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Sapphire Hospital

General Physician Clinic

Off Tikujini Wadi Road, Ghodbunder Road, Thane West,Landmark:Near Manpada Signal, Thane Thane
1 Doctor · ₹500
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Sapphire Hospital General Physician Clinic Off Tikujini Wadi Road, Ghodbunder Road, Thane West,Landmark:Near Manpada Signal, Thane Thane
1 Doctor · ₹500
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About

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Sapphire Hospital
Sapphire Hospital is known for housing experienced General Physicians. Dr. Samir Dhespande, a well-reputed General Physician, practices in Thane. Visit this medical health centre for General Physicians recommended by 95 patients.

Timings

MON-SAT
10:00 AM - 10:00 PM

Location

Off Tikujini Wadi Road, Ghodbunder Road, Thane West,Landmark:Near Manpada Signal, Thane
Thane, Maharastra
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Gastric Cancer - In a nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • Weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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Natural Ways to Enhance Your Libido

MBBS
Sexologist, Jaipur
Natural Ways to Enhance Your Libido

Low or reduced libido has been a point of concern for many years and if left neglected it can negatively impact your love life. Read on to know how you can boost your libido with these ornamental tips.

  1. Have a positive mental attitude and keep your stress level low: If you feel good and self confident you may feel more sexual and attractive to your partner.
  2. Consider, but do not overly rely on supplements that claim to increase your libido. Take a bite out of a forbidden fruit: Figs, bananas and avocados, for example, are considered libido-boosting foods, known as aphrodisiacs. And they are provide certain vitamins smooths the blood flow..
  3. Be a poser: Yoga does more than just get you limber, it may boost your libido, too. Yoga may also improve your orgasms by increasing blood flow down there.
  4. Indulge in all things chocolate: Throughout history, chocolate has been a symbol of desire. Not just because of its delicious taste, but because of its power to improve sexual pleasure.
  5. Find out which scenarios spark magic for you and your partner: You do not need to recreate every detail from those scenes. With a little imagination, improvisational role-playing, you can incorporate one or two key elements from the scene, such as a costume or a prop - and create a scenario that is likely to liven the mood.
  6. Take your daily herbs: Ginkgo biloba, an extract derived from the leaf of the Chinese ginkgo tree, is another herb found to treat antidepressant-induced sexual dysfunction.
  7. Seek the help of a sex therapist, if necessary: If you are experiencing sexual problems that prevent you from desiring, initiating, or enjoying sex, consider whether these issues may be psychological in origin.
  8. Be patient: If you have a partner who is being treated for lost interest in and enjoyment in sex, or for issues relating to sexual performance, be patient and realize that treatment can take several months or more to be effective.
  9. Take a whiff: Whiffing can also work for you. But the scent of your man postworkout might do just that. Sniffing his sweat can increase your level of the stress hormone cortisol, which may boost arousal.
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My uric acid is 7.4.I am suffering from neck and arm pain since 6 months. Some doctors said it is due to survival and some said it is survival. Please help me about it and guide me about its remedy and all .initially I was taking muscle relaxants and now I am taking febucip.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My uric acid is 7.4.I am suffering from neck and arm pain since 6 months. Some doctors said it is due to survival and...
This is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is suggestible to go for cervical muscle strengthening exercises.
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I am suffering with dry cough last two weeks have taken anti biotic and syrup also but not cured.

Panchkarma Course, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Drink warm water sip by sip whole day. Take Zinger juice added with honey thrice a day. Stop curd, whey, tamarind. Avoid heavy food. Put a piece of cinnamon in mouth and chew it slowly.
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What food must I take to get rid of psoriasis and what are the tablets that reduce t-cells.

M.D.(ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
What food must I take to get rid of psoriasis and what are the tablets that reduce t-cells.
Its autoimmune disorder. Ayurveda is only science which can cure easily. Do the virechan therapy and start the medication. But I inform you these condition become more complicated day by day. So start the treatment as early as possible.
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I only have one testicle. Is that ok? Can I have kids? Also the testicle I have (right) has a black spot, does this mean anything?

MBBS, MD - Paediatrics
Pediatrician, Mumbai
I only have one testicle. Is that ok? Can I have kids? Also the testicle I have (right) has a black spot, does this m...
U can have kids, hope your single testis is normal. Black spot on scrotum usually doesn't mean any significant problem.
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Hello Sir / Mam My mother 53 years old is suffering from gout and high level of uric acid physician has prescribed her fears 80 and zerodol sp After taking zerodol sp she is sleepless. Is insomnia a side effect of this medicine and what are other side effects of this medicine on woman.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hello Sir / Mam My mother 53 years old is suffering from gout and high level of uric acid physician has prescribed he...
Zerodol relieves discomfort of pain and generally does not cause sleeplessness. Do 1.Less sugar .less meat ,egg ,pulses, cauliflower sea food, spinach,peas, mushroom 2.Have - apple, nibupani, ajvayan, carrot beet cucumber, orange.awla, tomato,banana 5.Take -green tea for medicine and further advise contact on private chat along with uric acid level and other tests results good luck.
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My vit D level is 7. Now I am scared that I might be low in all other essential vitamins and minerals. What test should I take to check my deficiencies?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My vit D level is 7. Now I am scared that I might be low in all other essential vitamins and minerals. What test shou...
Get blood cbc, vit b12 level do 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water- proper hydration. 10. Laugh for 2 mts for medicine report with tests results.
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There are so many pill on porn sites to increase penis size will they works or not or is there any side effect.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
There are so many pill on porn sites to increase penis size will they works or not or is there any side effect.
Hello- Don't fall for unrealistic advertisements of penis enlargement on porn sites. Yes, they are advertised on the big sites, but NEVER click those ADS. They are mostly viruses, those website PAY to advertise, and mostly they put a trojan in your computer, or other bad viruses. Yes, penis enlargement is possible with the help of ayurvedic treatment. If willing to start a treatment for penis enlargement, its better to consult a sexologist and start medications under his supervision.
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I am having cough and sputum discharge (sometimes frothy discoloured and sometimes yellow) for a week now. I also felt feverish, pain in the throat, and fatigued. What should be done?

BHMS, PGDEMS, FCR
Homeopath, Pune
HEP SULPH 30,4 pills thrice day for 6 days .Avoid milk and milk product. All are temporary and preventive treatment for permanent cure we need a detail history and few investigations Homoeopathic treatment is safe and effective with no side effects .You can contact us for Homoeopathic treatment.
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Hello sir, I have sleep disorder problem. My age is 35 years. My EEG report is normal. From last 4 years I am taking mirtazapine 7.5 mg (1/2 tablet per night). With this tab. I sleep very well 8-9 hrs. Many times, I try to sleep without this tab. But sleep only 3-4 hrs with disturbing (awake 4-5 times during night) and feels laziness/tiredness in day which disturb my job/routine. So I am taking the mirtazapine continue. I also exercises daily at evening, take 1 glass of milk at night, Drink 8 glass water daily, walking after dinner 2 km but not sleeps properly. I read on internet that sleep medicine increases B.P. And lack of sleep also increases B.P. L want to know the following:- 1. Which is more predominant for high BP (lack of sleep/medicine for sleep). 2. What is long term side effects of mirtazapine, if I continue it. 3. If any serious side effects, please suggest any other medicine (allopathic/Ayurvedic) which has low side effects than mirtazapine. Thanks.

DHMS (Hons.)
Homeopath, Patna
Hello sir,
I have sleep disorder problem. My age is 35 years. My EEG report is normal. From last 4 years I am taking ...
Hello, Lybrate user, go for a walk in d morning to restore your blood circulation to nourish your body & brain.  ⁃go for meditation to reduce your stress, anxiety and to calm your nerve to ease insomnia.  ⁃Tk, banana,apples, coca, almonds,pumpkin -seeds, spinach  to ease insomnia.  ⁃ Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism.⁃ Your diet b easily digestible, simple,non-irritant, on time. Your dinner b at least 2 hrs before going to bed with 1 cup of milk, finally before going to sleep. ⁃ Avoid, caffiene, nicotine, alcohol,junk food, watching Tv in d late night.  ⁃ Homoeo medicine, gentle,rapid & safe to administer. @ passiflora Q-20 drops before 1/2 hr ,going to bed. Your feedback will highly be appreciated for further follow up ,please. Tk, care.
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I am 25 years of old unmarried from about 4 years I am facing the problem of soft stool constipation with back winds (gas) every day I have to pass d stool 4 to 5 times .with gas I am really fed up please help me out.

DHMS (Hons.)
Homeopath, Patna
I am 25 years of old unmarried from about 4 years I am facing the problem of soft stool constipation with back winds ...
Hello, Lybrate user, Tk, plenty of water to eliminate toxins ,softening stool to avoid constipation.   •go for a brisk walk in d morning to complete digestion to ease gastric disorder.   • go for meditation to nourish your whole body to complete the digestion.   •  your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines ,gentle ,rapid & safe in administration. @ Nux vom 30-6 pills thrice a day.   • ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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Sometimes, pain of chest, it makes a great problem in my life. You are requested to give me a solution of this problem.

DHMS (Hons.)
Homeopath, Patna
Sometimes, pain of chest, it makes a great problem in my life.
You are requested to give me a solution of this problem.
Hello, Lybrate user, Tk, plenty of water to eliminate toxins, dilute acid in stomach ,regulate metabolism & soften faeces (stool) to b evacuated smoothly to avoid constipation, piles &fissure.   •go for a brisk walk in d morning to restore your blood circulation & to activate peristaltic movement to complete digestion to ease gastric disorder.   • go for meditation & yoga to nourish your whole body to complete the digestion by stimulating edequate  digestive enzymes and to calm down stress ,being, one of d  main reasons of gastritis & peptic ulcer.   •  your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines ,gentle, rapid & safe in administration. @ Nux vom 30-6 pills thrice a day. @ Carbo veg 200-6 pills, thrice.   • ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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I have heavy cough and have pain in lungs and sans lena me bhi problem h help me.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, •you should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Bryonia alb. 30-6 pills, thrice. @ Heper sulphur 30-6 pills, thrice. Go for meditation to charge your body and lungs with plenty of Oxygen  in order to clear nasal passage. •Report wkly, your feedback matters for further follow up,  please. Tk,  care.
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My father is a 62 year old male who got the following results. Fasting blood sugar - 105, PP - 132, total cholesterol 160, urea 28, creatinine 1.2, uric acid 5.6. Please tell whether these levels are normal for his age? Any diet to be followed? I am concerned about prediabetes and urea and creatinine level? Please advice.

MBBS
General Physician, Mumbai
My father is a 62 year old male who got the following results. Fasting blood sugar - 105, PP - 132, total cholesterol...
Dear Lybrateuser, - Your fathers results are normal for his age - his diet should consist of more of fibrous foods like fruits, vegetables, whole grains, low fat dairy, lean meats, nuts, legumes including lentils, beans, pulses, sprouts - he should have 4-5 small meals rather than three large meals, do not skip meals, have meals on time - avoid fried, spicy, processed & junk foods - have 7-8 glasses of water for proper digestion - do regular exercise like walking for 20-30 min, also do yoga, meditation & deep breathing for 10-15 min daily morning to keep fit.
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Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat no itching no burn bus atey he or chale jate he kya karu.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat ...
Contact with ultrasound report till then take sootshekhar ras swarn yukta 125 mg BD panchsakar churna 50 gm + avipattikar churna 40 gm + karpad bhasm 10 gm + shankh bhasm 5 gm SAB KO MILAKAR 5 GM BD.
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I am having loose motion for 3 days had loparrete and having curd rice as my diet need to have consultation.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, Go for reducing your weight first. Tk, plenty of water to hydrate your body. Your diet be easily digestible on time to avoid gastric disorder. Tk, Homoeo medicine:@ Aloe sac 1000-5 drops once. Avoid, junk food. Report, after a day. Your feedback matters. Tk, care.
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Is it important to break the hymen to be pregnant? And if the hymen breaks will it bleed?

DGO, MBBS
Gynaecologist, Bhavnagar
Is it important to break the hymen to be pregnant? And if the hymen breaks will it bleed?
For a pregnancy to occur it's needs only one sperm to fertilize an ovum which can pass any small foramen. Even sperm can travel inside if a semen has come into contact with vulva or vagina. It may bleed when a hymen breaks.
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My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker. Last time I did scanning for different reason and doctors said no major. Please suggest.

BHMS, diploma in nutrition and health education, m.sc. in counselling and psychotherapy
Homeopath, Noida
My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker.
Last time I did scanning for diffe...
Hello, Your report shows that you are obese with hepatomegaly. So take proper diet plan for weight loss and hepatomegaly. I need to know some more history like diabetes, blood pressure and lipid profile etc. According to that I suggest you the effective diet plan with some homeopathic medicine. Hope my answer will be effective for you. Thanks.
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If a male's sperm is weak and thinner too then is there any natural way to make it healthier which can able to make a wife became pregnant?

DHMS (Hons.)
Homeopath, Patna
If a male's sperm is weak and thinner too then is there any natural way to make it healthier which can able to make a...
Hello, Lybrate user, Please, consume, Vitamin A, B, C, D, E, Energy. Zinc, omega3, fatty acid, anti - oxidants, protein, amino acid, Folic acid, testosterone to improve blood flow to reproductive organ.●Tk, apples, carrots, bananas, almonds, walnuts, oyster, eggs, spinach, garlic, pumpkin- seeds, Black chocolates.●Meditation for 30 minutes will reduce your stress, anxiety, nourish cells, tissues, penile, pelvic and groin muscle to improve erectile dysfunction premature ejaculation, resulting in enhancement of sperm count be ensured.●Take, plenty of water to eliminate toxins and to regulate metabolism to absorb nutritions, vitamins, protein, minerals to provide energy to d body. Your diet should be easily digestible, simple, non- irritant, on time to b digested properly. ●Medication: Homoe medicines: Acid phos1000-6, wkly. Five phos 6x-4, tbs, with lukewarm water. ●Avoidance: Frequent masturbation, caffeine, alcohol, nicotine, junk food, polluted atmosphere, Dust, smoke, scorching sun. Report,  fortnightly. Your feedback matters. For further follow-up,  please. Stay fit and fine.
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