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Dr. Goel's Clinic

General Physician Clinic

No. C-25, Netaji Road,Landmark-Adarsh Nagar Metro Station, Delhi Delhi
1 Doctor · ₹150
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Dr. Goel's Clinic General Physician Clinic No. C-25, Netaji Road,Landmark-Adarsh Nagar Metro Station, Delhi Delhi
1 Doctor · ₹150
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Dr. Goel's Clinic
Dr. Goel's Clinic is known for housing experienced General Physicians. Dr. Shiv Kumar Goel, a well-reputed General Physician, practices in Delhi. Visit this medical health centre for General Physicians recommended by 99 patients.

Timings

MON-SUN
05:00 PM - 08:00 PM

Location

No. C-25, Netaji Road,Landmark-Adarsh Nagar Metro Station, Delhi
Adarsh Nagar Delhi, Delhi
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Doctor in Dr. Goel's Clinic

Dr. Shiv Kumar Goel

MBBS
General Physician
39 Years experience
150 at clinic
Available today
05:00 PM - 08:00 PM
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Nasal Obstruction And Blocked Ears - Know The Link!

ENT Specialist, Faridabad
Nasal Obstruction And Blocked Ears - Know The Link!

There is a strong connection between the ears, nose and throat, as any ENT or Ear Nose Throat specialist will be able to tell you. When there is any kind of congestion or obstruction in the nasal passages, one can also feel some effect in the ears with the symptoms going from mild to severe.

So how can nasal obstruction cause clogged ears? Here is our explanation!

-        The Connection: To begin with, let us understand the connection between the ears and the nose. There is an opening that can be found in the back of the nose, which leads into a tunnel called the Eustachian Tube. This tube goes into the ears and creates some amount of pressure when the nasal passages get blocked. This pressure can be felt as clogging of the ears and can usually be eradicated with the help of a pop in the ears. This pop can be brought about by pinching your nose and trying to breathe, or even yawning hard or indulging in some gulping or swallowing motion as well. 

-        Mucosal Swelling: The swelling within the patient's nose usually points at the build up of mucus which can make the nasal lining thicker, thus making the act of breathing that much more laboured and difficult. This obstructs the nasal tract, in plain and simple terms. This swelling usually spreads to the tunnel or the Eustachian Tube, which can become swollen and even shut, consequently leading to a feeling of having clogged ears. 


-       Negative Nasal Pressure: When the pressure inside the nose is built up in a negative way due to the obstruction that makes the patient breathe even harder, then the ears end up taking the pressure. This makes them clogged. This negative pressure usually manifests in the back of the nose where the Eustachian Tube is located, which creates a build up in the ears as well. This can also lead to a ringing pain when a patient tries to suck in air too hard due to the obstruction. 


-       Bernoulli's Principle: If we are to incorporate air in place of fluid and liken the action of breathing with an obstructed nose, with the action of sucking fluid in through an obstructed straw, then the fluid dynamics would apply to this case. As per these fluid dynamics, more rapid flow of fluid can lead to decreased pressure on the surrounding areas. This can be applied to the blocked nose where air must pass through faster and with more fluidity so as to ensure that there is less pressure on the ears, which will keep them from getting clogged. 


Persistent clogged ears and nasal congestion can also point towards an infection and should be checked by a doctor immediately.
 

Benign Prostrate Hyperplasia - Know Signs Of It!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Patna
Benign Prostrate Hyperplasia -  Know Signs Of It!

Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chances of developing BPH increase after one crosses the age of 50. But it is yet not know, why some men experience more severe symptoms than others.

Causes of BPH

This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.

Symptoms of BPH

Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarge prostate gland may do not complain of any discomfort.
Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion.
There are certain medicines which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example- diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.

The symptoms of BPH are related to issues with bladder emptying and issues with bladder storage. Symptoms related to the urine drainage from the bladder are

1. Strain while urinating
2. Weak urine flow
3. Some dribbling after urination
4. Sudden urge to urinate
5. Pain while urinating

Symptoms related to storage of urine in the bladder are

1. Waking during the night to urinate
2. Urinating frequently during the day and at night
3. Sudden urge to urinate, which may be hard to control

It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but may be the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.

 

Can Defective Vision be a Cause of Your Headache?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
Can Defective Vision be a Cause of Your Headache?

A common headache can have a number of reasons behind it, such as defective vision, hetrophoria or convergence deficiency, etc. Now, the question arises as to how they can cause headache. Read on to know more...

Q. Why should defective vision cause headache?

To attain a perfect vision, eyes with defective vision have to make sustained extra efforts, which results in headache. Even if the refractive error is very small, it can be the cause of headache. More prolonged the working and smaller the print, higher the incidence of headache.

Q. Can this occur at all ages?

Yes, it can occur at all ages. However, with age, the resistance decreases and hence elderly people are more prone to get headache. More the use of computer, mobiles, TV or prolonged studies precipitates headache

Q What is Hetrophoria?

Normally, both eyes always remain parallel, but in some cases, eyes have slight tendency to develop minor squint, may be convergent or divergent. This is called Hetrophoria or Latent squint. Such patients have to take extra strain to keep the eyes straight

Q. What is convergence deficiency?

For reading, both eyes have to converge and if there is weakness of convergence, extra strain has to be put on the eyes, which cause headache.

Q. What is the ideal method of refraction in young patients, I,e below 40 years?

Ideal method is to dilate the pupil with Tropicasyl plus drops. This has the advantage that the doctor can see the retina and Optic Disc. This is important to exclude any involvement of brain as the cause of headache. It also relaxes accommodation and hence provides correct refraction. In cases of Hypermetropia, it is extremely essential to dilate the pupil.

Q. What is the role of Autorefractmeter (a computer) in refraction?

It is a very important instrument to provide correct refraction, but it cannot be totally relied upon. Some opticians rely on it and give wrong numbers.

Q. What is acceptance Test?

You have refracted the eyes with Autorefractmeter or Streak Retinoscope but exact power is what a patient accepts. This is very important.

Q. What is astigmatism?

There is a difference in refraction in different meridians and it is important that a cylinder number is prescribed in correct axis. This is a difficult task and needs lot of experience.

Q. Is it important to correct astigmatism?

To relieve headache and strain on the eyes, it is very important that exact cylinder is prescribed.

Q. What is the role of exact centring of Optical Lenses?

.You may give correct number, but if the centre of the Optical lenses and cornea do not coincide, satisfactory results are not obtained. To dispense correct lenses is a big art and the Optician must be qualified and well experienced.

Q. Does the quality of lens affect the visual comfort?

Yes, it is important that quality of lenses should be good, preferable fibre lenses which are Ant reflect coated. Crizal coating with capability to block the UV rays are very popular.

Conclusion: Refractive errors are important cause of headache and needs proper examination of the eyes, preferably after dilating the pupil. Astigmatic error even if too small may be the cause of headache. Spectacle dispensing is an art and a patient must select proper optician. Spectacles if advised for constant use must be used constantly to get full relief.

Is there a sleeping tablet which is tasteless and water soluble and where can I buy it?

MBBS
General Physician, Jaipur
Is there a sleeping tablet which is tasteless and water soluble and where can I buy it?
Yes. But you can't buy without prescription. Please consult with me on my private chat window for full details and prescription.
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I am 24 year old guy and I am suffering from bran zep When I move My eyes left and right I feel lightheaded, or some time nausea or shocking feel.

MBBS
General Physician, Jaipur
I am 24 year old guy and I am suffering from bran zep When I move My eyes left and right I feel lightheaded, or some ...
Ok. Need to take anti vertigo medicines and do yoga and meditation regularly. For full treatment details please consult with me on my private chat window.
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Sudden Cardiac Arrest - Emergency Tips For You!

MBBS, MD - Medicine, DM - Cardiology, Fellowship In Interventional Cardiology, Interventional Cardiology & Cardiac Electrophysiology
Cardiologist, Delhi
Sudden Cardiac Arrest - Emergency Tips For You!

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

नाक की एलर्जी का घरेलू उपचार - Naak Ki Allergy Ka Gharelu Upchaar!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
नाक की एलर्जी का घरेलू उपचार - Naak Ki Allergy Ka Gharelu Upchaar!

आजकल कई तरह की एलर्जी देखने में आती हैं. इनमें से जो एलर्जी सबसे ज्यादा परेशानी पैदा करती हैं, वे आंख और नाक की एलर्जी हैं. जब किसी इंसान का ‘इम्यून सिस्टम’ यानी प्रतिरोधक तंत्र वातावरण में मौजूद लगभग नुकसानरहित पदार्थों के संपर्क में आता है तो एलर्जी संबंधी समस्या होती है. शहरी वातावरण में तो इस तरह की समस्याएं और भी ज्यादा हैं. नाक की एलर्जी से पीड़ित लोगों की नाक के पूरे रास्ते में अलर्जिक सूजन पाई जाती है. ऐसा धूल और पराग कणों जैसे एलर्जी पैदा करने वाली चीजों के संपर्क में आने की वजह से होता है. नाक की एलर्जी मुख्य तौर पर दो तरह की होती है. पहली मौसमी, जो साल में किसी खास वक्त के दौरान ही होती है और दूसरी बारहमासी, जो पूरे साल चलती है. दोनों तरह की एलर्जी के लक्षण एक जैसे होते हैं. आइए इस लेख के माध्यम से हम नाक की एलर्जी के कुछ घरेलू उपचारों के बारे में विस्तार से जानकारी प्राप्त करें.

नाक की एलर्जी के प्रकार-
* मौसमी एलर्जी को आमतौर पर घास-फूस का बुखार भी कहा जाता है. साल में किसी खास समय के दौरान ही यह होता है. घास और शैवाल के पराग कण जो मौसमी होते हैं, इस तरह की एलर्जी की आम वजहें हैं.
* नाक की बारहमासी एलर्जी के लक्षण मौसम के साथ नहीं बदलते. इसकी वजह यह होती है कि जिन चीजों के प्रति आप अलर्जिक होते हैं, वे पूरे साल रहती हैं.

मौसमी एलर्जी से बचाव-
जिन चीजों से आपकी एलर्जी बढ़ जाती है, उन सभी को आप खत्म तो नहीं कर सकते, लेकिन कुछ कदम उठाकर आप इसके लक्षणों को नियंत्रित कर सकते हैं. साथ ही, एलर्जी पैदा करने वाले उन तत्वों से बचाव भी संभव है.
* बरसात के मौसम, बादलों वाले मौसम और हवा रहित दिनों में पराग कणों का स्तर कम होता है. गर्म, शुष्क और हवा वाला मौसम वायुजनित पराग कणों और एलर्जी के लक्षणों को बढ़ा सकता है. इसलिए ऐसे दिनों में बाहर कम आएं-जाएं और खिड़कियों को बंद करके रखें.
* अपने बगीचे या आंगन को सही तरीके से रखें. लॉन की घास को दो इंच से ज्यादा न बढ़ने दें. चमकदार और रंगीन फूल सबसे अच्छे होते हैं, क्योंकि वे ऐसे पराग कण पैदा करते हैं, जिनसे एलर्जी नहीं होती.

बारहमासी एलर्जी से बचाव-
पूरे साल के दौरान अगर आप एलर्जी से पीड़ित रहते हैं, तो इसका दोष आपके घर या ऑफिस को दिया जा सकता है. एलर्जी के लक्षणों को कम करने के लिए सबसे बढ़िया तरीका है कि आप अपने घर और ऑफिस को साफ-सुथरा रखें. इसके लिए हफ्ते में एक बार घर और ऑफिस की धूल झाड़ना अच्छा कदम है, लेकिन एलर्जी से पीड़ित लोगों के लिए यह काफी नहीं है. हो सकता है कि साफ सुथरी जगह होने के बावजूद वहां से एलर्जी पैदा करने वाले तत्व साफ न हुए हों. नाक की एलर्जी से पीड़ित लोगों के लिए घर को एक बेहतर जगह बनाने के लिए कुछ अतिरिक्त कदम उठाए जाने की जरूरत है.
* हर हफ्ते अपने बिस्तर को धोएं. इससे चादरों और तकियों के कवर पर आने वाले एलर्जी पैदा करने वाले तत्वों से छुटकारा मिलेगा. अच्छा तो यह होगा कि इन्हें गर्म पानी में धोया जाए और फिर इन्हें गर्म ड्रायर में सुखाया जाए.
* जब आप बाहर जाते हैं तो पराग कण आपके जूतों से चिपक जाते हैं. इसलिए बाहर से आने से पहले पैरों को पोंछ लें या जूतों को बाहर ही उतार दें.
* कालीन और गद्देदार फर्नीचर की साफ-सफाई पर खास ध्यान दें.
* ऐसे गद्दों और तकियों के कवर का इस्तेमाल करें जिन पर एलर्जी पैदा करने वाले तत्वों का असर न होता हो.
* अपने दरवाजे और खिड़कियां बंद रखें, खासकर उन दिनों में जब पराग कण ज्यादा होते हैं.

कुछ घरेलू नुस्खे-
जिन लोगों को सर्दी के रोग हैं और हर सुबह उन्हें अपनी नाक बंद मिलती है, उन्हें नीम, काली मिर्च, शहद और हल्दी का सेवन करना चाहिए. इससे उन्हें काफी फायदा होगा.
* सबसे अच्छा तरीका है बचाव. जिन वजहों से आपको एलर्जी के लक्षण बढ़ते हैं, उनसे आपको दूर रहना चाहिए.
* इसके लिए नीम की पत्तियों को पीसकर पेस्ट बना लें. इस पेस्ट से एक छोटी सी गोली बना लें, इसे शहद में डुबोएं और हर सुबह खाली पेट इसे निगल लें. अगले एक घंटे तक कुछ न खाएं, ताकि नीम का आपके शरीर पर असर हो सके. यह तरीका हर तरह की एलर्जी में फायदा पहुंचाता है, चाहे वह त्वचा की एलर्जी हो, भोजन की एलर्जी हो या किसी और चीज की.
* 10 से 12 काली मिर्च कूट लें. इन्हें दो चम्मच शहद में रात भर भिगोकर रखें. सुबह उठकर इसे खा लें और काली मिर्च को चबा लें. शहद में हल्दी मिला ली जाए तो वह भी अच्छा है. अगर आप सभी डेरी पदार्थों से बचकर रहते हैं तो अपने आप ही बलगम कम होता जाएगा.

जरूरी है सही तरीके से कपालभाति का अभ्यास-
एलर्जी की वजह से हो सकता है कि आपके द्वारा किए गए कार्यों की क्रिया बहुत ज्यादा प्रभावशाली न हो पा रही हो. जैसे - अगर नाक का रास्ता पूरी तरह नहीं खुला है और बलगम की ज्यादा मात्रा है तो क्रिया पूरी तरह से प्रभावशाली नहीं भी हो सकती है. अगर सही तरीके से इसका अभ्यास किया जाए, तो आपको अपने आप ही एलर्जी से छुटकारा मिल सकता है. नाक के रास्तों को साफ रखना और सही तरीके से सांस लेना एक बेहद महत्वपूर्ण प्रक्रिया है. साफ नासिका छिद्र और श्वसन के स्वस्थ तरीके का बड़ा महत्व है. अभ्यास करते रहने से एक ऐसा वक्त भी आएगा, जब कोई अतिरिक्त बलगम नहीं होगा और आपका नासिका छिद्र हमेशा साफ रहेगा.

I am 26 n have ED and My testosterone levels. Its value is 1099. When the normal range of an adult should be between 300 - 780? It is something to worry about? Whats the actual range should be? Do I have ED due to high testosterone?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I am 26 n have ED and My testosterone levels. Its value is 1099. When the normal range of an adult should be between ...
Hello- I think you must re test yourself from a different lab as the reports may vary this time. It is because, abnormal levels of testosterone are very rare. Disorders involving the adrenal glands--small organs located above the kidneys--can cause your body to produce too much testosterone. Congenital adrenal hyperplasia is a condition that you're born with and can be passed down through families. People with congenital adrenal hyperplasia do not make enough cortisol and aldesterone. When your body can't produce the other hormones, it creates more testosterone than needed. Tumors that grow on the adrenal glands can also cause high testosterone levels; the growth causes the gland to secrete extra amounts of male hormones. Fortunately, it can be cured by ayurveda.
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I am getting urine frequently sometimes even for every half an hour is there any chance of infection in prostate any tests are recommended? Please help.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
I am getting urine frequently sometimes even for every half an hour is there any chance of infection in prostate any ...
It is better if you get USG abdomen and pvrv and urine routine and culture and sensitivity done. If everything is normal then get semen culture done. You will come to know if you hàve infection in prostate. You can take antibiotics according to the sensitivity report.
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PCOS - Can Ayurveda Help You Overcome It?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate in Child Health, Certificate in Skin Diseases, Certificate in Veneral Diseases, Certificate in Gynecology & Obstetrics, Post Graduate Diploma in Emergency Medical Service (P.G.D.E.M.S)
Ayurveda, Mumbai
PCOS - Can Ayurveda Help You Overcome It?

PCOS is the most common endocrine disorder among women between the ages of 18 and 44. It affects approximately 2% to 20% of this age group. It is one of the leading causes of poor fertility.

This condition affects the ovaries and is one of the leading causes of infertilityPolycystic ovary syndrome (PCOS) is a set of symptoms due to elevated androgens (male hormones) in biological females. Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin. Associated conditions include type 2 diabetes, obesityobstructive sleep apneaheart diseasemood disorders, and endometrial cancer.

 Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cystsCysts are detected by ultrasound.

Ayurveda considers PCOS as Kaphaja Vyadhi. Excess agantuka kapha does not allow the proper formation and transformation of further dhatus.Result is weight gain,diabetes,acne,hair growth on face and other parts etc.PCOS is one of the biggest causes of infertility.The treatment incorporates combination of factors. Step by step plan is given to each patient that involves scientific dietery regimen, ayurveda medicines as well as panchakarma procedures to detoxify the body.

  • Strict scientific diet and lifestyle changes are required. Daily walk of half an hour minimum,mild exercise especially cycling, stripping etc.Avoid sleep in daytime. Artificial sweetners,milk products,bakery products are not to be used.A balanced diet in proper time ,following dinacharya procedures as per ayurveda further help in reducing weight and hence mitigating the disease.

  • Panchakarma procedures like udwartanam,snehan svedana,lekhana vasti further help in detoxifying the body. These procedures balance the three doshas,do srotosodhana(clears the channels) and pacify the aggravated kapha.

  • The ayurveda medications additionally work in balancing hormones.

These combination work wonders in PCOS.So instead of further harming your body by taking artificial hormones or contraceptives ,rely on natural procedures and natural herbs which pacify the root cause of the disease.Hence within one to three months patient gets wonderful relief from her symptoms.Infertility due to PCOS gets corrected with above procedures.

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