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Dr. Nayak

General Physician, Mumbai

500 at clinic
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Dr. Nayak General Physician, Mumbai
500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Nayak is an experienced General Physician in Mumbai, Mumbai. You can consult Dr. Nayak at Life Care Orthopaedic & Multispeciality Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Nayak on Lybrate.com.

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Life Care Orthopaedic & Multispeciality Hospital

1st Floor, Sanghvi Exotica, Maratha Colony Road, Dahisar,Landmark: Opposite Movie Gem Cinema, MumbaiMumbai Get Directions
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Chronic Cough - Why It Happens?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Chronic Cough - Why It Happens?

A cough is not necessarily to be worried about always. It is the natural response of our body to throw out harmful particles which somehow managed to enter our respiratory tract. There is sticky mucus situated in the pathway to lungs which plays a major role in trapping harmful particles. Coughing once or twice is generally a natural phenomenon but if it’s persistent it is called the chronic cough, and there is a reason to worry.

Is your cough chronic?
An acute cough aggravates within a very short span of time, maybe 2-3 days. There are situations when coughing doesn’t hinder your day to day activities and are easily neglected. Sometimes these infrequent bouts of a cough can persist for long and continue for more than 2 months, which has been characterized as a chronic cough.

A chronic cough is sometimes found associated with blocked or running nose. Persons suffering from a chronic cough feel very exhaustive and suffer from a headache, dizziness along with excessive sweating. Under such situations, you must consult a pulmonologist.

Know the causes of a chronic cough
There are several causes for persistent coughing, and the following are the common causes of a chronic cough and medication is taken in consultation with a trained medical practitioner only.

  1. Infections: Bacterial or viral infection in lungs can be one of the causes of a chronic cough. Tuberculosis is one of them which initiates as a chronic cough and is later characterized by emitting blood after cough bouts.
  2. Drug Interactions: Antihypertensive drugs have been found to be responsible for a chronic cough in some people. Hypersensitivity to the prescribed drugs is found to responsible for the cough bouts, and change in medication takes care of the issue.
  3. Asthma: It’s a situation characterized by blockages in the bronchi which disallows the normal air flow during inhalation and exhalation. Due to inadequate oxygen, brain assumes that there is a blockage which needs to be expelled and coughing pattern starts. However, asthma has to be treated, and the bronchi have to be brought back to normal with the help of medication by an expert medical practitioner.
  4. COPD: The most common cause of a chronic cough nowadays is COPD, better known as Chronic Obstructive Pulmonary Disease. This is one of the progressive diseases which means it deteriorates with time. Active smokers are the biggest victims of it. Persons exposed to high degree of pollution or similar occupational hazards are also at high risk. Exposure to these pollutants causes inflammatory responses in lungs resulting in the tapering of the airways and destruction of lung tissues. These can be measured by lung function tests. In asthma, the narrow airways can be broadened by external medication, but in case of COPD, it’s not possible.

To conclude, chronic cough is a preventable disease by reducing the exposure to risk factors as mentioned above. Quitting smoking, improving the indoor air quality with the use of solar cooking and moving on battery run vehicles can prevent COPD from further worsening. You can also undergo pulmonary rehabilitation program which is being counseled and coordinated by many physicians to benefit the individual suffering from the issue. Consult an expert & get answers to your questions!

3610 people found this helpful

My father age is 50 diabetic patient, sugar level 230, how it can reduce, what are the food he can take, what is the easiest way to control the sugar level, per day how many hours can walk? Or any other exercise he can do or not? Like yoga and gym exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father age is 50 diabetic patient, sugar level 230, how it can reduce, what are the food he can take, what is the ...
Mr. lybrate-user, If a person has confirmed diabetes (T2), then it is essential to take appropriate drug treatment, either oral or Insulin depending upon severity of the condition. Secondly along with drugs regular exercise for 1 hour a day (brisk walking) is a must. Maintenance of near normal weight is also necessary. Plus patient has to take a restricted diet that provides exact calories based on ideal body weight, extent of exercise and glucose levels. Any exercise is fine. Thanks.
2 people found this helpful
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Sir I have suffering from fever in many days. I take medicine but no results. So what I doing.

BHMS
Homeopath, Faridabad
Sir I have suffering from fever in many days.
I take medicine but no results.
So what I doing.
Hello, you are suffering from fever for many days. There should be proper diagnosis of the cause of fever , for that complete history and laboratory tests are necessary to evaluate the etiology of fever. You should go through these tests:-CBC, ESR, Urine culture and widal . Revert me with reports.
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Sir main 22 year ka hu aur meri problem yah hai ki heart me dar sa baith gaya hai jisase bolane me bahut dikkt hoti hai kabhi kabhi to awaz hi nahi nikali hai aur Jubaan bhi ladakhadti hai aur hamesha ualjhan rahati hai heart hamesnha dhak dhak karata hai. Bolane me awaz bhi less ho jati hai.

BHMS
Homeopath, Sindhudurg
Sir main 22 year ka hu aur meri problem yah hai ki heart me dar sa baith gaya hai jisase bolane me bahut dikkt hoti h...
Hello start taking homoeopathic treatment - gels 30 daily one dose - 4 pills in morning for 4 days and reply back.
12 people found this helpful
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Sexual Health - How Internet Based Knowledge and Experiments Affect It?

Fellowship ,council of Sex Education and Parenthood , BAMS, B-Pharm
Sexologist, Jaipur
Sexual Health - How Internet Based Knowledge and Experiments Affect It?

The Internet has glorified our lives in numerous ways, but at the same time, too much of information available online has also become very appalling in certain cases. One of the main scenarios that have borne the brunt of information overload is sexual health. Now-a-days, the adolescents or the teenagers have become very much vulnerable to increasing sexual risks owing to exposure to excessive online information.
Sexual Studies: The eternal curiosity about sexuality amongst the humans along with the unnecessary stigmas or taboos related to these have together led to a severe situation where people are resorting to a wrong form of information by misusing the internet.

How are the teenagers affected?
This has mounted up, especially amongst the teenagers because this is the transitional stage of a child to an adult where one goes through the maximum hormonal changes in the body. These hormones affect the metabolism and development of sexual maturity in those who are passing through this sensitive stage of puberty.

The superficial study of biological sciences and the changes felt by the adolescents have compelled them to dig more about sexuality by making use of the wonder weapon today, the internet. However, the social and other digital media contain sexual contents and information in a distorted manner and this has proved to be extremely pernicious in the following ways:

  1. Pre-marital and unsafe sex.
  2. Increase of sexually transmitted infections.
  3. The most alarming effect of all is the accelerated amount of crimes related to maliciously-oriented sexual attitudes and behaviours such as eve-teasing, molestation, rapes, child abuse, sexual harassment, etc.
  4. Unhealthy tendency of masturbation amongst the males.
  5. A healthy post-marriage sexual life is getting badly affected.

Studies have shown the present social media is flooded with illicit sexual content to the extent of almost 80% in the movies and 60% in the videos that are creating a severe psychological impact on everyone, irrespective of the gender. This is reaching to such an extent that sometimes they are getting addicted to watching these that is undermining their overall mental health.

Probable remedies: Now-a-days, various sexual awareness programmes are coming up and sexual orientation programme is becoming a part of the course curriculum in schools as well. Yet, unless and until the hush-hush mentality of the society regarding this particular aspect decreases, there will not be a significant change. There is always hope at the end of a dark tunnel and anybody who feels disturbed due to these issues can always consult and take help of the psychiatrists and sexologists who can handle such issues with the utmost consideration and under strict confidentiality.

However, one needs to open up completely before them or else, the treatment or counselling, whichever is applicable, will not be fulfilled in a proper manner. One has to break the boundaries, get enlightened, confront the facts and in turn, lead a healthier sexual life. If you wish to discuss about any specific problem, you can consult a Sexologist.

5579 people found this helpful

I am patient of pcod what I did precautions take place so what activity I follow.

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
I am patient of pcod what I did precautions take place so what activity I follow.
hi Please reduce 10% of body weight either by Jogging/Running/aerobic exercise/yoga /diet control Its first line of treatment for PCOS.it will definately help you, If you are unmarried than no other treatment require at present apart from exercise Thanks
1 person found this helpful
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I am 15 yrs old and have a constant headache for the past 5 days. What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
I am 15 yrs old and have a constant headache for the past 5 days. What should I do?
take crocin pain relief one sos, check your BP. Check your eye sight. take rest and good sleep. avoid anxiety and stress. consult if not ok.
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I have very big pain since last 3 year what I am do I wake in morning just pain down in my stomach every day.

Acupressurist, Delhi
I have very big pain since last 3 year what I am do I wake in morning just pain down in my stomach every day.
Hi, please visit near by doctor as soon as possible. Please follow below steps 1.always drink 2 glass hot water empty stomach. 2.daily drink coconut water/ cranberry/ other juices 3.Do meditation for some time in morning.
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I have hearing loss problem and using hearing aid from last 25 years. How I can improve my hearing capacity ?

MBBS, MS (ENT & HEAD AND NECK SURGERY), FSIB, Diploma in Allergy and Asthma
ENT Specialist, Delhi
Hearing loss can be conductive and sensorineural, or conductive hearing loss there are options available but sensorineural hearing loss is irreversible. Get a pure tone audiometry done and review with reports to nearby ENT specialist.
1 person found this helpful
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I don't have desire for sex. I can enjoy masturbation. But I don't have feelings for sex. I didn't do sex since 1 year. But can masturbation once in 2 days. I am very depressed.

MBBS
Sexologist, Panchkula
I don't have desire for sex. I can enjoy masturbation. But I don't have feelings for sex. I didn't do sex since 1 yea...
Hi ! You can do Masturbation 2 times a week, more than this is harmful. Daily Masturbation is definitely harmful for future married life.
1 person found this helpful
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I have itching problem from past two months , the itching comes suddenly almost on body i.E back ,legs arms, neck and creates red patches and then disappears ! its pathetic after doing a r& d i found on hives on Google i don't if it has any similarity

BHMS
Homeopath, Howrah
It is a allergic reaction of certain allergen in your body. It may be dust.Any particular food, any medicine. Try to avoid dusty environment. Protein rich food may trigger allergic response. Avoid those food at least for three months along with homoeopathic treatment.
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Sir I already told that I have light blood in stool and I go to bathroom many times and when I pressure I felt pain in lower side. And also fell light fever is this piles.

Advanced Aesthetics
Ayurveda, Gulbarga
Sir I already told that I have light blood in stool and I go to bathroom many times and when I pressure I felt pain i...
Use these ayurvedic medicenes for week 1. Chitrakadi vati 1-1 2 time 2. Arogyavardini vati 1-12 time 3.abhayarista 3spoon with water 2 times all r after food.
1 person found this helpful
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I have less sexual desire now a days. Wanted to know what went wrong in between also I haven't had sex till now worried abt having a baby.

MBBS
General Physician, Jalgaon
I have less sexual desire now a days. Wanted to know what went wrong in between also I haven't had sex till now worri...
Please Take proper rest daily Do yogasanas and pranayam daily Have a habit of walking daily Take Cap stresscom by dabur 1... 1 Cap kapikachhu by Himalaya 2....2 All for 3 mths.
1 person found this helpful
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

Iam a 18 year old boy, I just started doing joking before 2days, iam now suffering from body pains, what can I do?

MBBS
General Physician, Mumbai
Iam a 18 year old boy, I just started doing joking before 2days, iam now suffering from body pains, what can I do?
For pain take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest
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Dear sir 1-my father is 73 year have gone bypass surgery on 1995 in hospital, delhi. Triple vessel artery disease. Graft were implated. Having diabetic, bp. By Dr. Gk mani. 2-now on 15-jan-015 he again admitted to medical college, lucknow. For heart problem. Angio was done. All graft blocked. Medicine prescibed. Shock also given during angio. Dischrged. 3-(23-01-015)----150/80 pulse-100----(14-04-015)----110/60, pulse---90 4-renal dysfunction ---(14-02-015)---serum creatine---1.66, serum urea---84mg/dl---(14-04-015)--serum creatine---1.10, serum urea---34mg/dl 5-renal dysfunction---(02-03-015)---serum creatine---3mg/dl, serum urea---112mg/dl--(14-04-015)--normal 6-(04-03-015)---uric acid---9.8----(14-04-015)----2.5mg/dl 7-(18-03-015)---serum creatine---1.6, serum urea---46mg/dl---(14-04-015)--serum creatine---1.10 8-stomach pain on (18-03-15)---done ultrasound---given inj voveran for pain---found 4-6mm multiple stone in gallbalder. Dr. Advise for operation. Report shows---mild hepatomegaly, choleithiasis, fatty pancreas, hypoechoic bowel wall thckening in left illacfossa, inflammatory. There is pain frequently. And voveran inj have to be given. For pain relief. Now problem:-(19-04-015) 1-pain (inj voveran given. But again pain. For gallbalder. 2-constipation 3-uneasyness. Feeling heavyness. In chest. Abdomen. 4-weakness. Already medicine for heart is given. Please suggest me if its recommended for redo bypass surgery and gall bladder surgery? look foward to your reply thanking you

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Its already complicated much. And age is 73. The most important area of concern is gall stone colic. Kindly take homoeopathy for gall stone it might also help in his other clinical issues as well.
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Sir, I'm suffering from hard fever I want an emergency treatment so will you sugest me the best option to fight against the fever.

MBBS
General Physician, Cuttack
Sir, I'm suffering from hard fever I want an emergency treatment so will you sugest me the best option to fight again...
1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.cold spoonging Sos 3.Drink plenty of water 4.Take rest 4.If no relief do blood examination like ESR, CBC, Widal/ Typhidot test, Blood for mp/malaria antigen and Dengue antigen(NS1) test after consulting doctor 5. consult me for further advice
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