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Dr. Yogesh

General Physician, Mumbai

Dr. Yogesh General Physician, Mumbai
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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. Yogesh
Dr. Yogesh is a popular General Physician in Mumbai, Mumbai. You can consult Dr. Yogesh at Om Polyclinic in Mumbai, Mumbai. Book an appointment online with Dr. Yogesh 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 32 years of experience on Lybrate.com. You can find General Physicians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Umiya Bhavan, Opposite Vardhaman Nagar, R.P Road , Mulund (west), MumbaiMumbai Get Directions
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I have acidity from longer time after eat meel I feel very nerves and burn in chest please advise me.

BHMS
Homeopath, Thane
I have acidity from longer time after eat meel I feel very nerves and burn in chest please advise me.
Hi, acidity leads to burning in chest. So please take following medicine tab biochemic 25 4tabs to be chewed thrice a day, 1/2an hr before meals revert back for further line of treatment.
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I'm epilepsy patient my Dr. said after delivery I vl allri8, is dis truth. Nd this disorder is dangours for me? Life ka khtra hai? Pls explain.

MBBS, MD, DM - Neurology
Neurologist, Chennai
If you have been diagnosed with epilepsy before your pregnancy itself, it is possible to control your epilepsy with proper medications so that you do not get any fits (which may pose danger to both of you). However there is a small possibility of your child developing few problems either due to your epilepsy or your medications. It will be monitored with regular scans and blood tests if needed by your obstetrician. Have a frank talk with your obstetrician and neurologist. Please do not stop your epilepsy medications without consulting your doctor.
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I wanna know the diet plan of a diabetic person. If still there is no anti diabetic medicine in the market?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I wanna know the diet plan of a diabetic person. If still there is no anti diabetic medicine in the market?
Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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What are the most effective, easiest and simple to do natural remedies of common cold for winters?

PDDM, MHA, MBBS
General Physician, Nashik
One of these classic home remedies for colds is comprised of three familiar ingredients-garlic, lemon, and honey. You can combine them in more involved ways if you wish, but this recipe is about as simple as it gets. It's particularly useful for a cold that is accompanied by a sore throat and a dry cough.
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Hello Doctors. Thanx for your previous support. I need an urgent suggestion from you regarding my query. My friend suffered from nose bleeding while taking shower. It's first time that my friend has encountered this problem. Please help ASAP.

Diploma in Otorhinolaryngology (DLO), DNB (ENT)
ENT Specialist, Nagpur
Hello Doctors. Thanx for your previous support. I need an urgent suggestion from you regarding my query.
My friend su...
Hi bleeding from nose or epistaxis requires a detail ent examination and may also require various investigations hence consult your ent doctor and get urself examined. Regards Dr. Amit rathi.
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Understanding Jaundice (Kamala)

M.D. (Ayurved), D.H.M, CHSE
Ayurveda, Jamnagar
Understanding Jaundice (Kamala)

Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

Causes, incidence, and risk factors:
Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

When too much bilirubin builds up in the body, jaundice may result.

Jaundice is caused due to following causes:
Obstruction of the bile ducts (by infection, tumor or gallstones)
Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
Biliary stricture
Alcoholic liver disease (alcoholic cirrhosis)
Pancreatic carcinoma (cancer of the pancreas)
Primary biliary cirrhosis
Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
Haemolytic anemia
Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
Chronic active hepatitis
Autoimmune hepatitis
Malaria


Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

Clinical symptoms:
Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:


Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown 
Yellow color inside the mouth
Dark or brown-colored urine
Pale or clay-colored stools

Other symptoms depend on the disorder causing the jaundice:
Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

Differential diagnosis:
When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

Laboratory findings include:
Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
Serum: increased unconjugated bilirubin.
Kernicterus is associated with increased unconjugated bilirubin.

Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

Laboratory findings depend on the cause of jaundice, include:
Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
Plasma protein show characteristic changes.
Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

Post-hepatic jaundice: it is also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

Signs and tests:
No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

Other tests vary, but may include:
Hepatitis virus panel to look for infection of the liver
Liver function tests to determine how well the liver is working
Complete blood count to check for low blood count or anemia
Abdominal ultrasound
Abdominal ct scan
Endoscopic retrograde cholangiopancreatography (ercp)
Percutaneous transhepatic cholangiogram (ptca)
Liver biopsy
Cholesterol level
Prothrombin time


Ayurvedic approach:
In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

Management:
Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

Medicines used:
Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
Navrayas loh can also be given in the dose of 125mg thrice daily.
Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
Regular intake of guduchi juice 10gm twice or thrice a day.
Daily intake of neem juice is also useful for jaundice
Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

Some routine home remedies:
Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances


Pathya-apathya (do's don'ts):
Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
Always drink water that is filtered or boiled. Do not drink raw milk.
Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.

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My son is 2.5 years old and have total 16 teeth and his teething started when he was 11 months old.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
At 24 months all 20 temporary teeth are erupted normally. But slight delay and variation is accepted.
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Have an allergy in nose. In the morning when I am getting up always start sneezing. What can I do?

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicine sabadilla 30 (4 drops in little water) thrice a day for a week and update.
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Is it possible to treat a patient suffering from hepatitis b? and also suggest me treatment options available?

MBBS
General Physician, Mumbai
Just see to it that liver anatomy is normal with bodys good immunity and the viral load of hep b virus will subside on its own.
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I am 20 year female I am suffering from severe head ache at evening time some times I even suffer with blurred vision can you please tell me what is the problem.

MBBS
General Physician, Cuttack
I am 20 year female I am suffering from severe head ache at evening time some times I even suffer with blurred vision...
1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan /mri of brain to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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What is the correct method for blood test for pp n fasting what time one should eat dinner for fasting test next day? Two n half hours from the first bite or the last bite for pp? Pl clarify! and what should be the breakfast and dinner before going for blood sugar test?

BAMS
Ayurveda, Bangalore
What is the correct method for blood test for pp n fasting what time one should eat dinner for fasting test next day?...
Hi, Minimum 10-12 hours of fasting is necessary to check FBS. Therefore have your dinner within 8.00 PM. Check you PPBS 2 hours after the last bite of your lunch or breakfast. Have regular breakfast or lunch; but eat stomach full and then go for the blood test.
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I am 16 years old, I am suffering from full headache and feeling heat over the body, and my muscles are feeling painful, am preparing for exam. So,please help me?

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
I am 16 years old, I am suffering from full headache and feeling heat over the body, and my muscles are feeling painf...
If it is tension related you need to de-stress yourself. Take a break. Do what you you love to do and regain fresh mind o study. Alternatively, you do pranayaam as taught by baba ramdev on astha channel 5.30 to 7 am. Very very effective- esp anulom-vilom if you like or bramri and udgit are a must. You will get miraculous results!
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Gud morning sir I am vinod 24 years old male person I have half headache at left What should I do? please give me a good sagest.

MBBS
General Physician, Cuttack
Gud morning sir I am vinod 24 years old male person I have half headache at left What should I do? please give me a g...
1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist 9. Consult me for further advice.
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She gets headache monthly May be after a travel or strain or due to walking in sun or lack of sleep each time she gets, it lasts for 2 days What's the reason, prescription and nutrition to be take? Please suggest.

MBBS
General Physician, Mumbai
She gets headache  monthly 
May be after a travel  or  strain or due to walking in sun or lack of sleep 
each time sh...
For headache take tablet paracetamol and we have to rule out sinusitis or migrane as the cause of headache after clinical examination
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I am 43 years old male, I have bleeding in my penis when I have sex, that in the front there are cut marks and blood oozes out of it, because of which sex is very painful.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am 43 years old male, I have bleeding in my penis when I have sex, that in the front there are cut marks and blood ...
Dear user. This is because of the dryness of your penis or lack of lubrication in the vagina. Please use some lubricants. Do give a weeks rest before next intercourse. Take care.
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I am 21 years old. My problem is small portion of my nose has burnt in may 2015, the reason is unknown, it has been taking time to recover it. So what should I do to recover fast.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take canthris - q / put 10 to 15 drops on cotton and apply on the affected area twice a day for two weeks. Revert back after two weeks with feedback.
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Sir/mam I want to ask you that, If after maturation if someone will swallow the sperm inside, is there any harm?

BHMS
Homeopath, Sindhudurg
Sir/mam
I want to ask you that, If after maturation if someone will swallow the sperm inside, is there any harm?
Semen can contain several viruses that may be transmitted via bodily fluids from an infected man. Some common examples of such sexually transmitted infections (STIs) are HIV (human immunodeficiency virus), Hepatitis B and C, herpes, and Chlamydia. The risk of transmitting an STI through oral sex is higher if there is an open sore in the mouth or if a person has gingivitis and bleeding gums. According to the Centers for Disease Control and Prevention, hepatitis B can also be transmitted through contact with infected semen if an open sore is present in the mouth.
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I am 54 and a diabetic for past 10 years and I am taking insulin dose of 50-50 insulin 27 units in morning and 22 units at night. Present sugar level is fasting 180 and pp 280 respectively, kindly advise suitable dose to control the sugar level.

PGC Diabetology, MBBS
General Physician, Hyderabad
I am 54 and a diabetic for past 10 years and I am taking insulin dose of 50-50 insulin 27 units in morning and 22 uni...
Hi, you can increase the dose of insulin. I also need hba1c test results to properly advice dose of insulin. I need to know the height and weight. Is there hypertension or high bp? please consult personally or on lybrate with the results so that I can give detailed advice.
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My friend penis forehead skin is not pulling back completely during erect. Is that a serious problem.

BHMS
Homeopath, Dehradun
My friend penis forehead skin is not pulling back completely during erect. Is that a serious problem.
Its is paraphymosis when you can partially retract the foreskin and not completely. You can tell him to get a homeopathic medicine and first use it before resorting to surgery. The name of medicine is nitric acid 30. Get it sealed from a homeopathic shop 10/30 ml. Preferred companies are sbl/wsi. Mix 1 drop in 1 tsp water and he has to drink it twice daily. Take it for 15 days. Hopefully things should improve. If not try to do the following procedure himself few times a day. Do not use local anesthetic like mentioned above as he may damage/tear the fore skin without him being able to feel as the skin becomes numb after using the anesthetic. Instead use normal white petroleum jelly or coconut oil to lubricate the area and try manual retraction slowly few time daily for few days. If he continues to have problems after the homeopathic treatment as well as manual reduction, he has to go for a very small surgery.
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