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Care Medical Centre

General Physician Hospital

#1468, Sangatrashan Paharganj. Delhi
1 Doctor · ₹400
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Care Medical Centre General Physician Hospital #1468, Sangatrashan Paharganj. Delhi
1 Doctor · ₹400
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Care Medical Centre
Care Medical Centre is known for housing experienced General Physicians. Dr. Sharwan Gupta, a well-reputed General Physician, practices in Delhi. Visit this medical health centre for General Physicians recommended by 77 patients.

Timings

MON-SAT
10:30 AM - 08:00 PM

Location

#1468, Sangatrashan Paharganj.
Pahar Ganj Delhi, Delhi - 110055
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Doctor

Dr. Sharwan Gupta

MBBS
General Physician
31 Years experience
400 at clinic
Available today
10:30 AM - 08:00 PM
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Fistula For Dialysis!

MBBS, MS - General Surgery, MCh - Vascular Surgery, F.V.E.S
Vascular Surgeon, Bangalore
Fistula For Dialysis!

An arteriovenous fistula or AV fistula is a connection between the artery and vein made by a vascular surgeon at the time of hemodialysis. Hemodialysis is a treatment for kidney failure that involves a machine called dialyzer to filter the blood and remove the toxins. In order to gain a safe and easy access to the blood system during hemodialysis, the AV fistula is essential.

An AV fistula is placed in the upper arm and it causes extra pressure and extra blood to flow into the vein, thereby making it stronger and larger.

Benefits of AV Fistula

  1. Lower complication rates
  2. Less prone to injection or blood clotting
  3. Enables greater blood flow
  4. Relatively less expensive to maintain with a longer lifespan

Types of Fistula for Dialysis
All AV fistulas are created from the native blood vessels of the body, without any synthetic materials. The surgical process is quick and simple and requires a maturation time, in order to enable an increase and thickening of vessel walls.

  1. Radial Cephalic Fistula – This access involves a connection of the radial artery and cephalic vein. It is the hardest to create and has a lower blood flow than the other types. Typically the first choice for hemodialysis access, the radial cephalic fistula at the wrist is recommended.
  2. Brachial Cephalic Fistula – It is the easiest fistula that can be created by connecting the upper arm cephalic vein to the brachial artery. This access allows for a higher blood flow since the blood vessels in this part of the body are relatively larger. Also, it is easier to cannulate or introduce a tube into the vein, with a larger possible selection of cannulation sites.
  3. Brachial Basilic Fistula – This access is more complex to create and typically considered when multiple access procedures have failed previously. It requires the vein to be elevated and transposed in order to enable easy access. A mobilized vein from a deep location is connected to a superficial tunnel.

How does the AV Fistula Work?
Before surgery is done to insert the fistula, the surgeon may perform a vessel mapping test to analyze blood vessels and determine the best blood vessels to use. Once the surgery is performed, the fistula needs 2 to 3 months to mature and accustomed to the body before it can be used for hemodialysis.

At the start of the dialysis, the patient or healthcare provider inserts two needles into the access. One needle referred to as the arterial needle carries the blood from the body to the dialyzer machine. The dialyzer performs the kidney’s function to filter out the toxins and then it returns the filtered blood through another tube. The other venous needle carries the filtered blood back to the body.

Kidney Health - 6 Amazing Ways You Can Maintain It!

DM - Nephrology, DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Kidney Health - 6 Amazing Ways You Can Maintain It!

Kidney is a crucial detoxifying organ that performs a lot of functions including, absorption of minerals, filtration of blood and production of hormones and urine. It also helps your body to maintain a healthy PH level. Since kidney failure can prove to be fatal, it is essential to keep it healthy, to ensure smooth function of your system.

The following are the tips to ensure the health of your kidneys:

  1. Adequate intake of water: It is advised to drink a minimum of 8 glasses of water daily, to help your kidneys function properly.  Adequate intake of water ensures that your body is able to flush out the harmful toxins at regular intervals.  However, in case if you are already suffering from kidney disease, this point is not applicable.
  2. Control your blood pressure and blood sugar level:  Diabetes is one of the major causes of kidney failure. It is recommended to control your blood sugar level on a regular basis to ensure healthy functioning of your kidney. People who have high level of blood sugar and blood pressure are more susceptible to suffer from kidney disorders.
  3. Quit tobacco: Accumulations of toxins in your body tend to have a harmful impact on not only your kidneys but also on your overall health. It is strictly recommended to quit smoking and using other forms of tobacco to protect your kidneys from damage. 
  4. Reduce weight:  Obesity and the problem of excessive body fat are harmful for your body in more than ways than one. Being overweight makes you more susceptible to develop kidney cancer. Therefore, it is advisable to lose a few kilos to ensure the proper functioning of your kidneys.
  5. Avoid intake of analgesics without prescription:  Most analgesics have the tendency to be harsh on your kidneys.  Ingestion of analgesics increases your risk of developing kidney cancer. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, naproxen, and acetaminophen are some of the analgesics, which are known to affect your kidneys in the long term. Therefore, it is necessary to avoid taking them without consulting a doctor.
  6. Include healthy food in your diet:  If you increase the intake of green vegetables in your diet, it will help your body to accelerate the process of detoxification.  Fruits and vegetables including watermelon, cranberries, blueberries, strawberries, apples, cabbage, cauliflower, peppers, garlic and onions provide considerable aid in removing the toxins out of your system. However, in case if you are already suffering from kidney disease, this point is not applicable.
1 person found this helpful

Yesterday when I was eat only rice then sudelny in my stomach starting pain and its increasing high I want to know reason why its held.

MBBS
General Physician, Greater Noida
Yesterday when I was eat only rice then sudelny in my stomach starting pain and its increasing high I want to know re...
Hi, it seems you are suffering from 1. Gastritis 2. Take an antacid 3-4 tsf 8 hrly 3. Get a blood investigation - liver function test done (optional) 4. Avoid fatty, oily meals 5. No fast food, no momos and samosas 6. No tea and coffee 7. Lots of water 8. Walk after meals 9. Eat less at nights 10. No soft drinks, hard drinks and no smoking recommended a private consultation.
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How can I last my strength to my maximum limits while having sex with my partner?

MBBS
Sexologist, Panchkula
How can I last my strength to my maximum limits while having sex with my partner?
You want to prolong your strength to maximum limits during sex. I advise you to do start and stop technique and squeezing method to delay ejaculation during sex. Do kegel exercises daily. Take proper balanced diet. Follow this and be happy.
4 people found this helpful
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I am diabetic, having hypertension and heart disease, can I take thyronorm tablets.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic, having hypertension and heart disease, can I take thyronorm tablets.
Mr. lybrate-user, Thanks for the query. To treat hypothyroidism only available drug is Levothyroxine tablets. Hence, if you have that condition, then it may be necessary to take Thyroxine tablets. But I can only give a proper yes or know based on actual TSH value, BP reading plus some details on the heart condition. Since nothing is mentioned, it is difficult to give any opinion. Thanks.
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My penis is small in all dimensions i.e not long as well as not large in girth in size. How to make enlarge in length with girth. Please kindly medication as well as enlarge machine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
My penis is small in all dimensions i.e not long as well as not large in girth in size. How to make enlarge in length...
Excessive of anything is bad same applies with masterbation. 2 things happen when one masterbate excessively 1. Premature ejaculation you can correlate when you started mastrrbation what was time and check current timing. You will find time to ejaculate might hv reduced significantly. Some people even ejaculate while rubbing in bed 2. Second problem is weak erection. Over a period you will feel lesser or weaker erections. One may feel shrinking penis due to this. Consult to cure side effects of excessive masterbation. Results within 10 days once you start treatment.
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I have gone through uric acid test which has shown as 10.4 against 7. Something I have started febustat-40.In past also the same thing was happened and I took febustat 40 for 20 days and my uric acid came down up to 5.4.Is there permanent treatment for uric acid in Homeopathy .If yes how many days I have to take. My creatinine a level also shown as 1.19 against 1.17. Is it due to Uric acid or what?

BHMS
Homeopath, Chennai
I have gone through uric acid test which has shown as 10.4 against 7. Something I have started febustat-40.In past al...
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male) Some diets that are rich in purine end up causing an increased production of uric acid. In other cases, it may be due to a completely sedentary lifestyle. Less intake of water also may be to blame in some cases as water plays an important role in washing out the excess of the uric acid. Regular usage of some medicines also cause the uric acid levels to rise. Another important factor is being overweight as obese people are much more likely to get gout as compared to those who have normal weight. It is a tragedy of the modern world that the superior advertising and marketing power of the allopathic system of medicine has eclipsed the good and genuine work of Homeopathy. This is largely because Homeopathic system of medicine cannot compete with the money power of Allopathy. Just because allopathy does not have any cure for gout, patients tend to think that there is no cure for gout at all. People are not aware of the great work that Homeopathy can do in the cure of gout. I cannot stress enough here that homeopathic medicines are pretty effective at curing the acute as well as the chronic gout A homoeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects.
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Sir mera kamjori sa Lagta hai Uske liye kya upay hai please bataye aur sar ghumta rehta hai Kabhi Kabhi sir.

B.A.M.S, MD (Ayu.) Kayachikitsa
Ayurveda,
Sir mera kamjori sa Lagta hai Uske liye kya upay hai please bataye aur sar ghumta rehta hai Kabhi Kabhi sir.
Thanks for contacting with your health concern 1. Undue fatigue/tiredness is not a disease but symptom of an underlying disease thus check your hemoglobin, thyroid profile 2. I.Proteins are essential for antibodies production so milk, egg (white), beans, yogurt, soymilk, pumpkin, squash, watermelon, peanuts, almonds, if non-vegetarian (meat) are choices. Ii.Vitamin A: helps to maintain Thymus gland which is a powerful antiviral gland: thus mango, carrots, can notaloupe ,egg yolk, apricots,pumpkin, papaya, are ideal iii.Vitamin C: is needed for proper functioning of immune system: amla (आमला)is best iv.Vitamin E: is a powerful anti oxidant which helps to stimulate antibody production: peanuts, dried apricots, cooked spinach (शलगम) taro root (अरबी) can be taken v.Vitamin B is important for the activity of phagocytes: eggs, cheese, pistachio, raw garlic, sunflower and sesame oil. 3. Till you get a complete evaluation done, please follow the dietary regimen as follows: Take old brown rice, rice gruel, green gram, turnip, turmeric, white gourd, methi, carrot, banana, garlic, honey, buttermilk, amla, dates, beetroot, mild laxative Avoid: black gram, sour things, sesame seeds, asafoetida, alcohol, fish, excess water, going out during peak hours, daytime sleeping, excess physical/mental exertion, undue anger/grief.
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My penis doesn't gets up like everyone it is tilted down and last tym when I was masturbating blood comes out of it and I get discharged very soon this is the reason I am not able to keep my partner happy please help doctor Waiting for soon rpl.

MBBS, MD - Psychiatry
Psychiatrist, Delhi
My penis doesn't gets up like everyone it is tilted down and last tym when I was masturbating blood comes out of it a...
Hello. Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. Best luck.
2 people found this helpful
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HIV Elisa test at 4 weeks negative and again CMIA combo test at 9 weeks negative. Are my results are conclusive or I need to test again at 13 weeks.

MBBS
Sexologist, Panchkula
HIV Elisa test at 4 weeks negative and again CMIA combo test at 9 weeks negative. Are my results are conclusive or I ...
You can do ELISA TEST FOR HIV again after 90 days of exposure. This is 99.9 %accurate and conclusive.
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I am having headache from 1 week and I have shown to doctor also but till I am not cure from that headache and I have fever also what should I do know because where I working here are fraud doctor they were injecting injection only.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
I am having headache from 1 week and I have shown to doctor also but till I am not cure from that headache and I have...
Please follow my prescription. 1) Bryonea Album-200. 2) Chininum Sulph-200. In no 30 globules. To be taken four globules every two hourely alternate when you feel relief than you may taken four times in a day before food no 1 and after food no 2 for 10 days and report me the result for next medicine or advise.
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Will vitamin D save my life? Should I really be taking four times the recommended daily dose.

B.A.M.S, MD (Ayu.) Kayachikitsa
Ayurveda,
Will vitamin D save my life? Should I really be taking four times the recommended daily dose.
1. Please let me know about your vitamin D level as taking more than recommended dosage can result in Vitamin D poisoning. 2. Test with vitamin D level only then I will be able to suggest you supplement and the dietary regime which would be needed to get your blood levels in the range you want to be.
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I am 22 years old. I am suffering from gas and bloating problem. But these days I started to drink ajwain warm water. After drinking ajwsin water I feel good .I don't feel any gas and bloating and flatulence. But please tell me sir .ajwain water is good fo health .I drink 1cup daily .Please tell me how much ajwain should I consume .please sir.

MBBS, Health & Family Welfare Management
General Physician, Delhi
I am 22 years old. I am suffering from gas and bloating problem. But these days I started to drink ajwain warm water....
Dear Ms. lybrate-user, No doubt Ajwain is beneficial for stomach problems. But once you are free from symptoms, stop consumption, because excess of everything is bad. Thanks.
1 person found this helpful
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What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cancer? Please give me suggestion.

FMAS, MS
General Surgeon, Gandhinagar
What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cance...
Resepcted lybrate-user, Hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Piles are the swollen and inflammed veins of the anus and rectum giving rise to - discomfort during or after stool - pain - constipation - occasional bleeding - prolapse of the tissue outside anus. Fissure is cut in the skin of external anal opening which give rise to - burning, pain,itching after defecation - constipation - occasional bleeding per rectum. Any of them is not responsible for anal cancer. Hope this will clear your query. Welcome for any further guidance. Regards.
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I'm 50 years got Diabetes and little bp. sometimes ï feel weak Get dizziness and leg become weak. Im taking mercury xl 50 and starvog. Please advise on the medication etc.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 50 years got Diabetes and little bp. sometimes ï feel weak Get dizziness and leg become weak. Im taking mercury x...
Thanks for the query. I have gone through the details given, but the information is very general, so it is not possible to give any advise or suggestion. I need to know following things: Fasting, PP blood glucose levels, HbA1c%, height, weight, dietary pattern, extent of daily exercise, drugs being taken with dosage. It is better if you come in a private conversation (paid consultation) with all the details, then I can give specific advise and even prescriptions if required, as in this communication we are supposed to give only general guidelines, no prescriptions are allowed. Plus I will be able to have a follow up also with you. Thanks.
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Dear doctor I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. When stool is hard then my anus finishing point occur swelling and pain and not smoothly delivered stool. I want to know better advice about anal fissure and piles.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Dear doctor
I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. Whe...
Dear user chronic constipation is the main cause for fissure in ano. The more constipation the more pain. Avoid constipation n you Hv to Tk few medication to get rid of it. For more details consult me. Thnx.
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My mother is suffering from coughs from 2 years ago until now. But suddenly in this week she is coughing a lot.

MBBS
General Physician, Greater Noida
Hi, for cold, cough and fever 1. Try to keep body warm 2. Do not eat and drink cold food items 3. Try to avoid persons affected with cold and cough because it spreads through droplet mode by coughing and sneezing 4. Take a tablet of levocetrizine and a basic antibiotic with an expectorant cough syrup for 4 days 5. Consult through video for details.
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I have a problem in bowel movement. Stools are hard and dry. Comes out in pieces. Difficult to eliminate. Feel uncomfortable full despite not eating for hours. Feel bloated and gassy. Feel like going again but can't. While elimination unpleasant sound bombards. Quite embarrassing. This constipation problem is since one month after I shifted to Aurangabad.

B.A.M.S, MD - Ayurveda
Ayurveda, Ajmer
I have a problem in bowel movement. Stools are hard and dry. Comes out in pieces. Difficult to eliminate. Feel uncomf...
Hello Lybrate user your digestion is totally disturbed. To improve your digestion take light and easily digestible food like daliya khichdi salad soups etc. Avoid fatty and spicy foods, sweets, maida besan etc. Don't skip any meal. Take plenty of water. Take isabgol husk at night. Start yoga, exercise ,and morning walk.
2 people found this helpful
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I am 56 years old person and have Diabetes type-2 since 6 yrs. My question is can you suggest my good & appropriate diet list.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 56 years old person and have Diabetes type-2 since 6 yrs. My question is can you suggest my good & appropriate d...
Eat warm food which is freshly prepared and avoid reheated food, processed food, bakery items, milk products except ghee, sugarfree, paneer, sweets.
2 people found this helpful
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I have done a blood sugar test 15 days back. And the fasting blood sugar was 98 and HBA1C was 6.2. Test was done in pathcare. Then I am so worried and did a test again and now fasting is 84 and post lunch is 141. And I did not done HBA1C now. Is the test appears normal? Please help me out on this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have done a blood sugar test 15 days back. And the fasting blood sugar was 98 and HBA1C was 6.2. Test was done in p...
Mr. lybrate-user, Thanks for the query. The blood glucose levels (fasting) are very much normal. However, PP 141 mg and HbA1c% 6.2, show that you may be in a pre-diabetes state. It is a warning signal. What it means is if you take adequate care like avoiding too much of sweets, deep fried foods, junk foods, pastries, bakery items, foods made of maida and aerated sweetened drinks, then there will be no reason to worry. Plus there has to be a proper balanced diet. Regular exercise for at least 1 hour a day and keeping normal weight are other aspects to be kept in mind. Thanks.
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