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Dr. Sahundra

General Physician, Delhi

100 at clinic
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Dr. Sahundra General Physician, Delhi
100 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sahundra
Dr. Sahundra is a popular General Physician in Bapa Nagar, Delhi. Doctor is currently practising at Kamaal Nursing Home in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. Sahundra on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in 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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English
Hindi

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Kamaal Nursing Home

#790, Indira Chowk, Street No.25, Jaffrabad. Landmark: Jaffrabad Police Station, DelhiDelhi Get Directions
100 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am suffering from fungal infection for last 3 month. Suggest me what is the best remedy.

MBBS
General Physician, Hyderabad
I am suffering from fungal infection for last 3 month. Suggest me what is the best remedy.
Hi lybrate-user, wear loose cotton underclothes. Keep the private parts dry. Change underclothes regularly. It may be due to a fungal infection which thrives in humid, wet environments. Apply k-z cream twice a day on itchy areas for 6 week.
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While sleeping heart gets abnormal beats with sudden bouncing movement. Got ecg done which was normal. Suffer from gastric and acidity. Please advise how to overcome.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.
2 people found this helpful
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Please suggest tablet for increased sexual interest. I am 48 and is a house wife.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Please suggest tablet for increased sexual interest. I am 48 and is a house wife.
Hello- Both estrogen and progesterone levels drop significantly at the onset of menopause. Estrogen is the key female sex hormone that increases the sensation, vaginal lubrication, and maintains many female sexual characteristics. When estrogen level drops, most women would start experiencing hot flashes, night sweats, vaginal dryness, loss of libido, and irregular periods. Many foods can help women reduce the symptoms of menopause and help increase sex drive. Here are some recommended foods: Tofu Miso Soup Soy Milk Almonds Oysters Kidney Beans Buckwheat Lean Meats and Fish These foods contained a higher level of zinc, magnesium, soy proteins, and natural sex hormone booster. Certain ayurvedic formulations too are known to replenish the essential hormones naturally and restore the peace of mind to the way like before.
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Hi, I just got married 3 years ago. From the first night I realised my Penis is not standing while foreplay. I thought its normal but the next day also same thing happen. Its now 3 years my penis is still not stand. Its not stand even 20 percent. Seems no feelings in my Penis. I am worried about it that. I also saw this problem to some ayurvedic and homeopathic doctors but nothing. Pls suggest me. And let me know is there is any issue.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Hi, I just got married 3 years ago. From the first night I realised my Penis is not standing while foreplay. I though...
You are suffering from erectile dysfunction disorder. You do massage with clove oil twice a day. Start eating a healthy diet like green vegetables like spinach, cabbage, kale etc contribute in male enhancement. Also citrus fruits like avocado, orange, and lemon that are rich in Vitamin B9. Also you can concern with us, if you want fast result. We provide therapies as well as ayurvedic medicines. You can contact us on We will concern and later on we can deliver medicines.
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Fungal Infection - Newer Problems And How To Deal With Them!

Diploma In Dermatology And Venerology And Leprosy (DDVL), M.H.U.S (Maharashtra University Of Health Sciences
Dermatologist, Pune
Fungal Infection - Newer Problems And How To Deal With Them!

Q: how does resistance occur? 

A: resistance occurs when the fungus adapts itself to the fungistatic/ fungicidal agent being used through some intrinsic genetic/ biochemical mechanisms. 

1. Resistance to topical and systemic antifungals:

Q: when can we say that the patient has developed resistance to a particular agent? 

A: in common practice, we can presume that the patient has become resistant to the topical/ systemic drug when after 2-4 weeks of consistent and correct use, there is no clinically apparent or symptomatic improvement. 
In practice, it develops as a consequence of 
• incorrect/ inconsistent use by the patient 
• rampant abuse of antifungals by patient/ medical practitioners 
• many over the counter preparations especially in india comprise a cocktail of unnecessary drugs, which modifies the growth of the fungus, causing it to temporarily cease its metabolic activity/ reproduction, but thereafter a resurgence occurs leading to undue and aggressive fungal growth.
• an infection with a drug-resistant species of fungus, in which case patient does not show the slightest sign of clinical improvement and it maybe advisable to consider doing a fungal culture/ sensitivity.

Q: how can resistance be prevented? 

A: on the part of treating doctor:
- the dermatologist should always start prescribing from the basic/ lower antifungal molecule. Just as in case of antibiotics we start from azithromycin /amoxicillin, likewise we need to start from the lower molecule and then move up the ladder if we feel the former is not working, rather than directly prescribing the" latest molecule in the market.
- explain the correct usage of the drug to the patient in detail.
> Topical drug should to be applied 1cm beyond the visible margins of lesions
> Dusting powder is particularly advixsed in intertriginous areas
> Treatment regimens should last at least 1month for extensive lesions.
> Topicals should be applied at least 2 weeks beyond clinical resolution 
> Follow-up is quite important 

- impress upon the patient the need for correct usage/dangers of incorrect usage.

On part of the patient:

- strict adherence to the treatment regimen is advised 
- non-usage of any other concurrent medications that he/she might have" used earlier" and" got relief"
- it is advisable to go to a dermatologist.

Q: once it occurs, how to deal with resistance?

A: the ideal solution in the management of resistance is to acquire a confirmation microbiologically. But in case that is not possible, following methods can be used: 
- avoid monotherapy, that is, combine a topical and systemic antifungal concurrently
- both should preferably belong to different classes of drugs, so that if resistance occurs to one class of drugs, the other still works.

Prescribe soaps/ dusting powder for extensive lesions/ recurrent cases

- priscribing combination drugs should be avoided.

- if patient develops resistance while on systemic therapy, the patient should be asked to complete that regimen and then shift to a new drug rather than stopping the previous one mid way and starting another one abruptly.

Varied/ not so classical presentation of lesions:

- many a times, the varied/unpredictable presentations of superficial dermatomycosis pose a diagnostic challenge to the dermatologist 
- unusual/atypical infections are particularly common in following settings:
• patients has been treated by multiple doctors previously, including non dermatologist 
• use/abuse of over the counter drugs especially steriod containing medications 
- differential diagnosis to be kept in the mind while considering a patient of tinea:
• granuloma annulare 
• inverse psoriasis 
• erythema annulare centrifugum 
contact dermatitis 
• frictional dermatitis 
atopic dermatitis 
eczema 
- diagnosis and management become a difficult task and one has to treat with great caution.

Recurrence/relapses despite completion of antifungal regimen/ complete compliance by patient

What we should not do? 

- prescribe yet another antifungal regimen 
- add an oral antibiotic and continue both regimens for a longer time period (1 month instead of previously recommended 2 weeks) 
- add a potent topical steroid to" counter the inflammation"

What we should do?

- check the compliance of the patient by taking a detailed history of usage of medications
- check for any underlying co-morbidities that might be predisposing the patient for recurrence, eg, rule out diabetes, obesity, type of occupation (involving working in hot humid conditions, like cooking, working in factories), any underlying immunosuppressed states
- check for personal habits (frequency of bathing and use of fresh clean clothes, practice of personal hygiene, patient's surroundings)
- check for family history of similar complaints and advice for concurrent treatment of other members if they have similar complaints
- check for any concurrent medications which might be causing reduced efficacy of the antifungal regimen due to potential drug interactions 
- explain inter-personal transmission by fomites, advice patient to use separate towels, soaps, clothes
- educate and counsel patient to stop using over the counter medications for the" ring worm"
- advise patients to be particularly careful during the hot/humid summer/monsoon seasons as fungal infections are on the rise during the said time periods. 

8 people found this helpful

Last Sunday I had fever I have taken paracetamol ,now I have fever From 3 days I have taken paracetamol but there is relief I am stills severing from Winter.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Last Sunday I had fever I have taken paracetamol ,now I have fever From 3 days I have taken paracetamol but there is ...
Eup-per tinct 2 tims day Bell 3c 3tims a day for 4 days Chin-s12c as abov fer phos 12c sam abov inform me progres
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly.
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Hi I am 20 years old and from past few months I am facing problem due to some kind of skin infection near my groin I am talking some tabs and applying sebafine cream of ranbaxy lab but not getting any results what can I do for it?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
First you should get it diagnosed by a skin specialist whether this is bacterial infection or other causes may be there and based on same I could prescribe you medication.
1 person found this helpful
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M married newly 1 week my penis is not standing properly even 3or 4 hrs in nite with my wife please help me Dr.

MD - Ayurveda, B.A.M.S.
Ayurveda, Ajmer
M married newly 1 week my penis is not standing properly even 3or 4 hrs in nite with my wife please help me Dr.
hello lybrate user sometime it may be due to stress and anxiety. if you never felt this problem before than its just temporary. if you felt it before your marriage than you need to consult and take treatment. Try to be relaxed and stress free. you will get rhythm. for better results pls consult.
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