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Dr. Praphul Pagare


General Physician, Pune

15 Years Experience  ·  0 - 150 at clinic
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Dr. Praphul Pagare MBBS General Physician, Pune
15 Years Experience  ·  0 - 150 at clinic
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Personal Statement

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. Praphul Pagare
Dr. Praphul Pagare is an experienced General Physician in Pimple Gurav, Pune. He has been a successful General Physician for the last 15 years. He has done MBBS . He is currently practising at Dr Pagare Speciality Hospital & Critical Care Center in Pimple Gurav, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Praphul Pagare on has top trusted General Physicians from across India. You will find General Physicians with more than 38 years of experience on 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.


MBBS - Rajiv Gandhi Medical College - 2003


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Dr Pagare Speciality Hospital & Critical Care Center

Gangarde Nagar, Pimple Gurav,Landmark:Near Katepuram Chowk, PunePune Get Directions
150 at clinic
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I'm 21 year old, having girlfriend and engaged with her, My question is whenever we are trying to do sex, no matter how much I force but my penis can't put into her vagina. We had tried lots of time, some are saying that we have to make our foreplay more, I tried it but worst. Can you please say what can be there and how to solve it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Use some lubricant like coconut oil. Still if it does not go insert fingers to see it it is going. Some girls vagina contracts while sex so may be the case for your girl.
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I am using cetapin for one month after diagnose of sugar (242 mg) and now under control. (135 mg) Should I continue this tablet or can stop now.

Endocrinologist, Delhi
I am using cetapin for one month after diagnose of sugar (242 mg) and now under control. (135 mg)
Should I continue t...
Continue medicine as blood sugar is controlled with it and may again rise if you stop it. Monitor blood sugar regularly.
2 people found this helpful
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I have psoriasis from last 1 and half years. I had taken lots of steroid creams, anti biotic, moisturisers but it is only in control. Once I leave the drug it again flares. How can I completely treat it so I would not need medication again.

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Guwahati
I have psoriasis from last 1 and half years. I had taken lots of steroid creams, anti biotic, moisturisers but it is ...
Hello. Psoriasis has recurrence and remission. It can be controlled with proper medicines. For further management please consult me.
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Hi Sir, I am 26, at my teen age I did starving monthly four days without taking a drop of water ,I was vegetarian and I took a poor diet as well as I had a bad habit of masturbation and I had Chronic dysentery problem too, that's why I am unhealthy now. Weight only 96. 8lbs (44 kg). I am taking now non- veg meals but no effect in my health. My stomach function is not good. If I take some liver files then its ok but if I stop to talking liver medicines my stomach becomes upset. So please advice me what should I take for getting a good health.

DHMS (Hons.)
Homeopath, Patna
Hi Sir, I am 26, at my teen age I did starving monthly four days without taking a drop of water ,I was vegetarian and...
Hello, Go for meditation to nourish your entire body to strengthen your cell & tissues improving your body in a healthy manner by conditioning your bones. Tk,  plenty of water to hydrate your body. Your diet be easily digestible ,high in protein- fish, eggs, chicken..Tk,  apples, carrots, potatoes, sweet- potatoes, milk,  almonds. Tk, banana with hot milk in the breakfast. Add ghee in lunch. Go for aerobics. Tk,  homoeopathic medicine: @ AlfalfaQ -10 drops,  thrice with little water. Avoid, junkfood, ,alcohol & nicotine. Tk,  care.
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I generally feels pain in the both feet and legs may be due to increased of uric acid. I tested my blood 6 months back, uric acid was increased up to 9 on that time. I take moderate quantity of wine on weekend only. I m 52 years male. Pl advise me.

General Physician, Nashik
The first thing you should do is to eat foods that are high in fiber, This is because fiber rich foods absorb uric acid from the blood. Your kidneys then'throw' out the excess uric acid. Try to eat Oatmeal, Spinach, cauliflowers and Isabgol in milk if possible.  Please use olive oil to cook your food. Kindly avoid vegetable oils because they become unhealthy when heated twice. This leads to rancid fat in the body. These destroy vitamin E, that in turn controls uric acid levels. Olive oil also curbs uric acid by itself.  Vitamin C chewable tablets taken 500mg daily lower uric acid levels within 4 to 8 weeks.  Try to stop intake of sweets, cakes and pastries. Saturated fats are bad for you.  Many fruits have got potent anti-oxidant properties, like celery seeds, grapes and tomatoes, and these prevent harmful toxins from attacking your organs - releasing uric acid.
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My penis is bent on the the right side, it’s left side is longer than the right, what can I do to make it straight? And how do I increase the size of it? I’m 17 years old now.

Homeopath, Murshidabad
My penis is bent on the the right side, it’s left side is longer than the right, what can I do to make it straight? A...
Dear Lybrate User, First of all please notice whether you have any hard, painful swelling on the shaft of your penis. If you have a curvature of penis along with a hard, painful swelling in the shaft of your penis then you are surely suffering from Peyronie’s Disease. This condition has no effective treatment till date. However if you notice only curvature of the shaft of penis without any type of hard swelling in the shaft then the condition can be treated successfully. A penis is composed of three highly vascular muscles namely two Corpus Cavernosus muscles & one Corpus Spongiosum muscle. In normal condition when an individual undergoes sexual arousal blood flow is directed towards those muscles of penis. As a result the muscles of penis gets pumped up & increase in size. This phenomenon is externally manifested as the erection of penis. There are numerous videos in YouTube which demonstrate this mechanism of erection. As the three underlying muscles of the penis increase in size they start applying pressure on each other. The resultant force created by the pressure applied by the three muscles keep the penis straight throughout the phase of erection. A curved penis implies that one of the underlying muscles of penis is failing to create sufficient pressure to withstand the pressure created by the other two muscles. As a result the penis gets curved at the time of erection. It often happens when one of those three vascular muscles of penis does not get proper supply of blood to get fully pumped up. Such condition has only one treatment i.e. to increase the blood flow in that weak vascular muscle so that it can apply full pressure upon the other two muscles & keep the penis straight. No oral medicine is effective in this condition. Here the PENIS DEVELOPER SET comes in handy. The PENIS DEVELOPER SET helps in pumping blood to those vascular muscles without ingestion of any oral medicines. The PENIS DEVELOPER SET creates a partial vacuum around the penis which leads in rushing of blood to the vascular muscles of penis. As a result the vascular muscles of penis gets pumped. Continuous use of the PENIS DEVELOPER SET leads to a permanent increase in the amount of blood flowing to the muscles of penis. As the blood flow to those muscles are increased, the weak vascular muscle gets the full amount of blood needed for full pumping up. As that weak vascular muscles gets fully pumped up, it applies more pressure on the other two adjacent vascular muscle & the resultant force created by the applied pressure of the three vascular muscles of penis keeps it straight throughout the stage of erection. An effective result in the cases of curvature of penis has been noted within 2 months in those patients who have used the Penis Developer Set for 30 minutes daily. You can buy the vacuum operated PENIS DEVELOPER SET from your local medical appliances store or you can get it by ordering the PENIS DEVELOPER SET from any online shopping website
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Human Immunodeficiency Virus (HIV)

FHM Fellowship In HIV Medicine, MD, MBBS
General Physician, Hyderabad
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Here are Symptoms, Transmission, and Diagnosis of Human Immunodeficiency Virus (HIV)

Hello, I am Dr. Ajay Kumar. I have done my diploma in medicine and also done my fellowship in HIV from CMC Vellore. So today I am going to talk about HIV.

What are the symptoms of HIV, how it is transmitted and also about the diagnosis of HIV? HIV is a retrovirus which is transmitted sexually. Apart from the sexual contact which is the most common mode of transmission, there are other modes of transmission for HIV like it can be transmitted through injections, through blood transfusions or by contaminated instruments or through mother to a child also it can be transmitted. And also it can be transmitted breast feeding. I will be just showing the short video how the virus affects the cells in the body. This is a virus, HIV virus immunodeficiency virus, which infects all the cells in our body. It especially affects the CD4 cells which are responsible for the immunity of a person. Once the virus enters the cell it will multiply. It will first replicate from RNA becomes DNA, and this DNA virus which then copies itself to our nucleus and then it starts multiplying. So over a period of time, these cells start multiplying and will be affecting so many cells, all the cells like Red blood cells, White blood cells, and other platelets. So the patient will have multiple immune deficiencies. So you can see here how the virus is replicating itself after every minute some thousands of viruses will be affecting these cells and within a short span of time new virus copies will be released. So these virus copies again will be affecting other cells and again they will be multiplying in those cells.

So here we can see the virus which has infected us come out, new more copies have produced. So once the virus infects the cells it starts killing the cells and the patient’s immunity will be gradual will be decreasing so then the patient will complain of the symptoms. So what are the symptoms of HIV? In generally in initial stages, patients will not have any symptoms. Patients will be absolutely a symptomized. Later on, when the patient’s immunity declines than the patients complain of some fatigue and they will complain of weakness. Then, later on, the patient might complain of fever, cough and the virus because it affects so many organs so the symptom will depend on the organ of infection. Suppose for instance when the patient is having a lung problem, like for instance the patient because of low immunity if he gets infected with some lung infection he will be presenting with a cough, shortness of breath or fever. Like for instance if the patient is getting any a headache or the patient is having some infections in the brain he can present like with a headache, it can present like with seizures like fits or it can present with loss of consciousness. Likewise, if the patient is having symptoms in the stomach like sometimes patient against of loose motions, vomiting then we might suspect that the patient is having some abdominal infection. So depending upon the organ of infection the patient might complain about various symptoms. So there is no symptom which is very specific to HIV but depending upon the organ of infection the symptoms might vary.

So WHO has given staging of HIV? Basically, there are four stages of HIV according to WHO-

  • In the first stage, the patients will be completely asymptomatic. They won’t have any symptoms.
  • When they come to the second stage they will develop some minute skin infections like for instance proretipeplamatitions what we call. Patients complain of itching and sometimes the state develops skin reactions. This patient has come up with Herpes reaction. Likewise, some patients might develop skin reactions like if the patient is having herpes which is very common in HIV. So when the patients enter into stage two they will be developing all these kind of skin problems.
  • When the patient is not taking any treatment, adequate oral treatment then the patient enters into stage three. In stage three what happens a patient develops a lung infection, they can develop diarrhea, and they can develop loss of weight more than 10percent. They will be having a prolonged fever of more than one month, prolonged diarrhea of one month. Sometimes the patient can develop oral infections like oral candidiasis which is very common in HIV patients. You see this picture the patient is having a severe oral infection in the mouth.
  • Likewise, if the patient is not taking any treatment even at this stage the patient enters to stage four for what is we call as AIDS, AIDS stage that is Acquired Immune Deficiency Syndrome. In this syndrome the patient will be developing all late complications of HIV like patients can develop severe nemesis pneumonia where the patient will have severe breathlessness, won’t be able to sit comfortably without taking oxygen, supplemental oxygen or the if the patient is developing some abdominal TB, the patient can present with severe abdominal distension and patient can develop severe diarrhea. Likewise, if the patient can develop multiple malignancies like cot skin lymphoma, Kaposi’s sarcoma. These malignancies can affect any part of the body. They are especially a prediction for the brain. Once the patient develops malignancies it’s almost in a very late stage. So by seeing the symptoms also, you can tell what the patient is in. So these are all the symptoms seen in HIV and complications.

So in the next video, we will be talking more about the complications of HIV, how to diagnose HIV and how to treat HIV and what are prevention steps that can be taken to prevent HIV. I am thankful to Lybrate for providing me this opportunity to reach patients all over India.

If you want to contact, you can contact me at Sriniwasa Hospital at Narayanguda. It is beside Deepak Theatre in Hyderabad. You can contact me through Lybrate or my website Thank you.

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I always feel tired, gain weight, experience hair loss and in evening acidity and gases. Sometimes feel giddiness. I get my blood test done i.e. Iron 32.2 liver- aspartate aminotransferase (sgot)-46 ,alanine transaminase (sgpt) 84.8,lipid-ldl cholesterol- direct 70, tc/hdl cholesterol ratio 2.7,monocyte 0.13,basophil 0.01, hemoglobin 10.8, mean corpuscular volume 104.6 ,MCHC 26.4 ,red cell distribution width (rdw-sd) 58 ,red cell distribution width (rdw-sd) 14.8. please suggest me.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I always feel tired, gain weight, experience hair loss and in evening acidity and gases. Sometimes feel giddiness. I ...
Hi. Thanks for the query. You are malnourished and your diet needs to be taken care of. Just cutting out foods or going on a crash diet will not help. You need to have a well balanced healthy nutritious diet to maintain weight as well as health. Firstly it is important to understand that weight /fat loss involves sensible eating. You have to eat the right foods at the right time. Eat small but frequent meals. Take a glass of lime water 10 minutes before meals. Avoid long gaps in between meals. Avoid junk as far as possible. Exercise at least 4 times a week. Lastly be committed. Remember it's a lifestyle change and not a one time thing. It's a balanced intake that will last you longer. All the so called diets will only give you muscle and bone loss. The fats will remain as it is. So, try to first follow this seemingly simple tips.
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I'm a 66-years-old man. Daily in the morning, I'm working 8 km on the beach. Last two week I'm feeling the morning after the bed my chest burning. Is this heart problem?

General Physician, Mumbai
I'm a 66-years-old man. Daily in the morning, I'm working 8 km on the beach. Last two week I'm feeling the morning af...
Get your vital parameters of the body checked from a nearby doctor and follow up with findings and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and get an ecg done and follow up with reports.
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Dear Sir/madam, iam suffering from stammering problem, in normal time it is light but when speak in public like giving speeches it will be more, pls give me suggestions, that how to overcome this problem.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear Prasad, Welcome to lybrate. Stammering is "speaking with sudden involuntary pauses and a tendency to repeat the initial letters of words" or "say something with difficulty, repeating the initial letters of words and with sudden involuntary pauses". Stammering could be due to two reasons. First reason is Vocal cord misalignment. Second is Psychological performance anxiety. First of all you should consult an ENT Specialist and evaluate your vocal chords. If there is problem, ENT specialist will be able to correct it. If there is no problem with your vocal chords, You should consult a psychologist for stammer therapy. Take care.
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