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Dr. R K Tiwari

General Surgeon, Delhi

300 at clinic
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Dr. R K Tiwari General Surgeon, Delhi
300 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. R K Tiwari
Dr. R K Tiwari is an experienced General Surgeon in Malviya Nagar, Delhi. You can consult Dr. R K Tiwari at Sunil Hospital & Nursing Home in Malviya Nagar, Delhi. Save your time and book an appointment online with Dr. R K Tiwari on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 44 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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English
Hindi

Location

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Sunil Hospital & Nursing Home

15/199-200, Main Panchsheel Shivalik Road, Malviya Nagar, DelhiDelhi Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I had one fibroadenoma in left breast. Bt before 6 months I operated. Now I don't have bt still sometimes I feel pain there. Soo please call you tell me what should i do & why its paining.

MD - Oncology
Oncologist, Nagpur
Fibroadenoma is mostly harmless and once removed there is no problem. Person may feel pain locally at operates site for some time. Normally you don't require any thing but if you feel pain is more and it's regularly present, then get yourself checked by doctor.
1 person found this helpful
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Doc please tell me a nice face wash and a moistriser for daily use my skin is normal but I have pigmentation on my face and I am 23 yrs old.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic treatment whitening cream (biovalley) apply in circular fashion in morning and at night whitening soap (biovalley) wash face with this face wash before applying whitening cream suncare cream (bakson) apply 30 minutes before going outside and again reapply after 3-4 hrs after washing with whitening soap.
1 person found this helpful
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Which sunscreen is best for skin (face & body)? Which are best skin care products? And what should I do to increase my haemoglobin count?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Which sunscreen is best for skin (face & body)? Which are best skin care products? And what should I do to increase m...
Hello lybrate-user you can eat pomegranate, beet root, green leafy vegetables etc. U can ask for further information.
1 person found this helpful
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I have a skin problem, which was like white dots on the skin. What will be that problem? Whether it is allergy or skin disease? Please help me.

BHMS
Homeopath, Faridabad
I have a skin problem, which was like white dots on the skin. What will be that problem? Whether it is allergy or ski...
Hello. White patches/ dots on your skin are a common type of depigmented skin lesion associated with an infection, allergy, or autoimmune disorder. One common cause of white spots, or hypopigmentation, is a fungal infection of the skin known as tinea versicolor (associated with other symptoms, such as itching or dryness on or around the white patches). This fungal infection is not contagious and can be treated easily with over-the-counter medications. The white spots and patches can also be becuase of deiciency of vitamin D (for which 15-20 minutes of exposure to early morning sunlight without sunscreen is needed, 3-4times a week). Or else they could be idiopathic (i.e., without any cause). Please tell me other symptoms like about sensation on the area, since how long do you have this patch, any family history of white patch, etc. Meantime, you can start with homoeopathic Rx - Ars. Sulph. Flavum. 200/ twice daily for 20days (as it is safe).
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Gastroesophageal Reflux Disease - What Should You Know

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Gastroesophageal Reflux Disease - What Should You Know

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  • Smoking habit
  • Eating heavy meals or eating late at night
  • Eating fatty or fried foods
  • Drinking certain beverages, such as alcohol or coffee
  • Medications, such as aspirin
  • Tight clothes
  • Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  1. Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  2. Esophageal manometry
  3. Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications.

Lifestyle modifications include the following:

  1. Losing weight (if overweight)
  2. Eating small and frequent meals instead of large meals
  3. Waiting 3 hours after a meal to lie down
  4. Elevating the head end of the bed by 8 inches
  5. Avoiding bending or stooping positions

Medications

  • H2 receptor antagonists (ranitidine, cimetidine)
  • Proton pump inhibitors (omeprazole, pantoprazole)
  • Prokinetic agents (aluminum hydroxide)
  • Antacids (magnesium hydroxide)

Surgery

  • Transthoracic and transabdominal fundoplication
  • Placement of a device to augment the lower esophageal sphincter

In case you have a concern or query you can always consult an expert & get answers to your questions!

2902 people found this helpful

Can Genetics be the Cause of Acne in Adult

MBBS, DNB (Dermatology)
Dermatologist, Mumbai
Can Genetics be the Cause of Acne in Adult

Acne is a condition that usually occurs when you are in your adolescence, but sometimes it can happen when you are an adult as well. In women, it occurs when they have reached their menopausal age. The chances of adult acne occurring in women are higher than men.

What causes acne in adults

  1. Stress: If you are under stress on a regular basis, then the body tends to produce a hormone called androgen which stimulates oil glands in the skin, resulting in acne flare ups. 
  2. Hormonal imbalance: Hormonal imbalance in the body may lead to acne breakouts. You may experience imbalances in your hormones during your periods or when you have reached menopause. Acne may also occur if you have started or stopped taking birth control pills abruptly.
  3. Family history: If other people in the family are prone to acne, then you may be genetically predisposed to it.
  4. Medications: There are certain medications which can cause acne to flare up. They contain chemicals that stimulate hormones in the body thus, resulting in acne.
  5. Skin products: If you have oily skin, then using products that contain oil may aggravate acne. They may also contain chemicals which may clog pores in your skin.

Symptoms of acne in adults are often seen as bumps on the skin, blisters filled with pus and inflamed black heads. Apart from these some people also witness hard and painful lumps beneath the skin.

Prevention:

  1. Stay away from junk food: Avoid eating junk food and fried foods as they can aggravate oiliness in the skin and result in pimples. Rather, replace them with natural foods and other complex carbs.
  2. Drink plenty of water:  Drink plenty of water as it helps in filtering out the waste products and toxins from your body. 
  3. Avoid smoking: Smoking causes blood vessels to narrow and thus, limits blood circulation in the body. This may cause multiple complications in your skin, acne being one of them.

If you wish to discuss about any specific skin problem, you can consult a specilized dermatologist and ask a free question.

4816 people found this helpful

My face has become very dark though I use sunscreen La shield from a year can you please suggest skin whitening cream.

PDDM, MHA, MBBS
General Physician, Nashik
My face has become very dark though I use sunscreen La shield from a year can you please suggest skin whitening cream.
Apply a sunscreen in morning with good uvb and uva protection like shadowz, ultraguard, ansolar etc Use melawash face wash daily two times in a day. Apply it over face for four to five minutes then wash off Apply a skin lightening cream like lumacip plus in night. Only a small amount had to be applied over face and do not rub the cream. Usually with in one to month desirable response is seen. i would also suggest you to take few sessions of skin lightening peels every two or three weeks. Usually four or five sessions are good enough. Thanks
1 person found this helpful
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my age 22. I can not able to sleep for more time. I have black marks under my eyes. Please resolve my problem I am suffering from 1 year.

BAMS, MD Ayurveda
Sexologist, Navi Mumbai
my age 22. I can not able to sleep for more time. I have black marks under my eyes. Please  resolve my problem I am s...
Try the following remedy it will surely help you Natural home remedy using black pepper and honey: 1. Black pepper is useful in treating respiratory blockages 2. Take 1 glass hot water 3. Add 1 tsp black pepper powder 4. Add 1 tsp honey 5. Mix well 6. Sip it hot before sleeping if it dosent work then you must consult ayurvedic doctor.

I have whiteheads acne spots and oil skin from last 8 year. Im 28 year old. Please what should I do for dark spot.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have whiteheads acne spots and oil skin from last 8 year. Im 28 year old. Please what should I do for dark spot.
You can use Homoeopathic cream Topi Berberis... And take Berberis Aquifolium Q 10 drops TDs.. But it is more better to take proper treatment..
1 person found this helpful
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