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Dr. Tej B.Chettri

General Physician, Singtam

Dr. Tej B.Chettri General Physician, Singtam
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Doctor, After eating food I get lot of phlegm and I keep spitting out. My throat becomes sore and tightness in my chest. What to do?

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Doctor, After eating food I get lot of phlegm and I keep spitting out. My throat becomes sore and tightness in my che...
Pain in throat may be due to Allergy cum infection in throat. Through examination of throat is required. If required after taking throat swab for culture and sensitivity, accordingly antibiotics and Antihistamincs, Analgesics can be given.
1 person found this helpful
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How to treat head ache with out taking any medicine? Possible ways to treat as soon as to get relief.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to treat head ache with out taking any medicine? Possible ways to treat as soon as to get relief.
avoid stress,take rest for a while, drink warm water one glass. it will cured. if any other causes it happened ...you should be take otc medicines for headache.
2 people found this helpful
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I am 33 year old and am very lean and only 50 kg weight, also having gastric problem. Please let me know how I can increase weight and overcome with gastric issue.

BHMS
Homeopath,
I am 33 year old and am very lean and only 50 kg weight, also having gastric problem.
Please let me know how I can in...
Dear Lybrate User, Increasing weight does not mean that you will go fatty. In fact, extra fat serves as a precursor of many diseases. In order to increase your weight as well as stay healthy you have to increase the muscle mass of your body. First of all let me tell you that there is no shortcuts in the process of muscle gain. Increasing muscle volume & strength is a highly complicated process which is influenced by various internal & external factors. In the following article you will get a glimpse of that highly complicated process as well as some of its influencing factors. I have made utmost effort in the following article to oversimplify the total process & the factors so that it would be easy to understand for you Normally a muscle undergoes an increase in size when it gets hypertrophied due to weight training. Weight-training leads to the pumping of blood to the muscle resulting in increased protein synthesis in the muscles. This applies to every muscles of human body. So, weight training is a must to increase weight. All type of exercises can be classified under two broad headings:- (1) HIIT or High Intensity Interval Training (2) LISS or Low intensity Steady Stamina. In short just remember that HIIT is weight training & LISS is cardio exercise like swimming & running. Both the form of exercise increases the rate of metabolism. But if your goal is to increase lean muscle mass of your body then you should stick to weight training aka HIIT The basic role behind the process of increase in lean muscle in human body is played by Metabolism. Metabolism is the set of life-sustaining chemical transformations within the cells of living organisms. The three main purposes of metabolism are the conversion of food/fuel to energy to run cellular processes, the conversion of food/fuel to building blocks for proteins, lipids, nucleic acids, and some carbohydrates, and the elimination of nitrogenous wastes. In order to add mass to your muscle you need to increase your rate of metabolism. Once your rate of metabolism or BMR is increased you will be able to achieve your goals There is an internal factor which controls & triggers metabolism. It is the TESTOSTERONE hormone secreted by your body. This TESTOSTERONE hormone plays an important role in the development of the lean muscle. An increased TESTOSTERONE level will help you to achieve your goal of muscle development in a considerable less time. Just follow these three basic rules during exercising:- 1) Do not rest for more than 1 minute between sets 2) Do not exercise for more than 60 minutes continuously 3) Progressive overload is necessary to increase your muscle mass Now lets come to your diet. Whenever a muscle gets hypertrophied it demands protein to expand. Here comes the need of excess protein in your diet. It is another vital part of increasing muscle mass. You may have noticed that professional body-builders take supplements according to a fixed schedule. They take 40 grams of whey just after waking from sleep at morning. They take another 20 grams of whey just 30 minutes before workout. Again they take 40 grams of whey just after finishing workout. Now you are a normal person & unless you have any intention to compete in bodybuilding competition you do not need to follow the above timings of whey protein. In fact you can get the extra protein from your diet only. Try to take 50- 70 grams of protein daily. That would be sufficient for your daily need in initial stage. As you continue progressive overload then you should also increase your protein intake. Excess protein produces excess harmful urea. Our kidney has to function more to excrete this excess harmful urea from our body. So excess protein creates excess pressure on our kidneys. For better reasons try to take protein from plant origin. Protein obtained from animal sources like meat & egg are found to play an important role in cancer. Just after exercise the rate of metabolism is increased but to maintain that increased rate of metabolism or BMR throughout the rest of the day you should need to make some little changes in your food habit. Just think of your body as a furnace & the fire as metabolism. If you add 10 kg of wood to the fire all of a sudden then the temperature of the fire will be increased suddenly but it would not last long. So in order to maintain the constant temperature of the fire it would be wise to add 1 kg of wood after every interval of 1 hour. Same happens with our body. You need to provide food to your body at certain intervals so that the rate of metabolism remains constant. I am giving a description of your food timings:- Drink a glass of water as soon as you wake up Take some pre workout nutrition Exercise for not more than 60 minutes Take a heavy breakfast within 30 minutes of exercise Take a midday snack comprising of fruits or nuts after 2 hours of breakfast Take your lunch within 2 hours after having midday snack Take an evening snack comprising of fruits or nuts after 2 hours of lunch Take your dinner at least 2 hours before going to bed Get an uninterrupted sleep for at least 7-8 hours daily Throughout the rest of the day try to drink a glass (300 ml) of cold water after every one hour If you have a habit of masturbation then you should keep a minimum gap of 5 hours between exercise & masturbation. Just after ejaculation of sperm a sudden decrease in the amount of TESTOSTERONE hormone occurs. So it would not be wise to masturbate either just before or just after exercising. Kindly remember gaining weight is a time -taking process. So do not expect any result within fortnight.
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I am 23 year old boy and most time I live alone so I am addict to watch porn regularly and masturbate. In fact I am obsessed. Almost I watched every porn movie and now not even single porn movie Can satisfied me . 1) Is it any problem with my mind ? 2) any harmful effect? 3) how can I leave this?

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
I am 23 year old boy and most time I live alone so I am addict to watch porn regularly and masturbate. In fact I am o...
Porn addiction is very bad as slowly you will lose your natural sex arousal for girls and that will affect your sex life. Better to stop it. Make good friends to break your loneliness and start yoga and meditation. You can consult me for proper counselling.
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I have a hypokalemia paralysis with normal level of thyroid I continue my medicine from one month but still my poytasium is low day by day and I take everyday potkular potassium syrup i want to cure permanently so give me best best option.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hypokalemic periodic paralysis is a disorder that causes occasional episodes of muscle weakness and sometimes a lower than normal level of potassium in the blood. It is one of a group of genetic disorders that includes hyperkalemic periodic paralysis and thyrotoxic periodic paralysis. Causes hypokalemic periodic paralysis is congenital. This means it is present at birth. In most cases, it is passed down through families (inherited) as an autosomal dominant disorder. In other words only one parent needs to pass the gene related to this condition on to you in order for you to be affected. Occasionally, the condition may be the result of a genetic problem that is not inherited. Unlike other forms of periodic paralysis, persons with congenital hypokalemic periodic paralysis have normal thyroid function. But they have a very low blood level of potassium during episodes of weakness. This results from potassium moving from the blood into muscle cells in an abnormal way. Risk factors include having other family members with periodic paralysis. The risk is slightly higher in asian men who also have thyroid disorders. The most important treatment in severe hypokalemia is addressing the cause, such as improving the diet, treating diarrhea, or stopping an offending medication. Patients without a significant source of potassium loss and who show no symptoms of hypokalemia may not require treatment. Mild hypokalemia (>3.0 meq/l) may be treated with oral potassium chloride supplements (klor-con, sando-k, slow-k). As this is often part of a poor nutritional intake, potassium-containing foods may be recommended, such as leafy green vegetables, tomatoes, coconut water, citrus fruits, oranges, or bananas.[14] both dietary and pharmaceutical supplements are used for people taking diuretic medications. Severe hypokalemia (<3.0 meq/l) may require intravenous supplementation. Typically, a saline solution is used, with 20? 40 meq/l kcl per liter over 3? 4 hours. Giving iv potassium at faster rates (20? 25 meq/hr) may predispose to ventricular tachycardias and requires intensive monitoring. A generally safe rate is 10 meq/hr. Even in severe hypokalemia, oral supplementation is preferred given its safety profile. Sustained-release formulations should be avoided in acute settings. Difficult or resistant cases of hypokalemia may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake. when replacing potassium intravenously, infusion by a central line is encouraged to avoid the frequent occurrence of a burning sensation at the site of a peripheral infusion, or the rare occurrence of damage to the vein. When peripheral infusions are necessary, the burning can be reduced by diluting the potassium in larger amounts of fluid, or mixing 3 ml of 1% lidocaine to each 10 meq of kcl per 50 ml of fluid. For more doubts you can ask me privately.
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Hi please help me I do over masturbation but now I not do I am suffering from indigestion and erection weakness and morning erection give the best ayurvedic medicine for indigestion due to over masturbation and erection power.

B.Sc., B.A.M.S., C.C.Y.P., M.D. (Ayurveda)
Ayurveda, Aligarh
Hi please help me I do over masturbation but now I not do I am suffering from indigestion and erection weakness and m...
Hello To improve your appetite you should do Yoga specially kapalbhati which regulate your metabolism and enhances your appetite. Take chitrakadi Vati twice a day to improve your appetite.
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I am 70 years old. I have varicose veins on both my legs. My question is whether this problem can be cured with medicines or is surgery necessary? if so what will be the cost and how long it would take to recover?

MBBS
General Physician, Delhi
Varicose veins can not be treated permanently by medicines rather there is no medicine available for treatment. Symptomatic relief and complications such as leg ulcers can be prevented by using leg stockings. Consult a nearby surgeon and ask him about surgical options specially sclerotherapy which is minimal invasive technique. He will also tell you about price and it is a day procedure no need for admission.
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I have headache in every 3 days/7 days. What is the problem doctor. I use Sarandon tablets in headache. These are good are not. Please explain suggestions, but one more things I have a headache in 20 year's more. Please clarify.

BHMS
Homeopath, Sindhudurg
I have headache in every 3 days/7 days. What is the problem doctor. I use Sarandon tablets in headache. These are goo...
There can be many causes of a headache such as physiological changes in the head, constriction of blood vessels, abnormal neuron activity, genetic causes, excessive smoking, excessive drinking, lack of water in the body, oversleeping, overuse of pain killers, eye strain, neck strain, and others. Ginger ginger can help reduce inflammation of the blood vessels in the head, thus providing relief from a headache. Mix equal parts of ginger juice and lemon juice. Consume it once or twice a day. Another option is to apply a paste of one teaspoon of dry ginger powder, also called sonth, and two tablespoons of water on the forehead for a few minutes. You can also boil ginger powder or raw ginger in water, and inhale the vapor. Chew one or two pieces of crystallized ginger candy.
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Hello, I really want to quit my bad habit of chewing gutkha please help me I am not able to quit.

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
Psychologist, Palakkad
Hello, I really want to quit my bad habit of chewing gutkha please help me I am not able to quit.
Dear lybrate user. I can understand. Chewing tobacco is addiction and to overcome addiction you should try deaddiction therapy. Take care.
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I want to know the perfect diet for diabetic patient for breakfast for lunch and the dinner.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I want to know the perfect diet for diabetic patient for breakfast for lunch and the dinner.
Mr. lybrate-user, There is nothing like perfect diet, because our food habits are totally indivudualised, hence diet recommendations also have to be specific to each individual. In India food habits differ widely, for example in north wheat flour, rajma, black dal, paneer and ghee intake is much higher. In Rajasthan, Gujrat food is much different. Bengal fish dominates the intake along with rice. In South Indian food rice varieties are plenty. In Central India habit is different. So there can not be a single perfect diet. It has to be based on your current habits, weight (ideal body weight), extent of exercise, need for weigh reduction and blood glucose levels. Thanks.
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I am suffering from a throat infection since last 15 days and I have taken a lot of medicine but I have got no relief in my throat infection and I am a thyroid patients since 12 years fastly I was have a hyper-thyroid but from last 3 years I am a hypo-thyroid patients at present my TSH level is 0.58.and now I I am taking 62.5 mg. For 5 days and 75 mg for 2 days. Please give me best advice for my good health.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
I am suffering from a throat infection since last 15 days and I have taken a lot of medicine but I have got no relief...
Sir, You need to do warm salt water gargling of the. Mouth. Avoid dust, smoke Do you have any fever body aches drink lots of water. Take high potency B.complex,and anti oxidants. Send me photo of the throat Contact me with details for proper assessment of the problem and for medical advice.
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My penis size is so short & not erect properly. I have the hobbit of masturbating daily since last 20 years .Kindly suggest the mediation or exercise to improve erection.

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
My penis size is so short & not erect properly. I have the hobbit of masturbating daily since last 20 years .Kindly s...
For Erectile Dysfunction: following treatments are available. 1. Use Vacuum pump. 2. Penile Oil. 3. Penile PRP Injection. 4. Low Energy Shock Wave Therapy. 5. Acupuncture therapy. 6. Hydro Pnemo Therapy. 7. Penile Massage Therapy. 8. Venous ligation surgery. 9. Tablets. 10. Injections. For increasing Penis Size: For increasing size following treatments are available. 1. Use Vacuum pump. 2. Penile Jelquing device. 3. Penile weights. 4. Penile Traction 5. Penile lengthening Oil. 6. Penile PRP Injection. 7. Low Energy Shock Wave Therapy. 8. Acupuncture therapy. 9. Hydro Pnemo Therapy. 10. Penile Massage Therapy. 11. Venous ligation surgery. 12. Penile lengthening Surgery 13. Tablets. 14. Injections.
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Bones getting weak. Lower back pain and legs can not stand for long hours. Is that due to masturbation. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Bones getting weak. Lower back pain and legs can not stand for long hours. Is that due to masturbation. Please suggest.
thanks for expecting Healthier fitness solutions with Ayurved, if ur habits of mastrubate fulfil ur goals or achievement then OK but demands proper nourishment too. so consult AYURVEDIC Dr
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I am suffering from night fall I am very tired and weak please tell me a best solution.

PDDM, MHA, MBBS
General Physician, Nashik
I am suffering from night fall I am very tired and weak please tell me a best solution.
Do not be tensed about this issue. It is normal at your age. It is not an illness but a natural phenomenon by which old sperms come out and make space for new sperms. New sperms are produced continuously in our body by pushing away the older ones. It does not cause any physical harm or weakness.
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My daughter of 3 years old never eats willingly. I have to make force of feeding the food. I don't know what to do. Please help me doctor.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
My daughter of 3 years old never eats willingly. I have to make force of feeding the food. I don't know what to do. P...
Donn force feed. If she is active no need to worry. Avoid junk food. Reduce milk intake. Promote family pot feeding.
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Hi, due to sweating at waist under the belt and under arms, my friend got irritation & itching and after that skin turns black. What he should do?

MBBS, DGO (cal)
General Physician,
It is fungal infestation, as your description suggests. You may use Candid B Cream twice daily for three weeks minimum. And Daskil 250 mg tablet 1 tab after dinner daily for 10 days. Maintain personal hygiene. Wash Under garments every day and do not wear for second time without wash even if you open it up on the same day.
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I am 25 yrs old staying in mumbai. I am suffering from ringworm disease having groins near my thighs for the last 5, 6 months due to mumbai weather. I have used various creams for this. Please suggest me the better way to cure it.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Acid sulph 30 / 5 drops in one teaspoon of water thrice a day for one week. Revert back after one week with feedback.
1 person found this helpful
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What are the symptoms of fungal infection? And what should be the medicine for this.

MBBS
General Physician, Mumbai
What are the symptoms of fungal infection? And what should be the medicine for this.
Itching with lesion at night is a typical symptoms of fungal infection and At bedtime wash the lesion with soap and water and apply micogel ointment for a month and take cp candiforce 200 mg at night for two weeks
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My mother, age 59 has Bell's palsy. Blood sugar found high. Fasting blood glucose=187.2 and post meal blood glucose=368.0 Doctor says they need to admit her and give her steroidal medicines and parallel give her insulin. Please advice if any alternative where we can treat her at home with oral medicines Thanks,

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
My mother, age 59 has Bell's palsy. Blood sugar found high. Fasting blood glucose=187.2 and post meal blood glucose=3...
Yes, there are oral steroids that can be given to outpatients. Also, she can be put on Insulin at home. Hospital admission for starting steroids & Insulin alone, is unnecessary.
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My penis got bend during rough masturbation and is still bent a bit on shaft and head but do not feel intense pain and getting proper erection. I feel a a needle like pain inside penis sometime when penis erected. And the circle between penis head and shaft is purple in colour. Is it penile fracture?

C.S.C, D.C.H, M.B.B.S
General Physician,
My penis got bend during rough masturbation and is still bent a bit on shaft and head but do not feel intense pain an...
There is nothing like penisl frature and slight bend is common and only if iti severe and painful you need to look for peyronie's disease and need surgery circle between penis head and shaft is purple is the normal colour .
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