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Dr. Ashutosh Gautam

General Physician, Delhi

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Dr. Ashutosh Gautam General Physician, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ashutosh Gautam
Dr. Ashutosh Gautam is a renowned General Physician in Shahdara, Delhi. You can consult Dr. Ashutosh Gautam at Gautam Clinic in Shahdara, Delhi. Book an appointment online with Dr. Ashutosh Gautam 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 33 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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Languages spoken
English
Hindi

Location

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Gautam Clinic

#6/5, Mohalla Maharam, Shahdara. Landmark: Neeraj Medical Store, DelhiDelhi Get Directions
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I have sex with my girlfriend, while having sex she said to press her breasts, I did but I am confuse if she develops more bigger size of breast than present. Do size increase if we press on breast?

MD, BHMS, Post Graduate Diploma In Hospital Administration (PGDHA)
Sexologist, Delhi
I have sex with my girlfriend, while having sex she said to press her breasts, I did but I am confuse if she develops...
Dear lybrate-user, Unless you press, squeeze or suck too hard, no harm will come but if it pains her ,you have to slow down, ask her to wear a good fitting bra and also maintain correct weight and stay fit for a better size and shape of breast. Feel free to speak/write to a good Doctor/Clinic for any further questions. Thanks.

My father is 70 years old. He is diabetic. Angioplasty has done before one and half month. From last a week he is suffering from hiccup continuously. Previously baclofen get relief but now it is not working. We are very much fed up. Please advice to get relief.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is 70 years old. He is diabetic. Angioplasty has done before one and half month. From last a week he is suf...
Hiccups is a habit, has nothing to do with heart disease or dm, get her eat saunf -a safe kitchen remedy.
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Im sleeping very late in night. Im not getting sleep early. Can you help me please?

MD, MBBS
General Physician, Bangalore
Im sleeping very late in night. Im not getting sleep early. Can you help me please?
Do not watch tv for long time at night, do not use coffee, go to bed early to create a atmosphere of sleep.
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I am facing cold & flu from last 15 days. Sometime it stops but again starts and I also take medicine but no results found.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I am facing cold & flu from last 15 days. Sometime it stops but again starts and I also take medicine but no results ...
There are some supplements available,Name Nutrilite Daily and Protein, that can be start after personal consultation and these supplement can reduce severity and no. of episodes of this problem If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis 2. Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management
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Hello doctor, I am a diabetic patient since 5 years. Now in my abdomen TB virus has been detected and from today only I have started taking R cinex 600, combutol 1000, pyzina 750 (2wice daily) and benadon. I am also taking the previous medicine also. I.e. Eltroxin 100 for thyroid, glisen 2.

PG Dip Diet, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Kolkata
Hello doctor, I am a diabetic patient since 5 years. Now in my abdomen TB virus has been detected and from today only...
Hello, Mr. Bose, You have to assess your current nutritional status and whether you are on balanced nutrition. If you are not in the state of balanced nutrition your medicines will not work properly.
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I am 25 years old now I am a indian but now I am working in saudi arabia. I have problems in my stomach ,means after taking food have pain in my stomach also have sound in my stomach.

PGDHHM, MBBS
General Physician, Delhi
I am 25 years old now I am a indian but now I am working in saudi arabia. I have problems in my stomach ,means after ...
It could be due to gastritis, indigestion, infection. Get deworming done. If hyperacidity, take antacids. Eat fresh food. Avoid fatty foods, fermented foods, aerated drinks Avoid constipation. Take curd, milk,buttermilk. Hope this helps u.
1 person found this helpful
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I am suffering from stomach pain .gastric pain after I had french toast .after that I am having khichdi as food but than also it pain in stomach. What is required for relief.

MBBS,MD,D.Diab,FPC,FSM,D.CED
General Physician, Chennai
I am suffering from stomach pain .gastric pain after I had french toast .after that I am having khichdi as food but t...
Exactly where you have stomach pain upper ,lower, centre if it's severe you can take tab drotin and tab pan 40 if you still have pain then need more history from you.
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How Diabetes Can Lead To Depression?

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
How Diabetes Can Lead To Depression?

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person.

Various risk factors that are associated with diabetes and depression are as follows-

  • lack of physical activity
  • poor social environment
  • poverty
  • stress during pregnancy

Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes.

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin.

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy.

Various signs that can be observed in a state of depression are as follows:

  1. Complete lack of interest in doing any activity
  2. Irritation or mood swings
  3. Depressed mood
  4. Disturbed sleep pattern
  5. Changes in the appetite
  6. Constant feeling of despair
  7. Guilt Fatigue, weakness
  8. Difficulty in concentration, transient memory loss
  9. Suicidal tendency

There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users.

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

3285 people found this helpful

I usually get headache when ever I get up early 4 and ont sleep what is the reason how to stop headache and relif fast.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I usually get headache when ever I get up early 4 and ont sleep what is the reason how to stop headache and relif fast.
This seems to be due to stress as you are not having habit of get up early morning This problem can be solved by meditation i can give you address of Rajyoga meditation center near your house (this is free of cost)
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I have problem in my urinary bladder nerves. Somewhere it is swallowing on my left side. Sometimes I faced irritation in my bladder or feel like displaced of whole system.

MBBS
General Physician, Mumbai
I have problem in my urinary bladder nerves. Somewhere it is swallowing on my left side. Sometimes I faced irritation...
Apart from taking symptomatic treatment avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
3 people found this helpful
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