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Dr. Anuj Singh

Orthopedist, Mumbai

500 - 1000 at clinic
Dr. Anuj Singh Orthopedist, Mumbai
500 - 1000 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Anuj Singh
Dr. Anuj Singh is one of the best Orthopedists in Mumbai, Mumbai. You can meet Dr. Anuj Singh personally at Sailee Hospital in Mumbai, Mumbai. You can book an instant appointment online with Dr. Anuj Singh on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 41 years of experience on Lybrate.com. You can find Orthopedists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi
Professional Memberships
Indian Orthopaedic Association

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Prathamesh Horizon, New M.H.B. Colony, New Link Road, Borivali,Landmark:Near Don Bosco School, MumbaiMumbai Get Directions
1000 at clinic
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DLH Park, SV Road, Goreagaon West. Landmark: MTNL Signal, MumbaiMumbai Get Directions
700 at clinic
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Asmita Enclave, Nayan Nagar, Mira Road. Landmark: Opposite To Rasad Mall, MumbaiMumbai Get Directions
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A-1#01-104, Bayview, Rathodi Village Landmark: Opposite Rajput Marble, Marve Road, Malad West.Mumbai Get Directions
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#4, Raj Tower, Local Wall Circle, Kandivali East.Mumbai Get Directions
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Sir, what is the perfect treatment for knee pain. That problem scandalizing me from 6 month. In beginning it was a normal negligible pain. But now it is increased and disturbing me all time. Please help and suggest me for treatment.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, what is the perfect treatment for knee pain. That problem scandalizing me from 6 month. In beginning it was a no...
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
1 person found this helpful
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My father has right arm pain for many days. Suggest me what to do and which type of doctor should I consult.

BPTh/BPT
Physiotherapist, Mumbai
My father has right arm pain for many days. Suggest me what to do and which type of doctor should I consult.
Hi it can be overuse injury. Apply cold pack for 20 min. Thrice a day for 5 days. Still pain doesn't go consult physiotherapist or contact me via lybrate. Wishing you a good health.
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I'm 22 years old, suffering with back pain. Pain usually comes on either side of vertebrate. I used to do exercise 6 months ago but due to this pain I quited it off. I play volleyball everyday and still continuing. Makes hard to stand for longer time. This pain was started when I was doing exercise.

MS - Orthopaedics
Orthopedist, Delhi
I'm 22 years old, suffering with back pain. Pain usually comes on either side of vertebrate. I used to do exercise 6 ...
There are many reasons for back pain like disc disease, injury, wrong posture, infection etc. You need to see an orthopedic surgeon for evaluation of your back problem and try to find out the reason. Timely diagnosis and management can help to get you back to normal activity.
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I have an elbow pain and knee joint pains. My right hand is paining when I try to lift it up. I do cycle riding every day for 1 hour. I have tried several balms for the pain but it still persists. Request your comments and suggestions.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I have an elbow pain and knee joint pains. My right hand is paining when I try to lift it up. I do cycle riding every...
Try this for joint pains try this. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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I am 21 year old, I have back lower pain, I am taking medicine but I didn't get relief from last 8 month. I have also fever. How to get relief from pain.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
I am 21 year old, I have back lower pain, I am taking medicine but I didn't get relief from last 8 month. I have also...
Dear sir is the pain only in your back or does it also radiate towards your legs / feet is it present throughout the day or periodic any aggravating factors any relieving factors please specify so that we can proceed accordingly.
1 person found this helpful
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Sir when I straight my ankle toward our bodies then I feel so much pain. What can I do?

MBBS
General Physician, Mumbai
Get your blood checked for cbc uric acid levels and avoid pickles and papads in your diet and eat freshly prepared food and for pain take tablet paracetamol
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Hey Doctors, my mother is suffering from pain in her joints mainly in her palm and her leg. Request your guidance regarding treatment & medication. She has diabetes since last 4-5 years.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hey Doctors, my mother is suffering from pain in her joints mainly in her palm and her leg. Request your guidance reg...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
1 person found this helpful
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I have a back pain after my accident 2 month before I have consulted doctors and they said there is no problem but the pain is not going What should I do? Please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have a back pain after my accident 2 month before
I have consulted doctors and they said there is no problem but th...
Homoeopathic medicine-------- arnica-montana 30 (dr reckeweg) drink 1 drop direct on tongue or in 1 spoon fresh water twice daily------------------------- bellis-perinis q (dr reckeweg) drink 10 drops in 20 ml fresh water 3 times daily------------------- report after 15 days----------
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I am 32years old male and often suffering from lower backpain in right side and the pain is felt at a particular point only. Please advise what should I do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 32years old male and often suffering from lower backpain in right side and the pain is felt at a particular poin...
Back Pain . Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.
1 person found this helpful
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I am 72 years. I am diabetic and taking medication for cholesterol etc. Since 4 days I have some pain in knee and thigh etc on the right side When I took Acetaminophen (crocin) it goes. But come back specially early morning. Is there any ayurveda medication for this? what is due to?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
I am 72 years. I am diabetic and taking medication for cholesterol etc. Since 4 days I have some pain in knee and thi...
Dear I understand, your diabetes is in control now. As regards pain in knee, the causes could be many and it is not correct to advise/ prescribe medication in particular without knowing the exact cause. In the interim however, I would advise you to take rest and not resort to any kind of strenuous and weight bearing physical activities that might exacerbate your pain. For the time being, do not stand or walk for long periods of time. At the same time, do consult a orthopedics doctor to examine and prescribe medications, as appropriate. Hope this helps. You may please connect with me in private for a natural medicine consultation after you have consulted a orthopedics doctor as advised above. I can then integrate & advise suitably so that you have a long lasting relief. All the best. Sincerely
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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 18 years old and I am suffering from pain in my left arm. I try some analgesic but it didn't work. So kindly suggest me the best treatment for this.

BHMS
Homeopath, Thane
I am 18 years old and I am suffering from pain in my left arm. I try some analgesic but it didn't work. So kindly sug...
Hi, For this take Rhustox 1M 4pills to be sucked twice a day. Arnica 30 4pills to be sucked twice a day Stop taking analgesics
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I have shin pain during running please help me my physical trial is within next month. I want to get heal in between 3 days please tell.

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Sangrur
I have shin pain during running please help me my physical trial is within next month. I want to get heal in between ...
Hello Lybrate user Take Physiotherapy treatment regular and exercise under supervision of qualified physiotherapist.
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I am a male, 18 years old have a really harsh pain in my back what should I do and also have a heredity migraine.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a male, 18 years old have a really harsh pain in my back what should I do and also have a heredity migraine.
(a) sleep on a hard bed with soft bedding on it. (b) use no pillow under the head. (c) kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days (d) do back (spine)/shoulder/knee exercises (e) make sure you are not allergic to any of the medicines you are going to take (f) do not ignore it. It could be beginning of a serious problem. (g) if no relief in 4_5 days, then contact me again.
2 people found this helpful
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I am 26 year female, have pain in tip of coccyx for past 5 months which aggravates on sitting. What could it possibly be?

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I am 26 year female, have pain in tip of coccyx for past 5 months which aggravates on sitting. What could it possibly...
Dear lybrate user pcod cases had clinical pictures a pain dull in nature confine to pelvic region but never to only at coccyx alone. Definetely there must be a mechanical or neurological factors to be the reason for your problem in question. It can be treated non surgical procedures likely conservative rest along with some medicines pain killer's despite of all measure not improved then laser or rfa is last option can be taken.
1 person found this helpful
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I am 25 year old man and I am suffering from knee pain since last 2 year. So pleas help me to get out of this problem.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 25 year old man and I am suffering from knee pain since last 2 year. So pleas help me to get out of this problem.
There are many conditions that can cause knee pain. - ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport you need detail assessment with a physiotherapist to find out what causing you this pain. Best wishes.
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My age is 23. My height is 6 ft. My weight is 78 kg. I also had habit of masturbation since 17-18 .i used to do it daily one time by rubbing penis against bed but. From last three years I was doing 4-5 times daily by rubbing penis against bed for hours. I never felt any type of weakness nor I look thin. I have a strong personality. The only thing I noticed that 70% of my hair are greyed now. 6 month ago I had problem of head pain. Half head pain and on back side of pain .It was migraine. I left masturbation and saturated focussing on yoga. I used yo do yoga daily for 2 hours. Two month after one day I had frequent urination. The same problem goes on for three day so I had check. It was urine infection along with prostate enlarge 22. 6 cc.and my weight was reduced then. 4-5 kg. Buf uric acid was normal. But from that day I used to have more symptom such as penis head pain. A very sharp pain inflammation of legs and whole body. Numbness and tingling in whole body. Pain in whole body even mouth. Stomach pain. noticed.my blood sugar even after eating reaches to less than 70 .from these five month excessive hair growth in my body. Too.much hair all over body. eyebrows are becoming thicker .head hair chest hair. Except I dnt have beard. I have high bp 150/100. All my these symptoms correlate to adrenal gland disease. I have dark coloured urine. I also have very smelly urine these days n.so bad smell. And my chest and abdomen enlargement along with hair growth on body is on increasing frequency these days. Or pituitary tumour as my head pains a lot but stomach too. My belly fat is coming too .i am gaining weight even I have reduced diet. I am in the doubt how can masturbation can cause adrenal gland disease?

Diploma in Aesthetic Medicine, MBBS
Cosmetic Physician, Delhi
My age is 23. My height is 6 ft. My weight is 78 kg. I also had habit of masturbation since 17-18 .i used to do it da...
Hi lybrate-user, masturbation does not cause adrenal gland disease. Hair fall/loss can be due to variety of causes. However, many of them can be controlled and dealt with. Most common cause is nutrient deficiency which can be rectified my oral medications and supplements. There are medicines available for local application which are also known to give significant results. Treatments like mesotherapy, microneedilling and prp show significant long term effects. There are two pillars for weight loss. Diet and exercise. Thought right diet can control further weight gain and assure overall health, exercise is must for weight reduction. 30 mins walk (to start with), with well-balanced diet (depending on your health condition) can lead to gradual and healthy weight loss. I would be happy to help you. Please consult me privately so that I can understand your problem in detail and help you. You can book a private in-person/text/audio/video appointment for further discussion and personalized advice.
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Hi doctor, i' m 34 yrs old. I have problem in my knee, without kneepad .I'm not able to walk fast. Please doctor tell me what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi doctor, i' m  34 yrs old. I have problem in my knee, without kneepad .I'm not able to walk fast. Please doctor tel...
Kindly show me a photograph & digital X RAYS of affected part. Rule out diabetes & vit.D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
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I have neck pain during drink or eat anything but if intake hot water or soup feel relaxed also have a cold and congestion.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have neck pain during drink or eat anything but if intake hot water or soup feel relaxed also have a cold and conge...
Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Take frequent Breaks at work
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