Dr. Harish Bhalla

Kegels are easy to do, once you know which muscles to target. One of the easiest ways to locate your muscles is during urination. Here’s how: Halfway through urination, try to stop or slow down the flow of urine. Don’t tense the muscles in your buttocks, legs, or abdomen, and don’t hold your breath. When you can slow or stop the flow of urine, you’ve successfully located these muscles. Some men find these muscles by imagining that they are trying to stop the passage of gas. Squeezing these muscles gives a pulling sensation; these are the right muscles for pelvic exercises. It's important not to contract other muscles. Some men need biofeedback to help them target the right muscles. To do Kegel exercises for men: Contract these muscles for a slow count of five. Release the muscles to a slow count of five. Repeat 10 times. Do a set of 10 Kegels daily, three times a day. Good food with fruits and nuts like almonds, cashew are good and not make it habit to take manforce daily or all the time

1. Avoid caffeine found in coffee, tea, chocolate, cola, and some pain relievers.[four to six hours before bedtime.] 2. Quiet, dark, and cool environment can help promote sound sleep. [use heavy curtains, or an eye mask to block light, and also keeping computers, tvs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness.

With the details you gave reveals that she has diabetic nephropathy.Is there bilateral failure? What are the renal function tests reports? you may think to go for renal transplant

Mr. lybrate-user, Thanks for the query. For a person having well controlled diabetes, taking wheat upma or white rice does not make any difference. Because both contain a lot of carbohydrates. What is required is taking a balanced diet that meets exact caloric needs of the person based on his/ her ideal body weight, blood glucose levels and extent of daily physical exercise. Without knowing actual details like fasting, PP blood glucose levels, HbA1c%, height, weight, present diet and extent of daily exercise, it is difficult to give any fruitful advise. Thanks.

I would advise you to take following remedy Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day surely you will get results, if it dosent work then you must consult ayurvedic doctor.

Continuous erection by porn etc is dangerous and also excess f masturbation as later it causes severe weakness too.

Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.

Long standing diabetes causes problems with peripheral nerves - called diabetic neuropathy. Sensations get affected, leading to a feeling that one is walking some soft bed or something of that sort. Do you also have any sensory loss, or altered sensation in feet, around toes etc? get a proper assessment of the sensory affection by a bithesiometer examination, plus use proper fitting foot wear and avoid injuries to the foot. Plus keep excellent sugar control. Seek advice of your physician early.

One of the main reasons for not getting proper sleep is that plans made during the day time or earlier, do not succeed and mind finds ways or speculates or wanders to find ways to make the the plans work. These mental speculations repeat in mind at time of sleeping. So, due to plans not working as the mind likes to, the mind remains in agitated state due to finding no way and thus leads to frustration which avoids mind to go into sleep mode. This leads to not getting proper sleep. One has to break one's self-centeredness to avoid the thoughts and frustrations entering into mind at time of sleep leading to improper sleep. The solution is to not intentionally think further about plans, but with faith surrender to the supreme and instead of thinking about the plans it is better to read a nice book, listen to nice music or talks which do not allow mind to get frustrated with mental speculations. Drinking cow's milk in night before sleep also should help. Hope this helps,

1.Go for regular aerobic exercise for 1 hour daily like brisk walking,jogging,running,cycling etc 2.Take balanced diet with required amount of carbohydrate,protein and fat 3.Avoid excess carbohydrate and cholesterol rich diet,oily,spicy,junk,processed food,bakery items like pizza,burger,soft drink etc 4.Take plenty of green leafy vegetables,fruits, salads 5.Drink plenty of water 6.Monitor your weight and hemoglobin

If beta cells are completely damaged than we don't have insulin in our body and hence we are classified as type 1DM

Please take balance diet do not take fried/fast-foods/cold drinks do meditation to relieve stress take proper sleep take a fruit daily also take nux vom 30 - twice daily for next 2 weeks and report.

When you are aware of the consequences of Ipill you should have taken protection/condom instead to avoid hassle . Now just wait and watch for a week if the menses do not appear then think otherwise till the time have patience

The problem is known as tachyarrythmia. It can be dangerous. First you need to identify the type of tachyarrythmia. Get a holter monitoring or elr (extended holter) done. Usually it is identified by them. If not then you may require a mini eps study to know the cause. The treatment depends upon the diagnosis. Consult with your physician /cardiologist.

use some clean vaselinebwhile putting on condom the size wise it is OK although it is slightly on the highervside but it does not matter. provided erection and ejasculation is OK

8-10 glasses of water in 24 hrs Add green vegetables in your diet. Daily 5 km walk 1tsf honey mixed w lemon juice in empty stomach in morning

H pylori kit is for infection which is eradicated after the complete course. In your case in h pylori was probably an accidental finding You might be having irritable bowel syndrome which has not been treated and your symptoms are persisting.

Before taking any medicines I advise you to do following blood and urine tests. 1 urine routine. 2 TLC. 3 DLC. 4 WIDAL. Msg me on my consult with the results of these tests.

You need to quit both alcohol and smoking especially with the symptoms you already have, and further you are also being treated for gastritis. You can check with a doctor about your stomach pain when eating. For sleep you will need to do some of the following suggestions: In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i.e. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT (check this out either on YouTube or Google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.

Only your anxiety is playing the trick on you. If you calm and relalx after ejacualtion, after a while you can get erected again.