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Dr. G Satyanarayana

General Physician, Hyderabad

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Dr. G Satyanarayana General Physician, Hyderabad
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. G Satyanarayana
Dr. G Satyanarayana is a renowned General Physician in Banjara Hills, Hyderabad. You can meet Dr. G Satyanarayana personally at RC Maheshwari Clinic in Banjara Hills, Hyderabad. Book an appointment online with Dr. G Satyanarayana on Lybrate.com.

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RC Maheshwari Clinic

8-2-310/R/7&8, Raghavendra Co-Operative Society, Road-14, Near BSNL Office, Banjara Hills , HyderabadHyderabad Get Directions
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When I had my first sex I was unable to insert my pennis inside her vagina either it was slipping or I was unable to insert it. please tell me some trick or position so I could do it easily. Nd her vagina is soo tight. What to do.

Sexologist, Mumbai
When I had my first sex I was unable to insert my pennis inside her vagina either it was slipping or I was unable to ...
Have more of foreplay till she is lubricated gud. If her vaginal muscles r 2 tight, try inserting your finger gently. Gradually, it ll b possible to insert.
1 person found this helpful
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All You Need to Know About Premature Ejaculation Part - 4

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation Part - 4

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult a doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency by helping in increasing the sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation.  Take care, and stay healthy! If you wish to discuss about any specific problem, you can consult a sexologist.

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First I was suffering from a fungal infection for last one year then I took meds for one month as recommended by the doctor, it resulted good the infection is gone. But I'm having too much of pimples can you tell how to get rid of these pimples.

MBBS, MD - Dermatology
Dermatologist, Delhi
First I was suffering from a fungal infection for last one year then I took meds for one month as recommended by the ...
zinderm bpo gel alt night full face peanut size amount for few months and then once a week even if no pimples
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I lost somebody close last week and I am feeling depressed so suggest me anything by which my mind and heart both feel relaxed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I lost somebody close last week and I am feeling depressed so suggest me anything by which my mind and heart both fee...
It is not uncommon to feel depressed after a loved one, especially a mother's, death. Although heartbreaking I must, as a psychiatrist, say that a week has passed and it seems like you have not moved on. It is very hard to get over the fact that your mother is not with you physically. However, lingering over the fact and becoming depressed is something that needs to be addressed at this point - since it has been 1 week since the incident happened. I hope you book an appointment with me as soon as possible. You can text, call or book an appointment to talk over the webcam if you wish. I hope this helps. Take care and have a lovely day!
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I have frequent urination that is within 1 to two minutes and sometime even after 30 seconds. Even after urination I feel like my bladder is still full and haven't peed. What should I do?

MBBS, cc USG
General Physician, Gurgaon
I have frequent urination that is within 1 to two minutes and sometime even after 30 seconds. Even after urination I ...
Frequent urination/Fever with chills/burning or pain while urination suggest Urinary tract infection we have to investigate to confirm infection in urine so kindly get Urine R/M done and consult again with reports and follow advises given below: 1.drink lot of water 2. maintain hygiene 3.Avoid synthetic undergarment and prefer cotton consult physician/me for further management as we need to start antibiotic after personal consultation
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I am 25 years old male and I have been suffering from allergy for many days. What I should do now?

DHMS (Hons.)
Homeopath, Patna
I am 25 years old male and I have been suffering from allergy for many days. What I should do now?
Hello * avoid, cold exposure, intake, junk food, dust, smoke all d time. *take luke warm water * go for gurgling with luke warm saline, water. Homoeo-care* @ bacillinum 200-3 drops, wkly. @ lemna minor30-4 drops. Thrice dly report after 15 days.
9 people found this helpful
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If I have eating egg my stomach is pain I have face for last 1 year so please what can I do.

MBBS, cc USG
General Physician, Gurgaon
If I have eating egg my stomach is pain I have face for last 1 year so please what can I do.
Some people have allergy to egg protein and when they eat egg they face problem of Stomach pain/ loose motion/ vomiting So you are having this problem because to Egg allergy so better to avoid taking egg and egg products
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How is that my blood sugar count comes down after I stand on a Vibrating Plate manufactured by JSB for 10 minutes only?

MD Pediatrics
Pediatrician, Faridabad
How is that my blood sugar count comes down after I stand on a Vibrating Plate manufactured by JSB for 10 minutes only?
These machine make your body vibrate and causes tour muscles to contract which lead to utilisation of sugar. It it works for you, you can continue to use it.
1 person found this helpful
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I have a curved penis. Is there any chane of making it straight. Mainly, I want to know can I satisfy a girl with such a penis, do I have any pain while having sex.

BAMS, MD Ayurveda
Sexologist, Lonavala
I have a curved penis.
Is there any chane of making it straight.
Mainly, I want to know can I satisfy a girl with suc...
The best remedy i can recommend you is as follows Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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I have to do sex for the first time with my partner using condom will it be safe for her will she not become pregnant.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Use a good brand condom and do not stroke after the ejaculation, in this way you can prevent pregnancy successfully during sex.
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I am a 17 years boy. I am suffering from headache and head turn frequently i. E. Once during two days. This problem happen from last two month. I am taking the medicine from medicine-store, but it helps me only for short time. So, please help me for what I will do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am a 17 years boy. I am suffering from headache and head turn frequently i. E. Once during two days. This problem h...
Homoeopathic medicine r-16 drops (dr reckeweg) drink 10 drops in 20 ml fresh water 3 times daily. Cedron 30 (dr. Reckeweg) drink 1 drop direct on tongue twice daily daily 30 min bramari prnayam early morning.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
The problem can be treated by homeopathy and without adverse effects. Take homoeopathic medicine nux vomica 200 twice daily in the morning and evening.
2 people found this helpful
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My heartbeat very fast when I am little bit frightened, is it a symptom of blood pressure?

BHMS
Homeopath, Pune
My heartbeat very fast when I am little bit frightened, is it a symptom of blood pressure?
No. This is not a symptom of blood pressure. Whenever we are emotionally high. Our heartbeat increases which is very normal.
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I have allergy in eyes. My eyes always remain red and lot of irritation is there in my eyes and headache also. So kindly give me suggestions.

MBBS
General Physician, Mumbai
I have allergy in eyes. My eyes always remain red and lot of irritation is there in my eyes and headache also. So kin...
Few tips for your allergy- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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I am having weak digestive system and I want to improve it to enjoy fast food. Please help me to improve it.

MBBS
General Physician, Mumbai
I am having weak digestive system and I want to improve it to enjoy fast food. Please help me to improve it.
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water and take tablet metrogyl 400 mg 1-1-1 for five days.
1 person found this helpful
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I'm 33 years old. My height is 182 &waight is 98. I am bp patient from last 2 years. Can I have possibility of diabetes?

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
Hi Yes you can have its better you check your lifestyle and diet reduce your weight eat less drink lots of water you can use honey and Dal chini daily acupressure will give you best result Dr. Vasundhara
3 people found this helpful
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Hello. I am deeksha .i need some suggestions for my mother .she is suffering from diabetes, she also have stone.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello. I am deeksha .i need some suggestions for my mother .she is suffering from diabetes, she also have stone.
lybrate-user, To give any suggestions I need necessary details about present condition, like fasting, PP glucose levels, HbA1c%, dietary pattern, extent of exercise being done daily, weight and height. Plus present treatment with dosage. Only on getting the details I will be able to guide. Thanks.
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Resp, Sir /mam I am 25 years old. I have increased greying of hair and hair loss From past 3 years I have men masturbating when I am away from my wife. If with her indulging sexual intercourse with my partner almost twice a day. Is it bcz of masturbation I do? Please give me solution to stop my greying of hair and hairloss. I tried to stop sexual act but my partner loves to have daily. Please revert me back with solution asap sir. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Resp, Sir /mam
I am 25 years old. I have increased greying of hair and hair loss From past 3 years I have men masturb...
Your sexual act with your partner cannot be reason for your gray hair. Relax and enjoy.*hair fall, dandruff and tendency for gray hair are dependent on several factors. We have good treatment in homoeopathy without causing adverse effects. These medicines are given internally, promote healthy growth of hair and prevent hair fall. Take homoeopathic medicine acid phos 30 twice daily and give feedback after 10 days.
8 people found this helpful
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I have sexual problem. I'm getting less sperm count. What should I do for large sperm count. Please help me.

MBBS
General Physician, Cuttack
I have sexual problem. I'm getting less sperm count. What should I do for large sperm count. Please help me.
1. Go for regular exercise like brisk walking for 30 minutes daily, 2. Reduce weight if you are over weight 3. Take adequate rest and have 7-8 hours of sound sleep in the night 4. Avoid stress 5. Avoid dietary sugar like bread, pasta, use healthy fats like olive oil 6. Take zinc containing food like milk, meat, fish, cheese, beans, yogurt etc 7. Take vitamin d supplement (1000-2000mg daily). 8. Take plenty of green leafy vegetables, cauliflower, spinach, bean, mushroom, onion, garlic, fruits, diet rich in mono unsaturated fat& eomega 3 fatty acid (walnut, almond, flax seed/flax seed oil, soybean/soy milk/ oil), egg, fish, fish oil, sardines, salmon, dark chocolate, carrots, oats, blue berries/ banana/pomegranate/cereals, 9. Drink plenty of water, pomegranate juice, green tea 2-3 cups /day without sugar/ milk (contains anti oxidant like flavonoid and helps in improving sperm quality, but in high doses may affect sperm quality) 10. Avoid smoking, alcohol consumption 11. Take one capsule of zevit daily, 12. If required you have to take injection testosterone after checking blood testosterone level and consulting doctor.
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Sciatica - When Do You Have To Go For Surgery?

MCh - Neurosurgery, MS-General Surgery, MBBS
Neurosurgeon, Delhi
Sciatica - When Do You Have To Go For Surgery?

Sciatica pain can be mild to intense. Many with lumbar herniated disc and sciatica often wonder whether or not they require a surgery. Needless to say, it is never an easy decision. But the good news is that micro discectomy surgery has a higher rate of success when it comes to relieving sciatica pain. When compared to many other options, this one is relatively minimally invasive. It doesn’t alter the structure of the spine permanently since it works by removing a small portion of the disc, which has herniated or extruded out of the disc.

When your sciatica pain stems from lumbar disc herniation, a small open surgery with the help of magnification is the prevalently opted surgical approach. On the other hand, a laminectomy is done when the bone or disc pinching the nerve root is required to be removed.

When should you consider undergoing surgery for sciatica?
Typically, neurosurgeons recommend considering surgery for sciatica in a host of situations which include the following:

  1. Severe pain in the leg lingering for more than six weeks, which mainly affects one side of the leg or buttock
  2. Intense pain in the low back and buttock, which continues through the course of the sciatic nerve andextends to the lower leg and even foot. This pain can be described as sharp and searing rather than a dull thud.
  3. When pain has not alleviated even after non-surgical treatments that may include non-steroidal anti-inflammatory drugs (NSAIDs),oral steroids, injections, manual manipulations, and physical therapy
  4. When the patient is not able to take part in the day to day activities due to intense lower back pain and the symptoms tend to become severe during movements like sneeze and cough.
  5. When the symptoms are continuing to worsen, thereby indicating nerve damage, particularly when the progressive signs have their root in neurological issues
  6. It is important to note here that surgical intervention may only be needed when the patient experiences progressive weakness in the lower portion of the body or sudden loss of bladder or bowel movement, which may stem from cauda equina syndrome. Two surgeries, namely lumbar laminectomy and microdiscectomy are performed on the basis of the cause as well as the duration of the sciatica pain.
  7. In some cases, the symptoms are unique on the basis of the underlying causes of sciatica. For instance, trying to bend the body backward or walking a longer distance than normal may trigger unbearable symptoms. On the other hand, when the affected individual tries to bend the body forward, it can lead to symptoms stemming from the lumbar herniated disc.
  8. In case sciatica occurs after an accident, injury or trauma, or if it happens in tandem with other symptoms, then it requires an immediate medical attention.

Thus, choosing to go for a surgery depends on several factors that only your doctor can assess and decide upon.

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