chest problem and sir when I am in tension my chest been pained a lot I do not know why s...
Hi lybrate-user, at this chest pain is not serious. It may be due muscular pain. Just take some anti inflammatory for few days & if still you won't get any relief then consult your doctor.
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Hello doctor, I am 35 years old married man. I have no child. From last 2-3 years, I am suffering from erectile dysfunction. Please help.

Advanced Aesthetics
Ayurveda, Gulbarga
Hello doctor, I am 35 years old married man. I have no child. From last 2-3 years, I am suffering from erectile dysfu...
Male sex power booster that is sold under the brand name hy power musli. The male sex power booster that we sell is not only used for improving sexual energy but also brings vigor & vitality in males. Also, we have the best and reliable male sex power booster medicine. Hy power musli helps to raise sexual energy levels in male, helps to get harder erections, minimize premature ejaculations, enhance libido. It helps to restore potency and increase libido, increase confidence, energy and stamina. It also helps to restore vigor & vitality and simultaneously improves general health also. For permanent solution ask privetly.
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Feel lethargic, like to sleep, body pain, get hungry every 2 hours, like to eat sugary things, people tells me that I look tired.what might be my problem?

MBBS
General Physician, Mumbai
Dear lybrateuser, -you have mentioned that you have mild chronic depression, the symptoms you have mentioned are found in depression, also get your blood sugar, thyroid hormone levels, cholesterol profile done -do regular exercise in a garden or park for at least 30-40 min daily, fresh air & nature will freshen you, also do yoga, meditation for 10-15 min in the morning, the more active you are the better you will feel -follow a fixed sleep &wake up time even on a weekend -get your investigations done & consult doctor on forum.
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How can I improve my sexual life? which food or exercise do I add in my daily routine to improve my sexual life?

Advanced Aesthetics
Ayurveda, Gulbarga
How can I improve my sexual life? which food or exercise do I add in my daily routine to improve my sexual life?
Dried Dates And Nuts Dried dates offer good strength to the body and have the ability to increase sexual drive in humans. ? Mix a handful of dried date, pistachio nuts, almonds and quince seeds in equal proportions and then pound them into fine powder. ? Mix this powder in a glass of milk and consume it daily to see effective results. Practice through masturbation. If you are unable to perform well in the bedroom, then you should consider masturbating for practice. You are not all alone in this venture. Many people do it. So, do not be embarrassed to try it out. The way you masturbate could also have effects on how you perform in the bedroom. Therefore, do not rush the process.The way to do it successfully is to make it last, just like you would do when you are not alone in the bedroom. Pay attention to your partner?s needs and desires. When you pay special attention to the needs and the desires of your partner, you can make your sexual experience a pleasurable one. This can also help you slow down your performance in the bedroom. When you talk about this with your partner beforehand, you can easily avoid any awkwardness when you wish to slow down during a heated moment. You can also alternate the pace in order to take a break, so that it can help you focus on enhancing your sexual experience. Get some medical help. If you have an erectile dysfunction or some other problems such as Peyronie?s disease, then you might need to get some medical help.Do not hesitate to ask your doctor for help related to your performance in the bedroom. It is however never a bad decision to do some exercises in order to enhance your sexual performance with your partner apart from seeking medical help. ? Red hot chilli peppers ?Naturally hot and spicy, this food is known to boost both the libido of a person, as well as their sexual performance. ? Eggs ?Eggs can help balance the hormone levels of a person and improve the sexual performance of a person by decreasing their stress levels. Ayurvedic medicines ? Safed musli (small fennel/nigella seed) ? Shudh shilajit (asphaltum) For treatment and any queries ask privately.
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Hi, I am 30 years old Men, 70 kgs weight and 6 ft tall. I have a habit of masturbating while watching porn, I am doing it from past 6-7 yrs, now while having sex with my partner I am unable to ejaculate, while masturbating I do ejaculate normally, but while having sex I am not able to ejaculate. Pls help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi, I am 30 years old Men, 70 kgs weight and 6 ft tall. I have a habit of masturbating while watching porn, I am doin...
You should take chandraprabha vati 1-1 tab with milk twice a day. And pranacharya dhatupaushtik churna with milk twice a day. Avoid masturbation. Avoid tea and coffee.
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My 5 year old daughter has asthma. What is the effect of using an asthma preventer long-term? I heard that using it for years might cause bone shrinkage. Is it true? Are there any vitamins or supplements to help vision.

BHMS
Homeopath, Faridabad
Hello, Homeopathic remedies for asthma are very effective and can cure asthma permanently . Homeopathic medicines are natural medicines and work by moderating our immune system which usually becomes overreactive in asthma . But i need to know more symptoms related to you as a whole.so that i can make totality of symptoms and prescribe you a better medicine. in the mean time take Ars alb 30, 3 drops once daily and BC No. 02, 5 tabs thrice daily. Revert me with more symptoms. Make her eat amla and green vegetables for good vision.
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I AM a 22 year boy. For recent days I have yellowish colour in my urine and body become weak. I don't have hungry and any wish for eating any type of food. What should I do?

MCh - Urology, Visiting Fellow Andrology and Men's Health, Visiting Physician Urology and Andrology, Fellowship in Minimal Access Surgery, Master of Surgery, MBBS, EUREP USI Fellowship
Urologist, Gurgaon
I AM a 22 year boy. For recent days I have yellowish colour in my urine and body become weak. I don't have hungry and...
Dear lybrate-user, these are very vague symptoms and can be best dealt with in person. A urine analysis along with blood tests will be required to rule out any infections that you may be suffering from.
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From childhood I am suffering from throat infection. I have also operated my tonsils but still after 5 years I have frequent throat infection so my question is that I am a frequent user os antibiotics medicine and recently I came to know that antibiotics can cause mental problems and in my case I am also feel depressed from childhood some times I also consult a psychiatrist so is there any possibility of linking of these two problems.

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
From childhood I am suffering from throat infection. I have also operated my tonsils but still after 5 years I have f...
Hi antibiotics cannot cause mental problems. Be positive and think positively. Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 3 drops of pine + 3 drops of gentian + 3 drops of willow + 3 drops of scleranthus. Mix these with 100 ml water and drink it every morning and night.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Actually I was suffering from piles two years back then from last month again started paining I consulted a doctor he gave me medicine and told that it is fissure. What is the difference between piles and fissure? What causes this? How to get rid of it by Ayurveda? What should be the diet for this cause?

MBBS, D.P.H
General Physician, Gurgaon
Actually I was suffering from piles two years back then from last month again started paining I consulted a doctor he...
Mr. lybrate-user difference between piles and fissure is simple piles is the weakening of cushions of tissue in lower rectum due to which skin of that area blow up like a tiny balloon while fissure is defined as tear of tissues of that area both are painful and blood contained faeces in piles blood is mixed in whole stool while in fissure it is usually like a streak of blood on one side of stool both may be painful or pain it is usually caused due to constipation which results weaking of rectal area avoid oily spicy junk and processed food no smoking, no alcohol, no tobacco chewing take fibrous diet like whole wheat, green leafy vegetables and fiber rich fruits plenty of water treatment you can consult via text chat in homeopathy there is a drug aseculus hc 2 with advice of homeopathy doctor.
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I am suffering from cold and dry cough from 6 days. I took corex but could not recover fully. Please consult me a good doctor.

MBBS, MBA (Healthcare)
General Physician, Delhi
Take sinarest one tab 2 times a day for 3 days. Take honitus 2 tsf 2 times a day for 5 days, do gargle, take steam. Drink warm water. It will help you.
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What is the best foods to be taken in summer ?

MBBS, DGO (cal)
General Physician,
Less spicy food. Drink water not less than 2. 5 liter daily, if you are average height and weight person. Take lots of fresh fruit like watermelon and fruits available in summer season.
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