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Dr. Anand Vitthal Nigudkar's Clinic

General Physician Clinic

# 1527, Near Tilak Smarak Mandir, Sadashiv Peth, Pune Pune
1 Doctor
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Dr. Anand Vitthal Nigudkar's Clinic General Physician Clinic # 1527, Near Tilak Smarak Mandir, Sadashiv Peth, Pune Pune
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Dr. Anand Vitthal Nigudkar's Clinic
Dr. Anand Vitthal Nigudkar's Clinic is known for housing experienced General Physicians. Dr. Anand Vitthal Nigudkar, a well-reputed General Physician, practices in Pune. Visit this medical health centre for General Physicians recommended by 101 patients.

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MON-SAT
10:00 AM - 07:00 PM

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# 1527, Near Tilak Smarak Mandir, Sadashiv Peth, Pune
Sadashiv peth Pune, Maharashtra
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All About Inguinal Hernia!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata

Overview
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. An inguinal hernia isn’t necessarily dangerous. It doesn’t improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that’s painful or enlarging. Inguinal hernia repair is a common surgical procedure.

Symptoms-
Inguinal hernia signs and symptoms include:

  • A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
  • A burning or aching sensation at the bulge
  • Pain or discomfort in your groin, especially when bending over, coughing or lifting
  • A heavy or dragging sensation in your groin
  • Weakness or pressure in your groin
  • Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum


Incarcerated hernia
If you aren’t able to push a hernia in, the contents of a hernia can be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that’s trapped. A strangulated hernia can be life-threatening if it isn’t treated.

Signs and symptoms of a strangulated hernia include:

  • Nausea, vomiting or both
  • Fever
  • Sudden pain that quickly intensifies
  • A hernia bulge that turns red, purple or dark
  • Inability to move your bowels or pass gas

Signs and symptoms in children-
Inguinal hernias in newborns and children result from a weakness in the abdominal wall that’s present at birth. Sometimes the hernia will be visible only when an infant is crying, coughing or straining during a bowel movement. He or she might be irritable and have less appetite than usual.
In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period.

Causes-
Some inguinal hernias have no apparent cause. Others might occur as a result of:

  • Increased pressure within the abdomen
  • A pre-existing weak spot in the abdominal wall
  • A combination of increased pressure within the abdomen and a pre-existing weak spot in the abdominal wall
  • Straining during bowel movements or urination
  • Strenuous activity
  • Pregnancy
  • Chronic coughing or sneezing


Risk factors-
Factors that contribute to developing an inguinal hernia include:

  • Being male. Men are eight times more likely to develop an inguinal hernia than are women.
  • Being older. Muscles weaken as you age.
  • Being white.
  • Family history. You have a close relative, such as a parent or sibling, who has the condition.
  • A chronic cough, such as smoking.
  • Chronic constipation. Constipation causes straining during bowel movements.
  • Pregnancy. Being pregnant can weaken the abdominal muscles and cause increased pressure inside your abdomen.
  • Premature birth and low birth weight.
  • Previous inguinal hernia or hernia repair. Even if your previous hernia occurred in childhood, you’re at higher risk of developing another inguinal hernia.

Complications-
Complications of an inguinal hernia include:

  • Pressure on surrounding tissues-  Most inguinal hernias enlarges over time if not repaired surgically. In men, large hernias can extend into the scrotum, causing pain and swelling.
  • Incarcerated hernia- If the contents of a hernia become trapped in the weak point in the abdominal wall, it can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas.
  • Strangulation- An incarcerated hernia can cut off blood flow to part of your intestine. Strangulation can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.

Treatment-

  • Open hernia repair- In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty). The opening is then closed with stitches, staples or surgical glue. After the surgery, you’ll be encouraged to move about as soon as possible, but it might be several weeks before you’re able to resume normal activities.

 

  • Laparoscopy- In this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in your abdomen. Gas is used to inflate your abdomen to make the internal organs easier to see. A small tube equipped with a tiny camera (laparoscope) is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair a hernia using synthetic mesh. People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. However, some studies indicate that hernia recurrence is more likely with laparoscopic repair than with open surgery.

Tips To Prevent The Spread Of HIV!

MD - General Medicine
Sexologist, Delhi
Tips To Prevent The Spread Of HIV!

Tips to Prevent the Spread of HIV-

  • Sex with protection (condom)
  • No multiple partners (sex partners)
  • Avoid intercourse with sex workers especially unprotected.
  • Avoid unprotected sexual intercourse at massage parlors.
  • Avoid intercourse with anonymous that too without protection.
  • Avoid bisexual activities.

Stay in a healthy and faithful relationship with your partner.

Piles And Its Symptoms!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Piles And Its Symptoms!

Piles or hemorrhoids are blood vessel swellings that develop around or inside the anus and rectum. Symptoms of this condition can range from mild to severe and include itching, pain, and bleeding discomfort.

1 person found this helpful

Vaccination For Sexually Transmitted Infections!

MBBS, MD - Dermatology
Dermatologist, Delhi
Vaccination For Sexually Transmitted Infections!

Many infections can be caused due to high-risk sexual behavior. These are known as'sexually transmitted infection (STI). These can be bacterial viral parasitic commonly.
Among many infections, only two are preventable by use of vaccines, HPV (Human Papilloma Virus) and Hepatitis B Virus. It is best to take them before the onset of sexual activity. However, something is better than nothing. So even after the start of sexual life, one can get these. Both vaccines have three injections in the first 6 months.

1 person found this helpful

Pain Management - How Acupuncture Can Be Of Help?

Bachelor in TCM, Diploma in Acupuncture, Diploma in Naturopathy & Yogic Science (DNYS)
Acupuncturist, Mumbai
Pain Management - How Acupuncture Can Be Of Help?

Acupuncture is a kind of therapy that combines needles with pressure and painpoints in order to delicately apply pressure for pain relief. This form of physical therapy is being increasingly recognised as an efficient method of treating pain in joints, muscles, bones and even for migraine pain. So let us find out more about Acupuncture and pain management.

  1. Chronic or Long Term Pain: There are many ailments that cause chronic or long term pain. These include back painneck pain, stiffness in the joints, osteoarthritis, headache and migraine, and pain in the shoulders. All this can be treated over a long period of time with the help of simulated acupuncture which uses pointed apparatus for activating better blood circulation for overall improvement in the pain that is being experienced in the area. The use of this apparatus helps in avoiding the harmful medication that can have adverse side effects.
  2. Menstrual Cramps: A fine needle method at the right points can help in bringing down the symptoms of the painful condition called dysmenorrhoea during menstrual cycles. With acupuncture, the acupuncturist can administer acupoint therapy to relieve menstrual cramps. This will help in moving the qi, or life force, in a better way so that the pain will stop. 
  3. Acute Pain: Over use of muscles, joints and repetitive, work related movements and strain can lead to acute pain. This includes wrist pain, shoulder painelbow pain, back pain, lower back pain, neck pain and even leg pain. With acupuncture, the patient gets rid of the pain in close to twelve sittings.
  4. Pain due to Cancer Treatment: Cancer and its treatment can take a heavy toll on the body and lead to a series of complications which also includes pain. A clean needle procedure can be followed along with the chemotherapyand radiation or after it, so as to relieve the patient of the pain experienced. Also, it can be used to replace traditional chemotherapy and radiation. 
  5. Better Rest: When the needles or apparatus touch the pressure points and circulate the blood and life force, it actually creates a soothing effect and helps the patient sleep and get better rest. This is also a requirement for pain relief. It can bring better blood flow to the area and help in removing anxiety and stress related to pain so that there is better chance of getting rest. 

With the use of acupuncture, pain can be taken care of with the needles and various tools that come in various shapes. These tools and equipment can also use laser treatment along with the point focused treatment.

7 Tips To Improve The Quality Of Your Sleep!

MD - Physical Medicine & Rehabilitation
General Physician, Ranchi
7 Tips To Improve The Quality Of Your Sleep!

If getting quality sleep is something that you may not be experiencing regularly, you need to take steps to correct it. Sleep improves your health and revitalizes your body allowing your body to be refreshed and energetic.

In today's world, getting quality sleep has become a luxury due to various factors like excessive work and the internet. There are certain tips, which you may follow to improve the quality of your sleep. Some of them are:

  1. Limit caffeine intake: Drinking too much coffee stimulates the body making you energized and thus hampering your ability to fall asleep. Aim to avoid coffee at least 5-6 hours before you go to sleep.
  2. Follow a sleep schedule: You should make it a habit to go to bed and wake up at the same time on a regular basis. This will allow you to fall asleep easily as the body's internal sleep cycle is reinforced, thus facilitating better sleep.
  3. Try to create a comfortable environment: Comfort is an important factor when it comes to sleep. A proper environment with comfortable clothing allows you to relax and experience better sleep. Make sure the room is dark, cool and quiet to help you fall asleep faster.
  4. Pre-sleep routine: You may follow a ritual before you go to sleep on a regular basis as this may help in preparing the body for sleep. Taking a bath or engaging in mediation for a few minutes are wonderful practices to follow before you sleep.
  5. Exercise on a regular basis: You should exercise on a regular basis as this will allow you to sleep better. Exercises also releases endorphins that improves your overall wellbeing.
  6. Reduce stress: Aim to reduce stress as this will allow you to sleep better. Stress may cause anxiety and insomnia which may impair your sleep.
  7. Eat light meals for dinner: Eating carbohydrates laden meals for dinner may hamper your digestion and cause problems in your sleep. So eat light meals and preferably two hours before you go to bed.

Common Sexual Problems & What Can Lead To It

SKH Medical College Beed
Sexologist, Parbhani
Common Sexual Problems & What Can Lead To It

Any kind of dysfunction points to the issues experienced during any stage of the cycle of physical issue that prevents the participants from experiencing any kind of satisfaction from the intimate activities. Though the researches imply that sexual problems are common all across the globe; 43% of women along with 31% of men are affected by some sort of dysfunction; however, it is something that most people are hesitant to talk about. But thankfully enough, most cases of sexual problems can be effectively treated, and can be prevented from occurring again, by sharing your concerns with a qualified doctor. You should consider visiting the doctor along with your partner.

What leads to sexual problems?
Sexual problems can be caused either due to physical or psychological reasons. Many medications and clinical conditions can cause a variety of sexual dysfunctions, and these physical conditions include heart and vascular disease, high levels of blood sugar and blood pressure, any kind of neurological disorder, chronic diseases of the kidneys, liver and lungs, and hormonal imbalances. In addition to this, the side effects stemming from any medicine, including antidepressant drugs, can cast a harmful impact on the sexual desire and its normal functioning. On the other hand, psychological causes refer to the stress caused due to work pressures, anxiety, depression, excessive concern about sexual performance, feelings of guilt, and relationship problems.

What are the common sexual problems?
What leads to sexual problems can cause a wide variety of issues in both men and women. While erectile dysfunction is most commonly found in men, vaginal dryness is the most common issue in women. Sexual dysfunction can take a variety of forms, and it is not plainly confined to the dysfunction or simple disinterest in sex, which is commonly termed as lack of sex drive. It can also involve pain while having sex or an inability to maintain the erection or experiencing pain while getting an orgasm. There are some people who experience excruciating pain during intercourse, which is often accompanied with a burning sensation.

All couples have the right to enjoy a happy and healthy sex life, which can be considered a crucial aspect of any relationship. So, if you are having any kind of difficulty that is interrupting your lovemaking, it is imperative to speak with your doctor to get the right diagnosis, and discuss openly with your partner to find out the ideal solution of your sexual problems.

Acute Coronary Syndrome - How To Diagnose It?

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Acute Coronary Syndrome - How To Diagnose It?

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms:  The tell-tale signs of a heart attack are as follows:

- Chest pain and discomfort usually described as a tightness or burning in the chest region
- Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
- Nausea and vomiting 
- Profuse sweating 
- Difficulty breathing 
- Dizzy or fuzzy feeling 
- Tired, extreme fatigue
- Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks, and depending on severity, either they go on with life as usual or can have a fatal attack.


Diagnosis: Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

- Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity which is indicative of a myocardial infarction.

- Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin, are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.

- In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.


Management:  Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

- Dissolve the clot - Using thrombolytics like clopedigrol 

- Nitroglycerin - To dilate the blood vessels and improve blood flow, especially to the heart muscles

- Anticoagulant therapy - Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.

- Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used

- Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.
In very severe cases, angioplasty and stenting or coronary bypass surgery may be required.

Educating people on how to identify a heart attack and manage it is very useful and can help save lives.
 

3 people found this helpful

My age is 31 years, After intercourse with in 15 Seconds my sperms comes out. I am facing this problem from long time i.e starting from when I was teenager. That time normally I used masturbations, that time also my sperm come very early. So pls suggest what should I do.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
My age is 31 years, After intercourse with in 15 Seconds my sperms comes out. I am facing this problem from long time...
Vrihad Vangeshwar Ras 125 Mg Twice a Day Kamdev Avleh 10 Gm Twice a Day Relief In 5-6 Days and for Complete Cure Take it for 60 Days Only Avoid Oily and Spicy Food
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Premature Ejaculation!

MD - General Medicine
Sexologist, Delhi
Premature Ejaculation!

Ejaculation is the sudden, pleasurable release of semen through the penis. The process is controlled by the brain through the central nervous system. Premature Ejaculation is the ejaculation of semen sooner than a male wants. It can happen before or after penetration. It is also known as the premature climax, early ejaculation, early discharge, rapid ejaculation. It can be frustrating as it makes sexual life less enjoyable. It is not a disease but some systemic diseases can lead to premature ejaculation.

It is connected to - Erectile Dysfunction, Prostatitis, chronic pelvic pain syndromes, thyroid dysfunctions. In case if Erectile Dysfunction is the reason, it should be treated first. Reasons for premature ejaculation can be biological, chemical, and emotional. Factors that are responsible for premature ejaculation - Age, Serotonin, psychological issues, depression, sexual repression, thus can result in stress, guilt, lack of confidence, relationship problems. Premature Ejaculation treatment includes psychological therapy, behavioral therapy, medical therapy with drugs, creams, sprays.

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