Dr. Winston Naronha

What is your total bilirubin and direct bilirubin, sgot and sgpt levels.? have you done an ultrasound of the abdomen?

You may be having intra uterine infection which can be detected by ultrasound -pid. Nexaplon has high hormone doses which prevent pregnancy & it can take months for effect of hormones to wear out of the body, nipple sensitivity, discharge can also be due to excess hormones. Get the discharge tested and start antibiotics or get back here with the reports.

Hello- Pain after sex can be due to trapped gases in abdomen. Sex induces forward movement of the intestines, a person suffering from poor digestion thus can experience pain after sex. Consume Harad powder before meals, and take a mild laxative like black rasins/figs during bed time, avoid heavy meals at night time. It will be fine.

Avoid tea/coffee alcohol, smoking spicy food. Life style changes and food habits can solve your problem easily. Chew your food properly. Avoid outside food. Walk about 3-5 km daily. There should be gap of 2 hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headed side. Get your gastro endoscopy done. Syp cremaffin plus 2 tsf daily in night 10 pm.

Pancreatitis means inflammation of pancreas. Pancreas is the organ which produces enzymes which helps in digestion of food and it secretes insulin and anti insulin hormone. If there is pancreatitis patient will have severe abdominal pain nausea vomiting, intolerance to fatty food, as it helps in digestion of fat. In long run patient will develop diabetes. Gallstones n pancreatic stones are are formed in the ducts through which bile and pancreatic enzymes pass through n opens in the initial part of the small intestine called jejunum where food which has been partially digested by enzymes in stomach needs to be alkalized as it's too acidic and prepared to be digested and absorbed. Some time stones in these passages can cause obstruction alone to the flow of bile then jaundice will develop. If stone is in distal part where pancreatic duct joins the bile duct that just before the opening in to intestine in that case flow of bile and pancreatic secretion will be blocked and along with jaundice, pancreatitis will develop, which is very severe and dangerous situation. People those who take too spicy and oily food, and drink excessive alcohol stand chances to develop pancreatitis and gallstones. Obesity too is a risk factor to develop pancreatitis.

pl. clear it is this patient is female or male . because in question you has say it is male and in condition of patient is showing female.

You should loose your weight . Its very high and is the problem of your fatty liver. Where r you from and what do you do. Your bmi is 40.1. Thats morbid obesity. Do you have any other problem also like diabetes and hypertension.

Do you have any symptoms like pain, etc. Any hospital admissions? Any difficulty in digestion. If you have above symptoms then gall bladder needs to be removed laparoscopically if not then you can avoid surgery and closely follow up by doing usg every 6 month.

take more salads and fruits. avoid high calorie food. eat less sugar , milk and milk products. get one endoscopy done to rule out stomach cancer

Put 3 tablespoons of powdered coriander seeds and 1 tablespoon of powdered rock candy (or unrefined sugar) in a vessel (preferably an earthen pot) containing 3 cups of water. Keep it overnight. Mix well and drink 1 cup of the liquid 3 times a day. This is a very good remedy for the urinary tract problem.

Hi take chitrakadi vati 1-1 tab after lunch and dinner. Take pranacharya udar bhaskar kshar churna twice a day. And pranacharya live cure capsule twice a day. Avoid spicy food and non vegetarian.

Hi Mixing two teaspoonfuls of ghee in a glassful of milk and taking this once a day acts as a liner inside the gut and will heal all the destruction caused by the high flow of Pitta. Take pranacharya aceno syrup 2-2 tsf twice a day. Take pranacharya aceno capsule 1-1 twice a day. And avipattikar churna 1-1 gm with warm water. Take pranacharya udar bhaskar kshar churna twice a day with warm water.

I hope you are not diabetic or having chronic constipation. We must also exclude the possibility of an underlying fistula in ano. In any case, observe proper hygiene, avoid constipation and seek a clinical examination from a general surgeon.

Only way is to avoid milk or use another milk or eg if you use cow's milk try goat milk and see. If you stop milk take curdled milk by adding curd to milk and keep for only 2 hours ( for benefits of milk and dairy )

•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person.

For management of IBS follow these instructions: • Do not take stress . If you feel stressed then take counseling sessions weekly and you can take anti anxiety drugs prescribed by your physician. • Do long breathing pranayams to relieve your stress and anxiety.This will relax your mind . If you feel anxiety or panic take a deep breath and try to focus on main thing. •Take probiotics for make your gut wall healthy .Take one sachet of probiotics daily . • Take less diary products and coffee ,tea. Eat less fast food or junk food. • Do not eat red, green chilli and black pepper also. •To make your digestion good take 5 gm( 1 teaspoon) of jeera ( cumin ), 5 gm ( 1 teaspoon) of dry corriander seeds ( dhaniya) , 5 gm ( 1 teaspoon)of ajwain ( carom seeds ) and add some leaves of mint in glass of water and boil it till the water become half in pan.Drink it daily once in a day.

Take ppi like omeprazole once daily in morning empty stomach for 3-4 weeks. Avoid fried foods. Less tea and more water intake is advised.

Use venusia intensive care cream twice a day. Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.

Complex Carbohydrates indigestion along with bacterial fermentation leads to production of intestinal gas. If excess foul smelling flatus bothers there are certain remedies to get rid of this problem, Avoidance of starch products like potatoes, pulses, legumes,onions, cabbage, broccoli, sprouts. Certain medications can control excessive flatulence. Some of the organisms like giardiasis can cause bloating symptoms. Treatment available for this. Consult if any further queries. Hope the information useful for you.

Hi take chitrakadi vati and shool vajrini tab 1-1 tab after lunch and dinner. Take pranacharya udar bhaskar kshar churna twice a day. Avoid spicy food and non vegetarian.