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Dr. R. M. Tiwari

General Physician, Mumbai

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Dr. R. M. Tiwari General Physician, Mumbai
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Personal Statement

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 39 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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Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)

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Dr. R. M. Tiwari's Clinic

# 5 , Feniwala Building, Khambatta Lane, Kamathpura, MumbaiMumbai Get Directions
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I have problem of abdominal pain with cramps since yesterday. When cramps occur vomit like feeling comes. No problem in abdominal scan. Stools are normal. What is the treatment suggested.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
I have problem of abdominal pain with cramps since yesterday. When cramps occur vomit like feeling comes. No problem ...
avoid oily spicy heavy food take fibre diet and plenty of water after lunch take some curd/chhach consult me for further...
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Hi age 16.5, I'm 5' 10" (177.80 cm) and weight 215 pound, my goal is to grow by 3" inches to 6' 1" (185.42 cm) for my final adult height at age 20, so please tell me how tall I will be and my mom is 5' 5" (165.10 cm) so I'm 5" inches taller then my mom and my dad is 5' 6" 1/4, (168.10 cm) so I'm 3" 1/2 and 3/4 quarters taller then my dad and I'm 100% healthy with no allergies and I eat healthy home cooked meals and I get 8 to 12 hours of sleep daily.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Hi age 16.5, I'm 5' 10" (177.80 cm) and weight 215 pound, my goal is to grow by 3" inches to 6' 1" (185.42 cm) for my...
Hello lybrate-user, female height can increase till age 21 years & males till 18 years of age. But yes we can take chance & do best exercises:- 1) skipping at least 10 min 2) pull ups 3) tadasan, stretching & suryanamaskar in yoga 4) hold horizontal iron bar which is 2 feet from your height & let the body hang for as long as possible to hold on. This will stretch spinal muscles as well back bone which will help in increasing height. Need medicines to provide you nutrition & stimulate growth.
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What to do for sciatica pain? Just cannot understand. Should I do mri and blood tests or go for acupuncture and yoga exercises. I do not want to go for useless expenses. The pain is bearable. Most pain in the calf region.Please tell.

BHMS
Homeopath, Faridabad
What to  do for sciatica pain? Just cannot understand. Should I do mri and blood tests or go for acupuncture and yoga...
Homeopathic treatment for sciatica is of great help in reliving the pain and treating the disc bulge effectively. Homeopathic medicines are able to help by improving the degenerative changes  in the disc and the vertebrae. Homoeo medicines also effectively treat the inflammation on the nerve roots Take Colocynth 200,5 drops in the morning and Mag phos 200, 5 drops at daily night. Revert after 7 days.
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I am suffering from PE whenever I try to insert I ejaculates with in seconds. It happens during foreplay also. Can't maintain hard erection for long time. please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am suffering from PE whenever I try to insert I ejaculates with in seconds. It happens during foreplay also. Can't ...
Erectile dysfunction (ED) is a condition in which man has trouble in keeping or getting an erection. It is a common male sexual dysfunction. It becomes more common as you get older but it is not a part of aging. MECHANISM OF ERECTION An erection starts in the brain. Physical and mental stimulation is required for an erection to begin. This stimulation causes nerves in the brain to send chemical messages to nerves which are present in the penis which results in the free flow of blood into the penis. This leads to high pressure in the penis which in turn traps the blood within both corpora cavernosa and then the penis expand. This causes the penis to sustain an erection. When the inflow of blood is stopped, then it opens outflow channels and then penis becomes soft. Then an erection is said to be reversed. CAUSES OF ERECTILE DYSFUNCTION Erection is a complex process which involves hormones, brain, emotions, muscles, nerves and blood vessels. Problem with any one of these can lead to erectile dysfunction. Sometimes stress and mental health can also lead to erectile dysfunction. Combination of Physical and Psychological issues can lead to erectile dysfunction. PHYSICAL CAUSES OF ED • Heart disease, high blood pressure, High cholesterol. • Parkinson's disease, obesity, alcoholism, atherosclerosis. • Use of tobacco, surgeries that affect the pelvic area or spinal cord. • Treatments for prostate cancer. PSYCHOLOGICAL ISSUES OF ED: Depression, anxiety, stress and other mental health conditions are some of the psychological issues which causes erectile dysfunction. SYMPTOMS OF ERECTILE DYSFUNCTION • Trouble in getting erection • Difficulty in keeping erection • Reduced sexual desire HOW CAN ERECTILE DYSFUNCTION BE PREVENTED? By decreasing the chances of developing several diseases like diabetes, heart disease and hypertension, chances of developing erectile dysfunction can be decreased to some extent. By eating healthy diet, erectile dysfunction can be managed. By doing Exercise daily and by avoiding smoking, risk for developing erectile dysfunction can be decreased. Erectile dysfunction (ED) or impotence is condition characterized by the inability to develop or maintain an erection of the penis during sex. A penile erection is the effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal when signals are transmitted from the brain to nerves in the penis. The most important organic causes are heart disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies and side effects to certain drugs Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. Notably in psychological impotence, there is a strong response to placebo therapy. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image generally. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not erectile dysfunction, which is a concern only if satisfactory sexual performance has been impossible on a persistent number of occasions for some time. Broadly, two forms of erectile dysfunction can affect men's sex lives - the main cause is either medical or psychosocial. Here, psychosocial means psychological effects - including the effects of social relationships - on sexual performance. Of course, medical conditions can also affect psychological wellbeing, and while the main cause of sexual impotence will be medical or psychological, there can be overlap between the two. Erectile dysfunction used to be known more widely as 'impotence' before the causes became better understood and successful treatments came into use. Impotence is a term that is still in use, however. Signs and symptoms Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analysed in several ways: • Obtaining full erections at some times, such as night time erecting when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working. Other factors leading to erectile dysfunction are diabetsic neuropathy. • Causes • Drugs (anti-depressants (SSRIs[6]) and nicotine are most common) • Neurogenic disorders[7] • Cavernosal disorders (Peyronie's disease[8]) • Psychological causes: performance anxiety, stress, and mental disorders[9] • Surgery[10] • Aging. It is four times more common in men aged in their 60s than those in their 40s.[11] • Kidney failure • Diseases such as diabetes mellitus and multiple sclerosis (MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems. • Lifestyle: smoking is a key cause of erectile dysfunction.[12][13] Smoking causes impotence because it promotes arterial narrowing.[14] Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve erection. ED can also be associated with bicycling due to both neurological and vascular problems due to compression.[15] The increase risk appears to be about 1.7-fold.[16] Fast facts on erectile dysfunction Here are some key points about erectile dysfunction. More detail and supporting information can be given on personal or private chat .Erectile dysfunction is a persistent problem getting an erection sufficient to have sex.  Causes are usually medical but can also be psychological.  Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.  Numerous prescription drugs, recreational drugs, alcohol and smoking can all be causes, too.  Diagnosis with the help of a doctor will differentiate the likely cause by including a number of questions, blood tests for conditions such as diabetes and heart disease, and physical examination.  First-line treatment of erectile dysfunction is with drugs called PDE-5 inhibitors, including the well-known pill sildenafil (Viagra).  Mechanical devices are also available to help achieve an erection, and occasional cases that do not respond to medical treatment may be candidates for surgery, to fit a penile implant. What causes erectile dysfunction? To understand the causes of erectile dysfunction, it helps to understand how an erection happens physically. Relaxation of muscle (in parts of the penis and the walls of the arteries supplying it) allows blood to rush into the cylinder-shaped spongy tissue of the so-called erection chambers, and valves prevent the venous loss of this pressure. The resulting hardness persists until after stimulation has stopped or an ejaculation has happened.4 This blood flow process is led by nervous and hormonal triggers activated when the brain is stimulated by touch or other stimuli, and these brain signals can be suppressed by anxiety.4 A healthy lifestyle can prevent erectile dysfunction since the problem can be caused by preventable conditions such as diabetes and vascular disease. Effects against any of the following normal physiological contributions needed for an erect penis could affect normal erectile function:1  Blood flow  Nervous supply  Hormones. Vascular causes that affect blood flow, and neurological causes that affect nerve signals are the major medical causes of erectile dysfunction, often due to the underlying disease processes of atherosclerosis and diabetes.5 Smoking and diabetes often cause atherosclerosis, and this narrowing or 'clogging' of arteries in the penis is the most common vascular cause of erectile dysfunction.5 Diabetes can also lead to neuropathy - damage to the nerves. Diabetic neuropathy is a common neurological cause of erectile dysfunction, as is nerve damage resulting from various types of surgery around the pelvis. Less common neurological causes are stroke, a type of epilepsy (partial complex seizures), multiple sclerosis, non-diabetic neuropathy, and spinal cord injury.5 Reducing well-established risk factors for diabetes and atherosclerosis - including diet, physical activity and other lifestyle factors such as smoking - could also prevent erectile dysfunction.
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I have problem in my stomach since last month I don't know why but it's very painful please give me some effective advice thanks.

MBBS
General Physician, Cuttack
I have problem in my stomach since last month I don't know why but it's very painful please give me some effective ad...
It could be due to hyper acidity 1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days. 9.Consult me for further advice
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I have hard stomach pain since sunday. On the left side its paining too much suggest what to do.

MBBS
General Physician, Mumbai
I have hard stomach pain since sunday. On the left side its paining too much suggest what to do.
For stomach pain take tablet Meftalspas-Ds and get an ultrasound abdomen done to rule out any pathology
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Prostrate treatment, for 72+ person. Healthy habits, health conscious, no BP or diabetes. Weight under control.. Regular Walker, Yoga Practice.

MD - Radiothrapy
Oncologist, Gurgaon
If its not causing you urinary problems , then you should continure with medication . And also get serum PSA levels checked I will suggest to fill a form to check what is the severity of your BPH. After filling the form send it back to me . Then only proper management strategy can be figured out. Thanks.
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I am 24 year old sometime I feel mild pain in my stomach drs are saying it is just psychological pain. What should I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 24 year old sometime I feel mild pain in my stomach drs are saying it is just psychological pain. What should I do?
GET URINE EXAMINATION DONE and GET USG DONE NOW ..do you take coffee/tea..stop taking them..drink plenty of fluids..
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I am suffering from diabetes mellitus, hypertension, bronchial asthma, and peptic ulcers. So please recommend me suitable drugs and dietary intake.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
You can take syp. Ulgel-A 15 ml thrice a day . tab. charcol at night. avoid fast/oily foods,alcohol,smoking,junk foods,fatty foods, take plenty of liquid diets.dalia,green veg.,fiber meals, if not cure then go for few testsi.e. stool r/m, cbc, blood sugar,lft,and endoscopy of upper abdomen and consult with doctor .
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