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Dr. Rajeev Kalra.

General Physician, Jalandhar.

Dr. Rajeev Kalra. General Physician, Jalandhar.
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rajeev Kalra.
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Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 40 years of experience on Lybrate.com. Find the best General Physicians online in Jalandhar.. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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We want to do the sex without condoms and we don't want pregnancy, which date is correct for that after menstrual.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
We want to do the sex without condoms and we don't want pregnancy, which date is correct for that after menstrual.
Suggest use a regular form of contraception to avoid unwanted pregnancy like pills or get a coil fitted.
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Day before yesterday I had Grill chicken and Shawarma later drank Thumbs up, yesterday was suffering from loose motions and vomiting. From yesterday till today I had nothing. Kindly help me out please.

MBBS
General Physician, Mumbai
For loosemotions drink ors solution and to stop the frequency of motions take capsule roko and avoid spicy food in your diet and eat only curd rice or khichdi and if necessary we should take prescribed antibiotics.
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I need to clear my throat every time I start to speak. I also have pain in my throat and have to apply lots of pressure before I speak. I feel a sort blockage there. Why is this happening?

MBBS
General Physician, Cuttack
I need to clear my throat every time I start to speak. I also have pain in my throat and have to apply lots of pressu...
1. Do betadine gargle 2-3 times daily 2. Avoid drinking cold water, have luke warm water, tea, coffee, hot soup 3. Take throat lozenges, 4. Give voice rest 5. Avoid smoking 6. If no relief you have to take antibiotic 7. Consult ent specialist for further advice.
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How does a person know that she has diabetes. What are are the signs and symptoms.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
You can come to know about diabetes only by blood test. Symptoms are rare. Most common symtoms are weight loss, weakness, leg pains, excessive urination, excessive thirst, huger, blurred vision and skin infection.
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Dr. I want to know that what is inguinal hernia and why it occurs and what are its prevention.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Inguinal hernia is protrusion of intra abdominal organs to outside abdomen because of weakness in strength of abdominal wall. This weakness can be because of various reasons, excess of pressure due to weight lifting or straining too much during defecation or straining in urination etc or it may be due to unknown reasons. Prevention is be avoiding constipation or urinary problems, it these occur treatment should be taken without delay, by going for correct excercises and not lifting heavy weight suddenly or beyond one's capacity. Gradual increase in weight is recommended. Other then this if hernia has already occured it has to be treated (operated) without much delay.
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I am 27 year old I have been suffer from my stomach problem I had suffering from gas problem and lose motion when I drink tea in morning my whole day lost, I can, t work those day, my stomach got pain, what to do for this?

MBBS
General Physician, Cuttack
I am 27 year old I have been suffer from my stomach problem I had suffering from gas problem and lose motion when I d...
1. Take bland diet, avoid spicy, oily, fried and junk food2 eat and drink slowly. 3. Avoid fatty food, carbonated drink like soda/ soft drink/beer, chewing gum, sucking hard candy etc, 5. Avoid gas forming food like onion, bean, peas, potato, lentil, lettuce, cabbage, cauliflower, broccoli, mushroom, whole wheat bread. Fruits like apple/peach/pear 6. Avoid stress, anxiety 7. Stop alcohol/ smoking if you have 8. Go for regular exercise and avoid sedentary life style 9. Take one tablet of pan40 in the morning 10. Take unienzyme 2 tablet twice daily after food for few days.
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Sir my father has been diagnosed with cerebral moderate atrophy and he has consumed the prescribed medicine for almost 5 moths, however he could complain that everyday he is feeling fatigue and he feels sleepy. Seeking for your valuable solution.

MBBS
General Physician, Jalgaon
Sir my father has been diagnosed with cerebral moderate atrophy and he has consumed the prescribed medicine for almos...
Please Continue current medicine Give him Badam pak by Patanjali 2 tsf twice a day Saraswatarishta 15 ml twice daily with water Re Consult me on Lybrate after 3 wks.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Hell lybrate user- This might be due to following reasons so try to avoid them- a) Sleeping in day time. B) Going to bed late (generally after 10 pm). C) Lack of hair oiling. D) Excessive intake of spicy and fried diet and less intake of sweets. Avoid these reasons and use Mahabhringraj hair oil for head massage daily before going to bed, you will get relief quickly.
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I have head ache with 2 days what can I do?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
I have head ache  with 2 days what can I do?
Apply an ice pack to the painful area of your head. Try placing it on your forehead, temples, or the back of your neck. Take a warm bath or shower; take a nap; or take a walk. Ask someone to rub your neck and back, or treat yourself to a massage. Apply gentle, steady rotating pressure to the painful area of your head with your index finger and/or thumb. Maintain pressure for seven to 15 seconds, then release. Repeat as needed. Rest, sit, or lie quietly in a low-lit room. Close your eyes and try to release the tension in your back, neck, and shoulders.
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I have a ankle pain since yesterday. Today I would’t able to get up from bad. It pain so bad. I think mine right foot just twisted. Would you can give me any suggestion so that I can feel better. Any medicine suggestion for me.

MBBS
General Physician, Cuttack
Take pain killer, give ice cold compression if swelling, apply crepe bandage. If no relief consult doctor.
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Period due date was on 3rd of may, started spotting on 3rd evening and it continued on 4th along with lower left side stomach pain and left side lower back pain on 5th it was lil heavy bleeding along with lots of stomach cramps and backache on 6th half day it was bleeding and second half spotting and on 7 th again spotting on 8th just stomach cramps and backache. Did home pregnancy test on 8th it showed negative. My period only last for 3 days even today thats 9th I still have cramps.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
As you may know, you are perimenopausal. This refers to the time before menopause when hormone levels, particularly estrogen, begin fluctuating. Perimenopause occurs, on average, about four years before actual menopause. Menopause is timed as the date of the final period, confirmed after periods have been missed for 12 months.
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I have gas problem since three month and also some sound in stomach. What should I have to do?

MBBS
General Physician, Cuttack
I have gas problem since three month and also some sound in stomach. What should I have to do?
1.Take bland diet, Avoid spicy, oily, fatty and Junk food 2 Eat and drink slowly. 3.Avoid carbonated Drink, Beer, chewing gum, sucking hard candy etc, 5.Avoid gas forming food like onion, bean , peas, lentil, cabbage, cauliflower, broccoli,mushroom,whole wheat bread 6.Avoid stress, anxiety 7.stop smoking 8. Go for regular exercise and avoid sedentary life style 9.Take one tablet of pan40 in the morning 10.Take unienzyme 1 tablet thrice daily after food for few days. 11.consult me for further advice
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I am suffering from severe throat infection, cold and cough pls suggest medicine. Thanks.

BHMS, CGO
Homeopath, Pune
I am suffering from severe throat infection, cold and cough pls suggest medicine. Thanks.
Advice - drink plenty of fluids, consume raw ginger and honey, gargle with salt water, avoid spicy and oily food, eat vegetables, soups and blend diet for 3-4 days. Stodal syrup sbl - 3 times a day, allium cepa 30, 3 times a day, dulcamara - 30, 3 times a day before meal. All are temporary treatment as per provided information, for permanent cure we need detail history and investigations. Homeopathy is best, safe and effective. We treated every day 50+ patients of cough and coryza, in this weather its common. And our success rate is 90% approx.
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I am a cricketer. I get cramps if I play for 3-4 hour. What to do? Please help me.

LCPS, BAM&S
General Physician, Pune
first you undergo a series of medical check ups to explore your health. Common causes are loss of salts in body and dehydration, which can be corrected by drinking 4-6 litres of water every day and drinking lemon sharbat 4 times day. But certain vascular diseases, cholesterol problems, sugar problems can also create these symptoms.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I am a boy of 16year old and I have a headache since last 1week and I can't see clearly from my eye. Please help me.

BHMS
Homeopath, Faridabad
I am a boy of 16year old and I have a headache since last 1week and I can't see clearly from my eye. Please help me.
Hello, Some primary headaches can be triggered by lifestyle factors, including: Alcohol, particularly red wine Certain foods, such as processed meats that contain nitrates Changes in sleep or lack of sleep Poor posture Skipped meals Stress insufficient sleep or rest Overexertion Nutritional deficiencies A secondary headache is a symptom of a disease that can activate the pain-sensitive nerves of the head. Any number of conditions — varying greatly in severity — may cause secondary headaches. Get your blood pressure checked, make a chart. Let me know about the readings, will give you medication accordingly. Also, get eyes tested. Medication: Meantime, can start with homoeopathic medicine - Bakson's Mig Aid tablet/ after every 2 hours.
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I am suffering with headache tell me solution?

General Physician,
I am suffering with headache tell me solution?
Take crocin pain relief one sos, get your BP checked, Get your eye checked. consult again if not ok.
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I feel lethargy all the time. Don't feel like getting up .is it due to high sugar level or something else. What is the right sugar in morning before.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I feel lethargy all the time. Don't feel like getting up .is it due to high sugar level or something else. What is th...
Jesseyji, Lethargic feeling could be due to many reasons including diabetes. Other conditions which can cause such a feeling are hypothyroidism, iron deficiency anemia and certain other vitamin & calcium deficiency. It is better to get blood glucose level as well as get a thyroid assay and CBC done. The results will give a clear idea. If you are looking for specific treatment, please come back with results, based on that I will be able to guide. Thanks.
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I am suffering from fever, headache, body pain from last two day. Please guide me what should I do? I have consult doctor but im still have problem please consult me I am taking crocin,

MBBS
General Physician, Mumbai
I am suffering from fever, headache, body pain from last two day. Please guide me what should I do? I have consult do...
For fever take one tablet paracetamol 650 mg and can repeat it after eight hours as and when needed and I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest and Get your blood checked for cbc, mp, widal,sgpt and urine r/m and follow up with reports.
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Ring worm is not getting cure?

BHMS
Homeopath,
Hello, Take homoeopathic medicines - Tellurium 200/ twice daily and Sulphur 200/ once a day daily - take them for 2 weeks. Revert me back there after.
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