Dr. Sandeep Goel

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Consult a psychiatrist Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation, as well as medications are there to help. All the best.

Take proper amount of sleep and rest. take healthy diet. Do deep breath exercise. If not ok , consult again.

Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are many lifestyle habits that can help you to get sound sleep. 1. Make regular and a fixed sleep pattern: Going to sleep and waking up the same time every day helps to maintain an equilibrium in the sleep-wake cycle called diurnal rhythm. If this balance is maintained, then your body will be accustomed to this pattern and as a result, you will feel less tired and fresh throughout the day 2. Maintain a definite dietary regulation: You should also maintain a proper diet plan and observe the consequences/effects of the foods that you are eating and the fluids that you are drinking on your sleep pattern. Taking a good and properly nutritious diet on a daily basis will help you to stay healthy and help your natural sleep-wake cycle. 3. Ensure that your room has mild or dim lighting or darkness if you prefer: The level of light also matters at the time of your sleep. You should definitely make sure that there is a very minimal level of light or darkness around you when you try to sleep. This should be done because the lesser is the light, the more comfortable you are while sleeping. Additionally, the sleep that you will get in a dark room will also be sound and undistorted as it helps keep all the sensory organs calm. 4). Do some relaxing activities before bedtime: Depending on your choice, you should follow simple techniques of relaxation in order to calm down the brain before sleep. Like mediation, Yoga or- deep breathing exercise, muscle relaxing activity, visualizing a peaceful setting/ scenario like a calm garden or beach or mountain area. These activities are just guidelines and you can do anything that helps you to get a relaxing mood and sleep. 5). Avoid daytime naps if you can , But Having short naps of less than one hour is absolutely okay if you are excessively tired during the day or you did not have a sound sleep the previous night. But, if you are consistently having long naps during the day then you are bound to have sleep issues during the night. So it is advisable to sleep early and wake up early for a healthy schedule. 6) Regular exercise: Exercising regularly helps to improve the overall quality of sleep by making you tired at night and sending you to bed more efficiently. Light to mild exercises also helps cure sleep disorders like insomnia.

Hello, it might be IBS due to irregular life style. ,improper, dietary habits, intake of junk-food, inadequate sleep, sluggishness of liver. Stress,anxiety & depression, persistence of chronic diseases & medicinal aggravation. •Tk, plenty of water to eliminate toxins, dilute acid in stomach to prevent constipation & diarrhoea.   •Go for a brisk walk in d morning to restore your peristaltic movement to ease gastric disorder.   • Go for meditation & yoga to nourish your whole body to complete the digestion and to calm down stress ,being, one of d  main reasons of gastritis.   •  Your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines, being gentle  repaid & safe  in administration.@ Aloe sac 30-6 pills thrice a day. @ China 200-6 pills. Thrice.   • Ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.

Dear lybrate-user, If you are too concerned and constantly think about why you are not getting sexual feelings, that preoccupation itself could be a cause of your sexual problem (s). Do not worry your sexual feelings and responses will come back through certain ayurvedic or other medicines (I will let you know when contacted privately). Meanwhile do breathing exercises and physical exercises for 20-30 minutes every day. Eat bananas 1 or 2 per day. If the thoughts that your food is medicated by someone, you should also see another specialist like a clinical psychologist, who is better equipped to deal with your situation.

pain may be due to any infection or food poisoning.you should take light diet.avoid oil,spicy and junk food.take green leafy vegetables and fiber diet.take plenty of fluid and electrolyte solutions.if still problem will remain same then get an ultrasound of lower abdomen.

Cold, cough and throat problem can happen due to weather changes, exposure to cold air or rain, dust and pollen allergy and certain sour food. *.Mix some salt in warm water and do gargling early in the mornings. * Steam inhalation will relieve your congestion *.Keep a clove (lavang) in your mouth and slowly chew it. *.Drinking water frequently will eliminate toxins From the body and reduce congestion if any *.Avoid fried and oily foods. This can be treated by homoeopathy without adverse effects. To start with, take Belladonna 200 –once in the morning and once in the evening for 4 days.

Hi, Please follow these tips: Don't get too worried and anxious. Relax well. Avoid drinking coffee or tea after 7 PM, Take hot water bath before going to bed. Have light food and drink a glass of warm milk at night. Listen to soothing music or read some magazines while you are on bed. Keep your mobile in silent mode at night. Do not work on your laptop on the bed or watch TV till late night. Sleep in a dark and silent room. Avoid day sleep,

-Dolo-650 mg twice or thrice daily can be taken to lower a fever . -Wear loose fitting clothes and don’t overdress. Overdressing can cause temperature to rise further. -Tepid water (85 F [30 C]) baths may help bring down a fever -The body should be cooled with a wet sponge. -Fever can cause severe dehydration. Drink plenty of fluids.. Have citrus fruits, particularly Vitamin C rich ones like mausami,Amla juice etc. -Take light and easily digestible home cooked meals .,,,,,

Medicine German reckeweg crbo veg 200, single dose (4-5 drops in mouth) in the morning empty stomach. sbl ferrem phos 6x / 6 tabs 3 timmes a day buy medicine from good homoeopathic shop. food mixed fruit juice daily evening. please continue treatment.

H, good you consulted n had 2nd opinion too, medical science so vast so everybody almost follow scientific protocol. So rely on your Dr. He'll choose you best. Can you consider to have ayurveda opinon beside your city at ayurveda college where you may suggested for rutu shudhi seasonal detox n rasayan therapy for your issues which is said? pittaj apasmar in ayurveda terms. Prognosis is good still your Dr. Will share you to alert while driving n swiming of at operating machines.

For headache and any other pain paracetamol is preferred.Aspirin to be avoided as ther is chance of severe gastritis and hemorrhage. It is prescribed by doctor for certain diseases and not routinely

David contains sertraline. The problems you have mentioned are definitely not due to sertarline. At your age this can be due to hormonal issues, deficiency of vitamins and minerals like calcium etc. Consult an endocrinologist for the same.

Please Avoid listening erotica, avoid sexual thoughts and fantasies, avoid porns totally Do meditation regularly before going to sleep Do yogasanas and pranayam daily Go for jogging daily Take Cap stresscom by dabur 1 1 Youvan churna by Patanjali 2 tsf twice a day for 3 months Reconsult after 6 wks.

If you are experiencing side effects, please stop taking the drug immediately. Ibuprofen can be very dangerous especially if you take an overdose of it. Please visit a doctor and get the correct dosage of the right drug for you after informing him about other medical conditions, if you have any.

Dear lybrateuser, - Since she has more than 90% block in the major blood vessels it has to be corrected by bypass surgery as advised by the cardiologists as it is a life saving measure - do not worry as in good hands it is a safe procedure & the blood supply would become proper & adequate for the heart function as well as the whole body after the surgery.

; hi, I had gone through your question and understand your concerns, normally the foreskin should move or slide over head of penis, if you find it difficult consult a general surgeon you may need a short course of antibiotics plus pain killers, or small cut. Simple procedure. Called circumcision.

Hello first of all you weight is high it should be between 58 to 65 kgs. Secondaly your question. Ayurveda tell that you should drink water after 1 to 2 hours after food. Dal is also fluid which we take. Best think is to eat at right thine and regularly at the same time. From childhood are food is given timely and body follows the pattern. Thanks.

Hi all the symptoms you have described only suggest that you have some anxiety related problems. So better consult a clinical psychologist who will help you mange the anxiety or if its not at the manageable limits guide you to the right professional for medical support.

HI . Sorry to hear about your problem. It is good that you are feeling well after the stent. Please do not stop any medications till you speak to your cardiologist. You may be able to come off some of the medicines but you will have to be on others for life. These medications will be continued to prevent your risk of developing new blockages.