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Dr. N P.Rao

General Physician, Pune

400 at clinic
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Dr. N P.Rao General Physician, Pune
400 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. N P.Rao
Dr. N P.Rao is a popular General Physician in central Panchgani, Pune. You can visit him at Rao Nursing Home,Bibvewadi in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. N P.Rao on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 30 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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Hindi

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Rao Nursing Home,Bibvewadi

#672 5B Ayodhya Complex, Swami Vivekanand Marg, Bibvewadi,Landmark: Opp Canara Bank, PunePune Get Directions
400 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have a question regarding my ear .Every year my ear discharge some thing wet .From both the ears it have same thing .So i feel some time oppostise speaking slowly so i have to say him speak louder.

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
It can be due to wax in the ear or some other problem in the middle ear.So get an ENT consultation done.
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Aven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

BAMS
Ayurveda, Ambala
Aven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't wo...
Dear, These are some instructions & methods for good sleep: • Frequent oil massage of head with oil relax your mind and enhances sleep. You can also do foot massage daily it destress you. * Eat food with a bowl of curd and after that off the light and go to sleep because after eating meal our brain become relax and sleep comes. • Drink a glass of milk at night daily. * Avoid the excess use of laptop and phone during night. They also cause sleeplessness. • Do not take caffeine, tea & alcohol in excess and these are stimulant,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Do not take stress. Do meditation and long breathing pranayams to relax the mind.
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Hello sir I am sugar patient so kindly he me Approx two months sugar I actual help you depend.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir I am sugar patient so kindly he me
Approx two months sugar I actual help you depend.
Looking at your age you must be having t1 dm, which needs insulin injections to control blood sugar. I am sure you have already started the necessary treatment. Apart from that you need to monitor blood sugar almost daily so that dose of insulin is adjusted as well as blood sugar is also brought under control. So you will have to be under a constant care of a good local phsician or a diabetologist. Plus you have to avoid sweets, deep fried foods, sweetened aerated drinks, junk foods and pastries. Also exercise regularly to keep sugar levels in control.
4 people found this helpful
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Me and my gf just got married. We both are virgins. I am unable to penetrate her as the vagina is very small and she becomes tense in anticipation of the pain. I have been inserting a finger for last 2 days. Was able to insert my penis by a inch but the pain was unbearable for her. Also after trying for 15-20 seconds, I also lose my erection. Please suggest a solution. Also, Should we be using a lube? If yes, which one? Thanks.

MBBS, FAM, diploma in weight loss
Dermatologist, Meerut
Me and my gf just got married. We both are virgins. I am unable to penetrate her as the vagina is very small and she ...
Use a silicone based lube. Have enough foreplay before insertion. Get her a tablet of paracetamol 500 mg half an hour before you both engage in intercourse. If you still get problem you can consult back for further help.
1 person found this helpful
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I am 27 years old. I am having frequent influenza for last few months. When I take medicine it becomes ok for few days. But it occurs suddenly after 2/3 days. Kindly advise me.

MBBS
General Physician, Mumbai
I am 27 years old. I am having frequent influenza for last few months. When I take medicine it becomes ok for few day...
Increase your immunity by taking Take tablet folvite 5mg once a day and tablet vitaminD (60000iu) once a week for six months
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Few days back, I had pharyngitis like symptoms (red small pimples, throat pain when swallowing) I did gargle it reduced. But,still have some. Now,my mouth lining has swollen from inside, became red, can fell it. And my mouth gets dry usually. What it can be, how to treat it.

MBBS
General Physician, Jalgaon
Few days back, I had pharyngitis like symptoms (red small pimples, throat pain when swallowing) I did gargle it reduc...
Please Do gargle with Wokadine St gargle Twice a day for 3 days Take Tab oncet cf 6 1 1 Tab pantop 3 1 Cap augmentin 6 625 mg 1 1 Cap rinifol 6 1 1 Sy becosule 2 tsf twice a day Re Consult if needed.
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I am 40 years old guy I am gaining weight I do sleep properly pls help to refuse weight and to get proper sleep. Mostly I am stressed pls help.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I am 40 years old guy I am gaining weight I do sleep properly pls help to refuse weight and to get proper sleep. Most...
Running walking exercises are helpful to reduce weight. Sleep helps peace in day life it will not help to reduce weight. Because of stress you may take additional food also. Better to stress relieve methods. Be friendly with others. Be happy all the time. Please know stress relief and stress management. Or please consult psychologist. Best of luck.
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I think my erection is not up to mark. I am 48 years man,nonalcohalic,nonsmoker,average built,nondiabitic. Early morning erection is not daily. Its on and off.

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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I am suffering from headache frequently, I am getting stress, I am getting fear of frequent head ache" could you please help me in any way?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I am suffering from headache frequently, I am getting stress, I am getting fear of frequent head ache" could you plea...
Hi 1) take 200 ml of fresh buttermilk after meals, 2) eat 30-40 black currants and 1 tsf of jaggery during meals, 3) take 30 ml of juice of indian gooseberry along with 15 ml of honey in morning on empty stomach, 4) take 1 tsf of lavanbhaskar churna after meals, gives you good result, thanks.
2 people found this helpful
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I am 36 year old male I having piles last 6 months I trying ayurvedic medicine but not my problem solve please tell me solutions.

MBBS
General Physician, Cuttack
1. Apply proctosedyl ointment 2-3 times daily before and after passing stool. 2.Sit in a bath tub containing warm water with little salt for some time twice daily (sitz bath) .3.Take two tea spoonful lof softovac/Naturolax powder with a glass of warm water in the evening if there is constipation. 4.Take fiber containing diet , plenty of green leafy vegetables and fruits. 5.Consult me for further advice
1 person found this helpful
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I had appendicitis problem and I was operated. Will it affect my growing? I mean to become tall. And one of the doctor told me that don't take alcohol. Will taking beer is affect our growing.

Clinical Hematology , MD, MBBS
Hematologist, Noida
I had appendicitis problem and I was operated. Will it affect my growing? I mean to become tall. And one of the docto...
No your growth will not be affected, if you do not indulge in wrong type of life style. No alc, smoking or any other addiction. Have regular balance nutrciouds die t and physical excercises. Bear is milder alcohol.
2 people found this helpful
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Hello, I am suffering from piles after my first delivery. 4 years are passed with this problem. I am taking honey at early morning. Is this safe or not. Please guide me.

MBBS
General Physician, Faridabad
taking honey is safe, you can try, In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran. Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good. Body weight - if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids. Simple things you can do yourself to help prevent piles: Try not to strain when you go to the toilet Avoid laxatives Exercis take tab pilex 1tab tds, anovate cream locally inside anus, siltz bath [hot water in a tub, add kmno4 in it, sit 1/2 an hr in tub, it will help.Avoid spicy ,Drink 3- 4 Litre of Water Daily. welcome for further help. or go for surgery
1 person found this helpful
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Want to know symptoms for diabetes and how can I control it from beginning so as I can have precautions for my future Also suggest for blood pressure.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Nagpur
Want to know symptoms for diabetes and how can I control it from beginning so as I can have precautions for my future...
Frequent urination ,feeling hungry and feeling thirstu and sometimes unexplained weight loss but these symptoms are not seen So I suggest you better to go a diabetologist and check your sugar levels. A daily walk and good diet will help you.You must cut all sugar,packed foods and table salt in your diet
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I suffer from frequent nausea and sneezing. I catch cold very easily. Even after eating spicy food. Please advice.

M.D homeopathy,MD - Homeopathy, M.Sc - Psychology
Homeopath, Salem
I suffer from frequent nausea and sneezing. I catch cold very easily. Even after eating spicy food. Please advice.
Don't worry your immunity is good only you get this. But you advised to take lot of oranges, tomatoes and vitamin c rich fruits. Took homeo medicine pulsatilla 200 for trice in a week it will solve your problems.
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I have been diagnosed with Pcod. My current weight is 44 kgs. Believe this falls under normal. Please suggest whether to go for allopath or homeopathic treatment for this .

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have been diagnosed with Pcod. My current weight is 44 kgs. Believe this falls under normal. Please suggest whether...
All women with PCOD are not overweight. The diagnosis of PCO is made by a combination of Ultrasound features of ovaries together with deranged hormonal profile and other features like irregular periods, facial hair, acne . Treatment will depend on the type of symptoms you are having and your blood test results.
6 people found this helpful
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Don t Ignore Erectile Dysfuntion: It s Treatable!

MS Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Don t Ignore Erectile Dysfuntion: It s Treatable!

If you are a man with diabetes, we’ve got good news and bad news about your sex life.

The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed.

The good news: ED is one of the most treatable complications of diabetes. In fact, over 95 percent of cases can be successfully treated. With proven treatments available, diabetic men with ED have options. It isn’t something you—or your partner—should have to live with.

What ED Is—and What It Isn’t

ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. ED is not an inevitable part of the aging process.

ED does not mean:

• An occasional failure to achieve an erection. The adage is true: It really does happen to everyone. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. It isn’t fun, but it is totally normal.

• Diminished interest in sex. ED occurs when a man is interested in sex, but still cannot achieve or maintain an erection. Many men with diabetes also experience a decreased sex drive, often as a result of hormone imbalances or depression. Decreased sex drive is quite treatable, but it is treated differently from ED.

• Problems with ejaculation. Such problems often indicate a structural problem with the penis. The most common treatment is surgical.

How Diabetes Causes ED

Human sexual response requires several different body functions to work properly and together: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these functions.

• Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. Neuropathy to either system can cause ED.

• Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. “Erection is a hydraulic phenomenon that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire.

• Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual response.

• Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED!

• Medications: About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED. That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED.

Treatments for ED

ED is easily and successfully treated! If your sex drive is unaffected, but you experience problems achieving or sustaining erection for a period of four to five weeks, you may have ED. Talk to your doctor immediately. Don’t delay—erectile dysfunction doesn’t “just go away!” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. Ignoring your ED because it’s embarrassing could jeopardize your health.

Most men seek treatment from their family doctor, who may or may not be familiar with the range of treatment options. A specialist may be a better choice. Specialists include urologists and doctors practicing at ED treatment centers.

A thorough physical exam and medical history, along with certain laboratory tests, can help your doctor determine what is causing ED, and then choose an appropriate treatment. The most common treatments for ED fall into four categories: medications, external mechanical devices, counseling, and surgery.

Medications: 

Oral medicines: The best known ED medications are the Big four. The four are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive (these medicines have become the treatment of choice for most men experiencing ED.

The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.

In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).

Topical medicines: When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. To prevent this, the man should use a condom.

Penile Injection Medication: This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. A popular version of this medication is Upjohn Corporation’s Caverject. The MUSE System, by VIVUS, involves the same medicine (a pellet of alprostadil) applied with an eye-dropper-like applicator, directly into the urethra.

External Mechanical Devices:

This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out. Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. All are portable, and costs range between $200-$500, covered under most insurance plans and Medicare Part B.

The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.

Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.

“Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom).

Couples Counseling:

The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Do not view such a diagnosis as an insult. Most psychologically-based ED is easily and successfully treated.

Surgery: 

There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction. Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort.

The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.

Prostheses: Many different types of penile prostheses are available, in three categories: rods, inflatable prostheses, and self-contained prostheses. Semi-rigid or malleable rods are the simplest and least expensive of all. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment.

Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. Parts are inserted surgically into the penis and scrotum, and activated by squeezing. When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Self-contained single-unit prostheses are similar to the inflatable types, but more compact. The entire device is implanted into the penis. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used.

Vascular Reconstructive Surgery corrects defects in penile blood vessels. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. Less than five percent of men with ED may benefit from vascular surgery.

Preventing ED

Like all diabetic complications, ED can occur even when you have followed your doctor’s advice and carefully managed your diabetes. Also like all diabetes complications, ED is less likely to occur with good blood sugar control. Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In addition, regular smoking and alcohol use can contribute to ED.

You are not alone; others have faced these difficulties. ED is treatable; you do have options!

3 people found this helpful

Kutta katne ke 1.5 year bad jaha kata tha waha thori jalan ya chis c lagti h jisme mene 5 injection lagwaye the jab katta tha kutte ne bt kabhi kabhi ab bhi usme jalan ya chis c feel hoti h please help me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Kutta katne ke 1.5 year bad jaha kata tha waha thori jalan ya chis c lagti h jisme mene 5 injection lagwaye the jab k...
It may be just a local problem and not anything serious... You may take Homoeopathic Medicine Graphites 30..
1 person found this helpful
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I am 31 year old. Don' t have a baby yet. I have polytheistic ovary. Weight is 55kg. Can I get pregnant. My doc wants me to for ivf should I go ?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
First regularize weight, hormones and periods and then start infertility treatment. I don; t know the condition of your tubes and your husband' s semen. So, I can' t comment if you need ivf right now or not.
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