Dr. Paresh R. Pai

Hello I think you should continue with ayurvedic management and simultaneously go for histopathological examination to rule out the cause. Its report will give direction to the treatment.

Hi. Your mother needs proper allopathy treatment care presently. You can go for ayurvedic or other forms of treatments once she is well and discharged for icu. You need to continue her allopathy medicinces as per your doctors advice. Take care.

For pain take tablet paracetamol 650 mg and I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest.

Whenever you do breathing in and out you will feel pain in the upper back, middle back and also the pain will radiate upwards until the shoulder and also up to the chest. You might feel chest congestion and tightness and that be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and shoulder. Drink hot water to reduce the gastric trouble. Kindly consult gastroenterologist if you doesn’t improve.

It may be acid reflux disease. Gerd. You need to take antacids. Drink lot of water, avoid spicy foods. Do regular walking.

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. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition.

With diet control blood glucose levels will drop. However, with such high hba1c you will need medicines. The dosage of medicine can come down over time. But at present it is imperil ice that you start treatment.

Are you walking or exercising? are your bowels clear? if your stomach feels heavy before meals, why then are you eating? you are overloading your system - don' t eat if you are already feeling heavy. In any case start having several small meals, and miss out if you are not hungry. There is no reason to stuff yourself just because it is habit or convention. Remember at 57 your system has slowed down and you have to alter your eating habit to match this. Contact for homeopathic support.

Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .

Hello, since you are from a humid place like Mumbai, there is a high chance it can be a tinea infection. Koh mount scraping test has to be done by a dermatologist and scrapings have to be taken from edge of lesion and provided you are not on any medications for 2 weeks. If not then go for a fungal culture. And to avoid recurrence, use antifungal powders regularly. Avoid any moisture in the affected areas.

1. For your age pain chest could be due to anxiety, stress, depression, physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3. Do regular exercise, reduce your weight if over weight. 4. Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5. Do yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6. Have sound sleep for 7-8 hours daily. 7. Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your bp, take ecg, x ray chest and consult physician for advice and treatment.

chest pain due to high cholesterol...Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .

Hi, Right bundle branch block can be normally found in around 90% of peoples. Get a 2D Echo done to rule out any possible abnormality. If it is normal than their is nothing to worry. Follow up with me after 2D Echo report. Thanks.

At your age and with the medical conditions you have, you should be happy with the erections you have, harmonal therapy in your case is contraindicated as you already have a prostatic problem. Your prostatic condition may worsen with harmonal treatment. My suggestion is that you have to accept aging gracefully and try to adopt to the natural changes that a person of your age faces. If you are not satisfied with my answer please visit a urologist for further advice.

To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.

Hello, Lybrate user, * go for meditation to nourish your brain with oxygenated blood to calm your nerve to restart your study being a strong and confident person inculcating an innovators from within to conquer your goal. * Tk, 5/6 glass of water to hydrate your body and to regulate metabolism ,absorbing nutrients to nourish your entire body & brain to achieve success in life. * your diet be easily digestible, simple on time to avoid gastric disorder to discard negative feelings.        • Tk, apples,carrots ,cheese, spinach,almonds, walnuts ,milk. * meet your friends to share your problem in order to get solution to over come your stress, to inculcate a winner from within. Tk homoeo medicine: @ Ignatia 200-6 pills, thrice. @ Five phos 6x-4 tbs, thrice. • avoid, nicotine, alcohol,junkfood, pizza,burger, • ensure a sound sleep for 6/7 hrs in d night. > Report wkly, > Your feedback is solicited for further follow up Tk care.

Hello lybrate-user, the ideal weight determined by your height and for you falls around 80 we have to understand that losing weight is 80 % diet and 20 % exercise. By all means you have to change your diet and decrease your overall calorie intake to lose weight. A recheck on his diet plan should help. Some general things you should follow to lose weight and control his blood pressure are. 1) try maintaining blood pressure upper under 135 and lower under 85mm hg with lifestyle and medication 2) if overweight, losing weight should be a priority, try achieving bmi less than 25 3) 40-45 mins of aerobic exercise daily 4) be regular with your medication, don't skip doses or stop abruptly. 5) in diet -low salt. Max 3 gms a day. - avoid preserved food as all preservatives have salt. - no pickles, papads, chips, farsan as all have high salt and. - atleast 2 serving of fresh fruits in a day. - 1 serving 35-40 gms of nuts like walnuts, almond to be included - if you take fish 2 serving of fatty fish per will like salmon. -avoid red meat, egg yellow, fried and spicy oily food - may shift to better oils like olive in cooking 6) may consider supplements, like cod fish oil capsules, flax seeds, chia seeds, krill oil as they have good content of omega 3 fatty also losing weight is a slow process, by holistic approach of diet and exercise you will loose weight permanently and so you should encourage him to continue an healthy lifestyle. Do continue medication for hypertension as you are taking and if no, keep a tab on the pressure reading and consider starting one after ruling out other secondary causes of hypertension. Also get you sugars, cholesterol and thyroid checked once. Medication for decreasing weight are not effective and may cause side effects. As you are young you not morbidly overweight you may follow diet and exercise, if still unsuccessful we would consider starting one.

To reduce cholesterol in body : * Avoid Butter , Ghee & cream in your diet . * Eat five leaves of Kari patta and five leaves of neem once in a day . * Avoid non veg( chicken, fish) food because it contain high fat content. * Do running and jogging daily for 15 minutes . Start with 5 minutes then increase time period slowly.Do morning and evening walk daily . * Do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * Add Kali mirch( black pepper ) in your breakfast . * Drink 6 to 7 glass of water daily . * Take sound sleep in night of 6 to 7 hrs .Do not take stress . *Take one tablet of GUGGALU of HIMALAYA company once a day. You can consult me privately for more medicine treatment & doubts.

No, you have to take medicine for a longer period, do not stop taking medicine, you will be harming your self good luck.

Take pranacharya kasantak syrup 2-2 tsf in hot water twice a day...Take sitopaladi..praval and tankan bhasm churna with honey 3-4 times a day...take ginger black pepper and basil leaves tea.. ..gargle with hot water(salted) avoid milk...cold drinks....take hot water steam.......