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Dr. Virendra Nath Tiwari

General Physician, Mumbai

Dr. Virendra Nath Tiwari 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. Virendra Nath Tiwari
Dr. Virendra Nath Tiwari is a trusted General Physician in Wadala, Mumbai. He is currently practising at Tiwari Clinic in Wadala, Mumbai. Book an appointment online with Dr. Virendra Nath Tiwari 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 32 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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Hindi

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#190,2/2, Sangam Nagar, Wadala ,Landmark: New Bhari Gali, MumbaiMumbai Get Directions
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My wife gets always Headache & Sneezing problem only early morning, Can I know what would be the problem, can you suggest me which doctor to consult.

MBBS, cc USG
General Physician, Gurgaon
My wife gets always Headache & Sneezing problem only early morning, Can I know what would be the problem, can you sug...
If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis 2. Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management.
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I am 52 years and have shoulder pain and light chest pain since one week. Any advice please.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 52 years and have shoulder pain and light chest pain since one week. Any advice please.
Could you describe the chest pain : Location? Is it sharp localized or heaviness with pressure. Does it also go to the shoulder, jaw or back. Do you have any burning in chest or regurgitation of food. Do you also have breathlessness? When do you get pain. What relieves the pain. It is very important to rule out chest pain due to heart problem by answering the above questions and by doing an ECG. Bone and joint problems can wait. Also, do you have history of any heart disease, diabetes, increased cholesterol, family history of any of these diseases. Do you smoke,drink or use tobacco? What is/was your occupation?
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I have too much headache. I thought m having low eyesight bt it's like tht. What is the main cause of it?

MBBS, cc USG
General Physician, Gurgaon
I have too much headache. I thought m having low eyesight bt it's like tht. What is the main cause of it?
Hello, You may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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I have a problem with my wife, I do not sex with my wife because no feelings is turned on of my wife so please tell me the solution. And I also have a problem with energy. Very small time I sex how could be long time it happens.

BHMS
Homeopath,
I have a problem with my wife, I do not sex with my wife because no feelings is turned on of my wife so please tell m...
Dear Mr Piyu....you need to take Ayurvedic GERIVIT capsule...take 1 capsule just 1 hour before sex......for your wife i would recommend Homeopathic Mother Tincture AGNUS CASTUS Q.....tell her to drink the aforesaid mother tincture in the following dosage:- 30 drops in water, thrice daily, after meal......To observe the improvement of your wife's sexual desire she have to continue the medication for at least 20 days
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I m taking beta cap tr 20 at morning for tremor but still getting shocks. librium 10 fr anxiety little help. But my sex desire is very low any extra medicine to be add in please guide

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
I m taking beta cap tr 20 at morning for tremor but still getting shocks. librium 10 fr anxiety little help. But my s...
Hello, persistent feelings of anxiety, dread about illness, bad health, negativity, stress, loss of interest along with few other symptoms like feeling low or sad, constant tiredness, feelings of loneliness, helplessness & sleeping difficulties is suggestive of depression. Now, the simplest solution to depression, tension, anxiety & similar problems ; is a proper course of medicines & certain lifestyle changes ranging from as simple things including a proper course of medicines to get rid of this problem plus meditation & daily 30 minutes jogging to more complex things as structured diary writing, thought recording etc. Good luck!
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My son just woke up in the morning. I found some temperature so I just checked and it was around 99. What should I do ?

MBBS
General Physician, Faridabad
My son just woke up in the morning. I found some temperature so I just checked and it was around 99. What should I do ?
syr crocin 1 tsf if temperature Is high, and get few test done like cbc, complete urine exam. Platelet count, mp slide for malaria and widal test. Back with report. Thank you
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For few days I am having nose and forehead pressure. When I take vapor I feel much better. Along with these feel lightheaded too. No pain as such. Only pressure in nose area. Sometimes feel a pain in ear too. Sneezing and running nose is there too. I don't take any medicine.

MBBS
General Physician, Chandigarh
For few days I am having nose and forehead pressure. When I take vapor I feel much better. Along with these feel ligh...
This could be because of sinusitis that is inflammation of the sinuses steam is a good option but if you don't get cured with it then you will be required to take antibiotics.
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

2 people found this helpful

All You Need To Know About Epilepsy

MD, MBBS
Neurologist, Gurgaon
All You Need To Know About Epilepsy

Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.

Causes of Epilepsy
The cause of this condition isn’t very evident; however, most medical practitioners attribute epileptic seizures to brain tumours, injury, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.

Symptoms

  1. Repeated seizures
  2. Impaired memory
  3. Bouts of fainting
  4. Short spans of blackout
  5. Sudden bouts of blinking and chewing
  6. Panic
  7. Inappropriate repetitive movements

Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.

There are three types of seizures an epileptic person usually encounters.

  1. Idiopathic: This kind of seizure has no apparent cause
  2. Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
  3. Symptomatic: These seizures occur due to a reason.

Treatments

  1. Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
  2. Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.

Five facts about epilepsy you need to know:

  • Epilepsy is not psychosis or madness and can be treated easily 
  • Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc
  • Woman with epilepsy can have a normal pregnancy 
  • Newer medicines for epilepsy are effective and very safe 
  • Surgery can cure epilepsy in some patients

    If you wish to discuss about any specific problem, you can consult a neurologist.

2881 people found this helpful

I am frequently suffering from throat infection, cold and cough. Can anything be done to increase the body immunity against cold and cough and throat infection.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic treatment immunoforce drops or booume 20 (bioforce) 20 drops in 20 ml fressh water twice daily for 3 months.
3 people found this helpful
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What are the symptom of dengue fever?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
What are the symptom of dengue fever?
The principal symptoms of dengue are: -high fever and at least two of the following: -severe headache -severe eye pain (behind eyes) -joint pain -muscle and/or bone pain -rash -mild bleeding manifestation (nose or gum bleed, petechiae, or easy bruising) Watch for warning signs as temperature declines 3 to 5 days after symptoms/fever began, as this is the most dangerous period when platelet counts decline significantly. Report immediately to hospital if any of the following warning signs appear: -severe abdominal pain or persistent vomiting -red spots or patches on the skin -bleeding from nose or gums -vomiting blood -black, tarry stools  -drowsiness or irritability -pale, cold, or clammy skin -difficulty breathing
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Can you please prescribe any safe medicine to improve premature any ejaculation and have a long sustainable act.

DHMS (Hons.)
Homeopath, Patna
Can you please prescribe any safe medicine to improve premature any ejaculation and have a long sustainable act.
Hi, you are required to follow the under noted tips to get d desired result. Tk, apples, carrots, bananas, almonds, walnuts, oyster, eggs, spinach garlic, pumpkin- seeds black chocolates. Meditation for. 30 mnts will reduce your stress, anxiety, nourish cells, tissues, penile, pelvic and groin muscle to improve erectile dysfunction & premature ejaculation, resulting which enhancement of sperm count b ensured. Take, plenty of water to eliminate toxins and to regulate metabolism to absorb nutritions, vitamins, protein, minerals to provide energy to d body. Your diet b easily digestible, simple, non- irritant, on time to b digested properly. Medication: homoeo medicines: @ acid phos1000-6, weekly. @ five phos 6x-4, tbs, with lukewarm water. Avoidance: frequent masturbation, caffeine, alcohol, nicotine, junk food, polluted atmosphere, dust, smoke, scorching sun. Stay fit and fine.
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Hi I'm a male or boys or mens what food should I eat and whats should I drink to get or have strong healthy and glowing skin and become or look healthy and strong too please tell me plz.

MBBS
General Physician,
Hi I'm a male or boys or mens what food should I eat and whats should I drink to get or have strong healthy and glowi...
At your age, balanced diet, regular light exercises and good scheduled sleep avoiding smoking and alcohol or any other addictions if present routinely must suffice. But still if you insist some supplements can be prescribed. I want you to try the above said for a week or so, and then you can have a follow up here if you feel like having some. Regards.
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I am 33 year old male I'm suffering pain in trapezius (between neck and shoulder) for past couple of days ,I took voveran tablet and applied gel also but din get cured so plzzz can you suggest.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 33 year old male I'm suffering pain in trapezius (between neck and shoulder) for past couple of days ,I took vov...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Nat mur 200x. 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Hello sir, my son suffering from right hand erabs palsy (brachial plexus nerve) give your advice.

PDDM, MHA, MBBS
General Physician, Nashik
In cases of a simple stretch injury or mild tear, Erb’s palsy will heal on its own, but the child should receive physical therapy so that the arm does not stiffen. Gentle massage and range of motion therapy are used to keep the muscles strong and the joint from becoming contracted. More extensive nerve damage may require surgery. If the nerves cannot function properly, tendon transplants are sometimes used.
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Say a gym diet plan properly I want a high protein diet please do not reply like chill doctor give a correct plan.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Say a gym diet plan properly I want a high protein diet please do not reply like chill doctor give a correct plan.
Meal plan first meal should be before 10 am in morning. Take one plate of salad. Then take one or two missi roti. Chew slowly. Same in luch and dinner. Take fruits between breakfast and lunch and then one between lunch and dinner. Take dal peas cheese soyabean egg rajma chola in moderate quantity.
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I am 29 year old male, when I am alone I get strong erection but when my partner is with for sex I can't get proper erection for sex.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 29 year old male, when I am alone I get strong erection but when my partner is with for sex I can't get proper e...
Home Remedy- 1-Onion is very good vegetable to treat sexual impotence. It increases libido and strengthens reproducing organs. White onions are best for this purpose. 2-Take about 5-10 gm root powder of Ladyfinger in a glass of milk. Add 2 tsp of mishri in this milk and drink it. This will prove helpful in improving sexual vigour. Treatment- apply pranacharya gopal oil on your penis and give a massage. It will strengthen your nerves and erection power will get better.
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How to maintain blood sugar?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
Please mention your recent bsl reports and ongoing treatment and revert back to me for further assistance.
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Sir I use to sneeze through out the year and also when I get exposed to dirt I feel breathing problem. Also when I do some rigorous work I feel like it's asthma. What should I do?

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Sir I use to sneeze through out the year and also when I get exposed to dirt I feel breathing problem. Also when I do...
Dear lybrate-user, classical case of allergic rhinitis (cold) and exercise induced asthma! the best thing is to avoid exposure to causative agent which can be dust, weather changes, strong perfumes, animal hair and last but not the least mental stress. This can really help preventing sneezing but may not be enough and nasal sprays as per doctors prescription along with anti allergic tab may be required for a period of 2-3 months. Rarely a deviated nasal bone requires intervention by ent specialist. For exercise induced asthma we need to confirm diagnosis by checking peak flow readings just before and during exercise or just clinical inference and then using a reliever pump just before initiating exercise. This should help you.
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