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Shah Speciality Clinic

General Physician Clinic

Ramesh Nagar New Delhi
1 Doctor · ₹500
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Shah Speciality Clinic General Physician Clinic Ramesh Nagar New Delhi
1 Doctor · ₹500
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About

Our medical care facility offers treatments from the best doctors in the field of Cardiologist, Diabetologist, General Physician, Infectious Diseases Physician, Internal Medicine.Customer......more
Our medical care facility offers treatments from the best doctors in the field of Cardiologist, Diabetologist, General Physician, Infectious Diseases Physician, Internal Medicine.Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Shah Speciality Clinic
Shah Speciality Clinic is known for housing experienced General Physicians. Dr. Vitrag Shah, a well-reputed General Physician, practices in New Delhi. Visit this medical health centre for General Physicians recommended by 95 patients.

Timings

Sun-Sat
10:00 AM - 09:00 PM

Location

Ramesh Nagar
Ramesh Nagar New Delhi, Delhi - 110015
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Doctor

Dr. Vitrag Shah

MBBS, MD - Internal Medicine, Critical Care Training
General Physician
Available today
90%  (628 ratings)
6 Years experience
500 at clinic
₹200 online
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I am naveen, 22 yr. I have been taking food good. And digestion is also good. But my Excreta will not come in the proper timings like morning. I have been taking 6lt of water per day. After brush I must take one glass of water. How can I over come this?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am naveen, 22 yr. I have been taking food good. And digestion is also good. But my Excreta will not come in the pro...
Hello, take fibre rich diet - green leafy vegetables & fruits. If it doesn't respond to diet also, then revert back and I will prescribe medicines for same.
3 people found this helpful

I am a student and would like to know of a tablet that can make me more alert and reduce fatigue and strain. I am healthy and get enough sleep. Could you please suggest a tablet that would boost memory, alertness and focus.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am a student and would like to know of a tablet that can make me more alert and reduce fatigue and strain. I am hea...
Hello lybrate-user, no need of medicines for same. Focus on your areas of interest, do exercise, yoga, other activities.
2 people found this helpful

Sir I am 26 years old I have bp problem my bp is very high tell me what should I do.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Sir I am 26 years old I have bp problem my bp is very high tell me what should I do.
Hello, at your age, bp should not be high. If it is, we need to find out the cause. Revert back with details and ineould be glad to help you further! regards
1 person found this helpful

I have acidity problem, and I take regular rbson d once a day, any side effect from it?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I have acidity problem, and I take regular rbson d once a day, any side effect from it?
Hello, there are no significant side effect of you take it occasionally but if you take for long term, need to take precautions! I hope this helps!

I feel low on energy from past 4 days When I feel hungry and start eating my stomach is full quickly and I get burps. I continue smoking cigarettes and marijuana from 5 years and I had dry cough and yesterday I puked out the food after puking I looked at traces of blood along with cough when I spit that out. Which has arise so many questions in my mind!

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Hello, if vomiting was forceful, then some sort of mucosal fear can lead to blood in vomiting. If it persists, or if you have black color stool, need to evaluate further. Stop smoking, if you can't, get in touch with psychiatrist for deaddiction. For medicines and further queries, consult privately. I hope this helps!

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Dengue - Important Information

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito.

Previous dengue infection with similar serotype provides immunity but different serotype causes more severe infection.

Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc.

Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

Lab Test

NS1
Best test is NS1, specific
Cannot be false +ve
Is + from day 1 to 7 ideally.
If on day 1 is -ve, repeat it next day.
Always ask for ELISA based NS1 tests as card tests are misleading.


IgG & IgM dengue

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction (IPF)

A very useful test in Dengue for patients with thrombocytopenia.

If IPF in such a pt is > 10%, despite a platelet count of 20, 000, he is out of danger & platelets will rise in 24 hrs.

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for platelet transfusion.

Better to do an IPF even with borderline low platelet count.



A low Mean Platelet volume or MPV means platelets are functionally inefficient and such patients need more attention.


The primary cause of death in patients suffering from dengue is capillary leakage, which causes fluid deficiency in the intravascular compartment, leading to multi-organ failure. Platelet deficiency is not the cause of death in most of the patient suffering from Dengue .

According to International guidelines, unless a patient’s platelet count is below 10,000 or there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. In fact, it does more harm than good if used in a patient whose counts are over 10,000.

At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more sick.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Read WHO guidelines for further fluid management strategies & Hematocrit monitoring.

9 Home Remedies for Chest Congestion Relief

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Home remedies for chest congestion

Chest congestion becomes common with a change of season. And it’s advisable to go for home remedies. Medicines might have side effects too but home remedies not only provide quick relief but are safe too. But you need to make a little effort for that.

Try these home remedies for a quick relief:

1. Gargle: Gargling is an easiest home remedy for chest congestion. It’s done by putting little salt or turmeric in a glass of warm water. It should be done twice or thrice a day.

2. Steam: Taking steam before sleep instantly eases chest congestion. Plain boiling water is good but one can put a pinch of turmeric too as it’s a great healer.

3. Ginger and honey: It’s advisable to boil pieces of ginger in water and then seep them and drink the water by mixing honey in it. Take it 2-3 times in a day for quicker relief.

4. Onion juice: Onion juice also helps in cleaning chest congestion. Mix honey, lemon juice with onion juice in a glass of warm water and drink it 3-4 times a day.

5. Bay leaves: Taking fresh bay leaves provides great relief at the time of chest congestion. Boil bay leaves in water for about 2-3 minutes and take it 2-3 times a day.

6. Black coffee: Taking 2-3 cups of black coffee also helps in cleaning chest congestion because of presence of caffeine in it.

7. Foods to avoid: During chest congestion, one should avoid taking sugar, dairy products and fried food as all these increase mucus production.

8. Garlic and Lime juice: Take a glass of warm water and add lime juice and garlic paste along with a pinch of salt. Gulp it down to get instant relief.

9. Milk with turmeric and black pepper powder: Take a glass of hot milk, add 2 teaspoons of honey, half teaspoon turmeric with a pinch of black pepper powder and drink it for instant relief.

If you would like to consult with me privately, please click on 'Consult'.
9 Home Remedies for Chest Congestion Relief
3650 people found this helpful

Sir, I have piles problems since 2 months, I feel little pain while motion out. So please help me what should i do

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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You need to take more fruits and green leafy vegetables in your diet and more water to make your stool more softer and lessen discomfort while passing stool.
1 person found this helpful

Agar urin me jalan ho to kya karna chahiye?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Agar urin me jalan ho to kya karna chahiye?
Take plenty of water, cranberry juice, coconut water. Syp. Citralka ka 2tsf thrice daily for 3 days if urine examination showing pus cells.
1 person found this helpful

I am suffering from fever since two days with pain in throat. Please tell what to do to get well soon.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am suffering from fever since two days with pain in throat. Please tell what to do to get well soon.
Hello , take tab. Sumo-p when fever and severe throat pain. Don't take. More than 3 tablets per day. Take betadine gargles three time per day.

I am 32 years old female suffering from fever with rash last from 5 days what should I do?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am 32 years old female suffering from fever with rash last from 5 days what should I do?
Hello, fever with rash can be in simple viral fever also, but should not be neglected as it can represent hemorrhagic fever too. Get done cbc with peripheral smear today only and revert back with report. Consult privately with further details and for treatment.

I am having some trouble it had been 4 days since I ve been feeling low and also I am having fever and cold too. Any suggestions what should I take sometimes I am also feeling stomach ache.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am having some trouble it had been 4 days since I ve been feeling low and also I am having fever and cold too. Any ...
Might be viral fever. Take tab. Nimeson-p twice daily and betadine gargles thrice daily for 3 days if sore throat. Drink plenty of water and take rest.
1 person found this helpful

I have a throat pain for 2 days. Its very severe. My sound has gone now. What should I do?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I have a throat pain for 2 days. Its very severe. My sound has gone now. What should I do?
Take betadine gargles thrice daily and tab. Nimeson-p twice daily for 3 days and tab. Solvin cold twice daily for 3 days.

My nose is blocked please give solutions.What can i do?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Take otrivin nasal drops thrice daily and tab. Cheston cold twice daily for 3 days. Revert back of any more queries.
1 person found this helpful

I have sore throat and I can not talk properly what do I do?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I have sore throat and I can not talk properly what do I do?
Take betadine gargles thrice daily and tab. Nimeson-p twice daily for 3 days. Revert back for further queries.

I am 42 years old due to thyroid problem my face skin has lost its glow and lot of lines are visible please advise.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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I am 42 years old due to thyroid problem my face skin has lost its glow and lot of lines are visible please advise.
If it is not abrupt change, it is aging and you have to accept little bit. You can use ahaglow facewash. Regarding thyroid, what's your current tsh level?

Medicine of scorpion bite its urgent. please help.?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Scorpian bite is an emergency. Get admitted to nearest hospital. It can cause hypertension and severe pain at bite site.
1 person found this helpful

Hi i am 21 year old female. I suddenly starting having tickling sensation in my ear specially in my left ear for last 2 weeks. I get little watery from ears every morning and I start tickling it and use ear bud finally every morning. What should I do?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Hi i am 21 year old female. I suddenly starting having tickling sensation in my ear specially in my left ear for last...
Visit ent surgeon and get otoscopic examination. If no pain, fever, then don't worry but just to be on safer side, get examined once. You might be having ear wax.
2 people found this helpful

What is permanent solution for cough and cold?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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No permanent solution. But if you r having any triggers like exposure t cold, diet, pollen etc, avoid exposure.
1 person found this helpful

I have throat infection problem what I can I do now?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician
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Tale betadine gargles. And for symptomatic treatment, tell your symptoms and I will prescribe medicines for same.
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