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Dr. R N Verma

General Physician, Delhi

Dr. R N Verma General Physician, Delhi
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R N Verma
Dr. R N Verma is a popular General Physician in Vasant Kunj, Delhi. He is currently associated with Dr. R N Verma Clinic in Vasant Kunj, Delhi. Book an appointment online with Dr. R N Verma 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 28 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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Urinary Tract Obstruction - Know The Reasons Behind it

MBBS, MS - General Surgery, MCh - Urology
Urologist, Bangalore
Urinary Tract Obstruction - Know The Reasons Behind it

Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.

Few common reasons behind Lower urinary Tract Obstruction:

  1. Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.

  2. Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.

  3. Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.

  4. Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.

  5. BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.

  6. Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.

  7. Phimosis: Phimosis is another major reason behind urinary tract obstructions.

2797 people found this helpful

Hlooo dear sir/mam muje kl subh se urin me bhut jyada jlan ar pain ho rha h. Kya ye kisi bimari ka sympton h?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Bangalore
Hlooo dear sir/mam muje kl subh se urin me bhut jyada jlan ar pain ho rha h. Kya ye kisi bimari ka sympton h?
urine me jalan, infection k karan hoti hai. agar fever hai to antibiotic start karna padega. agar fever nahi hai to daily 3 se 4 ltr paani peejiye and jalan kam hojayegi
1 person found this helpful
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When I wake up and see my finger get twisted and bent and I make them straight later. I do not have any pain. Can you say why this happens and what is the solution.

BHMS
Homeopath, Raebareli
When I wake up and see my finger get twisted and bent and I make them straight later. I do not have any pain. Can you...
Cramps in your hand can arise from a number of different causes. Hand cramps develop as a result of conditions affecting muscles and nerves in your hand. Trauma or injury to a nerve in your hand can also cause hand cramps. Even breathing too fast (hyperventilation) can result in hand cramps, as carbon dioxide levels in the blood become too low. Everyday, simple reasons, such as fatigue from overuse, can lead to temporary, acute cramps in the hand. Please see if you are using your fingers too much in your work - computer typing etc. Do hot and cold compresses alternatively to relax the muscles.
1 person found this helpful
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I have badly itching problem on my whole body including head. Dont know what to do.?

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
I have badly itching problem on my whole body including head. Dont know what to do.?
Any small red marks. On your thigh, genital organs, buttock, abdomen, back, finger webs, intense itching at night. If yes then you have scabies infection.For further assistance you can concern me privately
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Peptic Ulcer - How Homeopathy is an Effective Way of Treating it?

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Mohali
Peptic Ulcer - How Homeopathy is an Effective Way of Treating it?

Most likely you are suffering from duodenal ulcer if there is pain in the upper abdomen which is relieved by eating. If it increases after eating, it may be because of gastric ulcer. Gastric ulcers and Duodenal ulcer come under the category of Peptic ulcer disease (PUD). It is a lesion in the mucosal lining of the digestive tract, typically in the stomach as gastric ulcer or duodenum (1st part of the intestines) as Duodenal ulcers. These are caused by the digestive action of pepsin (a digestive enzyme) and stomach acid. 

Nearly 70–90% cases of such ulcers are linked to a spiral-shaped bacterium called H. PYLORI that thrives in the acidic environment of the stomach. The incidence of peptic ulcers occurring in the duodenum (the initial tract of the small intestine) is four times higher than those arising in the stomach.

Causes of Peptic Ulcer:

The underlying process that results in Peptic ulcer formation is an excess of acid production in the stomach and damage to the protective barrier inside the stomach. Certain things that can trigger excess acid production or can cause damage to the protective lining of the stomach are:

  1. Emotional stress
  2. Foods (spices, pungent foods, etc)
  3. Overuse of certain drugs, especially NSAIDs (Non-steroidal anti-inflammatory drugs)
  4. Infections (H-Pylori)
  5. Hereditary
  6. Smoking

Symptoms

Symptoms of peptic ulcers include:

  1. vomiting tendencies
  2. nausea
  3. pain in the upper and middle portions of the stomach after a meal and at night
  4. blood in the stool
  5. weight loss
  6. bleeding in the gastrointestinal region
Gastric Ulcer Common to Both Duodenal Ulcer Symptoms
More likely to be felt immediately after eating. Bloating More likely to be felt after few hours of eating
  Heartburn  
  Nausea  
  Loss of appetite  
  Burping  
  Pain when eating high fat food  
  Pain when stomach is empty  
  Pain in the stomach that may feel like burning  

 

 

 

 

 

 

 

Complications:

  1. Hemorrhage
  2. Perforation of ulcer
  3. Gastric outlet obstruction (obstruction in terminal part of stomach)

How to Prevent Peptic Ulcers
Certain lifestyle choices and habits can reduce your risk of developing peptic ulcers. These include:

  • not drinking more than two alcoholic beverages a day
  • not mixing alcohol with medication
  • washing your hands frequently to avoid infections
  • limiting your use of ibuprofen, aspirin, and naproxen sodium

Maintaining a healthy lifestyle through a balanced diet rich in fruits, vegetables, and whole grains, and quitting smoking and other tobacco use will also help you prevent developing a peptic ulcer.

Homeopathic Treatment For Peptic Ulcers
Homeopathy offers some very good medicines for peptic ulcer disease. But for a homeopath, the symptoms of the disease are much more important than the ulcer itself. This is because to select the right medicine a homeopath needs to differentiate between the finer presentations of a disease which, vary from person to person. A homeopath not only tries to heal the ulcer but also tries to remove the general predisposition to acquire it. The homeopath not only tries to find ‘What is wrong?’, but also ‘Why it went wrong?’; ‘Where it started going wrong?’; ‘How it evolved to the current stage?’ etc. To find the answers to all these questions, a homeopath tries to gather as much information as possible regarding the past and present medical history of the patient, the family history, general, physical and psychological characteristics, etc. This hard work on the part of homeopath not only helps in removing the acute symptoms and the ulcer but also is usually able to remove the tendency for relapse. The ‘on-again/off-again’ nature of the disease is often removed and the general health of the person also improves as a result.

Effective Homeopathic Medications For Peplic Ulcer
Some of the most effective homeopathic medications used in the treatment of peptic ulcers are mentioned below. However, you shouldn’t try to self-medicate as it is best to consult with a doctor who can properly diagnose the problems and prescribe medication which are specifically tailored for you.

  1. Argentum Nitricum – One of the most effective medications in treating ulcers, Argentum Nitricum is usually prescribed when you experience sharp burning pains from peptic ulcers that radiate to different areas of the abdomen. The pain is akin to the feeling of gnawing inside the stomach. Other symptoms such as vomiting, belching and nausea may also be present. 
  2. Nux Vomica – If you have peptic ulcers and even eating the slightest amount of food causes pain, then Nux vomica may be a good option and thus be prescribed by your doctor. Another indication in such cases is where the abdominal region is very sensitive and you may feel pain even with the slightest touch. Nux Vomica is also very effective if your peptic ulcer symptoms tend to get worse after the consumption of tea, coffee, spicy foods or alcoholic beverages.
  3. Kali Bichromicum – Sometimes, peptic ulcers may cause the food in your stomach to sit like a heavy load immediately after meals. This can make you very uncomfortable and unable to do any other form of work. This is often times accompanied by a low appetite. In such cases, Kali Bichromicum has been seen to work wonders.
  4. Lycopodium Clavatum – If you have burning pain in your stomach along with the bloating of your abdomen, then Lycopodium Clavatum is the best medication for you. Other indications for this medication are when ingestion of warm water helps relieve pain. If consuming certain vegetables such as cabbage and beans worsen the situation, then Lycopodium Clavatum could be the best medication in such a case. 
  5. Carbo-veg – An all-rounder in the field of homeopathy, Carbo-Veg is also effective when treating peptic ulcers which are accompanied by heartburn and acidity as well as sour belching. The pain from the ulcers may extend from the stomach all the way to the back. Other indications wherein Carbo-Veg may be effective is where the stomach area becomes very sensitive to touch and even small amounts of food may suddenly cause the symptoms to deteriorate.
  6. Hydrastis Canadensis – Stomach or abdominal pain accompanied by weight loss is one of the major indications where this medication may be prescribed. The patient may become emaciated and have sharp cutting pains in the stomach. In such cases, Hydrastis has been seen to be very effective.
  7. Graphites – This medication is extremely useful where along with the ulcer pain, you may end up vomiting your food immediately after a meal. A sensation which is painful and constricted may be present in your stomach. Along with these symptoms, Graphites are also very effective when you suffer from excessive belching.
  8. Phosphorus – If you exhibit typical symptoms of peptic ulcer such as sour belching and a burning sensation in the stomach after eating, Phosphorus could well be the panacea. 

Prognosis

When the underlying cause of peptic ulcer disease is successfully treated, the prognosis (expected outcome) for patients with the condition is excellent. To help prevent peptic ulcers:

  • Avoid cigarette.
  • Aspirin and non-steroidal Anti-Inflammatory drugs should be avoided.
  • Spicy and rich food may aggravate. If so, it should be avoided.
  • Drink lots of water.
  • Take frequent small meals instead of two or three big meals.
  • Bland diet and hygienically prepared food.
  • Proper cleaning of utensils for food.
  • Proper cleaning of hands before preparing and eating food.
  • Avoid alcohol
  • Common sources of Helicobacter pylori bacteria (e.g., contaminated food and water, floodwater, raw sewage)
  • Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Good hygiene can help reduce the risk for peptic ulcer disease caused by Helicobacter pylori infection. Washing the hands thoroughly with warm soapy water after using the restroom and before eating and avoiding sharing eating utensils and drinking glasses also can reduce the spread of bacteria that can cause PUD.

3208 people found this helpful

How to get rid of glasses? Does taking vit-A supplements at night and drinking carrot juice made by 250 grams of carrot useful?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
How to get rid of glasses? Does taking vit-A supplements at night and drinking carrot juice made by 250 grams of carr...
Hello. There is no medication or food for improving eye sight or to get rid of glasses. Get your vision tested and wear glasses. If not interested in glasses then you can try a. Contact lens b. Lasik laser as your age is now 18 years so your number will not increase much now whether you wear glasses or not as number becomes stable at age of 18-20 yrs. Having said that I advise you to eat balanced diet including green vegetables and seasonal fruits for keeping eyes and body healthy. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik.
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I am 24 years old man. After traveling i gets head ache. what should i do? Please help me.

MBBS
General Physician, Delhi
I am 24 years old man. After traveling i gets head ache. what should i do? Please help me.
You seem to be suffering from migrainelike headache triggered by travelling. Sleep well the night before, eat light before travelling& take combination of anti emetic & analgesic like naproxen& domperidone if headache gets precipitated.
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I am 33 year male. I smoke occasionally. But I feel pain in the left side of chest. What is the reason for that? How Saviour is this issue? Is there any test should I conduct for lungs & heart.

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
Psychologist, Palakkad
I am 33 year male. I smoke occasionally. But I feel pain in the left side of chest. What is the reason for that?
How ...
Dear user. I can understand. Don't panic. There could be many reasons for your chest pain. But to be sure and for your relief, do consult a doctor. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Smoking can affect your mouth, throat, lungs, heart, stomach and brain in many ways. Cancer is one among the potential diseases smoking can cause. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. Nicotine chewing gums too help as an alternative for cigarettes. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advice. You can also opt for online deaddiction therapy. Take care.
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I am 25 year old male, sometimes it has been observed that blood comes with stool its not regular only when I ate non veg (chicken or mutton) etc. That only first stool after having non veg food. I went to doctor did couple of blood tests and stool test. All the results are normal. Doctor suggested normix tablets for two weeks. Still I am worrying. Need to go for colonoscopy? Please suggest what I have to do now?

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. Most probably you are having either piles or fissure in ano. You should first consult a surgeon who can examine the the lower rectum and anal canal which will most probably make the diagnosis. Colonoscopy to be done if the examination by surgeon is normal. You can consult me if you have more queries.
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How to avoid masturbation? Is there any positive effect of masturbation? What are the negative effects of this?

MBBS
Sexologist, Panchkula
How to avoid masturbation? Is there any positive effect of masturbation? What are the negative effects of this?
Masturbation has positive effects like lower blood pressure,keeps body temperature normal,improves thinking ability. Negative effects are ,it can cause erectile dysfunction,early ejaculation,sperms count and size problem of penis and body weakness and memory problem also in the long run. You want to control masturbation. I advise you to tell me your eating habits and any addiction to alcohol or cigarette,for better guidance and solution.
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I have throat problem from last few months when ever I eat some thing it pain full for me what should I do?

BHMS
Homeopath, Raebareli
I have throat problem from last few months when ever I eat some thing it pain full for me what should I do?
Please note that you are having pharyngitis and it needs to be treated accordingly. You should take homeopathic medicines to eradicate this problem. For the time please gargle with saline water at least 3 times a day for next 3 days.
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I am 55 Yrs old. For satisfactory erection I take different types of pills. Most of them are ayurvedic and sometimes I take allopathic common available pills also. But now I experience that I don't experience the required rockhard erections and maximum time the semen come out very quickly. How can I get back the sexual strength of a boy of ages like 21-22? And how can I remove quick ejaculation?

DGO, MBBS
Sexologist,
I am 55 Yrs old. For satisfactory erection I take different types of pills. Most of them are ayurvedic and sometimes ...
if you are taking medicines on your own it may cause more damage than good. Premature Ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also there are exercises to control it. You can learn to control PE by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique: when you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. You need to do blood tests Hb, TC, DC, Sugar PP, Prolactin, TSH and Testosterone for low erections.
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I am 38 years old Male. Right from beginning of my sexual life, I was suffering from PME. I will get very hard erection in 3 or 4 seconds, at the same time in next 4 or 5 seconds I will ejaculate. I never had intercourse for above 20 seconds. What remedies you suggest and diet too?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 38 years old Male. Right from beginning of my sexual life, I was suffering from PME. I will get very hard erecti...
Increase in sex time needs proper understanding of the cause of low timing. Often the cause is due to improper timing between the husband wife (as they together may not get excitement) or some problems in male like inadequate erection or too early ejaculation. The problem is easily solved by sexologist consultation. Doctor will take proper and detailed history, some examination and then advise the best treatment. The treatment options are sex therapy, sex counseling and sex exercise. Above all, drugs are present but please remember don?t take drugs shown in TV/ newspaper as these will harm you.
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I am suffering from Tinnitus, in my both eras some kind of ringing and buzzing is going on from past 4 years if you have any suggestion or treatment about this disease so please tell me.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take kali mur. - 4 tabs three times a day for one week. Revert back after one week with feedback.
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Sir muje kabjiyat he. Kitne Dr. Ko bataya, koi result nahi aaya. Aap mujhe help karo.

DM - Gastroenterology, MD - Internal Medicine, MBBS
Gastroenterologist, Hyderabad
Sir muje kabjiyat he. Kitne Dr. Ko bataya, koi result nahi aaya. Aap mujhe help karo.
Hello, eat high fibre diet (fruits, vegetables, sprouts) on a daily basis. Take plenty of fluids. Get your thyroid profile and fasting sugar checked.
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My stone in right kidney is 4.1 mm and in ureter it is 5.5 mm. I am suffering from migraine also. Please guide some dietary plan. As 4 year ago I have positive thyroid by only small amount but I gained a lot of weight. Whole day I used to have small meals but doesn't lose much weight. I am getting more fatty day by day and getting tensed due to these diseases.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My stone in right kidney is 4.1 mm and in ureter it is 5.5 mm. I am suffering from migraine also. Please guide some d...
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, you have stone in your ureter is 5.5 it may be out it by diuretic medicines . cure infection in kidney. continue your medicines for thyroid, migraine, go for walk.
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I suffer from acidity and gastric problems please help me and suggest few methods and I avoid tablets so recommend me something else.

MBBS
General Physician, Bangalore
I suffer from acidity and gastric problems please help me and suggest few methods and I avoid tablets so recommend me...
drink warm water in empty stomach. do not eat spicy or oily or junk food. you can skip milk for few days and take curd instead. try not to eat raw salads. try to eat frequent small meals. do not keep yourself hungry for longer time. do not eat maida or processed items.
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I have a problem of asthma so suggest me ways to cure me latter quickly to start a rapid life.

BHMS
Homeopath, Lucknow
Lybrate-user you can take homoeopathic medicines along with your allopathic treatment. Rx arsenic alb200/ 2 dose at 1/2 an hour interval only at in morning next day kali carb 200/ 2dose at 1/2 an hour interval only once morningthen tell me after 10 days.
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Dear doctor I am 22years old male. I have suffered from premature ejaculation. I have try home remedies like exercise, healthy food but it did not stop it so please suggest any other remedies. I have do not drink alcohol and not smoke.

BHMS
Homeopath, Sindhudurg
Dear doctor I am 22years old male. I have suffered from premature ejaculation. I have try home remedies like exercise...
Causes of premature ejaculation - Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Homeopathy has an effective and promising treatment in pre mature ejaculation. Homeopathic treatment increases the emision and ejaculation time of semen during sexual act. It also helps to cure the erectile problem asociated to Pre ature ejaculation. Homeopathic treatment is the most safest and permanent approach of treatment in pre mature ejaculation problem.
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