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Dr. Merwin P

General Physician, Chennai

70 at clinic
Dr. Merwin P General Physician, Chennai
70 at clinic  ·  ₹ online
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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. Merwin P
Dr. Merwin P is one of the best General Physicians in Chintadripet, Chennai. He is currently associated with Gowtham Clinic in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Merwin P on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 36 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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27/10A Market Lane Kaladipet, ChennaiChennai Get Directions
70 at clinic
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I am a 50 year old Indian agriculturist in coffee, normal structure, weight 62 kgs. I do not smoke, no alcohol, no meat, chicken, but take fish sometimes n consume eggs frequently. Coffee drinking daily at 2 cups/day. Daily cycling for about 10 kms. My sex life is utterly bad. I have no any major complications, no medication history so far slight knee pains when I sit long. A little financial stress off-late. I have a low nagging back pain since last 20 years. Sciatica problem but have maintained it in control. I have observed a twitching 10-30 seconds pain on my left chest which has now become regular. Had undergone ECG where some small error observed by doctor and put me on ecosprin. My TMT was perfect with no problem at narayana hrudalaya bangalore and I was told I have less than 5% chance of any attack. But this regular pricking twitch keeps giving me the jitters. Doc says if it continues. He may suggest me an anti. Should I need to go in for it. If required I can share scan copy of my ECG. That has raised eyebrow of the doc. Do guide me

DHMS (Hons.)
Homeopath
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I am a 50 year old Indian agriculturist in coffee, normal structure, weight 62 kgs. I do not smoke, no alcohol, no me...
Hello, Lybrate user, It would b proper to view your report but ECG report is not enough to assesse the over all condition of d heart to be panic about unless you go through stress test, angiography,Eco, to establish any measure cardiac fault when TMT is normal. Caffiene may trigger Herat problem please consult to your cardiologist, in this regard. If you are on Ecosprin it means some blockage is there or blood need to be thinner but that too, can be established after Eco test, atleast. On the whole your symptoms reveal that you are disturbed due to gastric disorder causing pain in chest and back. U have not mentioned your height & weight. Homoeopathy very well manage the function of heart. Till your report reach me ,please take homoeo medicine: @ Carbo veg 200-6 pills, thrice. Tk, plenty of water, Go for meditation to reduce your stress and to feed your heart. Your diet be easily digestible diet on small intervals. Avoid, junk food, cold, Report wkly, Your feed back is solicited. Tk care.

Hi I am 44 yrs female. I am constantly having an ulcer on the side of my tongue. It used to go away after using the oricort cream and recurrence would be few months later. But now it is constantly there. I am using the ulcer cream daily. It is v painful & talking and eating becomes difficult. I hv done a blood test. I am not anaemic and other results were also ok. I am a vegetarian & I do take supplements. Pls advise.

MDS - Oral & Maxillofacial Surgery
Dentist
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Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, along with c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash. You may consult me in person dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Gargle your mouth thoroughly after every meal. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

Dear Doctor, I am 50 year old male and a diabetic and have been on insulin and medicine for the last 15 years, I have reduced sensation in my left leg. I do go for regular walks every morning, but my sugar level is 220 fasting and 410 pp please suggest what can help me in keeping my sugar level in control.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist
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Increase your exercise and keep a check on diet, give more details about your medication to suggest further.

I am 31 years old male, married since 2 yrs. Recently I have had torn my frenulum of penis during intercourse about 4 weeks back during which bleeding was severe and subsided. Again 2 days back I had the similar Tear with minimal bleed and soreness. Kindly advice further management!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I am 31 years old male, married since 2 yrs. Recently I have had torn my frenulum of penis during intercourse about 4...
When a person has torn frenulum of penis, the healing , even if happens fully, it just makes the tissues intact. It doesnot cause any obliteration of the blood vessels that are there in it. So at Next attempt at sex such repeat bleeding is natural...... It happens due to excess friction which causes the frenulum to tear. This problem can be avoided by - using lots of lubricant at sex to allow smooth thrusting entry in vagina and motion - use of condoms which prevent the frenulum from getting directly affected by coating it So allow the healing to occur. and use lubricant to have sex and use condoms for a few days. Once you get the frenulum loosened enough due to the sex, there wont be any tear. In some guys the frenulum becomes totally flattened and then it doesnt create any tear or bleeding

Dealing with Less Libido in Women

MD - General Medicine
Sexologist
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According to contemporary medical studies, loss of sexual desire is more common in women than in men. As many as 3 in 10 women have reduced or limited sexual interest in any kind of sexual activity. While the medical term for this problem is Hypoactive Sexual Desire Disorder (HSDD), it is generally understood as a loss of libido.

There are multiple factors that contribute to this problem including psychiatric or physical disorders, relationship issues, hormonal disorders etc. Let us look at the causes of this disorder at length:

1. Medical Disorders:

a) There are conditions such as endometriosis, fibroids and thyroid disorders that may have a negative impact on the sexual drive of a woman.

b) Certain medicines such as antidepressants, oral contraceptives, and medicines that lower blood pressure may also negatively impact the sexual drive in women.

2. Hormonal Disorders:

a) Dryness of the vagina and pain during sexual intercourse may affect sexual drive both mentally and physically.

b) After menopause, drop in the count of testosterone hormone also affects sexual drive which can result in loss of libido.

c) With advancing age, the level of androgens decrease, and hence results in a lack of sexual desire.

3. Lifestyle Disorders:

a) In some of the cases, lack of emotional support in a relationship plays a significant role in the loss of libido. Post baby 'coolness' may also act as a driving force for loss in libido.

b) In today's era, changing lifestyle is drastically affecting our lives. Following an unhealthy lifestyle may result in increased weight that may affect self-image, and indirectly may also affect the sexual desire.

c) Stress and job, family pressure and exhaustion may also influence sexual desire of a woman.

4. Psychological factors

a) Increasing cases of depression, anxiety, frustration, stress is also an important cause of loss of libido in the contemporary society.

b) After childbirth, new moms tend to suffer from lack of sleep, insufficient lubrication of the vagina and exhaustion, which may affect her sexual desire.

The first and foremost step towards dealing with it is to make your partner understand your problem. Then, it is important to consult a doctor to find out the underlying cause, thereafter, treatment of the cause can normalize the condition. Since there are multiple causes of the problem, there are different ways by which the loss of libido can be easily managed and treated. Some of them are discussed below:

1. Treatment of Hormonal Disorders: The doctors will suitably treat problems like thyroids or recommend surgical treatment for fibroids to manage HSSD.

2. Change in Medications: Since some of the medications are responsible for the lack of libido, the doctors will replace the medications to reverse this lack.

3. Addressing the psychological factors: Your doctor will either arrange for suitable psychiatric sessions or ask your partner to coordinate mutually.

4. Sex Therapy/Relationship Counseling or Testosterone Therapy: While sex therapy or relationship counseling brings back the interest by effectively counseling the individual, Testosterone therapy involves off-label usage of testosterone hormone since it is not recommended by FDA.

Proper treatment and consulting a medical expert can reverse this disorder efficiently. So, talk about the problem more openly to seek proper guidance and cure. You can also submit your queries or seek for our advice in detail by writing to us.

Dealing with Less Libido in Women

I often get headache, and whenever I nod my head very fast I get headache. Whenever I get headache I feel heavy. Please do help me.

MBBS
General Physician
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I often get headache, and whenever I nod my head very fast I get headache. Whenever I get headache I feel heavy.
Plea...
If you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion

Its pretty hard for me to wake up in the morning. What should I do to wake up early in the morning without any stress.?

cc USG, MBBS
General Physician
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Its pretty hard for me to wake up in the morning. What should I do to wake up early in the morning without any stress.?
This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost) Consult me for further management

Hyperhidrosis - Making Summer Miserable

DVDL, MBBS
Dermatologist
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Sweating is a normal function of the body, but some people sweat so much that their clothes are often drenched in sweat. Hyperhidrosis is a condition where the amount of sweat produced by the sweat glands cannot be regulated. It is characterized by excessive sweating commonly seen in the underarms, palms and soles. This disorder can affect a person at any age and if left untreated, can become a lifelong condition. Though this condition is not a serious threat to your health, it can be quite embarrassing and can hamper your lifestyle.

In many cases, there is no obvious trigger for Hyperhidrosis, and it is caused by the malfunctioning of the nervous system. This is known as primary Hyperhidrosis. Sweat is a function which helps the body cool itself. In cases of primary Hyperhidrosis, the brain sends a message to the sweat glands to produce sweat even though the body does not need to be cooled. A genetic mutation may also be the cause for some cases of Hyperhidrosis.

Hyperhidrosis with obvious trigger factors is known as secondary Hyperhidrosis. While primary Hyperhidrosis mostly affects the underarms, groin, palms and soles, secondary Hyperhidrosis can affect all parts of the body. Some of the common triggers for this condition are:

Pregnancy
Menopause
Anxiety
Low blood sugar
Hyperthyroidism
Medication side effects
Alcohol or drug withdrawal
Parkinson's disease
Hyperhidrosis can be challenging to diagnose and treat. Lifestyle changes are the easiest way to address this disorder. Some changes that can help you fight Hyperhidrosis are:

Avoid spicy food and alcohol
Replace deodorants with antiperspirants
Choose cotton fabrics over synthetic fabrics
Wear loose fitting clothes.
Try using armpit shields and wearing absorbent socks.
Anticholinergic or antimuscarinic medicines can also help treat Hyperhidrosis. This keeps the nervous system from activating the sweat glands. Dry mouth, blurred vision, constipation, abdominal cramps and difficulty in passing urine are some of the side effects associated with this medication. Iontophoresis is a more aggressive form of Hyperhidrosis treatment. This involves passing a weak electric current through a wet pad to the affected area to block the sweat glands. It is usually used to treat excessive sweating in the palms and soles.

Botox injections can also help treat Hyperhidrosis by blocking the brain signals to the sweat glands. However this is not a permanent cure and may need to be repeated after a year or so. Endoscopic thoracic sympathectomy or a surgery to remove the sweat glands may also be recommended in extreme cases of Hyperhidrosis. This is usually seen as a permanent solution for excessive sweating, but are relatively new procedures and hence not very common.
Hyperhidrosis - Making Summer Miserable

I am suffering from headache how can I get relaxed.

MBBS
General Physician
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I am suffering from headache how can I get relaxed.
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: 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

My name is sitaram I have gastric problem I tried some medicine but didn't any relief please suggest me some effective medicines.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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My name is sitaram I have gastric problem I tried some medicine but didn't any relief please suggest me some effectiv...
Dear lybrate user you should be catious about factors which affect digestion. Make necessary adjustments in your diet and lifestyle which improve digestion. You can follow the below remedies for better digestion. *avipattikar choirna vati 1-1-1 b/m with warm water. *jirakaristam 10 ml twice before meals. *use cow ghee 2tsp with regular meals. *avoid heavy meals. *use warm water regularly for better digestion after meals. *practice some exercises and yogasanas which are essential for good digestion.

He have a sugar bp he was eat a medicine in a day maximum. 15-20 I want to know its better. For him.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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He have a sugar bp he was eat a medicine in a day maximum. 15-20 I want to know its better. For him.
Sorry for previous anwer. Pl. Avoid sweat meal. High salty foods, high fatty / oily foods, take whole grain foods, do exercise in morning, go for walk daily, avoid stress.

Sir l m farmer. Now last from 3 months I m suffering hyper acidity & gastric problem. Is there any remedy pls suggest me.

BHMS
Homeopath
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Sir l m farmer. Now last from 3 months I m suffering hyper acidity & gastric problem. Is there any remedy pls suggest...
Hello, you can take homoeopathic medicines 1. Robinia 30 (4 drops in little water) thrice a day for a week. 2. Carbo veg 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines. *include fruits, raw vegetables and fresh vegetable juices in your diet. *drink lot of water. *tea/ coffee should not be taken in excess. *meals should be taken regularly and on time. *stress should be avoided by doing yoga and exercise. *avoid fried and spicy food.

I am 54 yr old female. My legs are becoming reddish ankle upward when I stand & work in kitchen. The reddish color is fading when I sit & stretch my legs. The problem is since last one year. I am taking homeo medicine. Now the skin is looking black & itching. . Please advise.

MBBS, MRCP (UK)
General Physician
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Your description fits with venous insufficiency. You may consider seeing a Vascular surgeon as severe venous insufficiency can be corrected. Otherwise use TED stockings when you are standing, ensure you keep your legs elevated for 30 minutes three times a day, calf strengthening exercises for 30 minutes a day.

I have cold and fever. I taken crocin. But not feeling good. Give me suggestions for medicine.

MBBS
General Physician
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I have cold and fever. I taken crocin. But not feeling good. Give me suggestions for medicine.
1. Do steam inhalation by steam inhaler 2-3 times daily with karvol plus inhalant capsule. 2. Put otrivin nasal drop 1 drop thrice daily 3. Take one tablet of sinarest 2-3 times daily after food 4. Drink plenty of water 5. Take rest

Sir what is the reason of diabetes.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Family history, migration, inactivity, over weight, junk food, less insulin or resistance to its action

What are the symptoms of dengue fever?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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What are the symptoms of dengue fever?
The principal symptoms of dengue are: -high fever and at least two of the following: -severe headache -severe eye pain (behind eyes) -joint pain -muscle and/or bone pain -rash -mild bleeding manifestation (nose or gum bleed, petechiae, or easy bruising) Watch for warning signs as temperature declines 3 to 5 days after symptoms/fever began, as this is the most dangerous period when platelet counts decline significantly. Report immediately to hospital if any of the following warning signs appear: -severe abdominal pain or persistent vomiting -red spots or patches on the skin -bleeding from nose or gums -vomiting blood -black, tarry stools  -drowsiness or irritability -pale, cold, or clammy skin -difficulty breathing

I am 25 years suffering from headache this headache is due to migraine so what you prefer me to do if there are medicine's in the market that can help to get relief from it if you could tell me it would be very good thanks and would await for your reply in my mail do suggest me something as soon as possible.

cc USG, MBBS
General Physician
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I am 25 years suffering from headache this headache is due to migraine so what you prefer me to do if there are medic...
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management

SYMPTOMS AND HOMOEO REMEDY FOR EPIDEMIC EBOLA

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist
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three of ebola-infected patients abroad got complete cure within an hour by taking one single pill of homoeo remedy lachesis-10, 000. Ebola is a haemorrhagic fever and the following one or more symptoms are found in ebola victims:
Signs and symptoms
Haematuria from blood degeneration as in low fevers, hence deposits of disintegrated blood - cells, of fibrine, presenting the appearance of charred straw. (purpura) - haemorrhages and extravasations, red and black streaks on skin; great physical and mental exhaustion; icy coldness of feet; vertigo on walking, black flickering before eyes, fainting, pulseless. Jaundice with ecchymoses and haemorrhages; spotted fever, tendency to gangrene. - cerebral typhoid torpor with loss of vitality, associated with nervous excitability, cutaneous hyperaesthesia and decomposition of the blood. Intolerance of pressure from the cutaneous hyperaesthesia; he sleeps into an aggravation from depressing influences on centres of respiration; both body and mind worn out, with relaxation of muscular system; heat in head, with throbbing from every movement; heaviness of head; especially occiput, with vertigo; muttering stupor; delirium with great loquacity, jumping from one thing to another; sunken countenance; tendency of lower jaw to drop, and sleeps much with mouth open; fever and delirium < as night advances; mouth dry, black, stiff with dry, red, blackish tongue, cracked on tip, trembling when protruded or catching between teeth and bleeding; abdomen hard and distended, with rumbling and gurgling in bowels before diarrhoea; stools very offensive whether formed or not; red - brown and copious urine; cough and dyspnoea, bloody, slimy expectoration; decubitus, ulcers inflamed, red, with black borders; haemorrhages, blood dark and particles looking like charred straw; coolness of extremities.
Lachesis and lachesis alone covers all the above symptoms found in ebola victims.
SYMPTOMS AND HOMOEO REMEDY FOR EPIDEMIC EBOLA
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