Dr. Mahesh Gupta

Get your fasting and post prandial blood sugar levels done. If they are within the acceptable range, you dont need to worry about the disease. If they are high, consult a physician near you for complete evaluatuion of your symptoms.

Try some remedies for joint pain: -ice packs can be used to soothe hot, swollen joints. -heat packs help to relax tense, tired muscles. -splinting of swollen or painful joints may be helpful, a physiotherapist or an occupational therapist (ot) may provide temporary splints for you. -pace yourself: overdoing things can increase your pain, but so can not doing enough. Your physiotherapist can advise you on increasing your activity level at a rate you can cope with and on finding the right balance between rest and activity. -take regular graded exercise: graded exercise starts slowly and increases in small steps. This will help you to strengthen your muscles and joints and increase your fitness. Improving your general fitness and stamina will help you to increase your activity level without increasing your pain. -mobilising, stretching and strengthening: your physiotherapist will assess your muscle strength and the range of movement in your joints, and advise on techniques and exercises so you can keep your joints working as well as possible. Best wishes.

Hello- You have to go for Complete Semen analysis to rule out the cause of male infertility. Sperms have similar property as its host does. If you are lazy and lethargic, your sperm motility will be reduced, if you lean and thin and easily get infection thn it is possible that your sperm count is also low or contain infection in it. Eat fresh fruits and vegetables. Correct your sleep schedule. Cut off smoking.

Dear Lybrateuser, - Your problem could be due to chronic exposure to loud sound, Meniers disease, ear infection - do regular exercise, sleep well for 7-8 hrs at night, consult an ENT specialist to know the exact cause & for proper treatment.

Heavy sweating (also known as hyperhidrosis) is a very real and embarrassing problem, but there are some effective ways to treat it. What Is Hyperhidrosis? Hyperhidrosis, or excessive sweating, is a common disorder which produces a lot of unhappiness. An estimated 2-3% of people suffer from excessive sweating of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). Underarm problems tend to start in late adolescence, while palm and sole sweating often begins earlier, around the age 13 (on the average). Untreated, these problems may continue throughout life. Sweating is embarrassing, it stains clothes, ruins personal contact, and complicates business and social interactions. Severe cases can have serious practical consequences as well, making it hard for people who suffer from it to hold a pen, grip a car steering wheel, or shake hands. Causes OF Hyperhidrosis:- Although neurologic, endocrine, infectious, and other systemic diseases can sometimes cause hyperhidrosis, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all their waking hours, regardless of their mood or the weather. Antiperspirants This may be the first treatment that a dermatologist recommends. It is affordable. When applied as directed, an antiperspirant can be effective. Your dermatologist may recommend a regular or clinical-strength antiperspirant. Some patients need a stronger antiperspirant and receive a prescription for one. Iontophoresis (the no-sweat machine) If excessive sweating affects your hands, feet, or both areas, this may be an option. You will use this treatment at home. It requires you to immerse your hands or feet in a shallow pan of tap water. As you do this, a medical device sends a low-voltage current through the water. Many people obtain relief. Some people dislike that this treatment can be time-consuming. Uses: Hands and feet It works by the electric current shuts down the treated sweat glands temporarily. Side effects: Some people develop: •Dry skin •Irritated skin •Discomfort during treatment Prescription medicine Some patients receive a prescription for a medicine that temporarily prevents them from sweating. These medicines work throughout the body. However we cannot prescribe in open question answer session as a rule but you can ask in consultation. These medicines prevent the sweat glands from working. Athletes, people who work in a hot place, and anyone who lives in a warm climate should use extreme caution when using this treatment. The body may not be able to cool itself. Uses: These medicines can effectively treat sweating that involves entire body. This medicine also can be an effective treatment for post-menopausal women who sweat excessively only from their head. Side effects: The medicines that prevent the sweat glands from working can cause: •Dry mouth •Dry eyes •Blurry vision •Heart palpations (abnormal heartbeat) Surgery If other treatments fail to bring relief, surgery may be considered. Surgery is permanent and carries risks. The following surgeries can stop excessive sweating: •Surgically remove sweat glands •Sympathectomy A dermatologist can surgically remove sweat glands from the underarms. This surgery can be performed in a dermatologist’s office. Only the area to be treated is numbed, so the patient remains awake during the surgery. A dermatologist may use one or more of the following surgical techniques to remove sweat glands from the underarms: •Excision (cut out sweat glands) •Liposuction (remove with suction) •Curettage (scrape out) •Laser surgery (vaporize) Sympathectomy is another surgery used to treat hyperhidrosis. This is major surgery, which a surgeon performs in an operating room. During sympathectomy, the surgeon tries to stop the nerve signals that your body sends to the sweat glands. To do this, the surgeon will cut or destroy certain nerves. To find these nerves, the surgeon inserts a mini surgical camera into the patient’s chest just beneath the underarm. The patient’s lung must be temporarily collapsed so that the surgeon can cut or destroy nerves. Uses: •Surgical removal of sweat glands is used to treat the underarms •Sympathectomy is mainly used to treat the palms.

Yes, contraception is a must for All. You can't put some one at risk of getting sexually transmitted diseases and pregnancy.

Add ½ tsp of cinnamon powder and 1 tsp of honey with 1 cup of warm milk. Drink before going to bed. Massage your feet with lukewarm mustard oil 2-3 times a day and before going to bed. do yognidra asana daily.

Use Natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - Including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation. If you would like to consult with me privately, please click on 'Consult'. recommend me by clicking on recommendation option.

Hi, I had gone through your question and understand your concerns, The ability to finish early and quickly can be advantageous in many areas in life, but not when it comes to sex. Premature ejaculation is a common and often distressing problem for couples who simply want to find ways to make sex last longer. Premature ejaculation is one of the most common sexual dysfunction in men, However very few ever Talk about it due to embarrassments. No one is born with the ability to control ejaculation. Men can learn to control ejaculation similar to the way bladder control (toilet training) is learned at young age. Male and female differ widely in terms of of sexual responses, male gets quickly aroused and female takes longer time to get aroused, male reaches climax quickly, its physiological and normal, but not ideal ,to prolong sex duration man has to work hard, he has to slow down mentally, by diverting mind from situation, and learn ways how to delay his reflexes. One idea is to stimulate the partner by foreplay to near orgasm sate and penetrate. Count number of strokes if it is less than 45plus minus 15. Means(30 to 60) Then seek medical advice. if satisfied ok otherwise consult

Get ecg done and do 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water for medicine contact on private chat.

A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.Take tab. Zyloric 100 mg once a day.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.

Take tab. Septillin. 2 tds. Take jirna pratishyayhar vati. 2 tds. Take trifala tabs 2 tds with warm water. Take caps. Acnovin. 2 bd. Use acnovin cream twice a day.

Don't worry because it's not a severe problem in homoeopathy there is excellent medicine for your problem and as you have told your eosinophil count increased as you may be allergic to anything try to avoid those and also do meditation it will support along with medicine.

check your BP. Check your eye sight. take crocin pain relief one sos for severe headache. take rest and good sleep. avoid stress.

Please Stop curd ,rice, sour foods, fruits, fermented food .stop cold drinks, ice creams, sleeping in a/c, or under fan. Pl. Try Ginger paste 1 spoon +1 spoon Honey +7-8 Tulsi leaves. Take this mixture early morning & evening. Pl. Consult Ayurvedic consultant nearby.

If your sugar is not controlled with this, insulin dose will need to be titrated. Tell your complete medical history to advice you better.

For piles problem treat your constipation and never eat spicy food and if your vital parameters are normal than don't concentrate to increase your weight it will increase on its own.

I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.

Firstly reduce pain by laser therapy and ultrasonic therapy then do calf stretching exercise and ankle strength exercise in gently process.