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Dr. Alok Rastogi

General Physician, Delhi

300 at clinic
Dr. Alok Rastogi General Physician, Delhi
300 at clinic  ·  ₹ online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Alok Rastogi
Dr. Alok Rastogi is a popular General Physician in Ashok Vihar, Delhi. You can consult Dr. Alok Rastogi at Shanti Multispeciality Clinic And Diagnostic Centre in Ashok Vihar, Delhi. Book an appointment online with Dr. Alok Rastogi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 28 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.

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A-636, New Ashok Vihar. Landmark:-Near HDFC ATM, DelhiDelhi Get Directions
300 at clinic
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Are headaches caused by dehydration a regular accruing phenomenon despite of a healthy water intake, if not then what can be done to avoid them, or increase the water retention in the body?

MBBS
General Physician
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Are headaches caused by dehydration a regular accruing phenomenon despite of a healthy water intake, if not then what...
If you have recurrent attack of headache 1.It could be a tension headache due to stress, strain,depression,agitation, inadequate sleep. Hypertension or migraine. 2.Avoid stress, physical and mental exertion, take adequate sleep for 7-8 hours daily 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Consult Neurologist to rule out other causes of headache7.consult me for further advice

How to find if I have one testicle? Please give me a detailed answer and is that a problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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How to find if I have one testicle? Please give me a detailed answer and is that a problem.
First of all you should do sonography of scrotum and pelvic. After that you should consult to general surgeon.

My daughter 10 months has developed inguinal hernia on the left side of her groin, her doctor has advised surgery. My question is can this hernia be treated by medicines. And second question is there any side affects of this surgery.

MBBS
General Physician
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no medicine for hernia.surgery only treatment by pediatric surgeon only. no side effect. welcome for help.

The number 1 mantra to digest food and get rid of acidity and constipation:

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition, Post Graduate Diploma in Health and Family Welfare
Dietitian/Nutritionist
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The number 1 mantra to digest food and get rid of acidity and constipation:

Before eating - folding hands
During eating - crossing legs
After eating - folding legs (Vajrasana)

How you eat is as important as what you eat and when you eat.

Hi sir, I feel very weakness and body pains in all parts, I am seek why like that some times on leg pain some times on head pain I feel very dull ness.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Hi sir, I feel very weakness and body pains in all parts, I am seek why like that some times on leg pain some times o...
Eat a lot of good things Protein = building block for your muscles Carbs will help you put on weight, but it won’t be muscle Keep track of everything you eat Compound exercises are your friend Appearance is a consequence of fitness Let your muscles rest Sleep Make it part of your routine Realize you will put on some fat U need to take a high protein high calorie diet.

I have an acidity problem from last 2 years and because of these problem I did not feel good so what should I do for getting relief from this problem?

PGDHHM, MBBS
General Physician
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I have an acidity problem from last 2 years and because of these problem I did not feel good so what should I do for ...
Alter yr diet too. Eat fresh foods,eat fruits,avoid constipation,avoid late night heavy foods,avoid carbonated drinks. Antacids may help in hyperacidity.

Hello sir/ madam, I want to know, what are the main reasons behind the side effects of akurit-4?

MBBS
General Physician
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Hello sir/ madam,
I want to know, what are the main reasons behind the side effects of akurit-4?
Poor body resistance, poor health, faulty diet, reaction to any content of akurit. 4 Are the main reasons.

When I getup from sleep, I have severe head ache. What I want to do to escape from that head ache?

MBBS, MBA (Healthcare)
General Physician
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When I getup from sleep,  I have severe head ache. What I want to do to escape from that head ache?
Take crocin pain relief one sos. check your BP. Check your eye sight.take rest and proper sleep. avoid anxiety and stress. consult if not ok.

How I timely sex? My sex time is short that because my sex partner very angry. Please tell me. I what do now?

MBBS
General Physician
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How I timely sex? My sex time is short that because my sex partner very angry. Please tell me. I what do now?
Indulge more in foreplay sex is more in the mind you have to take your partner in confidence lesser you think about performance better it will be too much anxiety about the act and apprehension that how it will go spoils it so just learn to relax in case you want further support and guidance contact me on lybrate website.

My grandmother is suffering from skin disease from 1 month. She gets sores everywhere in her body colored red.

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist
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My grandmother is suffering from skin disease from 1 month. She gets sores everywhere in her body colored red.
It is a kind of allergic reactions and fungal infections are little difficult to remove bcz they are in skin where blood supply is very little. So it will take time to remove. For further assistance you can concern me privately.

My 4 year old son has accumulated wax in both ears. I consulted two doctors and both advised ear drops and said the wax will come out by itself. I wanted to know if extracting wax through vacuum or water spray is not recommended for small kids? What should I do. Please suggest.

MRCPCH, MBBS
Pediatrician
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My 4 year old son has accumulated wax in both ears. I consulted two doctors and both advised ear drops and said the w...
No we should not put water or anything else in ear as more harmful. If child is getting ear pain or irritation then just ear drops as advised till paediatrician says no infection.

AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist
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In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
AntiBiotic Resistance on the rise very fast

Hello Doctor I am 18 year old girl I have a habit of masturbation from last 2years is it normal or it will effect my health. please suggest.

MBBS
General Physician
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Hello Doctor I am 18 year old girl I have a habit of masturbation from last 2years is it normal or it will effect my ...
It's okay if you mastubate once in two weeks but if the frequency is increased than it will create problems for you

I am 23 yrs old & married boy & I have sexual weakness like nightfall, early falling and small & weak penis so pls suggest what I do. Whats the best medicine or oil.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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I am 23 yrs old & married boy & I have sexual weakness like nightfall, early falling and small & weak penis so pls su...
Premature ejaculation is a common problem faced by many men. But the solution is really simple- please get a consultation with sexologist. All you need is sex counseling, sex exercise, to follow some sex tips and drugs as prescribed by doctor. Also avoid smoking, alcohol and anxiety.

Please suggest me how to improve sexual stamina because when I am going for sex with my partner facing problem like premature ejaculation. Even if sometimes before sex. Please advise me any Staylong gel.

MD - General Medicine
General Physician
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Please suggest me how to improve sexual stamina because when I am going for sex with my partner facing problem like p...
Coitus interuptus meaning withdrawing penis out of vagina before discharge and then re-inserting prolongs time. Use of condom causes less sensation and time may increase. Foreplay with partner before insertion helps the partner attain orgasm. Masturbation before sex help a few people. Not allowing partner to fondle too much with penis before insertion may also help. Some people need medicines. Consult me if required.

I am suffering for dry cough for the last 2 week and I have chest pain whenever I cough hard. Can you suggest what should be don ?

BHMS
Homeopath
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I am suffering for dry cough for the last 2 week and I have chest pain whenever I cough hard. Can you suggest what sh...
take steam 3 times if severe or 2 time morng and evng avoid cold food and drink and from cold air in homoeopathy took Bryonia alb 30C thrice a day for 7 days rhus tox 30C thrice in a day for 7 days

Please tell me the medicine name what should I take for cough with flame and some fever.

MD PULMONARY, DTCD
Pulmonologist
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paarcetamol sos for fever. Need investigation to know cause of cough like xray chest, cbc esr , PFT to know cause

I am suffering from high fewer, cold and bodyache. Please suggest me medicine.

MD - Internal Medicine, MBBS
Endocrinologist
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I am suffering from high fewer, cold and bodyache.
Please suggest me medicine.
you can take tab. Flucold twice a day . Tab. Dolo 500 mg sos. Tests..mp,cbc. After tests you can take antibiotics by doctor. Never take asprin medicines in fever and cold now a days. feel cold then cover body with warm cloths, avoid dust area, clean body, change cloths daily, change bed sheet daily,

Hi I am suffering from frequent uti. Kindly suggest some remedy.

MD
General Physician
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Plenty of water cranberry juice citro soda sachet mix in one glass of water take at least four times a day tab oflox 200 mg two times a day for 5 days. Personal hygiene.

I have blisters in my mouth from past 3 days, please give solution.

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath
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Blisters in mouth can be due to verious reasons either due to vitamins deficiency or else gastric problems or else down other issues need to analyze and prescribe medicine.
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