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Dr. Meenakshisundarm

General Physician, DEVAKOTTAI

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Dr. Meenakshisundarm General Physician, DEVAKOTTAI
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I love my profession ,live for it ,care my patients more than any one, and I am very proud my profession catering to the needs of the needy and will go deep into the subject and objects a......more
I love my profession ,live for it ,care my patients more than any one, and I am very proud my profession catering to the needs of the needy and will go deep into the subject and objects as it has to be. I believe advices and counselling are equally good to play a vital role as well as the treatment shedule
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I am 24 years old single I have some problems related to my sexual health I masturbate daily for years and now I am having problems in erection and It seems that my semen amount is decreased alot I tried many times to stop this bad habit but I couldn't. I am still a virgin can I make a sexual intercourse am fertile? Tell me how ti stop this bad habit Please.

MBBS
General Physician, Chandigarh
I am 24 years old single I have some problems related to my sexual health I masturbate daily for years and now I am h...
Excess indulgence in madturbation can result in such problems and as this is a habit you will have to curb it on your own with strong determination and strict self discipline you sure can have sex and bear children.
1 person found this helpful
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I am 36 years old. Every month my head is full pain 1 or 2 Days continuously. After vomit i am free. What should i?

MBBS, cc USG
General Physician, Gurgaon
I am 36 years old. Every month my head is full pain 1 or 2 Days continuously. After vomit i am free. What should i?
Hello, you can take: 1. Tablet Crocin (Paracetamol 650 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get your BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis
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Does acid reflux makes fatigue all the time? Am practicing football all day and am not gaining weight more than 60 t0 62 kgs with 1.7 m height. Now I used to take food little low because of digestion problem and use more ginger in foods. So I lost two kgs and now am 58. Is it good way to help over come the problem? I got fatigue all the time and thats the problem.

md general phisician
General Physician, Hyderabad
Hello, gastro-oesophageal reflux disease (gerd), have symptoms like chest pain, heart burn, sore throat with acidic taste, hiccups when you start eating, hoarseness of voice. Sometimes cough. Symptoms gets worsen when you lie down. Weight loss is also there. Please consult gastroenterologist to have barium swallow x-ray and upper g. I endoscopy to rule out.
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What is the symptoms of sugar diabetes, what is symptoms of blood pressure can you explain remedies sir.

Diploma in Cardiology
Cardiologist, Kathua
What is the symptoms of sugar diabetes, what is symptoms of blood pressure can you explain remedies sir.
1. Is hereditary 2. Sedentary lifestyle 3. Lack of exercise 4. Unhealthy diet habits 5. Day to day stress treatment only after evaluation for the reason.
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I have cold and cough since last week and it's so severe that I start getting chest pain after coughing out so loud! please help me on how to get rid of this severe cold and cough?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have cold and cough since last week and it's so severe that I start getting chest pain after coughing out so loud! ...
U have symptoms of viral fever.. .take dolo-650 once daily for fever.. Drink plenty of fluids Do steam inhalation twice daily Take sinarest for cold For cough take Alex cough syp Also get ur chest X-ray done to rule out lung infection
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After 3 months of pregnancy can we have a sex. If no, then in which month can we have a sex?

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
Dear user. You can have sex from the fourth month of pregnancy only after confirming the same from your wife's gynecologist. If the gynecologist says NO, do not do it. Take care.
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I got head lice in hairs from last few month and it's increasing more day by day. I had in school time but it got completely vanished when I came to high school. Now I have reached the age of 30 and again it has started please help me how to get rid from this. I'm really worried.

PGDHHM, MBBS
General Physician, Delhi
YOU need to apply anti lice lotion on head and wash it after some time. Keep your head clean and avoid close contact with people with head lice.
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I am 28 year old. I have pain in my penis from 4 days. I am getting pain suddenly during day time while I am sitting. After sleeping I did not get any pain. Is this is a disease or its just like a normal pain? Please help me.

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
I am 28 year old. I have pain in my penis from 4 days. I am getting pain suddenly during day time while I am sitting....
Dear Lybrate user. Penile pain is an itching, burning, or unpleasant throbbing sensation in the base, shaft, head, or foreskin of the penis. Penile pain can be a result of an accident or disease like balantis, urinary tract infection, urithritis, bladder stone, prostatitis, herpes, chalmydia etc. You should leave it untreated. Do consult an urologist at the earliest. Take care.
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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.

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Sir I am gastric trouble patient but a small doubt I face to trouble at the same time my bp levels is hiked but irealse to trouble bp is also normal position this is called bp or not tell me sir.

MBBS
General Physician, Chennai
Sir I am gastric trouble patient but a small doubt I face to trouble at the same time my bp levels is hiked but ireal...
Bp is not constant it varies with your activity/emotions but persistant high bp is bad get your bp checked every month to see whether there is a persistant raise then get it treated.
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I have heavy sneezing problem for more than a month, I sneeze heavy 3 to 4 times a day. My nose is very sensitive whenever I touch it, sneezing starts. Also my nose get block every often I have to use nasal decongestant. What could be my problem. It seems not normal like other people who have colds. I have allergies from dust What prevention can I take to lesser the frequency of flu.

MBBS
General Physician, Mumbai
For cold take tablet cetrizine at night and few tips- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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I haven't able to sleep for 2 days. I have severe headache. I tried many remedies. But it didn't work. Please give some remedies.

BAMS
Ayurveda, Ambala
I haven't able to sleep for 2 days. I have severe headache. I tried many remedies. But it didn't work. Please give so...
Dear, These are some instructions & methods for good sleep: • Frequent oil massage of head with oil relax your mind and enhances sleep. You can also do foot massage daily it destress you. * Eat food with a bowl of curd and after that off the light and go to sleep because after eating meal our brain become relax and sleep comes. • Drink a glass of milk at night daily. * Avoid the excess use of laptop and phone during night. They also cause sleeplessness. • Do not take caffeine, tea & alcohol in excess and these are stimulant,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Do not take stress. Do meditation and long breathing pranayams to relax the mind.
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Hello doc! I have a query to raise here as my great grand father have some sort of breathing issues while he fall asleep in nights, I hear hoarse voice while he respires and as he says he suffers sort breathing in sleep for 3 or 4 times in a row. Doc! please help me out of this and I will be grateful for this and efforts will be appreciated. His age- 7.4 medical conditions- recovered from multiple injuries in an accident. Stone and high bp issues. Please help me out doctor. Thanks

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
Hi, the issue you share is sleep apnoea, its to be taken seriously as it reduces the blood supply to brain may be hazardous! in such cases you can try couple of instruments to be attached to nose may be helpful, as age ayurveda sure will resolve this issue safely.
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Suffering from pcos from last 5 to 6 year. Earlier I was taking metformin n ginnete. But later I left because they ask me to take for 1 yr. Please suggest me some thing from ayurvedic or from home remedy.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Although there is no cure for this problem yet, it can be controlled. Some simple natural remedies, medications and lifestyle changes can help manage the symptoms and reduce complications. Eat a balanced diet. A diet that includes lots of fruits, vegetables, whole grains, and low-fat dairy products supplies your body's nutritional needs, satisfies your hunger, and decreases your cravings. And a healthy diet makes you feel better and have more energy. Make physical activity a regular and essential part of your life. Choose fitness activities that are right for you to help boost your motivation. Stay at a healthy weight. If you need to lose weight, doing so will lower your risks for diabetes, high blood pressure (hypertension), and high cholesterol. Dairy products should be avoided or limited. - additives, food chemicals and preservatives should be avoided. - alcohol and caffeine should be avoided. - sugar should be avoided. - 2 liters of filtered water should be consumed daily.
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I got migraine headaches how can I manage with this I want a treatment any home remedy.?

M. sc Psychology, BHMS
Homeopath, Hyderabad
Try to apply ice cubes covered with any cloth for some time, or take hot fomentation, vapourization. Try to find which one is giving better relief for your migraine. Press the neck muscles, & over the head, temple[sides]] of forehead] in circular, clockwise, & anti clock wise way. Doing this daily also will show effect in reducing the intensity & frequency of the attacks of ha. Take plenty of water[better to take minimum 1 litre of lukewarm water in morning with empty stomach is better for all purpose]. If you find any relation with any food or any stress related thing that causing you getting, then try to avoid that like sun exposure. Have good sleep. Practicing daily pranayama, breathing exercises also will help in best way. Take lemon & ginger mixed tea r warm water to get relief from this pain, for that time being.
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I am 30/years old I hav body burning cold fever and leg burning erectile erectile dysfunction why occur occur and I am not getting mood how to rectify tis ple tel me.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I am 30/years old I hav body burning cold fever and leg burning erectile erectile dysfunction why occur occur and I a...
Home remedy for dry cough: 5 basil leaves, 4 black pepper, 4 munakka, 5 gms liquorice (mulethi), 3 gms banafsha - boil these in 200 ml of water till it becomes 100 ml. Filter it. Add 2-3 patasha in it and drink lukewarm for 3-4 nights. Sleep well covered. Dry cough will be relieved. Also continue to chew mulethi. You can also have steam with vicks
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My nose get clogged (nasal congestion) in the night and I breath by mouth which gives very dry mouth in morning and bad taste also my sleep gets disturbed due to nasal congestion please suggest a suitable medicine I do not have cold but mucous is always there in my nose this happens specially in night when I sleep.

MS - ENT
ENT Specialist, Rajkot
It may be due to overweight, nasal blockage, low soft palate or enlarged tonsils. So for proper diagnosis you are requested to send photos of nose and throat .For further help consult me privately. If you are having snoring, you may have also sleep apnea, so you must go for a test called sleep study, by which we can diagnose a disease called sleep apnea. Send me the report of sleep study, so I can guide you further.
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