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Dr. Preetam Arthur

General Physician, Chennai

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Dr. Preetam Arthur General Physician, Chennai
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Personal Statement

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. Preetam Arthur
Dr. Preetam Arthur is one of the best General Physicians in Ashok Nagar, Chennai. He is currently practising at Pallava Hospital in Ashok Nagar, Chennai. You can book an instant appointment online with Dr. Preetam Arthur 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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English

Location

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Pallava Hospital

#19 A, 1ST Avenue, Ashok Nagar. Landmark: Opp To Karaikudi Restaurant, ChennaiChennai Get Directions
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I am 30 years male I have a one problem regarding about my sexual life. When the time of having sex early outing what should I do.

BHMS
Homeopath, Raebareli
I am 30 years male I have a one problem regarding about my sexual life. When the time of having sex early outing what...
Please use -- natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation. Also take a dose of acid phos 1m/single dose and revert after 2 weeks. Avoid watching porn.
6 people found this helpful
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My penis head skin was not cut in childhood. Now when I do sex with my wife its skin goes back and stay there is it a bad sign? Do I need pull it to front? Is it a problem? What I need to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
My penis head skin was not cut in childhood. Now when I do sex with my wife its skin goes back and stay there is it a...
It is a natural course n shape. Keep the penis n the skin clean after sexual act. Cutting the skin is normally a part of Islamic rituals. your name indicate that you r not a muslim, so circumcission was not necessary for u.
2 people found this helpful
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What medications are best for the treatment of asthma? What are their side effects?

MD - Paediatrics, MBBS
Allergist/Immunologist, Kollam
What medications are best for the treatment of asthma? What are their side effects?
DEAR SOWNITH , ASTHMA IS BEST MANAGED BY INHALED MEDICATIONS USING A SPACER DEVICE WITH STRICT ADHERANCE TO THE TREATMENT PLAN AND REGULAR FOLLOW UP.YOU CAN USE A PREVENTER TWICE DAILY WHICH IS A COMBINATION OF BRONCHIAL AIRWAY DIALATOR AND INHALED STERIODS IN A MICRO DOSE AS AN AEROSOL ,AND RELEIVER IS A SHORT ACTING BRONCHIAL AIRWAY DIALATOR DURING AN ACUTE ATTACK. STUDIES HAVE SHOWN MINIMAL DECREASE IN LINEAR GROWTH IN CHILDREN WHO ARE ON LONG TERM USE OF INHALED STEROIDS AT HIGH DOSES ,FEW REPORTS OF SKIN PIGMENTATION,HOARSE VOICE .HOWEVER THE BENEFITS OF INHALED THERAPY FAR OUTWEIGH THE RISKS .THANKYOU
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If someone is pregnant we should do sex in pregnancy or not If yes then how many month we can do We should do sex with condom or without condom.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Sex during pregnancy is fine. There is no harm to the baby. Till third trimester, later it may become a bit uncomfortable. Thanks.
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Have fever over 100 and cough and vomiting and sneezing and pain in chest and in legs so what medicine should I take.

MBBS, cc USG
General Physician, Gurgaon
Have fever over 100 and cough and vomiting and sneezing and pain in chest and in legs so what medicine should I take.
Follow health advises given below: measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food(If No drug allergy) as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days 3. Lot of fluids to be taken 4. Take proper diet homemade food like moong dal dalia, chapati etc. 5. steam inhalation carefully by steam inhaler twice a day for 2-3 days Consult privately for further management
1 person found this helpful
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Sometimes I have pain in my heart and I then I have problem in breathing so plzzz suggest me what I do?

MD, DYA, PGDCR
Ayurveda, Nashik
Sometimes I have pain in my heart and I then I have problem in breathing so plzzz suggest me what I do?
Plz apply warm mahanarayan oil to your chest daily. Take Tablet Lakshmivilas Ras 2-2 after meals. please consult for other details.
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Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions

Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

13 people found this helpful

I am 22 years old I hve pcos and thyroid problem now I am planning for pregnancy my doc gave me meprate for day 16 to day 25 of my cycle and folic acid for 6 months bt after taking meprate I get periods bt does not looks like normal bleeding I get light and brownish discharge I took pregnancy test it shows negative is this normal or any complications in pregnancy shall I continue this or not.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 22 years old I hve pcos and thyroid problem now I am planning for pregnancy my doc gave me meprate for day 16 to...
Yes its normal as you have pcod & thyroid, that is why your cycle is irregular and you had scanty bleeding. If you are not taking medicine to correct thyroid and pcos then start taking after consulting doctor. Along with the medicine do regular exercise for weight loss as it will help correct pcos. Also take adequate nutritious diet with fruits vegetables and dairy products. Quit coffee, canned & fried oily food.
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I am a 72 yr male. I am a diabetic (for last 4 yrs) and hypertensive for last 24 yrs. I have developed umbilical hernia around 4 years ago. I have no pain. Keeping normal health in general. What should I do for hernia? please Advise.

MBBS, DGO (cal)
General Physician,
Operation is the curative treatment. As you said you have good health, 72 years age is not a hindrance for operation. Now a days they operate with laparoscope, that causes minimum trauma. You consult a surgeon who does this by laparoscope and take his/her advice.
1 person found this helpful
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Can I drink (Nestle resource high protein health drink) after eating rice & dal at the morning?

Diploma In Human Nutrition, Certified Diabetes Educator, Diploma in Holistic Nutrition, Diploma in Sport & Exercise Nutrition, Lifestyle Medicine, BSc
Dietitian/Nutritionist, Bangalore
Can I drink (Nestle resource high protein health drink) after eating rice & dal at the morning?
Protein drinks should be taken either empty stomach post -workouts. You are taking high carb breakfast and then want to have protein. It will not help. Also it will not help if you are not exercising.
4 people found this helpful
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