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Dr. R. H Fichadia

MBBS

General Physician, Surendranagar

42 Years Experience
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Dr. R. H Fichadia MBBS General Physician, Surendranagar
42 Years Experience
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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. R. H Fichadia
Dr. R. H Fichadia is one of the best General Physicians in Rama Sarovar, Surendranagar. Doctor has been a practicing General Physician for 42 years. Doctor has completed MBBS . You can visit him/her at Medico Hospital in Rama Sarovar, Surendranagar. Save your time and book an appointment online with Dr. R. H Fichadia on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 44 years of experience on Lybrate.com. You can find General Physicians online in Surendranagar and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MBBS - GOVERNMENT DENTAL COLLEGE, JAMNAGAR - 1976
Languages spoken
English
Hindi

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Medico Hospital

4, Wagheshwari Society, Dal Mill Road,Surendranagar Get Directions
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I am having trouble in sleeping. It is happening from last 8 days. I am also having some back pain. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am having trouble in sleeping. It is happening from last 8 days. I am also having some back pain. What should I do?
Boil 3 grams of fresh mint leaves or 1.5 grams of dried powder of mint leaves in 1 cup of water for 15-20 minutes. Take lukewarm with 1 teaspoon of honey at bedtime. Add ½ tsp of cinnamon powder and 1 tsp of honey with 1 cup of warm milk. Drink before going to bed. Massage your feet with lukewarm mustard oil 2-3 times a day and before going to bed. Take 1 teaspoon each of brahmi and ashwagandha powder in 2 cups of water, boil and reduce it to one cup and drink it daily in the morning. Tips for back ache:: 1.Peel two cloves of garlic and crush it. Add this to a glass of milk. Boil it on a mild flame till one-fourth glass remains. Filter and make two equal parts. Drink one part in the morning and the other in the evening. 2.Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag).
1 person found this helpful
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My mother age 64. Suffering from acute constipation. Motion is not going from the last 4 days. Using loose at night but there is not any relief. Please advise good medicine for immediate relief. Urea and creatinine is also at upper side at present. And infection in urine also.

NCCH & MCH
Homeopath, Raebareli
My mother age 64. Suffering from acute constipation. Motion is not going from the last 4 days. Using loose at night b...
Dear user she needs a proper treatment consult back with full report and symptomatic details for effective response. For now give a dose of Bryonia 30 and update me the status.
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Ovarian Cysts - How Different Type of Cysts Can Affect Fertility?

MBBS, DGO
Gynaecologist, Gurgaon
Ovarian Cysts - How Different Type of Cysts Can Affect Fertility?

A majority of women around the world suffer from ovarian cysts at some point in their life or the other. Thus, being diagnosed with a cyst in the ovaries is usually not something to worry about. In most cases, this cyst will disintegrate on its own within a few months. However, if you’re planning a family and trying to conceive, then it is wise to not ignore an ovarian cyst ,but get it checked out by a gynecologist at the earliest.

The connection between cysts and fertility depends on the type of cyst. Ovarian cysts can be categorized into 5 groups.

  1. Functional Cysts: Functional cysts are the most common type of cyst women suffer from. This can be seen as a sac on the surface of the ovaries and is formed during or after ovulation. Most of these cysts are harmless and fade away on their own. These cysts do not affect a woman’s chances of conceiving a child or pose any risk to a pregnant woman and her unborn child.
  2. Cysts formed as a result of polycystic ovary syndromeWomen suffering from Polycystic Ovary Syndrome (PCOS) often have small cysts found in their ovaries. Irregular menstrual cycles and fluctuating hormone levels are also associated with PCOS. Irregular menstrual cycles indicate irregular ovulation which can cause fertility problems and make it difficult for a woman to conceive.
  3. Endometriomas: Cysts formed by the growth of endometrial tissue inside the ovaries are known as Endometriomas. Endometriomas are benign cysts, but are associated with fertility problems. Surgical removal of these cysts can help improve fertility.
  4. Cystadenomas: These cysts can be described as growth on the surface of the ovaries. They can be benign or malignant and hence should not be ignored. However, they do not create any fertility problems.
  5. Dermoid cysts: Dermoid cysts are solid cysts that contain tissues, such as skin or hair in place of fluids. These growths are not associated with infertility.
  6. CA 125 Levels: CA 125 levels should also be done as it is increased in ovarian cancers.

The development of cysts when pregnant is not uncommon. Small cysts are usually placed under observance and left until after the delivery, but cysts that are bigger than 7cm may need to be removed. Large cysts can cause pain to the mother and create difficulties at the time of delivery. Laparoscopic surgery is the preferred form of surgery to remove ovarian cysts. This surgery can be performed at any point in the pregnancy and does not pose any risk to the fetus.

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I am suffering from itch since 2007 and I have been using many kinds of medicines but cannot cure it. It is very badly itching me. How can I cure it permanently please help me in this regard.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
I am suffering from itch since 2007 and I have been using many kinds of medicines but cannot cure it. It is very badl...
Apply a cold, wet cloth or ice pack to the skin that itches. ... Take an oatmeal bath. ... Moisturize your skin. ... Apply topical anesthetics that contain pramoxine. Apply cooling agents, such as menthol or calamine.
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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, Alappuzha
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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I am suffering from fever from last 3 days and I have cough very much please told me some medicine.

BHMS
Homeopath, Ludhiana
I am suffering from fever from last 3 days and I have cough very much please told me some medicine.
Hello.... take homeopathic medicine: - 1. Bryonia alba 30 ( 3 drops after every 2 hrs) 2. Ferrum phosphoricum 6X ( 4 tablets thrice a day) take them for one week... with medicine eat healthy diet.... Avoid fried things and cold things... take one fourth spoon of honey in warm water twice a day.... update me after one week.... feed back means a lot for me.... tc
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I have got the rashes in my back which is itching very badly so what is the solution for that.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I have got the rashes in my back which is itching very badly so what is the solution for that.
for how long you are having this problem? what symptoms you are having like Itching/ rash/ redness/ scales Name of medicine used? Is history of any trauma/ insect bite/ burn similar type of rash anywhere else in body? follow advices given below: 1. Do not use harsh soap 2. You can use Calamine lotion local application for Itching for 3-5 day 3. Avoid Synthetic cloth and prefer cotton cloth Consult me privately
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Cirrhosis of Liver

DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
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Hello, I am Dr. Somasekhar Rao, gastroenterologist and hepatologist at the Apollo Hospitals, Jubilee Hill, Hyderabad. I would like to talk about cirrhosis of liver and its complications and how to manage those things. Basically cirrhosis of liver is nothing but the liver get shrunken and it becomes nodular and hard so the functions of the liver comes down. The functions which are there are 600 vital functions that a liver does normally in a human being and all these functions are compromised in a patient with cirrhosis.

Most important cause for cirrhosis is always alcohol and next comes viruses called hepatitis B and hepatitis C. The evolving most increasing cause no is nonalcoholic fatty liver disease. Fatty liver disease which we see on ultrasound can cause cirrhosis. Any patient in early cirrhosis may not present with any symptoms. The initial symptoms of decompensations would be:-

  • There will be swelling in the fluid
  • Swollen feet
  • There will be distinction of abdomen because of accumulation of fluid in the abdominal cavity
  • Patients may have jaundice.
  • Sometimes they may present with a history of passing black color motion that means this patient is having bleeding in the gastrointestinal tract. It can be most common because of the swollen blood vessels called viruses in the esophagus.

So other presentations would be disorientation. Patient can have hepatic encephalopathy,  the functions of the liver because the liver acts as a filter to many toxins. All these toxins enter into your brain and cause disorientation this is called hepatic encephalopathy.

So now we will talk about the treatment of cirrhosis. Whenever we see a patient with cirrhosis, most important thing is we will try and evaluate the cause of cirrhosis. See if the patient is a chronic alcoholic. We are taking a history of all college. The first thing is to cut down and stop intake of alcohol when the patient is in early cirrhosis. It can reverse the cirrhosis to normal liver. Most important and nutritional aspects along with some supportive medication but when a patient presents with complications already, then we will be treating only the complications. Once the cirrhosis sets in and he is in CTP. By the time. you see that the patient eventually progresses most of the time. We are trying to treat the complications of cirrhosis. Then a patient presents to us with bleeding then we will find out whether it is very variceal bleeding and there is a procedure called endoscopic variceal ligation to decrease the pressure of the varices blood pressure in the esophageal varices.

We have some medications which decrease the pressure. We treat these patients and we control the bleeding and a patient presents with fluid in the stomach abdominal cavity or fluid in the legs. These patients are treated with so called restricted diet. Also we give some tablets called diuretics which increase the urine output and decrease the fluid in the legs and in the abdominal cavity and a patient presents with hepatic encephalopathy. We treat hepatic encephalopathy by medications and we try to decrease the ammonia level which is released by cleansing the gut and all those things. So all these things are managing complications of cirrhosis. Very  rarely we see a patient in early cirrhosis then we treat the host.

The cirrhosis can be reversible. It is very rare but eventually when we see a patient in complications, he would always be in a stage called CTPB where he will progress to CTBC. CTBC is the end stage of cirrhosis and at that point of time the patient is left only with option of liver transplant.

Liver transplantation is again transplantation. It can be a live donor transplantation or deceased donor transplantation. So Eventually when you see a patient in CTBC we have to plan for liver transplantation. In these patient he can wait maybe for 2 or 3 months meanwhile we will be managing for complications.

 

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I have been having high sexual urges every time and have not been able to concentrate or focus on anything else for the last 3 or 4 months. Its very disturbing as I have been imagining sexual images of myself with different people which even includes my family members. I don't understand what's wrong with me. Please help.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I have been having high sexual urges every time and have not been able to concentrate or focus on anything else for t...
Sexual urge at your age is common. To come out of it do not remain alone, be occupied in good company, goodbooks. Avoid pornography literature's& movies. Be positive. Try to be busy with your carrier. All the best. Councelling sos.
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My legs foot are swelling having pain. Since from 4 months. Sometimes knee pain too. Can not sit down r get up. Plse tell me the reason with medicine.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
My legs foot are swelling having pain. Since from 4 months. Sometimes knee pain too. Can not sit down r get up. Plse ...
lybrate-user Pain with swelling indicates an inflammatory disease please get cbc crp done and consult doctor urgently.
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