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.
Book Clinic Appointment
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. Usha GuptaYour feedback matters!
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!
I have twin baby after 8 months also my tummy is very loose not able to move normally if my child hit also it pains, in this case can I go for gym or yoga, after delivery I have lots of pain in my both legs in feet, ankle,from hips to feet very painfully. Even have pain in between hips there is a small bone I have lot of pain while sitting sleeping and lying. Please suggest me should I go for intercourse.
Getting cough badly, I have done steam and taking cetrizine and paracetamol every 8 hrs since 2 days, now my body is weaker pain all-over body but cough still there please suggest me cure.
I am 57 last 2 years I am diahetic I am walking past 15 years and ex. 1/2 hour alternate day drink lades finger water, neelavembu water my height 186 cm my weight 69 kg I eat pappaya regularly weekly once I used bear occasionely used brandy with soda. Please advise.
Hi doctor's, I am suffering from premature ejaculation from very long time. Please help me to treat this.
Good morning my name is pranay I am suffering from. asthma. I can't able. To breath properly so please help. Me ang give any suggestions.
Symptoms and Treatment for Attention Deficit Hyperactivity Disorder (ADHD)
I’m Dr. Prashant Shah, a psychiatrist from Ghatkopar, Mumbai. Today I am going to speak about Attention Deficit Hyperactivity Disorder also known as ADHD. ADHD as the name suggests the full form is Attention Deficit Hyperactivity Disorder. This is a common disorder seen in children and adolescence and at times may extend also into adult life. The common features of this problem are diminished attention, hyperactivity, and impulsivity. As I said earlier, it is most commonly seen in children and adolescents, the usual complaints will be from the parents and teachers. The parents and teachers will complain that these children have difficulty sustaining attention, they are hyperactive and they are impulsive in their day to day activities.
Sustaining attention means that these children cannot sustain or carry out any particular task to the end. They get bored very easily, they will lose interest, they may want to start many activities; they will say that they want to join this activity, they want to do this thing but then halfway down the line they will get bored, and they will stop doing that activity. They would have difficulty in focusing which will result in making careless mistakes in their works, in their calculations, in their day to day works, in their homework. They will be making careless mistakes because they cannot just focus on what they are doing. They get distracted very easily. The teachers will complain that in the school when the teacher is teaching they are looking out of the window or they are speaking with other children. They will drop down their pencil, eraser, and maybe make mischief with other children. Many times there are younger children; they are always on the go. They cannot sit in one place. They are not in their seat; they are roaming around in the class; they talk excessively; they will blurt out answers; they are forgetful; they will not mention about homework or assignment which has been given to them or the project work which has been given. They will inform their parents just at the last minute and then everything will have to be rushed. They will forget or they will misplace their books. Their clothes will be in disarray at home if you visit their room. Everything will be like it is not in its place. They cannot wait for their turn. Now all these are problems which the children-parents pick up.
What is the effect of this on the children? Because of this kind of behavior they are labeled as mischievous. They are the ones who get pointed out whenever something goes wrong in the class. They will be the first ones to be signaled out and given punishment. And at times maybe it is not their fault also but because they show this kind of behavior they are labeled as mischievous and it is they who get the punishment. Everyone ridicules them for this kind of behavior. Even the parents punish them. This will lead to many times frustration, decreased confidence which in turn affects their school performance. Many times this results in deviantju8 behavior. In adolescence if we go on to see this may result in risk-taking behavior, seeking novelties and at times in drug-addiction also.
Now, what can be done about this?
As I said earlier it is a neuro-developmental disorder, we do not know as psychiatry illnesses, we don’t know what the causes are of this illness or why does this illness occur. It may range from genetic to neurological to psychopharmic or neuro-developmental problems in the brain. But what is good is that treatment options are available. So what treatment options are there for ADHD? They are both pharmacological and non-pharmacological treatments available. Usually for children less than five years initially we advise non-pharmacological treatment. This non-pharmacological treatment is occupation therapy and sensory integration where depending upon the severity of the problem, children are called for occupation therapy sessions, parents maybe also given some home programme which they can carry out at home and this results in improvement. The improvement is slow but carried out religiously, diligently by the parents for a period of 1 year to two years this definitely is going to show improvement.
In other children or if the problems are severe enough, we do start medicines. In children parents are hesitant to start medicines and that too from a psychiatrist. But believe me there are good medicines available for ADHD, they do show response, there are no major side effects. The groups of medicines that are available are stimulants or non-stimulants. Stimulants are the first choice of drugs, usually we start with a low dose, so that the child can tolerate the dose, there is no side effect and then we gradually build up the dose so that the improvement is seen. Even if there is some side effect there is minor side effect which can be always taken care of. It is not that there is only one drug available, the child is not responding, we can definitely shift to some other. But the thing to understand is that treatment is required. This ADHD can be controlled and if the signs and symptoms of ADHD are controlled then the child’s performance is definitely going to improve. It will not only reflect in the child’s studies but also overall development of the child. So it is for the parents and teachers working in this field to find out these kinds of children who maybe having this problem and refer them for treatment.
Thank you. For any further enquiries you can always get me to me through Lybrate
I am doing prone masturbation from my childhood at the age from 10 now I am 25 years old. My penis gets shrunken. I am unable to avoid prone masturbation. Give solution for prone position masturbation.
I am suffering from erectile dysfunction and premature ejaculation too. What should I do? Please advice.
I am 19 years old girl. I am suffering from heavy sperm during periods it is really very uncomfortable. During Ultrasonography I have cystic right ovary and cortical cyst in kidney. Please suggest any solution to this disgusting pain.
What is a cough?
There are three phases to a cough reflex:
- An inhalation (breathing in)
- An increased pressure in the throat and lungs with the vocal cords closed
- An explosive release of air when the vocal cords open, giving a cough its characteristic sound
If somebody coughs a lot, it can be a sign of a disease. Many coughs are caused by infectious diseases, like the common cold, but there are also non-infectious causes.
Coughs can be due to pollution/irritation, GERD (gastroesophageal reflux disease), choking, chronic bronchitis, asthma or emphysema, a tumor in the lung, heart failure, some drugs (e.g., ACE inhibitors), post-nasal drip, and smoking.
Classification of coughs
Acute cough - has a sudden onset and lasts up to 3 weeks
- Subacute cough - persists for 3-8 weeks
- Chronic cough - persists for over 8 weeks
- Productive cough - a cough that brings stuff up, such as sputum
- Dry cough - a cough that brings nothing up
- Nocturnal cough - only occurs at night
Causes of coughs
The majority of coughs are caused by viruses and clear up without treatment.
Causes of acute (short-term) cough - in most cases, the infection is in the upper respiratory tract and affects the throat, this is known as a URTI/URI (upper respiratory tract infection). Examples include flu, the common cold, and laryngitis.
If it is an LRTI (lower respiratory tract infection), the lungs are infected, and/or the airways lower down from the throat (windpipe). Examples include bronchitis and pneumonia.
An acute cough can also be caused by hay fever.
Causes of chronic (long-term) cough - a chronic cough may be caused by smoking, mucus dripping down the throat from the back of the nose (nasal drip), GERD (gastro-esophageal reflux disease), asthma, and some medications (e.g. ACE-inhibitors).
Chronic coughs in children are most often caused by asthma, but can also be from conditions like GERD.
When to see a doctor
If a cough has persisted for 3 weeks without improvement, a doctor's advice should be sought. In most cases, there will not be anything serious underlying the cough, but in rare cases, a long-term cough can be a sign of something that needs treating, such as lung cancer or heart failure.
Other reasons to seek medical advice include:
- The cough is getting worse
- There are swelling or lumps present in the neck region
- Weight loss
- Severe coughing
- Changes in the sound of the voice
- Coughing up blood
- Difficulty breathing
- Chest pain
- Fevers that are not getting better
Diagnosing a cough
If a doctor decides that a cough is caused by the common cold or flu, the general advice will be to rest, drink plenty of fluids, and let it run its course. In the majority of cases, such coughs clear up after 1-2 weeks.
A cough caused by a viral infection that persists for more than a couple of weeks will probably require medical attention.
The doctor may order some diagnostic tests, such as a chest X-ray, a sample of phlegm may be sent to a laboratory for analysis to determine what is causing the infection.
The patient may be asked to breathe in and out of a tube attached to a machine; this helps the doctor determine whether the airways have an obstruction (this test is called a spirometry), which is common in asthma or emphysema.
If asthma is diagnosed, the patient may be prescribed asthma medication.
Sometimes, a doctor may refer the patient to a respiratory specialist.
Treatments and home remedies for coughs
The best way to treat a cough caused by a viral infection is to let the immune system deal with it - generally, such coughs clear up on their own. According to the National Health Service, United Kingdom, a homemade remedy with honey and lemon is as good, if not better than most OTC products sold in pharmacies.
Treatments are mostly aimed at making the patient feel a little bit better and generally do not decrease the length of the cough.
Honey - it coats the throat, resulting in less irritation and possibly less coughing. Honey is a demulcent (something that soothes).
Cough medications - some may help associated symptoms, such as fever or a stuffy nose. However, there is no compelling evidence that cough medicines are effective in making the cough go away faster.but homoeopathy can reduce the suffering.
For small children, it is a good idea to talk to a doctor before giving OTC cough medicine. Some ingredients in cough medicines can be dangerous for small children.
HOMOEOPATHY DO BEST IN COUGH AND REDUCE THE SUFFERING WITHOUT ANY SIDE EFFECTS.