Dr. Thrivikram

Improving sexual satisfaction and pleasure, and staying longer in sex is possible in two ways: 1. Through medical treatment 2. Natural methods. The first is preferred when inability to stay longer in intercourse lowers sexual self-esteem; causes severe dissatisfaction to self and partner; leads to distress in marriage requiring urgent intervention. However, this method may be accompanied by mild and tolerable drug-related side effects. Also, it works only as long as the medicines are taken. There are ointments and sprays for external application on the penis to help stay longer in sex. They are relatively safe, but it depends on the ingredients. Natural methods of ejaculatory control, on the other hand, help the patient to understand what exactly is causing and triggering ejaculation and then teach techniques to control ejaculation. These methods are totally safe but longer to learn. Once learnt they could give a lifelong benefit.

Two cigarettes are fine but dont get habituated & big glass of warm water early in the morning for your constipation.

(Biochemic) biocombination no 28. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

Hi Mixing two teaspoonfuls of ghee in a glassful of milk and taking this once a day acts as a liner inside the gut and will heal all the destruction caused by the high flow of Pitta. Take pranacharya aceno syrup 2-2 tsf twice a day. Take pranacharya aceno capsule 1-1 twice a day. And avipattikar churna 1-1 gm with warm water. Take pranacharya udar bhaskar kshar churna twice a day with warm water. Take fresh butter milk empty stomach. Avoid tea. Coffee.spicy food. Junk food.

Dear Lybrate user. Phimosis is a congenital narrowing of the opening of the foreskin so that it cannot be retracted. Phimosis is a very common problem. In most of the cases you can clear the problem yourself. Phimosis could cause moderate to severe pain while having vaginal intercourse. Apply oil on your foreskin and on the glans. Move the foreskin forward and back slowly without hurting you much. Because the oil is lubricant, it will be easier than without oil. Do this forward and back movement 20 times several times in a day. Repeat the same every day for around one month. You will get the elasticity and you will be able to retract the foreskin completely. In case if there is no result from the above massage, you can always go for a minor surgical procedure called circumcision. Take care.

Tk muscle relaxant medicine and do stretching exercise and heat fermentation twice a day do core strength exercise.

Hi you can also make decoction of cinamom 1/2 tsf+honey1 tsf+ginger juice 1 tsf +tulsi leaves 1-2 in 1 cup of water reduce it to 1/2 and have it twice a day for 10 days. If not controlled see a good physician.

There may be come medicines claimed to be useful in Dm and Obesity. There proven value based on scientific evidence is lacking. Basically diabetes need to be strictly monitored and hypertension, - silent killer- needs to be actively treated. YOu ask me privately for prescription. Menopause is a unique experience for every woman. It is the ending of a woman's monthly menstrual periods and ovulation. It also signals other changes to the body and mind, brought on in part because the body begins producing lesser amounts of the hormones estrogen and progesterone (among others). Menopause is not a disease. It is a natural process in a woman's life. How a woman views this time of her life can have a lot to do with how frequent and severe her symptoms are. If menopause is viewed as the end of youth and sexuality, this time will be much more difficult than if it is viewed as the next, natural phase of life, a time of greater freedom, liberation from the restrictions of youth. . Although menopause is one of the important physical milestones in a woman's life, many women lack concrete information about what is taking place and what are their options. With a proper diet, nutritional supplements, and exercise and simple lifestyle changes, most of the unpleasant side effects of menopause can be minimized to a great extent and with this knowledge and preparation you can step forward with grace and embrace it! Ayurvedic Symptoms of Menopause : Ayurveda links menopause with aging. Aging is a ‘Vata’ predominant stage of life. Thus, the symptoms of menopause experienced by some women are similar to the symptoms seen when the Vata dosha rises and upsets the normal balance of the body. Vata-type menopausal symptoms tend to include depression, anxiety, and insomnia. Menopause may also manifest itself as a rise in the other two humors also. Women with Pitta-type symptoms are often angry and suffer hot flashes. Kapha type symptoms include listlessness, weight gain, and feelings of mental and physical heaviness. Ayurvedic Treatment of Menopause : The type of treatment depends upon the dosha in which the woman's menopausal symptoms are manifesting. Here it is important to note that health problems at menopause represent imbalances in the body that were already growing in the body and are unmasked by the stress of shifting hormones. Menopause symptoms are Nature's wake-up call to let you know you need to start paying more attention to your health. Taking proper steps in the direction of balancing the imbalance doshas, paying attention to your diet and making lifestyle changes now is critical to ensuring that you age gracefully without the burden of chronic health problems. Vata-type menopause Symptoms – Nervousness, anxiety, panic, mood swings, vaginal dryness, loss of skin tone, feeling cold, irregular periods, insomnia, mild or variable hot flashes, constipation, palpitations, bloating and joints aches and pains. Treatment: Diet - Increase warm food and drinks, regular meals, and use spices such as fennel and cumin. Decrease caffeine and other stimulants, refined sugar, cold drinks, salads. Lifestyle - Early bedtime, oil massage using almond and olive oil, meditation, yoga, Regular exercise like walking Anti-Vata herbs include ashwagandha, arjuna, astragalus, cardamom, comfrey root, garlic, ginseng, guggul, hawthorn berries, licorice, myrrh, rehmannia, sandalwood and zizphus. Pitta-type menopause Symptoms - Prone to Hot Temper, anger, irritability, feeling hot, hot flashes, night sweats, heavy periods, excessive bleeding, urinary tract infections, skin rashes and acne. Treatment: Diet - Increase cooling foods, water intake, sweet juicy fruits (grapes, pears, plums, mango, melons, apples,) zucchini, yellow squash, cucumber, organic foods. Use spices such as cinnamon, cardamom and fennel. Avoid hot spicy foods, hot drinks and alcohol. no eating late at night. Lifestyle - Go to bed before 10 PM , oil massage using coconut and sesame oil. Use Meditation and other techniques to reduce anger, hatred and resentment. Exercise and exposure to the sun are limited. Anti Pitta herbs to be used include aloe vera, arjuna, barberry, golden seal, gotu kola, saffron, sandalwood and shatavari. Kapha-type menopause Symptoms - Menopausal Weight Gain , sluggishness, lethargy, fluid retention, yeast infections, lazy, depressed, lacking motivation, slow digestion. Treatment: Diet – Prefer light, dry and warm food, Consume fruits, whole grains, legumes, vegetables. Use spices such as black pepper, turmeric and ginger. Avoid meat, cheese, sugar, cold foods and drinks. Weekly fasting is helpful. Most or all of the daily food should be consumed before 6 p.m. Lifestyle - Get up early (by 6AM). Mustard oil and linseed oil are often recommended for massage. Anti Kapha Herbs include bayberry, cayenne, cinnamon, guggul, motherwort ,mustard and myrrh. Key factors in achieving graceful menopause – A smooth menopause transition and great health in the years to come can be achieved with the help of - Balancing Doshas - Ascertain the imbalance dosha according to your symptoms and follow the advice given above to balance that dosha. Balancing Diet - Diet plays a key role in balancing hormones during and after menopause. It is well known that Japanese women rarely experience hot flashes, probably because their diet contains large amounts of soy/soya, a food rich in certain plant estrogens called "isoflavones." Soya products are not the only source of plant estrogens, however. Another equally healthful source of phytoestrogens are "lignans," compounds found in a variety of whole foods including grains and cereals, dried beans and lentils, flaxseed, sunflower seeds and peanuts, vegetables such as asparagus, sweet potatoes, carrots, garlic and broccoli and fruits such as pears, plums and strawberries. Common herbs and spices such as thyme oregano, nutmeg, turmeric and licorice also have estrogenic properties. Eat a varied diet high in fruits, vegetables, whole grains and dried beans .It’s a rich source of phytoestrogen. Variety and moderation are important because just as too much estrogen is unhealthy after menopause, too much phytoestrogen may also be dangerous. Apana Vata, which governs the genito-urinary tract, elimination, and menstruation, is a key area to attend to when preparing for menopause. Drink plenty of warm water throughout the day. Eat plenty of cooked, leafy greens, as this helps elimination and is also a good source of calcium. For both Pitta and Vata imbalances, a breakfast of cooked apples and prunes and figs is a good way to start the day, as it balances the doshas and cleanses the digestive track. Panchakarma - More serious symptoms, such as frequent hot flashes, continual sleep disturbance, and moderate to severe mood swings, are signs of deeper imbalances. Ayurveda describes that these stubborn symptoms are usually due to the buildup of wastes and toxins, referred to as "ama," in the body's tissues. In this case, a traditional Ayurvedic detoxification program "panchakarma," may be needed to clear the body's channels and gain relief. This internal cleansing approach is also the treatment of choice for more serious problems such as osteoporosis and high cholesterol.

Please Alone medicine won't work permanently Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do perineal and pelvic exercises daily Take salads and fruits more Avoid masturbation totally Reduce frequency of sex for few days Take Cap gokhshur by Himalaya 2 2 for 6 mths Musali pak by Patanjali 1 tsf Twice a day for 6 mths Ashwagandharistha 20 ml Twice a day for 6 mths.

If you will overeat at meals you will definitely get consequences like weight gain. Other consequences like abdominal pain heaviness indigestion weight on chest may also occur. Eat small frequent meals and more of raw vegetables and fruits. Drink water more.

Weight gain, stamina and strength depends on healthy diet. Exercises and good sleep. Daily one glass beetroot [ chukunder ] juice for 15 days and daily eat 2 banana in the morning.

Dear lybrate-user 5 min. Time is sufficient. You can increase it by doing kegel exercise. Learn sensate focus exercise I like to educate you. Tab. Pari 20 one daily in evening will help you. Take for 45 days.

Hi, symptoms of dengue are high grade fever, headache, bodyache, retro orbital pain, skin rashes, v0mitting, abdominal pain, fatigue and restlessness. Avoid mosquito bites by using mosquito curtain, repellents and odomos cream. Avoid stagnated water in and around the house to stop breeding of mosquitoes.

I will suggest you to increase your immunity by taking Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months and do exercise regularly

If you are really getting this regularly, in my opinion you should consult a pain clinic by an anesthetic. He can resolve your problem.

Urticarial; rashes are different and you may need to change the medicines and need to review with him

Hello, Body pain may be due to 1. fever 2. abrupt start or stop of exercise 3. Any other medical disease like Anaemia/ Hypoproteinemia/ Thyroid problem 4. Vit D deficiency 5. Multimineral and vitamin Deficiency 6.Stress/ anxiety 7. Over exertion (physical and mental) kindly follow advises given below: 1. Take adequate rest 2. Proper diet 3. Measure your temperature and tell me reading 4. Bathing may also reduce body pain 5. Avoid stress Kindly consult Physician for further management

Hello- It is set of exercise of PC muscles situated in the pelvic floor which controls ejaculation. Daily reps and sets with a progressive timing can delay your ejaculation and can make your orgasm powerful.

Clear nasal passages. If you have a stuffy nose, rinse sinuses with saline before bed. Using a Neti pot, nasal decongestant, or nasal strips can also help you breathe more easily while sleeping. If you have allergies, reduce dust mites and pet dander in your bedroom or use an allergy medication. Keep bedroom air moist. Dry air can irritate membranes in the nose and throat, so if swollen nasal tissues are the problem, a humidifier may help. Change your sleeping position. Elevating your head four inches may ease breathing and encourage your tongue and jaw to move forward. There are specially designed pillows available to help prevent snoring by making sure your neck muscles are not crimped. Sleep on your side instead of your back.

lybrate-user Duration of the symtoms are very important to know whether you are suffring from acute or chronic disease. If acute it could be viral, bacterial or allergic problem. If chronic, it could be chronic follicular pharyngitis, chronc tonsillitis and it could be due to allergic bronchitis, eosinophilia, Details are required to focus the problem and treating the problem or providing any guideline.