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Dr. Ralan Parihar

General Physician, Mumbai

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Dr. Ralan Parihar General Physician, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ralan Parihar
Dr. Ralan Parihar is an experienced General Physician in Trombay, Mumbai. You can meet Dr. Ralan Parihar personally at Mangal Anand Hospital in Trombay, Mumbai. Book an appointment online with Dr. Ralan Parihar and consult privately on Lybrate.com.

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Mangal Anand Hospital

Building No 48, Swastik Park, Sion Trombay Road, Chembur. Landmark: Near Swastik Chambers, MumbaiMumbai Get Directions
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Know About Vertigo

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
Know About Vertigo

Vertigo is the sensation of spinning where a patient feels as if the whole surrounding is rotating and a fear of fall is experienced, getting off balanced or pulled to one particular side is experienced as well.

The feeling of vertigo is very scary and unpleasant leaving the patient terrified and perplexed what actually caused that spinning sensation (vertigo).

Well, vertigo can be caused due to various factors and reasons, although it's more prevalent after the age of 40

Vertigo that often lasts for few seconds is not severe and is often not associated with dizziness, nausea, tinnitus (ringing behind the ear), it can be treated effectively by simple movements taught by the physiotherapist or a doctor.

  • This type of vertigo is called bening paroxysmal positional vertigo (bppv) which is very common, and as the name suggests it's not dangerous, and it lasts only for few seconds (paroxysmal) and it's experienced only with specific head movement like turning to left or right or up down.
  • This is due to the inner ear rock crystals called canalith made up of calcium gets displaced from its position, which needs to be repositioned by certain vestibular rehabilitation.
  • Diagnosis for bppv is confirmed by thorough history taking, examination,
  • Otoscope to rule out wax, infections, dix-hallpike test is done by the clinician to confirm bppv.

Vertigo that lasts for few minutes to hour associated with pain, nausea, hearing loss and tinnitus and is not specific to head movement can be severe, it's called meniere's disease, it's a disease if the inner ear where there is accumulation of fluids and disturbed ear pressure.

Vertigo can also be due to inner ear infections or inflammation called as vestibular neuritis or labyrinthitis which may be associated with pain, hearing loss.

Uncommon cause of vertigo are:

  • Space occupying lesion like tumour
  • Stroke
  • Brain or head/neck injury
  • Severe migraine headache

Treatment of vertigo:

  • Vertigo due to meniere's disease will be treated by medications like diuretics, anti-inflammatory, antibiotics, etc.
  • Vertigo due to bppv can be treated by the following procedures:
  • Epley's manoeuvre or the canalith repositioning manoeuvre.
  • Half somersault exercise
  • Brant-daroff exercise
  • Semont manoeuvre
  • Eye gaze exercise

Bppv once treated rarely comes back, one or couple of sessions of epley's manoeuvre or half somersault may be needed to totally fix it, if it relapses same manoeuvre can be repeated once learnt by a qualified physiotherapist or a ent doctor.
Recurrence of vertigo is once or twice in a year.

Here we will learn how to safely do half somersault manoeuvre as it's one of the most effective and easy to do (do it yourself) technique to immediately stop vertigo due to bppv

Technique of half somersault manoeuvre:
Step by step instructions for right sided bppv --

A. Kneel on the floor or in the middle of a large bed. Tip your head straight upward quickly until you are looking straight up at the ceiling. This may cause dizziness briefly.

B. Next place your head on the floor upside down, as if you are about to do a somersault. Tuck the chin so that your head touches the floor near the back of the head rather than near the forehead. This position may cause a burst of vertigo. Without moving, wait until any vertigo ends. The vertigo means the particles are moving in the proper direction. Tapping firmly on the skull with your fingertips just behind the right ear can help move the particles along.


C. Slowly turn your head to face your right elbow. Try to center the right elbow in your field of view. You will keep your head turned to the right through the rest of the maneuver. Again, wait for any vertigo to end before moving to the next step.


D. Keeping your head turned to the right and viewing your right elbow, quickly raise your head to shoulder level. Your head should be positioned at about 45-degree angle to the floor throughout this move. Vertigo is normal during this part of the procedure. Wait for the vertigo to end or count to 15 before continuing.


E. Raise your head to the upright position quickly, keeping it about halfway turned toward the right shoulder. Some additional vertigo may occur. After the vertigo subsides, slowly sit upright.


Rest for 15 minutes. After the rest, quickly tip your head up and down. If no dizziness occurs do not repeat the maneuver. If you still feel some dizziness when making that movement, repeat the maneuver. You may also repeat the maneuver if you have another vertigo spell in the future.

Additional instructions:

  • Always wait at least 15 minutes between maneuver to allow particles to settle.
  • Sleep propped up on 2 or 3 pillows for two nights following maneuver.
  • Sleep only on your left side for a week after the maneuver (put a pillow behind you to keep you from rolling over in the night).
     
2 people found this helpful

I have suffered from dhaat (धात) for a long times so my virya become very thin and I have discharge very soon when I start sex with my partner. I can't satisfy the partner Please give me treat which improve my sex problem at earliest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
I have suffered from dhaat (धात) for a long times so my virya become very thin and I have discharge very soon when I ...
hello dhaat is caused of loss of penial nerve strength, constipation,uti etc avoid oily spicy food and take proper protein multivitamin rich diet and antioxidants Ayurveda treatment is better results to rid the problem further consult with me privately
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Sir I have tonsils from past 8 months. Regularly I am using pain killer tablets for this. I am very scared about operation. Except operation what should I do?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, 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 for med contact on private chat.
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I am 21years old I have head ache from 3 ys i am a truck driver I can not drive on sun light my eyes are red colour please tell me the solution, please help me.

MBBS
General Physician,
I am 21years old I have head ache from 3 ys i am a truck driver I can not drive on sun light my eyes are red colour p...
this is because professional hazards you headeche is due to exertion and overwork you should take break in between. and have lots of fluid or water by mouth. and have regular meal timing's. maintain your hygiene by taking regular bath at least two to three times daily.have nutritious food you can take a tab of paracetamol or calpol as and when required. things will improve.

I am 4o years old and facing problem with psoriasis from past 10 years. Taken so many treatments but no results. Getting lot of itch. I have only one place in my body. Near by feet. Can you give me proper solution.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Psoriasis is manageable, the traditional approach is to start with the mildest treatments topical creams and ultraviolet light therapy (phototherapy) and then progress to stronger ones only if necessary. The goal is to find the most effective way to slow cell turnover with the fewest possible side effects coupled with a dietary therapy specially designed to manage psoriasis. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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I am 30 years old n having no medical issues. My height is174 n weight is 74 kg, last five years I am not feeling morning erection, and when I am unable to do healthy intercourse, before 1 min I ejaculate, almost six months I have taken treatment under a qualified sexologist, but after stopping medicine, results is as usual. Please provide me right suggestion which specialist should I go, Or suggest me some medicine so that I can feel improvement, and I can trust on them. I am very hopeless, prefer homeopathy.

BHMS
Homeopath,
I am 30 years old n having no medical issues. My height is174 n weight is 74 kg, last five years I am not feeling mor...
Dear lybrate user, kindly note that if you are unmarried & 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. Along with medicines you can also try a home therapy to boost your sexual performance. Soak 4-5 dry dates (khurma khajur) in a cup of lukewarm milk before going to bed daily. On waking up next morning eat those soaked dry dates & discard the milk. Repeat the process daily. This therapy often gives effective result within 15 days there are many conventional allopathic sexual pills in market such as adegra, viagra, penegra etc. Refrain yourself from using such pills as those pills contain a steroid called sildenafil. This steroid has a unique temporary effect on erectile problems. Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use sildenafil for prolonged course of time as they often feel that a full erection is possible only after taking sildenafil. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of sildenafil will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon sildenafil for erection. As a result you won't feel any slightest normal erection without taking sildenafil. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid sildenafil because you have to take sildenafil in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains sildenafil in its composition. If you are suffering from premature ejaculation then along with medicine & home therapy you can try the kegel's exercise. You have to do this exercise once daily during the first time of urination after waking up from sleep at morning. Kindly note the following steps to perform the kegel's exercise:- 1) start urinating until you feel that you have voided almost half amount of urine from bladder. 2) when you feel you have voided almost half of the urine try to stop the flow of urine by squeezing the internal muscles of penis. 3) you should not use your hands to stop the flow. Your hands should be resting on your waist. You have to stop the urine only by your self control over the internal muscles of penis. 4) try to stop the urine flow by the control of internal muscles up to 20 seconds. On the very first day you won't be able to hold the urine for more than 3 seconds. However, practicing the exercise daily will improve your control over the muscles of penis & after 15-20 days you will be able to stop the urine for 20 seconds by the control of your pelvic muscles. This control of pelvic muscles will help you to get rid of premature ejaculation while you are performing sexual intercourse 5) after 20 seconds is over, void the rest of the urine. Do not stop the flow of urine for more than 30 seconds. N. P.- kegel's exercise is effective only in the case of premature ejaculation & it is not helpful for patients suffering from erectile dysfunction.
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I am aged 50 years and type ii diabetes for the last 10 years. I am taking amaryl 1 mg in day night before meal. After night meal I am also taking jalra 50 mg I am also controlling my diet as wellinspite of that my blood sugar level is fluctuating what should I do doctors advised me to go for insulin am afraid of insulinadvise.

MSc
Dietitian/Nutritionist, Hyderabad
I am aged 50 years and type ii diabetes for the last 10 years. I am taking amaryl 1 mg in day night before meal. Afte...
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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Aids is a communicable disease so why it cant be spread through mosquitoes from one person to another.

MBBS
General Physician, Cuttack
AIDS is not a communicable disease and is not transmitted by mosquito bite. It is an infectious diseaseI which spreads through direct contact with infected blood as in blood transfusion, handling of infected blood and through sexual route by having sex with infected partner etc
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I am 59 years old and having diabetics for last 5 years. Sugar, BP etc is under control. My VITAMIN B-12 value is 666 pg/ml. Is it advisable to take Vit B supplement and if yes what is the frequency.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am 59 years old and having diabetics for last 5 years. Sugar, BP etc is under control. My VITAMIN B-12 value is 666...
You need not to take b suppliments .better you eat salad fruits and green vegetable 5-6 times daily. Means three small meals. Full plate salad before each meal. Fruits leaving mango, banana ,grapes chikoo and leechi ,no fruit juices.
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He has a cold for past 3 months but it control not high what is the better way to cure completely?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
The principal symptoms of dengue are: -high fever and at least two of the following: -severe headache -severe eye pain (behind eyes) -joint pain -muscle and/or bone pain -rash -mild bleeding manifestation (nose or gum bleed, petechiae, or easy bruising) Watch for warning signs as temperature declines 3 to 5 days after symptoms/fever began, as this is the most dangerous period when platelet counts decline significantly. Report immediately to hospital if any of the following warning signs appear: -severe abdominal pain or persistent vomiting -red spots or patches on the skin -bleeding from nose or gums -vomiting blood -black, tarry stools -drowsiness or irritability -pale, cold, or clammy skin -difficulty breathing
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I am suffering from uric acid (9.4), back ache, triglyceride, even sometimes my bilirubin fluctuates between 1.3 to 1.7. I am only 25 years of old. What should I do? Can I eat normal foods?

MBBS
General Physician, Cuttack
It could be because of obesity (over weight) 1. Do regular aerobic exercise like brisk walking, jogging, running, cycling, swimming for 1 hour daily 2. Reduce weight 3 control diet to reduce uric acid 1. Avoid protein rich diets like mutton, egg, fish, 2. Avoid bean, peas, lentill, mushrooms, cauli flower, spinach 3. Take fruits like apple, banana, orange, cherry, lime etc 4. Drink plenty of water (10-12 glass daily 5. Avoid alcohol and caffeinated drinks 6. Reduce weight if overweight 4. Avoid sweets, sugar, oily, fatty, excess calorie/cholesterol, saturated fat and carbohydrate rich diet. Take green leafy vegetables, fruits, salads. Drink plenty of water. Avoid junk food, bakery items like pizza, burger, cookies, soft drink etc 5. Do yoga, pranayama, deep breathing exercise.
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My dad is diabetic patient, his age is 60 years, he is facing some health problems and he is approximately 110 kg, kindly suggest you have any ayurvedic medicines for curing / controlling diabetics and obesity.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Howrah
My dad is diabetic patient, his age is 60 years, he is facing some health problems and he is approximately 110 kg, ki...
Follow proper diet to loose your extra weight naturally. Avoid outsider foods, deep fried foods, fatty foods, high caloric vegetables, salted foods. You may contact me for your detailed weight loss & diabetes diet plan.
3 people found this helpful
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Hi, My son is suffering from fever for three days, doctor adv anti biotic but now loose motion started what to do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, My son is suffering from fever for three days, doctor adv anti biotic but now loose motion started what to do?
you can cap. bifilac it controls loose motion due to antibiotics. and you may be consult your doctor for change of antibiotic medicines.
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Hello doctor, I am having sex with my neighbor aunt she maintains her body well. I loves to kiss&lick her ass hole but she rejects me to do so. Why wasn't anything wrong in that.

MD - Homeopathy, BHMS
Homeopath, Vadodara
It is unhygienic and everybody have their choices... especially regarding sexual matters... forcing anything on the partner will not help..
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My hands have started shirking slowly. I am a patient of diabetes and aged 64. Pl advise if there is any medicine for preventing or reversing the disease.

Diploma in Diabetology, MD - Internal Medicine, MBBS
Endocrinologist, Srinagar
Shrinking of hands is because of loss of subcutaneous fat'muscle atrophy of hands and dermopathy' all due to advanced diabetes leading to neutopathy: needs good blood sugar control and if on oral drugs then insulin will be better anyway get assess by an good diabetolosist to look for diabetic complicstions.
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I am his best friend. He tried to have sex with his gf 6 months back fr the first time. But he couldn't because no erection. After that also he tried so many times but no erection ay the time of sex only, rest of time he gets erection in morning nd while watching porn. His age is 23 now nd he's Virgin. Suggest something because he's so depressed coz of this issu.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am his best friend. He tried to have sex with his gf 6 months back fr the first time. But he couldn't because no er...
Dear Nitin. I can understand. if your friend has erection during masturbation and while watching porn, I am sure he do not have any physical problems. This also means that his problem is psychological and I can see performance anxiety. I suggest you to ask your friend to provide more information. Take care.
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Why does a Ed occurs in youngsters. Kindly suggest a quick remedy for longer performance.

BHMS
Homeopath, Sindhudurg
Why does a Ed occurs in youngsters. Kindly suggest a quick remedy for longer performance.
Causes of erectile dysfunction It be divided in to two different categories psychological and physiological. Physiological causes are associated with the physique of the men and psychological involve causes that involve mental reasons. Male hormones help in achieving full erection. When there is an imbalance in the hormones it may cause erectile dysfunction. Men after middle age suffer from erectile dysfunction due to lack of muscles mobility and decreased supply of blood to the penis. There are other diseases such as high blood pressure, diabetes, etc. Which are also responsible for erectile dysfunction. Homoeopathic treatment for erectile dysfunction The important homeopathic remedies for erectile dysfunction are: Damiana Yohimbinum Acid phosphoricum Lycopodium Agnus castus Caladium seguinum Selenium etc.
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I have allergy of dust and every year during change of season to summer I have problem of running nose please suggest treatment.

MBBS
General Physician, Cuttack
1.Dust allergy could be because of so many agents (It could be due to pollen, mite, feathers, dander,mold, droppings of birds, pet hair/feather/fur cockroach etc) 2.I advise you to do an allergy test after consulting an allergy specialist/Immunologist to find out the agent which is causing dust allergy. 3.Follow the advice and treatment given by allergy specialist/immunologist. Treatment 1.Anti histamine like Levo cetrizine 1 tablet at bed time 2.Decongestant steroidal nasal dropspray like Rhino cort nasal spray one spray to each nostril three times daily, 3.Remove wall to wall carpet in bed room, 4.keep pets out of bed room/house 5.minimise house hold humidity 6. Keep home clean, ensure good ventilation, vacum cleaning of carpet, furniture, drapperies, wash bed linen frequently in hot water, instal A/C, 7.Use face mask when going out 8.consult allergist for further advice.
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I am getting mouth ulcer almost twice in month might be due to body heat. So what kind of food, medicine I can take to reduce?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Take a cap of bnc every day take tab bifilac twice daily to b dissolved in mouth local application of metrogyl gel, drink plenty water have fibrous food as banana, take isabagol husk two table spoon at night tensions n ulcers r related
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Diagnosed with Herpes on the left forehead and left eye. Its paining seamlessly. Please suggest the possible precaution to taken care off? Thanks.

MBBS
Sexologist, Panchkula
Diagnosed with Herpes on the left forehead and left eye. Its paining seamlessly. Please suggest the possible precauti...
You have herpes on left forehead and left eye. Take care not to touch blisters or lesions as it can spread through contact. Do not share your towel or personal items with others.
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