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Dr. Pankaj

General Physician, Delhi

250 at clinic
Dr. Pankaj General Physician, Delhi
250 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Pankaj
Dr. Pankaj is a popular General Physician in Bapa Nagar, Delhi. Doctor is currently practising at Sai Nursing Home in Bapa Nagar, Delhi. Book an appointment online with Dr. Pankaj 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 37 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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English
Hindi

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A-86, Main 100 ft Road, Nathu Colony, Jagatpuri. Landmark: Near Natho Colony Chowk and Opp. Fly Over Piller No.07, DelhiDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have headache & backache problem last 2 month. And Not well sleep. Feel weakness and also stressed.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have headache & backache problem last 2 month. And Not well sleep. Feel weakness and also stressed.
Do physical activity and slight meditation and for back pain tk heat fermentation twice a day and muscle relaxant medicine.
1 person found this helpful
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My friend is having cheek biting problem, while eating or during sleep. Which is causing pain. Will you suggest any remedy for that and any future problem, if left untreated?

MBBS
General Physician, Jalgaon
My friend is having cheek biting problem, while eating or during sleep. Which is causing pain. Will you suggest any r...
Please Practice for ballooning of cheeks, mouth daily Take Cap brahmi by Himalaya 11 for 1 month Reconsult after 15 days.
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Boost your immune system

Diploma in Diet and Nutrition, BHMS
Homeopath, Mumbai
1 Stick to a healthy diet: Including vitamins A, B, C and E regularly in your diet increases the ability of immune cells to fight infections. Zinc and selenium-rich foods like crustaceans, meat, sunflower seeds and brown rice help build a strong immune system. Foods like ginger and garlic should not be skipped as they help in flushing out toxins from the body.
2 Get a good night’s sleep: Sleeping for a minimum of 7 hours helps the body rejuvenate by releasing growth-promoting hormones. Depriving oneself of sleep increases the release of stress hormones and inflammatory chemicals, thereby affecting the functioning of the immune system.
3 Exercise regularly: Daily exercise, light or moderate, has shown to improve blood circulation which facilitates function and transport of immune cells all over the body. Also exercising helps in release of endorphins, also called the feel-good hormones, which help in stimulating the lymphatic system for release of white blood cells.
4 Reduce stress: Stress affects the overall health of a person and also takes over the mental wellbeing. Increasing stress levels release a stress hormone which affects the functioning of the thymus which in turn affects the release of infection-fighting cells and thus, takes a toll on the immune system.
5 keep smiling and laughing:It is rightly said that laughter is the best medicine. Laughing your heart out and smiling helps beat stress and reduce the levels of stress-inducing hormones. Laughing affects the immune system positively by boosting the production of white blood cells
2 people found this helpful

Im having sore throat after prescribing an doctor he says you have tonsils what should be an possible cure?

BHMS
Homeopath, Kolkata
Im having sore throat after prescribing an doctor he says you have tonsils what should be an possible cure?
Homoeopathic med. Belladona 200 / 2 globs x 3 times a day. Gargle for twice a day with phytolacca q / 10 drops in some luke warm water.
1 person found this helpful
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I am very lazy and fat. Whenever I am trying to wake up in morning, my body gets so much of pain. I am working these days. I want to become fit and want to get a healthy and easier life. Tell me possible remedies for it.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
I am very lazy and fat. Whenever I am trying to wake up in morning, my body gets so much of pain. I am working these ...
First, you make your mind to wake up early. So, set the time to get up early in the morning. Drink 1 l of water after waking up. Go for a walk for half an hour and do exercise for half an hour. Exercise should include stretches, cardio and abdominal exercises. Have a healthy breakfast in the morning like idli, dosa, upma or poha which are low in calories and help in weight loss. Drink juice or soup which are rich in nutrients or eat a full fruit which is rich in fiber. For afternoon, take 3 chapathis, 1 cup rice, gravy or sambar and a cup of curd and a salad. In the evening, take a cup of green tea and some roasted peanuts which are rich in protein. For dinner, take 2 chapathis with gravy and a salad. Dinner should be taken 2 hours before going to sleep. Sleep should not be less than 7 to 8 hours. In a day, try to drink at least 2 to 2.5 l of water. This plays a major role in detoxification and helps in weight loss.
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I have a headache from two, I have a taken a medicine, but still I not got relieved from headache.

MBBS
General Physician, Cuttack
I have a headache from two, I have a taken a medicine, but still I not got relieved from headache.
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest 4. Avoid anxiety and stress.
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I have a sitting job and I have hepatitis C problem tell me how I can save of life from this disease.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have a sitting job and I have hepatitis C problem tell me how I can save of life from this disease.
Hepatitis c is the no. 1 cause of liver cancer and liver transplants. It's brought on by a virus that you can catch if you come into contact with contaminated blood. You could get it from an unclean tattoo needle, for example. Sometimes, it spreads during sex. It can be cured. But doing so hasn't always been easy or comfortable. For decades, you needed painful shots of a medicine called interferon and a pill called ribavirin. These drugs didn't target the virus making you sick. Instead, they amped up your immune system, so you'd fight it like you do when you get sick with the flu. But the treatment didn't always remove the virus from the body. Cure rates hovered around 50%. And, people who stuck with the year-long treatment -- not all did -- had to live with chemo-like side effects. These days there's a revolution underway in hepatitis c virus (hcv) treatment. More and more people are being quickly cured by simply taking a pill, at home, for just a few weeks. Several injection-free options have been approved since 2014, and that list is growing fast.
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Im 26ear old and having chest pain after doing workouts should I leave doing workouts or is it due to any other reason? I do mainly push ups sit ups crunches and other weight lifting exercises.

MBBS
General Physician, Mumbai
Im 26ear old and having chest pain after doing workouts should I leave doing workouts or is it due to any other reaso...
Looks to be a masculoskeletal pain. Give rest to the part where it hurts you. Apply dry heat and volini spray locally 2/3 times a day. May take carisoma compound tablets. 1 tab twice daily for 5 days. Physiotherapy like ultrasonic and short wave diathermy may also be beneficial. Take 8 - 10 of such sitting.
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I am 56 years diabetic all joints have stiffness and pain at times.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I will advise you to get some basic blood tests done empty stomach so that I can see whether there is an element of inflammation or not, get cbc, esr, crp, serum electrolytes and serum vitamin d levels done. Meanwhile you can start with a gentle anti inflammatory medication which suits you and continue with calcium and vitamin d intake. Please get back to me with investigation reports. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena consultant orthopaedics fortis hospital, new delhi.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Hello. I'm suffering from ibs and constipation since last eight years. Toll many medicines like normaxin, lesuride, neopride, softovac etc. But didn't get proper relief. Suggest me some medicine or treatment. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello. I'm suffering from ibs and constipation since last eight years. Toll many medicines like normaxin, lesuride,  ...
Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal, drink plenty of water.take digestive meal . Syp. Aristozyme 10 ml thrice a day. Take tab. Charcol at night. Syp . Livoluk 10 ml at night. Go for tests stool c/s, lft .blood sugar, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy) Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take.
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I just had Asthma attack and it's been almost a hour and im coughing and chest pains I'm scared to go to bed right now because I could have more problems help me.

MBBS
General Physician, Mumbai
I just had Asthma attack and it's been almost a hour and im coughing and chest pains I'm scared to go to bed right no...
Dear Lybrateuser, - Keep semireclined position in bed, raise the head end about 10-12 inches, see that breathing is comfortable & then can rest in the same position - take your medication as directed by your physician, also in case of emergency - if not much improvement then you have to go to the doctors clinic or a hospital.
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Say for example I was suffering from cold and cough for a weak almost and I didn't know the reason it was sudden. But instead of taking medicines I take precautions and I was good. Now the as is should I take medicines or not.

MBBS
General Physician, Cuttack
1. If you are feeling better, you don't have to take medicine. 2. Do steam inhalation with karvol plus inhalant capsule and warm saline gargling 2-3 times daily. Consult doctor, if no relief.
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I am 27 years old and married 7 months ago. I am highly disappointed with my sex life. I am not able to sex every night. I have fear that tonight my penis will not erect and the result is same it will not erect. I am in fear. I can sex for 2-3 nights then 4th and 5th night I can't get erection. After 3 days I can sex again. You are requested to help me please. My mind set is not right because of these happenings.

MD - Psychiatry, BHMS
Homeopath, Amravati
I am 27 years old and married 7 months ago. I am highly disappointed with my sex life. I am not able to sex every nig...
This is happening because of your anxiety.Stop thinking that you cannot have sex every night. Sex is not just physical process but it originates from mind. Thinking has profound effect on sex life. So think positively and see the results.
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I am suffering from low white blood cells how do I increase the WBC what are the natural remedies.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Immunoboosting programme. Take all colour veg and fruits. Take l carnitine and tab ecozyme one each daily. Take figs dates broccoli salmon fish oysters almonds walnuts vital c and b complex tabs daily yoga and deep breathing.
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I am 20 year old male and I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

BHMS
Homeopath, Thane
I am 20 year old male and I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple...
Hi, sleeping problem can be solved with homoeopathic medicines. Take medicines as prescribed and your problem will be solved. Tab tranquil (sbl) 4tabs to be chewed thrice a day 1/2 an hour after meals. Coffea cruda 200 4pills to be taken in the evening at 7pm, then after dinner and again before sleep. Daily.
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I have dust allergy. If any dust is there means I am troubled and also have sinus problems.How can I get rid of this problem. Give me a permanent solution.

MBBS
General Physician, Mumbai
Few tips- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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Sir jb mI 11 years ka tha tb meri right eye mai pataka phatt gaya tha aur tb sai mujhe extra light si dikhti hai maine doctrs sai poocha toh unhu nai bola ki patakai sai hole hoogaya hai aur ussi wjha sai extra light dikh rhi hai .app please bolo sir kya yeh theek ho sakta hai aur aur sir agr mai specs na lgaou toh sir ko dard hoota gai aap please help kro sirr.

MBBS, DOMS, MS - Ophthalmology, , Fellowship in phacoemusification
Ophthalmologist, Patna
Sir jb mI 11 years ka tha tb meri right eye mai pataka phatt gaya tha aur tb sai mujhe extra light si dikhti hai main...
I think some crackers particles are permanently embedded in corneal stroma which is causing scattering of lights which is causing so much problems, after so many years it is not possible to remove, so first get checked up by experienced Opthalmologist & if not possible to remove, get prescribed eyeglasses with transition lenes little bit costly.
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My head is paining and also I can not sleep timely and I am also not felling well.

MBBS
General Physician, Chandigarh
My head is paining and also I can not sleep timely and I am also not felling well.
You can take tab paracetamol 500mg for headache and make a daily routine of all your activities with good proper timings for everything including sleep and then follow it strictly.
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