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Dr. Parmila Bhutani

General Physician, Delhi

500 at clinic
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Dr. Parmila Bhutani General Physician, Delhi
500 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. Parmila Bhutani
Dr. Parmila Bhutani is a renowned General Physician in Bapa Nagar, Delhi. You can visit her at Dr P Bhutani Clinic in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. Parmila Bhutani on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 25 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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Hindi

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Dr P Bhutani Clinic

C127, Sarvodya Enclave, DelhiDelhi Get Directions
500 at clinic
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I am 47 years old woman, I am suffering from Rest Leg Syndrome, OCD, Diabetic, Thyroid since 10 years and Hiatus Hernia since 4 years. Medicines using Pramipex. 0.75 daily twiceMetadoze IPR 850 mg daily twice Thyronorm 25 mg daily 1 Now Not taking any tablets for OCD and Hiatus hernia as it is mild. RLS is very severe not able to sleep. Please help me doctor.

MBBS, DPM, DNB (PSYCHIATRY)
Psychiatrist, Noida
It's good that you are not having symptoms of ocd currently, pramipexole is good for rls, but sometimes it also happens with deficiency of iron and folic acid, so you can take bcomplex along with iron capsules and pramipexole.
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Hi sir My name is dipak I am from irises I have one big problem. Sorry for that I can't sleep without masturbation. Pls help me how I will stop it pls Sorry my question is very same fully but it is true so pls help.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Hi sir My name is dipak I am from irises I have one big problem. Sorry for that I can't sleep without masturbation. P...
Dear Dipak. I can understand. You are addicted to masturbation. This type of addiction happens to many people. This type of addiction is equivalent to other addiction like alcohol, smoking, narcotics etc. Therefore you need deaddiction therapy. I suggest online deaddiction therapy. Take care.
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Dear doctor, I am live in village. There is no medical store for buy condoms. Can I make condom at home for doing anal sex?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Yes take balloon or wrap with polythene and lubricate but you will injure the recipient and may invite trouble for you too.
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Heart Transplant - When Is The Right Time

MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Heart Transplant - When Is The Right Time

There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).

Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.

People who need a heart transplant:
A heart transplant may be essential in the following cases.

  • A congenital heart disorder (a person born with a heart problem).
  • Defective or diseased heart valves.
  • Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
  • Problems in the coronary artery.
  • Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
  • A heart transplant that failed previously.
  • Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).

However, under the following circumstances, a heart transplant may not be a wise idea

  • People with infections or chronic lung or kidney disorders.
  • A case of cancer in the past.
  • Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.

The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.

  • The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
  • In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
  • The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
  • Once the implantation takes place (without any complications), the surgeons sew the heart into place.
  • The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
  • To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
  • If no complications develop after the transplant, the patient is discharged within a fortnight.

In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants.

What will be the cost of follicular monitoring in case of PCOS patients trying to conceive?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
What will be the  cost of follicular monitoring in case of PCOS patients trying to conceive?
Hello, follicular monitoring is done for at least 3 cycles. The cost is different at different centers.
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I finished my 6 months course of tuberculosis and I got it 2nd time. After completion of my 6 months treatment next day I got fever 99.6.what is the reason? Is my infection not cured? Please give me answer.

MBBS, MD - Internal Medicine, Fellowship in Infectious Diseases, Fellowship in HIV/AIDS
Internal Medicine Specialist, Mumbai
Any fever after completion of ATT (Anti-TB treatment) need not be TB again. This will depend on a lot of factors like what kind of TB you had the first time, what drugs you were given and how regular you were with those medications, you health status during the treatment. You will need evaluation of fever to find the cause and it may not be TB at all.
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Ringworm on my private part is too much wide nd strong. Im suffering frm last year. Ive taken many medicines like it mac, Candiforce, triben ip Cream, cetirizine ip 10 mg. How can I get rid of it?

BHMS
Homeopath, Howrah
Keep area dry, moisture increases the growth of parasite so avoid wearing tight cloths whenever possible. Wash undergarments properly and dry in sunlight.
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