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Poorva Clinic

General Physician Clinic

Block No. 4, PB Angan, Magarpatta, Hadapsar, Pune Pune
1 Doctor · ₹100
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Poorva Clinic General Physician Clinic Block No. 4, PB Angan, Magarpatta, Hadapsar, Pune Pune
1 Doctor · ₹100
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Poorva Clinic
Poorva Clinic is known for housing experienced General Physicians. Dr. Kute Sarika, a well-reputed General Physician, practices in Pune. Visit this medical health centre for General Physicians recommended by 57 patients.

Timings

MON-SAT
09:00 AM - 10:00 PM

Location

Block No. 4, PB Angan, Magarpatta, Hadapsar, Pune
Magarpatta Pune, Maharashtra
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Doctor in Poorva Clinic

Dr. Kute Sarika

BAMS
General Physician
11 Years experience
100 at clinic
Available today
09:00 AM - 10:00 PM
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Am 24 old men I have problem with erectile dysfunction due to masturbation and small penis ,wt can I do now please advise me, is there any treatment in homeopathy?

MD - Homeopathy, BHMS
Homeopath, Pune
Am 24 old men I have problem with erectile dysfunction due to masturbation and small penis ,wt can I do now please ad...
Homoeopathy is wonderful in treating such chronic, repetitive complaints. For medicine consult online in private with detailed account of your complaints and reports. Erectile dysfunction (ED) is commonly called impotence. It’s a condition in which a man can’t achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido Exercise regularly. Really. Make it a priority to get outside or go to the gym and walk, run, swim, bike, or do strength training at least 4 times a week. According to a study conducted by Harvard, walking 30 minutes a day caused a 41% drop in risk for ED. Getting regular exercise aids circulation, getting your blood pumping through your entire body. When it's time to sustain an erection, better circulation is key Keep your weight down. Larger waistlines are associated with higher rates of ED. Putting in the work to slim down can lead to huge improvements in the bedroom. Make sure you're eating a healthy diet loaded with plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Quit smoking. Smoking can make ED worse, since it interferes with your circulatory system and is linked to diseases that cause ED. If you're having trouble sustaining an erection, now might be the time to give up the cigarettes for good. Avoid alcohol. Alcohol is another substance that has a huge impact on erections. After a few drinks, many men of all ages find it much more difficult to stay hard. Exercise your pelvic floor. The pelvic floor helps the penis stay hard during erections by pressing on a vein that keeps blood from leaving until the erection is over. Men who exercise their pelvic floor have better results than those who rely solely on lifestyle changes to correct erectile dysfunction Remove stressors from your life. Anxiety is one of the biggest culprits when it comes to ED. If you can find a way to destress, you'll be more likely to maintain erections. Think about the biggest sources of stress in your life right now. What can you do to give yourself a break? Practice mindfulness. Do you find yourself getting distracted by worries instead of living in the moment during sex? Mindfulness is the act of being completely in the present, both physically and mentally. Clear your mind and focus on the sensations your body is feeling during sex Communicate with your partner. Do you feel comfortable and accepted when it comes to your sexual performance? If you're worried about meeting your partner's too-high expectations or living up to some kind of standard, it will be harder to maintain an erection - it's called performance anxiety. If you think your partner's judgement might be hindering your ability to have satisfying sex, you need to communicate your needs and find ways to make your sexual environment more inviting. Learn more about sex. If you have deep-rooted anxieties or guilt related to sex, these negative emotions might be causing your ED. Learning more about sex can be a good way to feel more comfortable with your body and better understand your needs in bed. Read up on sex techniques or take a sex positive workshop as a way to open your mind to new possibilities and increase your comfort level. FOR MEDICATION CONSULT ONLINE IN PRIVATE.
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Hlo sir. Sex Karne se mera bahut jalde gheer jata hai. Mein kya kru please sir bataye koi upai.

BAMS, PG Diploma (Sexual Therapy), PG Certificate (Cosmetology & Laser Therapy), PG Diploma in sexology, psychosexual medicine, infertility, Fellowship in Sexology, Fellowship in Medical Trichology, Fellowship in Clinical Cosmetology, Advance Medical Skin Aesthetics and Laser, PG Diploma in clinical Cosmetology, PG Diploma in Medical Trichology, Hair Transplant Assistant, OZONE THERAPY, MD-BIO CHEMIC MEDICINE
Sexologist, Kolhapur
Hlo sir. Sex Karne se mera bahut jalde gheer jata hai. Mein kya kru please sir bataye koi upai.
Ye premature ejaculation ki problem hai. Jo over sexual excitement hone per hote hai. Sex therapy and medicinal therapy se thik ho sakate hai medicinal 1-- Tab Depox 30 mg one hour before intercourse 1----------1 sex therapy 1-- kegel exercise 2-- start and stop method 3--Counting method sex technique 1-- female top position 2-- applying anesthetic jelly or spray 3-- use penile rings 4-+ use crystal condom.
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I've diabetics and taking one tablet of tenepam M everyday. HbA1c level came down from 8.9% to 8.0% in one month and since then maintaining fasting sugar below 95 mm/dl by regular exercise and medication. Kindly advice how long it will take to lower HbA1c level to below 7.2 %.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I've diabetics and taking one tablet of tenepam M everyday. HbA1c level came down from 8.9% to 8.0% in one month and ...
Mr. lybrate-user, Thanks for the query. It is not possible to predict within how many days HbA1c level will reduce to your expectations. Ideally in very well controlled diabetes fasting should be< 100 mg, PP 150 to 160 mg & HbA1c % ,< 6.8. I don't know why 7.2 is your target. Thanks.
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Hi, in recent routine health checkup, I came to know that I am having fatty liver mild degree. Is there any serious issue that I need to take any medication or diet? Will this is reversible?

Bachelor of Ayurvedic Medicine And Surgery , MD - Ayurveda
Ayurveda, Hyderabad
Hi, in recent routine health checkup, I came to know that I am having fatty liver mild degree. Is there any serious i...
You can control this with diet and lifestyle modifications. In general, the diet for fatty liver disease includes: lots of fruits and vegetables high-fiber plants like legumes and whole grains very little added sugar, salt, fried foods no alcohol daily exercises mainly Suryanamaskaras.
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Blood In Urine - Know The Underlying Causes Behind It!

Homeopath, Navi Mumbai
Blood In Urine - Know The Underlying Causes Behind It!

Urine is normally pale yellow or straw coloured. However, for various reasons, this can change. In fact, the change in the colour of urine is one of the first indications of a deeper underlying problem. This would also be one of the questions that the doctor would ask when suspecting any problem with the urinary tract, starting from infection to stones to cancer.

Hematuria is, therefore, a symptom and not a problem in itself. Some of the reasons for hematuria – presence of blood cells in the urine, producing a light pinkish urine, are listed below.

  1. Urinary tract infections – starting from urethra all the way up to the kidneys

  2. Glomerulonephritis

Kidney Stones

  1. Prostate enlargement

  2. Tumours/cancers in the kidney, bladder, or prostate

  3. Heavy exercises causing trauma to any of the internal urinary tract organs

  4. Bleeding disorders

  5. Certain medications

  6. Appendicitis

  7. Tuberculosis

As the disease progresses higher in the urinary tract, the severity of hematuria also increases. Though hematuria is a symptom in itself, there are some associated symptoms which are listed below-

Homeopathy believes in treating the person as a whole and not just the presenting symptoms. The doctor will ask a number of questions, some pertaining to unrelated organs, which will help them identify the reason for the hematuria. The treatment prescribed will be customised to the patient in question, but some of the common ingredients used in hematuria management are given below.

  1. Hematuria from all causes can be managed with Terebinthina.

  2. Bladder hematuria is better managed with Erigeron Canadense at 80% concentration while renal hematuria responds better to the same at 60% dilution.

  3. Inflammatory hematuria can be reduced with Cantharis (80%)

  4. Renal hematuria is better managed with Gossypium herbaceous (60%).

  5. Renal colic with pain in the glans, groyne, and thighs responds well to Pereira brava.

  6. Cocus cacti thrice a day is useful where there is itching of the urinary meatus along with the passing of red-coloured urine.

  7. When there are small stones or sand particles in the urine along with pain at the end of the micturition process, Sarsaparilla thrice a day is known to be beneficial.

  8. In some other people, Arnica Montana, Cantharis, phosphorus, and Hepar Sulphur are also used to relieve symptoms of hematuria.

As with any homeopathic treatment, the actual ingredient chosen would depend on the actual symptom that the patient presents with. Though these compounds are used, self-medication is not advisable. Talk to a specialized homeopath who will identify the right ingredient for a given clinical presentation.

HIV - How It Affects Drug Resistance?

MBBS, MD - Dermatology
HIV Specialist, Mumbai
HIV - How It Affects Drug Resistance?

HIV infection is the causative factor of the acquired immune deficiency syndrome (AIDS). Worldwide research is being conducted and treatment strategies are being formulated to combat this fatal disease. Fighting HIV is not an easy task, since the disease cannot be completely reversed. However, worldwide use of anti-retroviral therapy has helped in controlling the spread and transmission of disease. Use of medications, regular screening and close contact with caregivers and physicians is necessary for proper management of the disease. Despite, available treatment options, a difficult obstacle that arises before or during the treatment is drug resistance.

Drugs are aimed at targeting the disease-causing pathogens like bacteria and viruses. These pathogens, over a period of time, develop the ability to acquire resistance against the targeted drugs. The pathogens continue multiplying despite the presence of the drug in the system. In today’s scenario, the potent drug combination of anti-retroviral therapy (ARV) has been successful in remarkably reducing HIV-related mortality. However, an increased emergence of resistance to the drug therapy is concerning.

Amongst the various drug classes available in the ARV, no drug is resistance-proof. The drugs belonging to the same class have a similar mechanism of action against the virus. So resistance developed against a particular class of drug inevitably leads to resistance against all the other drugs belonging to that class. An individual with HIV infection may have one or more drug-resistant mutations, which makes the person less sensitive to one or more anti-retroviral drugs. When the replication of virus in the system is not suppressed fully, a resistance towards it develops.

Non-compliance of the ARV results in resistance. Resistant viruses can spread the infection and affect ARV therapy. Drug resistance is usually attributed to inadequate adherence to the regimen. But in some cases, strict adherence to the drug is seen, yet there is a presence of resistance due to poor absorption. This implies that since the drug is not getting adequately absorbed in the body, it is unable to prevent the replication thus leading to drug resistance.

Anti-retroviral treatment is aimed at limiting the replication of HIV in the body. Various drug classes target different steps of replication, which stops further replicating and infecting of the cells. The nucleo-capsid contains viral genome and three enzymes vital to HIV life cycle:

  • Reverse transcriptase - Transcribes viral RNA genome into complementary deoxyribonucleic acid (DNA)
  • Integrase - Facilitates incorporation of pro-viral DNA into host cell genome
  • Protease - Cleaves viral polypeptide into individual functional enzymes

Drugs targeted on these steps are as follows

  • Nucleoside and non-nucleoside reverse transcriptase inhibitors like Nevirapine and Efavirenz act on the reverse transcriptase enzyme.
  • Integrase inhibitor Raltegravir acts on the Integrase enzyme.
  • Protease inhibitors like Ritonavir, Indinavir, Saquinavir act on the Protease enzyme.
  • Fusion inhibitor Enfuvirtide acts to prevent fusion of HIV with cell membranes.
  • CCR5 inhibitor Maraviroc block the CCR5 co-receptor.
  • A viral mutation occurring at any stage of this process can affect the efficacy of the drug therapy.

The emergence of drug resistance can be managed by evaluation of drug absorption and ensure strict adherence to the drug schedule. Genotype tests can be done to look for drug-resistant mutations in genes. Phenotype tests are done for measuring the ability of a virus in an individual to undergo replication in different drug concentrations. A successfully administered and effectively acted first-line drug treatment, preferably a 3-drug combination, reduces the chances of drug resistance in future.

Breast Cancer - 8 Lesser Known Signs Your Body Will Give You!

MBBS, MS - Oncology, DNB ( General Surgery )
Oncologist, Bangalore
Breast Cancer - 8 Lesser Known Signs Your Body Will Give You!

Breast cancer is the most common forms of cancer in females, affecting one in every eight women in the US. There are huge awareness campaigns, which revolve around ways to recognize if you are prone for it and how to identify the disease in its early stages. Knowing the symptoms can help in early diagnosis and thereby early intervention and better prognosis.

How and why of breast cancer?
The breasts produce milk through the glands, which also contain connective tissue including fat, fibrous tissue, nerves, blood vessels, etc. The milk reaches the exterior through a fine network of ducts. Most cancers develop as small calcifications in these ducts, which continues to grow and spread to distant organs.

Warning signs and symptoms: Given the high incidence of breast cancer, knowing the symptoms helps in early identification. Read on to know more, especially if there is a family history.

  1. Any change in the size, shape, or contour of the breasts
  2. Appearance of a lump in the breasts or the armpits
  3. Presence of a clear or bloody discharge from the breast
  4. The breast or the nipple turning red
  5. Sudden thickening of breast tissue or skin that continues for a while
  6. Change in the feel or look of the skin (dimpling, puckering, scaliness, reddishness, warmth, etc.)
  7. Hardening of the tissue under the breast skin
  8. Difference in appearance or feel of one area in comparison with other areas

The presence of any of these or a combination of these symptoms should be an indication for a detailed checkup. As mentioned, early diagnosis helps in reducing complications and improving prognosis. It is also good to know risk factors, which also indicate if you need to watch for symptoms.

  • Family history: Breast cancer runs in families, and if you have a first-degree relative with breast cancer, watch out for symptoms.
    • Tested positive for BRCA1 and BRCA2
    • Family history of other cancers
  • Age: Women over the age of 50 are at an increased risk of developing breast cancer.
  • Race: Caucasian women carry greater risk than African-American women.
  • Hormones: Increased use of estrogen increases the chances of developing breast cancer. Therefore, women who have used birth control for long time or are on hormone replacement are at greater risk.
  • Abnormal gynecologic milestones: Women who have abnormal menstrual milestones are more predisposed to developing breast cancer. For instance, girls who attain menarche before age of 12, get pregnant after 30, and reach menopause after 55. Women with menstrual irregularities including cycles earlier than 26 days and later than 29 days are also likely to have hormonal issues and are, therefore, at higher risk of breast cancer.
  • Other factors: Smoking, alcohol abuse, and obesity also increase the chances of a woman developing breast cancer.
     

Holes in the Heart - How Are Holes in the Heart Treated?

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
Holes in the Heart - How Are Holes in the Heart Treated?

Many children are born with Atrial Septal Defect, a condition which is popularly known as holes in the heart. It is a major concern for most parents, but, thankfully it can be treated very easily. None of the parents want their child to undergo hospitalization and the resulting pain that treatments might incur. However, the good news is all kinds of heart holes do not need to be closed by surgery at all. Many a time the holes are filled over time naturally and the child only needs to be under medical observation that’s all.

Catheter Procedure
In case a surgery needs to be performed, given the hole(s) in your child’s heart is medium to large sized, the surgeon makes sure that the procedure is painless. One of the commonest surgeries is one that involves the use of a catheter. Here, a catheter is attached to an umbrella-shaped device (a disk) and the apparatus is inserted through the groin region. The device is designed to reach your child’s heart and attach a disk to the hole, thereby filling it. When the process reaches completion the catheter is taken out of the body. The good thing about this surgery is that by six months natural tissues grow over the surgical site and re-operation is not required.

Open Heart Surgery
Another type of surgery that is performed to treat Atrial Septal Defect is an open heart surgery. This is only carried out only when the condition is serious. In this surgery too, the child is given medications that allow him/her to sleep throughout the procedure. Using a bypass machine the surgeons opens the heart and while the surgery is on, this machine imitates the pumping of the heart. The surgeon then uses a patch like a device to seal off the hole(s). Post surgery the child is discharged from the hospital within a week. There will be some guidelines that the concerned doctor might acquaint you with pertaining to the post-treatment care of the child. He/she might prepare a diet chart for your child.

Ventricular Septal Defect
Ventricular Septal Defect is a condition where a hole develops around the wall which separates the lower chambers of the heart. In most cases, the hole closes in on its own. If the hole is medium or large sized, a surgery will be performed. With surgery, your child would go back to leading a normal life. It is just that you need to take special care of his/her diet. The doctor might recommend foods that are high in calories. Make sure you follow the doctor’s advice properly and watch your child going back to bounding and playing like other children in no time.

Coronary Artery Disease - Preventive Measures That Can Be Of Help!

MD - Medicine, DNB (Cardiology), MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Chennai
Coronary Artery Disease - Preventive Measures That Can Be Of Help!

The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls.

This attracts more and more fat molecules to settle down.  This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.

This condition, known as coronary artery disease, is becoming a major cause of deaths.  While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.

Preventive measures:

1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease.  This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar.  Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.

2. Exercise:  Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management.  Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.

3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.

4. Alcohol consumption:  While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no.  Binge drinking especially is shown to cause heart attacks.

5. Weight management: Check with your doctor on what is ideal BMI for you and work out a plan to keep your weight under check.

6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them.  Keep a constant check to ensure your readings are managed well.

7. Watch out:  Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.

Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.

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