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Dr. Naval Chandra

General Physician, Hyderabad

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Dr. Naval Chandra General Physician, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Naval Chandra
Dr. Naval Chandra is a popular General Physician in Punjagutta, Hyderabad. You can meet Dr. Naval Chandra personally at Nizam's Institute Of Medical Sciences in Punjagutta, Hyderabad. Save your time and book an appointment online with Dr. Naval Chandra on Lybrate.com.

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Nizam's Institute Of Medical Sciences

Panjagutta. Landmark: Near GVK Mall, HyderabadHyderabad Get Directions
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Addiction

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Addiction

ADDICTION


Decades ago addiction was a pharmacologic term that clearly referred to the use of a tolerance-inducing drug in sufficient quantity as to cause tolerance (the requirement that greater dosages of a given drug be used to produce an identical effect as time passes). With that definition, humans (and indeed all mammals) can become addicted to various drugs quickly. Almost at the same time, a lay definition of addiction developed. This definition referred to individuals who continued to use a given drug despite their own best interest. This latter definition is now thought of as a disease state by the medical community.
Physical dependence, abuse of, and withdrawal from drugs and other miscellaneous substances is outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR). Unfortunately, terminology has become quite complicated in the field. To wit, pharmacologists continue to speak of addiction from a physiologic standpoint (some call this a physical dependence); psychiatrists refer to the disease state as dependence; most other physicians refer to the disease as addiction. The field of psychiatry is now considering, as they move from DSM-IV to DSM-V, transitioning from "dependence" to "addiction" as terminology for the disease state.
The medical community now makes a careful theoretical distinction between physical dependence (characterized by symptoms of withdrawal) and psychological dependence (or simply addiction). Addiction is now narrowly defined as "uncontrolled, compulsive use"; if there is no harm being suffered by, or damage done to, the patient or another party, then clinically it may be considered compulsive, but to the definition of some it is not categorized as "addiction". In practice, the two kinds of addiction are not always easy to distinguish. Addictions often have both physical and psychological components.
There is also a lesser known situation called pseudo-addiction.{(Weissman and Haddox, 1989}} A patient will exhibit drug-seeking behavior reminiscent of psychological addiction, but they tend to have genuine pain or other symptoms that have been undertreated. Unlike true psychological addiction, these behaviors tend to stop when the pain is adequately treated.
The obsolete term physical addiction is deprecated, because of its connotations. In modern pain management with opioids physical dependence is nearly universal. While opiates are essential in the treatment of acute pain, the benefit of this class of medication in chronic pain is not well proven. Clearly, there are those who would not function well without opiate treatment; on the other hand, many states are noting significant increases in non-intentional deaths related to opiate use. High-quality, long-term studies are needed to better delineate the risks and benefits of chronic opiate use.
Not all doctors agree on what addiction or dependency is, because traditionally, addiction has been defined as being possible only to a psychoactive substance (for example alcohol, tobacco and other drugs) which ingested cross the blood-brain barrier, altering the natural chemical behavior of the brain temporarily. Many people, both psychology professionals and laypersons, now feel that there should be accommodation made to include psychological dependency on such things as gambling, food, sex, pornography, computers, work, exercise, cutting, and shopping / spending. However, these are things or tasks which, when used or performed, cannot cross the blood-brain barrier and hence, do not fit into the traditional view of addiction. Symptoms mimicking withdrawal may occur with abatement of such behaviors; however, it is said by those who adhere to a traditionalist view that these withdrawal-like symptoms are not strictly reflective of an addiction, but rather of a behavioral disorder. In spite of traditionalist protests and warnings that overextension of definitions may cause the wrong treatment to be used (thus failing the person with the behavioral problem), popular media, and some members of the field, do represent the aforementioned behavioral examples as addictions.
In the contemporary view, the trend is to acknowledge the possibility that the hypothalmus creates peptides in the brain that equal and/or exceed the effect of externally applied chemicals (alcohol, nicotine etc.) when addictive activities take place [citation needed]. For example, when an addicted gambler or shopper is satisfying their craving, chemicals called endorphins are produced and released within the brain, reinforcing the individual's positive associations with their behavior.
Despite the popularity of defining addiction in medical terms, recently many have proposed defining addiction in terms of Economics, such as calculating the elasticity of addictive goods and determining, to what extent, present income and consumption (economics) has on future consumption.
Varied forms of addiction
Physical dependency
Physical dependence on a substance is defined by the appearance of characteristic withdrawal symptoms when the substance or behavior is suddenly discontinued. While opioids, benzodiazepines, barbiturates, alcohol and nicotine are all well known for their ability to induce physical dependence, other categories of substances share this property and are not considered addictive: cortisone, beta-blockers and most antidepressants are examples. So, while physical dependency can be a major factor in the psychology of addiction and most often becomes a primary motivator in the continuation of an addiction, the initial primary attribute of an addictive substance is usually its ability to induce pleasure, although with continued use the goal is not so much to induce pleasure as it is to relieve the anxiety caused by the absence of a given addictive substance, causing it to become used compulsively. A notable exception to this is nicotine. Users report that a cigarette can be pleasurable, but there is a medical consensus [citation needed] that the user is likely fulfilling his/her physical addiction and, therefore, is achieving pleasurable feelings relative to his/her previous state of physical withdrawal. Further, the physical dependency of the nicotine addict on the substance itself becomes an overwhelming factor in the continuation of most users' addictions. Although 35 million smokers make an attempt to quit every year, fewer than 7% achieve even one year of abstinence (from the NIDA research report on nicotine addiction).[citation needed]
Some substances induce physical dependence or physiological tolerance - but not addiction - for example many laxatives, which are not psychoactive; nasal decongestants, which can cause rebound congestion if used for more than a few days in a row; and some antidepressants, most notably venlafaxine, paroxetine and sertraline, as they have quite short half-lives, so stopping them abruptly causes a more rapid change in the neurotransmitter balance in the brain than many other antidepressants. Many non-addictive prescription drugs should not be suddenly stopped, so a doctor should be consulted before abruptly discontinuing them.
The speed with which a given individual becomes addicted to various substances varies with the substance, the frequency of use, the means of ingestion, the intensity of pleasure or euphoria, and the individual's genetic and psychological susceptibility. Some alcoholics report they exhibited alcoholic tendencies from the moment of first intoxication, while most people can drink socially without ever becoming addicted. Studies have demonstrated that opioid dependent individuals have different responses to even low doses of opioids than the majority of people, although this may be due to a variety of other factors, as opioid use heavily stimulates pleasure-inducing neurotransmitters in the brain. The vast majority of medical professionals and scientists agree that if one uses strong opioids on a regular basis for even just a short period of time, one will most likely become physically dependent [citation needed]. Nonetheless, because of these variations, in addition to the adoption and twin studies that have been well replicated, much of the medical community is satisfied that addiction is in part genetically moderated. That is, one's genetic makeup may regulate how susceptible one is to a substance and how easily one may become psychologically attached to a pleasurable routine.
Eating disorders are complicated pathological mental illnesses and thus are not the same as addictions described in this article. Eating disorders, which some argue are not addictions at all, are driven by a multitude of factors, most of which are highly different than the factors behind addictions described in this article.

My daughter is 12 year. Old but she is suffering from bed wed please give me suggestion.

MD , MBBS
General Physician, Aligarh
There are Medicine but try behaviour modification. I mean say if u dont wet bed I will give u choclate. Dont scold her but reward her. Take alarm clock and make her wake up in night to urinate around midnight. Do both this for one month atleast. And then tell. I will give Medicine. And do recommend me if u r satisfied. Thanks
2 people found this helpful
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I always use to suffer from cold in the morning after bathing or suddenly and many more. pls tell me what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
1.Prepare a mixture of powdered dried ginger root, black pepper and long pepper in equal amounts and store in an airtight container. Have ½ teaspoon of this powder mixed with honey. 2.Add one teaspoon of turmeric powder to one glass of hot water. Drink this sip by sip frequently during the day. 3.Dry roast 3-4 black raisins and add pinch of black pepper and rock salt to it. Have this 2-3 times a day for 15-20 days. 4.Drink luke warm water 3-4 a day. 5. Take 2 tab giloyghan vati twice a day/ 1 month.& swallow 2 basil leaves daily empty stomach with water 6. pour 2-2 drops of badam rogan shrin/hamdard at night just before sleep. follow up after 10 days. 7. Take 1 tsf chywanprash/jiva with hot milk in breakfast daily in this winter season.
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Every day I release gas 5 to 6 times. It sounds so much. Give me proper diagnosis because I fell shameful when I sit in a meeting and release gas loudly.

PDDM, MHA, MBBS
General Physician, Nashik
Every day I release gas 5 to 6 times. It sounds so much. Give me proper diagnosis because I fell shameful when I sit ...
Hello, Thanks for your query. Try an over-the-counter medicine containing simethicone, which helps to break down gas bubbles. You can try a process of elimination by substituting a gassy food for a non-gassy one, and see which one is giving you the most trouble. A few basic substitutions: • Rice milk for cow’s milk • Bananas, blueberries and melon for apples, peaches and plums • Gluten-free and spelt cereals and bread for wheat and rye products • Bamboo shoots, bok choy, carrot, celery, corn, eggplant, green beans, lettuce, chives, parsnip, pumpkin, and tomato for artichokes, asparagus, Brussels sprouts, broccoli, cabbage, okra, onions, and peas. I do hope that you have found something helpful and I will be glad to answer any further query. Take care
1 person found this helpful
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Respected doctor, From last 2 years it happens many times in a week Nightfalls. And also premature ejaculation is happens, when I am in that time with my girl friend, sperm automatically came within 10-15 second after mating. Please suggest me what to do in both case.

BHMS, MD - Acupuncture
Sexologist, Faridabad
Respected doctor,
From last 2 years it happens many times in a week Nightfalls.
And also premature ejaculation is hap...
Hello, Mr. Lybrate-user, you can takes some medicine for your problems. 1-chandraprabha vati 2 tab. Twice a day. 2.-habbe ziryani 1 tab. Twice a day. 3-dhatu poustic churan 5 gm twice a day with milk. For 15 day after share me.
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MD - Paediatrics, MBBS
Pediatrician, Faridabad
Dr. Sanjeev Kumar
Every Saturday we have dietetion for nutrition councelling during morning hours.This service is free for kids and mummy.plz come and use the services

I am suffering from cold allergy and dry cough from two months. I went to doctor. When I took medicines I feel relax. So please can you suggest me what should be done for relief permanently?

MD-Pulmonology
Pulmonologist, Dehradun
Dear I cannot guarantee a permanent solution for this energy but there are certain precautions you can take like avoid exposure to cold dust fumes strong smells etc. Then do regular salt water gargles you can also use saline nasal drops contact a chest physician for further management.
1 person found this helpful
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I am 54 years old. I have itching problem on private part and around. Some part of skin is reddish. There are also ring worm type symptom.

MD , MBBS
General Physician, Aligarh
I am 54 years old. I have itching problem on private part and around. Some part of skin is reddish. There are also ri...
Apply itch guard or ring guard cream. You will feel better. Regards keep the area clean. Wash with soap around the area before applying cream. Take bath daily. It's all becoz you are not maintaining hygiene properly.
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Antibiotics seems not to be beneficial for my uti. Please suggest many home ways I can try to get faster rid from uti.

MBBS
General Physician, Mumbai
Antibiotics seems not to be beneficial for my uti.
Please suggest many home ways I can try to get faster rid from uti.
I will suggest you to do a urine culture and sensitivity and follow up with reports and till than avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
1 person found this helpful
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My mother, 55 years, suffering from acidity problems from last 5-6 years. Every morning she complains'baicheni, ghabarahat, vomitting sensations'stomach pain. We tried multiple doctors. Currently she is only taking diet of salads, no mirchi boiled veggies n roti. But still in morning she has same problems. She is having weakness now. She has a basic nature of taking so much tension of nothing. please suggest some treatment.

MBBS, cc USG
General Physician, Gurgaon
My mother, 55 years, suffering from acidity problems from last 5-6 years. Every morning she complains'baicheni, ghaba...
This problem can be solved by meditation i can give you address of rajyoga meditation centre near your house (this is free of cost) Get her following test done and review with reports 1. RBS 2. BP 3. Thyroid function test Consult me for further management
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My age is 23 years old. Hight is 5.11 feet & weight is73. 3 kgs . I heard that , drinking of green tea for years may have side effects . My question is , does drinking green tea , a cup daily can cause any side effects ? I have no health issues , I read that , green tea lower the testosterone and also effects testicles . Can I continue drinking of green tea for life long or for limited years ?

MBBS
General Physician, Chandigarh
My age is 23 years old. Hight is 5.11 feet & weight is73. 3 kgs . I heard that , drinking of green tea for years may ...
Don't get addicted to anything these negative and positive reports keep coming every now and then and again it depends upon which green tea you are taking in my opinion occasional use of these things is alright.
1 person found this helpful
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I am having frequent acidities over the last one month can it be due to remaining hungry for long time.

MBBS
General Physician, Faridabad
I am having frequent acidities over the last one month can it be due to remaining hungry for long time.
yes it can be, tab pan 40 empty stomach daily morning for 15 days, drink 3-4 litre of water daily, isabgol in a glass of water at night, if required get u/s whole abdomen done and back with report it will help. thanks
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My wife 20 years old. She faces belly pain, headache, suffering acid, suffering sist, not regularly mens (one month 45days then after month 15 days. I am married. Last 6 months.

MBBS
General Physician, Mumbai
My wife 20 years old. She faces belly pain, headache, suffering acid, suffering sist, not regularly mens (one month 4...
For pain take tablet paracetamol 650 mg and Take tablet folvite 5mg once a day and tablet vitaminD (60000iu) once a week for six months
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My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is having sugar and bp.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is...
Hello lybrate-user. Sorry about your father's eye problem. Diabetes and blood pressure are disorders of the blood vessels. They tend to affect most of the organs in the body including the eyes. In the eye, diabetes/ blood pressure may lead to bursting of blood vessels and subsequent bleeding into the eye. This would in turn reduce the vision of the eye. In some cases, it could be improved by surgery or injection in the eye whereas in other cases, it would be irreversible. Thus, the best guide would be a retina specialist. Take the opinion and follow the advice given by the retina specialist. Feel free to contact me for further assistance. Hope my suggestions helped you. Take care-
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ADHD (Attention Deficit Hyperactivity Disorder)

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
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Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.

For any other further information, you can contact me on lybrate.com.

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Hy. When I workout after I fell much pain in my all parts of body. What I do to relief it form pain.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Hy. When I workout after I fell much pain in my all parts of body. What I do to relief it form pain.
Dear lybrate-user, Just workout little less than your current level. Your pain will improve. All d best!
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I have been suffering from incessant cough since 4 days. I have been put on augmentin bd since 3 days. The cough has not subsided. ? I have been taking ramipril 2.5 mg daily for my cardiac ailment along with statin & aspirin, Do I need a second opinion?

MD - General Medicine
General Physician, Anand
If you have fever then suspect infection. If not then stop ramipril. If it is due to ramiprl,it will take time to subside.
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Type 2 Diabetes - Symptoms, Causes And Treatment

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Type 2 Diabetes - Symptoms, Causes And Treatment

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring and
  4. Blood sugar medication along with insulin therapy, if necessary
2993 people found this helpful

I feel very sleepy all the tym because of this I cnt do any work or study. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Start ayurvedic syp sariswatarita 15ml bd after food consult me with age, weight, height, ok thanks.
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