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Dr.A.A.khan

General Physician Clinic

Ashraf Medical Care Centre Zafar colony Bahrampur and Tetribajar siddharth nagar Gorakhpur and Siddharth nagar
1 Doctor · ₹300 · 1 Reviews
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Dr.A.A.khan General Physician Clinic Ashraf Medical Care Centre Zafar colony Bahrampur and Tetribajar siddharth nagar Gorakhpur and Siddharth nagar
1 Doctor · ₹300 · 1 Reviews
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Dr.A.A.khan
Dr.A.A.khan is known for housing experienced General Physicians. Dr. A.A Khan, a well-reputed General Physician, practices in Gorakhpur and Siddharth nagar . Visit this medical health centre for General Physicians recommended by 85 patients.

Timings

MON-THU, SAT-SUN
07:00 AM - 07:30 AM

Location

Ashraf Medical Care Centre Zafar colony Bahrampur and Tetribajar siddharth nagar
Gorakhpur and Siddharth nagar , Uttar Pradesh - 273005
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Doctor

Dr. A.A Khan

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
Available today
90%  (783 ratings)
17 Years experience
300 at clinic
₹300 online
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Patient Review Highlights

"Very helpful" 4 reviews

Reviews

Jul 13, 2016

I had good experience with him. He is renowned personality in his field.

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Top Rich Inflammatory Herbs

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Top Rich Inflammatory Herbs

Inflammation in the body is characterized by swollen, red, painful, and even warm skin. Inflammation can occur as acute or chronic inflammation. Acute inflammation occurs immediately and only lasts temporarily. If the culprit is not identified and the issue resolved, the inflammation may become chronic (long-lasting). Psoriasis, rheumatoid arthritis, and ulcerative colitis are examples of chronic inflammation, being a result of hyperactivity of theimmune system.


 

Top rich natural anti inflammatory herbs that fight inflammation.


 

Inflammation, especially chronic inflammation, can be extremely painful and uncomfortable and will lead sufferers to seek a remedy immediately. Fortunately, there are some natural remedies found in herbs that help treat this inflammation.


 

1. Turmeric

There is a substance within the herb turmeric called curcurmin which is known to be effective in treating swelling and joint pain. According to some studies, the anti-inflammatory properties of turmeric are very similar to the capabilities of motrin and similar medicines that are taken to reduce inflammation. Furthermore, studies have shown that turmeric can reduce pain associated with inflammation. It is important to note that turmeric should not be consumed by pregnant or lactating women or those with gallstones or bile duct problems.


 

2. Ginger

This herb has long been used throughout asia, and especially india, to help treat pain and inflammation. Studies support this belief, showing that a majority of test subjects experience relief from pain and other inflammation-related symptoms after consuming ginger. You can simply incorporate more ginger into your diet, or opt for a ginger supplement, being sure to read the directions for proper dosage.


 

3. Licorice

No, this is not the red licorice you’re probably thinking of, but rather the herb in its purest form. This herb is not only an effective anti-inflammatory, but also an effective anti-depressant and anti-fungal herb. Licorice can easily be added to meat, vegetables, tea, or pastries. Studies support the anti-inflammatory properties of licorice; however, it should be noted that licorice should not be taken in excess.


 

4. Basil

Basil is probably one of the most popular herbs and easiest to add to your diet for treatment of inflammation. Basil works in the same way as ibuprofen and similar medications in that it inhibits a particular enzyme related to inflammation.


 

5. Rosemary

Rosemary is rich in flavonoids and a powerful tonic, making it especially useful for use as an anti-inflammatory. Studies suggest that consuming rosemary extract can help protect cellular membranes from inflammation. While it should not be used in excess by pregnant women or those with low iron, rosemary is a great-tasting herb that is easy to incorporate into your diet to help deal with inflammation.


 

6. Garlic

Garlic is great for your health for a variety of reasons, and fighting inflammation is just one of its many benefits. Garlic is so powerful it can help treat sinus infections, colds, and even hypertension. Working similarly to penicillin, garlic works by altering cytokines, which cause inflammation. You can easily incorporate garlic into your diet, or opt for odorless garlic capsules if you don’t like the smell.


 

7. Cayenne

If you can handle the flavor, cayenne pepper is excellent in treating inflammation. Its efficacy is in large part due to the high amounts of calcium, potassium, b complex and vitamin c, all of which assist in the reduction of inflammation. You may have heard of capsaicin before, which is the main active ingredient in cayenne; capsaicin has been shown to help reduce inflammation in the body.


 

8. Ceylon cinnamon

Not only is it delicious, but cinnamon is also an effective anti-inflammatory herb. Studies support that connection between cinnamon consumption and a reduction of inflammation. Avoid taking it in high amounts, but otherwise cinnamon has very few side effects. It is easy to add to your coffee, tea, oatmeal, cereal, pastries, and more.


 

9. Saw palmetto

Saw palmetto is an effective digestive aid and appetite stimulant, in addition to its abilities to boost the metabolism. Most importantly, saw palmetto is also effective in treating inflammation throughout the body, even utis and testicular inflammation. You can easily get saw palmetto (capsules, berries, extract) online or your local health food store.


 

Additional herbs that help treat inflammation on a smaller scale include ashwagandha, arnica, gotu kola, slippery elm, nutmeg and black pepper. Whether you experience chronic inflammation or are dealing with inflammation as a temporary reaction to a stimulant, the herbs mentioned above are extremely useful in reducing your inflammation and the pain, discomfort, and other side effects that come with it.

5 people found this helpful

Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

4 people found this helpful

Can't Sleep - 5 Tips to Help You Sleep Like a Log

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Can't Sleep - 5 Tips to Help You Sleep Like a Log

Lack of sleep can make you feel tired, worn-out and less productive the next day. However, it might not be your fault entirely because the brain tends to become active when the body is at rest, which could be a reason why you aren’t getting enough sleep at night.

Here are a few tips which might be useful for you to sleep at night:

  1. Keep your room dark: Even the faintest light from your mobile is enough to disrupt your sleep. Thus, try and switch off all your lights and gadgets before going to sleep. If doing that doesn’t help either, use an eye mask to keep the light out.

  2. Carefully select your dinner: Don’t go to bed hungry or overstuffed because either of them might cause discomfort while sleeping and lead to a disruption in your sleep. Also, limit your alcohol consumption at night to refrain from making numerous trips to the washroom. Avoid consuming nicotine and caffeine before going to bed as they take a long time to wear off and can cause havoc in your sleep routine.

  3. Don’t exercise before going to bed: Exercising daily is a necessity as it keeps your body healthy and in shape, but exercising right before going to bed can be disruptive as it might make you more pumped up due to the adrenaline rush. Thus, you should avoid exercising heavily right before going to bed.

  4. Plug out all your devices: Create a technology free zone by plugging out all your devices one hour prior to your usual sleep time. The blue light radiated from your devices can trick your brain into believing that it is daylight and cause a disruption in circadian rhythm (which is an ongoing 24-hour physiological process which is regulated by external factors such as sunlight and temperature).

  5. Consume snooze food: Certain food items can be classified as snooze foods as they ensure better sleep at night. Warm milk contains ‘tryptophan’ which is a precursor to melatonin (hormone that is responsible for the onset of sleep) and ensures better sleep or you could have a spoon of honey which releases ‘orexin’ (a chemical that affects wakefulness and appetite) that reduces alertness levels. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3465 people found this helpful

Top Rich Probiotic

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Top Rich Probiotic

Top rich probiotic foods and its benefits

Probiotics are live microorganisms, that when administered in adequate amounts, confer a health benefit on the host.

Through the years, many other definitions have been suggested, but this definition is most broadly accepted in the scientific community.

Why probiotics?
Scientists are learning more each day about the role of microbes in keeping people healthy and the multitude of health benefits associated with consuming the right type and levels of probiotic microbes.


Research has suggested that probiotic bacteria can:
Improve digestive functionreduce diarrhea associated with antibiotic therapyhelp reduce the risk of certain acute common infectious diseasesimprove tolerance to lactoseenhance immune functionreduce crying time in colicky babiessome studies also report that certain probiotics can play a role in reducing the development of allergy in children, decrease helicobacter pylori colonization of the stomach and manage relapse of some inflammatory bowel conditions.

Here are some top rich probiotic foods and its benefits:-

1. Yogurt

One of the best probiotic foods is live-cultured yogurt, especially handmade. Look for brands made from goat's milk that have been infused with extra forms of probiotics like lactobacillus or acidophilus. Goat's milk and cheese are particularly high in probiotics like thermophillus, bifudus, bulgaricus and acidophilus. Be sure to read the ingredients list, as not all yogurt is made equally. Many popular brands are filled with high fructose corn syrup, artificial sweeteners and artificial flavors and are way too close to being a nutritional equivalent of sugary, fatty ice cream.

2. Kefir

Similar to yogurt, this fermented dairy product is a unique combination of goat's milk and fermented kefir grains. High in lactobacilli and bifidus bacteria, kefir is also rich in antioxidants. Look for a good, organic version at your local health food shop.

3. Sauerkraut

Made from fermented cabbage (and sometimes other vegetables), sauerkraut is not only extremely rich in healthy live cultures, but might also help with reducing allergy symptoms. Sauerkraut is also rich in vitamins b, a, e and c.

4. Dark chocolate

Probiotics can be added to high-quality dark chocolate, up to four times the amount of probiotics as many forms of dairy. This is only one of the health benefits of chocolate.

5. Microalgae

This refers to super-food ocean-based plants such as spirulina, chorella, and blue-green algae. These probiotic foods have been shown to increase the amount of both lactobacillus and bifidobacteria in the digestive tract. They also offer the most amount of energetic return, per ounce, for the human system.

6. Miso soup

Miso is one the main-stays of traditional japanese medicine and is commonly used in macrobiotic cooking as a digestive regulator. Made from fermented rye, beans, rice or barley, adding a tablespoon of miso to some hot water makes an excellent, quick, probiotic-rich soup, full of lactobacilli and bifidus bacteria.

Beyond its important live cultures, miso is extremely nutrient-dense and believed to help neutralize the effects of environmental pollution, alkalinize the body and stop the effects of carcinogens in the system.

7. Pickles

Believe it or not, the common green pickle is an excellent food source of probiotics. Try making your own home-made pickles in the sun. Here's a great set of instructions for making your own probiotic-rich dill pickles.

8. Tempeh

A great substitute for meat or tofu, tempeh is a fermented, probiotic-rich grain made from soy beans. A great source of vitamin b12, this vegetarian food can be sauteed, baked or eaten crumbled on salads. If prepared correctly, tempeh is also very low in salt, which makes it an ideal choice for those on a low-sodium diet.

9. Kimchi

An asian form of pickled sauerkraut, kimchi is an extremely spicy and sour fermented cabbage, typically served alongside meals in korea. Besides beneficial bacteria, kimchi is also a great source of beta-carotene, calcium, iron and vitamins a, c, b1 and b2. Kimchi is one of the best probiotic foods you can add to your diet, assuming you can handle the spice, of course.

10. Kombucha tea

Kombucha is a form of fermented tea that contains a high amount of healthy gut bacteria. This probiotic drink has been used for centuries and is believed to help increase your energy, enhance your well being and maybe even help you lose weight. However, kombucha tea may not be the best fit for everyone, especially those that have had problems with candida.

Thanks for reading health article about top rich probiotic foods and its benefits, kindly share this with your near dear.

6 people found this helpful

Health Tip to Stay Healthy

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Health Tip to Stay Healthy

What are the different symptoms of heart attack, cardiac arrest and stroke?

Many people put cardiac arrest, heart attack and a stroke in the same category. But all these conditions differ in symptoms, severity and background. Making a difference between these three health issues is really important, in order to know how to help a patient and how to prevent any of the conditions becoming more severe. To learn and educate yourselves more, read the full explanation of these conditions below:

1. Heart attack

This represents a circulation disorder. In case a person's blood flow is blocked or oxygen deprived, the blood does not get to the heart muscle and if left untreated immediately, could kill the organ. It is important to know that the heart is still working, when someone suffers a heart attack.

2. Cardiac arrest

This condition is known as an electrical disorder. When someone's electrical activity in the heart is disrupted, tachycardia happens and the blood flow immediately stops moving thought the body. When this happens, the heart stops working altogether.

3. Stroke

This is also known as a brain disorder. Strokes are divided into three types:

Ischemic stroke- when the artery carrying blood and oxygen to the brain is blockedtransient ischemic attack (tia)  also familiar as a mini stroke; it occurs when there is a short artery blood flow to the brainhemorrhagic stroke- this represents a ruptured artery inside the brain

Heart attack symptoms:

Here are the most common symptoms that can indicate heart attacks:

(angina) burden inside the chest, mistaken for indigestion. It repeats every few minutes. body pain- especially in the neck, back, abdomen, jaw, arms (particularly the left one) wheezing and shallow breathingcold sweatingdizziness and fatigue episodesanxietycoughingnausea

Treatment for these symptoms is usually via medication and incorporating a healthy diet.


Cardiac arrest symptoms:

These symptoms often occur minutes before cardiac arrest happens. Here they are:

Weakness black out fainting shallow breaths chest pain excessive palpitation

In some cases the person can also identify the following symptoms:

Sudden collapse shortage of breath weak or no pulse little or no responsiveness

Cardiac arrests are dangerous, because the symptoms occur rapidly and are usually lethal.


Stroke symptoms:

Nausea blurred speech face, arm or leg numbness or paralysis (especially on one side) headaches and vomiting mental disorientation, forgetfulness of names and places, distraction and loss of concentration impaired vision and double vision excessive sweating walking issues and dizziness transient ischaemic attack (tia)

6 people found this helpful

One Touch

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
One Touch

One touch verio flex glucometer fits comfortably into your hand and lets you get on with the moment. You can also rest assured that one touch verio test strips have the lowest co-pay on the most health plans.


Colorsure technology instantly shows when your blood glucose results are low, in range high.


Compact, slim design that's easy to take with you accuracy you can rely on.


One touch verio flex glucometer works with one touch verio test strips

Technical specifications:-

Test time: 5 seconds power source: cr2032 coin cellbattery life: not specifiedmemory: 500automatic shutoff: 2 minutes after last action

Operating ranges:-

Temperature: 6-44 caltitude: up to 10, 000 feet. Up to 3048 metersrelative humidity: non-condensing 10-90%hematocrit: 20-60%

Individual unit weight: approximately 1.76 ounces.

Individual unit dimensions: 2.05 x 3.38 x 0.63

Contents of the box

 One touch verio flex one touch delica lancing device 10 one touch delica lancets carrying case one touch verio flex owner's booklet one touch verio flex getting started guide

Price - inr -1750/- (with 10 one touch verio test strips free)

https://goo.gl/ccqlfg

2 people found this helpful

Antioxidants

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Antioxidants

Pomegranate - the powerful antioxidant.


Pomegranate a sweet fruit that is rich in antioxidants, vitamins, minerals and fibres. This is what makes this fruit so healthy, so as it is also called as the powerful antioxidant.

" here are some amazing benefits of pomegranate"

Pomegranate protects your skin by aiding cell regeneration and tissue repair as well as by improving circulation, which in turn aids healing of wounds. Pomegranate protects your skin from damage caused by prolonged exposure to the sun. It is also known to help fight skin cancer. Pomegranate possesses properties that help prevent wrinkles, fine lines, age spots and hyper pigmentation. The elastin and collagen in the fruit help make your skin smooth yet firm. Yes, use pomegranate for skin problems. The molecular structure of pomegranate enables it to penetrate skin and provide moisture from deep within. Pomegranate is rich in vitamins and minerals which, in turn helps fight dandruff, strengthen hair follicles and promote hair growth. Owing to the high content of antioxidants, pomegranates can minimize the effects of free radicals and permanently eliminate them too. One of the biggest benefits of pomegranate juice is keeping your heart healthy. Pomegranate juice is a potent blood thinner thereby preventing the clogging of arteries. It actually fights various forms of cancer, right from prostate to breast cancer. Owing to the fact that it is rich in enzyme inhibitors, it controls cartilage damage as well as degeneration. From dysentery to constipation, pomegranate has properties that fight off these conditions. Pomegranate is rich in iron and helps regulate hemoglobin levels, thereby curing anemia. Rich in vitamin c, pomegranate helps soothe inflammations that are inherent to conditions like sore throats, asthma and wheezing. Pomegranate helps improve blood circulation and prevents clotting of blood. Pomegranate boosts energy levels and cleanses your body which aids weight loss.

Thanks for reading this article" pomegranate - the powerful antioxidant, if you like this"

6 people found this helpful

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

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Amazing Fact

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Amazing Fact

Human hair, - while they're not a living part of your body, most people spend a good amount of time caring for their hair. The next time you're heading in for a haircut, think of these facts.

1. Facial hair grows faster than any other hair on the body. If you've ever had a covering of stubble on your face as you're clocking out at 5 o'clock you're probably pretty familiar with this. In fact, if the average man never shaved his beard it would grow to over 30 feet during his lifetime, longer than a killer whale.

2. Every day the average person loses 60-100 strands of hair. Unless you're already bald, chances are good that you're shedding pretty heavily on a daily basis. Your hair loss will vary in accordance with the season, pregnancy, illness, diet and age.

3. Women's hair is about half the diameter of men's hair. While it might sound strange, it shouldn't come as too much of a surprise that men's hair should be coarser than that of women. Hair diameter also varies on average between races, making hair plugs on some men look especially obvious.

4. One human hair can support 3.5 ounces. That's about the weight of two full size candy bars, and with hundreds of thousands of hairs on the human head, makes the tale of rapunzel much more plausible.

5. There are as many hairs per square inch on your body as a chimpanzee. Humans are not quite the naked apes that we're made out to be. We have lots of hair, but on most of us it's not obvious as a majority of the hairs are too fine or light to be seen.

6. Blondes have more hair. They're said to have more fun, and they definitely have more hair. Hair color determines how dense the hair on your head is. The average human has 100, 000 hair follicles, each of which is capable of producing 20 individual hairs during a person's lifetime. Blondes average 146, 000 follicles while people with black hair tend to have about 110, 000 follicles. Those with brown hair fit the average with 100, 000 follicles and redheads have the least dense hair, with about 86, 000 follicles.

7. The lifespan of a human hair is 3 to 7 years on average. While you quite a few hairs each day, your hairs actually have a pretty long life providing they aren't subject to any trauma. Your hairs will likely get to see several different haircuts, styles, and even possibly decades before they fall out on their own.

8. You must lose over 50% of your scalp hairs before it is apparent to anyone. You lose hundreds of hairs a day but you'll have to lose a lot more before you or anyone else will notice. Half of the hairs on your pretty little head will have to disappear before your impending baldness will become obvious to all those around you.

9. Human hair is virtually indestructible. Aside from it's flammability, human hair decays at such a slow rate that it is practically non-dis-integrative. If you've ever wondered how your how clogs up your pipes so quick consider this: hair cannot be destroyed by cold, change of climate, water, or other natural forces and it is resistant to many kinds of acids and corrosive chemicals.

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I am suffering from fever and body pain and not have a wish to eat anything. Platelets count on 06-11-2016 was 1.05 lkh/cumn On 7-11-2016 was 1.09 lakh/cummn On 8-11-2016was 1.14lkh /cummn Today 1.18 lakh/cumn And USG of liver and kidneys are normal And X-RAY is also normal what's the problem I don't understand pls tell me what I do?

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
I am suffering from fever and body pain and not have a wish to eat anything.
Platelets count on 06-11-2016 was 1.05 l...
Do not warry it is weakness slowly slowly your platelet maintaine but I adv to you for strong health or after fever use my pack vigour and vatility only fifteen days use after you can see.
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Internal Organs

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Internal Organs

Though we may not give them much thought unless they're bothering us, our internal organs are what allow us to go on eating, breathing and walking around. Here are some things to consider the next time you hear your stomach growl.

The largest internal organ is the small intestine. Despite being called the smaller of the two intestines, your small intestine is actually four times as long as the average adult is tall. If it weren't looped back and forth upon itself it wouldn't fit inside the abdominal cavity.

The human heart creates enough pressure to squirt blood 30 feet. No wonder you can feel your heartbeat so easily. Pumping blood through your body quickly and efficiently takes quite a bit of pressure resulting in the strong contractions of the heart and the thick walls of the ventricles which push blood to the body.

The acid in your stomach is strong enough to dissolve razor blades. While you certainly shouldn't test the fortitude of your stomach by eating a razor blade or any other metal object for that matter, the acids that digest the food you eat aren't to be taken lightly. Hydrochloric acid, the type found in your stomach, is not only good at dissolving the pizza you had for dinner but can also eat through many types of metal.

The human body is estimated to have 60, 000 miles of blood vessels. To put that in perspective, the distance around the earth is about 25, 000 miles, making the distance your blood vessels could travel if laid end to end more than two times around the earth.

You get a new stomach lining every three to four days. The mucus-like cells lining the walls of the stomach would soon dissolve due to the strong digestive acids in your stomach if they weren't constantly replaced. Those with ulcers know how painful it can be when stomach acid takes its toll on the lining of your stomach.

The surface area of a human lung is equal to a tennis court. In order to more efficiently oxygenate the blood, the lungs are filled with thousands of branching bronchi and tiny, grape-like alveoli. These are filled with microscopic capillaries which oxygen and carbon dioxide. The large amount of surface area makes it easier for this exchange to take place, and makes sure you stay properly oxygenated at all times.

Women's hearts beat faster than men's. The main reason for this is simply that on average women tend to be smaller than men and have less mass to pump blood to. But women's and men's hearts can actually act quite differently, especially when experiencing trauma like a heart attack, and many treatments that work for men must be adjusted or changed entirely to work for women.

Scientists have counted over 500 different liver functions. You may not think much about your liver except after a long night of drinking, but the liver is one of the body's hardest working, largest and busiest organs. Some of the functions your liver performs are: production of bile, decomposition of red blood cells, plasma protein synthesis, and detoxification.

The aorta is nearly the diameter of a garden hose. The average adult heart is about the size of two fists, making the size of the aorta quite impressive. The artery needs to be so large as it is the main supplier of rich, oxygenated blood to the rest of the body.

Your left lung is smaller than your right lung to make room for your heart. For most people, if they were asked to draw a picture of what the lungs look like they would draw both looking roughly the same size. While the lungs are fairly similar in size, the human heart, though located fairly centrally, is tilted slightly to the left making it take up more room on that side of the body and crowding out that poor left lung.

You could remove a large part of your internal organs and survive. The human body may appear fragile but it's possible to survive even with the removal of the stomach, the spleen, 75 percent of the liver, 80 percent of the intestines, one kidney, one lung, and virtually every organ from the pelvic and groin area. You might not feel too great, but the missing organs wouldn't kill you.

The adrenal glands change size throughout life. The adrenal glands, lying right above the kidneys, are responsible for releasing stress hormones like cortisol and adrenaline. In the seventh month of a fetus development, the glands are roughly the same size as the kidneys. At birth, the glands have shrunk slightly and will continue to do so throughout life. In fact, by the time a person reaches old age, the glands are so small they can hardly be seen.

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Inflammatory Herbs

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Inflammatory Herbs

Inflammation in the body is characterized by swollen, red, painful, and even warm skin. Inflammation can occur as acute or chronic inflammation. Acute inflammation occurs immediately and only lasts temporarily. If the culprit is not identified and the issue resolved, the inflammation may become chronic (long-lasting). Psoriasis, rheumatoid arthritis, and ulcerative colitis are examples of chronic inflammation, being a result of hyperactivity of theimmune system.

Top rich natural anti inflammatory herbs that fight inflammation.

Inflammation, especially chronic inflammation, can be extremely painful and uncomfortable and will lead sufferers to seek a remedy immediately. Fortunately, there are some natural remedies found in herbs that help treat this inflammation.

1. Turmeric
There is a substance within the herb turmeric called curcurmin which is known to be effective in treating swelling and joint pain. According to some studies, the anti-inflammatory properties of turmeric are very similar to the capabilities of motrin and similar medicines that are taken to reduce inflammation. Furthermore, studies have shown that turmeric can reduce pain associated with inflammation. It is important to note that turmeric should not be consumed by pregnant or lactating women or those with gallstones or bile duct problems.

2. Ginger
This herb has long been used throughout asia, and especially india, to help treat pain and inflammation. Studies support this belief, showing that a majority of test subjects experience relief from pain and other inflammation-related symptoms after consuming ginger. You can simply incorporate more ginger into your diet, or opt for a ginger supplement, being sure to read the directions for proper dosage.

3. Licorice
No, this is not the red licorice you're probably thinking of, but rather the herb in its purest form. This herb is not only an effective anti-inflammatory, but also an effective anti-depressant and anti-fungal herb. Licorice can easily be added to meat, vegetables, tea, or pastries. Studies support the anti-inflammatory properties of licorice; however, it should be noted that licorice should not be taken in excess.

4. Basil
Basil is probably one of the most popular herbs and easiest to add to your diet for treatment of inflammation. Basil works in the same way as ibuprofen and similar medications in that it inhibits a particular enzyme related to inflammation.

5. Rosemary
Rosemary is rich in flavonoids and a powerful tonic, making it especially useful for use as an anti-inflammatory. Studies suggest that consuming rosemary extract can help protect cellular membranes from inflammation. While it should not be used in excess by pregnant women or those with low iron, rosemary is a great-tasting herb that is easy to incorporate into your diet to help deal with inflammation.

6. Garlic
Garlic is great for your health for a variety of reasons, and fighting inflammation is just one of its many benefits. Garlic is so powerful it can help treat sinus infections, colds, and even hypertension. Working similarly to penicillin, garlic works by altering cytokines, which cause inflammation. You can easily incorporate garlic into your diet, or opt for odorless garlic capsules if you don't like the smell.

7. Cayenne
If you can handle the flavor, cayenne pepper is excellent in treating inflammation. Its efficacy is in large part due to the high amounts of calcium, potassium, b complex and vitamin c, all of which assist in the reduction of inflammation. You may have heard of capsaicin before, which is the main active ingredient in cayenne; capsaicin has been shown to help reduce inflammation in the body.

8. Ceylon cinnamon
Not only is it delicious, but cinnamon is also an effective anti-inflammatory herb. Studies support that connection between cinnamon consumption and a reduction of inflammation. Avoid taking it in high amounts, but otherwise cinnamon has very few side effects. It is easy to add to your coffee, tea, oatmeal, cereal, pastries, and more.

9. Saw palmetto
Saw palmetto is an effective digestive aid and appetite stimulant, in addition to its abilities to boost the metabolism. Most importantly, saw palmetto is also effective in treating inflammation throughout the body, even utis and testicular inflammation. You can easily get saw palmetto (capsules, berries, extract) online or your local health food store.

Additional herbs that help treat inflammation on a smaller scale include ashwagandha, arnica, gotu kola, slippery elm, nutmeg, and black pepper. Whether you experience chronic inflammation or are dealing with inflammation as a temporary reaction to a stimulant, the herbs mentioned above are extremely useful in reducing your inflammation and the pain, discomfort, and other side effects that come with it.

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Watching TV and Using Laptop: How it Affects Your Health?

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Watching TV and Using Laptop: How it Affects Your Health?

With technology at your fingertips, it is hard to think of times when the existence of laptops and television sets was unimaginable. Technology is common enough to be taken for granted in present times. TV and laptops are especially in widespread use. The primary reason could be entertainment, an urge to connect to the larger world, or the need to kill time. Such dependability leads to severe health hazards. Read on to find out more:

Effects of TV and laptops on your health:

  1. Sleep deprivation: Long hours of exposure to artificial light can lead to sleep deprivation.
  2. It can also lead to serious vision problems: Watching TV or using laptops for long hours can make your eyes vulnerable to constant glare. You fail to realize, but changing lights of a computer screen or of a television set in a dark room can be extremely strenuous for your eyes to adjust. Constantly changing lights can lead to glaucoma. However, dry and itchy eyes, headaches and poor vision are the commonly noticed effects.
  3. It causes obesity in children and adults: Since all your work can be done on the internet, you tend to become lethargic. You are too lazy to go to the market or to the bank. Even if you are not watching you use the television for background music. Adults therefore do not make qualitative use of their free time. Children are addicted to playing games and browsing sites on the laptop. They hardly indulge in outdoor games. This leads to obesity in adults and children all the same.
  4. Propels your desire to eat fast food or packaged food: Binge eating is a very common practice while watching TV or using laptops. Chips, pizzas, burgers, ice- creams, cold drinks and absolutely anything junk devoid of nutritional value are more liked by us. Junk food not only leads to weight gain but is also detrimental to our digestive system.
  5. Can increase the risk of infertility in men: Laptops heat up when used for a long span of time. This heat can increase scrotum temperature which results in reduced sperm production, leading to infertility.   

As is said, nothing in excess is good for your health. It is therefore, best to make controlled use of TV and laptops to avoid its harmful effects.

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This is hania 30 years old, I catched cold badly since monday, I have throat pain, I used to amoxicillin 500 from yesterday but now I don't feeling better please help me.

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
This is hania 30 years old, I catched cold badly since monday, I have throat pain, I used to amoxicillin 500 from yes...
Yah imunitypower lo hone se bhi ho ta hai better aap jo medicine le rahi hai leti rahe uske saath aap vatility and vigour pack use kare es se aap ki yah pareshani khatam hogi aur aap ke bodies ko behtar suplimentry degi jis se aap nirogi rahe it is herbal prepation.
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I have low MCH MCV HCT AND LOW monocyte I have albumin traces in urine. What diet should I follow?

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
I have low MCH MCV HCT AND LOW monocyte I have albumin traces in urine.
What diet should I follow?
Use my pack vigour and vatiliy and with use tab zifi cv-200 mg twice a day only seven days response aap ke samne hoga thanks.
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Causes and Symptoms of Dandruff

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Causes and Symptoms of Dandruff

Dandruff is one of the most common chronic hair conditions. It is characterized by a white, flaky substance on the scalp. Dandruff is not a serious condition and neither is it contagious. However, people still want it gone so that their hair looks better. Here are the symptoms as well as the causes of dandruff.

Causes:

  1. Skin drying up: Dry skin is the most common cause of dandruff. The flakes from dry skin are usually less oily and smaller than with other forms of dandruff.
  2. Seborrhoeic dermatitis: Dandruff can also be caused by oily irritated skin. In this type of dandruff, red, greasy skin has flaky white or yellow scales covering it.
  3. Infrequent shampooing: This is also a very common cause of dandruff. This is because oil and skin cells accumulate, thus resulting in dandruff.
  4. Malassezia: Malassezia is a yeast like fungus. It is usually harmless and stays on the scalp of most adults. However, it is worth noting that sometimes the yeast may irritate the scalp and cause extra skin cells to grow. The skin cells then fall off and become flaky. 
  5. Contact dermatitis: Contact dermatitis is a sensitivity to health care products and when you use too much shampoo, hair styling products or other chemicals, such as paraphenylenediamine, the red, itchy, scaly scalp associated with dandruff is caused.
  6. Other skin conditions: There are many other skin conditions, which cause dandruff as well. These include eczema and psoriasis. Eczema is a chronic skin disease, which causes the skin to become inflamed. Psoriasis is another skin condition. It is characterized by thick scales forming resulting from rough, dry, dead skin cells which build up rapidly. 

These are just the causes of dandruff. Now you will see how to identify when you have dandruff by learning about the symptoms of dandruff.

Symptoms:

  1. The symptoms of dandruff are pretty easy to spot. All that happens is that you will see white, flaky, dead skin cells in your hair.
  2. It is sometimes accompanied by an itchy, scaly scalp. 
  3. There is also a type of dandruff called cradle cap, which occurs in newborns. Just like dandruff, it is not dangerous and goes away when the baby is 3 years old.
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Are You Tired All the Time, Key Facts

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Are You Tired All the Time, Key Facts

Tiredness isn't just a result of working too hard. Tiredness or fatigue can be described as a lack of energy, motivation and can be physical, mental or a combination of both. Tiredness is often a symptom of a much larger health issue such as Anemia, Diabetes, Thyroid disease or heart diseases. Some of the common causes of fatigue are:

  1. Lack of sleep: Fatigue is one of the first symptoms of sleep deprivation. A minimum of 7 to 8 hours of sleep is needed on daily basis to keep a person healthy. Quality of sleep also plays a major role here. Patients of sleep apnea also commonly show signs of fatigue. 
  2. Bad diet: A balanced diet helps you maintain your weight and keeps you energized. Eating a lot of junk food can make your blood sugar level fluctuate. When the sugar level drop below normal, the person is likely to feel tired and drained out. 
  3. Anemia: Anemia is a condition where the body suffers from a lack of iron. Without enough iron the red blood cells in blood cannot carry oxygen to all parts of the body. This makes the heart work faster to pump blood and can make you tire easily.
  4. Caffeine: Caffeine is said to wake the system up and boost energy levels. However, like sugar, caffeine make energy levels fluctuate. As the level of caffeine in the body reduces, the person will begin to feel tired. Not drinking enough water along with your coffee can worsen this situation. 
  5. Dehydration: Water is necessary not only to keep the body hydrated, but also to keep it energized. This is because the loss of fluid in the body can result in lowering the blood volume. This makes the heart work harder to pump oxygen to the brain and other parts of the body. 

Fatigue is often not diagnosed till very late. There are many reasons for this. Primary amongst these are:

  1. Age: We assume that we are feeling tired only because we are growing older. However, the cause of fatigue may have nothing to do with age.
  2. Gradual onset: We are often not aware of how tired we are until we reach a point where we are completely drained out. Fatigue has a very gradual onset and is rarely noticed in the early stages. 
  3. Misinterpretation: Complaints of feeling tired are often mistaken for lack of motivation and laziness. 

The easiest way to prevent fatigue is to maintain a regular waking and sleeping schedule and to eat a healthy diet. Also, try and be physically more active.

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I am 19 years old and I do masturbation once daily (sometimes twice a day. Is this harmful to health. What should I do.

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
I am 19 years old and I do masturbation once daily (sometimes twice a day. Is this harmful to health. What should I do.
Daily karna to harmful hai aap ho sake to avoid kare nahi to after married aap ko sexual problem jhelna parega.
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I have some sexual problems. erotic defecation and do not feel sexual feeling on every time. please suggest me seriously I am very sad.

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
I have some sexual problems. erotic defecation and do not feel sexual feeling on every time. please suggest me seriou...
Aap daily 10 patte tulsi ke garam pani mai dhulkar morning me use karo aur adv cbc, semen, and full urine and agar better response chahte hai to aap mera sexual pack use karo after response within fifteen days continue three months no need after any medicine and life time injoy your sexual life or call me.
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Im 34 year old boy. Unmarried. I do masturbation daily. And like men to men sex more than woman? What I do? I can not control 2 times I have done sex with my room parter.

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Im 34 year old boy. Unmarried. I do masturbation daily. And like men to men sex more than woman? What I do? I can not...
It is not good for your sexual life naturally women sex is better for every one not samlangig aap esko chodo nahi to shadi ka khayal chod do
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