Dr. Ankur Gupta

Erectile Dysfunction occurs due to 1.Fatigue, stress, depression, 2.Relationship issues, performance anxiety, 3.Alcohol consumption, Smoking, consumption of tobacco, Excess masturbation 4.Obesity, Diabetes, Hypertension, Heart disease, 5.Thyroid,Kidney problem, ,enlarged prostate, parkinsonism etc 6.Consult doctor to rule out these diseases. 7.Go for regular exercise, reduce your weight if over weight 8.stop smoking, tobacco and alcohol consumption, avoid excess masturbation9.Take good nourishing diet ,plenty of green leafy vegetables, fruits. Take water melon, pomegranate, dark chocaolate 10. Avoid stress, anxiety, physical and mental exertion. Take adequate rest 11. Do yoga, Meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress12. Topical Androgel/Testosterone replacement/ Zinc supplement can help. 13. Do serum testosterone examination and if low take testosterone injection after consulting physician 14. If no relief consult sex therapist/ sexologist.

Yoga, meditation, focus on work, eating healthy and exercise moderately, reading, writing, watching good programmes with less violence and hobbies help a person cope with anxiety, palpitations without pills. Get heart tested for basic tests like ecg, echo, stress test and blood tests for sugar and total lipids.

1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.Drink plenty of water 3.Take rest 4.If no relief do blood examination like ESR, CBC, Widal/ Typhidot test, Blood for mp/malaria antigen and Dengue antigen(NS1) test after consulting doctor 5. consult me for further advice

Hello, It seems ,you are suffering from blockage of urethra due to calculus, needs thorough investigation, locally. Tk, homoeopathic medicine:@.Berb. Vulg. Q -10 drops, thrice with little water. @ Lyco 30-6 pills, thrice. Go for meditation to reduce stress. Your diet be easily digestible on time. Avoid, junk food, alcohol, smoking. Report, weekly. Tk, care.

First of all ascertain the cause of headache. It could be stress headache a nervous headache you may be suffering from hypertension, weak eyesight etc etc requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

The initial choice of treatment is a steroid ointment that is locally applied. (This can be suggested by a doctor after you are examined in person.)The ointment softens the foreskin and is applied for up to 6 weeks. When full retraction is possible the ointment is stopped. If this treatment is unsuccessful, a circumcision (surgical removal of foreskin) may be advised.

The answer is no. Nightfall is a natural physiological process so as doing masturbation but don't do it in excess. Doing masturbation will surely lead into kidney problem and dialysis cannot be foretold by anyone.

Dear lybrate user. I can understand. There are many reasons for sexual problems like premature ejaculation or other sexual problems. But most common is anxiety and apprehension. A temporary ejaculation problem can potentially cause anxiety and depression. These conditions can cause the premature ejaculation and other problems. Take care.

Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.

Limit the amount of white bread, sugar, meat, junk food and milk products (cheese, milk, butter, cream.) and increasing fresh fruits, veggies, water and fiber (beans, oats,) also yogurt really helps due to the probiotics. Maybe you could do a food diary for a period, eliminate a couple of items at a time and build up until you have added enough other of good items to make the stools loose. Oatmeal helps out tremendously. Figure out the diet and once you've added enough good things, slowly pull back on the laxatives and pay attention as you go. This could be a food allergy, do some research, usually its lactose (dairy), nuts, sugar, food coloring, preservatives. Try to avoid boxed and processed foods which have more preservatives, calories, fat, high carb. Treatment is available, safe and without side effects in biochemic system of medication, consult me in private.

Please take nux vomica 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.

It might be chronic sore throat refractive to antibiotics. Ofcouse bad breath is due to it. Such chronic infection better respond to homoeopathic medications.

You may be having tension headache due to anxiety and stress.Avoid stress. Check for sinusitis. Take paracetamol for headache. If no relief consult doctor

Few tips for you- avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.

Hi lybrate-user, it seems that your daughter is suffering from allergic cough. It is all seasonal. No need to worry. Your doctor has already done all the tests. They are all normal. Just continue with Monteleukast for 1 month. Give her some multivitamins also.

It may gas distention trouble due to indigestion. Have simple bland food (Khichadi) for next few days avoiding junk, oily, spicy fried and deep-fried food items. Drink lot of water. Add Jeera, Ajwain, Sonth in your food items – these herbs prevent gas formation. Reduce intake of tea – coffee. Instead you can have green tea. Do not lye-down or sit immediately after having meals. Have a walk instead. Maintain good bowel habits. Have more of Coconut Water, Gulkand etc to relieve acidity, Avoid too much of Cauliflower, Peas, Brinjals, Namkeens as snacks etc. Do regular walking and mild exercises. You may also do a weekly fast – just to relax and calm down your system. Fasting also helps in cleansing of the system.

Kindly follow advises given below You can take if no drug allergy Syrup Digene 1 tsf before food twice a day for 3 days 1. Drink lot of water 2.Avoid food from outside, junk, fried, spicy fatty food 3.Take fibrous diet 4. Regular Physical exercise 4. Regular Meditation Consult Physician for further Management

Hello. According to ayurveda, its a indigestion of pitta. I am giving some tips * avoid sour salty spicey diet * avoid curd * avoid day sleep * take black dry grapes 20 to 30, after meal 1 hour * avoid stress & anger * take food little less than your hunger *constipation must be avoided. Take triphala tablet according to need, before each meal * start amlapittmishran syrup of dhootpapeshvar pharma before food 2 tsp.

Do kegel exercise and start and stop techinque. Also do squueze method. Do eat well balanced veg. Diet and drink lots of water to detoxify your body. Avoid smoking or drinking alcohol habits if any. Have plenty of salads before each meal. Do jaqling exercise and vaccum devise for increasing size.

Snoring is the production of upper airway noise via breathing during sleep.
• Snore- during sleep, the noise produced while breathing through the mouth.
• Snoring is a sound a person makes during sleep when his or her breathing is disrupted.
Aetiology /pathogenesis-
Snoring originates in the parts of the upper airway which have no rigid support to counteract compression from outside or collapse from inside. This narrowing leads to local acceleration and turbulence of the breathed air. This, in turn, causes vibration of the pharyngeal wall.
The structures concerned are-
• Soft palate
• Uvula
• Tonsils
• Base of the tongue
• Pharyngeal muscles and
• Pharyngeal mucosa.
Factors contributing to snoring-
The palate, tongue and pharyngeal muscles play a part in keeping the airway open during the inspiration. If, during the deep sleep phase, and especially during REM sleep, the muscle tone is insufficient, the tongue can fall backward due to gravity, and vibrate against the soft palate, uvula and pharynx. This occurs particularly in the supine position.
Anatomical abnormalities can limit the passage of air in the oropharynx and the hypopharynx. Such abnormalities include-
• Enlarged tonsils and adenoids
• Fatty tissue in the pharynx (due to obesity)
• A relatively large tongue (in the case of retrognathia, micrognathia and acromegaly).
• A narrow nasal passage causes an increase in negative pressure during inspiration, which increases the effect on the flaccid pharyngeal tissue. A particularly long palate and uvula also narrow the nasopharyngeal opening during inspiration. This explains why people who normally do not snore may do so when they have a cold or allergic rhinitis.
• Septal abnormalities, nasal polyps and tumours can also contribute to constriction.
• Hypothyroidism, neurological disorders, alcohol and hypnotics can intensify the overall effect.
Signs and symptoms-
• Unexplained tiredness or sleepiness during the day.
• Disrupted social activities and relationship problems (and even divorce). The snoring noise can sometimes be as loud as 50–70 db, which is similar to the noise of a low-flying jet plane.
• Sometimes, temporarily stopped-breathing (sleep apnoea), which can be very alarming.
Examination-
Very careful examination of the ear, nose and throat area, particularly the tonsils, palate, uvula and tongue is made. Nasal polyps, swollen turbinates, septal deviation, hyper reactive nasal mucosa, and abnormal anatomy of the lower jaw (relatively too small or recessed) is evaluated. Weighing the patient and blood pressure is next step. If hypothyroidism is suspected, the thyroid stimulating hormone level is checked.
Management-
The average snorer is a person more than 40 yrs old. While he inhales or exhales during sleep, the soft palate vibrates noisely. Snoring is usually caused by a condition which hinders breathing such as a cold, an allergy, a nasal polyp, tumor or deviated nasal septum. The cause must be removed to stop snoring. Snoring can also be diminished by reducing weight, stopping smoking and drinking alcohol in evening before sleeping.
Option 1-
If no abnormalities are found on the history or examination, no treatment is required.
Option 2-
If further investigations are found, general measures can be suggested. These include-
• Losing weight if necessary
• Avoiding lying on the back if the snoring is position-dependent and
• As appropriate, discouraging smoking, alcohol consumption and the use of hypnotics.
• Any underlying causes or contributory factors, such as hypothyroidism or allergies are treated.
• Mechanical devices placed in the nose and mouth only reduce snoring to a limited extent.
• If, in the case of habitual snoring, the patient temporarily stops breathing and/or the patient reports that he is sleepy and tired during the day, sleep apnoea syndrome must be considered.
• Snoring can also be cured about 80% by surgery. The operation is called uvulopalato-pharyngoplasty.
Prevention
Attention to weight, smoking, alcohol and hypnotics, and avoiding sleeping on the back are effective preventive measures. Reassurance is sometimes appropriate, particularly if there are groundless fears about sleep apnoea.