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Dr. Tushar Shah

General Physician, Mumbai

0 - 1000 at clinic
Dr. Tushar Shah General Physician, Mumbai
0 - 1000 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Tushar Shah
Dr. Tushar Shah is a popular General Physician in Mumbai, Mumbai. You can consult Dr. Tushar Shah at Criti Care Multispeciality Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Tushar Shah on Lybrate.com.

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Plot No. 38/39, Main Gulmohar Rd., JVPD Scheme, Juhu, Andheri (W), MumbaiMumbai Get Directions
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Plot Number 38/39, Main Gulmohor Road, J.V.P.D. Scheme, Juhu Landmark : Opposite Juhu Supreme Shopping CentreMumbai Get Directions
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Will vitamin D save my life? Should I really be taking four times the recommended daily dose? Is my microwave give cancer?

MBBS
General Physician, Mumbai
Take tablet vitamind 60000 iu once a week and microwave should be responsible for you to get cancer.
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I am 44 years old. A little portion of pancreas was cut in1998 and 2011 due to Cronin pancreatitis. Now I am alright. But I have diabetes my Dr. Advise me to take 8 unit lantus .since few months after lunch my sugar level 250. Now what I do. Can can I take lantus two time 9 AM and 9 PM.

MD - Homeopathy
Homeopath, Vadodara
You may try taking homeopathic medicine Syzigium Jambolanum Q which will help controlling the sugar and also prevents complications.
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Ayurveda For Psoriasis

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
Ayurveda For Psoriasis

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis:

Unknown but many factors have been associated-

  1. Genetic: may be autosomal dominant

  2. Triggers: physical trauma ,infection and drugs.

  3. Biochemical change: like increase level of arachidonic acid and Cgmp.

  4. Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

  • Increased epidermal cell proliferation.

  • Retention of nuclei in stratum corneum.

  • Proliferation of fibroblast.

  • Dilated and tortous capillary loops.

  • Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

  • Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

  • Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

  • Itching all over body

  • Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

  • Destruction on nail plates

  • Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

  • Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication.

Investigation Done :

  • CBC(Complete Blood Count)

  • LFT(Liver Function Test)

  • KFT(Kidney function Test)

  • Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

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Is it safe to have sex without protection during the safe days of her cycle? It does not cause pregnancy? Please explain in detail. P. S: by safe days I mean the first 7 and last 7 days of her cycle. Can protection/contraceptives be avoided?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
There is nothing like such big hard and fast rule related to safe days and unsafe days it is always better to use protection from diseases and unwanted pregnancy.
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5 Ways To Beat Diabetes

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
5 Ways To Beat Diabetes

India has the largest number of diabetics in the world. Around 6.2 crore people in India suffer from diabetes. Many patients with diabetes in India are still undiagnosed. More than 95% of these patients have type 2 diabetes. Type 2 diabetes results from the body's ineffective use of insulin. It is usually diagnosed in the age group of 35-45. It can be prevented by healthy diet and exercise.

The patients who are diagnosed with diabetes and even those who do not have the disease can benefit by following these 5 effective ways to beat diabetes.

1. Make healthy food choices

Taking care of your diet is one of an essential components to manage and prevent diabetes.

-switch to oils with a high volume of monounsaturated fats and polyunsaturated fats like olive oil, canola oil, soybean oil or rice bran oil. Limit intake to one tablespoon a day.

-restrict intake of foods that have a high glycemic index like white bread, white rice, fatty foods, and soda.

-consume foods with a low glycemic index like multigrain aata, whole grains, daals, most fruits, non-starchy vegetables and carrots.

-limit consumption of fast food. Studies show that young adults who ate fast food more than twice a week developed insulin resistance (a diabetes risk factor) at twice the rate of people who weren't fast food junkies.

2. Watch your weight

Losing weight can help to regulate blood sugar levels.

-if you have type 2 diabetes, losing just 4-6 kgs can lower your glucose levels.

-the way fat is distributed in the body can also impact diabetes risk and management.

-people who have abdominal adiposity (fat around the belly) are more prone to type 2 diabetes than those with fat mostly in the thighs, hips, and buttocks.

3. Exercise regularly

Regular exercise can lower blood glucose and possibly reduce the amount of medication you need to treat diabetes, or even eliminate the need for medication.

-get your doctor's approval before starting an exercise program.

-even if you do not lose any weight, exercise can help keep type 2 diabetes under control.

-start slowly with a low-impact exercise such as walking, swimming or jogging.

-exercise, at least, three times a week for about 30 to 45 minutes.

-warm up for 5 minutes before starting to exercise and cool down for 5 minutes after exercise.

-always carry a source of carbohydrate with you so you'll be ready to treat low blood glucose.

4. Manage stress better

Stress can make blood sugar levels harder to control.

-engage in any relaxation technique to ward off stress.

-the best techniques include yoga, meditation, deep breathing exercises.

-you may join a yoga club nearby or else take out 10-15 minutes every day to sit quietly with yourself and practice meditation.

5. Go for regular health check-ups

Diabetes requires lifelong commitment towards following a healthy lifestyle, taking medicines on time and getting regular checkups to detect any complications.

-check your blood sugar levels at home at least once a week.

-get your hba1c levels checked at least twice a year. 

-in addition, make sure that your eyes, kidneys, heart, and skin are in optimal health.

-visit an eye specialist once a year to detect any signs of eye damage (diabetic retinopathy).

-get your kidney function tests done at least 2 times a year.

-inspect your feet regularly for any signs of numbness, pain or growth that may lead to ulceration and complications.

1 person found this helpful

I m 24, years old unmarried male. I think my testes are of smaller size. Is it a problem. Also my penis bends little bit to left when erect is it fine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I m 24, years old unmarried male. I think my testes are of smaller size. Is it a problem. Also my penis bends little ...
Having small testicles is not so abnormal, Small testicles are either genetic or caused by a hormonal imbalance in your life.Some of the common factors for small testicle are 1. Lack of exercise, poor diet, stress, smoking and drinking too much alcohol can cause your zinc reserves to become depleted and your testicles to shrink. 2. Abstaining from sexual activity and refraining from ejaculating can actually cause your sexual functions to go on standby. You’ll notice your penis and balls get smaller and tighter in their flaccid state. 3. Masturbating and ejaculating too often and too fast can exhaust your sexual organs, causing reductions in testosterone, weak erections and small testes. Your Penis I curved towards left due to excessive masturbation because when you masturbate with your right hand, you naturally turn your Penis towards the left, so doing this a lot makes it curve all the time. and if your left handed it will curve to the right. its normal so no need to worry and no problem in your sexual life.
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I am a 30 year old married male. Since last 2 months I am having erectile dysfunction. Been married for 3 years and had a perfect and active sex life never had this issue before. Have also been masturbating almost daily and not facing any problem during masturbation. When with partner, erection not coming naturally and even if it does, it goes just at the time of intercourse. Pls suggest a remedy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Faridabad
I am a 30 year old married male. Since last 2 months I am having erectile dysfunction. Been married for 3 years and h...
Erection problems can have many causes. These include: physical problems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression after marriage many people are facing this problem due to stress and some some time over masturbation is the causes but don't be embarrassed still here is chance to recover your stamina using by herbal remedies and do yoga exercises which increase your blood flow in the body.
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Sir I have been suffering from stomach what small I do or take medicine to get wel soon.

MBBS
General Physician, Cuttack
Sir I have been suffering from stomach what small I do or take medicine to get wel soon.
1.Take bland diet, avoid oily and spicy food, 2.Drink plenty of water 3.Take one Tablet of meftal spas sos after food 4.Take one tablet of rantac150 mg twice daily before food 5. If no relief consult
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My pulse is 84 since one month. Temperature is normal. What is the possible reason. I feel body pain.

PGDCC, MD(Chest), PG Dip.Clin.Cardiology
Pulmonologist, Ghaziabad
My pulse is 84 since one month. Temperature is normal. What is the possible reason. I feel body pain.
Thyroid function (tsh) and an ecg should be checked. Sometimes worry alone may be the cause. Pain sensations may be more in both of these conditions.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
For burning eyes soak coriander seeds in clean cotton cloth in distill water overnite and next day just keep on the eyes closed
Burning sensation of eyes reduces.
7 people found this helpful

My friend is suffering from dengue. He got discharged from hospital now. Can he smoke tobacco? Will it affect in anyway?

DNB, MBBS
General Physician, Pune
My friend is suffering from dengue. He got discharged from hospital now. Can he smoke tobacco? Will it affect in anyway?
Hello Welcome More than 10 lakh people are dying due to tobacco related diseases every year. So My answer is big No to smoking .Smoking will delay recovery of patient. Best regards.
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My 45 year old mom has diabetes from 8 years. She is taking insulin. From 3 years she is having severe knee pain. And all types of treatment has done and none worked. Doctors said cartilage (gel like thing) has dried up completely in her knees. Please suggest foods to build cartilage and any supplement and perfect treatment?

MBBS, DNB (Orthopedics)
Orthopedist, Noida
My 45 year old mom has diabetes from 8 years. She is taking insulin. From 3 years she is having severe knee pain. And...
The only treatment I feel effective is weight control and regular exercises especially quadriceps exercises. If its bone on bone grade 4 arthritis which can be very much seen on standing knee X-rays the treatment would be replacement. All the interim measures as stated above are not long term as its more of a mechanical problem and do not offer long term results in sever OA.
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My mom had dizziness and vomiting but I don't think my mom had symptoms of stroke as diagnosed by our neurologist she doesn't feel drop face. Numbness or tingling or neck pain.

BPTh/BPT
Physiotherapist, Delhi
My mom had dizziness and vomiting but I don't think my mom had symptoms of stroke as diagnosed by our neurologist she...
1. Get MRI for cervical spine. 2. Start with Physiotherapy treatment. 3. Learn cervical exercises. 4. Don't use Pillow. 5. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.
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I am facing problem of urinary incontinence, my age is 28 and I am unmarried girl, I had done treatment on this but there is no improvement, my sonography and urine test reports are normal, kindly advice what should I do, I had even consulted gynecologist.

MBBS
General Physician, Mumbai
I am facing problem of urinary incontinence, my age is 28 and I am unmarried girl, I had done treatment on this but t...
I will suggest you to do kegels exercise n number of times in the day and do it for six months and also 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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I always have pain in my head at the back side, I always feel drowsy why it is so? Is there any reason.

MBBS, MBA (Healthcare)
General Physician, Delhi
I always have pain in my head at the back side, I always feel drowsy why it is so? Is there any reason.
check your BP. check your eye sight. take crocin pain relief one sos in case of severe headache.take rest and good sleep. avoid stress. inform if nor t ok.
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I have some digestion problems from very early on my life, so please give me any suggestion for better digestion.

PDDM, MHA, MBBS
General Physician, Nashik
I have some digestion problems from very early on my life, so please give me any suggestion for better digestion.
Try these 10 tips for your better digestive health: eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated. Skip the bad habits: smoking and avoid excessive caffeine and alcohol.
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I am having fever I cant go to doctor due my exams.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
I am having fever I cant go to doctor due my exams.
Fever is not considered medically significant until body temperature is above 100.4 F (38 C). Fever serves as one of the body's natural defenses against bacteria and viruses which cannot live at a higher temperatures..Also, the body's defense mechanisms seem to work more efficiently at a higher temperature -Fevers of 104 F (40 C) or more may be dangerous and demand immediate treatment The following medications may be used at home for mild fever : -Acetaminophen (dolo-650 mg) twice or thrice can be used to lower a fever . Aspirin should not be used in children during a viral illness. -Wear comfortable loose fitting clothes and donot overdress. Overdressing can cause the temperature to rise further. -Tepid water (85 F [30 C]) baths may help bring down a fever -The body should be cooled with a wet sponge. -Fever can cause dehydration.Drink plenty of fluids.Have citrus fruits, particularly Vitamin C rich ones like mausami,Amla juice etc. -Take light and easily digestible home cooked meals .avoid outside food -Wash your hands frequently with soap and warm water especially before meals, or after returning from a public places or using public transport. -Further therapy depends on the cause of fever like urinary infection/typhoid or malaria/dengue infection and the accompanying symptoms that need to be investigated and treated accordingly
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I am unable to hear proper doctor told me to do my ear operation. But what guarantee I will be cure?

MBBS, cc USG
General Physician, Noida
I am unable to hear proper doctor told me to do my ear operation. But what guarantee I will be cure?
Tell me what Diagnosis doctor has told you? and name of operation doctor has told you success of treatment will depend upon what is cause of your hearing problem
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When I sleep, my left nostril gets clogged if I sleep on my left side and the right nostril if I sleep on my right side. Is this the start of the sinusitis? what should I do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
It is a normal phenomenon. It is called nasal cycling. At any given time, we are mostly breathing through one nostril only. You can test yourself at any time. You will find that most of your breathing is through one nostril only. Usually, people do not notice any change except when they are having cold, running nose etc. If the patient has noticed it even when there is no cold, then it probably is first time observation by patient or patient has hypertrophied turbinates. But, it is unlikely to be hypertrophied turbinates since you are saying it has started both sides at the same time. You have merely made an observation of something that has always been happening.
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