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Dr. Suresh Kumar

MBBS

General Physician, Delhi

48 Years Experience
Dr. Suresh Kumar MBBS General Physician, Delhi
48 Years Experience
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Suresh Kumar
Dr. Suresh Kumar is a popular General Physician in Sarita Vihar, Delhi. He has had many happy patients in his 48 years of journey as a General Physician. He has completed MBBS . He is currently practising at Kumar Clinic in Sarita Vihar, Delhi. Book an appointment online with Dr. Suresh Kumar and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 31 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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MBBS - KGMC LUCKNOW - 1969
Languages spoken
English
Hindi

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Understanding Jaundice (Kamala)

M.D. (Ayurved), D.H.M, CHSE
Ayurveda, Jamnagar
Understanding Jaundice (Kamala)

Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

Causes, incidence, and risk factors:
Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

When too much bilirubin builds up in the body, jaundice may result.

Jaundice is caused due to following causes:
Obstruction of the bile ducts (by infection, tumor or gallstones)
Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
Biliary stricture
Alcoholic liver disease (alcoholic cirrhosis)
Pancreatic carcinoma (cancer of the pancreas)
Primary biliary cirrhosis
Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
Haemolytic anemia
Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
Chronic active hepatitis
Autoimmune hepatitis
Malaria


Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

Clinical symptoms:
Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:


Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown 
Yellow color inside the mouth
Dark or brown-colored urine
Pale or clay-colored stools

Other symptoms depend on the disorder causing the jaundice:
Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

Differential diagnosis:
When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

Laboratory findings include:
Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
Serum: increased unconjugated bilirubin.
Kernicterus is associated with increased unconjugated bilirubin.

Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

Laboratory findings depend on the cause of jaundice, include:
Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
Plasma protein show characteristic changes.
Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

Signs and tests:
No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

Other tests vary, but may include:
Hepatitis virus panel to look for infection of the liver
Liver function tests to determine how well the liver is working
Complete blood count to check for low blood count or anemia
Abdominal ultrasound
Abdominal ct scan
Endoscopic retrograde cholangiopancreatography (ercp)
Percutaneous transhepatic cholangiogram (ptca)
Liver biopsy
Cholesterol level
Prothrombin time


Ayurvedic approach:
In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

Management:
Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

Medicines used:
Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
Navrayas loh can also be given in the dose of 125mg thrice daily.
Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
Regular intake of guduchi juice 10gm twice or thrice a day.
Daily intake of neem juice is also useful for jaundice
Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

Some routine home remedies:
Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances


Pathya-apathya (do's don'ts):
Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
Always drink water that is filtered or boiled. Do not drink raw milk.
Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.

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What are the symptoms of Malaria?

General Physician,
What are the symptoms of Malaria?
High fever with chills and shivering are the chief symptoms. other symptoms are headache, abdominal fullness. lethargy, loss of appetite etc.
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I am a 19 year old man i'm having a ear blocked feeling from 2 days. What should I do now?

MBBS
General Physician, Delhi
I am a 19 year old man i'm having a ear blocked feeling from 2 days. What should I do now?
Advised steam inhalation wait for 2-3 days. It looks viral. Advised steam inhalation with vicks -2 to 3 times a day.
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Sir I have inguinal hernia surgery before 3 years after that I feel my right testis is slightly swell still I have that problem what could be.

MBBS
General Physician, Chandigarh
Your testis problem has got nothing to do with hernia surgery please get it checked from a physician to see what is the problem if at all there is any.
3 people found this helpful
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Doctor I need a children I want my wife carry spam by donner because my spam counting is very poor I already checked pls help support my dream

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Even you can father a baby with your own sperm at low sperm count. If not, donor sperm is also available. Many of my patients fathered baby with abnormal sperm counts by various treatments. All the best. Don't get disheartened.
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A pain on my neck last 2 weeks.

MS - Orthopaedics, MBBS
Orthopedist,
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then please inform. Contact your family doctor or nearest hospital for emergency help.
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Headache for two three days.

General Physician,
Headache for two three days.
take crocin pain relief one sos, check your BP. Check your eye sight. take rest and good sleep. avoid anxiety and stress. consult if not ok.
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I am 21yr old male and have headache. what should i do?

General Physician,
I am 21yr old male and have headache. what should i do?
take crocin pain relief one sos, get your eye sight checked, get your BP checked. take good night sleep. take healthy diet. Consult again if not ok.
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Hello madam I am having headache problem from 2 to 3 years I will take combiflam tab every time 5 times in weak pls give me a answer what to do.

MBBS
General Physician, Mumbai
Hello madam I am having headache problem from 2 to 3 years I will take combiflam tab every time 5 times in weak pls g...
For headache take tablet paracetamol and check your eye sight for refractive error and also rule out sinusitis or migrane as the cause of headache
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1I have daily 1hour stomach pain why should me? 2. Some time why should happened my lep side leg?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
1I have daily 1hour stomach pain why should me?
2. Some time why should happened my lep side leg?
if you eat meal so fast or by standing then also pain in abdomen i suggest you some home remedies 1. saunf 1tsp + 1 glass of water boiled it and drink it at the time of lunch and dinner
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When I have sex I came out very fast so please doctor give some idea or tips or any diet which will help me in increasing my sex duration and capacity.

BHMS
Homeopath,
When I have sex I came out very fast so please doctor give some idea or tips or any diet which will help me in increa...
Dear lybrate user, kindly note that if you indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines may need to be complemented by further deep-acting remedies after first month in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition. Along with medicines you can try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk & keep that mixture in refrigerator before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days.
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I am a Thyroid and pcos patient. Have done everything but I lack energy. Can't exercise. I'm going to gym regularly. My sister gifted me black spider25 fat burner. It hs mentioned if we are thyroid or diabetes patient, consult your doctor before taking dos capsules. Dis capsules contains Bladderwrack (whole thallus) a sea vegetable concentrated source of minerals. Magnesium iodine potassium calcium etc. Nd Vitamin B6 (as pyridoxine HCI) Vitamin B12 (as Cyanocobalamin) Chromium (as Chromium Picolinate): This is used primarily to lower fasting blood sugar levels and to lower insulin levels in people who have type 2 diabetes. Can I take dis fat burner. please tell me, as I need to reduce my weight as soon as possible. But confused for ds medicine. My t3 is 153 ng/dl T4 is 12.4 Tsh is 3.09. I'm taking glyciphage 500 twice a day for pcos nd eltroxin 50 fr thyroid ANd homeopathy for pcos:) I dnt know whether to take dis medicine wid glyciphage or not.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
It is not advisable to take this medicine. Insulin resistance is the main reason why its more challenging for you to lose weight with pcos for pcos & thyroid people it takes time to reduce weight, so don't worry, do regular exercise especially cardio and make dietary changes it will help you. Take proper diet without skipping meals, including green vegetables, fruits, dairy products. Fruit is rich in fiber and is a good source of essential vitamins and minerals. Fruits with a low gi include cherries, plums, apricots, prunes and grapes.
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I find it very difficult to sleep even though my exams are finished and m relaxing please help me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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I am 25 year old. I have severe bad breath. What should I do to avoid bad breathe. Im short too. What should I do to grow.

Evidenced based medicine, MDS
Dentist, Bangalore
I am 25 year old. I have severe bad breath. What should I do to avoid bad breathe. Im short too. What should I do to ...
Try brushing your tongue with tooth brush bristle and keep it clean. Get your teeth cleaned and keep your oral hygiene clean.
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Pain in throat since yesterday. Difficulty in swallowing. Mild fever. Male 16 years. Please advice.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
You have to consult general physician this fever may be due to pharyngitis or sore throat. Need to take antibiotic course.
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I have suffering from headache from last two weeks and I was so ili am unable to do any work so please help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have suffering from headache from last two weeks and I was so ili am unable to do any work so please help me.
Hi 1-1 drop of cow ghee in both nostrils at night time before sleep....take shirshooladi vajra ras 1-1 tab twice a day....take pranacharya no tens capsule 1-1 twice a day...avoid spicy food...junk food...fermented food.....tea...coffee...do pranayama early in the morning....avoid alcohol consumption...
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I am suffering from cough and cold for the last three weeks or so, But its still not cured inspite of taking antibiotics. Please suggest me with suitable advice!

DHMS (Hons.)
Homeopath, Patna
Hello, *avoid, dust, smoke, sun, akcohol, smoking, junkfood. Cold intake & cold exposure, * drink, luke warm water. *go for gargling with warm saline water, twice/day. * inhale steam, twice/day. * take, non irritant, easily digestible diet. * homoeo-medicine** @ tuberculinum 200-6 pills, once a wk.= 4 wks. @ bryonia alb 30-6 pills, thrice/day report, wkly, stay- healthy. *
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Does pcos lead to infertility? I have pcos and I am 19 years old. My weight and height are perfect for me but still I have pcos. Will I not be able to reproduce.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Does pcos lead to infertility? I have pcos and I am 19 years old. My weight and height are perfect for me but still I...
Hi PCOS may lead to infertility to some extent. But you should not be worried now. You need to investigate if any hormonal imbalance is there or not and take treatment accordingly.
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