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Dr. Nikam

General Surgeon, Pune

300 at clinic
Dr. Nikam General Surgeon, Pune
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Nikam
Dr. Nikam is a popular General Surgeon in Chakan, Pune. You can visit him/her at Shree Swami Samarth Hospital in Chakan, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Nikam on Lybrate.com.

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Shree Swami Samarth Hospital

!st Floor, Main Road,Chakan,Landmark:-Near Vardaman Medical, PunePune Get Directions
300 at clinic
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My question is on hard squeezing, my breast oozed out the fluid, I don't know what color fluid, but it did. Also, the other effects were pain, nipple burn, and a black layer has been formed over the nipple! Now it is getting back to normal. Please recommend me what doctor should I consult if necessary and what steps should I take?

FMAS, MS
General Surgeon, Gandhinagar
My question is on hard squeezing, my breast oozed out the fluid, I don't know what color fluid, but it did. Also, the...
Respected lybrate-user hi I would suggest temporarily avoid hard breast squeezing. Apply neosporin skin ointment on nipple 2-3 times a day. If required can consult general surgeon dear thanks regards.
1 person found this helpful
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My Age Is 16 years I Wanna Ask A Question About My Face That I Had A Good Oval Shaped Face Before 4 Months After That It Went 1 and Half inches Small From The Jawline since That Time Its Like That. What Should I Do?

MBBS
General Physician, Mumbai
My Age Is 16 years I Wanna Ask A Question About My Face That I Had A Good Oval Shaped Face Before 4 Months After That...
As you are still 16 years of age and hence I will suggest you to wait for the natural development to happen till 20 years of age and than we will decide on the line of treatment.
1 person found this helpful
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My skin is very oily my face get full of oil after washing my face approx 7 min. My face get full of oil.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My skin is very oily my face get full of oil after washing my face approx 7 min. My face get full of oil.
Homoeopathic medicine NATRUM MUR 6X ( Dr Reckeweg) Chew 4 tabs 3 time daily Apply Cucumber daily in evenings for 1 hour Apply Lime juice daily morning on face for 15 minutes HOME REMEDY Prepare a paste of Multani mitti + 1 spoon Turmeric powder +10 drops Lime nd add Raw milk to prepare a paste nd apply thi paste twice in a week
2 people found this helpful
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I have black marks in my eyes from birth. But now this mark is expanding and it covers my half forehead. What should I do for this?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have black marks in my eyes from birth. But now this mark is expanding and it covers my half forehead. What should ...
Hi apply pranacharya face glow on your face for 15 minutes then wash it with warm water. Take pranacharya b clean syrup 2-2 tsf twice a day. Take pranacharya allergin capsule 1-1 twice a day. Wash your face with chandrika soap. Prepare a neem leaves mustard oil and apply on your skin. Avoid hot food & spicy food.
1 person found this helpful
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Myself 32 years old male having few black scars/blemishes on my face for 4 yrs. I used so mny medicine but no result, Which would be the best treatment?

BAMS
Ayurveda, Ambala
Myself 32 years old male having few black scars/blemishes on my face for 4 yrs. I used so mny medicine but no result,...
To clear the scar marks - • Apply one teaspoon Besan with one teaspoon of curd and a pinch of haldi (turmeric) mix it with water then apply for 15 minutes then rinse off it with water. • Apply one teaspoon orange juice or take a piece of orange open it then apply that area for 5 minutes then rinse off it. *Take fuller, s earth (multani mitti) and sandalwood powder (chandan powder) mixed in same quantity mixed in water and apply on the mark in night and wash it after 1 hour. It will slowly removes the marks. *Take a piece of aloe vera. Apply gel of leaves on mark daily. Wash it after 30 minutes.
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From last 2 months big black spots developing on right side of my face on cheek and near lips.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
From last 2 months big black spots developing on right side of my face on cheek and near lips.
Apply pranacharya face glow on your face for 15 minutes then wash it with warm water. Take pranacharya b clean syrup 2-2 tsf twice a day. Take pranacharya allergin capsule 1-1 twice a day. Wash your face with any good ayurvedic soap containing neem etc.
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Acne Vulgaris In Adults

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL), DNB dermatology
Dermatologist, Gurgaon
Acne Vulgaris In Adults

Acne vulgaris is a skin disease that causes pimples. It begins in the skin’s oil glands.

Oil travels onto the surface of the skin via a canal called the hair follicle. Pimples pop up when the hair, oil and cells in the follicle form a plug, which clogs the pore. This allows for the bacteria that normally live on the skin to grow and multiply in the clogged pore and when your body’s defense system attacks these bacteria, the area gets inflamed resulting in an unsightly pimple.

Most pimples are found on the face, neck, back, chest, and shoulders and just about anyone can get these zits. No one knows exactly what causes acne in adults. Contrary to what you may have heard, pimples are not caused by dirty skin, but dirt may aggravate acne and so does stress.

Types of acne

Acne can be two types:

  1. White heads - If the clogged follicle stays beneath the skin and you get a whitish zit, it’s called a white head.
  2. Black heads - If the plugged follicle reaches the skin surface, you get a blackish bump called a black head. The blackness is because the sebum or oil darkens on the skin’s surface due to exposure to air.

Who is susceptible?

  1. Anyone can get pimples, but people who are undergoing hormonal changes like adolescents and pregnant women are more susceptible. An increase in levels of certain hormones during puberty can cause the skin oil cells to enlarge and make more oil.
  2. Adult women become predisposed when they stop taking the contraceptive pill or begin taking it, as this causes a hormonal see-saw too.
  3. Studies suggest that you can also inherit a tendency to have acne. So genes play a role.
  4. Certain drugs can cause acne.
  5. Oily cosmetics can clog pores, leading to acne.

Prevention of Acne
There is no sure way to prevent acne, but try these measures to prevent severe breakouts –

  1. Wash your face often if you have oily skin.
  2. Try oil-free cosmetics. Choose products labeled ‘noncomedogenic’, which do not promote the formation of closed pores.
  3. Always wash after exercising because sweat can clog your skin pores and make your existing acne worse.
  4. Remember to wash your face and other areas prone to acne as soon as possible, especially after cooking hot, greasy food.
  5. If you use stuff like hair sprays or styling gels, make sure that you keep them away from your face as much as possible as these products contain oils that can make acne worse. Always try to use water-based products if you are prone to acne.
  6. If you get acne on your chest or back, avoid wearing tight clothes as these can rub against the acne and cause irritation.
  7. Never try to pop or squeeze a zit as this can push infected skin and pus deeper into your skin, which can lead to more swelling and redness.
  8. Wash hair often if you have an oily or dandruff-prone scalp.

Treatment of acne

  1. It usually takes time to find a product that works for your skin. Over-the-counter (OTC) products come in different strengths. The ingredient that works for most people is benzoyl peroxide. Another ingredient, salicylic acid, is also very effective as it helps to dry up pimples.
  2. It's best to seek a dermatologist's advice if you find OTC products aren't working for you. He or she will prescribe special gels, creams or pills to fight stubborn acne.
     
2538 people found this helpful

Doctor, there was little melasma on my forehead, I on advice of doctor applied Retino - A at night for 2 months. Now part of my left cheek is very dark and there are marks on my right cheek too. Is there any medicine that can reverse the damage caused by Retino- A?

MBBS
General Physician, Jalgaon
Doctor, there was little melasma on my forehead, I on advice of doctor applied Retino - A at night for 2 months. Now ...
Please Alone medicine won't work permanently Wake up early go for morning walk in greenery daily till good sweating Do yogasanas and pranayam daily Do facial exercises daily Take salads and fruits more Take carrots and beet root juice daily Take Mahamnjishtadi kadha 20 ml Twice a day for 3 months Lohasav 10 ml Twice a day for 3 months Use herbal face wash regularly Apply skin light cream by Himalaya regularly Do facial massage by milk and turmeric twice a week regularly.
1 person found this helpful
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I am suffering stool with mucous 2 to 3 times at morning since 2 month. No pain, and blood while defecation. What is problem. Endoscopy and ultrasound both are normal sir.

MS - General Surgery, MBBS
General Surgeon, Udaipur
I am suffering stool with mucous 2 to 3 times at morning since 2 month. No pain, and blood while defecation. What is ...
Take a course of tab cipro + tinidazole 1 tab morning -evening x 10 days. If not relieved contact surgeon.
1 person found this helpful
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I used a cream now my face become black also I have pigmentation what should I do please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I used a cream now my face become black also I have pigmentation what should I do please help me.
Homoeopathic cream ANTIMARKS CREAM ( BIOVALLEY) Apply twice daily in circular fashion IRON rich diet like Green vegetables,Fruits and 2 glass milk daily PAPAYA PACK ( BAKSON) Daily apply on face directly in evening when u think u r not going outsside now nd wash face after it is dry. Lemon Juice A quick and easy solution is lemon juice. Lemons have vitamin C that can lighten dark pigmentation spots on your face. It’s easy to apply. 1. Put some fresh lemon juice on a cotton ball and rub it directly on the affected skin area. 2. Allow it to dry and then wash it off with plain water. 3. Continue applying this dark spot removal home remedy for at least two weeks to get the desired result. If you have delicate or sensitive skin, you can dilute the lemon juice with plain water, rosewater, or honey. You can also use lime juice to get rid of black spots, applying it in the same manner as described above. 2. Buttermilk Buttermilk is also beneficial in getting rid of dark spots. Like lemon juice, it also helps fade blemishes and black spots but without causing burning sensation. 1. Take four teaspoons of buttermilk. 2. Add two teaspoons of fresh tomato juice. 3. Mix the two ingredients (both have excellent bleaching properties) and then apply. 4. Wash it off after 15 minutes. The lactic acid in milk too, will gradually reduce skin pigmentation, and brighten and tone your overall skin complexion. So, if you do not have buttermilk, simply apply soak a cotton ball in milk and dab it directly on your spots. Leave it on for about 10 minutes and then wash it off Put milk on a cotton ball and dab it directly on your spots. Repeat this procedure twice daily for four to five weeks. You can also prepare a solution by mixing milk and honey and apply the solution to your dark spots, leaving it on for 10 minutes.
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Recently I was travelling some new place. I got a energy So my skin color changed. When I was shocked. I went skin specialist doc. He gives some medicine. energy was removed but se dark marks are not removed. Please give me some time solution.

BAMS
Ayurveda, Ambala
Recently I was travelling some new place. I got a energy So my skin color changed. When I was shocked. I went skin sp...
Follow these tips to lightens and remove the dark marks -. 1. Take fuller, s earth (multani mitti) and sandalwood powder (chandan powder) mixed in same quantity mixed in water and apply on the mark in night and wash it after 1 hour. It will slowly removes the marks. 2. Take a piece of aloe vera. Apply gel of leaves on mark daily. Wash it after 30 minutes. 3. Crush one tomato and apply the paste on mark. It will lightens the mark definitly. 4. Soak cotton gauze in rose water and clean the dark marks 2-3 times daily. 4. Take carotene rich vegetable suchas carrots, beetroot and fruits- mango, pineapple, strawberry regularly.
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I have my lips are dark. So I wanted to make them natural like pink or red colour. So what I have to do ? Creams n all What will give me the best effect ?

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
I have my lips are dark.
So I wanted to make them natural like pink or red colour.
So what I have to do ?
Creams n al...
Apply lip balm Sebamed SPF 30 half an hour before Sun exposure. Apply Biluma cream over lips at night for one month. Stop smoking.
1 person found this helpful
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My colour is very black nobody like me I feel so bad for myself please give me any advice. How could be white?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
My colour is very black nobody like me I feel so bad for myself please give me any advice. How could be white?
There is in ayurveda mention pinda swed. It is a type of swedan karma [phomentation] but it do some another manner. 1. Boiled a rice in milk then take this rice in one white cloth then tied it properly and warmly it rub on your face every morning for 15 days then stop it and do next month again 2. Apply almond oil on your face and massage for 3-5 min at night. By doing above thing you will get good result.
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How to Get Rid of Oily Skin?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mohali
How to Get Rid of Oily Skin?

For those who have oily skin, oil blotting sheets can be used to control shine from the accumulated oil on the skin.

195 people found this helpful

I am 30 yr old female, and I suffered fissure from 21st march 2015. what should I do?

General Surgeon,
I think you will need weight reduction also consult proctosurgeon or gen surgeon forfind out cause and management of fissure.
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Get Rid Of Acne Scars With Dermatology Treatments!

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Pune
Get Rid Of Acne Scars With Dermatology Treatments!

Possibly the most common skin problem in the world, acne is the inflammation of the skin pores when excess oil and dead skin cells clog them. Acne can manifest in many forms such as blackheads and whiteheads, and papules among others. More than the acne, the scars they leave behind tend to cause the most grief as they look quite unsightly. There are multiple modern dermatological treatments which can help you resolve this problem. Some of the treatments that are commonly used are mentioned below –

  1. Chemical Peels: This is one of the most common methods used for the treatment of acne scars. Specially mixed chemical formulations are used to dissolve away the top layer of the skin which contains most of the scars. Once the top layer goes away, the new layer of skin which regenerates doesn’t have the scars.
  2. Light Therapies and Laser Treatments: There are many types of laser and light therapies which use a focused light to burn away the top layer of the skin to regenerate it and reduce the scar. Certain specialized lasers use high-intensity pulses to treat raised acne scars specifically.
  3. Dermabrasion and Microdermabrasion: One of the most popular and commonly found treatments, is dermabrasion. This method uses an electrical machine that removes the top layer of skin which is akin to sanding. However, this is a fairly invasive option and will require some time for recovery. A less invasive procedure is microdermabrasion which uses finer instruments for this purpose and tends to have lesser downtime.
  4. Dermal Filler Injections: These injections are used to plump up certain areas of skin which need to be treated. Most of them work on the principle of boosting collagen which is responsible for healing the skin. Once boosted, collagen works to fill gaps and regenerate new skin. However, most of these are temporary and only last for about a year or so.
  5. Incisions Under the Skin: Sub-cision or subcutaneous incision uses a tuned surgical probe to separate the scar tissues of acne from the normal skin. This will result in the skin to rise and thus flatten the dent of the acne scar.
  6. Autologous Fat Transfer: A form of therapy which is becoming popular very quickly, this method uses fat taken from one area of your body and injected into the scar area. This results in raising the depressed areas of the skin and flattening the scars. However, fat is easily absorbed within the body and thus the effect may diminish within some time. You may be needed to redo the procedure over regular periods.
  7. Cryotherapy: The area around the scar is frozen in a targeted manner which results in the scar tissue falling over and exposing newer skin which is smooth and devoid of scarring. If you wish to discuss about any specific problem, you can consult a dermatologist.
4729 people found this helpful

What To Expect Post An Enlarged Prostate Surgery?

Fellowship in Andrology, DNB-Urology , MS - General Surgery, MBBS
Urologist, Hyderabad
What To Expect Post An Enlarged Prostate Surgery?

Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.

What is Radical Prostatectomy?

This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed. The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.

How To Recover From The Surgery?

Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days. Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.

Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3082 people found this helpful

I am having dark circles underneath my eyes since years. I regularly wear specs. My eyes seem to be embedded deep inside. Without specs I can't step out just be coz of sunken eyes. please help with a solution that really works coz I hv tried everything.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am having dark circles underneath my eyes since years. I regularly wear specs. My eyes seem to be embedded deep ins...
Dark circles are because of lack of nutrients. Sleep and weakness. So take proper nutrients and drink plenty of juices and sleep for atleast 7 hours a day. Drink 7-8 glasses of water every day.
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I got a big black spot below my left cheek overnight. How can I get rid of this? Please reply. Its urgent. I am 18 years old and male.

BHMS
Homeopath, Faridabad
I got a big black spot below my left cheek overnight. How can I get rid of this? Please reply. Its urgent. I am 18 ye...
Hello, take Ledum pal 30, 3 drops once daily. Apply topi Berberis on this mark. Revert after 7 days.
1 person found this helpful
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My age is 30 years bt suffer from pigmentation pls tell me best treatment for this.

MBBS, M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Ahmedabad
My age is 30 years bt suffer from pigmentation pls tell me best treatment for this.
Please consult local dermatologist. But if tired of treatment consider sittings of non-peeling lasers.
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