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Dr. Rk Shirivastav

General Physician, Delhi

200 at clinic
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Dr. Rk Shirivastav General Physician, Delhi
200 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rk Shirivastav
Dr. Rk Shirivastav is a trusted General Physician in Kapashera, Delhi. He is currently practising at G D Memorial Hospital in Kapashera, Delhi. Book an appointment online with Dr. Rk Shirivastav 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 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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G D Memorial Hospital

Main Gurgaon Rd, Kapashera. Landmark: Near SBI bank, DelhiDelhi Get Directions
200 at clinic
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I am 64 & on insulin humanmistard 30 units pre breakfast. & on Amaryl 2mg twice a day. Feeling exhausted. Earlier I was taking Stresscaps. Not available now. Can you suggest some alternate for it.

PGC Diabetology, MBBS
General Physician, Hyderabad
I am 64 & on insulin humanmistard 30 units pre breakfast. & on Amaryl 2mg twice a day. Feeling exhausted. Earlier I w...
Please let me know what diet you are taking. Plesae get a lab test for your hba1c and lipid profile.
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Please help me out, I have smoking habit & I want to leave it but its not going only & and from that I am getting little pain in my chest also so what should I do. & and one more problem is there with me only after my toilet I wash it out & clean with tissues paper I have seen blood coming out, so I am in little tens so please help me out.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Please help me out, I have smoking habit & I want to leave it but its not going only & and from that I am getting lit...
You should go for immediate medical check up and investigate these symptoms you are having. You must also go for counseling for your habit and since you have tried it many times and failed, you may consider admitting yourself to a rehabilitation center to help you give it up. The problems you are having are not at all healthy and smoking could be the cause. The habit can be very difficult to halt because of the many conditions attached to smoking. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing in the habit. The information is really scary. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here?s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world ? you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. All the damage you incurred earlier because of the smoking can be reverted back to normal in quick time.
2 people found this helpful
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Really sorry but actually I want to know in detail about diet after 60 years of age. Can you explain me that in detail?

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Hi Himani, use less of sugar, more of protein less carbohydrates, and drink more water, is there any medical issues as well
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I tried to do sex with my girlfriend 2 times but I couldn't due to ejaculation before doing anything. Please suggest best remedy.

B.A.M.S., M.D.(A.M), EX-M.R.C.G.P., EX-M.R.S.H., EX-M.S.I.E.C.U.S, EX-M.S.S.S.S.
Sexologist, Mumbai
I tried to do sex with my girlfriend 2 times but I couldn't due to ejaculation before doing anything. Please suggest ...
Have good sleep, do exercise & yoga daily for 1 hour. Take hot milk 1 glass morning & evening. Avoid spicy. Chilli. Nd fried food Take tab. Manmath Ras. Tb. Pushp dhanva Ras. Nd tb pooranchndra ras one tab. Each morning & evening for 3 months. Wd hot milk. See d results or otherwise consult a sexologist personally.
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Am 23 year old and I am unable to sleep in nights correctly can you tell the solution?

MBBS, cc USG
General Physician, Gurgaon
Am 23 year old and I am unable to sleep in nights correctly can you tell the solution?
Hello, I am giving you some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga, i can give you address of rajyoga meditation center near your house (this is free of cost), one thing i want to tell you that if you can relax your mind by Rajyoga meditation than you can reduce your sleep upto 5-6 hour and you will feel fresh and active 4. Avoid tea coffee after 7 pm 5. Avoid daytime sleep 6. You can use alarm and gradually reduce your waking time by 15 minutes Consult me if symptom persist
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Many times my heart start beating faster automatically even my lungs stop working for 5 to 8 seconds.

MBBS
General Physician, Trivandrum
Many times my heart start beating faster automatically even my lungs stop working for 5 to 8 seconds.
This sounds like an anxiety problem. Tips to reduce anxiety and stress 1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin b and omega-3 fatty acids and also healthy whole grain carbs. Vitamin b contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings. If you have tried all these and still have problems, please consult me for prescription medication.
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My son has asthma. What is the effect of using an asthma preventer long-term? I heard that using it for years might cause bone shrinkage. Is it true? Are there any vitamins or supplements to help vision? CoOr.

MBBS
General Physician, Mumbai
If steroids are given orally for long periods of time than only it will cause bone shrinkage but if given through nebulisation than it won't have any side effects
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Hi doctors my gf likes to suck my penis too much nd many times I sad not do so but she say she enjoys sucking it but I wanna to known whether it's good for both or not nd Wats are it's side effects.

PDDM, MHA, MBBS
General Physician, Nashik
Hi doctors my gf likes to suck my penis too much nd many times I sad not do so but she say she enjoys sucking it but ...
Yes, there are chances that the oral sex can give you infection as the oral cavity is full of opportunistic bacteria. Even your partner can get infection in the oral cavity if there is reach in mucosal lining.
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Homeopathic Medicines For Erectile Dysfunction!

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Homeopathic Medicines For Erectile Dysfunction!

Certain physical ailments are still a social taboo and are not discussed openly, but we need to understand that a problem can happen with anyone irrespective of their cast, creed and gender. Erectile dysfunction is a serious problem prevalent among men across the world. It is a disorder that records a higher percentage with the passing age. Erectile dysfunction or ED is treated as a social taboo, for most people think of it as a sign of lower masculinity. However, it is only a condition that may arise from a wide spectrum of reasons and is curable. While some medications involve the risk of side effects, homeopathy rules out this additional risk in its attempts of treating erectile dysfunction. Homeopathy carefully looks for the underlying causes leading to sexual incapacity in men and will, therefore, remedy the problem from its root cause.

Most common symptoms of Erectile Dysfunction :

  1. Difficulty in achieving an erection.
  2. Inability to perform in bed as the person ejaculates way before culmination and is unable to maintain an erection.

The following homeopathic medicines are known to treat instances of Erectile Dysfunction:

  1. Nux Vomica can better your sex life: Nux Vomica is prescribed by doctors to treat mild cases of erectile dysfunction. A dysfunction caused due to lack of rest, work pressure and a demanding competitive world can be treated with the use of Nux Vomica.
  2. Caladium can be effective: Many people suffer from sexual weakness due to their bad habits. Addiction of any kind might impair your sex life. People who consume tobacco should take Caladium to counter the ills of erectile dysfunction. People who are not aroused even after foreplay or oral sex should resort to this effective medicine. It is also known to treat apparent impotence resulting from acute psychological stress.
  3. Selenium can help you get an erection: Patients requiring selenium feel the pangs of sexual desire but face a weak or slow erection to consummate their desires. They experience fatigue after having sex or might even turn irritable after intercourse. Involuntary passage of seminal fluid during sleep, urination and pooping are some of the symptoms Selenium takes care of.
  4. Lycopodium can help you regain confidence in bed: This medication is prescribed by many professional homeopathic practitioners. It is a sought after medicine in the world of homeopathy. In younger adults, erectile dysfunction could be the result of very frequent or rather regular masturbation. Indulging in random sexual activities can also lead to premature ejaculation. Lycopodium helps these cases. However, in older men, the presence of sex drive might be unaffected but there is insufficient erection to have intercourse.
3634 people found this helpful

MD
Sexologist, Srinagar
Hypogonadism and Opioids
Men who take long-acting opioids for chronic pain appear to be at greater risk of developing low testosterone than men taking short-acting opioids, American researchers have found.
Opioids are pain relievers. Commonly prescribed opioids include hydrocodone, oxycodone, morphine, and codeine.
Opioids are classified as long-acting or short-acting. Long-acting opioids generally provide relief for at least 8 hours. Short-acting opioids release medicine more quickly and relieve pain for less than six hours.
Impact Of Opioids On Testestosterone Levels
The retrospective study focused on 81 men between the ages of 26 and 79 who had been taking an opioid for at least three months. None of the men had been diagnosed with low testosterone before. All of the men were being treated for chronic pain conditions (such as low back pain, chronic headaches, and rheumatoid arthritis) at Kaiser Permanente’s Santa Rosa Medical Center in California.
The hormone testosterone plays a large role in a man’s sex drive. But it is also involved with muscle mass, bone density, and mood. Low testosterone can lead to problemsin all of these areas.
Normal testosterone levels are typically between 300 and 800 nanograms per deciliter (ng/dL). For this study, men were considered to have hypogonadism (low testosterone) if their total testosterone levels were less than or equal to 250 ng/dL. All levels were measured before 10 a.m.
Overall, 56.8% of the men were hypogonadal. Rates varied depending on opioid length of action, however. Of the men taking long-acting opioids, 74% had low testosterone. Thirty-four percent of the men taking short-acting opioids were hypogonadal.
After adjusting for daily dosage and body mass index, the researchers found that the risk of developing low testosterone was 4.78 times greater for men taking long-term opioids compared to those who take the short-acting variety.
No association was found between dose and an increased risk of low testosterone.
“We need to know how we can prescribe these very useful medications in a way that brings the greatest benefits to our patients, without introducing additional risks,” said researcher Dr. Andrea Rubinstein in a press release. Dr. Rubinstein is from the Departments of Chronic Pain and Anesthesiology at Kaiser Permanente Santa Rosa Medical Center.
“These medications work well for short-term, acute pain,” Dr. Rubinstein added. “It has long been extrapolated that they can also be used safely long-term to control chronic pain. We are now finding that the long-term use of opioids may have important unintended health consequences.”
The study was published online ahead of print in January in The Clinical Journal of Pain.
7 people found this helpful

My father 58 years before 8 years they got open heart surgery and after that they have bp and diabetes. The problem is, their foot doesn't feel pain if they walk on fire also they don't fall pain.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father 58 years before 8 years they got open heart surgery and after that they have bp and diabetes. The problem i...
Continue with medicines but it looks like diabetes is not controlled, reason the nerves of feet are not responding to fire or to pain. Get her checked thoroughly.
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Why do we get fever, cough, cold due to change in the weather seasons and mainly in rainy season, why?

MBBS
General Physician, Mumbai
Why do we get fever, cough, cold due to
 change in the weather seasons and mainly in rainy season, why?
It is because virus gets a breeding ground and is able to survive naturally more during rainy season and spreads easily from person to person.
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I get discharged quickly. During sex. Tell me a medicine dat can enhance my durability.

MD-Pharmacology, MBBS
Sexologist, Delhi
I get discharged quickly. During sex. Tell me a medicine dat can enhance my durability.
Premature ejaculation" is a" very common" and" easily manageable" issue. Premature ejaculation is diagnosed if time is less than 1 minute. Generally in 1-2 minutes a man /women don't feel sexually satisfied. Hence the concern. Due to lack of proper guidance and ignorance, this issue does not get resolved easily. It is very easily treated by following measures: 1). Proper counselling 2). Exercises / techniques 3). Ayurvedic medicines (there is no treatment for" premature ejaculation" in modern system). It can be treated in 4-6 weeks with an experience in this area.
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Hi I am 28 years old and my wife is 25 who got married 9 months back. We were trying to have sex but every time we try the penetration is not happening properly and we are not satisfied. Initially my wife was scared and didn't allow me to. We even tried using lubricant which was not of much help. By the time she gets comfortable my erection is going down. Now after many trails what I feel is I am not able to make myself erect for much time where I can guidemonths back. We were trying to have sex but every time we try the penetration is not happening properly and we are not satisfied. Initially my wife was scared and didn't allow me to. We even tried using lubricant which was not of much help. By the time she gets comfortable my erection is going down. Now after many trails what I feel is I am not able to make myself erect for much time where I can goahead. I think I need a lower dose of erectile dysfunction medicine where I can get some time to create a pace to have penetration. Please suggest.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Hi I am 28 years old and my wife is 25 who got married 9 months back. We were trying to have sex but every time we tr...
I feel both of you are erection-penetration focused right from day one. Lack of basic understanding in quality sexuality and sexual matters is the basic cause of this frustration. Reason why it happens is by and large people learn only erection-penetration in sexuality and that too halfheartedly from hearsay guidance and porn watching which are not right methods for long-term marital relationship. I suggest both of you to sit down and discuss self joy and pleasure areas and then connect an expert sexologist either me or anyone nearby, either online or in person for proper quality learning, guidance and support. Believe me this is better then looking for medicines, which you better need to avoid. All the best.
2 people found this helpful
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How to Deal With #Insect Inside Ear

MS - ENT
ENT Specialist, Indore
How to Deal With #Insect Inside Ear

How to deal with #insect inside ear
If suddenly one feels a #buzzingsound or an itchy feel in the ear& to horror, one feels a live insect in ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out.
First thing is to confirm if insect is there or not; for which pull pinna upward and backwards in adult and straight down in children below 3 yrs, throw light with torch, if a #mosquito it might come out with light. If other insect use gravity down position so it might crawl out.
#staycool, calm and no panic please being too active may lodge the bug further in your ear or cause it to crawl further back, or cause #damage to the sensitive inner ear or eardrum. Keep objects (like fingers) away from your ears to promote early exit of insect. Sometimes there is no insect or might have come out and just sensation or feeling is persisting. Abnormal sensation can be sometimes due to eustachian dysfunction.
If you are not able to understand&if the foreign object is an insect, tilt the person's head so that the ear with the offending insect is upward. Try to float the insect out by pouring #mineral,#oiloliveoil or baby oil into the ear. The oil should be warm but not hot. As you pour the oil, you can ease the entry of the oil by straightening the ear canal. Pull the earlobe gently backward and upward for an adult, backward and downward for a child. The insect should suffocate and float out in the oil bath, it will #kill the insect by #drowning it. Don't use oil to remove any object other than an insect. Don't use this method for a child if ear tubes are in place or if you think the eardrum may be perforated. The emergency is over once the insect is dead. See your#entdoctor as soon as possible.
One may also squeeze droplets of #alcohol in ear canal, even though painful. The alcohol will evaporate but the smell will pressure the insect to come out.
One may also,#flush the ear with water – using a bulb or syringe (without the needle) if one is available to swish it out. Let the water slowly overflow and watch for the insect to be flushed out. Do not irrigate ear if you think your ear drum has been ruptured or has old hole in drum or has a tube or grommet.
But do not try to remove an insect with cotton swab, tweezers or hair clip or#forceps or any other tool, as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damage the eardrum, middle ear leading to hearing loss and may lead to chronic disease and necessity of #tympanoplasty operation in future. We sometimes get such cases of damage hence please ask only a ent specialist to remove and no one else must attempt removal even though tempting.
Best thing is always visit ent doc & get insect removed fully or if parts are left with. He will also clean debris or infection. Believe me it will be cost effective and safe.
Lastly please ensure less entry of insects in house or office, avoid lying on ground, use insecticides regularly for insect control etc

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2 people found this helpful

I would like to know doctor that daily penis sperm out is a good for health or it is bed? What shall I do if it is harmful.

MBBS
General Physician, Jalgaon
I would like to know doctor that daily penis sperm out is a good for health or it is bed? What shall I do if it is ha...
Please Stop it totally It is not good for health It decrease your oaz and saptadhatu It exhausts your urogenital system prematurely affecting future sexual and reproductive life.
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My triglycerides are 254 and normal bp weigh 76 kg height 5'7" with small spots on both eyes, nothing any other problem, what is its management?

MD - Consultant Physician
Cardiologist, Kolkata
My triglycerides are 254 and normal bp weigh 76 kg height 5'7" with small spots on both eyes, nothing any other probl...
Eye spots will continue. But you must reduce your cholesterol by proper fat free, fryless, and no fast food. No yolk of egg prawn banana. Must take medicine of statin group regularly.
1 person found this helpful

I am feeling constipation as I get refresh late. I take isabgol daily and is simple bf, lunch and dinner Pl advise me treatment.

MBBS
General Physician, Bangalore
I am feeling constipation as I get refresh late. I take isabgol daily and is simple bf, lunch and dinner Pl advise me...
Sir, If you are allowed to drink plenty of water, you may drink. Drink warm water in the morning, and go for walk. Eat plenty of vegitables.
1 person found this helpful

Sir my wife anjali and me newly married. Hamne abhi tak sex nhi kiya he bcz uska kahi pain hota he ek baar Hamne try bhi kiya but kafi pain hota he anjali ko Bahot aaram se bhi try kiya but result is negative hi he kya karo pls advise me.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Sir my wife anjali and me newly married. Hamne abhi tak sex nhi kiya he bcz uska kahi pain hota he ek baar Hamne try ...
ask her to be on the top so that she can have a controlled insertion. alternatively you can use lox jelly for lubrication
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I constantly being faced with bloating excessively after almost every meals, This started Couple of years ago after being on Antibiotic/Pain Killer for 2 weeks, Now the Situation is miserable. What is the best possible steps to recovery. GI test reveal Gastritis. Life quality is impacted -AP.

BHMS
Homeopath, Mumbai
I constantly being faced with bloating excessively after almost every meals, This started Couple of years ago after b...
Hello. Due to take lot of medicines like antibiotics it happens to affect our gut. You give me all info about your trouble. With homeopathy it will cured. Take dizester digestive tonic for now temporary relief.
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