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Dr. Shaikh Tayyab

General Physician, Mumbai

Dr. Shaikh Tayyab General Physician, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shaikh Tayyab
Dr. Shaikh Tayyab is a trusted General Physician in Mumbai, Mumbai. He is currently practising at Afsari Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Shaikh Tayyab 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 41 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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Ayurveda Medical Association of India (AMAI)

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What are the symptoms of typhoid?

MD - Internal Medicine, MBBS
Endocrinologist,
If Fever comes regularly for 7 to 8 day it may be typhoid fever. Symptoms of typhoid fever :- 1). high grade fever temp. Up to 104 degree , 2).headache, 3).abdominal pain, 4). either constipation or diarrhea.
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I am a 50 year old Indian agriculturist in coffee, normal structure, weight 62 kgs. I do not smoke, no alcohol, no meat, chicken, but take fish sometimes n consume eggs frequently. Coffee drinking daily at 2 cups/day. Daily cycling for about 10 kms. My sex life is utterly bad. I have no any major complications, no medication history so far slight knee pains when I sit long. A little financial stress off-late. I have a low nagging back pain since last 20 years. Sciatica problem but have maintained it in control. I have observed a twitching 10-30 seconds pain on my left chest which has now become regular. Had undergone ECG where some small error observed by doctor and put me on ecosprin. My TMT was perfect with no problem at narayana hrudalaya bangalore and I was told I have less than 5% chance of any attack. But this regular pricking twitch keeps giving me the jitters. Doc says if it continues. He may suggest me an anti. Should I need to go in for it. If required I can share scan copy of my ECG. That has raised eyebrow of the doc. Do guide me

DHMS (Hons.)
Homeopath, Patna
I am a 50 year old Indian agriculturist in coffee, normal structure, weight 62 kgs. I do not smoke, no alcohol, no me...
Hello, Lybrate user, It would b proper to view your report but ECG report is not enough to assesse the over all condition of d heart to be panic about unless you go through stress test, angiography,Eco, to establish any measure cardiac fault when TMT is normal. Caffiene may trigger Herat problem please consult to your cardiologist, in this regard. If you are on Ecosprin it means some blockage is there or blood need to be thinner but that too, can be established after Eco test, atleast. On the whole your symptoms reveal that you are disturbed due to gastric disorder causing pain in chest and back. U have not mentioned your height & weight. Homoeopathy very well manage the function of heart. Till your report reach me ,please take homoeo medicine: @ Carbo veg 200-6 pills, thrice. Tk, plenty of water, Go for meditation to reduce your stress and to feed your heart. Your diet be easily digestible diet on small intervals. Avoid, junk food, cold, Report wkly, Your feed back is solicited. Tk care.
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I take Galvas met 50 + 500 B4 BF & Dinner My average Sugar level is fasting150 +- 10 and PP is220 +- 10 after two hrs. Please advice.

B.Sc, DBMS, BHMS, PGDCR, PGDHM
Homeopath, Kolkata
If you take sugar pill once then take it for life time and maintain sugar diet and walk at least 2 hours in morning.
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Sir I have a sex problem I only take one minute while having sex with my wife so wat will I do now?

BHMS
Homeopath, Faridabad
Sir I have a sex problem I only take one minute while having sex with my wife so wat will I do now?
Hello, It's called premature-ejaculation. Take homoeopathic medicine - Schwabe's Damiaplant/ thrice daily for 4 weeks. Management: Regular exercising keeps you fit and healthy, so don't forget to do it. Practice pranayam regularly for half an hour preferably in a garden early in the morning. Not to do these exercises within 4 hours after meals. One can have meals not within 15 minutes after finishing these exercises. These exercises are good for gaining and maintaining good health. Also, practice Pelvic floor exercise or Kegel exercise, consists of repeatedly contracting and relaxing the muscles that form part of the pelvic floor.
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Hi sir extremely I do want ask a question about my health absolutely with your actually I did not sleep since 3 days properly. Please help me what I so sir I think you could help me I hope on your company and your website thank you.

Ayurveda, Faridabad
Hi sir extremely I do want ask a question about my health absolutely with your actually I did not sleep since 3 days ...
Hello lybrate-user ji. For sleep problem you can do massage of some oils like coconut oil or amla oil on your head by relaxing way with finger tips. Go for sleep at proper time around 9-10 pm. Take one glass warm milk and add half spoon ghee in that and sugar for taste. Avoid all stress. Be relax. Take some deep breaths before sleep. Try to be in present. Take more fruits. Salads in diet.
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Mujhe penis me tedepan or proper erection n honi ki problem ho rhi he due to excess of masturbation.

BAMS, MD Ayurveda
Sexologist, Lonavala
Mujhe penis me tedepan or proper erection n honi ki problem ho rhi he due to excess of masturbation.
i m recommending you an following remedy which will surely help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This will surely help you.
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Hello I am 17 years old I am a student due to immense pressure in studies I couldn't sleep for last 2 days a having an headache please tell me the solution how to overcome this problem.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Hello I am 17 years old I am a student due to immense pressure in studies I couldn't sleep for last 2 days a having a...
Hello, you make a schedule for studies and other activity timetable like sleep, play etc. Minimum 7/8 h's sleep to be needed. Stress management n meditation is goods for you instead to prescribe medicine, best wishes.
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I sweat a lot my hands and legs get very perspiration kindly help me out in this matter.

MBBS
General Physician, Mumbai
Take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Delhi
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
2 people found this helpful

I am a software professional. It is difficult to get slept a night. When I get slept I dream night mare. Is it is a common problem, Can you suggest me a solution.

BHMS, MD - Homeopathy
Homeopath, Gurgaon
I am a software professional. It is difficult to get slept a night. When I get slept I dream night mare. Is it is a c...
getting dreams is common, getting nightmares not very common. just relax. eat light, less oily and healthy food. listen to good music. eat fresh fruits. avoid watching violent movies and content. do meditation and pranayaam. drink plenty of water
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How often masturbating is normal in unmarried men? I am curious to know as masturbation can lead to many health related issues.

BHMS
Homeopath, Faridabad
How often masturbating is normal in unmarried men? I am curious to know as masturbation can lead to many health relat...
Hello, twice a week is normal frequency of doing masturbation in an unmarried man. Excess of masturbation is harmful for you and it is necessary to know its side effects. These are as follows:-1. Masturbation makes you weak, it spends more energy and burns your calorie. 2. Masturbation creates nervousness and neurological problems 3. Masturbation is a main cause for erectile dysfunction. 4. Masturbation addicts you even if you taste it for one time. Controlling it is a very big menace. 5. Masturbation creates drowsiness; you will be sleeping most of the time after ejaculation of your sperm. You will experience a damn tired. 6. Masturbation causes stress and strain in your mind and soul. 7. Masturbation also affects us psychologically; it creates depression after ejaculation and makes one to feel bad on his own.
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Is there any solution of pyria?

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist,
Yes. For that you have to get your teeth clean by the dentist. And also minor surgery if it's needed.
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If you are doctor who has treated or know someone treating a curved penis in Bangalore please refer.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
If you are doctor who has treated or know someone treating a curved penis in Bangalore please refer.
Men rarely have a perfectly straight penis. Some bend left, right, up or down. And some point in the direction of left, right, up or down. As long as the bend isn't so severe as to keep you from having sex, or to have sex the way you and your partner want to, it's probably just a normal bend. That said, if it gets in the way of your sex life or if the bend developed after some sort of trauma (like getting kicked or having a ball slam into your genitals during sports or after a sex injury), you might want to speak with a urologist. Some severe bends can be treated with injections or other available treatments. But again, most of the time a slight bend is nothing to worry about or have treated. Some men even find that their "bend" helps them to stimulate their partner in unique ways, so be creative!
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I am suffering from PE. I have taken depoxtine but of no use. Please suggest any other medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I am suffering from PE. I have taken depoxtine but of no use. Please suggest any other medicine.
Depoxetine is only for temporary results. You can use normally shatavar churns. Take 2 spoonful shatavar churna and mix it in a glass of water. Boil this for 10 minute. And drink this. Repeat this for 45 days twice per days morning and night. Your premature ejaculation problem will be solved.
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I have some problem in my belly every day it is paining what should I do please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have some problem in my belly every day it is paining what should I do please suggest.
. First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Panchamrut parpati 1 tab before lunch and dinner 2. Audumbaravleha 2 tsp before lunch and dinner.
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What is the cure for less sperm count and low motility in sperm. How to overcome this to have a baby?

MBBS
General Physician, Chennai
What is the cure for less sperm count and low motility in sperm. How to overcome this to have a baby?
Aet vegetables fruits, nuts daily exercise so your nody circulation will increase and your harmonal levels will increase and you problem solved try taking l carnitine tab once a day.
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Hiii I am 28 year old unmarried mujhe bahut jaada gas ka problem ho raha hai kuch kabhi bhi ho jaa raha hai jiske karan mujhe breathing ka problem bhi ho raha hai mera stool clearly hota hai but fir bhi gas ka bahut problem ho raha hai sath me cakkar nd weeknes bhi fill hota hai pls suggest me what 2 do.

BHMS
Homeopath, Raebareli
Hiii I am 28 year old unmarried mujhe bahut jaada gas ka problem ho raha hai kuch kabhi bhi ho jaa raha hai jiske kar...
Please take Carbo veg 30 - 4 times a day for few days. Take balance diet Do not drink excess water - drink water according to your thirst only.
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I have an habit of using Vigora 100 mg! Will it effect my health? Is there any side effect for such tablets? Please advice if I can use it or not?

MBBS
General Physician, Mumbai
I have an habit of using Vigora 100 mg! Will it effect my health? Is there any side effect for such tablets? Please a...
Viagra perse I usually don't recommend because its a temporary feeling of erection and at that time it can cause headache and flushed feeling of the body resulting in restlessness and if taken for many occasions than it can cause penile ulceration And main thing is that you might get dependent on viagra lifelong.
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Sir, I have blood sugar. Fasting- 165, pp- 299. Please guide for my better to cure it. Please send me some tips, so we can upgrade myself.

M.B.B.S., D.M.C.H.
General Physician, Alwar
You should take small & frequent meals. Avoid sweets & carbohydrates rich diet. Go for walk & do exercises daily.
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