Dr. Bharat Bhushan

1.Night fall is common in adolescent age group and young adults. It is due to involuntary ejaculation during sleep in night/early morning. 2.Night fall in moderation relieves sexual tension. 3.Excessive fall can cause weakness, fatigue, sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Precaution 1.Do regular aerobic exercise for 1 hour daily like brisk walking/ jogging/running/cycling/swiming 2.Avoid stress, anxiety 3.practice yoga, meditatation, deep breathing exercise to calm your mind, control emotion and relieve stress 4.Take good nourishing diet, plenty of green leafy vegetables, fruits (onion, garlic,pomegranate help) 5.Avoid spicy, oily,fatty and junk food, 6.Avoid consumption of liquid 2 hours before going to sleep and don't take milk, tea,/coffee before going to bed 7. Take a bath and go for urination just before going t o bed 8.Avoid watching poronographic/erotic pictures/ movies before going to sleep 9.Listen to soothing music which gives peace of mind, read good books before going to sleep 10. Masturbation once in a while wiil control night fall 11. Avoid constipation because upset digestive system can cause night fall 12. Consult sexologist for further advice Treatment- Keggel exercise (pelvic floor exercise-contract the muscle which you use to stop urinating-squeeze for 3 sec, relax for 3 sec, repeat 10-15 times per session and do it 3 times dail.

Dear lybrate-user, I don't think you should worry at all. Length of your penis doesn't matter for sexual satisfaction. Length of your penis when erect is 3-4 inches which is perfectly normal because the length of the vaginal canal is 7.5 cm and female get more arousal and satisfaction when penis is rubbed in the outer third of vaginal canal. Scientifically you can satisfy a female very well like other males. It is your misconceptions which is giving you unnecessary stress. This stress can actually ruin your sexual life rather than size of your penis. Just remove this from your mind and relax.

First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Sanjeevani vati 1 tab before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.

Hi Kavya, if you have polycystic ovarian disease, you are prone for weight gain. You should have healthy lifestyle. Like exercise daily for 40min. Diet rich in antioxidants, protein, amino acids. Avoid bakery products, sweet, potato, rice.

Suitable fluids to drink when you have diarrhoea include oral rehydration fluids, water, clear soups and broths and diluted juices. If you have nausea, try taking small sips of fluid often. Dehydration may be treated with oral fluids or, if severe, with intravenous fluids.

Dear lybrate user, You must take boiled eggs only white portion daily. Protein is also in grams, sprouts, cheese, soya products etc. you may take peanuts also.

1. Take bland diet, avoid oily, spicy, fried and junk food, 2. Drink plenty of water 3. Take one tablet of meftal spas ds as and when required after food up to a maximum of three tablets daily 4. Take one tablet of rantac150 mg twice daily before food 5. If you have recurrent stomach ache, do upper gi endoscopy after consulting gastroenterologist.

Dear Lybrate user. I can understand. Please do not panic or worry. The whitish substance is called smegma. Smegma is a combination of shed skin cells, skin oils, urine, sperm cells and moisture. It occurs in both male and female genital organs. In females, it collects around the clitoris and in males, smegma can collect under the foreskin. There is no evidence that smegma causes penile cancer, but its presence over a long period of time may irritate and inflame the penis, which may increase the risk of cancer. It may also make it harder to see very early cancers. Clean the area beneath your foreskin daily twice after pulling your foreskin back. Take care.

Apply surfaz sn ointment daily at night for one month. Use candid powder daily after bath for one month, it will help you.

Diabetes Management in Ramadan

During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
Followers will typically eat just after sunset and again before dawn.
In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
Islamic law does not require fasting when it would create a physical danger.
Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
Long-acting sulfonylureas should be avoided.
Once-daily sulfonylureas should be taken at the sunset meal.
For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL ? particularly for patients with type 1 diabetes ? they should also break their fast and take insulin.
Patients should be cautioned against overeating after breaking the fast.
Moderation is the trick. Don't overfill an empty stomach.
Patients should be counseled about avoiding dehydration as much as possible.
Also adjust BP medicines during Ramadan

As per your age need some basic tests, then treatment can b suggested. Get cbc, esr, bt. Ct, liver enzymes//stool for occult blood---if positrive you may need colonoscopy. Ask privately with details for proper answer.

1. If you have body pain regularly, it could be due to deficiency of vitamin d. 2. Get your blood tested for vitamin d and consult physician with report for advice and treatment 3. Expose yourself to sunlight for 15-20 minutes regularly in the morning.

Dear Lybrate user. I can understand. You could have low testosterone level. I can suggest some methods to improve your testosterone level and your sexual desire. Lose Weight. High-Intensity Exercise like Peak Fitness (Especially Combined with Intermittent Fasting) Consume Plenty of Zinc. Strength Training. Optimize Your Vitamin D Levels. Reduce Stress. Limit or Eliminate Sugar from Your Diet. Eat Healthy Fats. Take care.

For pain take tablet paracetamol 650 mg and get an ultrasound scrotum done to rule out any pathology.

As egg is not growing this month menses will be delayed and you will not get pregnancy this month. Dose of clomiphene citrate needs to increase from the next month for egg growth. Duphastan is not needed in this cycle and in any cycle in future as our body secretes the same if pregnancy occurs.

High volume music / sounds will damage your ears and you better check up to see if there is any tympanic damage

Take 1 tab arogyavardhani vati thrice a day with water. Take simple and light food. Drink 10 glasses of water daily. consult a physician clinically in case u get fever.

You may have what is called a 'smokers cough'. But since you are worried I suggest you can go for a test by consulting your doctor. For the symptoms of cancer: Lung Cancer Signs and Symptoms (Sourced from Medicinenet.com) Lung cancer is the most common cancer in men and the fifth most common in women, even causing more cancer-related deaths in women than breast cancer. The incidence of lung cancer is strongly correlated with cigarette smoking, with about 90% of lung cancers arising as a result of tobacco use. Symptoms of lung cancer are varied dependent upon the exact location of the tumor and the extent of its spread. A person with lung cancer may have the following kinds of symptoms: • No symptoms - Up to 25% of people who get lung cancer do not have any symptoms when the cancer is found. In these cases the cancer is first discovered on a routine chest X-ray or computerized tomography(CT) scan performed for another reason. • Symptoms related to the cancer - The growth of the cancer and invasion of the lung and surroundings may lead to symptoms such as cough, shortness of breath, wheezing, chest pain, and coughing up blood (hemoptysis). If the cancer has invaded nerves, it may cause shoulder pain that travels down the outside of the arm (called Pancoast syndrome) or paralysis of the nerves traveling to the vocal cords that leads to hoarseness. Invasion of the esophagus may lead to difficulty swallowing (dysphagia). If a large airway is obstructed, collapse of a portion of the lung may occur and cause infections (abscesses, pneumonia) in the obstructed area. • Symptoms related to metastasis (spread to other organs) - Lung cancer that has spread to the bones may produce excruciating pain at the sites of bone involvement. Cancer that has spread to the brain may cause a number of neurologic symptoms that may include blurred vision, headaches, seizures, confusion or altered thought processes, or symptoms of stroke. • Paraneoplastic symptoms - Lung cancers frequently are accompanied by so-called paraneoplastic syndromes that result from production of hormone-like substances by the tumor cells that are released into the blood. A common paraneoplastic syndrome associated with one type of lung cancer is the production of a hormone called adrenocorticotrophic hormone (ACTH) by the cancer cells, leading to over secretion of another hormone, cortisol, by the adrenal glands (Cushing's syndrome). • Nonspecific symptoms - Nonspecific symptoms seen with many cancers, including lung cancers, include weight loss, weakness, and fatigue. It is important always to consult a doctor if a person develops the symptoms associated with lung cancer, in particular: • A new persistent cough or worsening of an existing chronic cough • Blood in the sputum • Persistent bronchitis or repeated respiratory infections • Chest pain • Unexplained weight loss and/or fatigue • Breathing difficulties such as shortness of breath or wheezing My advise to you is to quit smoking whether you have any of the symptoms or not. Smoking is just very dangerous to your health.

You may take Alfafa tonic thrice a day for one month. Also you should take banana shake grape juice date milk fir one month. Soaked black raisons, figs potato and butter sugar paste daily should be in your duet for one month.