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Dr. Shakira

General Physician, Chennai

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Dr. Shakira General Physician, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shakira
Dr. Shakira is an experienced General Physician in Perambur, Chennai. Doctor is currently practising at Begum Shafia Nazeer Hussain Trust Hospital in Perambur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shakira on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 27 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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Begum Shafia Nazeer Hussain Trust Hospital

No.25, Jamalia Nagar, Perambur. Landmark: Near Jamalia Bus Stand, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Pain in ryt chest since 1 mnth Pain in back rut side Pain in left upr limb radial side.

MBBS
General Physician, Jalgaon
Pain in ryt chest since 1 mnth
Pain in back rut side
Pain in left upr limb radial side.
Please It seems to be musculoskeletal pain Avoid heighted pillow Do neck and back exercises daily Or Do physiotherapy of cervical spine, right shoulder Take Tab hifenac TH 10 1 1 Tab pantop 5 1 Cap meganeuron OD plus 5 1 Apply ibugesic nano gel Twice a day Re Consult after 5 days.
1 person found this helpful
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Kuch medicines leke premature and erectile dsyfunction ka jad se ilaj ho sakta hai?

BAMS, PG Diploma (Sexual Therapy), PG Certificate (Cosmetology & Laser Therapy), PG Diploma in sexology, psychosexual medicine, infertility, Fellowship in Sexology, Fellowship in Medical Trichology, Fellowship in Clinical Cosmetology, Advance Medical Skin Aesthetics and Laser, PG Diploma in clinical Cosmetology, PG Diploma in Medical Trichology, Hair Transplant Assistant, OZONE THERAPY, MD-BIO CHEMIC MEDICINE
Sexologist, Kolhapur
Kuch medicines leke premature and erectile dsyfunction ka jad se ilaj ho sakta hai?
Yes, but ye treatment temporary hoti hai app ko saath me sex therapy ka bhi use karna chahiye. Sex therapy 1-- kegal exercise is best solution for all sexual problems 2-- start and stop method 3--squeeze technique 4-- increasing for play 5--female top position 6-- applying anesthetic jelly 7-- use two condoms.
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My hands shivers consistently, due to which I am unable act anywhere. May I know why it is so?

BPTh/BPT
Physiotherapist, Delhi
Ensure you maintain a normal salt level in your body. You can also start with multivitamins and minerals earliest.
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I have not Broken up with my gf but she is too much careless about me this days. For this reason I'm very much depressed, I am unable to concentrate on my studies. What should I do?

MPT - Orthopedic Physiotherapy
Physiotherapist, Rajsamand
I have not Broken up with my gf but she is too much careless about me this days. For this reason I'm very much depres...
You are not in that age. You should not go for love n all. All things need time. Now jus forget all this things and do study and enjoy your teenage in playing game and study. Don't waste your time in love, gf, and other things. You can do all this things after few years.
1 person found this helpful
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HIV

FHM Fellowship In HIV Medicine, MD, MBBS
General Physician, Hyderabad
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Here are the symptoms , diagnosis , prevention & treatment of HIV

This is Dr. Ajay. Last time I spoke to you about HIV the symptoms, the staging and how to identify the patient with HIV phase down symptoms. So today in this video I will be discussing more about how to diagnose the patient with HIV.

What are the tests available? What are the treatment options available? And how to prevent HIV?

So when we come across the patient with HIV the only way we can diagnose the patient with HIV is by doing blood test. There are different kinds of blood tests available. They can be from the tests that detect the antibodies for HIV. There are tests to detect the antigens on HIV like P-24. Then there are tests to detect the virus itself like PCR. So when a patient is exposed the HIV positive patient either sexually or through injections. Then the patient develops antibodies in his body. So these antibodies take at least three to six months’ time to develop. So in this duration which is called as window period. In this period we won’t be able to detect antibodies. So all the tests like Elisa, Tridot, and Western blot. These tests won’t be able to pick up the patient’s window period when the antibodies are not there. So if you want to detect the antibodies you need to wait for three months or three to six months after exposure.

So if you can’t wait for three to six months you can do the other tests which can pick up the virus directly. So once we diagnose the patient with HIV then the next step would be to monitor the disease I mean how to stage the patient. So because HIV damages the immune system. So there are the tests which can assess the immune system of the patient so these tests are called cd4 count and viral load. CD-4 is nothing but it is a sub site of T-cell. So the normal CD count for a patient would range from 500-1500 which is a normal range. The other test which is available is viral load. The viral load is nothing but it detects how many viral copies are present in the body. After diagnosing the patient with HIV. The next step would be to start the treatment. So the treatment what we give for HIV is what we call is antiretroviral treatment or ART. ART is the most popular treatment available for treatment and in this ART there are different medicines available.

The most important thing which determines is the CD-count and the viral load. So before we start the antiretroviral treatment we assess the patient. First we counsel the patient whether the patient is prepared to start the treatment or not. Then we also rule out the other opportunistic infections. Because patients who have HIV already have other opportunistic infections. So before you start the antiretroviral treatment you need to assess whether the patient is having any opportunistic infection. You have to rule out those then you also have to assess the baseline function of the patient like whether the patient is having any liver abnormalities or if the patient is having normal liver function, normal kidney function and we also have to do the complete blood picture.

So if the patient is having all the parameters normal and if the patient is not having any opportunistic infection. Then we do preparedness counselling for the patient that is when we start the treatment. So before we start the treatment we see the CD-4 count. Now previously the guideline was to depend on the CD-4 count. They use to start the treatment when the CD-4 count is low but now the guidelines say that HIV treatment can be started irrespective of the CD-4 count.

So this is all about HIV treatment and in the subsequent video I will be talking more about the HIV treatment and I would like to thank lybrate and if you want to consult me you can consult me through lybrate or you can directly walk in or take an appointment and meet me at my clinic at Narayanguda.

3415 people found this helpful

My mother is suffering from heart attack and all the 4 arteries are blocked with 70%,80%,80%,90% so what is the solution. Is only surgery is the solution for this?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mother is suffering from heart attack and all the 4 arteries are blocked with 70%,80%,80%,90% so what is the solut...
Yes bypass surgery is the only solution, it sounds scary but go to a good hospital and mortality rate is less than 1%, one gets a new life after surgery which lasts for years of healthy life provided care is taken. Good luck.
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Hello Doctor, I’ve taken torch test in my report Anti Toxoplasma says nonreactive but shows the reading (0.06) normal range is (0.05),Anti Rubella igG antibodies reactive (108) and anti CMV igG antibodies reactive >250. Please doctor tell me why this infection occurs and does it cause difficulties in conceive? I got married last year. My husband lives in Canada. We were together for 15 days & then he left for Canada after a whole 1 year. He visited & we were together for 20 days. Does this infection spread to him? What are the causes of this infection?

MD - Homeopathy, BHMS
Homeopath, Pune
Hello Doctor, I’ve taken torch test in my report Anti Toxoplasma says nonreactive but shows the reading (0.06) normal...
It does not cause problem to conceive but the child may be born with congenital anomalies. It is advised that you get treated for these infections before deciding to bear a child. Your report of Rubella indicates either you have been exposed to the virus or you have been vaccinated and therefore are immune against the virus. Rubella is often spread through coughing or sneezing. It can also be transmitted when people put their fingers in their mouth or nose after touching an infected surface. CMV is passed from person to person through close contact with body fluids, such as saliva, semen, vaginal fluids, blood, urine, tears and breast milk. You can get CMV when you touch these fluids with your hands and then touch your eyes, nose or mouth, which are mucous membranes. A positive test for CMV IgG indicates that a person was infected with CMV at some time during their life, but does not indicate when a person was infected. This means that you have got the infection from your partner or could spread it to your partner if you are actually infected with it.
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I'm 20 years old . And I'm a cricket player , also I love fitness n clean dite . I attend gym almost every weekdays. Bt I have a problem and it's piles, hemorrhoids. For last 3 years. I'm taking homeopathic medicine Bt it's not working at all. What to do should I go for the Surgery? please help me . :(

MBBS, CCEBDM
General Physician, Hyderabad
I'm 20 years old . And I'm a cricket player , also I love fitness n clean dite . I attend gym almost every weekdays. ...
Dear lybrate-user suggest increase your intake of boiled veggies and fresh fruits. The high fibre in these foods will help flush out the toxins in your blood and acts as a good laxative. This will help avoid straining at stools and further damage to hemoorrhoids.
1 person found this helpful
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Renal Biopsy - Things You Must Know!

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Renal Biopsy - Things You Must Know!

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. If you wish to discuss any specific problem, you can consult a Nephrologist.

3152 people found this helpful

I have skin allergy since 3 years. Meaning. Suddenly one day small small bumps started appearing all over the body. Which gives feeling to itch. The more you scratch over the area. The larger it becomes. Many doctors told it is food allergy but no one told which food is causing this issue. My esr is 55 I used citrizen based tablets for two years but that gives only temporary relief. Later since citrizen is making me lethargic I started using auyurveda since last year. There is certainly improvement but it is only 20 to 30 percent. I am vexed swallowing medicines. Can any one please tell me what is causing this issue.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Its certainly allergy, but the reason from which you r getting should be observed by you only. It may be due to food only[like any spices, dry fruits, chocolates, potatoes, wheat, milk, dry fish, sea fish or just by an fish, meat, egg, ghee, sweets etc, but also by any stress, or pollen, fur, sleeplessness, or any weather changes, so if you go on recollecting, then you may be able to find the reason. But whatever it might be, its certainly due to allergic origin. So, if you can go for homeo,[ then also you need to wait for some time]then you can find the reslt better.
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