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Dr. Ram

General Physician, Delhi

300 at clinic
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Dr. Ram General Physician, Delhi
300 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. Ram
Dr. Ram is a renowned General Physician in Janakpuri, Delhi. Doctor is currently practising at Raheja Medical Centre in Janakpuri, Delhi. Book an appointment online with Dr. Ram 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 26 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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Raheja Medical Centre

M-47, New Mahavir Ngr, Gali No. 4, Mahavir Nagar-Tilak Nagar. Landmark: Near East Janakpuri Metro Station, DelhiDelhi Get Directions
300 at clinic
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Chronic Kidney Disease - Understanding The Stages!

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Chronic Kidney Disease - Understanding The Stages!

Chronic kidney disease is categorized under various stages and your doctor will periodically assess the severity of kidney damage. Thankfully, the good news is that kidney disease progresses slowly and early detection will help to deter further complications.

How stages of Chronic Kidney Disease are Determined?
The stages are determined by glomerular filtration rate or GFR that measures kidney function. The glomerular filtration rate is a calculation that estimates how well the blood is filtered by the kidneys. It is usually calculated using a formula that takes into account the individual’s age, gender, race and serum creatinine levels. The lower the GFR, the worse the kidney function and more the damage. 

Five Stages of Chronic Kidney Disease
The National Kidney Foundation has created a guideline for nephrologists to help identify the severity of kidney damage and provide the right care accordingly. Each stage calls for different tests and treatments:

Stage  Description GFR What Can Be Done
Stage 1 Early kidney damage 90 or above The exact cause of the kidney disease will be determined by your doctor. Your blood pressure and sugar levels are to be constantly watched out for. Opt for a kidney-friendly diet.
Stage 2 Mild kidney damage 60 to 89 Continuously monitor your condition and check how quickly the disease is progressing. Manage high blood pressure and diabetes.
Stage 3 Moderate kidney damage 30 to 59 Any complications like anemia, bone disease will be checked and treatment will be administered by your doctor
Stage 4 Greater kidney damage 15 to 29 Continue treatment and monitoring. If you are progressing towards kidney failure, consult the best treatment options you have based on your condition
Stage 5 Kidney failure Below 15 Start dialysis, consider kidney transplant and choose the right treatment

How is Chronic Kidney Disease Treated?
The first step is to determine the cause of the disease and then take the right measures to alleviate it. In most cases diabetes and high blood pressure are the prime reasons. So, simple lifestyle changes can help to prevent the progression of the disease and reduce your symptoms. Here’s what you can do:

  1. Follow a diet that is easy on your kidneys: Watch your protein and sodium intake. Drink the right amount of fluids and incorporate super foods that will not deter your kidney function
  2. Weight ManagementMake exercise a routine part and find the right exercise program that works for you. The more active you are, the lesser health problems you will have
  3. Avoid tobacco, smoking and alcohol

The first four stages of chronic disease focus on preserving the kidney function for as long as possible. The stages will help you analyze where you stand and what can be done to prevent kidney failure.

13 people found this helpful

I am a listerine mother. I am suffering from constipation problem from the past 6 months. I have tired ayurvedic medicine. Please recommended how I get rid of it.

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
I am a listerine mother. I am suffering from constipation problem from the past 6 months. I have tired ayurvedic medi...
Dear lybrateuser, pl increase the fiber in your diet by taking lots of salads and fruits especially ripe pap[aya fruit. Increase fluids. Avoid fried, spicy and junk food. Maintain an active lifestyle. Take brisk walk for 25-30 minutes daily.
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HOW MUCH WATER INTAKE SHOULD BE MUST TO BE HEALTHY

BEMS, BNYS, MD (E), BNYS
Homeopath, Kapurthala
HOW MUCH WATER INTAKE SHOULD BE MUST TO BE HEALTHY
Fix quantity of water according to weight

Weight /10 - 2 = quantity of water required in 24 hours

Eg. Weight is 70 kg
70/10 = 7 - 2 =5

-> 5 liter water in 24 hours (in a day) should be must to stay healthy
44 people found this helpful

I am having frequent headache and my eyesight is also weak nd I having frequent headache every time nd I am not sleep at night I am trying to sleep bt it Will be hard.

MBBS
General Physician, Trivandrum
I am having frequent headache and my eyesight is also weak nd I having frequent headache every time nd I am not sleep...
Follow these simple steps to ensure a good sleep every night and stay away from sleep disorders and other health problems associated with unhealthy sleep habits: 1) maintain a regular sleep routine go to bed at the same time. Wake up at the same time. Ideally, your schedule will remain the same (+/- 20 minutes) every night of the week. A good sleep hygiene routine promotes healthy sleep and daytime alertness. 2) avoid sleeping during the daytime. It can disturb the normal pattern. 3) avoid caffeine, nicotine, and alcohol near bedtime. While alcohol may speed the onset of sleep, it creates problems in he second half of sleep. 4) exercise can promote good sleep. Exercise should be taken in the morning or late afternoon. Yoga, can be done before bed to help. 5) have a quiet, comfortable bedroom. Set your bedroom thermostat at a comfortable temperature. Generally, a little cooler is better than a little warmer. Turn off the tv and other extraneous noise that may disrupt sleep. Background'white noise' like a fan is ok. If your pets awaken you, keep them outside the bedroom. Your bedroom should be dark. Turn off bright lights. Have a comfortable mattress. 6) avoid heavy meals close to bedtime. 7) ensure adequate exposure to natural light. 8) avoid emotionally upsetting conversations and activities before trying to go to sleep. Do not think of, or bring your problems to bed. 9) stop using all your digital devices and stop looking at digital screens be it mobile phones or televisions at least 1 hour before the time you plan to sleep. Instead try reading a fiction book near bedtime so it makes you help relaxed and de-stressed. Sleep well live healthy and live longer. If you have tried all these and still have problems, please consult me for prescription medication.
2 people found this helpful
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He is suffering from piles. Please suggest some natural laxatives to prevent hardening of stools.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
He is suffering from piles. Please suggest some natural laxatives to prevent hardening of stools.
My lybrate frnd, don't worry. you will be totally cured. you take sufficient water. 3-4 ltrs per day. you don't eat Guava, Pomegranate fruits. u take Wood apple juice one glass daily.u take a medicine Lyc-200/6 doses bdac x 3 days
1 person found this helpful
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I am suffering from liver problems (acid, gas,indigestion) since 8-10 yrs. Can it be curable?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
I am suffering from liver problems (acid, gas,indigestion) since 8-10 yrs. Can it be curable?
Dear lybrate-user, it is definitely curable. The information given by you is very limited to give you proper diagnosis and guidance about food regimen and medicines. Kindly consult personally.
9 people found this helpful
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I have allergies with dust and some specific food like chicken, cool wind, brinjal, etc.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Histamine 200 once a day for 4days Sepia 1 m single dose Nux Vom 200 once a day for 4days Apis Mel 1m single dose Arsenic Album200 once a day for 4days
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Hello I 25 year old and my whole body me small small Dane hai or unme khujali hoti hai or khujlate 2 unse blood nikal aata hai or mere hath mai small small Dane hai or name pani (water) sa nikal hai or khujali hati hai Ye sub mere bete (son) 14 month old ko bhi same problems hai. Please give me some idea like tablet any cream How can I get out this energy. My son 14 month old. Thanks sir/mem.

MBBS
General Physician, Cuttack
Hello I 25 year old and my whole body me small small Dane hai or unme khujali hoti hai or khujlate 2 unse blood nikal...
It could be due to allergic contact dermatitis. Take one tablet of levocetrizine at bed time. Apply panderm plus ointment twice daily for 1-2 week. Consult skin specialist for further advice and treatment.
1 person found this helpful
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Dear sir I am face one problem. I can not ejaculate inside my partner, after take many medicine My Problem Can not Solve, I am also Faced erectile dysfunction Problem I want to get Pregnant my wife because her Age Pass Going, Can I Became My Wife pregnant Via Stelie tubes and syringes .Its call Home Insemination. My Sperm Putting Out In One Soft Cup And after with In min Sperm Enter In vagina In Deep wia sterile Tubes and syeings .Can. I do? Any Chance of pregnancy Of this? Just tell Me Yes or No please

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Dear sir I am face one problem. I can not ejaculate inside my partner, after take many medicine My Problem Can not So...
Hello- You are suffering from genital exhaustion, this is why you are not able to ejaculate inside during sex. Sperm administration through any other method will not be beneficial as sperm will die as soon as it comes in contact with any other medium other thn vagina. You will not attain pregnancy by this method. However if you start treating your sexual weakness, you will not only become able to ejaculate inside but also your sperm count and motility will boost above normal, increasing the chances of pregnancy.
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My pennis is just 4 to 4.5 inches is this enough for better sexual life or not if not then tell me how to get longer pennis for a better sexual life.

C.S.C, D.C.H, M.B.B.S
General Physician,
My pennis is just 4 to 4.5 inches is this enough for better sexual life or not if not then tell me how to get longer ...
It is enough for sex and only the first portion vagina is stimulated when entering and length is not a factor of enjoyment Here are some key points about the average penis size. While 85% of women were satisfied with the size and proportion of their partner's penis men were less sure of themselves.1  45% of men believe they have a small penis.  It has been concluded that flaccid lengths range around 7 to 10 centimetres (2.8-3.9 inches).  Flaccid circumferences range around 9 to 10 centimetres (3.5 to 3.9 inches).  Erect lengths range around 12 to 16 centimetres (4.7 to 6.3 inches).  Erect circumference is around 12 centimetres (4.7 inches).  A higher BMI and older age appear to be weakly associated with a shorter erect penis length.  Male concern about whether penile size lives up to the desires of females seems to be Largely misplaced.. One study suggested that while the majority of women, some 85%, were satisfied with the size and proportion of their partner's penis, men were less sure of themselves.1 Almost half of men in the study (45%) believed they had a small penis - yet the researchers reported that small penis size was actually rare. The average penis size to be as follows: Average length for an erect penis is 14.2 cm (5.6 inches) Average circumference of an erect penis is 12.2 cm (4.8 inches). Men who want surgery to increase the length of their penis should try non-invasive methods like penile traction devices or extenders first, and in some cases, even try therapy to make them feel more confident about their bodies. There is no proven scientific method to increase size, girth or grip of penis although many false claims have been propagated by advertisements. The size is determined by an individual’s genetic build and length actually has no relation with sexual pleasure or satisfaction as many wrongly believe. Be happy with your individual qualities nature has bestowed on you.
2 people found this helpful
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Hi, I am 32 years old. Having chest pain in my right side (in a particular place). Having bad breath since 4 to 5 years. I checked with physician he said bad breath is due to mouth unhygienic. Please help me. I am suspecting cancer. What it will be.

Fellowship in Cardiology, MD, MBBS
General Physician, Delhi
Hi, I am 32 years old. Having chest pain in my right side (in a particular place). Having bad breath since 4 to 5 yea...
You have dental caries. Get it fixed. Use mouth wash after every meal. You don't have cancer. Your pain chest is a different issue. Get usg done to check liver.
2 people found this helpful
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What is the proper treatment to cure Dengue fever ? What are the possible complications caused due to dengue fever ?

BHMS, DEMS
Homeopath, Pune
What is the proper treatment to cure Dengue fever ? What are the possible complications caused due to dengue fever ?
take a proper treatment 1 hospitalize 2 take antibiotics, 3 eat healthy food 4 eat kiwi fruits 5 drink papaya leaves juice 6 avoid dehydration Most people who develop dengue fever recover completely within two weeks. Some, especially adults, may be tired and/or depressed for several weeks to months after being infected with the virus. The more clinically severe dengue hemorrhagic fever and dengue shock syndromes can result in vascular (blood vessel) and liver damage, and can be life-threatening.
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I eat ghee with egg. Is there any problems on this food. Tell me merit and demerit. What effect on my health on my health.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
I eat ghee with egg. Is there any problems on this food. Tell me merit and demerit. What effect on my health on my he...
Ghee is very good for for health, but its amount should be restricted.ghee ,oil or any another oil, should be usedin 20 gms in whole day.
1 person found this helpful
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Sir I have red shade/spots on my chest and also some small wounds which are red coloured. Is there any fruits or leaves or vegetables are available to cure it. Pls suggest me. I am 21 years old.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Take ras manikya. Gandhak rasayan. And shukti bhasm with honey 3 times a day. And arogyavardhini vati after lunch and dinner.
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I feel like having sex after seeing female with exposing asserts. Like breasts, navel cleavage. How can I control my feelings.

MBBS
General Physician, Jalgaon
I feel like having sex after seeing female with exposing asserts. Like breasts, navel cleavage. How can I control my ...
Please Avoid listening erotica, avoid sexual thoughts and fantasies, avoid porns totally Do meditation regularly before going to sleep Read good books daily Do yogasanas and pranayam daily Go for morning and evening walk daily with relaxed mind Take Bufo rana Q Liquid Homeopathic medicine 15 drops in 50 ml water once a day for 45 days.
2 people found this helpful
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I'm preparing for Armed forces n my medical is coming, tell me that Both testis are equal in size or any difference between them. Somebody told me that left one is little bigger than right one. please clear it.

MBBS
General Physician, Cuttack
Both the testis may not be equal in size. there may be a slight difference. Unless you have hydrocele, slight enlargement of one testis will not cause resection.Get yourself examined by surgeon.
1 person found this helpful
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I suffer from stomach ache regularly and I cannot clear my stomach in latrine at once.

MBBS
General Physician, Mumbai
I suffer from stomach ache regularly and I cannot clear my stomach in latrine at once.
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and For constipation eat food with high fiber content and eat bananas at bedtime and if necessary take two tsp of syp gudlax at night
1 person found this helpful
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Muje mere legs per fungal skin allergy he. Jiska treatment 2 times ho chuka he with higher cost treatment but no solution. If you have batter treatment then tell me plZz.

MBBS
General Physician, Mumbai
Muje mere legs per fungal skin allergy he. Jiska treatment 2 times ho chuka he with higher cost treatment but no solu...
At bedtime wash the lesion with soap and water and apply micogel ointment for a month and take cp candiforce 200 mg at night for two weeks
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I have just recovered from viral fever n little bit of cold 2-3 days before meanwhile I am suffering from tonsils 3-4 days. I have taken roxid doze but it can't help. My pain at throat has become severe n it is paining badly while swallowing food.

PGD Maternal Child Health, MBBS
General Physician, Akola
I have just recovered from viral fever n little bit of cold 2-3 days before meanwhile I am suffering from tonsils 3-4...
There is a need to examine your throat. If there is follicular tonsillitis or severe pharyngitis and some other antibiotic may need to be started. Till then do hot saline gargles and consult further.
1 person found this helpful
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