Dr. Imran Chikani

Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. So, what are the causes. In some male, it is psychological, caused by anxiety, depression, stress, marital disharmony etc. Use of alcohol and smoking will aggravate the problem. Psychological causes can happen at any age but more common at younger age. But in some cases, it is associated with serious diseases, especially at old age. It has been seen that in apparently healthy male ed is the first sign of heart disease. So, if you have ed, make sure that i's not caused by your heart problem. Again diabetes is another important cause. Excessive weight gain will also cause hormonal imbalance and thus problems in erection. Some hormone may also cause ed like thyroid, prolactin and even testosterone (male sex hormone). If you have chronic diseases like liver or kidney disease, it may also lead to ed. Diseases of nerves and spines should also be kept in mind. Sometimes, infections or tumour in private parts (prostate, testis etc) will also add to ed. Other diseases of penis like abnormalities in blood vessels can also be responsible, especially in young guys. Apart from these, some surgeries in abdomen and some drugs (like drugs to lower blood pressure, antidepressants, hormonal drugs etc) will also cause ed. Now, what you can do? If you want to suffer silently, you will land up in other problems like problem in sexual life, problem in family relationships, depression and even inability to make your partner pregnant. But do all men with ed have to go to doctor? Initially, the men should try life style modifications like avoiding smoking and alcohol; avoiding stress and anxiety; making good understanding with partner and also reducing weight. The partner should also have sympathetic attitude to the husband who is having ed. But if still the issue is not resolved you have to consult doctor. It's not a mater of hesitation or embarrassment, as you may think. Rather it is needed to ensure that you are healthy. So, your doctor will talk to you, will check you and try to find out if any cause is there or not (like heart disease, diabetes, hormones etc). He may order some basic tests to ensure that everything is alright. After that he will advise you the treatment. If the cause is found, treatment of the cause (like diabetes) may cure ed. Even if no cause is found, ed can be treated by various ways. But should you try the drugs shown in television or newspaper? Remember, drugs used in ed have important side effects and we advise drugs only when it is absolutely necessary. In most cases simple measures like stress reduction, exercise help. Sex counseling of both the partners helps a lot. And if still ed persists, we advise drugs. There are variety of drugs, all are having own advantages and disadvantages. Particularly sildenafil group of drugs can affect heart and retina. So, we always practice caution before prescribing such drugs. And when patients are advised such drugs we advise to inform us when he feels eye problems, chest pain, fainting or even painful persistent erection of penis (" priapism"). There are other drugs that can be applied directly over penis. Testosterone group of drugs are prescribed only in selective cases as they have serious side effects and even they can reduce the size of your testes. In some cases where drugs cannot be given or drugs fail, we advise penile implants or artiificial pump to maintain erection. Finally in very few cases, where blood vessels of penis is blocked, we can cure it by some operations. So, if you feel ed, don't get depressed. At the same time don't feel embarrassed to take medical help. Today's embarrassment may harm you in future. So, get cured and enjoy your personal life.

You can take car. B. 30 / 5 drops in little water thrice a day for one month. Revert back after one month with feedback.

Wash face with neem face wash dry than rub dermacid crean on spots morning end night. Rub circular on spots. Add in your daily food vitamines, minirales, green vegitabales, salad, report to me after a month.

It is claimed to increase platelet count but still controversial, hence you can take it with other measures it should be clear to you in all viral fever platelet count decreases but not lime dengue, in case of dengue platelet count below 20,000 is after of concern because bleeding may start which may be fatal. So you should take following precaution 1 alert for any rashes 2bleeding from gum nose or profuse bleeding after mild injury. Rush to hospital because you might be suffering from Haemmoregic dengue. In which platelet infusion is must. Otherwise you take a. Only crocin for fever and pain b.plenty of water c. Anar juice d. Milk e folate rich food f. Pappy leaf extract g.alovera juice h wheatgrass juice this all will invrease platelet count.

If not done yet, you may need to do a urine culture and sensitivity test to find out infection and the type of organism in the urinary bladder and the antibiotic to which these organisms are sensitive so that instead of a blind approach, a definite exact treatment can be initiated. If not done this may become chronic urinary tract infection and haphazard use of antibiotics may make the organisms resistant to more of them and in the end we may not be left with any good antibiotic to use for treatment. Good hygiene of the private parts is essential as you have yourself stated that after menses this problem flares up.

This could be due to spasm of back muscles. Take a muscle relaxent and pain killer also start with pregabalin at bed time. Get xray done and show please.

Dear lybrate user, you may need a bit of willpower to stop smoking permanently. You could easily abstain yourself from smoking during the initial 2-3 days. But after few days of abstaining from smoking you will feel a strong craving to smoke a cigarette whenever you face any tense situation. Here lies your real test. You will need a lot of willpower to resist that craving & face any tense situation without the help of nicotine. However, you can take homoeopathic mother tincture daphne indica q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to reduce your craving for nicotine. To minimise the bad-effects of smoking take one single bulb garlic everyday at morning before brushing your teeth.

You reduce weight to stay healthy and fit. Do regular exercise like push ups, sit ups, plank, yoga etc. Eat small amount of food. But do not skip meals. Take food 5-6 times instead of 3 big meals. Use extra protein to lose weight. Use lukewarm water after meals. Avoid fast foods, junk foods etc. Avoid smoking, alcohol. Drink plenty of water specially before meals.

After abortion there are changes in the uterus take place which give rise to the hormonal imbalance that may be a cause of the increase weight.

Take more and more water. Boil soff in water and drink it. Whole day. Drink clear water only. Drink vegetables water.

No as it seems that test are normal then there is no pregnancy is an hormonal changes resulting in irregular periods i would suggest you to have a glass of papaya juice or milkshake of it or you can just have papaya this will help you in your menstruation cycle

You can continue as your normal life and routine intercourse if no any problem you may conceive the most chances of your conceive is around 26-28 feb.

This could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Diabetes must be controlled beyond any shadow of doubt. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do knee exercises. It may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.

Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach 3. Alovera juice 4tsp after lunch dinner.

Tinnitus is a common problem usually associated with deafness. It is of two types, subjective and objective. In objective tinnitus you can find out the cause of tinnitus while in subjective it is difficult to find the cause. Treatment consisit of reassurance and certain vasodilator and vitamin treatment.In objective tinnitus you may require surgery if cause is confirmed by all mod of Diagnosis including CT scan. If no much nose problem no surgery of nose.

Dear lybrate-user Weight gain can be a time-consuming process. You have to increase your food intake; follow 5 time small meal pattern. Start taking bananas, mangoes+ 1 glass milk+ protein supplement, 4-5 almonds. Follow healthy food options to increase weight ; avoid junk. Start taking 2tsp alovera and 2 tsp amla jiuice in a cup of water every early morning to detoxify the liver as it would help in weight gain. Drink plenty of water, have fruits, fresh fruit juices, raw paneer, eggs, do some physical activity. Protein or weight gain supplements are helpful .you can follow 2 scoop of Proteinx in a glass of milk.

First thing you should do is to get rid off anxiety and stress as those are main offenders in many. You can try any of the following methods. You can do squeeze and stop technique. You can stimulate your partner to maximum before getting yourself stimulated. You can deviate your thought to something nonsexual when you about to near ejaculation. You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation.Hope this may help you. Let me know if you have any further query.

A respiratory condition marked by attacks of spasm in the bronchi of the lungs, causing difficulty in breathing. It is usually connected to allergic reaction or other forms of hypersensitivity Description To understand asthma, it helps to know how the airways work. The airways are tubes that carry air into and out of your lungs. People who have asthma have inflamed airways. The inflammation makes the airways swollen and very sensitive. The airways tend to react strongly to certain inhaled substances. When the airways react, the muscles around them tighten. This narrows the airways, causing less air to flow into the lungs. The swelling also can worsen, making the airways even narrower. Cells in the airways might make more mucus than usual. Mucus is a sticky, thick liquid that can further narrow the airways. This chain reaction can result in asthma symptoms. Symptoms can happen each time the airways are inflamed. Cause Allergy Tobacco Smoke Environmental Factor Obesity Stress Genes Airway Hyperactivity Atopy Allopathic and Homoeopathic Treatment o Most people need to take more than one type of medication to control asthma. O Not everyone with asthma takes the same Homoeopathic medication. There are many different asthma medications and they come in many forms: pills. O Allopathic medications are often divided into two groups: bronchodilators and anti-inflammatory agents. O There's no allopathic medication to cure asthma completely. Asthma medications are used to stop, control and prevent asthma symptoms. O Within three month of Homoeopathic treatment Asthma is permanently curable. Cost of Treatment Direct Cost Indirect cost Intangible Cost Cost of Doctor Loss of productive work by patient Grief Cost of Hospital Treatment Loss of productive work by patient family Fear Cost of Drug Early retirement from work Pain Cost of Investigation Unhappiness Cost of Equipment Loss of Quality of life Examination Origin, Development and Progress of Disease is Important as this leads to the choice of Homoeopathic remedy. During Homoeopathic Treatment patient should observe and report symptoms. No Specific examination is required as character ofcomplaint is treated. Blood Test Required? Yes we refer to previous Blood Investigation. Treatment Steps To confirm a session, please leave a message. We will synchronise timings and request a case taking session. How long patient will take Homoeopathic Drugs? 1 Month Is Homoeopathic Cure Permanent? Yes How many drugs are the required to start Treatment? How can I get the drug? Homoeopathic Medicine are easily available at nearest drug stores, 4-5 Drugs are required Is cure Permanent? What Diet modification required? Homoeopathic Cure is permanent and patient need to be careful in Diet regime and should quit Smocking Habit. Asthma is curable in Homeopathy. Treatment is available at Clinic only. As 10 days observation period is must.

Take homoeopathic medicine Mag Phos 6X tds... It is better to any medicine with proper consultation...especially when there is fever...