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Dr. Naufal Rifwan

General Physician, Chennai

Dr. Naufal Rifwan 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. Naufal Rifwan
Dr. Naufal Rifwan is a popular General Physician in Kilpauk, Chennai. He is currently practising at TOSH Hospitals in Kilpauk, Chennai. You can book an instant appointment online with Dr. Naufal Rifwan on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 26 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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TOSH Hospitals

72, Ormes Rd, Kilpauk. Landmark:Opp.Mammy Daddy Bus Stop&Near to PSI Pain School, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi I am 36 years old man. I have body ache headache from last 2 day. Feeling so much energy loss.

MD
General Physician, Delhi
Give crocin tablet three times a day. Record fever if present, write to me in private, for follow up.

Why my sperm come out within 1 to 2 mind when intercourse. Why penis feel the pain n don't erect too long.

PDDM, MHA, MBBS
General Physician, Nashik
Why my sperm come out within 1 to 2 mind when intercourse. Why penis feel the pain n don't erect too long.
First thing you should do is to get rid off anxiety and stress as those are main offenders in many. You can try any of the following methods. You can do squeeze and stop technique. You can stimulate your partner to maximum before getting yourself stimulated. You can deviate your thought to something nonsexual when you about to near ejaculation. You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation. Hope this may help you. Let me know if you have any further query.
3 people found this helpful
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Sir mujhe 10 dino se jhukaam ho gya h. Me papa ceta mole liya hu. But abhi thik nhi ho pa rha hu. Kya karu. Kuch upaay bataye. Koi thik si tablet.

MBBS, MBA (Healthcare)
General Physician, Delhi
honitus cough syrup 2 tsf 2 times a day. if not ok. consult physician.. sinarest one tab at night for 3 days.
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My body is very week. My hands always keep shivering while doing any job like drawing and holding something. Even will doing namaze my legs shivers. Please help me out. I am very much worrying about my future.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Pl. Avoid stress. Checkup vit. D3, vit. B12, thyroid profile and consult again. Eat protein diets. Juice.
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Which ayurvedic medicine is best in use fr ED n available at market also give better n fast result pls rply.

LCPS, BAM&S
General Physician, Pune
Which ayurvedic medicine is best in use fr ED n available at market also give better n fast result pls rply.
ED is not a condition where one drug will turn things on. You got to see a doctor and get examined. Ayurveda offers lot of drugs. But they have to be modified for individuals. Hence on examination doctor choose the medication. So see a good physician.
1 person found this helpful
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I am 22 year old after 2 years I am getting marriage but my penis is small. Pls help me how I grow my cock upto 6 or 7 inches.

BAMS
Ayurveda, Sonipat
I am 22 year old after 2 years I am getting marriage but my penis is small. Pls help me how I grow my cock upto 6 or ...
Use ayurvedic treatment consult online to me now you take baniyan tree milk 4-5 drop batasha at morning before sunrise.
1 person found this helpful
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I got my urine checked. LEUKOCYTES read as 4-5, there is urine infection. Please advise with medication. Other parameters are negative.

MBBS
General Physician, Cuttack
I got my urine checked. LEUKOCYTES read as 4-5, there is urine infection. Please advise with medication. Other parame...
Leucocyte 4-5 does not indicate urinary tract infection. If you are having frequency of urination with burning sensation while passing urine,get urine culture and sensitivity test done after consulting doctor.
2 people found this helpful
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Actually I am suffering from headaches last few month. So can you suggest me some healthy advice.

BAMS
Ayurveda, Bangalore
Actually I am suffering from headaches last few month.
So can you suggest me some healthy advice.
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

It is difficult to distinguish between allergy symptoms allergic rhinitis and sinusitis. This is no small problem. Of all the chronic diseases from which we suffer, allergic rhinitis is the most common. Approximately 30 million Indian or 15% of the Indian, population suffer from allergic rhinitis. Sinusitis, on the other hand, is one of the most common complications of allergic rhinitis. The problem with differentiating these two conditions occurs, because allergic rhinitis and sinusitis may both present with the same symptoms, such as fatigue, runny nose, chronic cough, congestion, post nasal drainage, headaches, facial or teeth pain, loss of taste or smell, and difficulty sleeping. Asthma, the other major complication of allergic rhinitis, is a lower airway lung disease that may present with cough, shortness of breath, and chest tightness, and in some studies, up to 40% of patients with allergies, have asthma.

Think then of a triangle: with allergic rhinitis on the left, causing sinusitis on the right, and both conditions causing asthma on the bottom. All three conditions can occur separately, but are closely interconnected. Remember that sinuses are simply empty cavities that surround the eyes. Air must be present in the sinuses to allow the linings of the sinuses to breathe and this is accomplished via small openings from the sinuses into the nasal passages. These openings also allow mucous from the sinuses to naturally drain into the nasal passages. If anything causes a blockage of the openings, the lack of air causes linings to use up the surrounding air supply, and like a vacuum, the resulting negative pressure will draw fluid out of the sinus linings. Fluid may then collect and fill the sinuses, which allows for bacteria to grow and cause infections. This can lead to facial pain, infected post nasal drainage and headaches. With increasing inflammation and thickening of the sinus linings, swollen tissue may round up and form nasal polyps that may cause and lead to loss of taste and smell.

Allergic rhinitis and common viral colds are the leading causes of sinusitis, and the history and physical examination will help your provider distinguish the two conditions. Allergic rhinitis may be seasonal, lasting weeks, months or even year round, and is caused by pollen, dust mites. Fever and discolored nasal drainage are uncommon, unless sinusitis is also present. Conversely, typical viral colds last 3-7 days, so any fever, discolored drainage, sore throat, headache or fatigue lasting longer that 7 days is very unlikely to be a simple viral cold, and is most probably sinusitis. On physical examination, patients with allergic rhinitis and sinusitis may both have dark circles under the eyes (shiners), swollen, pale nasal tissue, congestion and discharge. Patients with sinusitis, however, may also have discolored discharge. Studies have shown that greater than 50-75% of allergic adults and children with asthma have abnormal sinus, and asthmatic symptoms did not improve until the sinusitis is treated completely.
ALLERGIC RHINITIS
Most patients 10-20% of the population with sneezing, congestion, runny and itchy nose rhinitis, postnasal drip and itchy, red eyes during spring and fall have allergies to seasonal pollens. A high percentage of allergic individuals will be children. Whether someone will develop

Allergies depends on two factors: (1) Hereditary - Is there a family history of allergy?
(2) Environmental- Is the individual old enough and been exposed to enough pollen? Symptoms due to allergies may be severe enough to cause a loss of time from work and school.

Interestingly, a percentage of patients with classic symptoms will be absolutely and unequivocally negative on skin testing. Allergy injections are not indicated and not possible, because these patients are not allergic. And yet patients are just as symptomatic, and just as miserable as the rest of us. How is this possible and what treatment is available?
Definition and Pathophysiology
The diagnosis of rhinitis without positive skin tests is divided into two subgroups. One subgroup, non-allergic rhinitis with eosinophilia, presents with allergy symptoms in addition to conditions such as nasal polyps and nasal eosinophilia, asthma and frequently sinusitis. The other subgroup, vasomotor rhinitis, presents with symptoms, especially congestion, but lacks other associated conditions.

The nasal mucosal lining has a rich blood supply that is under the control of the nervous system called the autonomic nervous system. Nonspecific stimuli such as rapid changes in weather, temperature and humidity, drafts, exposure to chemicals, odors, perfumes, smoke and dust, emotions or stress may increase blood flow to tissue, resulting in swelling, congestion and rhinitis. A significantly deviated septum may induce changes in the mucosa, worsen the non-allergic or vasomotor rhinitis and cause more nasal congestion and drainage. Hormonal changes that occur with pregnancy, menstruation, menopause, hypothyroidism and oral contraceptives may cause symptoms of chronic non-allergic rhinitis.
Clinical Features
Patients complain of chronic nasal congestion, rhinitis, postnasal drip and sneezing. Congestion and blockage may alternate from side to side and are usually constant, though seasonal weather changes may trigger symptoms that mimic dust allergies. Symptoms may be worse upon awakening in the morning. Examination reveals marked pink or pale nasal swelling obstruction and thick nasal secretions. In all cases, skin tests are negative. Patients with non-allergic but not vasomotor rhinitis will have eosinophils present in nasal secretions and frequently nasal polyps complicating the obstruction.
SINUSITIS
Sinusitis
Sinusitis is an infection or inflammation of sinuses. Sinuses are the air-filled pockets or spaces found in the bones of face, around eyes and nose. They produce mucus, which, under normal circumstances, drains into the nose. Normally the sinuses produce about 1.5 litres of mucus a day and the quantity increases during allergy, inflammation and infection and this also changes the character of the mucus. Infection of sinuses is one of the common health care complaints.

Pathology
Sinusitis occurs when the mucus-producing lining of sinuses become inflamed and block the opening of the sinuses. Due to this, foreign material cannot get out, oxygen levels drop within the sinus and bacteria in the nasal cavity slither into the sinuses causing the sinus walls to swell and fill with pus. If the infection does not subside, the body sends in disease-fighting cells to kill the bacteria, which in turn can do considerable damage to the sinus walls. These defender cells can damage the cilia, the hair-like structure in the sinuses that help expel foreign matter. In addition, scarring can be caused which can result in the formation of sores.

Causes of Sinusitis

Infection due to bacteria, virus, fungi
Allergy: Most commonest causes are dust, animal dander, smoke, food and pollutants
Upper respiratory tract infection such as common cold or flu
Nasal polyps
Nasal Septum deviation
Chronic tonsillitis and adenoiditis
Climatic factors like sudden temperature changes
Swimming in infected water
Low immunity
Dental causes like an abscessed or badly decayed tooth, following dental treatment
Diseases like diabetes and HIV can create a predisposition to sinusitis

Symptoms of sinusitis

Nasal congestion leading to nasal obstruction, difficulty breathing through the nose
Thick nasal discharge (may be yellowish or greenish in colour in case of infection)
Sensation of fullness in the face
Sensation of pressure behind the eyes
Postnasal drip
Cheeks feel tender and pain may be similar to toothache in upper jaw
Mild fever and headache over one or both eyes (if frontal sinuses are affected)
Headache is usually worse in the mornings and made sharper by bending forwards
Sore throat
Foul smell in nose
Nasal sounding speech
Possibly, pus-like nasal discharge
Dry tickling cough
Tiredness

Asthmatic Attack
In the initial stage there is an asthmatic aura sometimes sneezing, flatulence, Drowsiness or restlessness irritability will be present. There can be a dry cough along with wheezing breathlessness these are some of the symptoms before the actual asthmatic attack.

Sense of oppression in the chest suddenly in the middle of the night is experienced.
There is a sense of suffocation and the patient leans forward fighting for his breath; or he may go to the open window to relieve the suffocation.
Anxiety, perspiration, cold extremities and cyanosis might be present.
Wheezing is present and can be heard from a distant.
In severe airways obstruction airflow maybe so reduced that the chest is almost silent on auscultation.
Inspiration is short and high pitched while the expiration is prolonged. On auscultation there are plenty of rhonchi and rales heard.
Termination is spontaneous or due to medication. As the bronchial spasm is less the patient is able to breathe and he can also cough which brings out viscid sputum which relieves him.
The duration of the attack varies from a few minutes to hours. The attacks can last for many hours in paroxysms this state is known as Status asthmaticus. In this state the patient has to be admitted to the hospital so that he can be supplied with oxygen and other auxiliary methods of treatment

For many patients with asthma, the concern that this “reversible” though serious, potentially life-threatening persistent lung disease may progress into emphysema, is real and worrisome. After all, asthma along with emphysema and chronic bronchitis, the latter two conditions known as Chronic Obstructive Pulmonary Diseases (COPD), all have inflammation with airway narrowing, mucus production and airway obstruction. Homeopathy Management

Suppression of colds by high doses of conventional medicine leads to recurrent attacks. When you use a groom to clean your room, do you push all the dust in a corner of the room or collect it and throw away? It is a common sense that if you push to the corner of the room, in due course the dust will spread in the entire room again and make it dirtier. Same is the case with the disease affecting your body. If you suppress the disease, where will it go? It will remain in dormant state inside the body and express itself again when the body meets any of the allergic triggers. The homeopathic medicines however through the principle of “like cures like” stimulate the vital force and immunity in order to enhance the body’s capacity to repel further allergies and infections. The constitutional medicines that are found by considering the physical, mental, and emotional aspects of an individual can only lead him on the road of permanent recovery from those allergic spells. Not only these medicines cater the problem of allergy but also impart great health on all planes, as it treats the patient as a whole and not just his disease.
5 people found this helpful

I take medicine for depression and the side effect is constipation. Please help me how can I copeup with this. If any medicine can help? As I do lot of exercise and yoga but it is not helping me .

MS - General Surgery
General Surgeon, Bikaner
I take medicine for depression and the side effect is constipation. Please help me how can I copeup with this. If any...
Increase amout of fiber in your diet like pomegranate, cucumber green salad. If not relieve than go for medication like lactulose syrup or lacticol etc.
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Doctor I am suffering from Cold, Cough, Headache & Body pain please help me find a solution.

MD - General Medicine, PG in Diabetology, PG Diploma In Clinical Cosmetology (PGDCC)
General Physician, Asansol
Doctor I am suffering from Cold, Cough, Headache & Body pain please help me find a solution.
If you frequently suffering from cold ,cough & headache, most probably it is due to sinusitis or allergy, you should consult with ENT for proper diagnosis & body pain is unpleasant sensation that is triggered by the nervous system and is depending on many factor eg- environmental, biological emotional, cognitive, etc. So for this problem consult with a local physician for best judgement. Good luck.
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My problem is acidity and headache. Doctor says it is pitta dosha. Taking medicines is not working. Should I do panchakrma - virechan? If yes, which is the best place to get that done in Thane, Maharashtra.

MBBS
General Physician, Mumbai
My problem is acidity and headache. Doctor says it is pitta dosha. Taking medicines is not working.
Should I do panch...
Can contact chirayu clinic for panchkarma and I will suggest you to avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.
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Male infertitly

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
Male infertitly
Male infertility
What is male infertility?
Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive.
A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.
Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.
How common is male infertility?
Infertility is a widespread problem. For about one in five infertile couples the problem lies solely in the male partner. The reasons of male infertility is found out so because due to changing of fast new lifestyle.It is estimated that one in 20 men has some kind of fertility problem with low numbers of sperm in his ejaculate. However, only about one in every 100 men has no sperm in his ejaculate.
What are the symptoms of male infertility?
In most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye.
Medical tests are needed to find out if a man is infertile.
What causes male infertility?
Male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the doctor may be able to find the cause of the problem. About two-thirds of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that are made do not work properly. Sperm transport problems are found in about one in every five infertile men, including men who have had a vasectomy but now wish to have more children. Blockages (often referred to as obstructions) in the tubes leading sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen. Other less common causes of infertility include: sexual problems that affect whether semen is able to enter the woman’s vagina for fertilisation to take place (one in 100 infertile couples); low levels of hormones made in the pituitary gland that act on the testes (one in 100 infertile men); and sperm antibodies (found in one in 16 infertile men). In most men sperm antibodies will not affect the chance of a pregnancy but in some men sperm antibodies reduce fertility.

Known causes of male infertility
1.Sperm production problems

• Chromosomal or genetic causes
• Undescended testes
(failure of the testes to descend at birth)
• Infections
• Torsion (twisting of the testis in scrotum)
• Varicocele (varicose veins of the testes)
• Medicines and chemicals

• Infections
• Prostate-related problems
• Absence of vas deferens
• Vasectomy


2.Sexual problems
(erection and ejaculation problems)
• Retrograde and premature ejaculation
• Failure of ejaculation
• Erectile dysfunction
• Infrequent intercourse
• Spinal cord injury
• Prostate surgery
• Damage to nerves
• Some medicines


3.Hormonal problems
• Pituitary tumours
• Congenital lack of LH/FSH (pituitary problem from birth)
• Anabolic (androgenic) steroid abuse


4.Sperm antibodies
• Vasectomy
• Injury or infection in the epididymis
• Unknown cause

How is male infertility diagnosed?
If a couple has been trying for a pregnancy without success, they should go to their local doctor, family planning clinic or women’s health clinic, and have some initial tests. Both partners should be tested, even if one has a child from another relationship. Diagnosis can involve a medical history from the man and a physical examination along with a semen analysis to check the number, shape and movement of sperm in the ejaculate.
Blood tests may also be done to check the levels of hormones that control sperm production. Genetic investigations and testicular biopsies are also done.
How is male infertility treated?
One in eight infertile men has a treatable condition, and after treatment, couples can become pregnant naturally.
In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man’s sperm count is very low.
What is ICSI?
Intracytoplasmic sperm injection (ICSI) is a form of IVF where a single sperm is placed directly into each egg by piercing the outer covering of the egg. ICSI is particularly helpful for men with poor sperm production. Sperm are collected from the semen or removed carefully from the testis or epididymis
Can I do anything to prevent male infertility?
It is best to avoid cigarette smoking, excess alcohol, sexually transmitted infections, heat stress from tight fitting underwear, and anabolic steroids (taken for body building or sporting purposes) as these factors can be harmful to the production of sperm.If you work in an occupation that may affect your fertility, it’s important to wear protective clothing and follow all occupational health and safety guidelines. It is recommended that couples trying to conceive avoid exposure to any possibly harmful chemicals.Because of the possible effects on fertility, it’s important to tell your doctor if you have had hormone treatment or had surgery as a child to move your testes into the scrotum.


Can older age cause male fertility problems?
Healthy men in their 70s and beyond can still father children, however the time taken for a partner to become pregnant is longer when a man is middle-aged or older. Reasons for this may include a decrease in sexual activity, lower semen volume, changes to sperm motility (movement), a lower number of motile sperm, and possibly lower sperm function and DNA quality.
The chance of the child having some genetic or chromosomal problem is also increased for older men.
What emotions might a man experience when diagnosed with infertility?
Men may be shocked when they find out they are infertile. There is still a common but incorrect belief that infertility is a woman’s problem. Therefore, when men are told there is a sperm problem, they are often unprepared. Being told that there is a sperm problem can affect a man’s sense of masculinity, sexuality and potency. Most infertile men at some time struggle with the idea that they are not able to do what other men can.
An emotional response to infertility is normal. Talking with a doctor or a sexual therapist or counsellor can help men with their feelings about infertility.





















16 people found this helpful

I had a perianal abscess for which I have undergone incision and drainage 4 days ago. What are the precautions I should take to avoid recurrence or a fistula.

MBBS
General Physician, Delhi
Sitz bath is a wonderful remedy in relieving the pain. It not only gives a soothing sensation and provides relief from pain but it also helps in keeping the perianal region clean. And you can also talk to your treating doctor.
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Sir my son is aged four and half years he is healthy and going school. But he has the problem of bed wetting especially in the afternoon when he sleep he make bed wet compared to night. Night really make bed wet. So please tel any remedy please I am worried about it.

M. Ch. (Urology)
Urologist, Tirupati
Sir my son is aged four and half years he is healthy and going school. But he has the problem of bed wetting especial...
U have to observe at what time he is passing urine. U wake up fifteen min before and make your boy pass urine. Soon he will stop bedwetting. If still have problem meet near by urologist.
2 people found this helpful
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Sir, my present age is 54 years. How it will be helpful to grow the penis at this age? Though I have been taking this piles since 15 day, I am not feeling any effect.

MBBS, MD - Community Medicine
General Physician, Jaipur
Sir, my present age is 54 years. How it will be helpful to grow the penis at this age? Though I have been taking this...
Hi, Penis size is something about which most of the men are obsessed because they don’ t have proper knowledge about the size of their organs. It is important to know that size of penis doesn’t matters unless it is too small to perform sexual intercourse. Sperm count/ volume, penis size (if it does not hinder sexual intercourse), scrotum size, duration of ejaculation has nothing to do with sexual life and stamina. Heart-healthy behavior is penis-healthy behavior. You should quit smoking, eat more low-cholesterol foods, and get plenty of regular cardio exercise—particularly squats, hip thrusts, and leg lifts—to send blood rushing to the pelvic and gluteal area.
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If we do masturbation in a day what affects to our body Some says that pimples will come is it true? Please suggest me some ways so that I can take some necessary steps to improve it.

MBBS
General Physician, Mumbai
If we do masturbation in a day what affects to our body Some says that pimples will come is it true?
Please suggest m...
Pimples don't come due to mastubation but stop mastubation because it will lead to psychatric disturbance in near future and so involve your self in some kind of work and stop watching porn video.
4 people found this helpful
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My body is all time lose feeling and my head is pain. What should i do? Please tell me.

MBBS, cc USG
General Physician, Gurgaon
My body is all time lose feeling and my head  is pain. What should i do? Please tell me.
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.
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