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Dr. V S Jeware

BAMS, CGO

General Physician, Pune

17 Years Experience  ·  50 at clinic
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Dr. V S Jeware BAMS, CGO General Physician, Pune
17 Years Experience  ·  50 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. V S Jeware
Dr. V S Jeware is a popular General Physician in Magarpatta Road, Pune. He has had many happy patients in his 17 years of journey as a General Physician. He has done BAMS, CGO . You can consult Dr. V S Jeware at Shri Clinic in Magarpatta Road, Pune. Book an appointment online with Dr. V S Jeware and consult privately on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 31 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.

Info

Specialty
Education
BAMS - Shri Gangadhar Shastri Gune Ayurved Mahavidyalaya, Ahmednagar, - 2000
CGO - - 2007
Languages spoken
English
Hindi

Location

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Shri Clinic

P.S.Towers, Shop No.5, Magarpatta Road, Hadapsar. Landmark: Opp.Nobel Hospital, PunePune Get Directions
50 at clinic
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Any medicine by which I leave masturbating I am doing masturbation from last 10 year Due to this I am not doing sex with my partner So she is very unhappy Kindly suggest some medicine to meet out the desire of masterbutation waiting for good response.

MBBS
Sexologist, Indore
Any medicine by which I leave masturbating I am doing masturbation from last 10 year Due to this I am not doing sex w...
There is no medicine for it you have to make bonding with her emotionally physically you can try sexual arousal medicine if you have problem with erection at the time of intimating with her.
64 people found this helpful
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I have thick and discolored toenails since childhood. They are difficult to clean and maintain, become painful if I have to wear closed shoes or if I hit it against something. Is there any treatment?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have thick and discolored toenails since childhood. They are difficult to clean and maintain, become painful if I h...
Yes with Homoeopathic treatment it can be improved... You may consult with proper details... Till then take Silicea 6X TDs.
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I m 56 yr old male. My FASTING BLOOD GLUCOSE PLASMA is 106, GLYCOSYLATED HEMOGLOBIN (HBA1C) is 6.1, MEAN PLASMA GLUCOSE is128.4, and GLUCOSE PP, PLASMA is 119. Pl. Tell me everything is ok?

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
I m 56 yr old male. My FASTING BLOOD GLUCOSE PLASMA is 106, GLYCOSYLATED HEMOGLOBIN (HBA1C) is 6.1, MEAN PLASMA GLUCO...
Your fasting glucose is slightly raised - its called as" pre-diabetes, but you dont need any medicines for nkw. Rest everything is ok. Dont worry. Start following a healthy diet, include salads & sprouts in your meal times, cut down on sweets, rice, oily & fried stuff and start exercising daily for 30 - 45 minutes. These lifestyle modifications will delay the chances (if any) of developing diabetes. Make sure you check your blood sugar levels every 6 months.
5 people found this helpful
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What is the heart attack about to me in full details and how many people are dead by heart attack?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the heart attack about to me in full details and how many people are dead by heart attack?
I do not have a data about how many are dead by now. Heart attacks occur when blood supply to heart is blocked due to deposits called plaque.
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When I am going to toilet I have more pain .and blood bleeding also. I think it's a symptom of piles. .please tell me doctors how to stop that bleeding and pain. Then which is the good medicine for this .please help me.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
When I am going to toilet I have more pain .and blood bleeding also. I think it's a symptom of piles. .please tell me...
Avoid constipation. Do not eat spicy, fried and non veg diet. Can try some laxative. Need surgeon opinion.
13 people found this helpful
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My sex life got ruined! I cum as soon as I insert my penis into a woman's vagina!

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
My sex life got ruined! I cum as soon as I insert my penis into a woman's vagina!
U have erectile dysfunction problem you should start kegel exercises to increase your sex timing. For medicine you will need proper treatment.
7 people found this helpful
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My child is suffering from zukhaam (cold. Which medicine should I used for it? He is 3 years old.

CCH, CGO, BUMS
Unani Specialist, Siddharth Nagar
Do steaming give salvin cold syrup3ml twice a day and if nasal blok is also there then nasovion drops 2drops in each nose.
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I am suffering from diabetes and its not being controlled I need a consult its would be a great help.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I am suffering from diabetes and its not being controlled I need a consult its would be a great help.
Dear lybrate user with the limited amount of information provided it appears that you are suffering from diabetes. It could had been better had you provided us with your last prescription, latest fasting sugars, hba1c levels and any other recent relevant investigations along with the complete medication list. For the successful treatment of diabetes it is advised if you can start exercising on a regular basis preferably 30-45 minutes, diet modifications with low carbohydrate and high fibre diet along with medications as advised. Hope that solves your query.
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My friend suffering from psoriasis whole body including face also since October 2015. He consulted hemopat and allopathy but did not cure is any treatment available in any pathy please advice.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My friend suffering from psoriasis whole body including face also since October 2015. He consulted hemopat and allopa...
Take panchnimbadi churna 1-1 tsf with water twice a day. Take pranacharya allergin capsule 1-1 twice a say. Take pranacharya charm vikarasav 2-2 tsf with water twice a day. Apply marichyadi oil on affected part.
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Is it correct to take sleeping piles for longer period of our life time? What way its effect would be? Which sleeping drug is effective and less side effect? I am using lonazep. 5.shall I continue for longer period?

MD - Homeopathy
Homeopath, Aurangabad
Is it correct to take sleeping piles for longer period of our life time? What way its effect would be? Which sleeping...
Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. Other factors that increase the risk for getting hemorrhoids include constipation, diarrhea, lifting heavy objects, poor posture, prolonged sitting, pregnancy, eating a diet low in fibre, anal intercourse, and being overweight. Liver damage and some food allergies can also add stress to the rectal veins. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods are at higher risk. A low-fiber diet or inadequate fluid intake can cause constipation, which can contribute to hemorrhoids in two ways: it promotes straining on the toilet People do not consider homeopathy medicine for piles at its early stages and this is one of the reason why they end up under a surgeon's knife. Dr. raj bonde.
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I am diabetic takes insulin so please prescribe me some medicine so I leave insulin.

MBBS
General Physician, Delhi
I am diabetic takes insulin so please prescribe me some medicine so I leave insulin.
It's very essential to have a blood sugar level that can be controlled by oral medicines. If you're taking insulin it means your sugar is not under control. Get hba1c levels checked and also fasting and post prandial blood sugars at regular intervals. If the range is coming at an acceptable level you can be put on oral medicines.
2 people found this helpful
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He has problem of same acts like bavasir. He is always feel pressure but potty is not come for continuous 2-3 days. It is regular practice. My son age is 2 yrs. Pls advise by pedestrian.

MBBS
General Physician, Mumbai
For children many times if they don't pass stools for a week it is considered to be normal till they have soft abdomen and also can give gripe water thrice a day as per dosage
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I have itching in my back and due to itching it all gets red there and get rashes and also 4 small rings appear in my penis.

MBBS
General Physician, Bangalore
I have itching in my back and due to itching it all gets red there and get rashes and also 4 small rings appear in my...
You might be having fungal infection. Try to maintain hygiene. Wash the undergarments in warm water with antiseptics. For medications consult me.
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I am 29 yr old, sometime I have physical relation with my boyfriend, once in a month. After that I feel pain in my lower abdomen, pls suggest. Is it normal or I have any problem.

MBBS
General Physician, Faridabad
try to find out iny infection in vagina, white discharge etc. if any it will be treated, nothing to worry. try to maintain hygiene of yours part. welcome
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Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions

Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

13 people found this helpful

If a 28 guy has sugar, can he control it? What are the precautions he should take?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If a 28 guy has sugar, can he control it? What are the precautions he should take?
Mr. Lybrate-user, any age person can control raised blood sugar, or diabetes provided he/she takes appropriate medicine, observes dietary control and does regular physical exercise. Precautions in general include taking prescribed drugs regularly, avoiding sweets, sugar and gur, deep fried foods, junk foods, pastries, high fat milk products, sweetened aerated drinks and highly processed foods. Consumes a good deal of green leafy vegetables, salads and permitted fruits (100 g a day). Avoids alcohol and smoking. Does regular physical exercise of at least 1 hour a day. In other words follows a modified lifestyle. Regards.
29 people found this helpful
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Hi sir/madam, I have been suffering from my sexual life with small penis I guess i. E. 4'5" length and width 2'5" Whether this is good enough in dimensions or if not please suggest me sir good medicine to take one or two inches length and thickness also.

MD - Homeopathy
Homeopath, Mangalore
Hi sir/madam,
I have been suffering from my sexual life with small penis I guess i. E. 4'5" length and width 2'5" Whe...
There is no such medicine available till now to increase the natural size of an organ, it depends on your physical build up. You are absolutely alright to satisfy your partner. Only the front 1/3 part of female genital is sensitive to feel the sensation/size of penis,
7 people found this helpful
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Just wanted to know that is it safe to take Sildenafil once in a week at the time sexual intercourse for the longer stay.

MBBS
General Physician, Mumbai
Just wanted to know that is it safe to take Sildenafil once in a week at the time sexual intercourse for the longer s...
Sildenafil perse I usually don't recommend because its a temporary feeling of erection and at that time it can cause headache and flushed feeling of the body resulting in restlessness and if taken for many occasions than it can cause penile ulceration And main thing is that you might get dependent on it lifelong.
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I sneeze in the morning after I wake up. And I hav Dns. Where there is a slight bone in the right side of bone. And a doctor says I hav allergy rhinitis. So I wanted will Dns surgery i.e. Septoplasty remove my problem permanently? It will cure my allergy?

MBBS, MS - ENT ( Gold Medalist Honors )
ENT Specialist, Gurgaon
I sneeze in the morning after I wake up. And I hav Dns. Where there is a slight bone in the right side of bone. And a...
Septoplasty clears the deviated piece of bone or cartilage in the nose which causes nasal blockage. It gives you an airway to breathe. Allergic symptoms are your response to things that irritate your airway. With septoplasty your allergy does not go but you are relieved of nasal blockage, headache n due to a better airway your sinuses open up.
2 people found this helpful
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I got jaundice 2 year bck. Now again m suffering frm jaundice n hepatitis B. Does any vaccination is needed to hepatitis. Or only tablets is sufficient.

MBBS
General Physician, Cuttack
since you are suffering from hepatitis B vaccine is not going to help now.You have to regularly monitor your LFT(liverfunction Test),HBsAg, HBe Ag, HBv DNA and consult gastroenterologist for Advice and treatment
2 people found this helpful
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