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Dr. Sandeep Chokshi

General Physician, Mumbai

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Dr. Sandeep Chokshi General Physician, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sandeep Chokshi
Dr. Sandeep Chokshi is one of the best General Physicians in Andheri East, Mumbai. You can meet Dr. Sandeep Chokshi personally at Dr Chokshi General Hospital in Andheri East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sandeep Chokshi on Lybrate.com.

Find numerous General Physicians in India from the comfort of your home on Lybrate.com. You will find General Physicians with more than 32 years of experience on Lybrate.com. You can find General Physicians online in Mumbai and from across India. 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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Dr Chokshi General Hospital

# 177, ShreePunjab Society, Maha Kali Caves Road, Andheri East. Landmark: Near Dholakia Apartments, MumbaiMumbai Get Directions
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Sir, am Kumar from two months I am suffering from piles. What precautions taken please tell me and reply me sir. I expect your give me better suggestions am waiting for urs reply.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
take 8 glass water avoid fried chillies take whole grains high fibre sitz bath proctosedyl ointment.
1 person found this helpful
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I have very heavy stomach ache and gas problems. I can not bear it. Please suggest me what should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have very heavy stomach ache and gas problems. I can not bear it. Please suggest me what should I do?
take following remedies 1.have hot water with meal 2.shankha vati 1 tab before lunch and dinner 3.triphala kadha 4 tsp before lunch and dinner
1 person found this helpful
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Mere right chest par swelling hai usg report ke baad pata chala wo gynostic dufuse tissue hai iska matlab kya hai.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mere right chest par swelling hai usg report ke baad pata chala wo gynostic dufuse tissue hai iska matlab kya hai.
Mr. lybrate-user, thanks for the query. Gynecomastia means there is an increase in the size of male breast. It looks like that of a girl. This can be due to hormonal problms. If it is too severe, looking very odd, then surgery can help. There is also a procedure used to remove excess fat and glndular tissue and reduce the size. Thanks.
1 person found this helpful
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I have a disease dengue what are the precautions of that disease? How can I get treatment.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have a disease dengue what are the precautions of that disease?  How can I get treatment.
There is no specific medication for treatment of a dengue infection. -Use analgesics with acetaminophen (crocin or dolo -650 mg) and avoid those containing ibuprofen, naproxen, aspirin or aspirin containing drugs. -Take rest, drink plenty of fluids like coconut water, lime water etc.to prevent dehydration. -Avoid visiting heavily populated residential areas, if possible. -Use mosquito repellents/mosquito nets when indoors. -When outdoors, wear long-sleeved shirts and long pants tucked into socks.
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I have problem in sex. Its flow within 1-2 min. And not Proper stand after one trip. What should i do?

MBBS, Diploma in Psychiatric Medicine
Psychiatrist, Ahmedabad
I have problem in sex. Its flow within 1-2 min. And not Proper stand after one trip. What should i do?
You may consider masturbating 2-3 hours before sex. So pressure will be released and you would have more time. After 1 ejaculation there is time period called refractory period in which it can not erect. It is around 30 mins to 1 hr. Medicine also available in market for lasting 4-5 times more in bed. If you have further queries, you can consult me.
2 people found this helpful
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I am 20 years old . I am suffering from piles. It is very painful and I have also rashes that place.

MD - Homeopathy
Homeopath, Aurangabad
I am 20 years old .
I am suffering from piles.
It is very painful and I have also rashes that place.
Hamamilis 30 take 1 drop 3 times x 7 day above is homeopathic medicine and available in homeopathic store also safe to take and no side effects for future management contact me
1 person found this helpful
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I am 18 years old. I have PCOD. How can I reduce it? Also, My blood group is O negative. The partner I want to marry has O positive. What are the consequences and how will it affect child birth?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 18 years old. I have PCOD. How can I reduce it? Also, My blood group is O negative. The partner I want to marry ...
by doing exercise and reducing weight .If you are negative and baby may be positive you have to take anti d injection during pregnancy
45 people found this helpful
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I had some pain in stomach every day in the morning. What I have to do in order to reduce this pain give some suggestions.

MBBS, cc USG
General Physician, Gurgaon
I had some pain in stomach every day in the morning. What I have to do in order to reduce this pain give some suggest...
this may be because of acidity/ indigestion/ gas or it may be muscular pain Avoid food from outside, junk, fried, spicy fatty food also tell me associated symptoms like vomiting sensation, loose motion/ burning sensation in chest or any other symptoms are present or not? so that we can reach diagnosis. we may need to start medications after personal consultation
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Bariatric Surgery - How It Can Prevent Type 2 Diabetes?

MBBS
Bariatrician, Mumbai
Bariatric Surgery - How It Can Prevent Type 2 Diabetes?

Diabetes is a serious health problem that affects millions throughout the world. It is a disorder that has almost no cure and can lead to serious problems related to vision, kidney failure, gangrene of the toes and feet, tingling numbness and loss of sensation in the lower extremities and many more. While currently available medication tries to regulate your blood sugar levels, it fails to control damage on various organs listed above in the long term. Furthermore insulin can lead to further weight gain and worsening of diabetes in the obese people.

Bariatric Surgery has now been recognised as a treatment option for the obese diabetics by most major diabetic associations across the world, the ADA (American Diabetic Association) the IDF (International Diabetes Federation) etc. 

So how exactly does Bariatric Surgery work?

Diabetes can be of three basic kinds;

  1. Type 1 diabetes in which the pancreas produces no insulin and insulin requirement is mandatory.
  2. Gestational Diabetes which occurs during pregnancy and usually disappears after it
  3. Type 2 diabetes or adult onset diabetes that usually comes around middle age and is associated with weight again in atleast 80% of people. However type 2 Diabetes is now even seen in adolescence and is a cause for worry.

 Bariatric surgery proves to be most beneficial for obese patients with early Type 2 diabetes.

Insulin is produced by the beta cells of the pancreas to control glucose levels from the food we eat but fat cells are insulin resistant and do not allow insulin to act to its normal capacity therefore in a type 2 diabetic the pancreas produces more insulin but it never seems enough and eventually the pancreatic cells burn out. Another cause is that the liver in an obese individual has decreased insulin sensitivity further compounding the problem.

Bariatric Surgery firstly works by decreasing the calorie intake, this in turn leads to weight loss which also means fat loss so decreased insulin resistance, it also decreases fatty liver, NAFLD (Non Alcoholic Fatty Liver Disease) and this I turn improves liver insulin sensitivity.

  • It further increases gut hormones like GLP1 and PYY good for the diabetics and decreases those hormones, which are not good for the diabetics.
  • Bariatric surgery also exercises a control over cholesterol, blood pressure and triglyceride levels all of which along with high sugars can lead to higher incidence of a sudden heart attack (Acute Coronary Syndrome)
  • Bariatric Surgery causes long term remission of the disease in type 2 diabetics decreasing damaging effects on the kidney, eyes and feet giving patients a chance to live better healthier lives with lesser complications.

What is a Bariatric surgery?

  • Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity.
  • It might include reduction of the size of your stomach, removal of a portion of the stomach, or even bypassing portions of the stomach and intestine.

The commonest Bariatric Surgeries performed are

  • Laparoscopic Sleeve Gastrectomy: Where the stomach is converted into a thin tube of about 100 ml capacity producing early satiety. About 2/3rds of the stomach is surgically removed, removing a major part of the cells producing the hunger hormone ‘ghrelin’ thus decreasing craving for food.
  • Gastric bypass surgery: This process involves dividing the stomach into a tiny pouch at the upper end of about 30 ml capacity and connecting it directly to the middle portion of small intestine thus bypassing about 90% of the stomach and the first part of the small intestine. The food you eat going directly from the top part of the stomach into the intestine.
  • There are other surgeries as well that bypass major portions of the small
  • Intestine but are usually reserved for extreme cases.

Do I need to take multivitamins and proteins for life after this surgery?

  • Most Bariatric surgeries necessitate you to take multivitamins for life. Vit B12, Calcium and Iron being the common ones, one may also need Vit D supplements. This is necessary as your food intake comes down and some surgeries bypass absorptive areas of the stomach and small intestine.
  • Protein supplementation may be needed in the early stages but not in the long term in most surgeries except in the extreme cases as recommended by your surgeon.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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