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Dr. Tankir

General Physician, Mumbai

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Dr. Tankir General Physician, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Tankir
Dr. Tankir is one of the best General Physicians in Dadar West, Mumbai. You can consult Dr. Tankir at Punamiya Hospital in Dadar West, Mumbai. Book an appointment online with Dr. Tankir and consult privately 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 44 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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Punamiya Hospital

#101, 1st Floor, Inder Tower, Opposite Zandu Pharmaceutical, Gokhale Road, Dadar West. Landmark:Near Tilak Bhavan Opp. Ashishind Estate, MumbaiMumbai Get Directions
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Thalassemia - Symptoms Based on Types of Thalassemia

Clinical Hematology , MD, MBBS
Hematologist, Noida
Thalassemia - Symptoms Based on Types of Thalassemia

Thalassemia is a genetic (which is passed from parents to children through genes) blood disorder. People with Thalassemia disease are not able to make enough hemoglobin, which causes severe anemia. Hemoglobin is found in red blood cells and carries oxygen to all parts of the body. When there is not enough hemoglobin in the red blood cells, oxygen cannot get to all parts of the body. Organs then become starved for oxygen and are unable to function properly.

There are two types of Thalassemia disease

  1. Alpha Thalassemia disease: There are two main types of Alpha Thalassemia disease. Alpha Thalassemia Major is a very serious disease in which severe anemia begins even before birth. Pregnant women carrying affected fetuses are themselves at risk for serious pregnancy and delivery complications. Another type of Alpha Thalassemia is Hemoglobin H disease. There are varying degrees of Hemoglobin H disease.
  2. Beta Thalassemia disease: Beta Thalassemia Major (also called Cooley's Anemia) is a serious illness. Symptoms appear in the first two years of life and include paleness of the skin, poor appetite, irritability, and failure to grow. Proper treatment includes routine blood transfusions and other therapies.

Causes of Thalassemia

Thalassemia occurs when there’s an abnormality or mutation in one of the genes involved in hemoglobin production. You inherit this genetic defect from your parents.

If only one of the parents is a carrier for thalassemia, the child may develop a form of the disease known as thalassemia minor. If this occurs, the born child probably won’t have symptoms, but he/she will be a carrier of the disease. Some people with thalassemia minor do develop minor symptoms.

If both of your parents are carriers of thalassemia, you have a greater chance of inheriting a more serious form of the disease.

Symptoms

The symptoms depend on the type of thalassemia:

  • Thalassemia Minor: Thalassemia minor usually doesn’t cause any symptoms. If it does, it causes minor anemia.
  • Beta-thalassemia: Beta-thalassemia comes in two serious types, which are thalassemia major, or Cooley’s anemia, and thalassemia intermedia. The symptoms of thalassemia major generally appear before a child’s second birthday. The severe anemia related to this condition can be life-threatening. Other signs and symptoms include:
    • fussiness
    • paleness
    • frequent infections
    • a poor appetite
    • failure to thrive
    • jaundice, which is a yellowing of the skin or the whites of the eyes
    • enlarged organs

This form of thalassemia is usually so severe that it requires regular blood transfusions.

  • Alpha-thalassemia: Alpha-thalassemia also has two serious types, which are hemoglobin H disease and hydrops fetalis. Hemoglobin H disease can cause bone issues. The cheeks, forehead, and jaw may all overgrow. Hemoglobin H disease can cause:
    • jaundice, which is a yellowing of the skin or the whites of the eyes
    • an extremely enlarged spleen
    • malnourishment

Hydrops fetalis is an extremely severe form of thalassemia. It occurs before birth. Most individuals with this condition are either stillborn or die shortly after being born.

How is thalassemia diagnosed?

Thalassaemia is often detected during pregnancy or soon after birth.

  1. Screening during pregnancy: Screening to check if a baby is at risk of being born with thalassemia is offered to all pregnant women.
  2. Testing after birth or later in life: Newborn babies aren't routinely tested for thalassemia because the test used isn't always reliable soon after birth and the condition isn't immediately dangerous. However, the main form of the condition – beta thalassemia major – is often picked up as part of the newborn blood spot test (heel prick). A blood test can be carried out at any point to diagnose the condition if a child or adult has symptoms of thalassemia and the condition wasn't picked up earlier on.
  3. Testing for the Thalassemia Trait- A blood test can be done at any time to find out if you have the thalassemia trait and are at risk of having a child with the condition. This can be particularly useful if you have a family history of the condition or your partner is known to carry thalassemia.

If your child has thalassemia, blood tests may reveal:

  1. A low level of red blood cells
  2. Smaller than expected red blood cells
  3. Pale red blood cells
  4. Red blood cells that are varied in size and shape
  5. Red blood cells with uneven hemoglobin distribution, which gives the cells a bull's-eye appearance under the microscope

Blood tests may also be used to:

  1. Measure the amount of iron in your child's blood
  2. Evaluate his or her hemoglobin
  3. Perform DNA analysis to diagnose thalassemia or to determine if a person is carrying mutated hemoglobin genes

Treatment for Thalassemia-

The treatment for thalassemia depends on the type and severity of disease involved. Your doctor will give you a course of treatment that will work best for your particular case.

Some of the utilized treatments include:

  • blood transfusions
  • a bone marrow transplant (BMT)
  • medications and supplements
  • possible surgery to remove the spleen or gallbladder 

    If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2601 people found this helpful

Hello doctor my self Deepika I am 24 year old married woman I have suffering from fever last night what should I do please tell me doctor.

MBBS, cc USG
General Physician, Gurgaon
Hello doctor my self Deepika I am 24 year old married woman I have suffering from fever last night what should I do p...
Follow health advises given below: Measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food (If No Drug Allergy) as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days 3. Lot of fluids to be taken 4. Take proper diet homemade food like moong dal dalia, chapati etc. 4. Avoid wearing synthetic and tight cloths. Get CBC checked and review with reports consult physician/me for further management and let me know what medicines you were taking and also tell me if you are having other symptoms like cough/ throat pain/ burning urine/ stomach pain so that we can confirm cause of fever.
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My problem is when I do sex I am release less then one minute I want more time. So which medicine is best for instant increase sex time.

MBBS
General Physician, Jalgaon
My problem is when I do sex I am release less then one minute I want more time. So which medicine is best for instant...
Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do perineal exercises daily Take Musali pak by Patanjali 2 tsf twice a day for 3 to 6 mths.
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Hi.I am 20 years old . I have an problem of sleeping last 2 month . I can't sleep in night before 12 pm .I m in more trouble .please give me a helpful answer.

MBBS, cc USG
General Physician, Gurgaon
Hi.I am 20 years old . I have an problem of sleeping last 2 month .
I can't sleep in night before 12 pm .I m in more ...
Some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity, you can go for daily morning walk 3. Regular meditation/ yoga 4. Avoid tea coffee after 7 pm 5. You can take bath at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes 8. Avoid watching tv and reading news paper at bedtime, you can listen some soft music consult physician.
1 person found this helpful
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What is the symptoms of dengue what medicine should we take and how to prevent from dengue.

MD - Internal Medicine
General Physician, Khammam
What is the symptoms of dengue what medicine should we take and how to prevent from dengue.
Hello symptoms include, high temperature, low back pain, joint pains, nausea, weakness. No specific treatment for dengue, we need to moniter blood counts. Take plenty of fluids and paracetamol for fever. Prevention include avoiding exposure to mosquito bites. Take care.
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I have less sex power. As I can't do sex longer than 30 sec. So can you guide me have to increase my sex power without distribute my routine Life style.

BHMS
Homeopath, Sindhudurg
I have less sex power. As I can't do sex longer than 30 sec. So can you guide me have to increase my sex power withou...
Sexual stamina involves lasting long during sexual intercourse and maintaining an erection for as long as possible. However, many men can get and maintain an erection yet they leave their women feeling very dissatisfied in bed. tips -don’t neglect your diet. Loading up your body with stimulants and depressants on a daily basis (in the form of caffeine, sugar, alcohol, or cigarettes) has far-reaching negative effects on your health and libido. Cut back on the coffee. treatment - homoepathic treatment is recommended for men whose sexual performance is low or those who are suffering from sexual dysfunction and those who wants permanent cure without side effects.
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Hi, Actually I have pcos problem. So I want to what is the solution to get pregnant. Is it possible as soon as possible?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
Hi, Actually I have pcos problem. So I want to what is the solution to get pregnant. Is it possible as soon as possible?
You first need to balance your hormones,. Start exercising daily and take a very healthy diet. Also consult a gynecologist for a treatment.
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Hello sir If I will take cup of warm water with in every half an hour to reduce belly fat. Then should I leave cold water?

BHMS
Homeopath, Delhi
Hello sir
If I will take cup of warm water with in every half an hour to reduce belly fat. Then should I leave cold w...
You can take warm water its helpful for weight reduce. But it is not necessary to avoid cold water for that.
1 person found this helpful
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My son has fever about 99 to 100 we are worried because we went for picnic in valpoi 8 day back now we came to know that it was infected area by kfd . We have shown to local doctor he say it is stomach infection because of which fever has come. Please advice we are tense don't know what to do.

MD
General Physician, Delhi
You are right, he should be tested at lest for the fever. There is no harm in being tested for kfd. If fever is not coming down. Neutralisation test is most useful though it may be expensive.
2 people found this helpful

Hello sir, I have too much pain and swelling in legs what can I do? Please tell me.

MBBS, cc USG
General Physician, Gurgaon
Hello sir, I have too much pain and swelling in legs what can I do? Please tell me.
Hello, 1. You can apply volini gel 1% local application twice a day for 3-5 days 2. Hot fomentation twice a day for 3 days I am giving to some common reasons for leg pain 1. Generalized weakness 2. Anemia 3. Physical exertion and any trauma 4. Lack of protein in diet 5. Any infection present on leg or foot 6. Muscle weakness 7. Abrupt start/ stop of physical exercise 8. Vit d and calcium deficiency kindly consult physician for further management.
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Hi doc kindly suggest me some permanent remedy for diabetes which decreases after medication only is there permanent solution to problem to cure diabetes life long.

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
Hi doc kindly suggest me some permanent remedy for diabetes which decreases after medication only is there permanent ...
Hi controlling the diet and walks is the best way to stay off the medicines. Include fibre rich foods, complex carbohydrates, more vegetables and protein rich foods. Walking daily will help the body utilise insulin in a better way thanks.
9 people found this helpful
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Asthma: Breathing Made Easy with Homeopathy!

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
Asthma: Breathing Made Easy with Homeopathy!

Asthma is a chronic respiratory disorder. In asthma, the airways of the lungs get inflamed. Due to this inflammation, there is swelling inside the airways. This also causes excess production of mucous. The combined effect of swelling and mucus production is that the passage of air gets obstructed. This makes breathing difficult. A whistling sound or wheezing is often heard in such patients. Often the patient gets cough due to this obstruction of the airways. This cough is a reflex of the body to get rid of the excess mucous in the airways. A sense of tightness or heaviness is felt in the chest. One cannot expand the chest fully while inhaling. This is a medical condition characterized by paroxysmal wheezing respiration dyspnoea.

Causes of Asthma

  • Caesarean sections,
  • Antibiotic use in early life,
  • Vaccines,
  • Family history of asthma.

Asthma Triggers

Signs And Symptoms

  • Recurrent episode of paroxysmal dyspnoea (difficulty in breathing).
  • The breathing is laboured, with a wheezing sound, mainly on expiration.
  • Asthma attacks often occur in the early hours of morning (when there is no immediate precipitating cause). During the attack patients often prefers to sit then lie down.

Homeopathy for Asthma-

When it comes to the treatment of Asthma, Homeopathy is much better at treating asthma. It is in stark contrast to allopathy, where inhalers and steroids are used to suppress inflammation. Homeopathic medicines do not aim at just reducing inflammation. They also intend to cure the basic cause of the recurrent inflammation. This way, not only the symptoms of asthma are treated but the incidence of asthmatic attacks is completely eliminated. With a couple of months of Homeopathic treatment, you will be able to live a disease-free and medicine-free life. It is worthwhile to mention here that all Homeopathic remedies are natural and do not contain any chemicals. That is why these purely natural homeopathic remedies do not have any side effects at all.

Things to do: 

  • Deep breathing exercises e.g. Pranayama 25 times a day. 
  • Stop smoking completely, if you are a smoker. 
  • Avoid all allergens. 
  • Avoid dust. A housewife having asthma may be greatly helped by vacuum cleaner to clean dust. Use a mask while dusting. 
  • Avoid carpets on the floor, which harbor dust. 
  • Avoid pets if you are asthmatic. 
  • Avoid industrial fumes in factory workers. 
  • Ask your doctor or healthcare provider how to manage in emergency. If a particular food triggers an attack of asthma, avoid it e.g. cold drinks, particular fruits, fish, chocolates. 
  • If any emotional or family problem, try to sort out, or use tranquillizer or consult phsician. 
  • For repeated attacks, advise change of weather i.e. a holiday in dry climate, will help more than medicines. 
  • Avoid mosquito coils and mats. Use mosquito net instead or topical mosquito repelling cream. 
  • Avoid passive smoking. Asthma is one of psychosomatic illness. So mind tranquility is very important part of treatment. 
  • If a patient of asthma gets a dramatic relief in dry climate and attack otherwise, he or she should change the residence, if possible to a dry climate place. 
  • Take a glass of warm water early in the morning; take warm drinks like tea, coffee, soups often. 

Things to avoid: 

  • Junk food or deep fried food like pizzas, hamburgers, chips. 
  • Cold foods items like ice creams, cold drinks. 
  • Sour foods like non-fresh curds, raw onion. 
  • Avoid sour fruits like citrus fruits (orange, lemon), sour grapes. 

By trial and error method and keen observation, note if any particular food is causing an attack of asthma, such food must be totally avoided.

  • Avoid heavy meals eat in small quantity of meals and take dinner early. 
  • Avoid sleep at least for 2 hours after meals. 
  • Stress: Learn to manage stress as it can directly prompt the asthma attack. Try Yoga and meditation as it helps to relieve stress. If you wish to discuss any specific problem, you can consult a homeopath.
5516 people found this helpful

I have been trying to control masturbation for long but couldn't. However I can stop it for at least 2 to 3 days after that the tendency to masturbate again will come. Can you suggest an idea to control it?

MBBS
General Physician, Chennai
I have been trying to control masturbation for long but couldn't. However I can stop it for at least 2 to 3 days afte...
Change your life style socialise more with girls to become outgoing and free to talk to girls exercise daily without fail eat well involve yourself insome game.
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My wife suffering from loose motions since early morning and releasing motion like a water every 10-15 minutes.

MBBS
General Physician, Cuttack
1. She has to drink plenty of water with ORS 2. Take one tablet of Norflox Tz twice daily 3. Bland diet 4. If no relief, consult doctor
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I am suffering from fever and cough and cold. I am testing my blood sample. Any typhoid & malaria not in the blood sample. Which problem? Tell me.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am suffering from fever and cough and cold. I am testing my blood sample. Any typhoid & malaria not in the blood sa...
No details regarding duration of fever. This could be Viral or Respiratory infection or any other cause. If more than 5 days have passed better consult a Consulting Physician for clinical examination. AllDetail investigation s connected to fever and follow the advice given. Typhoid or malaria normally do no cause cough and cold
1 person found this helpful
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Hi, male 30. I got fungal n itchy problem near my genital area. Due to which skin gets black. Can you please help.

General Physician, Pune
Hi,
male 30. I got fungal n itchy problem near my genital area. Due to which skin gets black. Can you please help.
Apply candid - B cream twice after bath n bedtime for long time. Take off your innerwears at bedtime n only wear loose pyjamas.
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I have pain at back neck just behind centre. It spreads downwards up to right shoulder (exactly just below the right shoulder. What should I do relieve from the pain.

BPTh/BPT
Physiotherapist, Delhi
I have pain at back neck just behind centre. It spreads downwards up to right shoulder (exactly just below the right ...
1. Start with Physiotherapy treatment. 2. Learn Cervical exercises. 3. Apply volini cream before sleeping. 4. Don't use Pillow. 5. Take calcium, vitamin D 3 and Methylcobalmine supplement
1 person found this helpful
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I am 35 years old and serving in indian army. I was found reddish or pimple on the top of penis and irritation after urination. Please take advise.

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
I am 35 years old and serving in indian army. I was found reddish or pimple on the top of penis and irritation after ...
Is this pimple came after doing unprotected intercourse or it is since long, you have to show to skin specialist and physical examination to be done.
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Sir actually my head is paining every day in morning at least 5 to 6 min is very slowly and then stop paining so what I do.

PGDHHM, MBBS
General Physician, Delhi
Sir actually my head is paining every day in morning at least 5 to 6 min is very slowly and then stop paining so what...
Such headaches r usually due to tension headache, inadequate sound sleep, migraineor excess coffee intake in evening/night. Are there any other complaints eg nausea, blackouts, weakness, fever. Drink a glass of water on getting up. Avoid tension/ stress. Do deep breathing exercises. Reduce coffee intake. Hope this helps you.
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