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Dr. Mahender

MBBS

General Physician, Hyderabad

150 at clinic
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Dr. Mahender MBBS General Physician, Hyderabad
150 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Mahender
Dr. Mahender is a popular General Physician in Koti, Hyderabad. Doctor is a qualified MBBS . Doctor is currently practising at Osmania Hospital in Koti, Hyderabad. Save your time and book an appointment online with Dr. Mahender on Lybrate.com.

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Education
MBBS - - -

Location

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Osmania Hospital

Turrebaz Khan Road, Koti, HyderabadHyderabad Get Directions
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Adavally Damodar Reddy Memorial Hospital - Hyderabad

9-2, Sharada Nagar, Ramanthapur. Landmark: Near Public School.Hyderabad Get Directions
150 at clinic
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Adavally Damodar Reddy Memorial Hospital - Hyderabad

9-2, Sharada Nagar, Ramanthapur. Landmark: Near Public School.Hyderabad Get Directions
150 at clinic
...more
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Hey doctor, I need to ask is there any type of risk in the surgery of circumcision? Because my forehead skin of my penis is not going backward after the use of soframycin so is there any risk in the surgery or is it normal?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Hey doctor, I need to ask is there any type of risk in the surgery of circumcision? Because my forehead skin of my pe...
It's a routine minor surgery, done under local anaesthesia as a daycare procedure. There is no risk with an experienced surgeon. It can not be treated with medicines.
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My blood sugar fbs, pl >t shows normal. But urine sugar always show traces for the last 20 years. Now I am 55 old. It it a disorder and may cause any urology problems. Please. Advise.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Sugar control is not decided on the urine sugar. Get hba1c done to find out the status of sugar control.
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What are the natural remedies of constipation? It's about 3 days m suffering from this problem.

MBBS, Diploma in Public Health ( Preventive and Social Medicine)
General Physician, Navi Mumbai
What are the natural remedies of constipation? It's about 3 days m suffering from this problem.
Hi lybrate-user, Have adequate amount of water daily around 1.5 to 2 litrs of water. Increase fibrous content of your diet such as pumpkin, carrots, leafy vegetables etc. Fruits such as banana, fruit juices, and have adequate sleep of 6 to 8 hrs. Avoid spicy and heavy diets, have some brisk physical activity.
1 person found this helpful
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What are the symptom of dengue fever and malaria, is it life threatening infection.

MBBS
General Physician, Mumbai
What are the symptom of dengue fever and malaria, is it life threatening infection.
Dear lybrateuser, -Symptoms of dengue include fever, headache especially behind eyeballs, muscle & joint pain, weakness, tiredness, nausea, vomiting, skin rash, in severe cases internal organ bleeding - symptoms of malaria can include high fever with chills, headache, bodyache, weakness, sometimes abdominal pain, nausea & vomiting - if not treated early & with proper medication they are life threatening.
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I feel impotence. My panies not excited. Not stand. Mere panis mai. Excitement nahi h. Mai sex nahi kar pa raha hu. Josh nahi aata h. Bachpan se hastmathun karta hta. Ab wife ke sath sex nahi kar pa raha h. Panies khada nahi hota h. Or josh bhi nahi aata h.

MBBS, A.C.S.
Sexologist, Indore
I feel impotence. My panies not excited. Not stand. Mere panis mai. Excitement nahi h. Mai sex nahi kar pa raha hu. J...
If you are not able to have a good erection or not able to maintained a good erection, better get yourself checked by a competent sexologist for proper diagnosis and treatment.
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I have 4 months child but I and my husband was together last night onces only but I'm getting fear again I will get pregnancy right now I'm not interested and I am not getting milk pls give suggestions have drink the papaya juice it's right or not.

MD
Gynaecologist, Mumbai
If you are feeding the baby the chances are few but not none hence do the follwing pl take cerazette I tabdaily for 21 days this will not innterfere with lactation and provide safe contraceptiod pl take lacrtare tab twice daily for 1mth this will improve breast milk.
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Diarrhea - Types, Causes,Symptoms And More!

MBBS
Internal Medicine Specialist, Delhi
Diarrhea -  Types, Causes,Symptoms And More!

Diarrhea

Diarrhea is a common health problem. It can begin from being a mild, temporary condition and develop into a potential life-threatening problem.

There are about 2 billion diarrhea cases recorded every year across the world, with approximately 1.9 million cases of death of children of age below 5 years, typically in developing countries.

Diarrhea means getting loose, watery stools three or more times in a day. Usually it lasts for a couple of days. Diarrhea can either be acute or chronic. When it lasts for more than a few days, it is acute diarrhea. This could be a sign of a bigger problem. Chronic diarrhea lasts for around four weeks – which may be a symptom of a serious disease. It usually results from an intestinal problem or disorder, like celiac disease or Crohn’s disease.

There are some people who pass stools very often, but that is not diarrhea as they are of normal consistency. Likewise, breastfed infants also pass loose, pale stools. This is also not diarrhea.

Types of Diarrhea:

- Microscopic colitis: This type of diarrhea majorly affects the elderly people, causing trouble most often during the night time. It can continue for a long time and may not go away completely in some cases.

- Mal-absorptive and Mal-digestive diarrhea: Sometimes, non-absorption of food nutrients can cause mal-absorptive diarrhea. While non-functioning of the digestive system leads to mal-digestive diarrhea, such as Celiac disease.

- Chronic infections: A persistent use of antibiotics or parasitic infection during travel can lead to chronic diarrhea.

- Drug-induced diarrhea: this type of diarrhea is induced by certain laxatives and other medications or antibiotics.

- Endocrine causes: hormonal factors also cause diarrhea, for instance, in the case of Addison disease and carcinoid tumors.

- Neoplastic diarrhea: this type of diarrhea is linked with different forms of gut cancers.

Causes of Diarrhea

Diarrhea may result from a variety of conditions or circumstances. Main causes of diarrhea are:

- a food allergy or intolerance, for example: lactose intolerance

- a medication reaction

- a viral infection

- a bacterial infection

- infection in the gastrointestinal tract 

- a parasitic infection

- gallbladder or stomach operation

Research studies by Mayo Clinic say that Rotavirus is a major factor that causes childhood diarrhea. Other bacterial infections caused by Salmonella or Escherichia coli, may also result in diarrhea.

Irritable bowel disorder or inflammatory bowel syndrome may also sometimes cause chronic diarrhea. If you are experiencing regular and severe diarrhea, it could mean you are suffering from a functional bowel disorder or an internal intestinal problem.

Symptoms of diarrhea

Diarrhea may have various signs or symptoms. You might get one of these or a combination of many symptoms. The symptoms occur depending on the underlying cause. Mostly, you may experience the following signs:

- motion sickness

- stomach pain

- cramps

- bloating

- dehydration

- a fever

- stools with blood stains

- regular urges to clear your bowels

- stools in a big volume

Consult your physician if you have symptoms like any of the above.

Dehydration and diarrhea

Diarrhea leads to loss of fluids in the body due to which there is a risk of dehydration. If treatment is not given on time, diarrhea can have other side effects and major dehydration. Dehydration occurs when you experience symptoms such as:

- extreme tiredness and fatigue

- dry mucous tissues

- pulsating heart rate

- headache

- nausea

- dry throat and amplified thirst 

- lesser frequencies of urine

- mouth dryness

Consult your doctor immediately if your symptoms do not go away and your diarrhea is causing increased dehydration.

Who gets diarrhea?

Diarrhea can occur to people of all ages.

People travelling to developing countries have the risk of getting traveler's diarrhea. This condition occurs due to consumption of contaminated food or water.

Diarrhea in babies and young children

Diarrhea may be a small problem for an adult but when it affects at a very young age, for example an infant, it causes severe dehydration and may be fatal. 

Immediately visit your pediatrician or take emergency help when you notice the following symptoms in your child:

- no urination or very less urination

- dry mouth

- irritability

- weakness

- no tears while crying

- sunken eyes

- dry skin

- sunken fontanel

- sleepiness

- irritability

Seek instant help if any of the following symptoms are observed in your child:

- Diarrhea lasts for more than 24 hours.

- Your child has fever of 102°F or higher.

- The child passes stools that contain traces of blood or pus.

- Stools are black and sticky.

Diagnosis of diarrhea

A doctor will conduct a physical examination and study your medical history while investigating the cause of your diarrhea. A laboratory test may also be done to scan urine and blood samples.

There are other tests that your doctor may conduct to diagnose the cause of diarrhea and its side effects:

- Fasting tests to check if there is any food intolerance or insensitivity that is causing diarrhea.

- A culture test of stool to check for possible infections of bacteria, parasites, or other viral infections.

- Imaging tests to check for intestinal inflammation or other structural disorders.

- a colonoscopy to examine the colon for symptoms of intestinal disease

- a sigmoidoscopy to examine the rectum and lower part of colon for symptoms of intestinal infection

Treatment for diarrhea

Since diarrhea leads to loss of fluids in the body, the treatment for diarrhea is done by inducing a lot of fluids in the body. It can be done through drinking plenty of water or electrolyte replacement beverages, juices, health and energy drinks, etc. In chronic cases of diarrhea, fluids may be induced by intravenous therapy. If your doctor finds a bacterial infection, you might be asked to take antibiotics for some time.

Your doctor will start your treatment depending on:

- how sever your diarrhea is and whether there are any related conditions

- the frequency of the diarrhea

- how dehydrated you are

- your normal health

- your past medical history

- your current age

- your tolerance towards various medical procedures or drugs

- chances of improvement of your health condition

Prevention of Diarrhea

Though the exact cause of diarrhea may vary among different people, there are measures that you can take to avoid it:

- Diarrhea from food contamination can be prevented by cleaning the kitchen and food preparation areas regularly and keeping proper hygiene.

- Taking food immediately after cooking instead of taking food stored for too long.

- Leftovers should be properly refrigerated.

- Frozen food should be defrosted in a refrigerator.

How to prevent traveler’s diarrhea?

Follow the below steps while traveling, especially to a developing nation:

- You may want to ask your doctor if you can begin an antibiotic treatment before you leave. This will greatly reduce your risk of developing traveler’s diarrhea.

- Avoid tap water, ice cubes, and fresh produce that have probably been washed with tap water while you’re on vacation.

- Drink bottled water only while on vacation.

- Eat cooked food only while on vacation.

Risk factors:

- Age factor: Diarrhea in children of age three years or less can be risky, as they are more prone to dehydration. Infants are at a greater risk. Even older people are at risk of getting dehydrated through diarrhea.

- Environmental factors: Poor hygiene and unclean environment can spread the disease fast 

Medications: heavy use of antibiotics and drugs and aggravate the condition of the disease

- Co morbidities: People with Diabetes, kidney abnormalities, and intussusceptions are also at greater risk of being dehydrated due to occurrence of Diarrhea.

Myths:

1.    “BRAT Formula (banana, rice, apple sauce and tea) can alone cure Diarrhea”

Fact: This diet does work in calming the stomach and producing a relaxing effect due to light food components. However, the body needs all the essential nutrients like minerals and vitamins to restore its original health. So, after using BRAT formula the 1st day, you should start adding wholesome ingredients like fat and protein to get back to your original health.

2. "Diarrhea is just one of the many symptoms of the common Influenza ":

Fact: Influenza rarely cause diarrhea; its major symptoms are fever and pain. It is a respiratory disease affecting the lungs. Diarrhea may be caused by the stomach flu, not the common flu.

3. "We should totally avoid whole fat in our food to get rid of Diarrhea":

Fact: Fat is hard to digest and can be a lot of load to the stomach, but that does not mean you should completely remove it from your diet.

Fat is an important ingredient of your diet and also helps in easing the symptoms of diarrhea. All you need to take care of is to take it in appropriate amounts.

4.    "Teething leads to diarrhea in toddlers":

The truth: Diarrhea is caused due to impurities and contamination in the surroundings. A child in the teething phase generally takes every object in his mouth to soothe his teething procedure. In this process, he /she gets many impurities transferred as the objects may be dirty and unhygienic; this could lead to a stomach infection and diarrhea. So, always consult a doctor if your teething child is experiencing diarrhea.

6. "Avoid fluids because it will make your diarrhea worse":

Fact: This is the biggest mistake that people do their body and health and it can be fatal. If you are suffering from diarrhea, you are already losing a lot of fluids from your body which makes you dehydrated. Water has important minerals and vitamins that the body needs to function properly. So, it is even more important to consume increasing amounts of water and other fluids to regain the lost nutrients and keep your body hydrated.

7. "Drink caffeinated drinks and beverages during the period of diarrhea":

Fact: People think taking caffeinated drinks will relax their stomach for a while and curb their need to visiting the toilet frequently. This is completely false. In fact, beverages like tea and coffee and other foods having caffeine content are diuretic and can further worsen your digestive health and aggravate your diarrhea occurrences.

FAQS:

1. How will I know if my symptoms are of Diarrhea? 

Diarrhoea is a disorder related to the abnormal functioning of intestines, which causes excess fecal evacuations, due to increased motility in the colon. It could be due to underlying dysenteric disorders, GI tumors, inflammatory bowel syndrome, and lactose intolerance. In plain words, when you experience excess passage of watery stools that lasts for more than a day, it could be diarrhea. This may lead to your body getting dehydrated   because frequent watery stools flush out important body salts and fluids and make you weak.

2. Is diarrhea dangerous?

Yes! If not treated on time, it could lead to your body getting very dehydrated due to loss of fluids and body salts which are important to balance the body and keep it functioning normally. Dehydration can be severe and sometimes fatal.

3. What is dehydration? 

When you lose excess water and body salts due to diarrhea, it is called dehydration. Water is very important to maintain the body balance and keep it functioning normally. If water content in body gets too low, it makes you weak and unable to perform normal routine as your body also loses electrolytes along with other fluids. These are essential salts that provide minerals and vitamins to the body and keep it running. Dehydration can be caused through:

- excess urination

- vomiting 

- diarrhea

- sweating

4. What cause dehydration? 

Diarrhea followed by vomiting and loos of body fluids can cause dehydration.

You may also become dehydrated if you drink less water and have bad eating habits.

Certain medications that are diuretic also lead to loss of fluid in the body. The following people are more at risk of being dehydrated:

- Infants

- the elderly people

- People suffering from fever or any other illness

- People living in hot weather

5. How can I prevent diarrhea?

Maintaining proper hygiene and cleanliness at your home and in your surroundings will prevent you from getting the disease. Wash your hands before eating and keep your kitchen and food area clean. Store food items in clean places and never leave your food uncovered.

Drink clean purified water, and avoid street foods that may be contaminated.

Sir my left foot are swelling and very painful become red just after taking a tab of esgypyrin I got relax but it is just a temporary relief I want permanent relief please advise me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days it may have to be further investigated you must have x rays of your feet done. Make sure you are not allergic to any of the medicines you are going to take.
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I am a cricket player in gali cricket team.A ball hit in my ankle.Its 3 days past but my pain not relive. What I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a cricket player in gali cricket team.A ball hit in my ankle.Its 3 days past but my pain not relive. What I do?
what is the severity of pain? is the pain continous or intermittent? is it pulsating? since pain is a complex phenomenon, there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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Doctor I am suffering from fever. And rested for 4 days Please Help Me please and the nose is filling with bulgum.

MBBS
General Physician, Cuttack
Doctor I am suffering from fever. And rested for 4 days Please Help Me please and the nose is filling with bulgum.
1. Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2. Cold sponging sos 3. Drink plenty of water 4. Take rest 4. If no relief do blood examination like esr, cbc, widal/ typhidot test, blood for mp/malaria antigen and dengue antigen (ns1) test after consulting doctor 5. Consult me for further advice 6. For cold, do steam inhalation wiyh karvol plus inhalant capsule.
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