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Dr. R. M. Tiwari

General Physician, Mumbai

Dr. R. M. Tiwari General Physician, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. R. M. Tiwari
Dr. R. M. Tiwari is an experienced General Physician in Mumbai, Mumbai. You can meet Dr. R. M. Tiwari personally at Dr. R. M. Tiwari's Clinic in Mumbai, Mumbai. Book an appointment online with Dr. R. M. Tiwari and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 27 years of experience on Lybrate.com. Find the best General Physicians online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi
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Indian Medical Association (IMA)

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# 5 , Feniwala Building, Khambatta Lane, Kamathpura, MumbaiMumbai Get Directions
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Vocal Cord Lesions - Causes + Treatment

MS - ENT
ENT Specialist, Gandhinagar
Vocal Cord Lesions - Causes + Treatment

When the vocal cords suffer from the accumulation of non-cancerous and abnormal growth, these are known as vocal cord lesions. These lesions usually cause a variety of voice and speech related problems. These are also known as singer’s nodules and nodes, which may be caused by pressure, stress and stretching of the vocal cords. Women between the age of 20 to 50 are more prone to this condition. Here is everything you need to know about the types, causes and treatment of these lesions.

Types: There are three kinds of vocal cord lesions, that is nodules, polyps and cysts. A vocal cord polyps may be caused on one side of the vocal cords and may also lead to many disturbances in one’s voice. Another type of vocal cord lesions includes a mass of tissue that may manifest in the sac or membranes around the vocal cord. This cyst can be on the surface of the vocal cord or in the ligaments of the vocal cord. This may require surgical removal as well as voice therapy thereafter. Nodules are the third type of lesion that may form in the vocal folds. These are basically calluses that may disappear once the pressure and overuse of the vocal cords diminish.

Causes: These lesions are usually benign or non-cancerous growths that may be caused due to a variety of reasons. Screaming and overuse of vocal cords are few of the most common reasons for the eruption of such lesions. The heavy use of one’s voice can cause quite a bit of trauma to the vocal cords and may lead to problems including lesions and disturbances in one’s voice. Conditions like reflux and allergic reactions may also cause vocal cord lesions as a side effect.

Symptoms: From hoarseness to pain, there are a number of symptoms caused by this condition. A low pitch and difficulty while speaking are also some of the common symptoms of this condition. Patients suffering from the growth of such lesions will also find themselves making an effort in order to speak normally and to be heard. Constant throat clearing may be required as well.

Treatment: Besides giving your voice a rest and gargling warm saline water with salt, one can also have the condition checked by the doctor so as to ascertain whether or not it is a serious lesion that may require surgical removal and voice therapy. The doctor will usually prescribe medicines in order to deal with any underlying conditions that may have caused the lesions, including allergic reactions, reflux, sinusitis and other such ailments. One will also have to  stop smoking so that there is less chemical pressure on the vocal cord. Finally, one will have to go through voice therapy for more serious lesions. If you wish to discuss about any specific problem, you can consult a doctor.

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I masturbate a lot and my marriage is in next 6 month. Can anyone help me in increase stamina in body?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I masturbate a lot and my marriage is in next 6 month. Can anyone help me in increase stamina in body?
Yes I can ,all sexologist can help you. You please do vaccum device exercises, kegel exercises and learn sensate focus. Eat fresh juicy fruits, take sald and green vegetables. Mind it that masturbation is not a disease. We all do it. It the guilty feeling which depress us. Mastarbation has many benefits also.
1 person found this helpful
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Hello . Because of heat there's difficulty in normal toilet and I don't feel hungry and there is gastric problem also because of this. What can be done?

BAMS
Ayurveda, Ambala
Hello . Because of heat there's difficulty in normal toilet  and I don't feel hungry and there is gastric problem als...
* firstly take your meals with proper chewing and do not be hurry in taking meals to avoid acidity after meals. * take less spicy food & avoid chilly in meals. * try to avoid stress. If you feel unable to avoid stress & extra thinking then follow meditation techniques. Sit in a calm & well airy room & do long breathing. Concentrate on your breathing. Do it for atleast 3-5 minutes twice a day. You can do anulom - vilom pranayam in the morning. It calm down your mind and lower the gastric irritation. * put 1 teaspoon of fennel seeds (saunff) in a glass of water in night and drink this water in morning everyday to cure gastric problem. * take few leaves of mint (pudina), coriander leaves (dhania), pinch of rock salt & pinch of black pepper. Crush them well and make paste. Take 1 teaspoon this paste (chatni) with meal in morning & evening.
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I am 29 year old male, slightly overweight. I have been in a wrong practice of masturbating since years. I got married 6 months ago and I am not able to perform. What shall I do?

BHMS
Homeopath, Faridabad
I am 29 year old male, slightly overweight. I have been in a wrong practice of masturbating since years. I got marrie...
For weight reduction: Hello, It's good to reduce weight at right time as many problems including irregular menses are directly related to overweight! Read the following guidelines and implement them in your routine: Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. Medication: Start taking Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 1 month. Thereafter revert me back for further guidance. For masturbation: Take Staphysagria 200/ one dose daily for 2 weeks.
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I am 33 years old male. My skin on bikini line is very much prone to rashes. During summers especially when I sweat it becomes very itchy which further turns to wound on rubbing. I wash and take bath minimum twice a day else it would turn to annoyingly itchy and would also leave bad odour. I use antifungal dusting powder such as absorb dusting powder immediate after shower and try not to leave the skin wet all the time. I am dying to get rid of this problem. Please help on this.

MD - Dermatology, MBBS
Dermatologist, Mumbai
Use an antifungal cream like nizral cream twice a day on itchy areas for a month. Wear loose natural fabrics like cotton to prevent moisture. Tab allegra 180 mg once a day for 10 days will control itching. If no satisfactory improvement, see a dermatologist in your locality for prescription of antifungal tablets.
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While having sex my wife's periods started, and we did not knew that, please tell me if there's any chance of infection as we didn't used any precaution at that time as she's absolutely healthy.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hello There is risk of transmission of HIV if partner is infected with HIV There is risk of bacterial infections also It is recommended to use condoms during sexual intercourse during periods Please don't worry...But be aware for next time
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Hi Doctor, I am 28 years old female. Having lower abdomen pain every time from last 4 months, 12 days prior to menstruation.

BHMS
Homeopath, Faridabad
Hi Doctor, I am 28 years old female. Having lower abdomen pain every time from last 4 months, 12 days prior to menstr...
Hello, the pain you are talking about is because of ovulation, so take homoeopathic medicines - Mag. Phos. 6x and Colocynthis 200 - both after 2-3 hrs. during the pain. And Five Phos/ thrice dail for 1month. If the pain still persists, get back to me for further guidance. Management: Regular light exercise daily helps to reduce the pain and improves the circulation. Eat healthy and nutritious diet to avoid any deficiencies. Drink 12-15 glasses of water (as dehydration can also lead to more cramps).
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My neck get pain when I do more work and from neck to right hand shoulder till elbow also pain what I do?

Physiotherapist, Latur
My neck get pain when I do more work and from neck to right hand shoulder till elbow also pain what I do?
It is cervical pain radiating towards right arm. Cervical streching exercises shoulder exercises like wall exercises,shoulder wheel,pendulam. Hot pack to neck area.
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Sir mujhe bhook nhi lagti h kya karu. Aur haan malaria ke symptons kya kya hote h. Mujhe thodi se takliif hot I h kuch upaay bataye.

BHMS
Homeopath, Faridabad
Sir mujhe bhook nhi lagti h
kya karu.
Aur haan malaria ke symptons kya kya hote h. Mujhe thodi se takliif hot I  h 
k...
Hello, Symptoms of malaria:-Anaemia Chills in the body High fever and headache Blood in stools Excessive sweating Vomiting Feeling of Nausea Coma Jaundice Convulsion **Take Alfalfa Q, 10 drops with water twice daily to increase the appetite.
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My father is fighting with high blood sugar for last 7 years and now the condition is worsen, he is not feeling well and also problems with his left eye. Please help me where I should go for immediate relief of eye problem and also permanent solution of diabetes.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
You have written that your father has high blood sugars & he has eye problems. This means he is most likely having type 2 diabetes mellitus. But in the" conditions" section, you have written diabetes insipidus. The 2 are entirely different conditions, though they sound similar. Please clarify.
2 people found this helpful
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Very often when I sleep at night I often get slight pain near chest. Is it muscular pain or any sort of heart disease.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Very often when I sleep at night I often get slight pain near chest. Is it muscular pain or any sort of heart disease.
At 22, it can be muscle pain , take any pain killer like Meftal , if pain vanishes , it is not heart pain.Routine painkillers are ineffective for heart pains.
1 person found this helpful
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My voice had become little vibration type. I am not a chain smoker but occasionally I do. Hw to get back my purified voice?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good Morning ~ Problems with voice are usually related to anxiety and using voice for more time and with higher pitch than normal. If voice rest does not help, I can certainly help with medications to treat your anxiety to restore you voice back. I am sure this will help. I hope you can pay online to book a private and confidential appointment to be able to move forwards with the treatment options.
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I am having sinus what precautions have to take in winter because I face major problem in winter like cold.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids
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Skin allergy all over her body. Reasons: too hot environment Too cold environment, spice food, sweating And many more reasons there.

MBBS, cc USG
General Physician, Gurgaon
Skin allergy all over her body.
Reasons: too hot environment Too cold environment, spice food, sweating And many more...
tell me 1. Do you have dry skin and itching also? 2. is redness/rashes also present? 3. which soap you are using? 5, Are you taking any medicine for any medical condition? Kindly follow advices given below: 1. Do not use harsh soap 2. You can use Calamine lotion local application for Itching for 3-5 day 3. Avoid Synthetic cloth and prefer cotton cloth 4.It may be due to any internal problem/ food allergy or allergy to any drug 5. Sudden change in Body temperature like taking bath immediately after Hot tea can give rise to this problem consult me for further management
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My sister son having fever from 2 to 3 days, skin rashes and vomit milk when he drink while having fever I thought he is suffering from viral infection or I can say viral fever what can I do to make him fit and fine need your help and some remedies Thank you.

BHMS
Homeopath, Vadodara
My sister son having fever from 2 to 3 days, skin rashes and vomit milk when he drink while having fever I thought he...
Give plenty of water and fruits and juices and advice for light diet and if you have simple medicines like paracetamol temporarily and go for lab test by tomorrow because skin rashes also present so we need to check platlet count.
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Hi Doctor I am 24 years female and I want to ask that sometimes you have a very high amount of head ache continue for severe days and in between this my head ache suddenly a increase and decrease itself.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Hi Doctor I am 24 years female and I want to ask that sometimes you have a very high amount of head ache continue for...
Lot many factors are there for the same, you may be anemic, get your bp checked up, or eye sight might be weak or could be just nervous headache, requires detailed questioning so as to ascertain eating habits etc and to treat symptomatically. Treatment is available, safe and without side effects in biochemic system of medication.
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I'm 23 years old male. I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

DHMS (Hons.)
Homeopath, Patna
I'm 23 years old male.
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple ho...
Hello, headache, is caused due to stress, anxiety, chronic diseases, medicinal aggravation, sinusitis, inedequate sleep, acidity, indigestion. Liver sluggishness. Excessive consumption of caffiene, nicotine, alcohol, junk food. * please, assess the exact condition, prevailing in your case. Go for meditation to reduce, stress, anxiety and to nourish your brain to calm down nerve to ease your headache, problem. * tk, plenty of water to eliminate toxins and to regulate metabolism to complete your digestion. * tk, easily digestible, simple, non- irritant diet on time. Ensure sound sleep in d night for 7 hrs, at least. * tk, homoeo medicines: @ spigelia 200-6 pills, thrice. @ china 200-6 pills thrice a day. * avoid, caffiene, nicotine, alcohol, junkfood, cold intake, polluted atmosphere, conteminated ted water. * stay stress free.
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I have chronic diarrhea and can't stop pooing all over the bathroom, how can I stop? Constipation tablets won't help!

MBBS, cc USG
General Physician, Gurgaon
I have chronic diarrhea and can't stop pooing all over the bathroom, how can I stop? Constipation tablets won't help!
Tell me for how long you are having this problem? Have you consulted any Doctor This problem may be due to irritable bowel syndrome Chronic amoebiasis other causes Kindly follow advises given below Drink lot of water Avoid food from outside, junk, fried, spicy fatty food Take fibrous diet Maintain Hygiene Avoid stress Consult me/Physician for further Management
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I am a 24 year old women and m married. After pregnancy I suffered from piles and now the skin in anus is still loose. My husband want anal sex but we r afraid becoz once bleeding started when we did it last. How can it will heal or got treated.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
You need to consult a good surgeon and get treated for piles. It may get better with oral medicines, if it is not very severe. Otherwise, you may require surgery/banding. Avoid anal sex till you are completely cured, or it may be dangerous.
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