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Dr. Nagasaye

General Physician, Chennai

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Dr. Nagasaye General Physician, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Nagasaye is one of the best General Physicians in Saligramam, Chennai. You can meet Dr. Nagasaye personally at VHM Hospital Pvt. Ltd. in Saligramam, Chennai. You can book an instant appointment online with Dr. Nagasaye on has an excellent community of General Physicians in India. You will find General Physicians with more than 26 years of experience on 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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VHM Hospital Pvt. Ltd.

No.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur


Decades ago addiction was a pharmacologic term that clearly referred to the use of a tolerance-inducing drug in sufficient quantity as to cause tolerance (the requirement that greater dosages of a given drug be used to produce an identical effect as time passes). With that definition, humans (and indeed all mammals) can become addicted to various drugs quickly. Almost at the same time, a lay definition of addiction developed. This definition referred to individuals who continued to use a given drug despite their own best interest. This latter definition is now thought of as a disease state by the medical community.
Physical dependence, abuse of, and withdrawal from drugs and other miscellaneous substances is outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR). Unfortunately, terminology has become quite complicated in the field. To wit, pharmacologists continue to speak of addiction from a physiologic standpoint (some call this a physical dependence); psychiatrists refer to the disease state as dependence; most other physicians refer to the disease as addiction. The field of psychiatry is now considering, as they move from DSM-IV to DSM-V, transitioning from "dependence" to "addiction" as terminology for the disease state.
The medical community now makes a careful theoretical distinction between physical dependence (characterized by symptoms of withdrawal) and psychological dependence (or simply addiction). Addiction is now narrowly defined as "uncontrolled, compulsive use"; if there is no harm being suffered by, or damage done to, the patient or another party, then clinically it may be considered compulsive, but to the definition of some it is not categorized as "addiction". In practice, the two kinds of addiction are not always easy to distinguish. Addictions often have both physical and psychological components.
There is also a lesser known situation called pseudo-addiction.{(Weissman and Haddox, 1989}} A patient will exhibit drug-seeking behavior reminiscent of psychological addiction, but they tend to have genuine pain or other symptoms that have been undertreated. Unlike true psychological addiction, these behaviors tend to stop when the pain is adequately treated.
The obsolete term physical addiction is deprecated, because of its connotations. In modern pain management with opioids physical dependence is nearly universal. While opiates are essential in the treatment of acute pain, the benefit of this class of medication in chronic pain is not well proven. Clearly, there are those who would not function well without opiate treatment; on the other hand, many states are noting significant increases in non-intentional deaths related to opiate use. High-quality, long-term studies are needed to better delineate the risks and benefits of chronic opiate use.
Not all doctors agree on what addiction or dependency is, because traditionally, addiction has been defined as being possible only to a psychoactive substance (for example alcohol, tobacco and other drugs) which ingested cross the blood-brain barrier, altering the natural chemical behavior of the brain temporarily. Many people, both psychology professionals and laypersons, now feel that there should be accommodation made to include psychological dependency on such things as gambling, food, sex, pornography, computers, work, exercise, cutting, and shopping / spending. However, these are things or tasks which, when used or performed, cannot cross the blood-brain barrier and hence, do not fit into the traditional view of addiction. Symptoms mimicking withdrawal may occur with abatement of such behaviors; however, it is said by those who adhere to a traditionalist view that these withdrawal-like symptoms are not strictly reflective of an addiction, but rather of a behavioral disorder. In spite of traditionalist protests and warnings that overextension of definitions may cause the wrong treatment to be used (thus failing the person with the behavioral problem), popular media, and some members of the field, do represent the aforementioned behavioral examples as addictions.
In the contemporary view, the trend is to acknowledge the possibility that the hypothalmus creates peptides in the brain that equal and/or exceed the effect of externally applied chemicals (alcohol, nicotine etc.) when addictive activities take place [citation needed]. For example, when an addicted gambler or shopper is satisfying their craving, chemicals called endorphins are produced and released within the brain, reinforcing the individual's positive associations with their behavior.
Despite the popularity of defining addiction in medical terms, recently many have proposed defining addiction in terms of Economics, such as calculating the elasticity of addictive goods and determining, to what extent, present income and consumption (economics) has on future consumption.
Varied forms of addiction
Physical dependency
Physical dependence on a substance is defined by the appearance of characteristic withdrawal symptoms when the substance or behavior is suddenly discontinued. While opioids, benzodiazepines, barbiturates, alcohol and nicotine are all well known for their ability to induce physical dependence, other categories of substances share this property and are not considered addictive: cortisone, beta-blockers and most antidepressants are examples. So, while physical dependency can be a major factor in the psychology of addiction and most often becomes a primary motivator in the continuation of an addiction, the initial primary attribute of an addictive substance is usually its ability to induce pleasure, although with continued use the goal is not so much to induce pleasure as it is to relieve the anxiety caused by the absence of a given addictive substance, causing it to become used compulsively. A notable exception to this is nicotine. Users report that a cigarette can be pleasurable, but there is a medical consensus [citation needed] that the user is likely fulfilling his/her physical addiction and, therefore, is achieving pleasurable feelings relative to his/her previous state of physical withdrawal. Further, the physical dependency of the nicotine addict on the substance itself becomes an overwhelming factor in the continuation of most users' addictions. Although 35 million smokers make an attempt to quit every year, fewer than 7% achieve even one year of abstinence (from the NIDA research report on nicotine addiction).[citation needed]
Some substances induce physical dependence or physiological tolerance - but not addiction - for example many laxatives, which are not psychoactive; nasal decongestants, which can cause rebound congestion if used for more than a few days in a row; and some antidepressants, most notably venlafaxineparoxetine and sertraline, as they have quite short half-lives, so stopping them abruptly causes a more rapid change in the neurotransmitter balance in the brain than many other antidepressants. Many non-addictive prescription drugs should not be suddenly stopped, so a doctor should be consulted before abruptly discontinuing them.
The speed with which a given individual becomes addicted to various substances varies with the substance, the frequency of use, the means of ingestion, the intensity of pleasure or euphoria, and the individual's genetic and psychological susceptibility. Some alcoholics report they exhibited alcoholic tendencies from the moment of first intoxication, while most people can drink socially without ever becoming addicted. Studies have demonstrated that opioid dependent individuals have different responses to even low doses of opioids than the majority of people, although this may be due to a variety of other factors, as opioid use heavily stimulates pleasure-inducing neurotransmitters in the brain. The vast majority of medical professionals and scientists agree that if one uses strong opioids on a regular basis for even just a short period of time, one will most likely become physically dependent [citation needed]. Nonetheless, because of these variations, in addition to the adoption and twin studies that have been well replicated, much of the medical community is satisfied that addiction is in part genetically moderated. That is, one's genetic makeup may regulate how susceptible one is to a substance and how easily one may become psychologically attached to a pleasurable routine.
Eating disorders are complicated pathological mental illnesses and thus are not the same as addictions described in this article. Eating disorders, which some argue are not addictions at all, are driven by a multitude of factors, most of which are highly different than the factors behind addictions described in this article.

I can stay for the first time I had sex with my partner around 3 minutes. And for the second time 15 minutes. I want to stay longer for the first time only.

Homeopath, Sindhudurg
I can stay for the first time I had sex with my partner around 3 minutes. And for the second time 15 minutes. I want ...
You need to take treatment as well have to do kegel exercise. .you can consult me for further treatment and help.
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Hello, In this Holy Month of Ramzan, breaking the fasting with Cold Drinks, is it harmful or useful?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
In this Holy Month of Ramzan, breaking the fasting with Cold Drinks, is it harmful or useful?
Hello lybrate user drinking cold water or cold drink is not a healthy habit you cantake normal water ,take khajur etc which r good n have high nutritive value
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Any time my nose are bleeding and blood wasted in summer day every minutes blooding my nose what am I do?

ENT Specialist, Bangalore
Hi. You need to be examined once to rule out any bleeding from little's area, atrophic rhinitis, dns etc. Then only you can be put on specific treatment.
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I met a road accident 2 years ago. I had a hairline fracture on my skull but from then I have not been able to smell things. I am not able to catch neither fragrance nor smell of various products.

General Physician, Fatehabad
Hi lybrate-user, here are few of the natural ways to improve your sense of smell. 1. Get Your Vitamin D - You also can get your daily supply of Vitamin D naturally -- from the sun. Spend 15 to 20 minutes a day in the sun, with your arms exposed, if possible. That should give you all the Vitamin D you'll need. You should also consider taking Vitamin D supplements, especially during the winter months. 2. Stop Using Nasal Medication with Zinc - check any intranasal medications you may use – if zinc is involved, it may be part of the problem. 3. Try Acupuncture.
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Iam suffering from migraine and severe headache what should I do to avoid this problem?

MBBS, Diploma in cosmetology, Cc USG
General Physician, Gurgaon
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 kindly consult Physician for further management
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My 4 and 1/2 years daughter has pass urine with blood. And she avoid going to toilet. Plzz help me to cure her.

MD- Ayurveda
Ayurveda, Navi Mumbai
My 4 and 1/2 years daughter has pass urine with blood. And she avoid going to toilet. Plzz help me to cure her.
Dear Lybrate user this could be possibly due UTI (urinary tract infection) and please rule out any recent history of injury. For that please go for tests * Urine R/E and Culture and sensitivity to rule out any infections. Thank you.
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Hey, I've been thinking of considering rhinoplasty for a few years now, I'm soon going to be 17 (Male) and my nose is very large. Enough to spoil my looks and is the most noticeable part of my face. I am writing here so I could understand if my nose can positively be rectified through plastic surgery and what would be the estimate cost for it. It would be great if you could give me an estimate cost of the surgery before any appointments so I can discuss it my parents to move forward. Hopefully I could get a few answers from experienced surgeons so it could give me an idea. Thanks a lot!

MBBS, Diploma In Otorhinolaryngology (DLO)
ENT Specialist, Bangalore
Hey, I've been thinking of considering rhinoplasty for a few years now, I'm soon going to be 17 (Male) and my nose is...
Any Aesthetic Surgery, the costs will vary depending upon who will operate upon you and where you get operated. The exact procedure also vary depending upon the individual nose requirements. This requires you to meet a Rhinologist or a Plastic Surgeon and after the examination, you will get an estimate. Cost is the least of your problems! You will practically have to take rest at home for at least 2-3 months after the surgery. At the present, as you are a student, I do not believe you can afford that much time off from your studies! So, focus on your studies for the time being and once you have completed all your studies, then you could plan the surgery.
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My friend needs to enlarge his dick. What all things he should do to enlarge and increase the girth of his penis.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
My friend needs to enlarge his dick.
What all things he should do to enlarge and increase the girth of his penis.
Hi lybrate-user size of penis depends upon many factors. This exercise will help you grasp the head of your phallus (glans) firmly. Pay attention not to cut off too much blood circulation (you should not feel any discomfort). Pull and stretch it outwards in front of you with enough force to feel painless stretch inside the shaft and base of your willy. Hold it in that position for 10 to 30 seconds. Rest for a while and then repeat. Do this daily for 5 to 10 minutes.
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