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Dr. Shivaram

MBBS

General Physician, Hyderabad

Dr. Shivaram MBBS 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. Shivaram
Dr. Shivaram is an experienced General Physician in Begumpet, Hyderabad. He has done MBBS . You can consult Dr. Shivaram at Dr Shivaram Clinic in Begumpet, Hyderabad. Book an appointment online with Dr. Shivaram on Lybrate.com.

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I am diabetic since 1999. Fast blood sugar. 136 & Post fasting 180. I am suffering from numbness in both legs. Please advise.

MPTh/MPT
Physiotherapist,
Kindly do bird dog exercises(2 sets-5 counts) regularly for a week. If you find any discomfort due to this exercises, do left me know. I will give you alternative exercises.
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How flu is infected what are the symptoms and how we can cure it and prevent from spreading.

PGDHHM, MBBS
General Physician, Delhi
How flu is infected what are the symptoms and how we can cure it and prevent from spreading.
Symptoms of flu are - fever, coughing, sore throat, running nose, body aches, fatigue. Prevention from flu are-- Covering the mouth and nose while coughing and sneezing. For flu, it is better to take appropriate rest. • Drinking plenty of water is recommended. Hope this helps u. If required, consult
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I have frequent urination what should I do? i am diabetic since five yrs on insulin.

M.B.B.S., D.M.C.H.
General Physician, Alwar
Welcome to lybrate, please get your urine tested & upload reports. Keep your blood sugar under control with small & frequent meals, regular exercises & avoiding sweets and carbohydrates rich diet and insulin.
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I am a diabetic patient for last 16 years and I have been under medical treatment with alopathic medicines and insulin. Would you recommend me to take Ayurvedic formulations (e. G. Baidyanath's MADHUMEHARI and those advertised in TV chhanels) available in market?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am a diabetic patient for last 16 years and I have been under medical treatment with alopathic medicines and insuli...
No ..Never..why do u want to switchover..allopathic medicines are best for managing diabetes...at every stage
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BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Hyperhidrosis

Hyperhidrosis is the condition characterized by abnormally increased sweating/perspiration, in excess of that required for regulation of body temperature. It is associated with a significant quality of life burden from a psychological, emotional, and social perspective. As such, it has been referred to as the 'silent handicap'
Hyperhidrosis may also be divided into palmoplantar (symptomatic sweating of primarily the hands or feet),


Cause:

The cause of primary hyperhidrosis is unknown, although some surgeons claim it is caused by sympathetic over-activity. Nervousness or excitement can exacerbate the situation for many sufferers. Other factors can play a role; certain foods and drinks, nicotine, caffeine, and smells can trigger a response.

Humectants such as glycerin, lecithin, and propylene glycol, draw water into the outer layer of skin. Glycerin, lecithin, and propylene glycol are found in Vaseline. Hypothetically excessive use of vaseline over time may be one cause of palmar hyperhidrosis, however research needs to be conducted to provide evidence.

A common complaint of patients is they get nervous because they sweat, then sweat more because they are nervous.
Aluminium chloride is used in regular antiperspirants. However, hyperhydrosis sufferers need solutions or gels with a much higher concentration to effectively treat the symptoms of the condition. These antiperspirant solutions or hyperhydrosis gels are especially effective for treatment of axillary or underarm regions. Normally it takes around three to five days to see the results. The main secondary effect is irritation of the skin. For severe cases of plantar and palmar hyperhydrosis, there is some success using conservative measures such as higher strength aluminium chloride antiperspirants.[5] Treatment algorithms for hyperhidrosis recommend topical antiperspirants as the first line of therapy for hyperhidrosis. Both the International Hyperhidrosis Society (http://www.Sweathelp.Org) and the Canadian Hyperhidrosis Advisory Committee have published treatment guidelines for focal hyperhidrosis based on evidence based clinical support.

Injections of botulinum toxin type A, (Botox, Dysport) are used to block neural control of sweat glands.[5][6] The effects can last from 3?9 months depending on the site of injections.[7] This procedure used for underarm sweating has been approved by the U.S. Food and Drug Administration (FDA).[8]

Prescription medications called anticholinergics, taken by mouth (orally), may be used to treat either generalized or focal hyperhidrosis.Anticholinergics used for hyperhidrosis include propantheline, glycopyrronium bromide, oxybutynin, methantheline, and benztropine. Use of these drugs can be limited, however, by the common side effects of the anticholinergic class?dry mouth, urinary retention, constipation, and visual disturbances such as mydriasis and cycloplegia. Additionally, many of the medications used to treat excessive sweating are not FDA approved for that purpose and are, rather, being used "off label" For people who find their hyperhidrosis is made worse by anxiety-provoking situations (public speaking, stage performances, special events such as weddings, etc.) and want temporary, short-term treatment for the duration of the event, an oral medication/anticholinergic can be of assistance. (Reference: Böni R. Generalized hyperhidrosis and its systemic treatment.

Several anticholinergic drugs reduce hyperhidrosis. Oxybutynin (brand name Ditropan) is one that has shown promise,[5][10] although it has important side effects, which include drowsiness, visual symptoms and dryness in the mouth and other mucous membranes. A time release version of the drug is also available (Ditropan XL), with purportedly reduced effectiveness. Glycopyrrolate (Robinul) is another drug used on an off-label basis. The drug seems to be almost as effective as oxybutynin and has similar side-effects. Other anticholinergic agents that have tried to include propantheline bromide (Probanthine) and benztropine (Cogentin).


Non-surgical treatments:
Iontophoresis was originally described in the 1950s, although the exact mode of action remains elusive
of 2014,
the hyperhidrosis treatment device is available in North America, Asia Pacific, and Europe. Treatment with this device is given in a physician's office and results in the thermolysis (destruction by heat) of the sweat glands beneath the underarm skin.

Hyperhidrosis can have physiological consequences such as cold and clammy hands, dehydration, and skin infections secondary to maceration of the skin. Hyperhidrosis can also have devastating emotional effects on one?s individual life.
2 people found this helpful

Hello I am 26 yrs old man for last five years I am unable to control my blood sugar. What are remedies I want to follow?

BHMS
Homeopath, Secunderabad
Nothing to worry, we have best medicines in homoeopathy to reduce sugar levels and improves pancrease function. Which medicines are you taking now? tell me your recent fbs and plbs levels.
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My dick skin is not proper open. When my dick proper excited at that time I try to pull down my penis skin. But I create lots of pain. Because it's not proper open. Please suggest what to do.

MBBS
General Physician, Jalgaon
My dick skin is not proper open. When my dick proper excited at that time I try to pull down my penis skin. But I cre...
Please Put some coconut oil drops below penile skin and do forward and backward movements of penile skin slowly avoiding masturbation Do it for 3 months It will be free Otherwise Consult nearby surgeon in person and go for circumcision.
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I am having consistent premature ejaculation what are the tips to cure it? please sir tell me I feels to die by thinking this happening to me?

BHMS
Homeopath,
I am having consistent premature ejaculation what are the tips to cure it? please sir tell me I feels to die by think...
Dear lybrate user, kindly note that if you are unmarried & indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture yohimbinum q, 30 drops, thrice daily, after meals, in a cup of water. Along with medicines you can also try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do this exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction.
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I am under medication for skin because of my allergy since last year (november) My lastcheckup was a week back. Improvements because of the medicines, but like the past, I get the allergy when I stop withmy medications. Can I get help.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
I am under medication for skin because of my allergy since last year (november)
My lastcheckup was a week back.
Impro...
1. Stay away from Dust and Pollution. 2. Increase your immunity, eat plenty of Fruits and vegetables. 3. Kee 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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After masturbation I feel lots of pain in penis. Sometimes pain is very high. Is it normal? What should I do now. My age is 26 and I am unmarried. Thank you.

MBBS
General Physician, Chandigarh
After masturbation I feel lots of pain in penis. Sometimes pain is very high. Is it normal? What should I do now. My ...
This is not pain actually it is the feeling of orgasm which remains for sometime and then fade away.
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Does sex effects male feeling tiredness after ejacuation?

Sexologist,
Few people feel tiredness mainly due to psychology that they lost something otherwise sex is a act after which mind and body gets relaxation.
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Please help me,I had chest x ray which states prominent and thicken broncho vascular markings in the right basal region with peribronchal haziness at right basal region.What does it means.Is it normal.What should I do

MD - Consultant Physician
General Physician, Mumbai
It could suggest pneumonia or some form of infection in the right lung. But the clinical history is very important. Do you have fever and if so since how long? Do you have cough with expectoration? Is there a histor of tuberculosis?
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Sir/madam I am abdul I am 23 years old. Sir my penny /cock and my cock, s topi is very thin and small. It, s reason masturbation. So please advice me how can I do big and strong. Please tell me some medicines name and some to eat.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
Sir/madam
I am abdul I am 23 years old.
Sir my penny /cock and my cock, s topi is very thin and small.
It, s reason m...
No medicine available which increase your penis or tip but you can improve your stamina using by herbal remedies follow some instruction 1-stop masturbation immediately 2-don't watch porn video 2. Avoid fried and spicy item 3. Eat green salad and vegetable like onion tomato cucumber and nutritious diet 4-do regular yoga exercises increases blood flow in the body, particularly to those organs involved in sex. In addition 5-may take ayurvedic medicine which increase your stamina and power.
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Recently my father suffered with mild heart attack and 3 stents are placed in his hearts . So can I know the diet and food he should take.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Recently my father suffered with mild heart attack and 3 stents are placed in his hearts . So can I know the diet and...
It must have been explained to you. Just to refresh heart healthy diet for every member of family- avoid bad fats like street food, burgers etc. Take minimum salt & sugar despite bp & blood sugar being normal. Salt is a preservative & present in every packed food. Avoid. Eat fresh. Take more potassium through citrus fruits like oranges, lemon, berries, amla, banana etc. Take good fats like a katori of assorted nuts + a spoon of pure ghee/ butter. Seasonal vegetables and fruits as much as one can accept according to constitution. Keep weight stable, avoid extra carbs & replace with salads. Avoid reheating and using same oil for frying purposes. Walk to health to digest food, to meditate & to keep heart in good shape.
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I have big headache always and if attack sudenlly then what should I do Please give me suggestion?

MBBS
General Physician, Chandigarh
I have big headache always and if attack sudenlly then what should I do Please give me suggestion?
Take care of your diet and daily routine you need to follow a regular healthy routine with lots of good hobbies and exercises also you must have enough sleep of 7 to 8 hrs every night
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I am 43 years old male. I am suffering from constipation for the a year.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
constipation is easily manageable through a prescribed diet. I will prescribe a high fiber diet customized to your case. Do avoid over-the-counter laxatives. Increasing exercise is also important if you lead a sedentary lifestyle. For stubborn constipation in I may recommend a non-digestible sugar called lactulose or specially formulated electrolyte solutions. I being a both a registered dietitian and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. Do reply back for private consultation.
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I'M feeling giddy and I can't stand more can half and hour even though I eat properly.

Diploma in Child Health (DCH), MBBS
Pediatrician, Vellore
I'M feeling giddy and I can't stand more can half and hour even though I eat properly.
Hi there plenty of reasons for years giddiness problem. Try to find out" heat waves in summer, dehydration" anemia a cause of weakness in blood" sleeplessness" gen. Weakness or convalescence (recovery from prolonged illness)" anti allergic drugs or psycho tropic drugs taking regularly rare cause: brain pathology (like tumour) pls check withyears doctor. Thanks,
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Homoeopathy and male problem - Erectile dysfunction / impotence

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
Homoeopathy and male problem - Erectile dysfunction / impotence

Homoeopathy and male problem - Erectile dysfunction / impotence

Introduction:-
Impotence is a common problem among men characterized by the inability to sustain an erection for sexual intercourse. Erectile dysfunction is characterized by the regular inability to maintain an erection. 
A man may have a good erection with masturbation, but not when sexually active with his regular partner.

Etiology:-
Majority of erectile dysfunctions are primarily psychogenic in origin. Psychological causes like depression, stress, anger, performance anxiety, low self-esteem. Fear of sexual failure are the most salient immediate causes of erectile difficulties. A history of sexual abuse, guilt about sexuality and early homosexual experiences are more common factors of erectile dysfunction. 

Conventional medicine:-
In allopathy sildenafil citrate under the brand name viagra is the oral therapy for the treatment of erectile dysfunction. It usually acts within an hour of administration. Blood pressure is reduced transiently by sildenafil to 100 mg or more. Men even died from cardiovascular problems due to the side effects of sildenafil. Therefore viagra is not the right choice for all men. In addition to this drug, many men take the help of vaccum constriction device, penile injection therapy, intraurethral therapy, surgery. All of these treatments have different complications and side effects. 

Adverse reactions of sildenafil:-

  • Headache
  • nasal congestion
  • urinary tract infection
  • dizziness
  • respiratory tract infection
  • angina pectoris av block
  • migraine
  • tachycardia
  • hypotension
  • myocardial ischaemia
  • cerebral thrombosis
  • cardiac arrest
  • heart failure
  • vertigo
  • depression
  • insomnia
  • skin diseases
  • gastroenteritis
  • abnormal liver function tests
  • unstable diabetes.

Role of homoeopathic medicines:-
 Homoeopapthy has the best and the safest possible treatment to cure the problem of erectile dysfunction quite effectively without any complications or side effects. There is a permanent solution to erectile dysfunction (ed) or impotence. Ed or impotence is treatable and at any age. Homeopathy offers remarkable results in erectile dysfuntion (ed) or impotence cases, which may have arise from both physical and psychological causes. Unlike allopathic medicines, homeopathic medicines are non toxic and non addictive. Where the cause of erectile dysfunction (ed) or impotence is with other system diseases and due to drug effects, there also homeopathy provides better option. Homeopathy is strongly recommended for erectile dysfunciton or impotence. The treatment is decided after thorough case taking of the patient. Although relief from symptoms may require several doses and take longer with homeopathic remedy. The results are longer lasting and act on a deeper level in the body. With homoeopathy, erectile dysfunction or impotence is an issue that can be treated, allowing you and your partner to enjoy a full and satisfying loving relationship.

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From past 3 days I'm feeling weak and vomiting everything I eat. I have taken ondem4 as prescribed by doctor. Now the vomiting have stopped but I cant eat much. whenever I try to eat more I feel like i am going to vomit even though the hunger is not satisfied. What could be possible wrong with me. please help.

MBBS
General Physician, Cuttack
From past 3 days I'm feeling weak and vomiting everything I eat. I have taken ondem4 as prescribed by doctor. Now the...
If your urine is yellow get it examined. If it is normal then take bland diet,avoid spicy and oily food, take plenty of water. Take one tablet of Aciloc RD daily before food.If no relief consult doctor
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