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Dr. Arvind A Kunde

General Physician, Mumbai

Dr. Arvind A Kunde General Physician, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Arvind A Kunde
Dr. Arvind A Kunde is a popular General Physician in Powai, Mumbai. He is currently associated with Dr L H Hiranandani Hospital in Powai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Arvind A Kunde on Lybrate.com.

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Hill Side Avenue, Hiranandani Gardens, Powai. Landmark: Hiranandani Business Park, MumbaiMumbai Get Directions
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What are Piezogenic Pedal Papules?

M Derm, DNB (Dermatology & Venereology) , MBBS
Dermatologist, Gurgaon
What are Piezogenic Pedal Papules?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

  • Obesity
  • Orthopedic problems
  • Flat feet
  • Collagen disorders such as EDS
  • Jobs which entail standing for long hours
  • Excessive weight bearing

This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

  • In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
  • Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
  • Heel taping
  • Compression stockings
  • Avoid excessive or prolonged weight bearing
  • Avoid standing for extended periods and try not to run too much
  • Rest the feet and keep them elevated to help alleviate the symptoms
  • Lose weight if you are on the heavier side
  • Electro acupuncture

Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist.

2675 people found this helpful

I am suffering from pe and don't wanna go for medication at this early age, please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am suffering from pe and don't wanna go for medication at this early age, please suggest.
It is not clear what you are suffering from. Ifitis premature ejaculation. Ejaculation of semen during sexual intercourse before or immediately after penetration. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation. Psychological causes Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as: •Situations in which you may have hurried to reach climax in order to avoid being discovered •Guilty feelings that increase your tendency to rush through sexual encounters Other factors that can play a role in causing premature ejaculation include: •Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. •Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues. •Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem. Biological causes A number of biological factors may contribute to premature ejaculation, including: •Abnormal hormone levels •Abnormal levels of brain chemicals called neurotransmitters •Abnormal reflex activity of the ejaculatory system •Certain thyroid problems •Inflammation and infection of the prostate or urethra •Inherited traits •Nerve damage from surgery or trauma (rare) Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you. Behavioural techniques In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1.Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2.Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3.After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4.If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique. Topical anaesthetics Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or procaine can cause an allergic reaction. Oral medications Many medications may delay orgasm. Although none of these drugs is specifically worthwhile as people believe, approved medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors You can ask me personally if you want these tablets with your full health details.
1 person found this helpful
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Sir problem is hair loss I am only 16 so help me and I am also doing masturbation so this will also effect on hair loss.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Sir problem is hair loss I am only 16 so help me and I am also doing masturbation so this will also effect on hair loss.
Start taking black til (seasam) with a glass of lukewarm milk early morning. Avoid pickles, spices, oily, greesy food items. Start avle ka murabba. Also have a high protien rich diet e. G. Pulses, dry fruits, black gram, ground nut etc. Also oil your hair with good herbal oil and wash with herbal shamppoo - avoid shampoos with high acid contents. As far as ayurveda's therapy is concerned - start with shirodhara with herbal oil and nasyam therapy for atleast 15 days. This will greatly help. Do gentle massage with herbal hair oil daily night for 15 minutes. Try to avoid your habit of masturbation and have rich protien diet.
3 people found this helpful
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I am not getting sleep at night. Suggest me the best way, so that I can sleep at night.

PDDM, MHA, MBBS
General Physician, Nashik
I am not getting sleep at night. Suggest me the best way, so that I can sleep at night.
1. Avoid caffeine found in coffee, tea, chocolate, cola, and some pain relievers.[four to six hours before bedtime.] 2. Quiet, dark, and cool environment can help promote sound sleep. [use heavy curtains, or an eye mask to block light, and also keeping computers, tvs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness.
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How to enlarge the penis tissues. Plzz give me the answer. What is erect penis size of 19 years old boy.

MD - General Medicine
Sexologist, Nashik
How to enlarge the penis tissues. Plzz give me the answer. What is erect penis size of 19 years old boy.
Sorry there is no proven treatment of penile enlargement. Average Indian size is 4.5 inches to 6.5 inches after erection.
13 people found this helpful
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M' just having some sort of pain in my half head, my eye on the same side and cheek bone. It always comes in the morning and goes away in the evening. Having it from the last almost 15 days. It started after I had cold and didn't go away yet. Don't know whether I should go for an X-Ray or will it go on it's own.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
M' just having some sort of pain in my half head, my eye on the same side and cheek bone.
It always comes in the morn...
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
1 person found this helpful
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I am 22 years male, I am having problem during sex with my partner that fore skin of my penis is not properly stretching, the penis head is coming out but the skin after head is not properly stretching, so I having a pain during entering to vagina, kindly let me know what is solution how can I overcome it.

MD, BHMS
Sexologist, Mumbai
I am 22 years male, I am having problem during sex with my partner that fore skin of my penis is not properly stretch...
You may have mild tight foreskin known as" phimosis" you can do regular stretching of the foreskin to make it relaxed. You can use some lubrication during stretching and also during sexual intercourse too.
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I am 21 years old I am suffering from headache for last seven days so what should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A strong headache can be a symptom of a serious condition, such as a stroke, migrane, meningitis or encephalitis. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in headaches. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Sir my name is nikhil iam suffering for fever I meeted doctor yesterday but no use any help.

MBBS
General Physician, Mumbai
Sir my name is nikhil iam suffering for fever I meeted doctor yesterday but no use any help.
For fever take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest
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I have this erection problem. Before some time it was completely fine n now I have this issue?

MBBS
General Physician, Cuttack
I have this erection problem. Before some time it was completely fine n now I have this issue?
It occurs due to Fatigue, stress, relationship issues, performance anxiety, alcohol consumption, Smoking, consumption of tobacco, obesity, Diabetes , Hypertension,Heart disease, Thyroid and Kidney problem, enlarged prostate, parkinsonism etc. . Consult doctor to rule out these diseases. Go for regular exercise, reduce your weight if over weight, stop smoking, tobacco and alcohol consumption. Avoid stress and anxiety. Do yoga, Meditation and deep breathing exercise to calm your mind. If no relief consult sex therapist/ sexologist
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My grandma is feeling tired always and now a day she getting coughing and cafa more so what should we do?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
My grandma is feeling tired always and now a day she getting coughing and cafa more so what should we do?
Please give her following medicine:- bry. 30 / 5 drops in little water thrice a day for three days only. Revert back after three days with feedback.
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I am suffering from colitis can you plzz suggest me ayurvedic medicines and diet.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Hello, the colitis is manifested by abdominal pain associated with cramps, bloating, constipation and diarrhea often alternate, and emission of mucus in the feces. Most people can control these symptoms simply by correcting your eating style, using some medicine in the acute stages and learning to manage stress better psychic. Foods that should not miss in daily food plan are carrots, potatoes, artichokes, cabbage, cucumbers, apples, cranberries, fennel and peppermint oil. Precisely for this precious ability to absorb water, these foods must be accompanied by adequate fluid intake.
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I am having pain in my penis after masturbation and I feel like some burning irritation in my penis. I went for toilet multiple times in an hour after masturbation.

BHMS, DEMS
Homeopath, Pune
I am having pain in my penis after masturbation and I feel like some burning irritation in my penis. I went for toile...
It's common for men to have a burning sensation, discomfort, or pain when they first urinate directly after ejaculation; this is because friction applied to the urethra during masturbation, anal or vaginal intercourse, or receiving oral sex can cause some minor irritation to the tissues of the urethra. If you hv persistent problem consult me.
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Having problem while sex I get discharged earlier than her and the sperm is very thin.

BHMS, DEMS
Homeopath, Pune
Having problem while sex I get discharged earlier than her and the sperm is very thin.
If you want increase sexual stamina do daily exercise 45 min. Eat high protein diet. Drink 8 glass water/ day. Along with this take homeopathic treatment for better result.
6 people found this helpful
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I have fever from last 5 days what should I do? I want to cure it is early as possible please help me.

MBBS
General Physician, Mumbai
I have fever from last 5 days what should I do?
I want to cure it is early as possible please help me.
For fever take tablet paracetamol 650 mg and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
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Hi sir, i am 28 years old, my heart beating is increasing when i am passing urine. Please help me.

MBBS, cc USG
General Physician, Gurgaon
Hi sir, i am 28 years old, my heart beating is increasing when i am passing urine. Please help me.
are you having fever/ burning/ pain while urination? 2.For how long this problem is present? 3. turbid urine present or not? we have to investigate you to rule out infection in urine so kindly get Urine R/M done and consult again with reports
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I am 32 years old and I suffers with gastritis problems, please suggest the best treatment.

MBBS
General Physician, Mumbai
I am 32 years old and I suffers with gastritis problems, please suggest the best treatment.
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and take tablet rantac twice a day for a month
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I am a 49 years old male with diabetes have been frequently getting cough and allergy on the body. During medication it stops buts once I stop the medicine it reoccurs.

MBBS
General Physician, Mumbai
I am a 49 years old male with diabetes have been frequently getting cough and allergy on the body. During medication ...
We need to control sugar levels with medication exercise and following a diabetic diet and get her sputum checked for Genexpert test
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Is there any side effects of masturbation on health? Mean if anyone has been doing it for last 7-8 years so it's may be any problems in future for family planning?

PDDM, MHA, MBBS
General Physician, Nashik
Is there any side effects of masturbation on health? Mean if anyone has been doing it for last 7-8 years so it's may ...
Masturbation is regarded as a normal, healthy sexual activity. In general, the medical community considers masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a person's lifetime as a part of normal sexual behavior. It will not affect you or your ability to have children in the future. If you wish to reduce the frequency of masturbation: It originates from brain, due to thinking about sex. Hence: ·     Do not watch adult material. ·     Concentrate more on your studies or work. ·     Exercise regularly.
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I am 27 years old and I am having severe headache and neck pain last 4 month's and acidity problem. What precaution should I take for relief and get away from this ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 27 years old and I am having severe headache and neck pain last 4 month's and acidity problem. What precaution s...
Kindly show me photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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