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Dr. Nikhil H. Dave

MBBS

General Physician, Mumbai

26 Years Experience  ·  250 at clinic
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Dr. Nikhil H. Dave MBBS General Physician, Mumbai
26 Years Experience  ·  250 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nikhil H. Dave
Dr. Nikhil H. Dave is a popular General Physician in Andheri East, Mumbai. He has over 26 years of experience as a General Physician. He is a MBBS . You can visit him at Nikhil H Dave in Andheri East, Mumbai. You can book an instant appointment online with Dr. Nikhil H. Dave on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 35 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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Specialty
Education
MBBS - KolhaPur University - 1991
Languages spoken
English
Hindi

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Nikhil H Dave

G-6,Akruti Commercial Complex,Goutam Nagar,Next To Akruti Center Point,Central Road,MidcMumbai Get Directions
250 at clinic
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I am suffering from last two weeks. I am suffering from sleeping problems .I have lack of sleep don't know why. What can I do?

BAMS
Ayurveda, Zirakpur
I am suffering from last two weeks. I am suffering from sleeping problems .I have lack of sleep don't know why. What ...
Brahmi vati 2 tablets twice daily with milk Ashawagandhrisht and sarasvarisht 20 ml each twice daily with equal water after meal Do meditation daily
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Hello Doctor While I take fast food after few time begin scratch on all body and raised small bump. So advise me what is cure for it.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Hello Doctor While I take fast food after few time begin scratch on all body and raised small bump. So advise me what...
this is mainly due to vitiation of rakta dhatu. You are not able to digest spicy, salty & chilly foods. You should stop these items & have more milk, ghee, coconut, dhaniya, chandan, onion etc in diet which are cooling foods. have 1 amla daily. It will detoxify the blood.
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B.H.M.S., M.D. (Homoeopathy)
Homeopath, Surat
Vitamin B12 in Vegetarian Diets

A Critical Nutrient:
Vitamin B12 is a very important nutrient. It is required for proper red blood cell formation and for the development of the nervous system. A deficiency of vitamin B12 is a serious nutritional concern, resulting in anemia and changes in the function of the nervous system. While milk and eggs contain vitamin B12, no plant food naturally contains the vitamin. Unless they consume a B12 supplement or foods fortified with B12, a vegan is at risk of vitamin B12 deficiency.

What are the symptoms of B12 deficiency?
If blood levels of vitamin B12 drop below normal values, ANEMIA results. This may be followed by impairment in cognitive function.
Other symptoms include:
-Numbness and tingling in the arms and legs,
-Weakness and excessive fatigue,
-A range of psychiatric disorders including disorientation, depression, mood disturbances, irritability, memory loss, difficulty in concentration, and dementia.

Some people also experience an inability to maintain balance when walking, and a loss of position sense. Many B12 deficiency symptoms may be due to other causes, therefore, it is wise to be examined by a health care provider to determine the cause of the symptoms.

What are the long-term consequences of vitamin B12 deficiency?
Infants who are vitamin B12 deficient often display signs of developmental delay or regression both physically and mentally. These delays may have a long term consequence on the child, lasting into adulthood. In the elderly, neuropsychiatric disorders caused from a vitamin B12 deficiency are often irreversible.

Why are babies at risk of vitamin B12 deficiency?
A baby born to a mother who has been a strict vegetarian and who has not had reliable sources of vitamin B12 for a number of years is especially at risk. Unborn babies have a special need for vitamin B12 and this need may not be met by a mother deficient in the nutrient. In addition, the infant may not receive sufficient levels of B12 in breast milk, when breast-fed by a vitamin B12-deficient mother or a woman whose diet is not adequate in vitamin B12.

Vitamin B12 deficiency may develop in a breast fed infant within 3-6 months of age. A child with a vitamin B12 deficiency may become apathetic, lethargic, and experience failure to thrive.

Can the elderly also be at risk for vitamin B12 deficiency?
Yes. As people age, there is a decrease in the secretion of stomach acid as well as a drop in the digestive enzyme pepsin. As a result, digestion of vitamin B12 from protein is diminished, inhibiting the amount of B12 available for absorption. People over 50 years of age may show neurological changes due to vitamin B12 deficiency. It is believed that a considerable number of elderly patients have neuropsychiatric disorders due to vitamin B12 deficiency.

How long does it take to develop a vitamin B12 deficiency?
Since the liver does store extra vitamin B12, and the body has a recycling process for B12, it may take an adult 3-10 years to develop a deficiency once intake of the nutrient has ceased. If one’s past vitamin B12 intake has been very low, a deficiency may manifest itself in much less than 3 years after cessation of intake.

How much B12 do we need?
Only about 2 ½ micrograms of vitamin B12 is required per day. A cup of milk has about 1 microgram of B12, while a cup of soy or rice milk contains from 1 to 3 micrograms, and a serving of B12-fortified commercial cereal has 1.5 micrograms.


Vegetarian meat analogs that are fortified may contain anywhere from 1 to 6 micrograms of vitamin B12. More and more vegetarian foods are being fortified with B12, but it is imperative that one read the food label, as fortification levels may change from time to time.

What foods are reliable sources of B12?
Milk, yogurt and cheese, along with eggs, are the only vegetarian food items that naturally contain significant levels of vitamin B12. Plant foods may be fortified with B12. These include rice and soy beverages, plantderived meat analogs, ready-to-eat breakfast cereals, and nutritional yeast. It is important to read the labels for these foods as not all products and brands have B12 fortification, and the amount of fortification can change with time.

What foods are unreliable sources of vitamin B12 although they claim to contain
a sufficient amount?
While claims are made for tempeh, miso, and other fermented soy products, as well as spirulina, some seaweeds, brewers yeast, and leafy vegetables, these foods do not contain any significant level of vitamin B12.

Can’t we make our own B12?
Yes. The bacteria in our colon make vitamin B12. However, the absorption of B12 takes place higher up in the gastrointestinal tract, near the end of the small intestine. Therefore, it is unavailable for use in the body.

Are all supplements good sources of the vitamin?
Since the body has a limited capacity for absorption, there is really no reason to ingest more than 10 to 50 micrograms of vitamin B12 supplement per day. Larger amounts are very poorly absorbed and wasted. For effective absorption, a B12 tablet must be dissolved under the tongue or chewed. B12 capsules normally dissolve in the gastrointestinal tract and are readily absorbed. Sub-lingual B12 sprays are also a useful source of B12.

Summary
Vitamin B12 deficiency is not uncommon. Vegans must be especially careful to get adequate amounts on a regular basis, preferably daily. A daily B12 supplement is necessary when B12-fortified plant foods are not regularly consumed. Nutrition labels on processed foods must be carefully studied to determine how much B12 is supplied by one serving of the food.
25 people found this helpful

My daughter is suffering psoriasis. Her age is 16 years old. She is in starting stage. What are the best ways for preventing further growth of this illness.

MD - Ophthalmology, MBBS
Ophthalmologist, Delhi
My daughter is suffering psoriasis. Her age is 16 years old. She is in starting stage. What are the best ways for pre...
Stable lifestyle and balanced good diet full of colorful fruits and vegetables improve immunity & helps in such cases.
1 person found this helpful
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Hi my daughter is 5 years old and have pubic hair not to much thick but im so much worry about taht and make some tests FSH 2.1 UI/l LH 0.25 UI/I testosterone 0.87 nmol/l (25 ng/l) So please advice me is this normal or no and what we can do?

MBBS
General Physician, Mumbai
Hi my daughter is 5 years old and have pubic hair not to much thick but im so much worry about taht and make some tes...
Pubic hair and other secondary sexual characteristics develop after 12 years of age and so don't think about it before that.
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Lot of questions running in my mind while going to bed so I couldn't have sound sleep. Mostly, negative thoughts are coming in my mind in series and trying to resolve the problems and ultimately I couldn't slept. Pl suggest what to do to have sound sleep at least for 6-8 hrs.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Lot of questions running in my mind while going to bed so I couldn't have sound sleep. Mostly, negative thoughts are ...
I don’t know if you are fully aware: you have mentioned that you are suffering from a lot of questions running through your mind, which can cause a lot of anxiety or the other way around; the anxiety can cause a lot of questions, which in itself can disturb your sleep. Instead of worrying too much about causes, why don’t you implement some of my suggestions, because they work effectively. The lack of sleep, i. E. Sleep for less than 6 hours per night, is directly linked to about 86 diseases! So let us first focus on that. In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i. E. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT, then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.
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Sir day before yesterday I woke up at morning. Suddenly I saw some reddish places over my neck when I am touching a sudden pain has been taking place and today it became more reddish and some rashes have been appeared. What can I do pls help me if you wish then I can send you the pic also.

MBBS
General Physician, Cuttack
Sir day before yesterday I woke up at morning. Suddenly I saw some reddish places over my neck when I am touching a s...
1. It could be an allergic reaction, due to insect bite 2. Takeone tablet of levocetrizine at bed time 3. Apply lobate g skin ointment 4. Take one tablet of crocin (500mg) sos after food for pain 5. If no relief, consult doctor.
1 person found this helpful
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I am 22yrs old my legs have so much pain, during walk and stand for an hour with my frnds for talking now what to do?

MBBS
General Physician, Delhi
I suggest you to get a routine cbc test wd sreum calcium and vit d test. Kindlly tell me if there is any swelling in your legs. Taking pain killers will not help you. Thanks for asking.
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I have a pain in my left chest after a long run. I want to know how this happen n how can I protect from this.

MD-Physician, PGDCC
Cardiologist, Jaipur
I have a pain in my left chest after a long run. I want to know how this happen n how can I protect from this.
Hello, this could be due to some congenital heart defect. It can be due to anemia and commonly due to muscle spasm. Check hb levels, and do a 2d echo to rule-out the heart disease.
4 people found this helpful
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I am 26 years old female weight 70 kgs. I am not having any problem but in sleep I am having weakness of urine passage .why it was happening in sleep from childhood I am having problem. In sleep when I realize I immediately wake up but sometimes it is not happening. Can I give me suggestion or should I use any medicines to control.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am 26 years old female weight 70 kgs. I am not having any problem but in sleep I am having weakness of urine passag...
Do following 1. Take less water during day 2. Pass urine every 2 hrs during day 3. Avoid liquid/ water 2 hrs before sleep - 4. Pass urine before going to bed 5, set alarm, wake up and to pass urine after 2 hrs of sleep 6. Count your dry nights 7. Reduce / stop tea, coffee, alcohol for medicine contact on private chat good luck.
1 person found this helpful
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What are the symptoms of TB? I've been coughing all the week. Should I consult a doctor?

MBBS
General Physician, Cuttack
Symptoms of TB 1.Evening rise of Temperature, Night sweat1. 2.Coughing that lasts for more than 3 weeks 3.Coughing up Blood 4.Chest pain while taking breath or coughing 5.Loss of weight, Fatigue Do blood test like ESR,CBC, take X ray chest and consult physician for advice and treatment
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Meri mummy ko 1 week se body pain fever cold headache hai kabhi kal hota hai kabhi Jada ho jata hai doctor se check karvaya thi ek injection or doctor he kuch medicine diya tha uska naam nai pata please kuch bataiye kuki Sunday ko yeha koi Doctor nai milta or medical ki facilitie nai hai.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Meri mummy ko 1 week se body pain fever cold headache hai kabhi kal hota hai kabhi Jada ho jata hai doctor se check k...
Give her tulsi leaf juice throce daily for 15 days and consult me after 15 days for further treatment with medicines.
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I am 37 years old male I had a chronic gastric problem 24x7 days gas formation is continuous and bloating in stomach and gas passes out every time whatever I eat pls advise suitable medicine and time to take them I am pure vegetarian.

MBBS, DMCH, DEM
General Physician, Jaipur
I am 37 years old male I had a chronic gastric problem 24x7 days gas formation is continuous and bloating in stomach ...
Mr. Lybrate-user you need dietary modifications. Your problem is related with indigestion and gastritis. Start small frequent meals. Low in oils & fats. Low sugar. Watch for food items causing gas formation like cucumber cauliflower some dalls start tab. Nexpro rd once daily empty stomach. Tab. Bifilac once daily.
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I have type 2 dibities for 3 years. Sugar level. Fasting 135. And pp. 178. Average. Wat I do. That level go down. specially. Diet schedule.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have type 2 dibities for 3 years. Sugar level. Fasting  135. And pp. 178. Average. Wat I do. That level go down. sp...
you can take diet for diabetes. low sugar breakfast cereal oats., low sugar bran flakes,peas or leafy green. brown rice .whole grain foods. whole grain pasta. Avoid stress. Go for walk. You can join zym. By meditation and medication You can control diabetes / sugar level. DO tests HBA1C every 6 months.
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Doctor sir I have a problem regarding fever rarely it's come and overcome it self.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Doctor sir I have a problem regarding fever rarely it's come and overcome it self.
Take sanjeevani vati. Godanti bhasm and giloy satwa and mix it. Take it with honey three times a day. And pranacharya jwar nigrah twice a day. Avoid salt. Junk food. Spicy food. Fermented food. Take green vegetables. Sleep minimum for 7 hours. Do pranayama early in the morning.
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Hello, I've got irritation in my ear and I use to q tip a lot, I also have sinus problem and constant cold and sneezing. Could you please advice me on what medications should I take.

MBBS
General Physician, Cuttack
Hello, I've got irritation in my ear and I use to q tip a lot, I also have sinus problem and constant cold and sneezi...
1. Do steam inhalation 2-3 times daily with karvol plus inhalant capsule 2. Put otrivin nasal drop one thrice daily 3. Take a course of antibiotic after consulting doctor 4. If you are suffering from chronic sinusitis, take plain xray pns/ct scan of pns or nasal endoscopy after consulting ent specialist to confirm diagnosis 5. If you are having recurrent symptoms, you may have to undergo endoscopic sinus surgery.
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I visited a hill station 2 month back. There I felt dizziness (ghamer in head) and that continue till date. Please suggest some ayurvedic medicine or other.

MBBS, cc USG
General Physician, Gurgaon
I visited a hill station 2 month back. There I felt dizziness (ghamer in head) and that continue till date. Please su...
It seems to be due to motion sickness Some tips to avoid motion sickness Avoid excessive alcohol and foods or liquids that "do not agree with you" or make you feel unusually full. Heavy, spicy, or fat-rich foods may worsen motion sickness Avoiding strong food odors may also help prevent nausea. Try to choose a seat where you will experience the least motion. The middle of an airplane over the wing is the calmest area of an airplane. Do not sit facing backwards from your direction of travel. Sit in the front seat of a car. Do not read while traveling if you are prone to motion sickness. When traveling by car or boat, it can sometimes help to keep your gaze fixed on the horizon or on a fixed point. medication can be prescribed after complete evaluation
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I am working before computer that's way my neck pain increasing day by day please give me succession.

MS Ayurved, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Junagadh
I am working before computer that's way my neck pain increasing day by day please give me succession.
It's obviously due your work so don't work continue more than 30 min. After each 30 min or hour do some stretch exercise, have daily regular exercise of shoulder, neck and Hot fomentation at back of neck still you have problems persist you need some medication.
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