Dr. Baban

Mr. lybrate-user, As you have said, HbA1c% is very good, showing a good blood glucose control. As regards high level of SGPT, it indicates some damage to liver cells and also to muscle cells. This may happen in persistently high and vigorous muscular activity. Or can happen due to excess alcohol drinking. To reduce SGPT take regularly Vitamin D supplement, take nutritious vegetarian food, avoid high fatty diet and refrain from alcohol totally.

Eating a healthy diet that is low in fat, with no more than 30 grams of fat per day eating foods that are high in protein and carbohydrates, but low in fat. Eat smaller meals, and eat more often. Your provider will help make sure you are getting enough calories to not lose weight. Quitting smoking, if you smoke (or chewing tobacco) losing weight, if you are overweight.

Foods that provide vitamin D include: 1.Fatty fish, like tuna, mackerel, and salmon. 2.Foods fortified with vitamin D, like some dairy products, orange juice, soy milk, and cereals. 3.Beef liver. 4.Cheese. 5.Egg yolks.

Hello, this may be because of acidity/ indigestion/ gas you can take 1. Tablet Meftal spas one tablet stat after food 2. Tablet Pantocid 40 mg before food once a day for 2-3 days. And follow care advises given below. Avoid food from outside, junk, fried, spicy fatty food take home made light food like moong dal, Dalia, chapati also tell me associated symptoms like vomiting sensation, loose motion/ burning sensation in chest or any other symptoms are present or not? so that we can reach diagnosis

Your grandma not recognising you all is not because of asthma. Considering the condition it seems it would be prudent to go for nebulisations at home instead of inhalers. Consult a chest physician so that he can adjust the dosage of nebulisations and the medicines. And she will also need a neurological assessment.

Change your diet. Add papaya banana & smoothly in your daily diet. Intake of warm water should be increased, one harde daily soaked at night and drink it's water in the morning.

Your time is ok. Try to extend it slowly to 10 min by stopping inbetween and starting again. Penis size cannot be changed.

hello, no need to depressed due to nightfall , its a common in yr age group. For constipation drink minimum 3 lts water in a day with any fruit juice n green vegetable soup. TRIPHALA CHURAN 1 tsp at bed time with semi hot water Stay healthy - Naturally

Hello, You Can take 1.Tablet Crocin (Paracetamol 650 mg) one tablet after food when required for headache after food for 2-3 days ( maximum 2 tablets with gap of 12 hour can be taken in a day ) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. get your BP checked 6. regular physical exercise and meditation and yoga and kindly get your CBC checked and review with reports and kindly give me complete history of your headache for further Management like like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis

Yes you can I will suggest you few points.... Please reduce your weight Please wake up early go for morning walk daily Do pranayam and yoga daily Walk, yoga and pranayam will solve most of your problems

Mouth ulcer could be due to dyspepsia and indigestion get your stool examined. Take 1 capsule of Becosule daily,apply metrogyl DG gel.If no relief consult doctor

Hi, Type-2 Diabetes is a lifestyle related problem, so making a few lifestyle changes can lower the chances of developing type 2 diabetes. -Excess weight is the single most important cause of type 2 diabetes, so control or reduce your weight if you are overweight! -Avoid sedentary lifestyle and start get moving. Brisk walking for a half hour every day reduces the risk of developing type 2 diabetes. -Modify your diet: *Choose whole grains and whole grain products over highly processed carbohydrates. The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. *Avoid sugary beverages which have a high glycemic load, and drinking more of this sugary stuff is associated with increased risk of diabetes. *Choose good fats instead of bad fats. Good fats found in liquid vegetable oils, nuts, and seeds. Trans fats or bad fats are found in many margarines, packaged baked goods, fried foods, fast or junk foods. *Limit intake of red meat and processed meats. Nuts, seeds, beans, tofu, or poultry are much more healthful protein choices. -Quit smoking. -Moderate alcohol consumption decreases the risk of type 2 diabetes. -Avoid taking unnecessary stress or tension! And keep an optimistic attitude in life! Medication: Take homoeopathic SBL’s Diaboherb medicine/ 3 times a day daily. Home Remedies: Dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of Indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day.

DEAR Lybrate USER. A) Take 10-10ml of fresh lemon juice and honey before meal. B) take 2-2 tablets of sutshekhar rasa and aarogyawardhini rasa after meals…. C) eat 10 gm of black cumin seeds along with 10 gm of jaggery after meals D) take 30 ml of aloe vera juice and 30 ml of lukewarm water at night before sleep. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS….

Initially avoid yogurt, curt, excessive spicy & slaty foods, fast food & junk food, cold water/milk, cold drinks, avoid sprouted pulses like mung-chana etc. Its may be due to deficiency of vitamins & trace elements of body due to faulty life style and dietary habits. As its summer stated you need plant of water to avoid dehydration. Please share your details like food habit, water intake, bowel habit, sleep pattern, job nature, stress in life etc.

Hello lybrate-user, alternatively you can think about stem cell therapy, it has been found effective in multiple sclerosis. Please let me know if you want detailed info. Regards.

You have problem of sperms coming out in urine You are thin and your penis is small and you can't do sex for longer time. I advise you to tell me your weight,height,eating habits and any addiction to alcohol or cigarette,for better guidance and treatment.

Hi the following are some of the natural remedies for cold and cough: - add a pinch of turmeric and 1/4 tsf of black pepper powder to hot milk and drink it twice a day. - mix 1 tsf of honey to 1 tsf of basil leaf juice; take it twice a day. - prepare a decoction by boiling one glass of water containing 1 tsf of coriander powder, 1 tsf of pepper powder and 1/2 tsf of ginger powder; reduce it to quarter glass and take it three times a day. - apply turmeric paste on the forehead. - do steam inhalation twice a day by adding 1-2 drops of eucalyptus oil to hot water. - keep 1 grain of crystal salt and 2-3 black pepper in a beetle leaf, roll it and chew it. This relieves cough.

The physical process of ejaculation requires two actions: emission and expulsion. The emission is the first phase. It involves deposition fluid from the ampullary vas deferens, seminal vesicles, and prostate gland into the posterior urethra. The second phase is the expulsion phase. It involves closure of bladder neck, followed by the rhythmic contractions of the urethra by pelvic-perineal and bulbospongiosus muscle, and intermittent relaxation of external urethral sphincters. Sympathetic motor neurons control the emission phase of ejaculation reflex, and expulsion phase is executed by somatic and autonomic motor neurons. These motor neurons are located in the thoracolumbar and lumbosacral spinal cord and are activated in a coordinated manner when sufficient sensory input to reach the ejaculatory threshold has entered the central nervous system has vaginal sex for less than two minutes before ejaculating persistently or recurrently ejaculates after very little sexual stimulation and before, during, or shortly after initial penetration, and before he wishes to climax has marked personal distress or interpersonal difficulty because of the premature ejaculation has poor control over ejaculation and describes a sexual history of prematurely ejaculating during most attempts at sexual intercourse in the past six months premature ejaculation is considered a form of sexual dysfunction only when a man has, for a considerable time, almost always found himself ejaculating before or very soon after sexual penetration, and is upset about this. The disorder is relatively rare premature ejaculation can lead to symptoms of secondary effects such as distress doctors may carefully consider offering off-label' prescription of a certain type of antidepressant, which can be helpful, but can have side-effects. Local anaesthetic creams applied to the penis can also be offered for men to try out this herbal pill is developed using natural ingredients and high grade herbal extracts to improve vigor and vitality. Best herbs like and ashwagandha are highly helpful to increase sex power, stamina and energy in men. It enhances blood supply and oxygen supply to the reproductive organs through dilating blood vessels in the penile region. For treatment consult privately the" squeeze" method? this technique involves sexually stimulating the man until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds. Stop sexual stimulation for about 30 seconds, and then start it again. The person or couple may repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.

Dear lybrate user, kindly note that if you are unmarried & indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Along with medicines you can also try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do this exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction.

Nowadays, a life full of stress, anxiety and unhealthy lifestyle is causing a lot of young heart attacks and strokes. Even though you have a family predisposition to heart disease you can prevent it by actively working against the factors contributing to heart disease. Regular checkups, regular exercise, balanced diet and reducing stress by mindfulness techniques can go a long way in protection yourself. Tips to reduce anxiety and stress 1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin b and omega-3 fatty acids and also healthy whole grain carbs. Vitamin b contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings.