Dr. Nandini Joshi

Dear lybrate user, kindly note that if you indulge in sexual relation after an interval of minimum 7 days then you are bound to discharge quickly during intercourse but that does not imply that you have any disease. It occurs due to loss of control of the muscles of penis. Normally it is seen that when a person does sexual intercourse daily he gains control over the muscles of penis & can stay longer during sex. You need to take homoeopathic mother tincture salix nigra q, 30 drops, thrice daily, after meals, in a cup of water to get rid of premature ejaculation. But before taking any medicine kindly notice whether you are having a second erection within 15 minutes of ejaculation for the first time. If you are not experiencing any erection within 15 minutes of ejaculation then you are surely suffering from erectile dysfunction. There will be a change of medication in this case. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Along with medicines you can also try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do this exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction.

Taking care of your hair *take nutritious healthy food *have regular vigorous physical exercise so that blood circulation reaches hair follicles and nourishes the hair. *avoid mental stress and smoking and such unhealthy habits. * have adequate rest and timely sleep. You may have limitations because of your profession, but stick to it as far as possible. *use warm or cold water for bath and not very hot water. * hard water is harmful. Boiling will reduce hardness. * when the hair is wet, it is weaker and don't rub too much with towel. * use wide toothed comb so that there is no pulling pressure on the hair. Hair growth is dependent on several factors. We have good treatment in homoeopathy without causing adverse effects. These medicines are given internally and they improve the system to promote healthy growth of hair and prevent hair fall. If you are interested, please let me know- *what is your age, height, weight, profession and whether it is a touring job? *since how long you have this problem? * do you have dry skin? *do you have dandruff? * have you history of any serious illness. * do you have anaemia? can be checked from report of blood test. * is it hereditary in your family? you may opt for private consultation. I will prescribe which will be available in homoeopathic shops.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case? do not hesitate to contact me if you need any further assistance.

Hi, there are various reasons of bad breath, like impurities in blood, inefficient digestive system, dry mouth (lack of saliva production), gum disease, cavities, plaque and tartar formation around teeth and gums, kind of diet, improper brushing / cleaning of mouth etc. I would advise you to get a thorough physical and dental examination to rule out the cause of bad breath and to solve it permanently.

Bad breath can be due to accumulation of plaque on teeth, decay in teeth, bad digestion, sour throat, dry mouth, consumption of caffeinated beverages or alcoholic drinks, onions and garlic. So check for the cause. For precautions, go for scaling and polishing. Brush twice daily and use a mouthwash. Also clean your tongue. Increase your intake of water. Limit your food intake to 4-5 times a day. Forcefully gargle with water after you eat or drink anything. Reduce your intake of caffeinated beverages or alcoholic drinks, onions, garlic, oilly n spicy foods especially at night.

Pregnant women can reduce their risk of developing gestational diabetes by lifestyle modifications.

do stool examination and confirm whether you have worms again. also deworm through drug and have lasix once in a week for 3 months. Take care.

Hi. Wash your eyes 2-3 times a day with plain water. Use homoeopathic medicine - Euphrasia eye drops 3 times a day.

Kindly consult a dentist in person for further suggestion. We need more investigations (model study, full mouth & profile x-ray) to decide upon treatment. You may need fixed / removable braces. Requirements may depends on the age, complaint, duration of the treatment & affordability. Cost of cosmetic dentistry (braces) varies with dentist. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. 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. Tooth brush to be changed every 2 months.

Follow these best tips for treatment of hair fall • Add protein containing items in your foods for healthy hair growth such as take a bowl of cereal daily and a glass of milk or 100 gm cheese or 1-2 eggs. . • To reduce hairfall , Practice Yogasana like SHIRSHASANA and SARWANGASANA only under the guidance of Expert. • you can use MAHABHRINGRAJ TEL of BAIDYANATH COMPANY and apply it 3 times in a week massage your scalp for 10 to 15 minutes daily .It increases blood circulation in your scalp and enhances hair growth. • Avoid the excess use of products such as hair colours or shampoo . * Take Vitamin-E rich foods like dry fruits ( Almonds,Pista etc) daily. * Apply the egg yolk to the scalp atleast once a week.It gives nourishment to hair root and enhances hair growth.

Dear, you wrote you are suffering from piles but the root cause of this problem is your digestion problem normally in my practice i never advice surgery until it is necessary to the piles patient because most of the patients are become happy with conservative Ayurvedic medicine treatment all the problems like bleeding pain swelling hard stool constipation can control and cure with ayurvedic medicines and many patients are very happy with that so according to me don't get panic take ayurvedic treatment and get well soon.

Hello, Homoeopathy has the best answer for your query.you can lose weight with the help of homoeopathic medicines, without any side effects. This involves correction your metabolism. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the evening daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits.

Ayurveda therapies and medications could help improve your quality of vision and strengthen your eyes gradually thus the floaters reduce..

Best way to reduce fat is exercise and diet control. Take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day. Avoid junk food. Oily food. Fermented food. Alcohol consumption. Sugar. Milk products and sweets. Take oats and cereals more. And do pranayama early in the morning and walk for atleast 45 minutes a day. And do exercises. Dont sleep immediately after taking meal.

Get done sonography of rt shoulder to rule out rotator cuff tear. Also get done the reports rbs, esr, s. Uric acid.

For tight skin is circumcision is good option and these r home remedies 1. Simply massage some extra-virgin coconut oil or olive oil on the area. 2. Leave it on for a few hours, and then wash it off. 3. Repeat two to three times daily for a few months or until you are satisfied with the results.

You need Urine Pregnancy Card Test (available at medical shops) followed by ultrasound scan to rule out implantation.

Dear, thyroid needs to be addressed with great lifestyle change, herbs and therapies. A good healthy life style is needed firstly and some form of exercise walk is needed. See what you eat, have a food diary for 6 days, then concern me.

Take powder protinex 1 scoop twice a day along with milk. Follow the following tips:- · Pay attention to your health and food intake. · To increase your appetite, have a glass of lime water or 1 cardamom (elaichi) before your meal. · Have minimum 4 meals in a day. · Drink 1 glass of milk twice a day. · Try to enjoy your meals and gradually increase the quantity you eat every time. · A balance diet should have all essential nutrients in it. Breakfast is the most important meal of the day. It should include combination of Both Carbohydrates and Proteins for e.g. Oats with Milk or Poha/ Upma with a glass of milk. If you do not like milk have 1-2 egg whites in the morning along with your breakfast. · You need to focus on your protein intake : Increase your protein intake e.g. milk, dairy products- cheese, paneer, lentils (dals), nuts ( soya, peanuts, dry fruits ), pulses e.g. rajma, chole, kidney beans etc. sprouts. If you are a non-vegetarian, then you can have proteins by also eating eggs, chicken, fish. Make sure you are including at least 2 serving of any of these in your daily meal. · Lunch and dinner again should be a combination of Proteins, Carbohydrates and Fats which could have dal, roti, sabji/chicken, salad. · Please do have minimum 4 almonds or a small bowl of peanuts every day. · Please ensure that you drink at least 3 litres of water every day.

Hello, thanks for the query. If taken under proper medical supervision & for proper indication, escitalopram is a very good medication to relive depression & various anxiety disorders. May I know who prescribed you escitalopram & in what dose? what were your problems for which you were advised to take tablet escitalopram; so that I can help you better. Good luck.