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Dr. Rebaka Laxmi Narasamma

General Physician, Hyderabad

Dr. Rebaka Laxmi Narasamma 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. Rebaka Laxmi Narasamma
Dr. Rebaka Laxmi Narasamma is one of the best General Physicians in Secunderabad, Hyderabad. She is currently associated with Vijay Clinic in Secunderabad, Hyderabad. Book an appointment online with Dr. Rebaka Laxmi Narasamma on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 36 years of experience on Lybrate.com. Find the best General Physicians online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Raja Mudaliar Street, Kalasiguda, Secunderabad, HyderabadHyderabad Get Directions
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Suggest me any way that will help me to not sleep in day. Actually when I sleep in day and after wakeup I feel energyless.

C.S.C, D.C.H, M.B.B.S
General Physician,
Suggest me any way that will help me to not sleep in day. Actually when I sleep in day and after wakeup I feel energy...
YOU may be having excess sleepiness and it can be due to anemia or hypothyroid . So check your blood CBC and TSH and inform me
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What are symptoms of dengue fever.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
What are symptoms of dengue fever.
The principal symptoms of dengue are: -high fever and at least two of the following: -severe headache -severe eye pain (behind eyes) -joint pain -muscle and/or bone pain -rash -mild bleeding manifestation (nose or gum bleed, petechiae, or easy bruising) Watch for warning signs as temperature declines 3 to 5 days after symptoms/fever began, as this is the most dangerous period when platelet counts decline significantly. Report immediately to hospital if any of the following warning signs appear: -severe abdominal pain or persistent vomiting -red spots or patches on the skin -bleeding from nose or gums -vomiting blood -black, tarry stools -drowsiness or irritability -pale, cold, or clammy skin -difficulty breathing
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I have feels little headache over 10-15 days. And I am feeling some tired. What should I do. I want some advice.

BAMS, MD Ayurveda
Sexologist, Lonavala
I have feels little headache over 10-15 days. And I am feeling some tired. What should I do. I want some advice.
1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief
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What are the symptoms of asthma? What are the simple remedial measures that can be taken at an early stage to prevent its intensity?

MBBS
General Physician, Mumbai
Few tips for asthma - Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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Am a woman 53 years old of normal health. I am suffering from Insomnia and am unable to sleep. Get restless and twist and toss in bed. someday I get a few hours in the early morning. Due to lack of sleep I feel so tired and full during the day. I read that homeopathy is the best for insomnia and would like to get your advice. Malathi.

BHMS
Homeopath, Chennai
Am a woman 53 years old of normal health. I am suffering from Insomnia and am unable to sleep. Get restless and twist...
This is transient insomnia it may be due to any of following conditions 1. Stress and depression 2. Changes in sleeping environment 3. Drugs 4. Excess of heat or cold, excess noise 5. Jet lag syndrome, night shifts First you have to rule out any such cause, Homoeopathic medicines will give you a quick relief with no side effects.
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I have itch marks on my penis. How can I remove them. Is there any cream for the same. Also, I have a very bad habit of masturbating a lot. How do I stop it.

MBBS
General Physician, Chandigarh
I have itch marks on my penis. How can I remove them. Is there any cream for the same. Also, I have a very bad habit ...
Marks once obtained are difficult to get rid of but with passage of time they do reduce and for your habit of masturbation as you yourself said it is a habit and you have yo control it yourself only with strong determination and self discipline
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Sir I have a issue related to my sweat it have skunky odour with high rate of water come out from my body. What should I do?

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Excessive sweating (hyperhidrosis) is a common problem, especially of the palms, armpits and soles. It can be distressing and can have a serious impact on your life. In some cases, affected people avoid social contact with others because of embarrassment about the problem. However, the condition is usually treatable. What is excessive sweating? Normal sweating helps to keep the body temperature steady in hot weather, during a high temperature (fever), or when exercising. Excessive sweating (hyperhidrosis) means that you sweat much more than normal. Even when you are not hot, anxious, or exercising, you make a lot of sweat. Excessive sweating is classified into three types (as follows). It is important to know which type you have, as the causes and treatments are very different. Primary (idiopathic) focal hyperhidrosis This means that excessive sweating occurs in one or more of the following focal places: palms of the hands; soles of the feet; armpits (axillae); face/scalp. You sweat normally on the rest of the body. It tends to be symmetrical - that is, both palms, both feet, both armpits, etc, are affected. The exact cause is not known and it is not associated with any other conditions. (The word idiopathic means of unknown cause.) It just seems that the sweat glands in these areas are overactive or more sensitive than normal. In some people, it may run in the family so there may be some genetic factor involved in causing it. It usually first develops under the age of 25, but it can develop at any age. Men and women are equally affected. It is common and affects about 3 in 100 people. The severity can vary from time to time. It may come and go and can be made worse by triggers such as anxiety, emotion, spicy foods, and heat. Anxiety about the sweating itself may make it worse. However, for most of the time, nothing obvious triggers the sweating. It tends to be a long-term condition, but symptoms improve in some cases over time. If you have the typical symptoms of primary focal hyperhidrosis, you usually do not need any tests. Your doctor may suggest one or more treatments (below) if normal antiperspirants do not work well. Secondary focal hyperhidrosis This is uncommon. It means that the excessive sweating occurs in a particular focal part of the body. But, unlike primary focal hyperhidrosis, there is a known or likely cause. For example, a spinal disease or injury may cause sweating in one leg. Any focal sweating that is not symmetrical (that is, just in one hand, or one leg, etc) may suggest a secondary cause rather than primary focal hyperhidrosis which is usually symmetrical. Your doctor may suggest some tests to look for an underlying cause if one is suspected. Generalised hyperhidrosis This means that you sweat more than normal all over. This is less common than primary focal hyperhidrosis. However, it is usually caused by an underlying medical condition. A whole range of conditions can cause a generalised increased sweating. For example: Anxiety disorders. Various heart problems. Damage to nerves in the spinal cord. Side-effects to certain medicines. Various hormonal problems (including an overactive thyroid gland). Infections. Certain cancers. If you have generalised hyperhidrosis your doctor is likely to examine you and do some tests to find out the cause. Treatment depends on the cause. The rest of this leaflet is only about primary focal hyperhidrosis. What are the possible complications of primary focal hyperhidrosis? Although not a medically serious condition, excessive sweating (hyperhidrosis) can be distressing and embarrassing. For example, if you have bad palm sweating you tend to have a cold, sweaty handshake and sweat may drip from your hands on to work documents, computer keyboards, etc. If you have bad armpit sweating, you may become embarrassed by the frequent wet patch that develops on clothes under your arms. You may need to change clothes during the day. You may avoid social contact or avoid doing sports because of embarrassment about the condition. Other complications are uncommon. In some cases, the affected skin can become sore, irritated and prone to infection. There is a risk of developing eczema on affected skin. Initial treatment options for primary focal hyperhidrosis General tips and advice The following may be all that you need if the condition is mild. They may help in addition to other treatments in more severe cases. If you find that soaps irritate the affected skin, use a bland soap substitute such as a moisturiser (emollient) ointment or cream. If possible, avoid triggers which can make things worse such as heat or spicy food. If you have armpit sweating: Try using normal antiperspirants regularly. (Note: there is a difference between antiperspirants and deodorants. Antiperspirants reduce the release of sweat; deodorants mask any unpleasant smells. Avoid clothes that more easily show up sweat marks. As a rule, white and black coloured clothes are less noticeable when wet than other colours. Wear loose clothing under the armpits. Avoid clothes made with man-made fibres such as Lycra® and nylon. Consider using dress shields (also known as armpit or sweat shields) to absorb excess sweat and protect delicate or expensive clothing. These can be obtained via the internet or the Hyperhidrosis Support Group (contact details below). If you have excessive feet sweating, it can help to: Change your socks at least twice a day. Use an absorbent foot powder twice daily. Wear a different pair of shoes on alternate days. This allows them to dry fully. Avoid sport shoes or boots. These are often less breathable than normal shoes are, so are more likely to keep the sweat in. Aluminium chloride - a strong antiperspirant If normal antiperspirants do not work, it is worth trying an antiperspirant that contains aluminium chloride. This is a strong antiperspirant. It is thought to work by blocking the openings of the sweat ducts. It tends to work best in the armpits. However, it may also work for sweating of the palms and soles. Although it may also work on the face, some doctors do not recommend using this on the face, as it may cause severe eye irritation if it gets into an eye. There are several brands of aluminium chloride-based antiperspirants which you can buy at pharmacies. You may also be able to get some on prescription such as Anhydrol Forte®. It is important to use aluminium chloride-based antiperspirants correctly. Read the instructions that come with the product you use. These usually include the following: Apply to clean, dry skin. (It is more likely to cause irritation on wet or moist skin.) Therefore, wipe the skin dry with a towel or dry flannel before applying. Some people use a hairdryer to make sure the skin is dry before applying. Ideally, apply at night (bedtime) when the sweat glands are less likely to be as active. Wash it off the next morning. Do not shave the area 24 hours before or after use. Avoid getting it in the eyes, and do not apply on broken or inflamed skin. Some doctors do not recommend that you apply this treatment to your face. Apply every 24-48 hours until the condition improves. Then apply once every 1-3 weeks, depending on response. (It may take a few weeks to build up its effect. This is because it is thought to clog up the sweat gland gradually, which causes a gradual reduction in sweating.) If successful, treatment can be continued indefinitely. You may only need to apply it once every 1-3 weeks to keep the sweating under control. Note: aluminium chloride antiperspirants often cause skin irritation or inflammation. If this occurs, it is often still worth persevering if the irritation is tolerable, as the benefit may outweigh the irritation. To reduce the effects of any skin irritation or inflammation that may occur: Reduce frequency of use; and/or Apply a moisturiser (emollient) every day after applying the aluminium chloride; and/or Apply a short course of a mild steroid cream such as hydrocortisone 1% to the affected area twice daily for a maximum of 14 days. (Steroid creams reduce inflammation.) Other treatments for primary focal hyperhidrosis If the above general measures and antiperspirant treatments do not work, your doctor may suggest that they refer you to see a skin specialist (dermatologist). The specialist may suggest one of the following treatments. Iontophoresis This is a treatment that uses electrical stimulation. It is used mainly to treat sweating of the palms and/or soles. It can also be used to treat armpit sweating. It works well in most cases. Treatment involves putting the affected areas (usually hands and/or feet) into a small container filled with water. A small electrical current is then passed through the water, from a special machine. It is not dangerous, but may cause some discomfort or a pins and needles feeling. The exact way this helps to treat sweating is not known. It may help to block the sweat glands in some way. You will usually need 3-4 treatment sessions per week. Each treatment session lasts 20-40 minutes. Most people see an improvement after 6-10 sessions. A maintenance treatment is then usually required once every 1-4 weeks to keep symptoms away. If the treatment does not work with tap water, a drug called glycopyrronium bromide is sometimes added to the water. This may improve the rate of success. However, iontophoresis does not work in every case. Also, some people develop side-effects from the treatment, such as a dry or sore mouth and throat, and dizziness, for up to 24 hours after each treatment episode. Until recently the downside to iontophoresis was that it required a trip to hospital for each treatment session. This can be time-consuming and impractical for some. However, modern machines are smaller and can now be bought for home use. So, if you find that this treatment works for you, you may wish to consider buying a machine to use at home. However, you should take advice from the specialist who recommended iontophoresis for you before you buy a machine. You should not have iontophoresis if you are pregnant, or have a metal implant, such as a pin to fix a bone break (fracture), or if you have a pacemaker. Botulinum toxin injections This is an option that usually works well for armpit sweating. Treatment consists of many small injections just under the skin in the affected areas. The botulinum toxin stops the nerves in the skin that control the sweat glands from working. Botulinum toxin is not licensed to treat sweating of the palms and face. This is because there is a risk that the injections may stop some of the nearby small muscles of the hands or face from working. The downside of botulinum toxin is that the effect usually wears off after 4-12 months. Therefore, to keep working, the treatment needs repeating when the effect wears off. Some people get mild flu-like symptoms for a day or so after treatment. Also, the sites of the injections can be sore for a few days after treatment. A severe allergic reaction can (rarely) occur after an injection. It is also very expensive and not usually available on the NHS. Surgery An operation is an option for people who have not been helped much by other treatments, or if other treatments cause unacceptable side-effects or problems. For armpit sweating - an option is to remove the sweat glands in the armpit. There are various techniques. One technique is to remove the sweat glands from the underside of the skin through a small hole cut in the skin (called suction curettage). A recent innovation has been to use a laser to destroy the sweat glands in the armpit - laser sweat ablation (LSA). This may result in less scarring than other surgical techniques. However, there have not been any studies looking at the long-term outcome with laser treatment. For palm sweating - an option is to have an operation to cut some of the nerves that run down the side of the spinal cord. These nerves control the sweat glands in the hands. The operation is called endoscopic thoracoscopic sympathectomy. It is done by keyhole surgery, using a special telescope to locate the nerve, and then to cut the nerve. Most people are pleased with the result of the operation. However, a complication that may occur following this operation is a compensatory increase in sweating in other parts of the body (such as in the chest or groin). This can be worse than the original problem in the hands. Before you undergo surgery, you should have a full discussion with the surgeon. He or she will explain the pros and cons of the different surgical techniques, chance of success (usually high), and possible risks and complications. For example, as with any other type of surgery, there is a small risk from the anaesthetic. Also, wound infection and damage to other nearby structures, although uncommon, are other possible complications. Surgery is not usually done for sweating of the soles. Although cutting the nerves next to the spinal cord in the lower back region may cure the problem of sweating, there is a high risk of this also affecting sexual function.
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I am suffering from dry cough for the last two weeks and I have chest pain when ever I cough hard, can you suggest what should be done.

MBBS
General Physician, Mumbai
I am suffering from dry cough for the last two weeks and I have chest pain when ever I cough hard, can you suggest wh...
Dear lybrateuser, avoid drinking drinking cold water or any other cold drink. Drink luke warm water & warm tea, milk, soup. Do gargles at least 2-3 times in a day, in a glass of water add a pinch of salt. Also do steam inhalation 2-3 times a day. Avoid dust in & outside the house for which you can use a mask. You can take syrup chericof 1 tablespoon 3 times a day. If still no relief then consult a doctor as you may require to do investigations to find out the cause of your cough & take proper treatment.
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I use to masturbate daily from many years but now I have stopped. Now I notice my penis not get erect when I wake up in the morning and also have erection problem during sex. What should I do. Please help to get rid of this problem.

PDDM, MHA, MBBS
General Physician, Nashik
I use to masturbate daily from many years but now I have stopped. Now I notice my penis not get erect when I wake up ...
If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks. There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance. - the most important factor is healthy heart. Blood is pumped in to body by heart. So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh. - good healthy food is also an important aspect. Bananas, garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction. - avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.
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I am 25 year old boy from India. Last week I had chest pain, it lasted few minutes. Yesterday I again felt it. Is it symptom of heart disease?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 25 year old boy from India. Last week I had chest pain, it lasted few minutes. Yesterday I again felt it. Is it ...
Chest pain is one of the symptoms of heart disease. Get ecg, halter tests done, to make sure about reason of pain but remember every pain on chest is not due to heart.
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I am suffering with neck pain for 2months.Please do help me.

MBBS
General Physician,
For your neck pain do few neck exercise and see to it that you maintain a proper posture while studying.
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Dear sir/madam, I am 60 years no problems up to now (full healthy) recently I found that after 1/2km walk I feel pain full with burning sensation at center of my chest near (down) neck. Previously my walking range is 5 to 8 km but now I unable to walk or garden work as usually the pain/burning relief with in 2 to 4 minutes. So please let me know the solution to re leave from this situation. Thanking you.

MBBS
Urologist, Kolkata
Dear sir/madam, I am 60 years no problems up to now (full healthy) recently I found that after 1/2km walk I feel pain...
Dear sir, you might be suffering from a heart condition known as angina pectoris. There are also some other possibilities of heart conditions which needs to be evaluated soon. Please don't ignore these symptoms and consult a cardiologist as soon as possible for further evaluation and management.
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Sir I recently joined in a hostel due to food I have uneasy in stomach and also some little pain please help me what I have to do.

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician, Delhi
Sir I recently joined in a hostel due to food I have uneasy in stomach and also some little pain please help me what ...
There is possibility of constipation causing stomach related symptoms. Cause can be due to less intake of fibers in the diet. Exercises make your gut move faster. Isabgol/banana mixed in curd or milk is good source of fiber, which swells up with water, act as stool softener and build pressure. Drink a lukewarm water with half lemon juice and a spoon of honey and walk will be of some help. Or worms infestation. Get your stool tested for worms infestation. If eggs or cyst of worms is positive then consult your doctor for deworming/ amoebiasis treatment.
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I have ear pain from 2 days.What can i do?

DNB, Diploma in Otorhinolaryngology (DLO), MBBS
Ear-Nose-Throat (ENT) Specialist,
I have ear pain from 2 days.What can i do?
If no other symptom than ear ache then just take diclomol 1 tab now. Keep ear dry do not let water go in ear.
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I have problem of constipation from long time what should I do.

MD - Internal Medicine, MBBS
Endocrinologist,
I have problem of constipation from long time what should I do.
Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal, drink plenty of water.take digestive meal . Syp. Aristozyme 10 ml thrice a day. Take tab. Charcol at night. Syp . Livoluk 10 ml at night. tests for constipation.. stool c/s, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy) Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take.
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My penis does not stand whenever do sex and. Ahen I see the hardcore movie no reaction comes please suggest me some medicine.

BHMS
Homeopath, Sindhudurg
My penis does not stand whenever do sex and. Ahen I see the hardcore movie no reaction comes please suggest me some m...
Hi you need to take proper treatment for low libido. Low testosterone levels usually mean low sexual desire. Levels dip as men age; other causes include chronic disease, medications, and other drug use. Other hormones can play a role, too, such aslow levels of thyroid hormone or, rarely, high levels of prolactin, a hormone produced in a gland at the base of the brain. Do you get erection or unable to maintain erection? Homoepathic treatment increases libido without side effects.
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I'm using tadalafil 20 mg before sex its working well for me without any side effects till now. But I'm not getting proper erection the other times when not taking tadalafil. Can I continue using it? Any medicine for increasing penis size? I'm overweight, is this a factor for not getting proper erection? Does taking tadalafil increase weight?

BHMS
Homeopath, Sindhudurg
I'm using tadalafil 20 mg before sex its working well for me without any side effects till now. But I'm not getting p...
1. Common side effects of tadalafil headache, flushing in the face, neck, or chest, upset stomach, indigestion, abnormal vision, nasal congestion, back pain, muscular pain or tenderness. Nausea, dizziness, rash, diarrhea serious side effects change or loss of vision, ringing in ears or hearing loss, chest pain or irregular heartbeat, shortness of breath, lightheadedness, swelling in the hands, ankles, and feet. 2. In homoeopathy, there are many fruitful remedies to keep penis long and strong. 3. Yes you need to reduce weight.
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I have loos motion after eating food. Please help.

MBBS
General Physician,
take tab flagyl 400 1tab tds, tab pan 40 1tab empty stomach, it will help. welcome for further help.
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