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Dr. Rajiv Dhingra

General Physician, Delhi

500 at clinic
Dr. Rajiv Dhingra General Physician, Delhi
500 at clinic  ·  ₹ online
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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. Rajiv Dhingra
Dr. Rajiv Dhingra is a popular General Physician in Malviya Nagar, Delhi. You can consult Dr. Rajiv Dhingra at Dr. Rajiv Dhingra Clinic in Malviya Nagar, Delhi. Book an appointment online with Dr. Rajiv Dhingra on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 34 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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26, Malviya Nagar .Landmark;- Near Sani Dham MAndir, DelhiDelhi Get Directions
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C.S.C, D.C.H, M.B.B.S
General Physician
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B12 deficiency: a silent epidemic with serious consequences
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B12 deficiency and unsteadiness

Timothy c. Hain, md page last modified: december 19, 2014

Vitamin b12 deficiency is common in the population over 80 (about 10%). It can be a cause of unsteady gait (ataxia), sometimes accompanied by anemia (macrocytic), and loss of position sense. When associated with spinal cord disease, it is sometimes termed" subacute combined degeneration. The ataxia is called a" sensory ataxia, because it appears to be related to loss of position sensation from the feet. A list of diseases that can present with a similar picture is given below:

Subacute combined degeneration (b12 deficiency)
Tabes dorsalis (neurosyphilis)
Fredreich' ataxia (a cerebellar disorder), with damage with sensory input to the cerebellum.
Peripheral neuropathy (common)
Thoracic spinal cord lesions (very rare)
Subacute sensory loss (a rare paraneoplastic syndrome).
The term subacute combined degeneration was coined by russell, batten and collier in 1900 to describe pathological changes in the spinal cord. While changes in the posterior columns are emphasized in clinical accounts, pathologically the lateral and anterior columns are also often affected. The peripheral nerves are generally unaffected. B12 deficiency is a risk factor for cognitive decline (i. E. Dementia)

Causes of b12 deficiency

Decreased intake (e. G. Vegetarians)
Malabsorption
Autoimmune (pernicious anemia)
Stomach and small bowel disorders (e. G. Gastritis, surgery)
Medication interaction (e. G. Metformin, medications that reduce stomach acidity)
Over consumption (blind loop)
B12 is available only from animal sources and thus strict vegetarians are at a risk of deficiency. B12 is bound to animal protein and released by gastric acid. When taken as part of food, b12 is released from food by a combination of gastric acid and pepsin (an enzyme).

A medication for diabetes, metformin, reduces absorption of b12.

Gastric conditions contributing to b12 deficiency include various stomach diseases that impair release of b12 from food

Pernicious anemia (pa) accounts for 15-70% of b12 deficiency. This an autoimmune disorder where antibodies are made to intrinsic factor. Oral supplements are less effective in pa than other modes of administration.

Diagnosis of b12 deficiency

B12 deficiency is usually detected through a b12 blood level. Typical lower limits of normal are 200 pg/ml. A cbc test may show macrocytic anemia.

Because b12 is stored in the liver, it takes about 2 years following a sudden cessation of intake for signs of deficiency to arise.

Treatment of b12 deficiency

There are presently a variety of options.

Oral therapy involves giving 1 to 2 mg (1000 mcg) of b12 daily. Oral therapy is usually as effective as the others noted below
Monthly injections of b12 are traditional. The first injection is generally 1000ug, and subsequent ones are 100.
Nasal b12 is also now available as an alternative to injection in persons who do not respond to oral therapy.

I am 18 years old. I have wet dream problem since last 3-4 years. It is become very samefull to me. And I am getting tired very soon even doing a little work. What should I do please help me.

MBBS
General Physician
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I am 18 years old. I have wet dream problem since last 3-4 years. It is become very samefull to me. And I am getting ...
1. Night fall is common in adolescent age group and young adults. It is due to involuntary ejaculation during sleep in night/early morning. 2. Night fall in moderation relieves sexual tension. 3. Excessive fall can cause weakness, fatigue, sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Precaution 1. Do regular aerobic exercise for 1 hour daily like brisk walking/ jogging/running/cycling/swiming 2. Avoid stress, anxiety 3. Practice yoga, meditatation, deep breathing exercise to calm your mind, control emotion and relieve stress 4. Take good nourishing diet, plenty of green leafy vegetables, fruits (onion, garlic, pomegranate help) 5. Avoid spicy, oily, fatty and junk food, 6. Avoid consumption of liquid 2 hours before going to sleep and don't take milk, tea,/coffee before going to bed 7. Take a bath and go for urination just before going t o bed 8. Avoid watching poronographic/erotic pictures/ movies before going to sleep 9. Listen to soothing music which gives peace of mind, read good books before going to sleep 10. Masturbation once in a while wiil control night fall 11. Avoid constipation because upset digestive system can cause night fall

I continue to sneeze when ever I tend to rub my nose. neither I have cold or cough. Am I allergic to something?

MBBS, MBA (Healthcare)
General Physician
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take sinarest one tab at night for 3 days. do gargle , take steam, take honitus cough syrup 2 tsf 2 times daily.. inform if not ok.

I'm having pain in chest due to gym, may be muscle tearing is the reason. What should I do? Increase intake or?

BHMS
Homeopath
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I'm having pain in chest due to gym, may be muscle tearing is the reason. What should I do? Increase intake or?
Take homoeopathic treatment as follow- arnica montana q 10 drops 2 times rhus tox 200 - 3 times for 2 days.

I am suffering from fever to at last one week be continue, no any medicine to set of body. Can you suggest what should be done.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am suffering from fever to at last one week be continue, no any medicine to set of body. Can you suggest what shoul...
Take homoeopathic medicine Belladonna 30 at hourly interval 3 times in the morning and Arsenic album 30 at hourly interval 3 times in the evening for 4 days. Take light and easily digestible food and complete rest. Drink lots of water to hydrate and eliminate toxins from your body.

What are the symptoms of dengue? What should we do to protect ourselves from it?

MBBS
General Physician
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What are the symptoms of dengue? What should we do to protect ourselves from it?
fever, body ache, joint pain, soar throat, rigors . Wear full sleeves shirt and try to cover your body as much as possible, use mosquito nets or allout/goodknight at home, apply mosquito repellent on body, cover water tank. Avoid collection of water out side the house in a waste container or tyre. It will help. Thankyou

My son is suffering ankle swelling and pain and stiffness in whole body from last one year now 2 fingers of hand also start swelling he is doing yoga from last one year what is this prob and whom to contact for right treatment.

BPTh/BPT
Physiotherapist
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My son is suffering ankle swelling and pain and stiffness in whole body from last one year now 2 fingers of hand also...
Avoid yoga swimming he can do uric acid/ sugar /tc/ dc/esr/ra factor all are ok take ift therapy over both ankles and tens over fingers for 15 days consult with rheumatologist.

I am 27 years old. I want to know is precum same as ejaculation. Because whenever I erected after some time me penis oozes some colorless liquid. I want to know how can I control it. Is it a disease or normal?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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I am 27 years old. I want to know is precum same as ejaculation. Because whenever I erected after some time me penis ...
Precum is a natural secretion which is produced by accesory glands of male which lubricate the urethra and also help in coitus You must be knowing that the urethra ( tube ) of the penis which transfers urine and semen from inside to outside. while urine is liquid, semen is thicker and it will not flow through the same tube unless the tube is lubricated This is the work of this precum. so dont get any wrong ideas about precum. As a young person, you might be sexually stimulated at many times in a day where the body anticipates a sexual act to happen, and if you are getting aroused ( erect ) then this precum will flow..... So precum is NOT abnormal While passing motions also when the person exerts pressure, the blood flow is increased in the penis and this can cause a erection. and in anticipation the precum may be secreted, which can fall ...this too is normal Many illiterate people consider this as "semen" and unnecessarily get anxious and nervous about it. They call it "DHAT" and it is NOT DHATU ( SEMEN ) So do not worry

What Should You Do if You Have an Overactive Bladder?

M. Ch. (Urology), MS - General Surgery, MBBS
Urologist
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What should you do if you have an overactive bladder?

Overactive bladder, also known as OAB, is a condition where sudden involuntary contractions of the urinary bladder's muscular walls cause bladder storage dysfunction. It leads to sudden and frequent urges to urinate (urinary urgency), as well as unintentional leakage or urine (urinary incontinence).

This is a condition that affects both men and women and causes tremendous discomfort in nearly every aspect of daily life. The specific causes of OAB vary from case to case but it is generally attributed to infection of the urinary tract or dysfunction of the nervous system. The symptoms are intensified by unhealthy lifestyle choices such as overindulging in caffeinated drinks, spicy foods, and alcohol.

There are several ways in which you can deal with the problem of OAB, depending on the nature of the case. It is necessary for you to consult a urologist for a detailed diagnosis to formulate the best treatment option.

Following are the most effective remedies to treat an overactive bladder:

1. Lifestyle Modifications

Also known as behavioral therapy, this is the first step in the treatment of OAB. It involves inculcating simple changes into everyday habits such as avoiding food and drinks that irritate the bladder, scheduling (and in some cases, practice delaying) bathroom visits, exercising the pelvic floor and bladder muscles, keeping a record of urinating habits in a 'bladder diary' for better understanding the problem, etc. You can incorporate these habits into everyday activities for an easy alleviation of the problem with absolutely no side effects.

2. Medication and Surgery

There are several different kinds of medicines and drugs that can treat the problem of OAB. The most common types are muscle relaxants that loosen the muscles of the urinary bladder to prevent involuntary contractions, and antibiotics and anti-inflammatory drugs that treat urinary tract infections. Many types of implants are surgically set into the pelvic area to act as electrical nerve stimulators for neuromodulation therapy. Reconstructive bladder surgery is another remedial option.

3. Devices and Products

Urinary urgency and incontinence can be managed through the external use of various devices and products which collect and hold urine or absorb leakages. These include indwelling catheters, condom catheters (for men), urine drainage bags, absorbent pads and adult diapers, and toilet substitutes such as bedpans and bedside urinals.

What Should You Do if You Have an Overactive Bladder?

What are the symptoms of dengue fever?

BHMS
Homeopath
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What are the symptoms of dengue fever?
Hello, Dengue fever is a virus-caused disease that is spread by the bite of mosquitoes (Aedes-aegypti). This is also known as Break bone fever. The dengue fever has a sudden onset and symptoms may include: * fever for 3 to 7 days * intense headache and pain behind the eyes * muscle and joint pain * loss of appetite * vomiting and diarrhoea * skin rash * bleeding, usually from the nose or gums. ****Prevent yourself from mosquito bite is the best way of prevention****

I have done maturation now I want to improve my body tell me some food that hlp my body to be back lick I was before masturbation.

BHMS
Homeopath
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I have done maturation now I want to improve my body tell me some food that hlp my body to be back lick I was before ...
I advise you to meditate and avoid masturbation. Dedication ,meditation,and medication are the ways to fight with it.Strictly avoiding that triggers which compel you to do masturbation like porn, friends and privacy etc. Doing regular yoga and aerobics will definitely help you. Healthy diet like fresh fruits dry fruits specially dates almonds anjeer etc avoiding fish egg n chieken strictly mutton can be taken.And last not least medicine. For this there are special medicine for this problem which reduces your urge to do masturbation with helping you to regain lost vigour and vitality plus boosting overall health.Homoeopathic treatment takes away the habit of masturbation and remove its bad effects.do not ignore the necessity to consult the qualified homoeopaths to avoid sexual embarrassment at the time of marriage. Consult me for homoepathic treatment without side effects.recommend me by clicking on recommend option and leave feedback..

My cousin has a serious problem but he is afraid to share with anyone He is suffering from night fall and often he ashamed of himself when he woke up So is he facing any sexual disease?

MD-Dermatology, MBBS
Sexologist
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My cousin has a serious problem but he is afraid to share with anyone
He is suffering from night fall and often he as...
Sperms are formed regularly in testes and therefore ejected out from time to time, don't worry its normal. take diet high in protein.

I am 22 years old, but I feel so tired all the time. Also recently I am not able to sleep properly. I feel weak and my nose feels blocked all the time. What is wrong with me? Please help.

MS - ENT
Ear-Nose-Throat (ENT) Specialist
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I am 22 years old, but I feel so tired all the time. Also recently I am not able to sleep properly. I feel weak and m...
Nasal congetion? Endoscopy of nose, CT scan PNS, etc will help to come to diagnosis. Avoiding allergens, will help you. You may require Antihistaminics and nasal decongestants. You may require surgery….

I am 30 years old male and I have skin itching problem.

B.H.M.S., Senior Homeopath Consultant
Homeopath
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First you should get it diagnosed by a skin specialist and based on same I could prescribe you medication.

ADHD in Adults

B.A. Hons . Psychology, MA Psychological Counseling, EDM Psychological Counseling, Trauma Specialist, MPhil Clincal Psychology
Psychologist
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Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.

Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.

Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.

Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.

Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.
ADHD in Adults

I have constipation every second or third week. Will you please suggest me a good homeopathic medicine?

MBBS
General Physician
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I have constipation every second or third week. Will you please suggest me a good homeopathic medicine?
You should have lot of leafy vegetables food an! d cereals. Take lot of water by mouth. Constipation usually occurs by intake of wrong food and less intake of water. Else you can consult a homeopathic doctor. In am a allopath doctor.

I am suffering with fistula. Can I usual e piles tablets & innovate cream for the treatment. I am also suffering with severe gastric problem.

MBBS, MBA (Healthcare)
General Physician
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take fiber diet.avoid constipation. take green vegetables. avoid straining on stool. take pilex tab one tab 3 times daily for one month. use anovate ream on anus. consult surgeon for check up.

I am 36 years old male. I have cervical from last 5 months.

MS - Orthopaedics, MBBS
Orthopedist
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Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

What should I do for a best sex for first time. How can I satisfy my partner by a long duration sex. Please suggest me some easy and effective tips please.

BAMS, MD Ayurveda
Ayurveda
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What should I do for a best sex for first time.
How can I satisfy my partner by a long duration sex.
Please suggest m...
The best ayurveda herb for your case is saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning surely you will get results. Your problem is permanently cure by ayurvedic treatment.

I am a 35 years old man, suffering with acidity one time a day and also suffering with constipation. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am a 35 years old man, suffering with acidity one time a day and also suffering with constipation.
What should I do?
take ulgel-A 15 ml before meal twice a day for acidity. Take 2-tab. Charcol at night before bed. Syp. Livoluk 10 ml at night.This can help cure in constipation. take green veg., salaad in meal.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . Do not eat papaya if you diabetic. go for walk daily in morning.
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