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Mr.Spandan Tolia 's Clinic

Phlebologist Clinic

Mumbai Mumbai
1 Doctor
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Mr.Spandan Tolia 's Clinic Phlebologist Clinic Mumbai Mumbai
1 Doctor
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Mr.Spandan Tolia 's Clinic
Mr.Spandan Tolia 's Clinic is known for housing experienced Phlebologists. Mr. Spandan Tolia, a well-reputed Phlebologist, practices in Mumbai. Visit this medical health centre for Phlebologists recommended by 53 patients.

Timings

TUE, SAT
07:00 AM - 07:30 AM

Location

Mumbai
Mumbai Mumbai, Maharashtra - 400068

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I am suffering from varicocele. .is it ok if I can go to gymnasium. .n lifting weights are fine. Please advice.

BHMS
Homeopath, Hyderabad
No, not at all advisable. Don't over exert. As there will be clotted veins if you lift more weights then your testicle will ache a lot and the condition becomes more intense. Even it is advised to use some scrotal support instead.
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Sir mere ko both leg varicose vein hai and deep vein reflux in both sfv and pfv .sir agar laser karvata hu to kya thik hoga or swelling and pain chala jayega pls reply sir.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1, not stand for long periods if work demands long standing stretch your legs periodically 2. Avoid sitting with your legs crossed, it puts terrible pressure on the veins. 3. Elevate your legs when resting. 6. Loose wt 7. Walk and exercise regularly 8 low salt diet for medicine and further advise contact on private consultation good luck.
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Mere ko varicose vein problem hai both leg and deep vein reflux is noted both sfv and pfv and small varicosity seen in leg and left sf junction is incompetent .sir mere ko kon sa treatment karna chahiye. Laser is best for me yes or no pl reply.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1, not stand for long periods if work demands long standing stretch your legs periodically 2. Avoid sitting with your legs crossed, it puts terrible pressure on the veins. 3. Elevate your legs when resting. 6. Loose wt 7. Walk and exercise regularly 8. Low salt diet.
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My problem is varicose vein in both leg. My doppler report is 1. Deep vein reflux is noted both sfv and pfv .2 left sf junction is in competent. 3 no dvt in both leg .4 small varicosity show in left limb. Sir please mere ko kya karna chahiye my leg is swelling. And mere ko kon sa treatment karna chahiye.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi. First thing is avoid prolong standing or sitting, your limbs should be elevated not hanging or in erect posture. While sleeping keep your legs elevated over a pillow. Use graded compression stockings. If its causing lot of pain, limb swelling and skin blackening/ulcer around ankle then go for surgery.
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Hi doc, suggest me the food for my mom (58 yr) which not only maintains and increases blood circulation in legs i.e. Varicose veins issue.

MBBS
General Physician,
If she is suffering from Varicose veins, you can go for Laser therapy for varicose veins, which is done without taking any cuts on your legs. As such their is no specific diet plan for varicose veins.
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My problem is varicose vein .please varicose vein ka treatment btao. My both leg problem of swelling and pain and heavy.

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Varicose veins are one of the easiest condition to be fixed. First we get a doppler of both legs (ultrasound of legs) to see the leaking points in veins. Often main leaking point responsible for varicose vein in in upper thigh. If Leaking point identified properly, a injection based approach can treat the problem- its called radiofrequency / laser ablation of varicose veins. Its a minimal risk procedure and almost required no bed rest either. No cuts/ surgery is involved. Few subset of patients do not have leaking points, rather have blockage of veins, they have to be identified by angiogram, and fixed accordingly.
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I am suffered from varicose veins, I have tried ever thing medicines, homeopathic treatment, but I am not able to cure it, so please suggest me .so that I can cure it.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi. Varicose veins once they occur it's difficult to get rid of them with medicines. You can only prevent further deterioration and complications. If they are causing pain, increasing despite all treatment or development of ulcer over ankle and blackening of skin are indications for surgery. Surgery can get rid of varicose veins and it's complications. Now a days laser treatment is also available. Keep your limb elevated, avoid prolong standing and running. You can use graded compression stockings. No good medications are available. For further queries consult online or in person by appointment.
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My wifes right leg is swollen right from knee joint to foot. It is there for 4 months now. Not reducing at all. She has normal BP and no diabetes. Showed to and tried medicines from Ayurvedic, allopathic as well as Homeopathic during 3 months. No relief. No one is saying why it is there except allopathic Dr. said it is due to varicose veins. We are at a loss to understand what to do and whom to show. Can you guide?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
My wifes right leg is swollen right from knee joint to foot. It is there for 4 months now. Not reducing at all. She h...
Hi. In varicose veins there is classical dilatation and prominence of superficial veins of leg is seen. It appears to be a case of lymphedema. I think you should consult a surgeon nearby. Avoid prolong standing/ walking/sitting upright. Keep the limb elevated and use graded compression stockings. Thanks.
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Varicose Veins: Using Sclerotherapy to Get Rid of It

MBBS, PGDA
Trichologist, Delhi
Varicose Veins: Using Sclerotherapy to Get Rid of It

Varicose veins are enlarged and gnarly veins and they commonly appear in the feet and legs. They occur when veins get filled with blood and they are often red or bluish purple in color.

The main cause of varicose veins is the when the vein dysfunctions. Veins have valves in them that are supposed to keep the blood flowing forward, but if they fail to do so, blood in the vein starts to collect rather than continue towards the heart. Since the legs are furthest from the heart, varicose veins mostly affect the legs. Gravity, too, is a contributing factor as it makes it hard for the blood to flow up the vein.
Out of all the treatments available for varicose veins, sclerotherapy is the most effective.

What is sclerotherapy?: Sclerotherapy is a form of injection therapy that is designed to improve the way the varicose veins appear on your legs.

The Procedure: During the procedure, a solution called sclerosant is injected in the veins that scars and destroys the vein's internal lining which causes the blood to clot. After the solution is injected, pressure over the veins is applied to prevent the return of the blood as you stand up. Compression stockings are worn for maintaining the pressure.

After the Procedure: There is no prolonged recovery time for sclerotherapy. You can move around immediately after the procedure, but do not strain yourself too much. However, bed rest is not recommended as it might stress the vein. You probably have to keep wearing the compression stockings for a few days more.

Reasons for Choosing Sclerotherapy:
Sclerotherapy is best for treating the following problems-

  1. Small veins and spider veins that do not cause severe damages
  2. Smaller varicose veins that might return even after vein stripping surgery (the surgical removal of the superficial saphenous vein with minimal incisions to treat varicose veins).
  3. Larger varicose veins
  4. Follow up to any other surgery to treat varicose veins

Risks involved:
Sclerotherapy, like any other treatment, has certain risks. The risks include-

  1. Skin discoloration
  2. The varicose veins can still return after the treatment
  3. Bruising, itching, blistering and pain in the treated area
  4. Mild or severe allergic reaction to the solution (sclerosant) used
  5. Blood clots in the deep vein system.
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Please suggest exercises for disc bulge L4-5 and L5-S1 level indenting anterior thecal sac effacing bilateral recesses and impinging on descending nerve roots AP canal diameter- 1.3 cm (L4-5 level) and 1.2 cm (L5-S1) please suggest the best exercises to cure it fully and strengthen the particular area thanks help would be appreciated :)

DNB (Orthopedics), Fellowship in Spine Surgery, Diploma In Orthopaedics (D. Ortho), Diploma SICOT, Fellowship in Endoscopic Spine Surgery
Orthopedist, Vadodara
Exercise doesn't cure a MRI report just lead a healthy lifestyle with good cardio exercises and back exercises.
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Hello Doctor. I am so happy I got a good result and suggestion from you when I asked the question earlier. Now I need to share few more question. I Gone through varicose and circumcision operation in a year back. Because of lack of ejection and sperm count doctor informed to get through this operation I am was not getting pain earlier. But now I get lot of pain and I used to eject daily. After ejection I get relaxed and pain get nil and full sleep. I am more worried now can I eject daily and is this the remedy for reducing pain. Earlier my penis was not so large when it was being ejected now I feel more large. Please give me the suggestion and remedy doctor.

MBBS
General Physician, Jalgaon
Please Avoid masturbation totally It is not good for health It decrease your oaz and saptadhatu It exhausts your urogenital system prematurely affecting future sexual and reproductive life Avoid listening erotica, avoid sexual thoughts and fantasies, avoid porns totally Go for morning and evening walk daily Do yogasanas and pranayam daily Do perineal exercises daily Take Tab chndraprabha Vati 2 2 for 3 weeks Chandnasav 20 ml twice a day for 3 weeks Reconsult after 3 wks.
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Herniated Disc - What are the Risks Involved in it?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Herniated Disc - What are the Risks Involved in it?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient.

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I have noticed that the space between c5 and c6 of my spine have increased and as a result my neck and shoulder are very painful. I have also little tmj. What will I do now? Please Please help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello Lybrate user according to Ayurveda Vata vikriti is the main factor for pain. Treatment- 1-apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation. 2-take yograj guggul and agni tundi vati after lunch and dinner with warm water. 3-Take maha rasnadi kwath 2-2 tsf twice a day. 4-Take pranacharya vatari capsule and syrup twice a day. Diet- Avoid fermented food. Junk food. Potato rice. Sleep well.
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I am suffering from varicose veins. My skin doctor prescribes me leg elevation. But please tell me more leg elevation and surgical crepe bandage Please clear my doubts I.e. 1) at what height I should leg elevate 2) when sleeping, wear crepe bandage when leg elevation or not 3) how many times leg elevate is done 4) crepe bandage is used when I walk, else or not. Please help me Last question if I do leg elevation with crepe bandage. The varicose veins disappeared or not I go for operation because I have low varicose veins in legs.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear lybrate-user, 1) The height of the legs should be such that the blood does not accumulate in the legs, so above chest level. 2) when sleeping, it is preferable that you do not use any bandage, since normal circulation to the rest of the leg should become normal. 3) depends on how large and disfigured the varicose veins are, you can extend the time. It should be done only to reduce the accumulation, but not all the time. 4) bandages is ok when you need to be standing or walking for long hours. At your age, 26, if you are going to be doing all this, it will be difficult for you to enjoy any outing. Please see lasertherapy. Co.in There are options that can help you recover to a great extent from varicose veins. Regards.
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Is Laser treatment for varicose the best way of treating? Is it required only for severe cases or is beneficial in normal cases as well? My mom's foot has blackened and had a wound. It is cured a lot through medicines however doc has suggested laser now.

PDDM, MHA, MBBS
General Physician, Nashik
Earlier stages of varicose veins are treated by wearing stockings, sleeping with legs elevated and sclerotherapy (injection of sclerosing agents in the veins ). Advanced stages are treated by destruction of defective valves in the veins or surgical removal of veins. In cases where there are no symptoms except bad cosmetic experience, no treatment is offered. You must get yourself evaluated by getting a Doppler ultrasound of veins done which would reveal the exact status of your veins.
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I am suffering from varicose veins. I have doubts in my mind like what not to eat and what to eat in that condition, I have varicose veins but I have no pain in that thing, else. Which exercise I do to reduce thing complete. I want to ask to docs that this thing is only cured by surgical treatment not else thing. Can I reduce this thing. Please tell me docs. Docs when I checked with skin doctor. I already tell dat he given 2 medicine (troxerutin and calcium dobesilate tablets and lycopene with vitamins and minerals capsules) and crape bandage for legs and said elevate legs. So please doctor tell me best advice for that condition. Please I request dat According to my height, I reduce my weight in dat condition or not. If I don't go for surgical treatment. This thing is cured or not. Please advice me right path for that. Can neurologist check this condition.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear lybrate-user At age 26, varicose veins is a kind of "by birth" situation. It is most likely to be with you for life. You will be able to control their development with laser therapy. Stretching exercises, natural vitamin rich foods will help. Upward massage with til oil will help reduce the burden. Make sure you are active and not sitting most of the time. When sitting/lying down, keep full leg higher than body to help reduce the accumulation. Surgery is not essential unless it stops you form functioning totally. Pomegranate fruit daily. It is known to repair blood vessels. Regards.
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Umbilical Hernia Diet

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Umbilical hernia diet

An umbilical or belly button hernia occurs when a part of the intestines or the abdominal lining protrudes through an opening in the abdominal muscles. The protruding intestines may get squeezed or strangulated resulting in the blood supply getting cut off. Surgery may be required in serious cases of umbilical hernia. Doctors often suggest a special diet for umbilical hernia patients as this helps to prevent further complications.

Foods to avoid

Certain foods are not recommended for people with an umbilical hernia and should be avoided.

These include:

White refined flour foods made from white refined flour have a low fiber content. Eating these foods may cause constipation and should therefore be avoided. This is because constipation causes straining of the abdominal muscles during bowel movements and may cause further protrusion of the intestines through the abdominal muscles in the region of the belly button.

Low fiber fruits and vegetables the low fiber content in these foods can also lead to constipation. Examples of fruits and vegetables with low fiber content include skinless raw fruits, cooked fruits, and canned or cooked vegetables without seeds, hulls or skin.

Fatty foods foods with a high fat content should be avoided. This is because obesity results in greater pressure on the abdominal muscles and can increase the risk of umbilical hernia. Examples of foods with a high fat content include fatty meat such as pork, whole milk, butter, cream, margarine and fried foods.

Sugar limit your calorie intake by cutting down on foods such as pastries, cakes, chocolates and soda pop. Limiting your sugar intake will also help you to lose some weight, taking pressure off your abdominal region.

Foods to include

A special diet is required after umbilical hernia surgery. This will help you to minimize your convalescence time. The special dietary requirements include:

Fruits fresh fruits that have high fiber content and are rich in antioxidants should form a part of every meal. The high fiber content will ensure that you do not get constipated and the antioxidants will help protect your body and boost your immune system. Try to eat different types of fruits so as to get adequate amounts of different vitamins. Citrus fruits, berries, and apples are some examples of fruits with a high fiber and vitamin content.

Vegetables these too have a high fiber content that will guard against the dangers of constipation after an umbilical hernia surgery. They also have high levels of vitamins and minerals and should also be included with every meal.

Lean meat meat is a source of protein, which is essential to the repair of damaged tissue. Lean meat like poultry and fish is an excellent source of low fat protein. Have one good source of low fat protein with every meal.

Low fat dairy products these are a good source of protein and can be alternated with lean meats to provide your body with sufficient protein.
High fiber breakfast foods will aid digestion and so your breakfast should consist of foods made from whole wheat flour, wheat germ, oatmeal, or bran.

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Sir myself sanjay sood aged -46 yrs. Suffering from varicose veins from last 5 yrs. Kindly suggest.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1, not stand for long periods if work demands long standing stretch your legs periodically 2. Avoid sitting with your legs crossed, it puts terrible pressure on the veins. 3. Elevate your legs when resting. 6. Loose wt 7. Walk and exercise regularly 8. If swelling – low salt diet for medicine contact on private chat good luck.
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