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Dr. Nilesh Subhash Bhokre

General Physician, Pune

200 at clinic
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Dr. Nilesh Subhash Bhokre General Physician, Pune
200 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Nilesh Subhash Bhokre
Dr. Nilesh Subhash Bhokre is an experienced General Physician in Thergaon, Pune. He is currently associated with Vatsalya Child Multispeciality Hospital in Thergaon, Pune. Book an appointment online with Dr. Nilesh Subhash Bhokre and consult privately on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 29 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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English
Hindi

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Vatsalya Child Multispeciality Hospital

1st Floor Dange Empire, Dange Chowk, Thergaon. Landmark: Near Aditya Birla Hospital, PunePune Get Directions
200 at clinic
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I took I pill before 12 hours after having sex with my boyfriend but I am not sure that we make over and I do not even know that his sperm has enter to my body or not.

BHMS
Homeopath, Mumbai
I took I pill before 12 hours after having sex with my boyfriend but I am not sure that we make over and I do not eve...
Hello lybrate-user! I pill should b taken after intercourse not before 12 hours! If you had taken after 12 hours than chances of pregnancy is less! If you r unsure if sperm had enter or not it's better to take precaution to b safe! Do if sperm had not enter than also there will b no problem! So don't worry!
2 people found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Pellagra-NIACIN (VITAMIN B3 DEFICIENCY DISEASE)

Pellagra- After the discovery and exploration of the Americas, corn was grown by settlers and all around the world. The natives who had originally grown it would treat it with lime, but the taste was unpleasant to the Europeans and they omitted this part of the preparation. As corn was increasingly farmed, the disease pellagra began to spread. Symptoms included diarrhea, dermatitis, dementia, and finally death. Many people believed that corn was in some way toxic, but could not explain the lack of pellagra among native New Worlders. After thousands of deaths, it was discovered that corn, although high in carbohydrates, lacked vitamin B3 (niacin). Farmers would sometimes eat little other than corn and succumb to the deficiency. The Native Americans had actually been using lime as a way of adding vitamin B3. Today it is well known that by eating a variety of foods vitamin B3 is freely obtained and pellagra is easily treated.

I had very tiredness, sleepiness and left side chest stiffness. So I met doctor and been asked to take some of the lab test and heart related scans. After lab test they found heart is functioning properly without any problem and only hypothyroid was identified last two months before at that time thyroid level was TSH 6.26 mIU/L. After taking two months of Thyroxine 25 mcg tablet now the level became 3.36 mIU/L and Doctor asked me to continue the tablet another 3 months and ask me to see the again the doctor after 3 months. Now also some times I am getting tired feeling and compare to before it is better. Also the left chest stiffness and some little high heart beat is noticing. My question is can you please let me know what may the reason. Can you please tell me about the base root cause. Is there any more test I need to do.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I had very tiredness, sleepiness and left side chest stiffness. So I met doctor and been asked to take some of the la...
Hello, Thanks for the query. From the description given, it is clear that you have most of the symptoms related to hypothyroidism. Since that is being corrected now with a TSH level of 3.36 mU/L, most of your symptoms will be in check. Usually when TSH is between 6 to 9.9 mU/l, it is considered as sub-clinical hypothyroidism and no treatment is advocated. But if patient has symptoms related to hypothyroidism then treatment is started. Some times there is another disease by name Hashimoto's Thyrpooiditis (HT) which also causes hypothyroidism may be present leading to thyroid deficiency. That can be detected by testing Anti TPO antibodies. However, treatment does not change. Now you will have to continue taking levothyroxine tablets. Thanks.
2 people found this helpful
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MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Ludhiana
Hyperhidrosis

Hyperhidrosis is the condition characterized by abnormally increased sweating/perspiration, in excess of that required for regulation of body temperature. It is associated with a significant quality of life burden from a psychological, emotional, and social perspective. As such, it has been referred to as the 'silent handicap'
Hyperhidrosis may also be divided into palmoplantar (symptomatic sweating of primarily the hands or feet),


Cause:

The cause of primary hyperhidrosis is unknown, although some surgeons claim it is caused by sympathetic over-activity. Nervousness or excitement can exacerbate the situation for many sufferers. Other factors can play a role; certain foods and drinks, nicotine, caffeine, and smells can trigger a response.

Humectants such as glycerin, lecithin, and propylene glycol, draw water into the outer layer of skin. Glycerin, lecithin, and propylene glycol are found in Vaseline. Hypothetically excessive use of vaseline over time may be one cause of palmar hyperhidrosis, however research needs to be conducted to provide evidence.

A common complaint of patients is they get nervous because they sweat, then sweat more because they are nervous.
Aluminium chloride is used in regular antiperspirants. However, hyperhydrosis sufferers need solutions or gels with a much higher concentration to effectively treat the symptoms of the condition. These antiperspirant solutions or hyperhydrosis gels are especially effective for treatment of axillary or underarm regions. Normally it takes around three to five days to see the results. The main secondary effect is irritation of the skin. For severe cases of plantar and palmar hyperhydrosis, there is some success using conservative measures such as higher strength aluminium chloride antiperspirants.[5] Treatment algorithms for hyperhidrosis recommend topical antiperspirants as the first line of therapy for hyperhidrosis. Both the International Hyperhidrosis Society (http://www.Sweathelp.Org) and the Canadian Hyperhidrosis Advisory Committee have published treatment guidelines for focal hyperhidrosis based on evidence based clinical support.

Injections of botulinum toxin type A, (Botox, Dysport) are used to block neural control of sweat glands.[5][6] The effects can last from 3?9 months depending on the site of injections.[7] This procedure used for underarm sweating has been approved by the U.S. Food and Drug Administration (FDA).[8]

Prescription medications called anticholinergics, taken by mouth (orally), may be used to treat either generalized or focal hyperhidrosis.Anticholinergics used for hyperhidrosis include propantheline, glycopyrronium bromide, oxybutynin, methantheline, and benztropine. Use of these drugs can be limited, however, by the common side effects of the anticholinergic class?dry mouth, urinary retention, constipation, and visual disturbances such as mydriasis and cycloplegia. Additionally, many of the medications used to treat excessive sweating are not FDA approved for that purpose and are, rather, being used "off label" For people who find their hyperhidrosis is made worse by anxiety-provoking situations (public speaking, stage performances, special events such as weddings, etc.) and want temporary, short-term treatment for the duration of the event, an oral medication/anticholinergic can be of assistance. (Reference: Böni R. Generalized hyperhidrosis and its systemic treatment.

Several anticholinergic drugs reduce hyperhidrosis. Oxybutynin (brand name Ditropan) is one that has shown promise,[5][10] although it has important side effects, which include drowsiness, visual symptoms and dryness in the mouth and other mucous membranes. A time release version of the drug is also available (Ditropan XL), with purportedly reduced effectiveness. Glycopyrrolate (Robinul) is another drug used on an off-label basis. The drug seems to be almost as effective as oxybutynin and has similar side-effects. Other anticholinergic agents that have tried to include propantheline bromide (Probanthine) and benztropine (Cogentin).


Non-surgical treatments:
Iontophoresis was originally described in the 1950s, although the exact mode of action remains elusive
of 2014,
the hyperhidrosis treatment device is available in North America, Asia Pacific, and Europe. Treatment with this device is given in a physician's office and results in the thermolysis (destruction by heat) of the sweat glands beneath the underarm skin.

Hyperhidrosis can have physiological consequences such as cold and clammy hands, dehydration, and skin infections secondary to maceration of the skin. Hyperhidrosis can also have devastating emotional effects on one?s individual life.
2 people found this helpful

I have pcod problem. My ovaries size right 3.6*2.2*2.8 volume 12 cc and left 3.3*2.5*2.7 volume 11. 6 cc.I want get pregnancy. It is possible. I am tension about this thing. Can you please help me.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have pcod problem. My ovaries size right 3.6*2.2*2.8 volume 12 cc and left 3.3*2.5*2.7 volume 11. 6 cc.I want get p...
Hello, PCOD is polycystic ovarian disease which cause increase testosterone levels in women with androgenic features and multiple small cysts in ovaries. Its one of the most common reason for irregular menses, especially oligomenorrhoea. you have to be placed on low dose oc pills with myoinositol supplementation with reduction in weight with exercise and diet and increasing your daily water intake .All these for 3-6 months have been advocated for treatment of PCOD.
1 person found this helpful
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My heart beats fast than usual and than I get scared and than again it starts beating faster. I control it and than I get scared that why this is happening than again it beats faster, it happens when I get severe acidity, this is the second time it happened and I get tensed when it happens need resolution.

MBBS, DPM
Psychiatrist, Bangalore
My heart beats fast than usual and than I get scared and than again it starts beating faster. I control it and than I...
Dear lybrate-user, Heart beating fast can happen in many hormonal and medical conditions, heart valve condition and psychiatric disorders. If you are afraid, your heart will beat fast. If your heart beats fast, you will be scared. It is a vicious cycle. Please go to a psychiatrist, get diagnosed and treated properly. He may ask you for few blood tests and an echo-cardiogram. Later prescribe tablets to treat. The acidity may be related to the tension and heart beating fast, rather than causing these. It also needs diagnosis and treatment.
3 people found this helpful
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I am suffering from severe cold for about 5 days I have taken medicine but there is no response please help me.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from severe cold for about 5 days I have taken medicine but there is no response please help me.
Take pranacharya jukamonil syrup 1-1 tsf twice a day with warm water. And laxmi vilas ras 1-1 tab twice a day. Take pranacharya allergin capsule 1-1 twice a day. 1-1 drop of cow ghee in both nostrils at night time before sleep. Avoid milk. Cold drinks. Take hot water steam..
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I had a digestion problem a year before. And take medicine for a month. After than am recovered. Now I felt like eaten food gushed a little when burping. While wake up in morning it's kinda feeling a smell a little from throat. Why is that and what s the precautions sir?

MBBS
General Physician, Jalgaon
I had a digestion problem a year before. And take medicine for a month. After than am recovered. Now I felt like eate...
Please Go for morning and evening walk daily for good digestion Take Very simple and light food for 7 days Take Cap trikatu by Himalaya 2 after lunch.
1 person found this helpful
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I have acidity problems and having gas problems stomach ache is from 2 days causes me a severe stomach problem therefore I request you to suggest me.

B.A.M.S
Ayurveda, Gorakhpur
I have acidity problems and having gas problems stomach ache is from 2 days causes me a severe stomach problem theref...
You shud HV pantop d .in morning empty stomach. Then normaxin tab thrice aday .and tonacid syrp 2 tsf thrice a day .total for 2 days .then start WID dhatri lauh 2 bd. And amlaki rasayan one tsf twice empty stomach with normal water.
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