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Dr. L P Duble

General Surgeon, Delhi

300 at clinic
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Dr. L P Duble General Surgeon, Delhi
300 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. L P Duble
Dr. L P Duble is a renowned General Surgeon in Vivek Vihar, Delhi. You can meet Dr. L P Duble personally at Aashirwad Hospital in Vivek Vihar, Delhi. Save your time and book an appointment online with Dr. L P Duble on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 32 years of experience on Lybrate.com. You can find General Surgeons 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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Hindi

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Aashirwad Hospital

5 & 6, Krishna Market,Jhilmil Clny Vivek Vihar. Landmark: Near ,PH-2, Main Road, DelhiDelhi Get Directions
300 at clinic
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I had chicken pox since yesterday. I'm 26 years old and never had it before. Now the boils/blisters have developed all over my face, neck, back, few on scalp, arms and legs. They are itching very much. Kindly suggest some medicines. Thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
I had chicken pox since yesterday. I'm 26 years old and never had it before. Now the boils/blisters have developed al...
use the liquid dettol in luke warm water for bath. avoid going out from home for 1 week in dust and ahe it will cause more infectious. oil and chilly should avoid. for medicine purpose you consult me I will assist you properly.
1 person found this helpful
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Hi I am 25 years old girl and I have a big lump in my right breast. It pain once in 10-15 days for 2-3 min automatically and than get painless also. Please suggest is this causing cancer? What are the chances and what should I need to do? It is in breast from last 3 years.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Going by the history of lump, pain in breast and your age the chances of lump being a Benign lump (non cancer type) is more but there is no way to predict with surety that the lump is not of a cancer. Usual signs of a lump of cancer are - rapid increase in the size of the lump, skin getting fixed or adhering to the lump, presence of a hard lump, Irregular shape, lump not moving freely inside the breast. Presence of any lump in breast should be considered a warning sign and should be shown to a Surgeon as early as possible. Ideally a clinical examination by surgeon, an Ultrasound of breast and a Biopsy/FNAC from the breast lump will have more than 99% chance of identifying a Cancer lump.
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Namaste Dr. Sahab, meri beti jo 18 years ki hai, pichhli sardiyon se thhand badhne par ya thhande pani ke sampark mey hone par haath aur pair ki ungaliyan halke neele se gahre neele rang ka hone lagti hai aur bechaini hone lagti hai. 3-4 ghante mein garmahat hone par neela rang hat jata hai. Krupya karan v sahi needan batayein. Badi kripa hogi.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Namaste Dr. Sahab, meri beti jo 18 years ki hai, pichhli sardiyon se thhand badhne par ya thhande pani ke sampark mey...
Agar blood mein oxygen ki kummi ho Ya breathing shabash lene mein problem ho Ya peene mein koi naal mein blockage ho. Lungs / heart do not get pure air Some breathing exercises plus good nutrition .will soon improve if abide by some rules!
1 person found this helpful
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Mantoux Test or Tuberculin Skin Test

MD - Pathology
Pathologist, Noida
Mantoux Test or Tuberculin Skin Test

Diagnosis of tuberculosis is based on a combination of clinical features, smear examination of sputum where available, tuberculin skin testing or Mantoux test, chest X-ray and Histopathologic / cytologic examination as appropriate. Common clinical features are weight loss, persistent fever and /or cough of more than 2 weeks duration and history of close contact with another Tuberculosis patient.

Mantoux test also known as Tuberculin skin test is used for the detection of infection by Mycobacterium Tuberculosis bacteria. The test consists of slowly injecting a liquid intradermally (superficially within the layers of the skin) on the forearm, leading to formation of a raised vesicle which should be easily visible to the naked eye. This liquid, used in India, is Tuberculin PPD RT 23 strain. Tuberculin is a glycerol extract of the Tuberculosis bacteria. This is one of the two WHO accepted standard tuberculins, apart from PPD-S. In India, where the prevalence of tuberculosis is high, the recommended dose of this liquid is 0.1 ml of 1 TU (TU stands for tuberculin units) .1 TU is the strength of the liquid mentioned on the vial. This liquid is usually administered by a very tiny syringe, usually of 26 gauge. (Needle diameter).

Please click on the link to watch a video  demonstrating  how this procedure is performed.

Test principle : The individual who has been infected with Tubercle bacilli responds with a hypersensitivity reaction at the test site in the form of induration. Induration is the palpable raised hardening of the skin, while erythema refers to redness of skin. Only induration is clinically significant and measured after 48 to 72hours following injection. Diameter of the Induration is measured by a scale in millimetres perpendicular to the long axis of the forearm.

Interpretation of the tuberculin test

  1. Size of induration 15 mm and above : - signifies infection with tubercle bacilli
  2. Size of induration 10-14 mm : - could be due to infection with tubercle bacilli, BCG induced sensitivity, or due to cross reaction with other environmental mycobacteria.

It is more likely to be attributable to infection with tubercle bacilli in case of history of contact with smear positive case of pulmonary TB, clinically confirmed TB OR X-ray consistent with active TB.

  1. Size of induration 5 -9 mm: usually non tuberculous in nature generally
  2. Size of induration <5 mm : indicates absence of any type of mycobacterial infection.

Precautions during this procedure :

  1. If a raised vesicle does not appear it means that the liquid has been injected too deeply, and the test should be repeated on the other arm. If the same arm is used the injection site should be should be separated at least 5 cm from the first injection site.
  2. Occasional patients may experience severe allergic reaction to the tuberculin PPD

Comments :

  1. Larger the size of the induration, higher the probability of presence of infection with tubercle bacilli.
  2. Almost all reactions with induration more than 15 mm maybe considered attributable to infection with tubercle bacilli.
  3. Formation of necrosis (ulcer) at the test site, indicates high degree of tuberculin sensitivity and suggests presence of infection with tubercle bacteria.
  4. Tuberculin reaction may be suppressed (falsely low) in presence of immunosuppressive states. Like HIV, malnutrition, patient on steroid therapy etc.
  5. Mantoux test is generally not recommended for infants less than 12 weeks old. If the test turns out to be positive, then it is significant, but if the test is negative, then the test needs to be repeated again.
  6. The tuberculin test detects only the presence or absence of tuberculosis infection. The presence of infection is not synonymous with disease. It simply means, that even if you have tuberculosis infection in your body, as detected by positive Mantoux test, it does not mean you have active Tuberculosis in your body and require anti tuberculosis drugs in all cases. The clinician will correlate your mantoux test result with other tests ( as mentioned at the top of the blog) to give you a final picture.  
  7. For more such interesting articles please visit my blogsite www.doctors4patients.com
5 people found this helpful

I have marks of an acne in my left chick and on the same chick I have pores and pimples. I want a clear and glowing skin please suggest me some medicines.

BHMS
Homeopath, Navi Mumbai
I have marks of an acne in my left chick and on the same chick I have pores and pimples. I want a clear and glowing s...
Maintain basic routine of clean skin, avoid fried food, whiteflour, sugar drink lots of water consult online for medication.
1 person found this helpful
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I am 34 years old female having dark circles .applied lots of medicine but no affect. please tell the permanent solution.

Diploma in Aesthetic Medicine, MBBS
Cosmetic Physician, Delhi
I am 34 years old female having dark circles .applied lots of medicine but no affect. please tell the permanent solut...
Hi lybrate-user, Dark circles around eyes is a common problem nowadays. There are treatment options available with you to choose from. These range from creams and ointments for local application to oral medications. Treatment with peels show significant improvement in appearance of dark circles. It’s important to find out the reason you are developing pigmentation around eyes, to layout a personalized treatment plan for you. I would be happy to help you. Please consult me privately so that I can understand your problem in detail and help you. You can book a private In-person/Text/Audio/Video appointment for further discussion and personalized advice.
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Hello, My arms are very dry and tanned compared to my face. How to make them the same colour?

DHMS (Hons.)
Homeopath, Patna
Hello, My arms are very dry and tanned compared to my face. How to make them the same colour?
Hello, It's due to sun tanning, exposure to dust, smoke & pollution. You should wear full covering to prevent ultra voilet rays. Garments No cream can moisturise nor repair your skin to get your complexion, fairer. * Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism to absorb protein, vitamins, minerals, energy & other important substance, essential to upkeep ,repair & energise the body, hydrating your skin. * Go, for meditation to reduce your stress and to nourish your cells, tissues and whole body to allow your skin to b fresh, non oily & glowing. * Tk your meal easily digestible, non-oily, non-irritant, simple,on time. * Tk, apples,cheese, carrots,papaya, rajama,soyabeen, spinach,almond, walnuts to enjoy wellness. Tk homoe medicines: @ Berb. Aqua Q-10 drops, thrice with little water. * ensure sound sleep at least for 7/8 hrs in d night. * Avoid, junk food, caffiene,dust, scorching sun, fried,spicy intake, cookies, pizza & burger. Your feedback will highly b appreciated for further, follow up. Tk,care.
3 people found this helpful
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I have lots of pimples and black heads on my face. They looks big in size. Suggest me natural medications or life style I need to imply. I want to get rid of them permanently. please help.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
I have lots of pimples and black heads on my face. They looks big in size. Suggest me natural medications or life sty...
Wash your face twice daily to remove impurities, dead skin cells, and extra oil from your skin's surface, avoid touching your face or picking up the pimples and blotches as it further spreads the bacteria. A dietary therapy with the right medications for pimples can also help a lot. Drink lots of water. Eat food rich in vitamin A, E, C.Add fruits and vegetables to your diet. Cut off any stress. ExeRcise daily. Consult a dermatologist for proper treatment.
12 people found this helpful
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I have a pigmented area on upper lip its gets darkened when I consume septran medicine or too many medicines. This is from 5-6years I dont know what is it? Pls help.

BHMS
Homeopath, Faridabad
I have a pigmented area on upper lip its gets darkened when I consume septran medicine or too many medicines. This is...
Hello, The black corners of the mouth or black discolouration around mouth can be due to lip licking, vit. B2 deficiency, smoking, overexposure to sun or post inflammatory hyperpigmentation. So, take some vitamin B12 supplements (like becosule) and avoid lip licking. Keep yourself well hydrate, drink 10-12 glasses of water in a day. You should apply a good lip balm and sunscreen with spf 30 at least half an hour before going out in sun. Also, apply homoeopathic cream - Medicynth's Witch Hazel over the affected area twice.
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Im a 20 year old boy. I'm getting rashes through out my body if I just scratch my skin and those rashes are getting vanished after 5 min .I'm also feeling burning and itching sensation.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Im a 20 year old boy. I'm getting rashes through out my body if I just scratch my skin and those rashes are getting v...
With all its moisturizing action, aloe vera is one of the most effective skin soothing agents. When you rub the gel over an itchy spot, it helps reduce the skin irritation in that area and provides quick relief from itching. Just break a leaf from the plant, cut it lengthwise using a knife and using a spoon, scoop out the jelly-like substance inside. Apply a little of this gel to the itchy area and leave it on for a few minutes.
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