Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 36 years of experience on Lybrate.com. You can find General Physicians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. Ajay GndhaYour feedback matters!
I am a 27 year old, healthy (enough) male who has been getting intermittent, irregular and infrequent chest pains on and off for around 10 years. During an'attack' the pain can be quite severe and sharp - I guess a bit like being stabbed. The pain is localised to the left side of my sternum and feels fairly deep (i. E. It cannot be palpated). Attacks can last anywhere from a few seconds to a day or so, and tend to come in'clusters' that can be present for up to a week. There can be months between each cluster of attacks (if you get my drift!). Pain can sometimes be exacerbated when leaning forward, coughing, lying on my side or raising an arm (seems to always vary - and can sometimes not have any stimulates). During a'cluster' period and between attacks I can often feel a mild, underlying ache in my chest. This is easy enough to ignore however. I have had ECGs and chest xray that have all been fine, and am not affected at all during exercise - I can happily go out and run 10k with ease. Doctors have in the past ruled out gastro reflux as there was no tenderness on palpation of my stomach area, although I have sometimes thought that attack can follow a big meal and be accompanied by burping (although this may be my mind tricking me). musculoskeletal problems have been mentioned, but why would attacks come in clusters and seemingly out of the blue?
I have a problem. While talking to girls from my penis some liquid is coming out. Due to that my penis is cool down .due to that problem I'm suffering a lot. please share the solution for my problem .and if you suggest some medicine also no problem.
With pregnant women till which month man can have sex from 1-9, and with pregnant women sex will be save for baby.
I masturbate daily once at night since many years. I could not control it without it I can't sleep. I am unmarried. I could not perform sex well with my romantic partner. My erection last for few minutes could not penetrate well. Please help me to get rid of this problem.
Kya hastmaithun (mastrubin) se sehat Par fark padta hai aur iske fayde Kya hai please details mai karta hu mera fat nahi badh raha hai help paz.
I am 39years old. Male. Have more weakness, chest pain from 3months. I have sugar from 6yrs. Please sugest high power vitamin.
Hello, I am Dr. Somasekhar Rao, gastroenterologist and hepatologist at the Apollo Hospitals, Jubilee Hill, Hyderabad. I would like to talk about cirrhosis of liver and its complications and how to manage those things. Basically cirrhosis of liver is nothing but the liver get shrunken and it becomes nodular and hard so the functions of the liver comes down. The functions which are there are 600 vital functions that a liver does normally in a human being and all these functions are compromised in a patient with cirrhosis.
Most important cause for cirrhosis is always alcohol and next comes viruses called hepatitis B and hepatitis C. The evolving most increasing cause no is nonalcoholic fatty liver disease. Fatty liver disease which we see on ultrasound can cause cirrhosis. Any patient in early cirrhosis may not present with any symptoms. The initial symptoms of decompensations would be:-
- There will be swelling in the fluid
- Swollen feet
- There will be distinction of abdomen because of accumulation of fluid in the abdominal cavity
- Patients may have jaundice.
- Sometimes they may present with a history of passing black color motion that means this patient is having bleeding in the gastrointestinal tract. It can be most common because of the swollen blood vessels called viruses in the esophagus.
So other presentations would be disorientation. Patient can have hepatic encephalopathy, the functions of the liver because the liver acts as a filter to many toxins. All these toxins enter into your brain and cause disorientation this is called hepatic encephalopathy.
So now we will talk about the treatment of cirrhosis. Whenever we see a patient with cirrhosis, most important thing is we will try and evaluate the cause of cirrhosis. See if the patient is a chronic alcoholic. We are taking a history of all college. The first thing is to cut down and stop intake of alcohol when the patient is in early cirrhosis. It can reverse the cirrhosis to normal liver. Most important and nutritional aspects along with some supportive medication but when a patient presents with complications already, then we will be treating only the complications. Once the cirrhosis sets in and he is in CTP. By the time. you see that the patient eventually progresses most of the time. We are trying to treat the complications of cirrhosis. Then a patient presents to us with bleeding then we will find out whether it is very variceal bleeding and there is a procedure called endoscopic variceal ligation to decrease the pressure of the varices blood pressure in the esophageal varices.
We have some medications which decrease the pressure. We treat these patients and we control the bleeding and a patient presents with fluid in the stomach abdominal cavity or fluid in the legs. These patients are treated with so called restricted diet. Also we give some tablets called diuretics which increase the urine output and decrease the fluid in the legs and in the abdominal cavity and a patient presents with hepatic encephalopathy. We treat hepatic encephalopathy by medications and we try to decrease the ammonia level which is released by cleansing the gut and all those things. So all these things are managing complications of cirrhosis. Very rarely we see a patient in early cirrhosis then we treat the host.
The cirrhosis can be reversible. It is very rare but eventually when we see a patient in complications, he would always be in a stage called CTPB where he will progress to CTBC. CTBC is the end stage of cirrhosis and at that point of time the patient is left only with option of liver transplant.
Liver transplantation is again transplantation. It can be a live donor transplantation or deceased donor transplantation. So Eventually when you see a patient in CTBC we have to plan for liver transplantation. In these patient he can wait maybe for 2 or 3 months meanwhile we will be managing for complications.