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Dr. Chandrashekhar Ashtekar

MBBS

General Physician, Mumbai

500 at clinic
Dr. Chandrashekhar Ashtekar MBBS General Physician, Mumbai
500 at clinic
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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. Chandrashekhar Ashtekar
Dr. Chandrashekhar Ashtekar is an experienced General Physician in Mumbai, Mumbai. He has done MBBS . He is currently practising at Sitla Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Chandrashekhar Ashtekar on Lybrate.com.

Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 33 years of experience on Lybrate.com. You can find General Physicians 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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MBBS - - -

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#19B, Shindhi Society, SP Road, Chembur. Landmark: Opposite Bhakti Bhavan, MumbaiMumbai Get Directions
500 at clinic
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#19B, Shindhi Society, SP Road, Chembur. Landmark: Opposite Bhakti Bhavan.Mumbai Get Directions
500 at clinic
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What is the symptoms of cold fever and how recover from this and why it happens how to prevent this kindly advice.

MBBS, MBA (Healthcare)
General Physician, Delhi
What is the symptoms of cold fever and how recover from this and why it happens how to prevent this kindly advice.
sore throat and high body temperature are main symptoms. avoid sudden cold exposure. take balanced and healthy diet. it will help you.
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Now I am 25 year old, today I feel some throat infection due to rain so which one medicine prefer.

BHMS
Homeopath, Faridabad
Now I am 25 year old, today I feel some throat infection due to rain so which one medicine prefer.
Take homoeopathic medicines- Ferrum Phos. 6x and Rhus Tox. 200 - both after every 2 hrly - for 2 days and revert me back.
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I am 29 year old male I am suffering from urticaria allergy since from a year I tried all the medications like allopathy, ayurveda, homeopathy, ut its not gone, some say it will not go some say it will go by itself, I am totally confused I am missing my personal life because of this, please help me out please.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Chandigarh
See urticaria commonly occurs as a response to some kind of allergy. You have to find out what all substances are you allergic to and avoid them in your daily routine thats the only effective way to control it apart from medicines. You can also undergo allergy testing to know what all things you are allergic to.
3 people found this helpful
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By doing inter course my penis water fall quickly so after Waring underwear little beet water falls in underwear my age is 37 so what can I do for it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
By doing inter course my penis water fall quickly so after Waring underwear little beet water falls in underwear my a...
U have to go for 'stambhan' combos of pure herbs to seal the leakage and take it with honey or milk. Have light satvic food and before starting clean intestines for three days. Destress yourself with Pranayam and Meditation for few minutes. Take lots of water. If interested, pl get pure herbal combos specifically prepared according to individual needs.
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I am 65 years old and I am taking daonil and glycomet 500 sr at morning and night respectively. Two days back my blood sugar at fasting was 172mg/dl at pp-256. I need your advice to bring down my sugar level to normal.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 65 years old and I am taking daonil and glycomet 500 sr at morning and night respectively. Two days back my bloo...
Take glycomet sr 1 gm twice daily and glimi 1 mg in the morning and send reports of fbs and 2 hr ppbs with hba1c and I can suggest further.
1 person found this helpful
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Sir every time I feel so hungry how to restrict over food intake please suggest me how to avoid overeating.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir every time I feel so hungry how to restrict over food intake please suggest me how to avoid overeating.
If you feel over hunger you have to check for diabetes and thyroid by doing a RBS and TSH . If these are normal you have to use willpower to avoid over eating by drinking 2 glasses of water before food and eating high fiber diet
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For e. G I am suffering from dry cough for the last 3 week and I have chest pain whenever I cough hard can you suggest what should be done?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Dry cough and throat problem can happen due to weather changes, exposure to cold air or rain, dust and pollen allergy and certain sour food. *. Mix some salt in warm water and do gargling early in the mornings. * Steam inhalation will relieve your congestion *. Keep a clove (lavang) in your mouth and slowly chew it. *. Drinking water frequently will eliminate toxins From the body and reduce congestion if any *. Avoid fried and oily foods. This can be treated by homoeopathy without adverse effects. Take Bryonia 200 –once in the morning and once in the evening.
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How should one have garlic, or what shall give best results for garlic - eating raw, cooked with meals or having garlic pearls which are available as medicine.

PDDM, MHA, MBBS
General Physician, Nashik
How should one have garlic, or what shall give best results for garlic - eating raw, cooked with meals or having garl...
The best way to eat garlic is by crushing one or two pods and eating it raw. Just crush two medium size pods of garlic and eat this paste on an empty stomach, ideally first thing in the morning. If you find it too pungent to eat just as it is, you could swallow it with a glass of warm water. If raw garlic is too pungent you could opt for garlic extract pills or simply add them to your daily meal.
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Hello sir I'm 27 years old and a fitness freak since last 2 years I'm not having a night fall although I don't have a habit of masturbation. The last time I masturbated is nearly a year ago. I'm not having much pleasure in sexual activities. I fear if there is anything wrong with my body.

MBBS
General Physician,
Hello sir I'm 27 years old and a fitness freak since last 2 years I'm not having a night fall although I don't have a...
Nothing wrong my dear. A person may develop interest in different fields at different stages of life. Say for example, someone studies, some meditate, others indulge in sports, few are fitness freaks like you. Once you get married, you will be alright. Do not bother, enjoy your life your way. Regards.
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What should we do to overcome piles and neatness in the body its very urgent I need the suggestion please suggest me its urgent.

MBBS, MBA (Healthcare)
General Physician, Delhi
avoid constipation. avoid straining on stool.. use fiber diet. take pilex one tab 3 times daily for one month. use anovate cream on anus. consult surgeon for clinical check up.
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While having sex my penis losses erected stage and also I have premature ejaculation.

DHMS (Hons.)
Homeopath, Patna
While having sex my penis losses erected stage and also I have premature ejaculation.
Hello, Lybrate user, please, consume, ●Vitamin A, B, C, D, E, Energy. Zinc, omega3, fatty acid, anti - oxidants, protein, amino acid, Folic acid, testosterone to improve blood flow to reproductive organ.●Tk, apples, carrots, bananas, almonds, walnuts, oyster, eggs, spinach, garlic, pumpkin- seeds, Black chocolates.●Meditation for 30 minutes will reduce your stress, anxiety, nourish cells, tissues, penile, pelvic and groin muscle to improve erectile dysfunction premature ejaculation, resulting in enhancement of sperm count be ensured.●Take, plenty of water to eliminate toxins and to regulate metabolism to absorb nutritions, vitamins, protein, minerals to provide energy to d body. Your diet should be easily digestible, simple, non- irritant, on time to b digested properly. ●Medication: Homoe medicines: Acid phos1000-6, wkly. Five phos 6x-4, tbs, with lukewarm water. ●Avoidance: Frequent masturbation, caffeine, alcohol, nicotine, junk food, polluted atmosphere, Dust, smoke, scorching sun. Report,  fortnightly. Your feedback matters. For further follow-up,  please. Stay fit and fine.
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I am suffering from chicken pox last 3 days . Can you please suggest me why kind of medicine I prefer "alopathic" or homeopathic?

PGDHHM, MBBS
General Physician, Delhi
I am suffering from chicken pox last 3 days . Can you please suggest me why kind of medicine I prefer "alopathic" or ...
Chicken pox takes 7-10 days to recover. Take adequate rest. It needs symptomatch treatment only and antiviral occasionally. Take paracetamol if fever or pain. Calamine lotion can be used on skin. Hope this helps u.
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Sometimes I have pain in my mouth under my tongue and I do not know what to do at that time I have eaten pain killers but it does not response good. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, along with c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical. Strokes, with ultra-soft bristles, indicator brush.
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Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions

Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

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I have problem related to cough. Its irregular. Suddenly start coughing from nowhere . I don't know the reason. Its since last six months.

BHMS
Homeopath, Faridabad
I have problem related to cough. Its irregular. Suddenly start coughing from nowhere . I don't know the reason. Its s...
Hello. Take homoeopathic medicine - schwabe's alpha-coff and glyzyrrhiza glabra 1x - both thrice a day daily for 4 days. Management: - avoid cold drinks and fried food, take healthy food. -avoid exposure to air-conditioner or cold air (wrap a warm stole or muffler around neck). -avoid excessive or rough use of your voice/ shouting. -gargle with warm water and salt 3 times a day and take steam-inhalation once before going to bed. Home remedies for cough: -stir some into some hot tea for comforting cough relief. You can also eat a spoonful of honey before bed to help calm coughs. -warm saltwater gargles help moisturize your throat, which can quiet coughs. -drink peppermint tea to help relieve coughs. -brew a eucalyptus tea by steeping a few fresh or dried eucalyptus leaves in hot water for 15 minutes. Drink this tea up to 3 times a day to help soothe a sore throat and calm coughs. -make a hot ginger tea to help soothe a chronic cough. -turmeric is a traditional cough remedy that many people have found effective for coughs. Try mixing half a teaspoon of turmeric powder in a glass of warm milk. You can also try turmeric powder and a teaspoon of honey for dry cough.
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I have a sex problem my sperm is very thin and very less in amount please refer me medicine which improve my sperm quantity and make it thik.

BHMS
Homeopath, Raebareli
I have a sex problem my sperm is very thin and very less in amount please refer me medicine which improve my sperm qu...
Maca root of the black variety can help improve sperm production and motility. It is a popular fertility herb that helps balance the hormones. Take 1 to 3 teaspoons of maca root in 2 divided doses for a few months daily. You can add it to a glass of water, a healthy smoothie or protein shake, or just sprinkle it on cereal. As maca root is high in fiber, start by taking ½ teaspoon and gradually increase the dosage over a few weeks.
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I'm get ear pain. When I'm talking in phone. I have consulted a Dr. he said because of shower bath it came. I have used medicines & it went off. But now I'm facing same problem. Would tell the permanent solution for it.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I'm get ear pain. When I'm talking in phone. I have consulted a Dr. he said because of shower bath it came. I have us...
Depends what was the diagnosis earlier made. Ear pain can be of various types. Upload your last prescription.
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Does masturbation causes knee and leg pain? Coz whenever I masturbate my knees and legs started painting. Reply.

MBBS, MD - Psychiatry
Psychiatrist, Bangalore
Does masturbation causes knee and leg pain? Coz whenever I masturbate my knees and legs started painting. Reply.
Hello, First of all let me tell you, masturbation does not cause any bad effect on health. It is a myth which is only in India. It is what we call a culture bound syndrome. Masturbation is a totally normal phenomenon. It is just a way to release your urges. Some people make use of this myth and try to make money by saying their medicines help. But it is a con. Don't fall for it .I have had patients spending close to one lakh on such quacks. With no improvement The only way to stop this feeling is to stop your belief that masturbation causes all this. Be strong don't let anyone tell you otherwise. Just believe that masturbation is normal it won't cause anything. And you will yourself notice the change. You can check with any psychiatrist they will tell you the same. What you have is called Dhat syndrome. And that will go away just by altering your belief system. You don't need any treatment. Masturbation DOES NOT lead to any bad effects. It DOES NOT interfere with your ability to have sex now or in the future or your ability to have children or cause low sperm count. It is Normal. Just relax.
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Xtra Large Penis Enlargement Capsules Is there any side effects of this herbal product? Will it work?

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Xtra Large Penis Enlargement Capsules
Is there any side effects of this herbal product? Will it work?
Please see a competent sexologist like me and also make habits and lifestyle natural and towards fitness, nothing should be addiction, keep mind busy first.
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