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Dr. Guthe

General Physician, Pune

Dr. Guthe General Physician, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Guthe
Dr. Guthe is a trusted General Physician in sangvi, Pune. Doctor is currently practising at Makan Hospital in sangvi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Guthe on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 44 years of experience on Lybrate.com. You can find General Physicians online in Pune 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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Makan Hospital

Shri Krishna Sty, Old Sangvi, Pimpri Chinchwad, PunePune Get Directions
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Is touching and kissing on breast unhygienic? Is touching, rubbing and kissing vagina unhygienic? Is lip kissing unhygienic? Please clarify on each.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- as far as breast and lips are concerned, you can do kissing licking whatever your want to enjoy your sex, but in case of vagina you can rub and touch it but you should not try to kiss it as it is an opening of excretory (waste products) system in females.
2 people found this helpful
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I have pain in chest in right site during to running what problem can be in my heart.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
I have pain in chest in right site during to running what problem can be in my heart.
According to your age after any chest pain. Firstly I should always do an ecg, so to find out any heart relation, if yes-get treated, if no-then some other reason. So to be prescribe medicines according it. Revert back.
1 person found this helpful
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Urinary Incontinence in Men - Treatment Options!

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist, Noida
Urinary Incontinence in Men - Treatment Options!

Urinary incontinence is a health condition in men, which is caused by loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson’s disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured. There are several ways to treat this condition which include home remedies as well as medications and surgery. 

Here are several methods used to treat urinary incontinence: 

  1. Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference. 
  2. Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time. 
  3. Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor. 
  4. You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks. 
  5. You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as they boost the strength of your pelvic muscles. 
  6. You should find the right muscles that are required to stop the passing of gas. 
  7. Pads and disposable undergarments can be used by men. These help in containing leaks and also protect the skin from irritation and odor. 

There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking and treatment of an enlarged prostate are also used as blocked by prostate lead to bladder irritation. Now-a-days, more than 80% cases of incontinence in males respond well to medications.

Surgery may be the ultimate option for the treatment of urinary incontinence. Options depend on the cause of incontinence. If it is because of obstructing prostate, prostate surgery by TURP / HOLEP is curative. If it is because of bladder overactivity, BOTOX injection in bladder is useful. If it is TRUE incontinence after radical prostate surgery then treatment include a male sling or artificial urinary sphincter implantation. In sling operations, a type of material is wrapped around the urethra for compressing it. In Artificial sphincter implantation, a cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A Interstim device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor. If you wish to discuss about any specific problem, you can consult an urologist.

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I am 37 years old, my heart beat per minute 96-104, I have work tensions I am govt teacher. Pls give me advice.

BHMS
Dietitian/Nutritionist, Raipur
I am 37 years old, my heart beat per minute 96-104, I have work tensions I am govt teacher. Pls give me advice.
You should check up bp and ecg first with consulting physician. Dont take tension, manage your life style, do regular physical exercise, avoid fatty food. It will help you.
1 person found this helpful
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She always suffer from severe headache during nights. What should we do for this?

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
She always suffer from severe headache during nights. What should we do for this?
Thanks for your query. Take dolo 650 2-3 times a day and provide me info on which part of head you have pain, whether you can see perfectly (vision), if you are any stress or tension and if you had such headaches in the past in the private question section and I will be able to advice accordingly.
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I'm feeling excessive sleepy.In spite of taking adequate sleep during the night. I'm a student and this lifestyle is affecting my daily routine. Please do resolve it.

MBBS
General Physician, Jalgaon
I'm feeling excessive sleepy.In spite of taking adequate sleep during the night. I'm a student and this lifestyle is ...
Please start doing meditation daily do regular pranayam and yoga avoid fatty diet take salads and fruits more take tab geriforte by himalaya 1 1 regularly.
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Sir I am 45 years male, I am htn and on 5mg amlodopine, but I am having headache on back side every time. My bp is between 120 to 150 and 80 to 95. Can I increase my dose up to 10 mg.

MD - Consultant Physician
General Physician, Jaipur
Considering your age your bp should be <=140/90. If it is above this you can increase your amlodipine dose to 10mg per day or better to keep it 5 mg and add another antihypertensive.
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I am un married, I have more interest on sex, if I'm alone automatically mind diverting to sex thoughts, so everyday getting done with hand masturbate, is that will get affect any side effects? If yes how to divert mind from that thoughts and how to control sex feelings?

MBBS, MD (PSM), M.F.Hom (London)
Homeopath, Nagpur
I am un married, I have more interest on sex, if I'm alone automatically mind diverting to sex thoughts, so everyday ...
As your young, this thinking will come to your mind. It is natural .If you are masturbating frequently .so any kind of organ if you put on overwork. So it will be fatigued. So you will feel weak and tired due to more use of ATP.
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What are the side effects of consuming fennel seeds. Does it have any affect in causing hairloss. As I love consuming fennel seeds and consume everyday after food and most times even randomly. Lately I had been suffering from tremendous hairloss. Please guide if there's a relation between the two factors.

PDDM, MHA, MBBS
General Physician, Nashik
What are the side effects of consuming fennel seeds. Does it have any affect in causing hairloss. As I love consuming...
No. Fennel seeds aid in preventing and reducing hair loss, strengthening the hair shaft, preventing hair damage and sealing moisture into the hair follicles.
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I have cough since 2 weeks associated with sputum of grey colour since 1 week. On taking a x ray it was normal. What can be the diagnosis other than Pulmonary Tuberculosis?

MBBS
General Physician, Cuttack
it could be due to bronchitis.take a course of Antibiotic.do blood test like ESR,CBC and consult chest physician for advice and treatment
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My frnd has swine flu for 3 days. What medicine should he take and suggest some precaution to avoid it.

BAMS
Ayurveda, Bangalore
My frnd has swine flu for 3 days. What medicine should he take and suggest some precaution to avoid it.
Hi, please get him admitted to the hospital immediately as it is highly contageous and needs to be treated in the isolation ward. Please follow these precautions: - avoid touching nose, eyes or mouth frequently. - cover your face while coughing or sneezing with a tissue or handkerchief and make sure people around you also follow the same. - avoid public places, crowded areas and unhygienic conditions as ther is a possibility of catching an infection. - if you are feeling sick, stay back at home and take rest so that you can avoid spreading of the disease and even you can recover fast if you take adequate rest. - in swine flu endemic areas, wear standard swine flu mask (h-95 mask) which are worn by the doctors and sample collecting technicians. Regular surgical mask which sold in the market like hot cakes are not good enough to prevent the entry of the viruses. - maintain personnelhygiene by washing your hands before and after eating and after visiting public places. - one can even get vaccinated after consulting a doctor in the hospital.
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I had a fracture in my right hand one month. So can I know what exercises I have to do to recover?

Ergonomist, MPTh/MPT, Trained in Mulligan Concept, BPTh/BPT
Physiotherapist, Gurgaon
First you need to increase the range of motion if your joint is stiff and then start doing exercises to build strength take a gel ball and do squeezing.
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My pennis is so strong and big while on mood. But it becomes small and weak while inserting into my girlfriend pussy. I can't enjoy sex with her. How can I overcome that. Suggest some natural medicine and health tips.

BAMS, MD Ayurveda
Sexologist, Lonavala
My pennis is so strong and big while on mood. But it becomes small and weak while inserting into my girlfriend pussy....
The best remedy i can recommend you is as follows Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This remindy will be helpful.
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Doc. Aaj heamoglobin level check krwaya 12.8 mg hai. Saal pehle 4.5mg, phir 6 months baad 13.5mg aur ab 12.8 mg hai. Kya main anaemic hoon? Agar hoon to help please to recover this.

MBBS
General Physician, Cuttack
Normal hemoglobin for male is from 13.5 gm/dl to 16.5 gm/dl. Your hemoglobin is slightly low. 1. Take good nourishing diet like milk, cheese, paneer, egg, fish, mutton, chicken, pulses, soybean 2. Fresh green leafy vegetables, tomato, cauliflower, broccoli, pumpkin, beans, spinach. 3. Fruits rich in vitamin c (helps in absorption of iron) like citrus fruits lorange/grape/strawberry guava/mango/pineapple/- water melon 4. Fruits like apple, dry fruits like dates, khajoor, kismiss 5. Drink plenty of water, 6. Go for regular exercise, 7take adequate rest, 8. Avoid physical and mental exertion. 9. Take haem up syrup 3 tsf twice daily before food 10. Monitor your hemoglobin.
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I'm 21, I'm using smartphone every time very addicted to phone which causes lonely, frustrated, anger, depression, obesity, headache, moody, lees concentration in study etc. Help me how to avoid using smartphone, I'm really addicted to this net.

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
I'm 21, I'm using smartphone every time very addicted to phone which causes lonely, frustrated, anger, depression, ob...
Hello, set an alarm on your phone for a particular time in the morning (e. G. 6 am) which says" start using cell phone" and another alarm at a perticular time in the night (e. G. 10 pm) which says" stop using cell-phone. After the night alrm rings immediately turn off your cell-phone. Hope this helps.
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I am suffering from abdomen pain. If I eat, golgappa. Eggroll, or any 1st food. I feel huge pain. How can I improve it?

MBBS
General Physician,
it is very simple just avoid having these junk spicy unhygienically prepared in unhygienic atmosphere or conditions have balanced heathy food like leafy vegetables, cereals, lean meat instead of ref meat change the lifestyle or food habit's. things will improve.

A am a 54 year old suffering from constipation and difficulty in bowl movement. After meals I feel heavy as my food does not get digested easily so I feel discomfort in lying down.

BHMS
Homeopath,
A am a 54 year old suffering from constipation and difficulty in bowl movement. After meals I feel heavy as my food d...
Dear lybrate user, you need to take homoeopathic carbo veg 200, 5 drops, thrice daily, in empty stomach. You can also try homoeopathic liver tonic liv-t (sbl company). Take 20 ml of the aforesaid liver tonic, thrice daily, after meals. Try to drink as much water as you can drink daily. Try to get an uninterrupted sleep of minimum 8 hours.
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Hello sir I am very worry about semen leakage I have been noticing from last 15 days that some drops of semen came out after urine.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Hello sir I am very worry about semen leakage I have been noticing from last 15 days that some drops of semen came ou...
This is not good and need s urgent treatment .Secondly please avoid all heat causing thoughts, clips ,foods etc. Many techniques counseling etc with medicines will be very useful for you so please consult personally whenever possible.
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Hello my father is a 64 years old patient with history of ich brain hemorrhage and history of urine and kidney infection hospital acquired. Currently he is under medication in addition we are giving him amla juice, giloy tablets, neem tablets. Can these products be given for long periods without any side-effect?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are various causes affecting mensuration. You need to immediately consult me privately. I can prescribe some tests to identify the causes and treat accordingly.
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Sir, my sperm ejaculation is very fast. Provide me some help to control and to increase duration.

BAMS, MD Ayurveda
Sexologist, Lonavala
Sir, my sperm ejaculation is very fast. Provide me some help to control and to increase duration.
as per your concern i would suggest you to do following remedy Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day surely you will get results, if it dosent work then you must consult ayurvedic doctor.
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