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Dr. K. Ramchandram

General Physician, Hyderabad

Dr. K. Ramchandram General Physician, Hyderabad
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. K. Ramchandram
Dr. K. Ramchandram is one of the best General Physicians in Kukatpally, Hyderabad. You can meet Dr. K. Ramchandram personally at Hyder Nagar Clinic in Kukatpally, Hyderabad. Save your time and book an appointment online with Dr. K. Ramchandram on Lybrate.com.

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No. 1-76 , Hyder Nagar , Near Hyder Nagar Masjid, Kukatpally, HyderabadHyderabad Get Directions
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What is the reason for getting urine infection once again even after antibiotic course within a week.

MBBS
General Physician, Cuttack
What is the reason for getting urine infection once again even after antibiotic course within a week.
It is quite common in ladies. Take plenty of water. Do urine R/M,culture and sensitivity test and take antibiotic as per culture sensitivity report. Consult doctor
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What does the hbsag ultra test done for? My wife value is 20.6% it got reduced from 25.61% does that mean that she is recovering? Please answer I am in a lot of stress regarding her illness.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
What does the hbsag ultra test done for? My wife value is 20.6% it got reduced from 25.61% does that mean that she is...
Dear lybrate-user, hbsag is the surface antigen for hepatitis b virus. Let me be very clear on this hepatitis b is a type of virus which affects the liver. In many cases it gets cured on its own but still the hbsag remains in the blood stream, you can check other antigens like hbcag etc or do a pcr for hepatis b virus which will let you know the actual concentration of the virus in the system. Having said so many patients remain asymptomatic post hepatitis b acute infection, the surface antigen in the blood keeps them as carrier. Please report what other symptoms your wife is having, especially does she have jaundice i. E. Yellow coloration of eyes, skin etc or any other symptom. Also share the other blood reports. Do not worry, every thing will be fine.
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MD
Sexologist, Srinagar
Sildenafil and Melanoma Risk
Sildenafil may be associated with increased melanoma risk, according a recent study published in JAMA Internal Medicine.
However, a cause and effect relationship has not been found and there is not enough evidence to warrant treatment changes.
Sildenafil is a phosphodiesterase (PDE) 5A inhibitor that is frequently prescribed to men with erectile dysfunction. It is the active ingredient in Viagra.
Previous lab research conducted in vitro has shown that PDE5A inhibition could spur the development of melanoma cells and melanoma cell invasion.
For this study, the research team, led by Dr. Wen-Qing Li of Brigham and Women’s Hospital (Boston, USA) and Harvard Medical School, looked at data from the Health Professionals’ Follow-Up study, which started in 1986. This biennial health survey included men between the ages of 40 and 75.
Specifically, the researchers analyzed data from 25,848 men recorded between 2000 and 2010. The men’s mean age was 64.8 years. Recent sildenafil use (during the previous three months) was reported by 5.3% of the men; 6.3% had used it at some point in the past.
Over this period, 142 cases of melanoma, 580 cases of squamous cell carcinoma, and 3,030 cases of basal cell carcinoma (all types of skin cancer) were reported.
The researchers found that men who took sildenafil – either recently or ever – were at higher risk of developing invasive melanoma. They were not at higher risk of developing the other types of skin cancer, however.
Media reports have suggested that the risk of skin cancer increases by 84% for men who take sildenafil. As Daniel Pendick explained in a recent Harvard Health Blog post, this statistic is misleading, as it refers to the relative risk, comparing two specific groups - the study’s participants who did not take sildenafil and the participants who did.
The absolute risk, Pendick notes, is 0.43%, meaning that the number of cases per 1,000 men increased from 4.3 among the men who didn’t take sildenafil to 8.6 among the men who did.
Other erectile dysfunction drugs, such as tadalafil (Cialis) and vardenafil (Levitra) were not included in the study, as they had not been approved when the research began.
The authors noted that future studies might examine different populations, different dosing regimens, longer follow-up periods, and latency of exposure.
“Our results should be interpreted cautiously and are insufficient to alter current clinical recommendations,” they wrote. “Nevertheless, our data provide epidemiological evidence on possible skin adverse effects of PDE5A inhibitors and support continued investigation of this relationship.”
In a JAMA Internal Medicine Invited Commentary, Dr. June K. Robinson recommended that physicians screen men for melanoma when writing prescriptions for sildenafil. Older men with a history of serious sunburns are among the most vulnerable.
Additional training on melanomas might be required for some physicians, but the end result could be quite beneficial, Robinson explained. For example, after eight hours of training in Germany, a group of primary care physicians screened men for melanoma and decreased mortality from 1.9/100,000 men before screening to 1.0/100,000 men after screening.
“Early detection, which may make melanoma a curable disease, may be achieved by physicians performing screening in the at-risk population for melanoma,” Robinson wrote.
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Doctor I am 17+ years old suffering from pimples problem, rashes, dark spot on my face, I also have stomach problem, and digestion problem please advice me. Glad to you doctor.

BHMS
Homeopath, Solan
Doctor I am  17+ years  old 
suffering from pimples problem, rashes, dark spot on my face, I also have stomach proble...
Take nux vom 1m 3 doses, hepar sulph 200, been aquafollium 200 / bd and lords aquiplus homeopathic remedy. And revert back after 7 days.
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sometime I have chest pain and pain in fingers not feeling well felling unconfort I have consult to general physician my ecg is normal my rcb fbs thyroid profile and kidney related report is normal. My bp is 160 and my weight is 85 I am over weight doctor has give me a b12 and folic acid tablet and vitamin d3 tablet For one month I have complete one week course but still I have pain in chest pl help.

MD - Ayurveda, Fellowship in Cardiac Rehabilitation, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yoga Instructors Certificate
Ayurveda, Bangalore
sometime I have chest pain and pain in fingers not feeling well felling unconfort I have consult to general physician...
Hi. Probably your digestion metabolism is impaired. Use this boiled water. To 1 liter of water add 1/4 tsp jeera and 4 -5 ajwain and boil it. Use it to drink warm. Maintain a clear motion (bowel habits). Most of your problems will reduce.
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I am suffering from acidity since last 4month due to this I am felling pain below my chest.

MBBS, cc USG
General Physician, Gurgaon
I am suffering from acidity since last 4month due to this I am felling pain below my chest.
I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee, Avoid food from outside, junk, fried, spicy fatty food 6. Do Not postpone Breakfast 7. Avoid excess citrus fruit 8. Avoid smoking and Alcohol 9. Regular Physical activities 10. Meditation Consult me for further Management
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Respected Dr. I want to use vitamin b12, with d and e, I am 67 years old male. Which medicine you suggest, please advice, thanks

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
Respected Dr. I want to use vitamin b12, with d and e, I am 67 years old male. Which medicine you suggest, please adv...
U can take lot of vegetables n fruits. Which r the best sources of vitamins n minerals. If it is necessary to obtain it from medicines kindly visit your physician for further details n dosage prescription. Thank q.
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I am 43 now. Inability to concentrate property. I am sex starved. I masturbate once a day to fulfill my sexual desires. I am a businessman. I start fearing on grave matters of public dealing. It is damaging my public image. Advice me in the earliest?

PDDM, MHA, MBBS
General Physician, Nashik
I am 43 now. Inability to concentrate property. I am sex starved. I masturbate once a day to fulfill my sexual desire...
This is a common occurrence and can be very disruptive to your life. To help with these intrusive ideas I would recommend that you possibly see a counselor to help. If you have not have prior success with therapists then I would recommend that you try reading a book called the anxiety handbook. Just giving your self some tools to help with the anxiety may help reduce your distorted thoughts. When you get the handbook really focus on the assignments and really do them.
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Have a habit of masturbation which has increased a lot in recent times, I do 6-7 times on weekends. Recently got a chance to have with a girl. But as it was my first time. Was not able to hold on for much time. I tried 3 times in one n half hour but released before actual penetration. Could you pls suggest me some ways to improve my performance n ways to stop masturbation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Have a habit of masturbation which has increased a lot in recent times, I do 6-7 times on weekends. Recently got a ch...
First timers are often stressed, particularly in illicit sex. De stress yourself by pranayam, meditation, cold water drink before sex and be at ease. You may improve on your own. Still some herculean act needed, do not take more than'stambhan' herbs. You r young'vrushya med are not needed much. However, pl control your masturbation too to conserve shukra dhatu.
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He is Suffering from Jaundice. He took many drinks yesterday. Would it affect in a severe manner. He is not a chain- drunker.

BAMS
Ayurveda, Bangalore
Hi, Liver enlargement and altered liver functioning is seen in jaundiced patient.Added to it, alcohol consumption damages the liver all the more. Hence it is advisable not to take drinks for 3 months after being affected with jaundice.
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I am 20 years old male. I occasionally drink and smoke since past 3 years. I used to have an active sex life. Also I used to masturbate daily. From a week I cannot get hard erections as I used to. So I tried watching porn to check whether I can get erections and got partially hard. Now I am worried. I quitted smoking a month back. Please guide me.

M.Sc - Honours in Counselling Psychology, Bachelors in Psychology
Psychologist, Bangalore
I am 20 years old male. I occasionally drink and smoke since past 3 years. I used to have an active sex life. Also I ...
Hello lybrate-user, there are many reason due to which you may be sexually inactive for sometime. It may be because of low energy level, or some illness, or may be some tensions etc. Give time for yourself, at least a week or so and work on any stress or anxiety that you are facing, diet, sleep, exercise, smoking habits to be revived. Inspite of all this if you are facing the same difficulty consult a expert or do contact us.
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Asthma or Allergies - Know The Causes Behind It!

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Asthma or Allergies - Know The Causes Behind It!

It is an episodic chronic respiratory disorder in which there is airflow obstruction causing difficulty in breathing. It is a very common disorder affecting children more than adults For some, the condition is mild with infrequent episodes & for others it is a serious medical emergency-An episode may pass away quickly and may be short lasting or at times lasts longer & requires immediate medical help.

Causes behind it

Hereditary & familial tendency or history of allergy, which may be skin allergy also predisposes to asthma in the offsprings. Allergy mostly inhaled is the most common cause of asthma.

Allergens can be: 

  1. Environment - smoke, dust & pollution and petrol fumes. 
  2. Pollen and molds from grass, flowers and trees. 
  3. Strong perfumes 
  4. Paints & varnishes 
  5. Tobacco smoke 
  6. House dust mite 
  7. Chemical fumes 
  8. Food, which can cause allergy are: 
    • Sour food 
    • Citrus fruits 
    • Cold food & drinks 
    • Artificially colored & flavored foods 
    • Fish 
    • Beer, wine 
    • Vinegar 
    • Grapes 
  9. Canned vegetables
  10. Infection of the lung, which can be bacterial, viral predisposes to asthma. 
  11. Emotional stress is a known trigger factor for an asthmatic attack.
  12. Over strenuous exercise and inhalation of cold air and climatic changes are also trigger factors.

Symptoms 

  1. Initially there is a feeling of restlessness with a painless, tightness in the chest. 
  2. There may be cough, sometimes with phlegm and a wheezing or whistling sound when breathing. 
  3. Mild to moderate shortness of breath and shortness and rapid breathing follow with a feeling of anxiety, sweating & inability to lie down on the back.
  4. Usually the sufferer finds comfort in sitting bent forwards and near the windows.

Dietary management

  1. For infants born in vegetarian family, vegetarian food is preferred. 
  2. Avoid food and drinks known to cause allergy - cow milk, vinegar, lemon juice, grapes, instant tea, corn syrup, fruit toppings, cold food and drinks, canned food, food additives, beer and wine. 
  3. Eat balanced nutritious diet. 
  4. Eat fresh unprocessed food. 
  5. Consume Bitter gourd (Karela) cooked or juice, it strengthens the immunity. 
  6. Every morning, drink boiled mixture of – ½ cup water, little ginger, 2-3 leaves of sweet basil (tulsi) and mint leaves, or you can eat the raw leaves, this will boost up you immunity.
  7. Boil a mixture of Bishops weed (Ajwain), tea leaves and water and inhale the steam, helps to decongest.
  8. Consume garlic and onions, will be beneficial, but avoid them if you are on homeopathic medicine.
  9. Consume lots of Vitamin B complex. 
  10. Liver, kidney, pancreas, yeast (Brewer's yeast), lean meat especially pork, fish, dairy products, poultry, egg, shrimps, crabs and lobsters,. 
    • Milk and milk products, green leafy vegetables, legumes, nuts, whole grain cereals. 
    • Carrots, bananas, avocado, raspberries, artichoke, cauliflower, soy flour, barley, cereals, pasta, whole grains, wheat barn like rice and wheat germ, dried beans, peas and soybeans.
    • Increase intake of magnesium in your diet. 
    • Sea food, nuts, green leafy vegetables. 
    • Peas, lotus stem, pulses, whole grains, fruits.

Do's & Don'ts

  1. Try to recognize the trigger factors that bring on your attack, so that you can avoid them In families with history of allergy (asthma, eczema), avoid artificial milk, eggs, cocoa, juices & wheat preparations till completion of 6 months. In such circumstances you can only breast feed till 6 months.
  2. Do breastfeed your baby for the first 6 months to strengthen the immune system and avoid contact with allergens such as in cow's milk .
  3. Avoid foods & drinks that are known to cause a problem such as vinegar, lemon juice, grapes, instant tea, corn syrup, fruit toppings, cold food & drink, canned vegetables, beer and wine Avoid smoke, pollution, dust as far as possible.
  4. There are three steps to be taken when dealing with an allergy.
    1. Firstly, identify the cause or allergen
    2. Secondly, avoid it.
    3. Thirdly, if avoidance is impossible, treat the symptoms.
  5. Keep a diary and try to trace a pattern or relation between your allergic reaction and the allergen. E.g. Sneezing while doing housework could mean you are allergic to house dust.
  6. Take steps to deal with stress, anxiety and tension as these can influence the frequency and severity of symptoms
  7. Good nutrition, balanced diet, adequate rest and relaxation will be beneficial. 
  8. Yoga can help you by breathing exercises. Breathing exercise will help better utilization of available lung space.

Homoeopathy at your rescue

Homoeopathy helps to get rid of inhalers & nebulisation quickly & permanently. Homeopathy not only deals with disease it deals with patient as a whole.

Note

  1. Avoid smoke, pollution, and dust as far as possible. 
  2. Try to reduce stress, anxiety and tension, practice yoga will help to relax and relive stress.
  3. Yoga will also help by breathing exercise. Breathing exercise will help better utilization of available lung space. If you wish to discuss about any specific problem, you can consult a homeopath.
3218 people found this helpful

Iam 38 years female I have body pains it's not decrease and also neck pain what should I do.

BDS, MSD, Fellowship in Orofacial Pain and Temporomandibular Disorders
Dentist, Bangalore
Generalised body pain and neck pain could be due to problems with muscles, or arthritis, fibromyalgia, thyroid problems and due to defeciencies like vit d and b12. Incorporate a balanced diet along with exposure to sunlight in early morning and mild exercises like walking or aerobics. Maintaing proper posture is also essential. If it persists visit a physician who may order blood tests to rule out certain conditions.
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How to reduce heart problem of beating when it increases and how to get rid of it?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
How to reduce heart problem of beating when it increases and how to get rid of it?
Deep breathe, meditate, divert your mind from fast heart beating & no medicines, if not relieved get back here, you may need a mild dose.
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Sir I am suffering from skin rashs last 5 years and i went to 4 skin specialists but no use please tell suggestion sir.

Fellowship in dermatosurgery, MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Mumbai
A detailed history and clinical examination is a must for accurate diagnosis. Sometimes a skin biopsy plays an important role in confirmation of the diagnosis.
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My husband is too crazy about sex ,he wants to do it daily , and he has a lot of sexual stamina ,many times its harder for me to support such a sexual desirable person ,whenever I denied for it he won't allow me and had daily long sex with me . How I convince him .

MD - General Medicine
Sexologist, Nashik
My husband is too crazy about sex ,he wants to do it daily , and he has a lot of sexual stamina ,many times its harde...
You try to him more stimulation so he will come faster do not just lye on back. Become more active, if female becomes aggressive male ejacultes fast, will ease you both.
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I am having a throat Pain for 5 days. It's feeling that something is pricking inside thwe throat while coughing. Can you please help me what should I do next?

BHMS
Homeopath, Faridabad
I am having a throat Pain for 5 days. It's feeling that something is pricking inside thwe throat while coughing. Can ...
Hello, Take hepar sulph 30, 3 drops , twice a day. Take glycyrrhiza glabra 1x, tablets, 2 tabs every 4 hourly. Take Alpha coff , 2 tsf with warm water , twice daily. Take phytolaca decandra Q, 10 drops in 100 ml warm water and do gargles twice a day. revert after 5 days.
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Hello doctor my penis erection is very wide and broad and when the outer skin is covered. And when I take back the outer skin back am thinking it is not the same state as before. And if I do stretch exercise under shower then t This state goes and the skin will easily set right and erected in the same way as when outer skin covered!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
Hello doctor my penis erection is very wide and broad and when the outer skin is covered. And when I take back the ou...
1.do yoga exercises regularly which increase your blood in body particular to those organs involved in sex.in addition 2-eat healthy nutritious diet like fresh green salad with meal 1 tomato 1 onion 1 cucumber daily use 3.avoid fried food like chicken fish egg spicy food 4-drink warm milk before sleep consisting with walnuts or dry dates 5-may take ayurvedic remedies for fast effective result 6-stop masturbation don't watch porn video 8-do abdominal crunches, leg raises, push ups 20 nos each and yoga. 9-do kegel exercises daily.
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I loss my weight. After age of 21 yr. And I cant eat food properly I feeling like vomiting while dinner or breakfast. I feel like hungry but still I cant eat thus because of I loose my wight and I am feeling weakness specially at morning so what should I do. How to manage daily or routine food and proper health because I confuse what should I prefer for routine food.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I loss my weight. After age of 21 yr. And I cant eat food properly I feeling like vomiting while dinner or breakfast....
Avoid bad habits i.e. Avoid fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. you can take syp. ulgel-A 15 ML before meal. thrice a day.
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