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Dr. Ramvariyar

General Physician, Mumbai

500 at clinic
Dr. Ramvariyar General Physician, Mumbai
500 at clinic  ·  ₹ online
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ramvariyar
Dr. Ramvariyar is a trusted General Physician in Nalasopara East, Mumbai. He is currently practising at Achole Hospital in Nalasopara East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Ramvariyar on Lybrate.com.

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SAI Dham Tower, Achole Road, Nalasopara East, Landmark: Achole Road, MumbaiMumbai Get Directions
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I am having a problem with sleep I am feeling very tired and lazy all day and I do not have a fix routine nd having acidity related problems too my point is how can I cure these problem.

DRCH, BHMS
Homeopath
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I am having a problem with sleep I am feeling very tired and lazy all day and I do not have a fix routine nd having a...
May be your problem of sleep is related to acidity problem. Eat light meal at night and do not lie immediately after eating. Have a walk and then go to bed. Go to bed at right time after switching off your mobile. Once you take proper sleep in night then laziness problem in day time will be solved.

My fasting glucose has come 119mg/dl and pp 210mg/dl. I am not yet taking any medicine of diabetese. Pl advice should I take medicine or change lifestyle. I am 63 yrs old female.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Dear, you need better control of your blood sugar in order to prevent long term complications of diabetes.

I suffer from severe body ache, am able to hear cracking noise of my bone while cyling.

Pain Management Specialist
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I suffer from severe body ache, am able to hear cracking noise of my bone while cyling.
Mr. Lybrate-user it appears that you must be deficient in calcium and vit d. You should take calcium supplements along with vit d.

Good morning sir. Last night I couldn't sleep properly at night actually I sleep at 12.30 I couldn't even feel sleepy at 5.30am. Iam rotating my body on the bed. I am not feeling sleepy. Sir what I want to do sir.

MBBS, MBA (Healthcare)
General Physician
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Good morning sir. Last night I couldn't sleep properly at night actually I sleep at 12.30 I couldn't even feel sleepy...
avoid day time sleep. avoid tea, coffee, cola in late evening and after,take healthy diet, avoid stress. 8 hours sleep is ok. 10 pm to 6 am is good timing.

Good morning sir. I am 33 years old. Chest and shoulder pain from last 15 days . what should i do?

BHMS
Homeopath
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Good morning sir. I am 33 years old. Chest and shoulder  pain from  last 15 days . what should i do?
Please note that you could be having some chest infection/cold/injury. Better do a x-ray of chest and shoulder joint. Till the time you can take mag phos 12x - 4 tablets - thrice daily and additional dose for pain. For further queries get back to me.

I have bowel problem, I get bowel immediately after breakfast daily in the morning, but when I try to get before breakfast it may come, but after breakfast bowel is sure thing in my life, its looking awkward to go bathroom two times before and after breakfast when i'm in my relatives house, is there any permanent solution for this.

BHMS
Homeopath
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I have bowel problem, I get bowel immediately after breakfast daily in the morning, but when I try to get before brea...
Please note that you need to treated with homeopathic medicines for your treatment and complete cure. For the time being take a dose of nux vom 200 and revert after 7 days. Avoid fast foods/cold drinks take meals in proper time always.

I'm 22 years old(male).Have some problem during the time of intercourse.The skin of my penis do not open.What is the solution?or what kind of medicine i can use?

MD-Dermatology, MBBS
Sexologist
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Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.

I am 27years old and I am now pregnant 4months old and also I have migraine headache since my childhood tried many like home, ayurvedic, etc. But none worked for me. Being a pregnant I feel so tired can any one suggest?

DGO, FRM
Gynaecologist
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I am 27years old and I am now pregnant 4months old and also I have migraine headache since my childhood tried many li...
Don't worry. Migraine will get suppressed in pregnancy. Tiredness is also a very common minor ailment in pregnancy. Take plenty of oral fluids in this summer.

I am having urine infection since marriage of three months. Does it effect In conceiving a child as I didn't conciev since three months of unprotected intercourse.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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I am having urine infection since marriage of three months. Does it effect In conceiving a child as I didn't conciev ...
Urine infection may affect conception if vaginal pH is altered by the infection. So first get urine complete and culture sensitivity test done. you can use vaginal wash to avoid infection and maintain hygiene, drink lots of water.

My girlfriend has PCOS and she is on ocp pills. Do I need to use any other contraceptive when having sex?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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My girlfriend has PCOS and she is on ocp pills. Do I need to use any other contraceptive when having sex?
Hi lybrate-user, if already on birth control pills, no need for additional contraceptive for unprotected intercourse.

My penis is not give more response during sex. Its give response 70-80% so I not able to do sex. I feeling shame to go near the doctor. So I search medicine in this site. There are many medicine for erectile dysfunction. Which medicine is better and cause less side effect. Pls give me advice.

BAMS, MD Ayurveda
Ayurveda
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My penis is not give more response during sex. Its give response 70-80% so I not able to do sex. I feeling shame to g...
The best ayurveda herb for your case is Natural home remedy using almonds, cow's milk, ginger powder, cardamom and saffron: Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning Surely you will get results.

I always have cold, I have consulted quite few doctors, their medicines stop reacting on me after a period of time. I also opted for homeopathic treatment. I am not a doctor so I am not sure if it's sinus or just allergy but I really want to get rid of it. I start sneezing at any random time in any situation, sometimes I wake up in middle of night and start sneezing.

MBBS
General Physician
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You may be having allergic or viral infection due to which you are getting cold of and on. Do warm saline gargle regularly have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection. You can have a tab of cetrezine as and when required. Go for regular morning walk followed by free hand exercises in clouding deep breathing exercises. Or you could be having frontal or maxillary sinusitis with nasal septum deviation. Or a nasal polyp if you could consult the ent specialist to rule out the nasal problems. For the time being you can have a tab of cetrezine as and when required.

What advice can you give to fever cold (running nose/bad headache)?

PG Hom, London, BHMS
Homeopath
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Hi for fever and headache, you will have to take paracetamol tablets. And fro running nose you can take cetrizine.

I am 26 I have piles from past 6 years, it's half inch out of my anal no bleeding and no pain, but motion problem and gastritis, and excess of gas release and I have reduced 9 Kg from past 8 months due to improper food because I work in night shift job, can I get it cure without operation, if so how.

MBBS
General Physician
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Avoid spicy and nonveg food in your diet and also avoid peanuts and potatoes in your diet and eat food rich in fiber content and eat bananas at bedtime

I have cough for long ago. Its not curing with simple syrups. Wat can ido?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician
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There are several things you can do to prevent a cold—they are all easy and inexpensive and worth the effort. Wash your hands often-with soap and warm water.The germs stick to the soap and get washed down the drain. Always wash your hands after coughing or sneezing into your hands, blowing your nose, after touching someone who is sick, or when using public restrooms or telephones. Cover Your Mouth and Nose When You Sneeze or Cough- Clean your hands every time you cough or sneeze. Avoid Touching Your Eyes, Nose, or Mouth-Germs are often spread when a person touches a contaminated surface and then touches their eyes, nose, or mouth. Stay Home When You’re Sick-Get plenty of sleep, be physically active, don’t smoke, manage stress, drink plenty of fluids, and eat nutritious food so you can fend off viruses. In general you should: -Take healthy balanced diet...like boiled eggs.daily in breakfast .. -Avoid people who have a cold or cold symptoms. -Routinely clean and disinfect common areas of your home. -get plenty of rest so your body can use its energy to fight the cold -staying at home will keep you from spreading germs -drink plenty of liquids like herbal tea or hot broth/vegetable/tomato soups. Avoid foods or drinks with caffeine which can keep you from getting enough sleep -Runny Nose and Sneezing- if you have post nasal drip, gargle to keep from getting a sore throat. Drink extra fluids. (avoid sugary and high calorie drinks) -Use saline nasal sprays or nasal irrigation • Tablet Nasorest-P once/twice daily may reduce the amount of mucous. • Do steam inhalation once or twice daily Treatment:There is a gradual 1-3 day onset of symptoms. It often starts out as a sore throat, then a fever and coughing. As the cold progresses, the nasal mucus may thicken which is the last stage before the cold dries up. A cold usually lasts for a week or two. But, taking good care of yourself at home can relieve symptoms and help prevent complications if you are otherwise healthy. Unless you develop complications, you shouldn’t need medical treatment. Complications include bacterial infections of the ears, throat, sinuses or lungs which must be treated with antibiotics. Cough-Coughing is how your body gets rid of debris and mucus from the airways during a viral infection. Unless your cough is severe or is keeping you from resting at night, it is better not to treat it. A severe cough can be treated with a cough syp, but don’t try to completely stop the cough. There are two types of coughs. Productive and non-productive or dry cough. Non-productive, dry cough. A dry, hacking cough may develop near the end of a cold. Dry coughs that follow viral colds are often worse at night and can last up to several weeks. Take syrup Alex-D for a dry cough. Cough drops can sooth an irritated throat, but most don’t affect the cough. Productive cough. A productive cough is one that brings up mucus from the back of the throat or the lungs. Productive coughs should not be suppressed to the point they no longer bring up mucus. Use syrup Alex. Drink lots of water if you have a productive cough. Head and Body Aches- Take tablet dolo-650 mg for fever once or twice daily

Need help from ayurvedic doctors My mother is suffering from sugar or diabetes Sugar level is almost 200 before taking food 240 after She was taking powder of some natural herbs her sugar was perfectly normal but it was bit costly 1500 per month So now she decided to make medicine herself so please List me the medicine ingredient two of them are dried giloi and methi seeds powder Can you list me ingredients to treat sugar or diabetes problem. Please tell.

BHMS
Homeopath
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Need help from ayurvedic doctors
My mother is suffering from sugar or diabetes Sugar level is almost 200 before takin...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.

General Physician (AM)
Alternative Medicine Specialist
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Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.

Some Days my semen ejected in the sleeping time, this have any problems? what I do?

MBBS
General Physician
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Some Days my semen ejected in the sleeping time, this have any problems? what I do?
This is called nightfall which is very much normal in your age. No treatment required. Avoid fast food, spicy meals, porn. Daily walk 30 minutes and yoga.

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
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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.

I am 24 year old male. I am having problem of tonsil in throat from last 2 year, please assist me.

Ear-Nose-Throat (ENT) Specialist
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I am 24 year old male. I am having problem of tonsil in throat from last 2 year, please assist me.
Question you hav asked me needs to be done in a seperate sitting. But I can assure you that it might help you definatly.
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