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Dr. Nanda Gopal G

MBBS

General Physician, Hyderabad

27 Years Experience
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Dr. Nanda Gopal G MBBS General Physician, Hyderabad
27 Years Experience
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Nanda Gopal G
Dr. Nanda Gopal G is a trusted General Physician in Ramchandra Puram, Hyderabad. He has over 27 years of experience as a General Physician. He has completed MBBS . You can meet Dr. Nanda Gopal G personally at BHEL Hospital in Ramchandra Puram, Hyderabad. You can book an instant appointment online with Dr. Nanda Gopal G on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 38 years of experience on Lybrate.com. You can find General Physicians online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Siddharth Medical College - 1991
Languages spoken
English

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BHEL Hospital

Ramchandra Puram, BHEL LingampallyHyderabad Get Directions
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I got married 6 months back and had a good sexual life up till a month earlier. Now, I am having erectile dysfunction issues. Although the desire is there but can not erectile dysfunction is a hindrance? Kindly suggest.

BHMS,NDDY
Homeopath, Jaipur
I got married 6 months back and had a good sexual life up till a month earlier. Now, I am having erectile dysfunction...
Dear lybrate-user you should take homeopathy medicine for it you can use damiagara for it. If you have any questions about your problem you can ask me at lybrate platform.
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I have been suffering from mild bronchial asthma due to allergic rhinitis since 2 years and its going controlled by using foracort inhaler. And a few months before. I got a pain in the back portion of the lungs. I have already taken many x rays and the result is fine. I know this is something related to respiration but actually what is this? can you help me doctor?

BAMS
Ayurveda, Pune
As per your symptoms you are suffering from chronic allergic rhinitis and associated cough problem. You can take liq. Pippalyasav 3 tsf twice a day 1/2 an hr. Before food. Tab. Laxmivilas vati 2 tabs twice a day. Just consult nearest ayurvedic physician and go through the vamana therapy of panchakarma. It will cure your rhinitis and may cure asthma too. Avoid milk, milk products (except buttermilk) strictly. Avoid heavy intake of water after food. Avoid eating banana and guava. With above medicines and said pathyas you can feel recovery in few days.
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My friend is in the age of 15 or 16 and he is taking out the sperm. So how method or treat to he did not get out the sperm or to how he control the hormone of testosterone by natural method? As well as this will affect in whose growing height?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
My friend is in the age of 15 or 16 and he is taking out the sperm. So how method or treat to he did not get out the ...
You mean he is ejaculation. It is normal to masterbation at this age. Hormones will be ok. Not under your contoll. Just use your extra energies in right direction like go for jogging early morning, think positive and work hard in your studies. If you are eating good food - fresh fruits, vegetables and doing regular exercise you will gain in your height. Relax.
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Chronic pain is a Disease and not a symptom

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Chronic pain is a Disease and not a symptom

People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

The Experience of Chronic Pain

Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

  • The situation in which the pain occurs
  • Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
  • Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
  • Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others

The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

  • Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
  • Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
  • Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.


The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

Chronic Pain

There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

Chronic pain with no identifiable pain generator
This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

Neuropathic Pain

Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

When Acute Pain Becomes Chronic Pain

It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

Chronic Pain Development

Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.

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My mother is 43 years old and her weight is also more and her legs are swollen And her bp is also high so could you provide some solution for this?

BHMS, MD - Homeopathy
Homeopath, Vellore
My mother is 43 years old and her weight is also more and her legs are swollen And her bp is also high so could you p...
Dear lybrate user! greetings the leg swollen is common in bp and over weight person. Ask you mother to keep her legs above the hip level while sleeping and sitting with help of pillows to leg. Ask her to control salt in food ask her avoid salty food like dry fish, papad, pickles, chips, etc ask her to go for walking 30 min daily. Ask her to take the medication regularly.
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Sex issues. I am 28 years old. I often ejaculate very early during intercourse, sometimes I even ejaculate before penetration. Sometimes even if I lay down or sleep with my chest down and got exited, I ejaculate. Please help.

BAMS, MD Ayurveda
Sexologist, Lonavala
Sex issues. I am 28 years old. I often ejaculate very early during intercourse, sometimes I even ejaculate before pen...
I m advising you following remedy Natural home remedy using almonds, cow's milk, ginger powder, cardamom and saffron: Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning This remindy will be helpful.
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I am suffering from acne breakout. They are all over my face and also on chest and upper neck area. There is no itching in the pimples.

MD - Homeopathy
Homeopath, Aurangabad
I am suffering from acne breakout. They are all over my face and also on chest and upper neck area. There is no itchi...
Pimples/ acne vulgaris is a chronic inflammatory skin disease which develops due to blocking of the hair follicles in skin. For pimples and to remove scars take following med. Berberis aquifolium q. X 14 days 20 drops twice in water. Use berberis aquifolium oin any company also drink plenty water. Have green vegetables. Stop oily food. Avoid night watching. Wash face with medimix soap 2/3 times per day. Contact me after 2 weeks.
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He is 65 years old heart patient diabetic and had a surgery of cancer, his S Creatine is now 9.5, doctors have advised dialysis, is it the right treatment or is there any other alternative.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
He is definitely in kidney failure and if allowed to continue like that he is likely to sleep into coma. Dialysis for him is the need of the hour for him.
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Sir does pregnancy can be effected by enlarge hydrocele. If hydrocele is bigger it can have difficulty in pregnancy.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
Sir does pregnancy can be effected by enlarge hydrocele. If hydrocele is bigger it can have difficulty in pregnancy.
hydrocoele has nothing to do with pregnancy neither it causes any decrease in sperm count or decreases libido.
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