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Dr. Anshuman

General Physician, Delhi

500 at clinic
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Dr. Anshuman General Physician, Delhi
500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Anshuman
Dr. Anshuman is one of the best General Physicians in Mehrauli, Delhi. Doctor is currently practising at Batra Hospital & Medical Research Centre in Mehrauli, Delhi. Book an appointment online with Dr. Anshuman 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 26 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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English
Hindi

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Batra Hospital & Medical Research Centre

1, Tughlakabad, Mehrauli Badarpur Road, Landmark:-Institutional Area, DelhiDelhi Get Directions
500 at clinic
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I am suffering from itching problem on the legs and waist it's marks are left on the body.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am suffering from itching problem on the legs and waist it's marks are left on the body.
Homoeopathic treatment----------------------- sulphur 30 (sbl) drink 5 drops in 1 spoon fresh water today night 30 minutes after eating or drinking anything today at bedtime.-------------------------- nw forget about sulphur 30 after this nd just keep it in your refrigerator. No need to further take this medicine. I will let you know what to do with this medicine after 7 days-------------------. Azadirachita- indica q (sbl) drink 15 drops in 20 ml fresh water 3 times daily formula-d tabs (bakson) chew 1 tab 2 time a day ------------------ derm-aid soap (bakson) use only thiss soap on body----------------- ointment topi -azadirachita (wilmar schwabe india) apply locally twice daily if rough and itchy surface of skin------------------------- report after 7 days------------------------ eat nutritious diet----------------- avoid nuts, chocklates, dry fruits, fasst, fried food.------------------------------
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How ml of sperm can store in our human body. Then how many days it will take to produce full content if empty. What r all the foods can increase sperm production.

BAMS, MD Ayurveda
Sexologist, Lonavala
How ml of sperm can store in our human body. Then how many days it will take to produce full content if empty. What r...
The best ayurveda herb for your case is Boil 1 teaspoonful of garlic paste in 1 glassful of milk for 15-20 minutes on low flame. Have this preparation once in a day. Take 2 dried dates, 2 almonds, 2 pistachio and ¼ teaspoonful of quince seeds with a glassful of milk at bedtime. Have 1 teaspoonful each of licorice root powder, honey and purified butter twice a day with a glassful of milk. Causes Obstruction of the normal flow of sperm due to such conditions as testicular trauma and vasectomy. Scarring due to surgery on the male reproductive system or from infection and sexually transmitted diseases. Decrease in sperm production due to such conditions as Varicoceles (Varicose veins around the testes), hormonal disorders, diseases of the testicles, and obesity. Tress, smoking, drug or alcohol use, some medications, exposure to some toxins, malnutrition and being underweight. Some sexually transmitted diseases, such as Chlamydia and Gonorrheathis is very helpful.
2 people found this helpful
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Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

Sinusitis: Management and Prevention

Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which

Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:

New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● headache
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
● toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.

Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● cough
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● fever
● facial pain or pressure
● headache
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria

A. Multiplication of bacteria
B. Secondary bacterial infection

Other predisposing factors
● tumors
● polyps
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● allergies
● asthma
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● rhinovirus
● coronavirus
● adenovirus
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).

Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis

Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● anaerobes

Differential diagnosis
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia

Workup
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
 

Guide therapy:
● transillumination
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
● endoscopy
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.

Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%

● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,

Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.

Antimicrobial therapy
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of

Bacterial sinusitis.

● antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the

Costlier second-line agents.

Surgery
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis

4 people found this helpful

I am 19 years old. From last two days I am this is happening with me. I need to urinate literally after 5 mins of interval, and this is all started suddenly, everything was normal before two days. This all started suddenly, and there is very severe abdominal pain during urination.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am 19 years old. From last two days I am this is happening with me. I need to urinate literally after 5 mins of int...
You may be suffering from uti. You should get your urine examination done to confirm the diagnosis. A course of antibiotics is required to treat this situation.
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I am 25 years old I am from bangalore last night I was doing some work unfortunate I fell down on the ground I had some kind of illness like headache.

MBBS
General Physician, Mumbai
I am 25 years old I am from bangalore last night I was doing some work unfortunate I fell down on the ground I had so...
For headache take tablet paracetamol and we need to check your vital parameters of the body for further guidance
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I have problem of nose bleeding and it cause from my last two year I lost my much blood.

DORL, MBBS
ENT Specialist, Faridabad
I have problem of nose bleeding and it cause from my last two year I lost my much blood.
This is due to some anatomical problem in the nose or due to hypertension or some infection in the sinus, this has to treated after getting ct scan of the nose and sinus,
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I have a ear problem. Whenever I take bath after few minutes I feel like my both ears have gone deaf. Sometimes it pains a little bit and after 5-6 hours it becomes normal. It's on daily basis. But during those hours it continuously pains. Feels like deaf. And feels little heavy type. What should I do? Either not take bath or something else. Please guide me.

DORL, MBBS
ENT Specialist, Faridabad
I have a ear problem. Whenever I take bath after few minutes I feel like my both ears have gone deaf. Sometimes it pa...
I think you are cleaning your ears after taking bath, this is the only reason why you are getting pain after taking bath, let the water go in, but later donot clean your ears with buds, they are not meant for this, if youget discharge any time from your ears than at that time even do not let the water go in.
1 person found this helpful
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Hi, My wife who is 36 years old having severe pain in her right eye and right part of her head, please advise which doctor should we consult.

MBBS, MBA (Healthcare)
General Physician, Delhi
Hi, My wife who is 36 years old having severe pain in her right eye and right part of her head, please advise which d...
check your BP. check your eye sight .take crocin pain relief one sos for severe headache. take rest and good sleep. avoid stress. inform if not ok.
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I have back pain from one week and stomach pain for 2week or make uneasy every time.

BPTh/BPT
Physiotherapist, Delhi
I have back pain from one week and stomach pain for 2week or make uneasy every time.
Start with physiotherapy treatment and learn spinal exercise. Don't sit on floor. Get x ray for lumber spine. Take calcium and multivitamin with vitamin d 3 for 2 month.
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I am 26 years old male and have feet pain continuously. What should I do to get rid of it ?

M.B.B.S., D.M.C.H.
General Physician, Alwar
Welcome to lybrate, you can try tab. Flexon-mr thrice daily with food for 3 days, and tab. Neurobion forte thrice daily for 7 days.
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My wife is diabetic and presently on insulin morning 21u and evening 17u along with one oral tablet in afternoon. She has recently started taking BGR 34one tablet twice (morning /evening. Please advise me if BGR34 will be effective or other medicine which would help to reduce insulin dose thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is diabetic and presently on insulin morning 21u and evening 17u
along with one oral tablet in afternoon. She...
Hello, Insulin is the best treatment for diabetes. It helps in better blood glucose control. About BGR 34, a so called combination of some herbal medicines based on ancient literature, without any new research. Plus it was tried only on few lab rats, where its efficacy was said to be 67%, which is just like a placebo. No human studies, no clinical trials, so best is to avoid it. Thanks.
4 people found this helpful
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Hello, I'm getting left side chest pain and in the same place back pain frequently. It comes in night or in the morning I wake up with that pain. Not regularly but like once in a week. Pain is on upper part of breast and sometimes feel like whole left breast is in pain. When asked in medical shop they are saying gas pain. I'm getting this pain from 2 months. First time pain was like hell. I felt like getting heart attack. But when rubbed a lot it was gone. After that when I get pain I used to apply tiger balm and rub and it goes away slowly. This is if I get pain in morning. If it was in night I had to sleep with that pain n do the tiger balm process in the morning. Today when I woke up I got pain and going even after applying tiger balm. Please help. Thanks in advance.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hello, I'm getting left side chest pain and in the same place back pain frequently. It comes in night or in the morni...
Anaemia always leads to the symptoms of being tired and also having body pain and laxity through out. To improve your immune system you have to take more haemoglobin in your diet, initially you can improve your diet and if not successful then you can take medicines to improve the immunity. It is advisable to drink or eat protein and mineral food which would be a reservoir for you to store the energy. Whenever you do breathing in and out you will feel pain in the upper back, middle back and also the pain will radiate upwards until the shoulder and also up to the chest. You might feel chest congestion and tightness and that be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and shoulder. Drink hot water to reduce the gastric trouble. Kindly consult gastroenterologist if you doesn’t improve.
1 person found this helpful
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Hi my age is 26 I masturbate from last 2 years so is it hiv passing through in my body.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi  my age is 26 I masturbate from last 2 years so is it hiv passing through in my body.
Dear Lybrate user. I can understand. Masturbtion do not cause HIV. MASTURBATION is normal, natural and never unhealthy. Even animals do masturbate. As a human being, you are also an animal. Every animal has sexual instinct because they are designed to reproduce. Human being also has sexual instinct and therefore he needs to satisfy sexual instinct. Therefore, to satisfy sexual instinct, a man or woman, masturbates. In any case, masturbation is never unhealthy or will never affect your physical or sexual health or it cannot affect your future sex life and the ability to have children. But, masturbation is energy consuming. Please make sure you restrict your masturbation to thrice a week. I suggest counseling and sex therapy. Take care.
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How to treat premature ejaculation & erectile dysfunction completely. Any best treatment without side effects?

Psychiatrist,
How to treat premature ejaculation & erectile dysfunction completely. Any best treatment without side effects?
When you ejaculate within 1 minute of beginning of the inter course, and if it happens every time since the last 6 months, it can be considered as premature ejaculation. Most of the cases of premature ejaculation in our country are due to faulty practice or over expectations or ignorance and can be relieved just by understanding the physiology and anatomy of human sexual organs. U can use the 'start stop' technique or the 'squeeze technique' and increase the duration of your sexual activity. your problem can also be relieved just by increasing the frequency of sexual inter course to 7-8 times a week or increasing the frequency of masturbation to 6-7 times a week (if you r unmarried or have logistical issues for having sex). I'm sure you won't require any medications if you practice these things sincerely. U can get back to me after 15 days.
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I have a problem, I get the sensation of masturbation 2-3 times a day. I wanna have control over it and will it affect my sex life after marriage.

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
I have a problem, I get the sensation of masturbation 2-3 times a day. I wanna have control over it and will it affec...
To control the frequency of masturbation is in your hand. Just you need to muster enough will power to be able to do that. Once a day old you masturbate it's acceptable. Avoid doing it more than once a day.
2 people found this helpful
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Sir, I am not have at bed as my ejaculation is very fast I am unable to satisfy my partner will suggest me a tablet which can stop my ejaculation.

BHMS
Homeopath, Faridabad
Sir, I am not have at bed as my ejaculation is very fast I am unable to satisfy my partner will suggest me a tablet w...
Hello, Premature ejaculation occurs when a man experiences orgasm and expels semen soon after sexual activity and with minimal penile stimulation. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Men with premature ejaculation often report emotional and relationship distress. Medication: You don’t need to take male enhancement pills with never-before heard ingredients. Take homoeopathic medicine - Schwabe's Damiaplant/ thrice daily for 4 weeks. Management: Regular exercising keeps you fit and healthy, so don't forget to do it. Practice pranayam regularly for half an hour preferably in a garden early in the morning. Not to do these exercises within 4 hours after meals. One can have meals not within 15 minutes after finishing these exercises. These exercises are good for gaining and maintaining good health. Also, practice Pelvic floor exercise or Kegel exercise, consists of repeatedly contracting and relaxing the muscles that form part of the pelvic floor. It makes the muscles of pelvis toned and strengthened! In order to locate your pelvic muscles try to stop and begin the flow of urine as using the bathroom. You can perform Kegel exercises with the empty bladder as exercising pelvic muscle with the full bladder might result in urinary tract infections.
1 person found this helpful
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I am a diabetic type 1.I have read somewhere about pancreas transplant in India. Can you suggest me if it is possible or not. My age is 29.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. For treating diabetes pancreas transplant is considered to be a permanent cure. But the this is one of the very difficult procedures, not yet very commonly done. Secondly availability of live pancreas is the most difficult problem. It still a very experimental procedure, may take years to become a reality. There are experiments going on for stem cell generated pancreatic cells formation, but still at lab level. Thanks.
1 person found this helpful
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I have a urine problem. I am going to pass urine after an every hour. I had checked my blood and urine sugar which is normal. I have 4 mm. Kidney. Stone also.

B.H.M.S
Homeopath, Patna
I have a urine problem. I am going to pass urine after an every hour. I had checked my blood and urine sugar which is...
Can nothris q 5 drop in a cup of water thrice daily for one month 2 calcarea carb 200 one drop only.
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