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Dr. Vijender S Nirwan

General Physician, Delhi

100 at clinic
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Dr. Vijender S Nirwan General Physician, Delhi
100 at clinic
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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. Vijender S Nirwan
Dr. Vijender S Nirwan is an experienced General Physician in Raj Nagar, Delhi. He is currently practising at Mata Giano Devi Memorial Health Care Centre in Raj Nagar, Delhi. Book an appointment online with Dr. Vijender S Nirwan on Lybrate.com.

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English
Hindi
Professional Memberships
Indian Medical Association (IMA)

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Mata Giano Devi Memorial Health Care Centre

RZ - 228M, Raj Nagar Part - II, Palam. Landmark: Near DDA Park, DelhiDelhi Get Directions
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Jaundice: Symptoms, Causes And Diagnosis

MBBS
General Physician, Mumbai
Jaundice: Symptoms, Causes And Diagnosis

Jaundice is a medical condition, which is characterized by the yellow coloring of the skin and eyes. It generally occurs when there is an excess of bilirubin in your system. Bilirubin is a yellow pigment formed in the liver by the breakdown of red blood cells. It normally gets discharged by the liver along with other dead red blood cells. So if you are suffering from jaundice, it usually indicates that you have some serious problems regarding the functioning of your liver, pancreas, or gallbladder.

Signs and symptoms:
Signs and symptoms commonly associated with jaundice include:

  1. Yellow-tinted eyes and skin
  2. The whites of your eyes may turn orange or brown in color
  3. Dark urine
  4. Pale stools
  5. High fatigue and vomiting (in severe cases)

Causes:
Jaundice, as mentioned above, occurs when there is an excess of bilirubin and the liver is incapable of metabolizing it along with the old red blood cells. It is more common in infants than in adults, because their livers are not fully developed. However, it is also a frequent occurrence in adults and could be a potential sign of any of the following problems:

  1. Liver infection
  2. Scarring of the liver, or cirrhosis
  3. Hepatitis
  4. Alcohol abuse
  5. Liver cancer
  6. Gallstones
  7. Pancreatic cancer
  8. Blood disorders, like hemolytic anemia
  9. Parasites in the liver
  10. Abnormal reactions to or overdose of medication

Diagnosis:
Diagnostic tests may include:

  1. Jaundice is diagnosed primarily by taking blood tests, to help measure the amount of bilirubin as well as to trace the presence of other diseases like Hepatitis.
  2. Liver function tests in order to make comparisons between levels of certain proteins and enzymes when the liver is in good shape and when it is damaged.
  3. Liver biopsies, where samples of liver tissue are first extracted and later examined under a microscope.
  4. Imaging studies, consisting of abdominal ultrasounds, computed tomography scans and magnetic resonance images (MRI) tests. If you wish to discuss any specific problem, you can consult a general physician.
6418 people found this helpful

My penis is not straight. Itz band to left side. And it's so irritated. Pls help me.

MBBS
General Physician, Jalgaon
My penis is not straight. Itz band to left side. And it's so irritated. Pls help me.
Please avoid tight nikers and tight jeans Wear loose and cotton garments Avoid sexual excitements Take Youvan churna by Patanjali 2 tsf twice a day Have plenty of water daily Avoid masturbation.
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I have pcos. I am taking homeopathy medication for this. My ferritin level is low and hair fall. I am confused about pcos diet. Some said dairy products are bad for pcos. And some says animal protein are bad. And also soya product make worse in pcos. So what should I have for protein. Other protein source are very costly and I have to take enough protein for my hair growth. I don't want to take any supplements kindly do advice.

C.S.C, D.C.H, M.B.B.S
General Physician,
Fruit is a rich source of fibre, vitamins, minerals and phytonutrients and should be enjoyed as part of a PCOS diet. Many women with PCOS are reluctant to eat fruit or avoid fruit as it can cause a spike in blood sugar levels and therefore insulin. Otherwise you can have normal home made food and no special diet Instead of: Sweetened juice, canned fruit in heavy syrup, or sweetened applesauce Starchy vegetables such as potatoes, corn, and peas Refined grains made with white flour such as white bread and pasta, bagels, or white rice Sugared cereals such as Lucky Charms®, Fruit Loops®, or Frosted Flakes®, and other sweetened grains such as cereal bars (Nutrigrain Bars®), breakfast pastries (PopTarts®), and donuts Sugary drinks such as soda or juice Sugary foods such as cookies, cakes, and candy Snacks such as potato chips, Fritos®, Doritos®, and tortilla chips Choose: Fresh fruits or frozen/canned fruit without added sugar, or unsweetened applesauce Non–starchy fresh vegetables or frozen/canned vegetables such as broccoli, spinach, and carrots Whole grains such as whole wheat pasta, brown rice, oats, and whole wheat bread High fiber cereals such as Kashi®, shredded wheat, and All Bran®. (Look for cereals that have at least 5 grams of fiber per serving or sprinkle ½ cup of bran cereal or unprocessed bran on a low–fiber cereal to increase the fiber) Water or seltzer, flavored with fruit if desired, unsweetened iced tea High fiber baked goods made from whole wheat flour and oats Crackers and snacks with fiber such as Triscuits®, Wasa®, or popcorn.Protein foods such as beans, hummus, nuts, peanut butter, tofu, eggs, fish, chicken, meat, and vegetarian meat substitutes, and fats such as olive oil, nuts, and avocado are important parts of a PCOS–friendly diet. Combining foods that contain protein or fat with a carbohydrate will help to slow down the absorption of the carbohydrate and keep insulin levels low. For example, instead of plain rice, have rice with beans and a little avocado.
1 person found this helpful
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Myths and Misconceptions about Erectile Dysfunction

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Myths and Misconceptions about Erectile Dysfunction

There are a lot of health conditions people do not want to talk about publicly, as they find it shameful or fear it can point questions at them. However, not talking about them leads to many myths and misconceptions, which hold no truth.

Of these, common is Erectile Dysfunction in men. Most men, at some point of time, experience Erectile Dysfunction. Erectile Dysfunction is a condition, whereby the person concerned is unable to get an erection. Even if he gets one, he fails to keep it. Erectile Dysfunction often goes untreated because most men find the condition embarrassing enough to be discussed. This lack of awareness has given rise to many unreasonable and illogical myths and misconceptions.

Myths and misconceptions about ED that needs to be busted: 

Erectile Dysfunction is nothing to be ashamed of. In fact, timely medication can greatly improve the condition. For proper awareness, it is necessary to get the facts right.

  • Myth: Erectile Dysfunction is nothing serious, self-medication will help
  • Fact: Really? Your grey matter must be working overtime to bless you with such amazing ideas. Erectile Dysfunction, at times, can be an indication of something as big and serious as Diabetes, Parkinson's disease, Hypertension or Atherosclerosis. Reason enough to shed your inhibitions and consult a physician at the earliest.
  • Myth: Erectile Dysfunction is an old age problem
  • Fact: These illogical misconceptions will do you no good. Get this baseless myth out of your system. Though Erectile Dysfunction is common amongst the older folks, the younger lot are not spared either.

Erectile Dysfunction can affect men of all age groups.

  • Myth: Erectile Dysfunction can be due to a cold partner, who fails to attract and excite you
  • Fact: Lack of interest in your partner seldom results in Erectile Dysfunction. There can be many underlying factors that can interfere with the erection. Certain medications, depression, obesity or lifestyle habits (smoking and street drug abuse) can affect one's performance greatly.
  • Myth: Any erection problem is Erection Dysfunction
  • Fact: This myth is as absurd and irrational as the saying; all tumors are benign. Before drawing any conclusion, it is important to get to the root cause. A person going through an intense emotional turmoil or stress might not get an erection. There will be days when a man will not be able to keep an erection. There is nothing to raise a hue and cry over it. It is just a phase and will pass off soon.
  • Myth: Erectile Dysfunction results in low or no libido at all
  • Fact: In males, low libido often results from a significant drop in the testosterone level. It is an outcome of the hormonal changes taking place within the body. Erectile Dysfunction has little to do with low libido.
4971 people found this helpful

I want to loss weight I am using lp slim and I am suffering from pcos can I use hyponid and only tablets from charak brand.

M.D, MBBS
Cosmetic Physician, Mumbai
I want to loss weight I am using lp slim and I am suffering from pcos can I use hyponid and only tablets from charak ...
Hi lybrate-user, thank you for your query, your ideal body weight should be between 62- 67 kg s according to your height. Fatloss with diet and exercise alone is difficult to achieve, temporary and not in the specific areas one wishes to reduce from. It is a common problem which can be easily treated with advanced technologies like mesotheraphy, laser and radiofrequency. It gives permanent, instant results on specific body parts like abdomen, hips, arms, without undergoing lifestyle alternation and surgery.
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She has bad stomach pain and back pain just before 5 to 10 days of periods. Its very bad pain . After periods she is normal. What is the issue ? Can any one help.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
She has bad stomach pain and back pain just before 5 to 10 days of periods. Its very bad pain . After periods she is ...
Generally such pain disappears after a childbirth. However an ultrasoind may be helpful to locate any abnormality. A condition called endometriosis also causes premenstrual pain. The treatmnt can be discussed over s private consultation.
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I have baby boy he born on march 18 2015 before he born I was in treatment for pcod after took treatment I got baby then my doubt is can I get second baby without treatment after delivery periods didn't come. Again pcod wil be there pls clear my doubts doctor.

MS - Obstetrics and Gynaecology
Gynaecologist, Bangalore
I have baby boy he born on march 18 2015 before he born I was in treatment for pcod after took treatment I got baby t...
It will not come again if you lose weight and have a healthy lifestyle and diet and exercise. Yes you can conceived naturally too. First periods after delivery can come as late as 9 month. But please rule out pregnancy if in doubt. Also if it does not come by 12 months c your gynecologist.
2 people found this helpful
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I have always fever Please I will what do will am a batter? (Home equipments Daily used)

MBBS, MD - Community Medicine
General Physician, Jaipur
I have always fever Please I will what do will am a batter? (Home equipments Daily used)
Hi, Fever may be simple/ self-limiting viral infection, or it may a symptom some serious illness like typhoid/ malaria/ Dengue/ TB or many more like that. It is decided by symptoms provided by you, and a battery of investigations. Therefore, follow the advice and consult doctor with detail symptoms. 1. Wear light and cotton cloths, it helps in cooling of body. 2. Take Tablet Paracetamol 500 mg (as and when required; after food) for fever (more than 99 F) for 3 days. Maximum 3 tablets with gap of 8 hours can be taken in a day. 3. If fever persists, do cold sponging (with cold water even ice water if needed) to lower down temperature. 4. Drink plenty of fluids. 5. Take adequate rest and proper sleep. Going to work, working out may just make you feel worse as the extra action adds stress to your body. Inadequate sleep decreases immunity of body, which causes worsening of illness. 6. Take proper diet preferably homemade like dalia, khichdi, rice, dahl, chapatti, vegetable soups or steamed veggies. 7. If fever is more than 5-7 days, Get done investigations CBC (Hb, TLC, DLC, Platelets, ESR only), Widal for typhoid/ RDT or PBF for Malaria/ and Sputum AFB if you have cough or chest pain from nearby Laboratory. Consult again if symptoms persist or worsen. ***Get Well Soon*** “Cold sponging is the best treatment if fever is uncontrolled.”
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I am 11 years old and I done sex with my boyfriend. I want to know that I will become pregnant or not.

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
If sex was unprotected then you have a chance of getting pregnant. You wait for your next period if delayed more than 10 days get a urine for pregnancy test done.
1 person found this helpful
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I have stomach pain over for seven days. What do I should? I have headache over for three days. What do I should?

MBBS
General Physician, Cuttack
I have stomach pain over for seven days. What do I should? I have headache over for three days. What do I should?
1.Take bland diet, avoid oily and spicy food, 2.Drink plenty of water 3.Take one Tablet of meftal spas Ds twice daily after food 4.Take one tablet of rantac150 mg twice daily before food 5. If no relief consult
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I am having loose motions from 4-5 days. So I took medicine from chemist shop and today my motion came out be dark green in color. Is it normal?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Green colour motion is not normal one give your digestive system some rest in the form of lite diet like munga dal khichadi masur dal yusha or munga dal yusha luke warm water for drinking purpose then you will see changes without side effects like colitis ibs in near future consult privetly for more details and ayurvediy medications pathyapathya etc.
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I have ear problem last 1 month. I side ear itching and pus coming outside. Already consults ent doctor. He suggested some tablets but no use of those tablets.

MBBS
General Physician, Mumbai
I have ear problem last 1 month. I side ear itching and pus coming outside. Already consults ent doctor. He suggested...
It seems you have otitis media we need to start third generation cephalosporin antibiotics for your problem.
2 people found this helpful
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Sir my friend (male) asked me that what is the perfect age to start doing sex. Is there any age factor?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Sir my friend (male) asked me that what is the perfect age to start doing sex. Is there any age factor?
Dear user. There is no perfect age for sex nor there is age factor. A male can have sex when he become mature sexually. This happens around the age of 12. For female also the same criteria applies. Take care.
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I have had loose motions for 2 days now along with which I also have been vomiting. There is a constant feeling of fullness. Or heaviness like a bloated stomach and I am. Not able to eat anything including medicines like pudin hara or digene, which I only end up vomiting again. I have constant very bad tasting burps and because of the bloating feeling I cannot even sleep properly. I have to travel in two days.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I have had loose motions for 2 days now along with which I also have been vomiting. There is a constant feeling of fu...
U need medication. Do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day
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I am 24 years old. I am facing a discharge at the end of my pennies. Some times it is fine and some times it is less. It is sticky and water clear. What is it? Is this a health problem? It disturbing when it is coming. Please advise what is this and how to get rid of it?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am 24 years old. I am facing a discharge at the end of my pennies. Some times it is fine and some times it is less....
Premature ejaculation is a common problem faced by many men. But the solution is really simple- please get a consultation with sexologist. All you need is sex counseling, sex exercise, to follow some sex tips and drugs as prescribed by doctor. Also avoid smoking, alcohol and anxiety.
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Please tell a name of the best homeopathy medicine name for nightfall. I am suffering from it since 2008.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Please tell a name of the best homeopathy medicine name for nightfall. I am suffering from it since 2008.
Best remedy of night fall is leaving masturbation and watching porn movies. Should not take hot foods spicy and oily. Do yoga. Even do not take hot milk before sleeping. Take one piece of murraba at every alternate day. Soon you will get over your problem. Wish you good health.
5 people found this helpful
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Suggest a medicine or pill for quick/harder and longer erections. May be a herbal or ayurvedic medicine. Thanks.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Suggest a medicine or pill for quick/harder and longer erections. May be a herbal or ayurvedic medicine. Thanks.
Hi, Try taking Yohimbinum Q, Homeopathic medicine 15 drops in 20ml of water daily twice for 2 months only
1 person found this helpful
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I am 20 years old male have been suffering from severe body pains, tried home remedies but no use what to do now please help me.

MBBS, cc USG
General Physician, Gurgaon
I am 20 years old male have been suffering from severe body pains, tried home remedies but no use what to do now plea...
i advise you 1. Proper diet and, recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Daily is a multivitamin and multimineral tablet completely natural, provides 13 essential vitamins & 11 minerals Also contains organically grown exclusive NUTRILITE plant concentrate which provide additional advantage of phytonutrients 2. Meditation 3. regular physical activity Consult me for further management
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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!

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Avoid Tea,coffee,beverages containing caffeine, atleast after 4 p.m.,Have nice dinner, take a bath 1hr before sleep, Take warm milk 1/2 hr, before going to bed,Apply oil &massage the top of head gently.Readboring topic &go to sleep, Consult Sos,
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I have hand job habit since I was 10 now i am 22 years old but still i am doing hand job how can I stop doing like this?

MBBS
General Physician, Mumbai
I have hand job habit since I was 10 now i am 22 years old but still i am doing hand job how can I stop doing like this?
Stop watching porn video and involve your self more in some kind of work and take the help of your family members
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