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Dr. Prem Narayana M

General Physician, Hyderabad

200 at clinic
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Dr. Prem Narayana M General Physician, Hyderabad
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Prem Narayana M
Dr. Prem Narayana M is an experienced General Physician in Secunderabad, Hyderabad. You can consult Dr. Prem Narayana M at Praja Clinic in Secunderabad, Hyderabad. Save your time and book an appointment online with Dr. Prem Narayana M on Lybrate.com.

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Praja Clinic

4-2-15, Near Bata Showroom, Kingsay, R P Road, Secundrabad, HyderabadHyderabad Get Directions
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I'm 26 year male. From one year I feel frequent unination. I always feel urination after bathing and using water during toilet. Also if I watched any adult vid. A drop of water come out from my penis. Please suggest me a treatment and medicines.

MBBS
General Physician, Delhi
You should get screened up for urine routine micro test for any urinary infection, but regarding your next symptom that a drop of water comes out while watching adult video is only physiological and nothing to worry about that.
1 person found this helpful
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Actually sometimes I am not able to satisfy my wife with my penni. So, is there any possibilities to increase the size of my penni?

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Actually sometimes I am not able to satisfy my wife with my penni.
So, is there any possibilities to increase the siz...
Yes there is penis enhancement programme but there are still better methods forgetting good satisfaction.
1 person found this helpful
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My sperm comes out very quickly while having sex please help me for this problem since I am facing this issue frm last 4 months.

BHMS
Homeopath, Faridabad
My sperm comes out very quickly while having sex please help me for this problem since I am facing this issue frm las...
Hello,Hi, Take Avena Sativa Q, 15 drops with water twice daily. Take Nux vomica 200, 5 drops twice daily. Damiaplant , 20 drops with water twice daily. Revert after 2 weeks.Thanks.
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My 6 years daughter often toilet (discharge urine) on bed during night. Whether there is any homeopathy medicine to control it.

MBBS
General Physician, Mumbai
My 6 years daughter often toilet (discharge urine) on bed during night. Whether there is any homeopathy medicine to c...
Train your child -- keep a alarm at 3am and make her get up and go to the toilet and than ask her to sleep again and do this for three months
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I have a problem in above anus I have preventing very much itching in hair so today I cut them with scissors after that I confused that any problem was not occurred small hairs will itching.

MBBS
General Physician, Chandigarh
I have a problem in above anus I have preventing very much itching in hair so today I cut them with scissors after th...
There could be some sort of rash or fungal infection you can apply cotrimoxazol ointment on that twice a day for a few days it will become alright.
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Im 25 years old and I hv sleeping disorder. Can anyone suggest any natural way to treat it?

MBBS
General Physician, Cuttack
Im 25 years old and I hv sleeping disorder. Can anyone suggest any natural way to treat it?
1. You may be having anxiety or stress. Avoid stress. 2. You need 7-8 hours of sound sleep to remain healthy. 3. Go for regular exercise, Take part in games and sports, 4. Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5. Adhere to a specific sleep time and regular schedule 6. Take light dinner. 7. Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time. 8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill 12. If no relief consult doctor.
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I am suffering from acute ED myage is 55 how to get rid of it? It is for more than 7-8 years but did not gone for any check up n did not take any medicines pl advice me.

PDDM, MHA, MBBS
General Physician, Nashik
I am suffering from acute ED myage is 55 how to get rid of it? It is for more than 7-8 years but did not gone for any...
1. First, there are a few lifestyle changes that shall help:         Lose weight if you are overweight.    Quit smoking.    Cut back your alcohol consumption, especially before sex.    Don’t use illegal drugs.  Exercise regularly.    Reduce stress. 2. Start doing Kegel Exercises
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I had a very bad habit that I use to masturbating (ejaculating sperm) is it effects the healths and what type of problems I need to face. And is it effects the growth.

General Physician, Warangal
I had a very bad habit that I use to masturbating (ejaculating sperm) is it effects the healths and what type of prob...
No need to worry about your health. It does nt effect your body. But frequent masturbation will effect your genital area to become weak. So try to avoid daily masturbation.
1 person found this helpful
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MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Know how many carbohydrates you are eating and how often you have them. Managing your carbohydrates can help keep your blood sugar under control. Choose high-fiber carbohydrates, such as green vegetables, fruit, beans, and whole grains.
4 people found this helpful

What foods increase vitamin D? The doc says that I have weak bones. I am a vegetarian.

PDDM, MHA, MBBS
General Physician, Nashik
What foods increase vitamin D? The doc says that I have weak bones. I am a vegetarian.
Foods with a higher amount of vitamin D include fish, liver, and egg yolk. Excellent sources of vitamin D are foods and beverages that have vitamin D added to them. Cow milk always has added vitamin D. Orange juice, margarine, and soy beverage usually have it added.
1 person found this helpful
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Hello doctor. I am 22 years old. I am having inflammation around my anus and it's very painful while going to pee. What could be the possible reason? I am unable to sit. Should I consult a doctor? Or just is it because of hard stool. Please let me know. Thanks.

FMAS, MS
General Surgeon, Gandhinagar
Hello doctor.
I am 22 years old. I am having inflammation around my anus and it's very painful while going to pee. Wh...
Respected lybrate-user hi it may be perianal excoriation of infection don't be stressed. Avoid all oily spicy nonveg stuffs at all have more liquids, fibers, fruits, curd for better digestion. Take sitz bath (sitting in a tub filled with leuk warm water for 10-10 min mor.
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Dear doctor, I had been operated on 13th april and have been declared fit for duty by doctors of kmc manipal after left lower limb varicose vein surgery. Sutures were removed on 28th april. Why are the doctors of seabird foundation mumbai asking for 60 days additional rest for fitness for sea service. I find this unacceptable.

MBBS
General Physician, Delhi
I personally don't find any reason for this condition. May be they want to wait for complete suture healing or your job might not warrants too long standing situation.
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I am suffering from severe backpain from past one month. Because of pain I am unable to sit and. Sleep properly for at least ten minutes. Please suggest me some medicines and exercises to reduce my. Pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from severe backpain from past one month. Because of pain I am unable to sit and. Sleep properly for a...
. Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart..
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My sister is 16 years old and she has been diagnosed with Blood and Urine Infection. She has a high fever and headache from last few weeks. We got her tests done and her resorts are: ESR test report 96, Red Blood Cells 40-50, Pus cells 10-15. Please let me know what medicines and Precautions we need to take care. Is this something serious? Regards, Bhawna Sharma.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My sister is 16 years old and she has been diagnosed with Blood and Urine Infection. She has a high fever and headach...
She has to take medicine for a few days. Do following 1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 4.Do not use any spray, scented bath products 5.Try to take shower rather than bat 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans
1 person found this helpful
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In the age of 26 I am suffering from Diabetes and nowadays I'm feeling giddiness and strained my weight is 103 kg.

BHMS
Homeopath,
In the age of 26 I am suffering from Diabetes and nowadays I'm feeling giddiness and strained my weight is 103 kg.
Dear lybrate-user, overweight is the main cause behind your diabetes. Immediately join a gymn to get rid of excess weight. If you cannot join gymn then make a habit of going for morning-walk for 1 hour daily. Take homoeopathic uranium nit 3x tablets (r. S. Bharhava company). Take one tablet thrice daily in empty stomach.
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I am 10 year old and I have fever from 2 hour so which tablet I should take please tell me

International Academy of Classical Homeopathy, BHMS
Homeopath,
I am 10 year old and I have fever from 2 hour so which tablet I should take
please tell me
Eup-per tinct 2 tims day Bell 3c 3tims a day for 4 days Chin-s12c as abov fer phos 12c sam abov inform me progres
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B.H.M.S., M.D. (Homoeopathy)
Homeopath, Surat
Vitamin B12 in Vegetarian Diets

A Critical Nutrient:
Vitamin B12 is a very important nutrient. It is required for proper red blood cell formation and for the development of the nervous system. A deficiency of vitamin B12 is a serious nutritional concern, resulting in anemia and changes in the function of the nervous system. While milk and eggs contain vitamin B12, no plant food naturally contains the vitamin. Unless they consume a B12 supplement or foods fortified with B12, a vegan is at risk of vitamin B12 deficiency.

What are the symptoms of B12 deficiency?
If blood levels of vitamin B12 drop below normal values, ANEMIA results. This may be followed by impairment in cognitive function.
Other symptoms include:
-Numbness and tingling in the arms and legs,
-Weakness and excessive fatigue,
-A range of psychiatric disorders including disorientation, depression, mood disturbances, irritability, memory loss, difficulty in concentration, and dementia.

Some people also experience an inability to maintain balance when walking, and a loss of position sense. Many B12 deficiency symptoms may be due to other causes, therefore, it is wise to be examined by a health care provider to determine the cause of the symptoms.

What are the long-term consequences of vitamin B12 deficiency?
Infants who are vitamin B12 deficient often display signs of developmental delay or regression both physically and mentally. These delays may have a long term consequence on the child, lasting into adulthood. In the elderly, neuropsychiatric disorders caused from a vitamin B12 deficiency are often irreversible.

Why are babies at risk of vitamin B12 deficiency?
A baby born to a mother who has been a strict vegetarian and who has not had reliable sources of vitamin B12 for a number of years is especially at risk. Unborn babies have a special need for vitamin B12 and this need may not be met by a mother deficient in the nutrient. In addition, the infant may not receive sufficient levels of B12 in breast milk, when breast-fed by a vitamin B12-deficient mother or a woman whose diet is not adequate in vitamin B12.

Vitamin B12 deficiency may develop in a breast fed infant within 3-6 months of age. A child with a vitamin B12 deficiency may become apathetic, lethargic, and experience failure to thrive.

Can the elderly also be at risk for vitamin B12 deficiency?
Yes. As people age, there is a decrease in the secretion of stomach acid as well as a drop in the digestive enzyme pepsin. As a result, digestion of vitamin B12 from protein is diminished, inhibiting the amount of B12 available for absorption. People over 50 years of age may show neurological changes due to vitamin B12 deficiency. It is believed that a considerable number of elderly patients have neuropsychiatric disorders due to vitamin B12 deficiency.

How long does it take to develop a vitamin B12 deficiency?
Since the liver does store extra vitamin B12, and the body has a recycling process for B12, it may take an adult 3-10 years to develop a deficiency once intake of the nutrient has ceased. If one’s past vitamin B12 intake has been very low, a deficiency may manifest itself in much less than 3 years after cessation of intake.

How much B12 do we need?
Only about 2 ½ micrograms of vitamin B12 is required per day. A cup of milk has about 1 microgram of B12, while a cup of soy or rice milk contains from 1 to 3 micrograms, and a serving of B12-fortified commercial cereal has 1.5 micrograms.


Vegetarian meat analogs that are fortified may contain anywhere from 1 to 6 micrograms of vitamin B12. More and more vegetarian foods are being fortified with B12, but it is imperative that one read the food label, as fortification levels may change from time to time.

What foods are reliable sources of B12?
Milk, yogurt and cheese, along with eggs, are the only vegetarian food items that naturally contain significant levels of vitamin B12. Plant foods may be fortified with B12. These include rice and soy beverages, plantderived meat analogs, ready-to-eat breakfast cereals, and nutritional yeast. It is important to read the labels for these foods as not all products and brands have B12 fortification, and the amount of fortification can change with time.

What foods are unreliable sources of vitamin B12 although they claim to contain
a sufficient amount?
While claims are made for tempeh, miso, and other fermented soy products, as well as spirulina, some seaweeds, brewers yeast, and leafy vegetables, these foods do not contain any significant level of vitamin B12.

Can’t we make our own B12?
Yes. The bacteria in our colon make vitamin B12. However, the absorption of B12 takes place higher up in the gastrointestinal tract, near the end of the small intestine. Therefore, it is unavailable for use in the body.

Are all supplements good sources of the vitamin?
Since the body has a limited capacity for absorption, there is really no reason to ingest more than 10 to 50 micrograms of vitamin B12 supplement per day. Larger amounts are very poorly absorbed and wasted. For effective absorption, a B12 tablet must be dissolved under the tongue or chewed. B12 capsules normally dissolve in the gastrointestinal tract and are readily absorbed. Sub-lingual B12 sprays are also a useful source of B12.

Summary
Vitamin B12 deficiency is not uncommon. Vegans must be especially careful to get adequate amounts on a regular basis, preferably daily. A daily B12 supplement is necessary when B12-fortified plant foods are not regularly consumed. Nutrition labels on processed foods must be carefully studied to determine how much B12 is supplied by one serving of the food.
25 people found this helpful

I am 23 years old, but my joints are paining because of increased uric acid what I do for reducing it. I want baby and my pain killers not stop please guide me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 23 years old, but my joints are paining because of increased uric acid what I do for reducing it. I want baby an...
you can take tab. zyloric 100 mg 1od after meal.and take tab.naprosyn 500 mg twice a day after meal for pain. you want baby.its mean your got not pregnancy till now..you go for few test for it usg pelvis.,all prenental hormones test,
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Hello doctor I need a serious help. About one month ago me and my bf getting a little bit close for the first time. He got his penis out from his jeans. But I was wearing a lrggins and a panty. He ejaculate on the leggings. Ejaculate a lot. And I felt wetness on the thigh. I don't know whether it slips down or not. So I am worried. Although my vagina are always covered with vulva and never exposed. But I am very much worried. The incident happened on 9th may. After that my period date was on 18th may. I missed. It comes on 28th may. It was not an implantation bleeding for sure because it had a lots of clot and it was heavy bleeding but it last for two days. After that it decreased. On 5th day it bleeds slightly and then gone. After that I took an pregnancy test on evening and it comes negative. I am worried because I took the test in evening instead if morning. But I can't took the test in my home so I preserver my morning urine and did another test after 8hours and it also come negative. But still i'm not satisfy. Because I heard you have your period and still being pregnant and pregnancy test may be expired. The all thoughts r killing me from the last month. After that one day I had vomiting. I don't know whether it was a symptom or what because I travel the whole noon on summer so I thought that's why. After that I am having vaginal discharge and frequent urination. I am very very much worried. My parents thought i'm i'll so they recommend a doctor and ask for an aultra sonography test of my lower abdomen. It was normal report. But I read that in your early pregnancy nothing is to be found on sonography. So I still believe that i'm pregnant. I am veryuch worried and cry all day long. I'm in deep depression. All time fear. Since last month I can't sleep well for these. Please help me doctor. I can't stay like this. I never repeat the mistake. Please help. Am I pregnant for that incident?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
No you are not. Need not worry and vomiting was a result of exhaustion caused by travelling. You try to take control of yourself and dont get into depression. It needs detail questioning consult privately.
29 people found this helpful
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I am a 45 year older male. I have been suffering from allergic for the past few years. It started with repeated sneezing, from then I was advised one anti allergic a day. The problem has aggravated now, and the physician say she that its allergic bronchitis and beginning of allergic asthma as I suffer from breathlessness too. Initially I was advised seroflo 250 and anti allergic a day. At present I am using foracort 400 rotacaps once and duolin rotacaps twice and montair 5 once a day. The chest X-ray done is clear, blood reports are normal yet the problem has aggravated. Please guide me.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
I am a 45 year older male. I have been suffering from allergic for the past few years. It started with repeated sneez...
Please get yourself vaccinated and also follow the the below routine. Prevention of Asthma, Cold and Allergies. Increasing Immunity. 1. Stay away from Dust and Pollution. 2. Increase your immunity, eat plenty of Fruits and vegetables. 3. Keep Hydrated. Drink plenty of water and soups. 4. Exercise - Make it a habit to exercise or run for 45 minutes daily. This will improve your immunity. 5. Green Tea - Drink green Tea and coffee, They contain flavnoids and will. Improve your immunity. 6. Multivitamin - A good multivitamin of Antioxidants will also help you avoid cold and allergies. 7. Avoid eating outside food. 8. Handful of nuts like walnuts and almonds will improve your immunity to fight of the cold and allergies. 9. Maintain Healthy weight. 10. Yoga may also help in improving once immunity and inner strength.
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