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Nirmal Medical Centre

General Surgeon Clinic

#65, IGNOU Road, Saidulajab South of Saket. Landmark: Near Anupam Apartments & Saiyad Ul Ajaib, Delhi Delhi
1 Doctor · ₹300
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Nirmal Medical Centre General Surgeon Clinic #65, IGNOU Road, Saidulajab South of Saket. Landmark: Near Anupam Apartments & Saiyad Ul Ajaib, Delhi Delhi
1 Doctor · ₹300
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Nirmal Medical Centre
Nirmal Medical Centre is known for housing experienced General Surgeons. Dr. Khaled, a well-reputed General Surgeon, practices in Delhi. Visit this medical health centre for General Surgeons recommended by 106 patients.

Timings

MON-SAT
09:00 AM - 01:00 PM 06:00 PM - 08:00 PM

Location

#65, IGNOU Road, Saidulajab South of Saket. Landmark: Near Anupam Apartments & Saiyad Ul Ajaib, Delhi
Saket Delhi, Delhi
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Doctor in Nirmal Medical Centre

Dr. Khaled

General Surgeon
300 at clinic
Available today
09:00 AM - 01:00 PM
06:00 PM - 08:00 PM
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4 Ways To Deal With Skin Rashes!

MBBS, MD - Skin & VD
Dermatologist, Lucknow
4 Ways To Deal With Skin Rashes!

Periods, on their own, can be very uncomfortable but sometimes it can also trigger a rash making it all the more uncomfortable. This is a common problem faced by women who use commercial pads or sanitary napkins during this period. This is because they contain plastics, scents and chemicals that can irritate the sensitive skin in your genital area. Here are a few tips to help you deal with these rashes:

  1. Change Your Pads Regularly: Whether your flow is light or heavy, the same pad should not be worn for more than 4 to 6 hours. Change your pads even if your pad does not look full once this time has passed. Along with menstrual blood, sanitary napkins also soak up sweat and bacteria. The groyne area is naturally moist and warmer than the rest of your body making it the ideal condition for bacteria to grow. Changing your pad regularly keeps these bacteria from multiplying.

  2. Consider Alternatives: One of the main reasons pads cause rashes is because they rub against the skin and this friction irritates the skin. Hence, consider alternatives like tampons and menstrual cups that do not rub against the skin. You could also try cloth pads made using natural unbleached cotton.

  3. Wear Right Underwear: Avoid synthetic underwear and use the only cotton while you are on your periods. This allows the skin to breathe and keeps moisture from building up inside the underwear. Also, ensure that your underwear fits well and can hold your pad in place.

  4. Clean Well: Do not use wipes or tissue to clean your genital area but instead wash gently with water a few times a day. Once washed, dry the skin thoroughly before putting your underwear on. Do not use any type of soap, body wash or scents in the area. Also, avoid bubble baths and saunas.

  5. See a Doctor: In some cases, a rash can also be a symptom of herpes or a vaginal yeast infection. If you alternate between pads and tampons, a rash could also be a sign of toxic shock syndrome. Hence, if the rash persists for a few days, consult a doctor. Your doctor can prescribe a topical cream to be used to relieve the itchiness and inflammation depending on the rash. You could also use an anti-chafing cream on your bikini line. Diaper rash cream is an over the counter cream that usually works well in such cases.
1 person found this helpful

7 Home Remedies For Treating Pimples!

MD - Ayurveda Scholar, Diploma In Skin Aesthetics, Cosmetology and Trichology, Diploma In skin aesthetics, Diploma In cosmetology, Diploma In Trichology, Diploma In Nutrition & Diet Planning, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Trichologist, Mumbai
7 Home Remedies For Treating Pimples!

Ayurveda offers a holistic approach in treating pimples. It is an Indian healing system, which aims at treating pimples by managing its underlying causes. Toxicity build-up and impaired digestion are targeted according to the doshas identified in an individual by an Ayurvedic practitioner. 

According to Ayurveda, the whole of the cosmos is made of 5 elements namely water, fire, air, earth and space. Doshas are aggregations of these elements and affect our well-being. Try cutting down on junk food as they contain additives and preservatives. Eat foods which don’t have more than 4 ingredients.

Raw and unprocessed food is the best for digestion. Natural skin care products should be used. Change your sheets and pillows regularly as they may have trace residues of pimples causing organisms. Insecticides and disinfectants should be substituted for their natural counterparts, such as neem based cleaning agents.

Here are some Ayurvedic natural substances which work wonders for treating your pimples:

  1. Tulsi: An amazing way to get rid of pimples is tulsi (basil) paste when used by you on a daily basis. If access to fresh basil is difficult, then get a jar of dried basil from your neighborhood departmental store and use it with warm water. Use about 3 teaspoons so that a smooth paste can be formed and apply it on your face for over 10 minutes up to 5 times a week.
  2. Lemon and Honey: A mix of lemon juice and honey is a simple, but effective homemade beauty remedy for the treatment of pimples. Mix 1 tablespoon honey and 1 tablespoon fresh lemon juice. Apply the mix on the pimples and on the spots caused by the pimples. However, do not apply on severe pimple outburst as it can cause a severe and intense burning sensation. Keep it on your face for about 10 minutes and then wash it off. You can continue doing this 7 times in a week. You will eventually find very satisfactory results.
  3. Cinnamon: Try dry roasting dalchini or cinnamon. Grind it finely and then make a creamy paste by adding honey to it. Apply this paste for a minimum of 5 times a week. Let its goodness soak into your skin and watch the benefits of the paste work its miracle!
  4. Neem: Neem leaves (Indian Lilac) are the perfect natural way of treating pimples. Turn it into a paste and apply it on the areas affected with pimples. If getting fresh neem isn’t feasible, try procuring some dried and bottled leaves instead and soak for about 15 minutes in hot water and use the same as a paste.
  5. Sesame: Turn sesame seeds into a paste by soaking them overnight. Then turn into a paste. You can also use powder, which is readily available. Keep the paste on for 15 minutes and wait for the magic to work.
  6. Potato: Potato juice or grated potato can be applied directly onto your pimples. Let the sticky potato juice sit on your face for over 10 minutes before washing it off. It lends a mild and natural bleaching glow to your skin. The same technique can be also tried with tomato juice.
  7. Mint: Soak a few mint leaves and turn it into a fresh paste , it will act as an astringent.  Mint is also effective in making pimples marks fade away if used regularly.
3 people found this helpful

Dark Circle: Avoid Standing Long Hours Under The Sun!

BAMS, Diploma In Emergency Medicine, PG Diploma In Clinical Cosmetology (PGDCC)
Cosmetic Physician, Navi Mumbai
Dark Circle: Avoid Standing Long Hours Under The Sun!

Beautiful eyes speak a thousand words. They play a pivotal role in shaping up your overall personality. Your eyes can make or break things in life. But appearance of dark patches under eyes may play a spoilsport. They foil the beauty of your innocent eyes. It is not just lack of sleep or rest that causes these unwanted dark circles. Researchers have found out that a number of factors are responsible for under eye dark circles. Here are the common reasons behind dark circles:

  1. Aging: There are numerous blood vessels passing through the under eye region. As blood cells get clogged in these vessels, they give a blue black tinge to the region. Aging leads to the thinning of the skin under the eye. This makes the blood vessels more prominent and appears as dark circles.
  2. Hereditary factors: You can sometimes blame the bad genes for occurrence of dark circles. Nutritional deficiency: If you are not taking balanced diet, you may end up developing dark circles. Your body must get adequate supply of vitamins A, C, K and E to prevent dark circles.
  3. Insufficient Sleep: Lack of proper rest and sleep turns the skin under the eyes pale. Therefore, the blood in the veins becomes more prominent, causing dark circles.
  4. Smoking and alcohol: The intake of alcohol or indulging in smoking can lead to dehydration of the body and thus lead to dark circles.
  5. Long hours under the sun: Your skin under the eyes gets damaged by the UV rays from sunlight. Moreover, spending long hours under sun triggers the excess production of melanin pigment. This gives a darker shade to the region beneath your eyes.
  6. Pregnancy and menstruation: A woman's skin is largely affected by the hormonal influences at the time of pregnancy or menstruation. The hormonal changes during these periods lead to darkening of the under-eye area
  7. Diseases: Researchers have found that certain diseases linked to the liver or anaemia often causes dark circles under the eye.
  8. Allergies: The colour of the under eye region often changes due to certain allergic reactions and subsequent scratching or rubbing of the area.

A holistic approach to remove dark circles combines chemical peels, microcurrent therapy and homecare solutions. Chemical peels break apart the dead cell layer and bring fresher skin to the surface, reducing pigmentation around the eyes. Microcurrent makes the under-eye area firmer while also supplying it with additional hydration. To maximize these results, a customized homecare regime is drawn up to suit your skin's specific needs.

Further, under guidance of a Cosmetic physician or dermatologist, changes in lifestyle and homecare regime ensure that you enjoy long-lasting results. With this approach, your eyes lose their tired look and are completely refreshed. This effectively reduces pigmentation around eyes and ensures that your eyes remain sparkling fresh as long as you want.

2 people found this helpful

Keratosis Pilaris - How To Treat It?

MBBS, DDVL, Fellowship In Medical Cosmetology & Aesthetics
Dermatologist, Bangalore
Keratosis Pilaris - How To Treat It?

The skin has a protein called keratin that protects it from infections and other harmful toxins.  For various reasons, mostly unknown but likely genetic, there could be a buildup of this keratin leading to small, light-colored, hard bumps under the skin that can feel like sandpaper. This condition is medically known as keratosis pilaris.  These pillars of keratin block the hair follicles that open onto the surface of the skin, and when a number of follicles are blocked, it leads to dry, bumpy feeling. In common words, it is also referred to as chicken skin, chicken bumps, or goose bumps.

Occurrence:  The onset is usually in the first decade of life, continues to grow in number in teenagers (80%), and slowly subsides as they grow older (40% of adults).  People with dry skin are more likely to have these bumps than people with oily skin.  The most commonly affected areas include upper arms, thighs, buttocks and very rarely on the face.

Cause: This is a genetic disorder, and the bumps are due to excessive formation and buildup of keratin due to faulty genes.  There could be surplus skin formation under these follicles or hair follicles trapped under these bumps.  There could be a small area of inflammation and redness around the bumps.
Weather Correlation:  Keratotis pilaris is more common and evident during the winter months when the skin is normally drier than in summer months.  Some people could have this condition lifelong, with only manifestation seen in winters and complete absence of bumps in the summer months. 

Symptoms: The condition is usually asymptomatic, except for the dryness, and does not cause itching or medical harm. The esthetic concern, especially if in upper arms, is the only concern.  Some people could be affected by the hard, bumpy feeling of the skin.  There are no long-term medical symptoms or harmful effects of this condition though.

Treatment:  No treatment is required; however, moisturizers may be required to prevent the bumps from drying up. In very severe cases, creams may be used to remove dead skin cells and to prevent plugged follicles.  Alpha hydroxy acid, salicylic acid, or lactic acid containing creams can be used to remove the dead skin cells. These also help moisturize the skin and reduce dryness.  Vitamin A containing creams can be used to unplug the hair follicles.

A word of caution though - these creams can cause itching and redness.  Since this condition is prevalent in children, these creams need to be used only if absolutely essential and with medical prescriptions. The condition is harmless and self-limiting, so no treatment is mandatory.  Patient education is of utmost importance in these cases.

Know More About Breast Cancer Surgery!

MBBS, Ms - General Surgery, DNB - General Surgery
General Surgeon, Panchkula
Know More About Breast Cancer Surgery!

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types-
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

3 Ways To Treat Ovarian Cysts

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
3 Ways To Treat Ovarian Cysts

Ovarian cysts are a common development in many women. Cysts are sacs filled with fluid which are formed in the female ovaries. Most cysts are harmless and do not even show any symptoms. However, some cysts do show outward symptoms like heavy bleeding, clotting, nausea, vomiting, stomach pain during the menstrual cycle, and pain during sex.

If you feel any of the above-mentioned discomforts, it will be in your best interest to book an appointment with your gynaecologist and get a check-up done. Most cysts are manageable unless they are very severe. In fact, it is best that cysts come to light at the right time and are efficiently managed, unless they develop into severe issues in the future.

Management of cysts

  1. Oftentimes, medical practitioners resort to what is called ‘watchful waiting’.
  2. At times, ovarian cysts disappear in a few months.
  3. It is recommended to take a blood test and an ultrasound to see the progress of the cyst.
  4. If you have already experienced menopause, then these tests are carried out every four months. This is because in such cases the risk of an ovarian cancer is at its highest and regular monitoring of the cyst is necessary.

Treatment of cysts

Ovarian cysts can be treated in their earlier stages. Here are some of the most popular treatments.

  1. Laparoscopy is one of the most popular treatments. It is a surgery carried out under general anaesthesia. The tummy is cut to a radius of a key hole and a laparoscope is inserted. This helps the doctor to see the internal organs, which is then used to remove the cyst. This method is less painful and has a quick recovery time.
  2. Laparotomy is the other method used for removing a cyst. In case the cyst is large, then one single large hole is made in the body to access the cyst. At times, the cyst and the ovaries are removed and sent for further laboratory inspection. This inspection is done to detect whether the samples are cancerous or not. This procedure is more complex than the previous one and might need the patient to stay in the hospital for a few days.
  3. In case you have a cancerous cyst, then your reproductive part itself would have to be removed rendering you barren for your life.

Ovarian cyst is very much treatable and is best to be detected at an earlier stage for better and faster treatment. Thus, it is best to go for regular check-ups and report in case of any disturbing symptoms.
 

Hyperpigmentation & Scars - How Laser Treatment Can Help?

MBBS, MD-DNB
Dermatologist, Mumbai
Hyperpigmentation & Scars - How Laser Treatment Can Help?

Acne is irritating not only when it is active, but even after it heals. This is because it leaves behind unpleasant scars and pigmentation. Laser therapy is the best known way of dealing with these scars and pigmentation issues. It is a misconception that laser treatment is a new form of skin therapy. Laser is being used to treat pigmentation scars since 1964, however, the procedures have evolved significantly and become much more improved and effective.

How does laser therapy work?
Lasers direct intense amounts of monochromatic light at precise points on the skin. This light is emitted in short pulses. When this light hits the skin it heats the hemoglobin cells. The precision with which lasers direct this light ensures that surrounding cells are not affected.

By changing the amount of light, lasers can be used to address cells at varying depths of the skin. In the case of scars, they can destroy the excessive melanin deposits causing a scar. It can also boost collagen production.

In most cases, lasers used to treat skin issues are carbon dioxide or argon lasers. Laser therapy may be short pulsed or long pulsed. The difference between the two lies in the rest period between emitting bursts of light. The type of laser therapy used depends largely on the degree of scarring or hyperpigmentation.

Advantages and Disadvantages of Laser treatment

  • One of the biggest advantages of this form of therapy is its precision. Laser therapy does not affect the surrounding cells. It is also a bloodless form of therapy that does not require any hospitalization. As compared to other forms of skin therapy for scarring such a dermabrasion, laser therapy does not increase a person’s risk of infection.
  • On the flip side, laser treatment does not work well with all types of scars or all skin types. Also, some people may require multiple sessions for results to be noticeable. In cases of scarring on dark skin, laser lights can wound the capillaries in the skin. As the skin in this area heals, it may become lighter than the surrounding skin. Laser treatment can also cause raised scars known as keloids when used to treat dark skin. These scars cannot be treated with laser therapy and requires additional treatments. Laser treatment is also a little more expensive as compared to other forms of therapy.
  • If you choose to undergo laser treatment to remove scars and pigmentation, it is important to have realistic expectations. Do not expect your skin to be perfect after the procedure. While there will be an improvement, do not assume that 100% of scarring will be removed.
1 person found this helpful

We I am going in bathroom and do poop something blood in coming in my stool I am 21 year old please suggest me what to do.

Bams
Ayurveda, Noida
We I am going in bathroom and do poop something blood in coming in my stool I am 21 year old please suggest me what t...
It may be due to piles, just check any lumps around anus and color of blood, if constipation is there then correct it with the fiber rich diet, milk, drink plenty of water .consult in chat box for detail discussion.
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Treatment of Epidermoid Cysts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Epidermoid Cysts!

Treatment of Epidermoid cysts

Homeopathic Treatment of Epidermoid cysts
Acupuncture & Acupressure Treatment of Epidermoid cysts
Psychotherapy Treatment of Epidermoid cysts
Conventional / Allopathic Treatment of Epidermoid cysts
Surgical Treatment of Epidermoid cysts
Dietary & Herbal Treatment of Epidermoid cysts
Other Treatment of Epidermoid cysts
What is Epidermoid cysts
Symptoms of Epidermoid cysts
Causes of Epidermoid cysts
Risk factors of Epidermoid cysts
Complications of Epidermoid cysts
Lab Investigations and Diagnosis of Epidermoid cysts
Precautions & Prevention of Epidermoid cysts
Treatment of Epidermoid cysts 

Homeopathic Treatment of Epidermoid Cyst

Homeopathy can prevent occurrence of cysts and can resolve existing ones. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines that can be used for treatment of epidermoid cyst are:

Bar C
Calc
Graph
Phos
Calc S
Hepar 

Conventional / Allopathic Treatment of Epidermoid cysts

In the allopathic treatment of epidermoid cysts, corticosteroid or triamcinolone acetonide injections are used to help reduce inflammation.

Surgical Treatment of Epidermoid cysts

Surgical Treatment of Epidermoid cysts involves the following surgeries: 

Incision and drainage – In this procedure, your doctor makes a small cut in the cyst and expresses the contents.
Total excision – it removes the entire cyst and so prevents recurrence.
Minimal excision – it removes the whole cyst wall but causes minimal, if any, scarring.
Dietary & Herbal Treatment of Epidermoid cysts

Witch hazel is one of the most helpful herbs in treating sebaceous cysts.

What is Epidermoid cysts?

Epidermoid cysts are the most common type of skin cyst. They are small bumps that develop beneath the skin on your face, neck, trunk and sometimes your genital area.

Symptoms of Epidermoid cysts

Round cysts or small bumps
Usually white or yellow in colour
Range in size from less than 1/4 inch to nearly 2 inches in diameter

Causes of Epidermoid cysts

Damage to a hair follicle
A ruptured sebaceous gland
Heredity
Developmental defect

Risk factors of Epidermoid cysts

Being male
History of acne
Sun exposure
Being past puberty.
Skin injuries

Complications of Epidermoid cysts

Skin cancer
Infection
Genital discomfort
Inflamed cysts
 

Diagnosis of Epidermoid cysts

Diagnosis of Epidermoid cysts involves only the physical exam. Your may refer you to a dermatologist for treatment.

Precautions & Prevention of Epidermoid cysts

There is no way to stop epidermoid cysts. But you can follow some points to avoid complications:

Avoid excessive sun exposure
Avoid using oil-free skin care products

Treatment of Enlarged Prostate!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Enlarged Prostate!

Treatment of Enlarged Prostate

Homeopathic Treatment of Enlarged Prostate
Acupuncture Treatment of Enlarged Prostate
Conventional / Allopathic Treatment of Enlarged Prostate
Surgical Treatment of Enlarged Prostate
Dietary & Herbal Treatment of Enlarged Prostate
Other Treatment of Enlarged Prostate
What is Enlarged Prostate
Symptoms of Enlarged Prostate
Causes of Enlarged Prostate
Risk factors of Enlarged Prostate
Complications of Enlarged Prostate
Lab Investigations and Diagnosis of Enlarged Prostate
Precautions & Prevention of Enlarged Prostate
Treatment of Enlarged Prostate

Homeopathic Treatment of Enlarged Prostate

Homeopathic medicines for enlarged prostate helps to reduce prostate, painful micturation, repeated urination and bloody urine caused by prostate gland enlargement. Following are some homeopathic remedies which are very effective for enlarged prostate.

Chimaphilia
Sabal serrulata
Staphysagria
Thuja
Hepar sulphuris calcareum
Conium maculatum
Baryta 

Acupuncture and Acupressure Treatment of Enlarged Prostate

Acupuncture treatments are very effective for Enlarged Prostate. The main aim of acupuncture treatment is to balance the disharmony, open the acupuncture channels, reduce inflammation, stop pain & bleeding, shrink prostate and smooth urination. 

Conventional / Allopathic Treatment of Enlarged Prostate

Conventional drug treatments include Finasteride and dutasteride that block a natural hormone that makes the prostate enlarge. Alpha-blockers can also help the symptoms of Enlarged Prostate, even in men with normal blood pressure. Some allopathic drugs are terazosin, doxazosin tamsulosin and alfuzosin. 

Surgical Treatment of Enlarged Prostate

Surgery usually relieves the obstruction and incomplete emptying caused by Enlarged Prostate.  Following are the types of surgery that are used.

Transurethral surgery
Open surgery
Laser surgery

Dietary & Herbal Treatment of Enlarged Prostate 

Avoid to eat spicy foods or drinking carbonated beverages
Reduce to eat Red meat
Eat foods containing more zinc such walnuts, pumpkin, seeds, safflower seeds and oysters. 
Other Treatment of Enlarged Prostate

Yoga is really helpful to the enlarged prostate. It also helps tone the deep pelvic muscles there by promoting circulation. 

What is Enlarged Prostate?

Enlarged Prostate is a natural condition where the prostate gland slowly grows, causing pressure on the urethra. It is also called as BPH (Benign Prostatic Hyperplasia)

Symptoms of Enlarged Prostate

A feeling of incomplete bladder emptying
Difficulty starting urination
Dribbling’ after urinating
Frequent urination
Burning with urination
Urgency to urinate
A discharge from the penis
Getting up frequently at night to urinate
Straining to urinate
Continued dribbling of urine
Returning to urinate again minutes after finishing

Causes of Enlarged Prostate

Genetics
Hormone imbalance
Cell-growth factor
Zinc deficiency
Obesity
Decreased testosterone level 

Risk factors of Enlarged Prostate

Age
Heredity
Marital status

Complications of Enlarged Prostate

Diabetes
Hypertension
Kidney failure
Bladder stones
Bladder cancer 

Diagnosis of Enlarged Prostate

Physicians to diagnose an enlarged prostate include:

Digital rectal exam.
Urine and blood tests
Ultrasound
Urine flow exam
Cystoscopy 

Precautions & Prevention of Enlarged Prostate 

Urinate when you first get the urge
Avoid alcohol and caffeine, especially after dinner.
Don’t drink a lot of liquid all at once
Keep warm and exercise regularly
Do not take cold and sinus medications
Reduce stress

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