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Dr. Ajay Garg

General Physician, Mumbai

400 at clinic
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Dr. Ajay Garg General Physician, Mumbai
400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ajay Garg
Dr. Ajay Garg is an experienced General Physician in Malad East, Mumbai. You can consult Dr. Ajay Garg at Garg's Clinic in Malad East, Mumbai. Save your time and book an appointment online with Dr. Ajay Garg on Lybrate.com.

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English
Hindi

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Garg's Clinic

Ashok Palace, 1st Floor, Mahkranipada Road, Off Jitender Road, Malad East, MumbaiMumbai Get Directions
400 at clinic
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Adarsh Hospital

Meenakshi Apartment, C-Wing, 1st Floor, Marve Road, Malad West. Landmark: Near HDFC Bank, MumbaiMumbai Get Directions
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There is some time pinch near or above my chest what it is it moves up n down neat chest area I am very worried about it give me a solution.

MBBS
General Physician, Jalgaon
There is some time pinch near or above my chest what it is it moves up n down neat chest area I am very worried about...
Please It seems to be musculoskeletal Reduce your weight by exercises and diet control Do neck, back and chest exercises daily Avoid oily spicy and fast food Take Cap ayurslim by Himalaya 2 2 after food for 3 to 6 mths Tab zentel 1 1 stat Tab B Active 30 1 Reconsult after 15 days.
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I have suffering from sore throat running nose & cough regularly please suggest some medicine.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
How long and how frequently. Try azee 500/day before breakfast for 3 days with allegra 120 1 tab/day with breakfast for 5 days.
1 person found this helpful
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I am suffering from sneezing for long time, take lots of medicine but I am still I am suffering. A person suggest me to take'sumo cold and its working but just like addiction, means if I will not take that medicine today then I will again suffering. So I am taking sumo cold on daily basis. Please help me I don't know what to do.

MS - ENT
ENT Specialist, Gandhinagar
I am suffering from sneezing for long time, take lots of medicine but I am still I am suffering.
A person suggest me ...
Nasal Allergy: It is very common now a days…it is of two types –Seasonal and perineal. Seasonal allergic rhinitis occurs according to changes in atmosphere. Antihistaminics and decongestants can help you.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

I ma 18 year old. I am really worried about my bent penis. It bent on left side. I want to treat and cure it myself. Can you tell me any cure, which I perform at home. I do not want to go at hospital. I can't tell my this problem to doctor face to face. I hope you will understand my problem.

PDDM, MHA, MBBS
General Physician, Nashik
I ma 18 year old. I am really worried about my bent penis. It bent on left side. I want to treat and cure it myself. ...
A curved penis simply can be a result of individual anatomy. The direction that an erect penis takes depends on the proportion of crus (penis under the skin) to exposed penis. Men with a shorter crus, and thus a longer penis, are more likely to have an erection that points downward, while an erect penis that has a longer crus will probably point outward, or even straight up. Sometimes the penis also bends to the left or to the right. I think in your case bending may be due to short crus. In the vast majority of cases, the curve falls well within the norms of most men and should not be a deterrent for a relationship. If, however, your penis has a pronounced curve or bends sharply to the left or right — especially if penetration is impossible or if an erection is painful — you should see a urologist.
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Hi, I have few questions, kindly help me- 1-loosing hair very fast, tried all shampoos, trued patanjali medicines as well. 2-premature ejaculation 3-my penis size is too short, how can I improve Kindly help.

MBBS, MD - Dermatology, venereology & Leprology, Fellowship in Cosmetology (MUHS)
Dermatologist, Kota
Hi, I have few questions, kindly help me-
1-loosing hair very fast, tried all shampoos, trued patanjali medicines as ...
Dear lybrate-user. Have a nutritious diet as it will help in solving your first two problems. Penis size is something similar to our height. Once attained the maximum height, it cannot be increased further. Many products and Quacks will try to fool you by giving you creams and tablets to increase the size. But nothing will work. Consult a Trichologist for detailed assessment of your hairs.
1 person found this helpful
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Marrying a partner with having same blood group can lead to any problems in future? In all aspects.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Marrying a partner with having same blood group can lead to any problems in future? In all aspects.
Hi, gopal. there is no problem to marry with same blood group, only be careful that female should not be Rh -ve type.( eg. O -ve ) this can be harmful in pregnancy and miscarriages.
1 person found this helpful
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What are the precautions can take for heartattack? And which type of food be taken?

MBBS
General Physician, Cuttack
What are the precautions can take for heartattack? And which type of food be taken?
Regular exercise, weight reduction if over weight, diet control by avoiding high calorie and cholesterol rich diet, smoking, alcohol, sedentary life style and stress, controlling Diabetes and Hypertension if having. Practice yoga, meditation and deep breathing exercise like pranayama etc
2 people found this helpful
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I am 34 yrs old male with post kidney transplant done on 10 th april 2012. Now. My creatinine 1.5, what are the precautions I have to take for better and healthy life in future with diet list. Please advise.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
you can have normal diet.Wear a mask always. wash hands always .See that you keep away from dust, smoke and do deep breathing exercises daily
2 people found this helpful
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Hi, Good Evening Doctors. I have some skin problem in" V" Shape of my below part like the skin in that area in very dry and looks like dandruff and some time it itches. Please tell me how can I cure this. Thanks in Advance for one n all.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
Hi, Good Evening Doctors. I have some skin problem in" V" Shape of my below part like the skin in that area in very d...
It's a fungal infection It is because of lack of hygiene Improve personal hygiene Take bath twice daily Reduce using ur inner wear Take anti fungal treatment
2 people found this helpful

I think I am suffering from low testosterone level problem. Because I have no symptoms of maturity like mouchtake, beards, voice change etc. Please, help me. I am worried to much as I am 19 now.

PDDM, MHA, MBBS
General Physician, Nashik
I think I am suffering from low testosterone level problem. Because I have no symptoms of maturity like mouchtake, be...
Wean off highly-processed foods and eat more lean protein, healthy fats (butter, coconut oil, avocado), and zinc-rich foods such as oysters, grass-fed beef, spinach, pumpkin seeds, and dark chocolate. I also recommend adding more cruciferous vegetables to your diet such as broccoli, brussels sprouts, cauliflower, cabbage, and collard greens. These foods help detoxify your body from estrogenic compounds in your environment.
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Breathing

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Breathing
Learning how to breathe properly can have a profound effect on your life. Often we don't breathe properly, so our bodies are not getting sufficient oxygen and toxins are not being released fully. When we are anxious or stressed our breathing changes and we tend to breath from the top of our lungs. Taking control of the breath during stressful situations can be really helpful. It can create a feeling of relaxation and increased well being. There are many breathing techniques that can be helpful. The key is to breathe in slowly and deeply, the emphasis on extending the out breath which will increase relaxation and help balance the autonomic nervous system.

Inhale through your nose for the count of 5.

Hold for a moment and observe the space.

Exhale through your mouth for the count of 9.

Repeat a few times until you feel more relaxed.

You can use this technique first thing in the morning and it will set you up for the day. Any tool that you use that restores balance to the mind and body will have a huge benefit on your overall well being. What could be easier then breathing

38 people found this helpful

My father is 55 year old and having kidney failure problem. He is under dialysis and a diabetic patient also. We have donor and looking for kidney transplant. Kindly advice on this.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
My father is 55 year old and having kidney failure problem. He is under dialysis and a diabetic patient also. We have...
If he is diabetic he needs strict control of diabetes. Otherwise his transplanted kidney will also fail.
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My father have heavy leg pain. I think this is because of sugar complaint. Say any solution.

MD - Consultant Physician, MBBS
Cardiologist, Ludhiana
My father have heavy leg pain. I think this is because of sugar complaint. Say any solution.
Feeling of heaviness or pain in legs in diabetic patients is usually due to decreased blood flow to legs - have doppler test done.
2 people found this helpful
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I'm a 25 year female. My haemoglobin content s very low. I have checked many time after having good iron containing food. But still the level s not raising. What may be the problem. Pls explain.

MBBS
General Physician, Mumbai
I'm a 25 year female. My haemoglobin content s very low. I have checked many time after having good iron containing f...
There can be loss of blood through any site or there is problems in the bone marrow where the production is affected.
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Hi After exercise my chest tightens up and it really becomes difficult to breath which medication should I take to relieve it?

BHMS
Homeopath, Bangalore
Hi After exercise my chest tightens up and it really becomes difficult to breath which medication should I take to re...
You are doing to much and any thing in too much is harmful. Much better will to shift to Yoga, Exercise builds up body temporarily only. Yoga builds up body even 6 packs but it gives long beneficial effects even in studies and understanding subjects well Prof.
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I m suffering from fever from 4 days I am taking cifran500mg + combiflame twice a day but time being relax not permanently. Advice me which medicine I can use.

BHMS
Homeopath, Faridabad
I m  suffering from fever  from  4 days I am  taking  cifran500mg + combiflame  twice a day  but time being  relax no...
Hello. For your febrile condition, you can take homoeopathic medicines - Ferrum Phos. 6x/ after very 2 hrly + Eupatorium Perf. 200/ thrice a day. But do share the details pertaining to your problem - type of cough, cold, discahrge, etc. for
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My mother is a liver cirrhosis child's A patient .with esophageal varices grade 2.for last few days her gums are bleeding heavily. Is it something to worry about? She also takes insulin for diabetes.

MBBS, MD - General Medicine
Internal Medicine Specialist, Chennai
My mother is a liver cirrhosis child's A patient .with esophageal varices grade 2.for last few days her gums are blee...
Liver cirrhosis causes defect in blood clotting. Due to decreased production of natural clotting factors produced from liver. Kindly check her pt and inr tests. Before it gets too late.
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Hello I am 32 year suffering from psoriasis last one year I have only 10% in my body give me best treatment to clear this psoriasis patches in my body. And I have one question why psoriasis occur in body.

BHMS
Homeopath, Noida
Hello I am 32 year suffering from psoriasis last one year I have only 10% in my body give me best treatment to clear ...
Its auto immune disease. Try homoeopathic medicine fr permanent solution of your problem. Homoeopathic medicine is very effective. If it's itches apply coconut or olive oil on it. Tk proper medicine.
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