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Dr. Nripen Das

MD

General Physician, Guwahati

Dr. Nripen Das MD General Physician, Guwahati
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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I have got dark coloured dry skin over my buttocks, near to anus and inside my thigh. The dry skin is almost round shaped and has got heavy itching tendency. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
I have got dark coloured dry skin over my buttocks, near to anus and inside my thigh. The dry skin is almost round sh...
Hi lybrate-user, white flacks on body and dandruff in scalp are starting symptoms of psoriasis. Psoriasis is genetic disorder triggered due to street and irregular life style. We are treating psoriasis using ayurvedic medicines. Psoriasis has three stages. First stage is when disease remain in skin and there are scaly patches. Second stage comes when there is pitting in nails and in last stage it enter the joints and there is pain in small joints. You should use 3 gms of haldi with milk and sit in sun for 15 minutes it helps. We are using external ayurvedic oil and ointment for application and internal blood purifying herbs which will solve your problem.
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Whenever I have sexual intercourse I didn't last more than 5 min what I have to do so that it can last morecthan 10 min.

C.S.C, D.C.H, M.B.B.S
General Physician,
Whenever I have sexual intercourse I didn't last more than 5 min what I have to do so that it can last morecthan 10 min.
Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation. Psychological causes Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as: • Situations in which you may have hurried to reach climax in order to avoid being discovered • Guilty feelings that increase your tendency to rush through sexual encounters Other factors that can play a role in causing premature ejaculation include: • Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues. • Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem. Biological causes A number of biological factors may contribute to premature ejaculation, including: • Abnormal hormone levels • Abnormal levels of brain chemicals called neurotransmitters • Abnormal reflex activity of the ejaculatory system • Certain thyroid problems • Inflammation and infection of the prostate or urethra • Inherited traits • Nerve damage from surgery or trauma (rare) Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you. In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique. Topical anaesthetics Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or procaine can cause an allergic reaction. Oral medications Many medications may delay orgasm. Although none of these drugs is specifically worthwhile as people believe, approved medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors You can ask me personally if you want these tablets with your full health details
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I am of 30years old. I have one sided head pain always. Tried many head pain pills and do not know what to do. Can you suggest me any solution.

BHMS
Homeopath, Faridabad
I am of 30years old. I have one sided head pain always. Tried many head pain pills and do not know what to do. Can yo...
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig-Aid tablet/ 1 tablet 3 times a day.
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How Laser Prostate Surgery Is Performed?

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
How Laser Prostate Surgery Is Performed?

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

I have pcod. My weight is increasing infact I have very limited diet. My periods are regular but they stays just for 2 days. Please tell me all the precautions I need to take with diet chart.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I have pcod. My weight is increasing infact I have very limited diet. My periods are regular but they stays just for ...
If you want detailed exhaustive information meet dietician who can give you chart as per your life style, liking etc. Generally less calories, but all vitamins, minerals, protein and eseential fatty acids must be part of diet. Excrcises and treatment from gynecologist for pcod.
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While having sex with partner, I have good excitement but after 4-5 minutes of erection I loose. I need to improve my erection capability so that I can satisfy my partner.

GAMS-AYURVEDA, MD-TCM
Sexologist, Faridabad
While having sex with partner, I have good excitement but after 4-5 minutes of erection I loose. I need to improve my...
Mr. lybrate-user ji good morning you are suffering from erectile dysfunction problem don't worry increase your penis size and libido you can take ayurveda medicine sheikh power kit for 9000 par month no side effects enjoy sexual life bigger and harder sex power and penis size increase in 2.3 inches this medicine available my advice do exercise 30 minutes daily Eat Healthy food and almond ssfron and fruits juice.
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I am 30 year male. My penis is bent downwards. Please suggest me with suitable guidance.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I am 30 year male. My penis is bent downwards. Please suggest me with suitable guidance.
See bend in penis is second most asked question by patient after ejaculation problem you should not worry until this band pose any problem in love making and during sex. If face so then you may thing its need to be corrected other wise no there is not need of it. Wish you good health. Try to keep your self fit and sound.
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I am 18 years old and usually have trouble breathing. When this happens I start yawning frequently, feel dizzy, start sweating and my whole body feels weak. I have maxillary sinusitis. Does the breathing problem occur because of this?

MBBS
General Physician, Chennai
maybe its a wheeze /nose block needs to be differentyiated try this steam inhalation daily tab allegra 120 twice a day tab salbutamol 2 thrice a day
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I am 19 years old and I want to do sex then what can I do. I am thinking of having sex with a call girl. So please suggest me what should I do to satisfy my sexual desired also I want to touch boobs and do sex with a girl.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 19 years old and I want to do sex then what can I do.
I am thinking of having sex with a call girl. So please su...
You are just 19 and I do not think that such thoughts should stuck in your mind-------Sex is interesting and wonderful, when done with the right person and at right age; but until then, it is necessary to keep our desires in check. In order to control your urge for sex, these are some of the things you can do:-- To curb your sexual desires, you have to do more to think less. Channel all those feelings into something that will keep your mind off sex and then, get busy. You can read books, go out with friends, watch movies, learn new things etc. Transfer your urges into something you have always wanted to do. At the end of the day, you would have successfully managed not to think about sex and you will also be satisfied at the things you did. If one of those hobbies trigger a sexual response in you and you are feeling aroused, do not masturbate. Think of non-sexual images or take a long walk.------------- Engage your body in exercise that will keep you busy and keep you from feeling frustrated from not having sex. You can jog in the morning, swim or hit the gym. You can also try yoga and other exercise that will help stimulate both mind and body.------------------- In order to control your sexual urge, you should enter into a relationship with no sex. If you wonder what you both will do without the sex, there are countless things couples can do to bond like going on a field trip together, taking up a joint hobby, learning new things together. Far from what most people think, you can have a very satisfying relationship without sex.---------- If you feel like you can’t control it all by yourself, you can talk to your doctor, pastor, parents, close relative or friends. Sometimes, having someone to talk to about how you feel helps better than trying to curb it all by yourself. Who knows, the person you want to meet may have had difficulty curbing his own desires too. What then is better than learning from someone’s experience. Don’t be shy or scared of being judged.-------- Get spiritual help that engages your mind in spiritual activities that are far from sex. Being around people pursuing the same goal as you, especially in chastity can also be a strong supportive measure. That way you have someone holding your hands all the way. Trying doing BRAMARI PRANAYAM for 10-15 minutes in morning for Mind control.
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Having chest pain and let arm pain since 5-days. This is on and off. Is it anything related to heart. I've BP and Thyroid.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Having chest pain and let arm pain since 5-days. This is on and off. Is it anything related to heart. I've BP and Thy...
Yes it could be related to heart ,specially if your thyroid is on a higher side , or you are taking medicines as thyroid hormones for a low thyroid. High BP is also one of the risks for heart attack/ chest pain. Keep thyroid and BP under control besides taking general care as advised by your treating doctor.
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Have any Homeopathy medicines which is cure HIV symptoms. Please give name of Homeopathy medicines with power.

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
Have any Homeopathy medicines which is cure HIV symptoms. Please give name of Homeopathy medicines with power.
No. There is no cure for HIV in any pathy. For better life and survival, come for personal consultation.
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Hii there. I am 21 year old. I think I have testicles related problem. That is my one testicle is in 8 shape. I do not know when it changed its shape. So sir/mam what should I do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hii there. I am 21 year old. I think I have testicles related problem. That is my one testicle is in 8 shape. I do no...
Testicles never change shape. If you feel there is a recent change or deformity in the round contour of testes visit a urosurgeon urgently, get examined and investigated. Guessing the probable reasons would be inappropriate.
3 people found this helpful
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Yoni se sex ke baad sperm bahar nikal jaye toh pregnant hone me problem hoti h ky aur jab bhi sex kare toh yoni se sperm nikalna normal baat h ya nahi please ans me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Yoni se sex ke baad sperm bahar nikal jaye toh pregnant hone me problem hoti h ky aur jab bhi sex kare toh yoni se sp...
Ji ha agar sperm bahar nikal jaye to number of sperms kam hone ke karan pregnancy me dikkat hoti he. Normally agar females turant khade ho jaye to kuch bahar ata he. Isi liye agar kisiko ye problem hoti he to during intercourse female ki back ke niche 1 se 2 takiye rakhna chahiye aur intercourse ke bad at least 30-45 minutes she should be in lying posture with knee drawn upwards.
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I am having a bad-breath. I drink about 5 liters of water a day but does not help. Can I please get your kind advice?

BDS
Dentist,
Have dental check up get cleaned your teeth and give me a feedback back so that I can help you more.
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She is not able to sleep last 4 days she is feeling depressed and if she is alone she feels feared and depressed. Suggest a treatment.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
She is not able to sleep last 4 days she is feeling depressed and if she is alone she feels feared and depressed. Sug...
The depression is causing all of these sleep problems. She must go and meet with a counselor immediately and if that person advises that she meets with a doctor she must do so and cooperate to her utmost. Please visit these professionals along with her parents. In the meantime please do the following sincerely because she could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest she does the opposite of what this depression makes her feel like doing (actually, not doing): she will need to fight this condition. She must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer herself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose herself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in her life: always be responsible, be respectful, and be functional. If she did these three, lots of things will go well in life. Please pray and have faith in God to alleviate her sufferings. Don’t wait for others to help. Use her own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, she needs to live in love and for love. Learn all about emotions and how to handle them and that will get her out of the depression rather easily and quickly. A counselor is there only to facilitate her, all the hard word must come from her, and her cooperation with that person is very critical for her success. Be positive every day and learn to be contented with what she has. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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I am having constipation from a long time and back pain also. I travel on daily basis as my institute is far away from my home. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having constipation from a long time and back pain also. I travel on daily basis as my institute is far away fro...
Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal, drink plenty of water.take digestive meal . Syp. Aristozyme 10 ml thrice a day. Take tab. Charcol at night. Syp . Livoluk 10 ml at night. tests for constipation.. stool c/s, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy) Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take.
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What are the cause of snoring. And how it can be cured. What is the treatment to stop snoring.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Take following remedies 1.triphala kadha 4 tsp before lunch and dinner 2.amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach.
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Hi, Please tell me the disadvantages of doing masturbation on mind and health. If it is done excessively for more than a .

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Hi, Please tell me the disadvantages of doing masturbation on mind and health. If it is done excessively for more tha...
Nothing is bad if not in excess and as habitual. So keep busy in healthy foods and habits and otherwise weakness sets in.
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Which kind of treatment is most effective and without side effect for sexual disorder? I am confused whether I should marry or not for this problem. please sugest the solution.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Which kind of treatment is most effective and without side effect for sexual disorder? I am confused whether I should...
Hello- There is nothing to worry and get anxious regarding your marriage in future. According to a survey, 4 out of 5 Indian men suffer from some sort of sexual weakness (probably due to miss conducts like porn/over masturbation). With correct diagnosis and treatment you can recover from almost every kind of sexual illness in fairly quick time. I recommend you to start safe and effective ayurvedic treatment to gain genital strength and health. Don't live in misery and be confident.
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Hi. That question is related to sexual. Can a boy drink own sperm. What is the effect if he drink his own sperm.

PDDM, MHA, MBBS
General Physician, Nashik
Hi. That question is related to sexual. Can a boy drink own sperm. What is the effect if he drink his own sperm.
Your sperm gets broken down and gets absorbed into your bloodstream. It's just like drinking water or milk. If you don't have any STDs, it is perfectly safe to ingest your own semen.
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