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Thane Health Care Hospital

General Physician Clinic

Brahmin Society, Naupada-Thane West. Landmark: Opposite Naupada Post Office, Thane Thane
1 Doctor
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Thane Health Care Hospital General Physician Clinic Brahmin Society, Naupada-Thane West. Landmark: Opposite Naupada Post Office, Thane Thane
1 Doctor
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Thane Health Care Hospital
Thane Health Care Hospital is known for housing experienced General Physicians. Dr. J.B Pednekar, a well-reputed General Physician, practices in Thane. Visit this medical health centre for General Physicians recommended by 72 patients.

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MON-SAT
07:00 PM - 09:00 PM

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Brahmin Society, Naupada-Thane West. Landmark: Opposite Naupada Post Office, Thane
Thane, Maharastra
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Dr. J.B Pednekar

General Physician
Available today
07:00 PM - 09:00 PM
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Know About Tuberculosis

MD(Am)
General Physician, Secunderabad

Definition

Tb is a disease which in humans is usually caused by bacteria called mycobacterium tuberculosis (m. Tuberculosis). Tb is an abbreviation of the word tuberculosis and is how people often refer to the disease.

Bovine tb is a disease caused by similar bacteria called mycobacterium bovis (m. Bovis). Bovine tb mainly affects cattle but can also affect humans.

Just a few years ago it was believed that tb was an old disease, and that it was no longer a problem in humans. But now because of such issues as drug resistance and hiv, it has become a major problem again.

History

  • On march 24, 1882, Dr. Robert koch announced the discovery of mycobacterium tuberculosis, the bacteria that cause tuberculosis (tb). During this time, tb killed one out of every seven people living in the united states and europe. Dr. Koch’s discovery was the most important step taken toward the control and elimination of this deadly disease.
  • In 1982, a century after Dr. Koch’s announcement, the first world tb day was sponsored by the world health organization (who) and the international union against tuberculosis and lung disease (iuatld). The event was intended to educate the public about the devastating health and economic consequences of tb, its effect on developing countries, and its continued tragic impact on global health.
  • Today, world tb day is commemorated across the globe with activities as diverse as the locations in which they are held. But more can be done to raise awareness about the effects of tb. Among infectious diseases, tb is now the leading killer of adults in the world, with 1.8 million tb-related deaths in 2015. In the united states, the overall number of tb cases increased over the previous year in 2015 after having declined yearly during 1993–2014.
  • Until tb is eliminated, world tb day won’t be a celebration. But it is a valuable opportunity to educate the public about the devastation tb can spread and how it can be stopped.

Epidemiology

Globally, more than 1 in 3 individuals is infected with tb. According to the who, there were 8.8 million incident cases of tb worldwide in 2010, with 1.1 million deaths from tb among hiv-negative persons and an additional 0.35 million deaths from hiv-associated tb. In 2009, almost 10 million children were orphaned as a result of parental deaths caused by tb.

Overall, the who noted the following:

  • The absolute number of tb cases has been falling since 2006 (rather than rising slowly, as indicated in previous global reports)
  • Tb incidence rates have been falling since 2002 (2 years earlier than previously suggested)
  • Estimates of the number of deaths from tb each year have been revised downwards
  • The 5 countries with the highest number of incident cases in 2010 were india, china, south africa, indonesia, and pakistan. India alone accounted for an estimated 26% of all tb cases worldwide, and china and india together accounted for 38%.

Types

1. Active tb

Active tb is an illness in which the tb bacteria are rapidly multiplying and invading different organs of the body. The typical symptoms of active tb variably include cough, phlegm, chest pain, weakness, weight loss, fever, chills and sweating at night. A person with active pulmonary tb disease may spread tb to others by airborne transmission of infectious particles coughed into the air.

If you are diagnosed with an active tb disease, be prepared to give a careful, detailed history of every person with whom you have had contact. Since the active form may be contagious, these people will need to be tested, as well.

Multi-drug treatment is employed to treat active tb disease. Depending on state or local public health regulations, you may be asked to take your antibiotics under the supervision of your physician or other healthcare professional. This program is called “directly observed therapy” and is designed to prevent abandonment or erratic treatment, which may result in “failure” with continued risk of transmission or acquired resistance of the bacteria to the medications, including the infamous multi-drug resistant tb (mdr-tb).

2. Miliary tb

Miliary tb is a rare form of active disease that occurs when tb bacteria find their way into the bloodstream. In this form, the bacteria quickly spread all over the body in tiny nodules and affect multiple organs at once. This form of tb can be rapidly fatal.

Types of tb

1. Cavitary tb

Cavitary tb involves the upper lobes of the lung. The bacteria cause progressive lung destruction by forming cavities, or enlarged air spaces. This type of tb occurs in reactivation disease. The upper lobes of the lung are affected because they are highly oxygenated (an environment in which m. Tuberculosis thrives). Cavitary tb can, rarely, occur soon after primary infection.

Symptoms include productive cough, night sweats, fever, weight loss, and weakness. There may be hemoptysis (coughing up blood). Patients with cavitary tb are highly contagious. Occasionally, disease spreads into the pleural space and causes tb empyema (pus in the pleural fluid).

2. Latent tb infection

Latent tb occurs when a person has the tb bacteria within their body, but the bacteria are present in very small numbers. They are kept under control by the body’s immune system and do not cause any symptoms.

People with latent tb do not feel sick and are not infectious. They cannot pass the bacteria on to other people. In addition they will usually have a normal chest x-ray and a negative sputum test. It is often only known that someone has latent tb because they have had a test, such as the tb skin test.

Risk factors

You are at risk of tb infection if you are around people with active tb disease who are coughing, which releases bacteria into the air. The risk of infection increases for intravenous drug users, healthcare workers, and people who live or work in a homeless shelter, migrant farm camp, prison or jail, or nursing home.

Most people who are infected with the bacteria that cause tb do not develop active disease. The following factors increase the risk that latent disease will develop into active disease:

  • Infection with hiv, the virus that causes aids and weakens the immune system
  • Diabetes mellitus
  • Low body weight
  • Head or neck cancer, leukemia, or hodgkin’s disease
  • Some medical treatments, including corticosteroids or certain medications used for autoimmune or vasculitic diseases such as rheumatoid arthritis or lupus, which suppress the immune system.
  • Silicosis, a respiratory condition caused by inhaling silica dust.

Causes

The mycobacterium tuberculosis bacterium causes tb. It is spread through the air when a person with tb (whose lungs are affected) coughs, sneezes, spits, laughs, or talks.

Causes of tuberculosis

  • Tb is contagious, but it is not easy to catch. The chances of catching tb from someone you live or work with are much higher than from a stranger. Most people with active tb who have received appropriate treatment for at least 2 weeks are no longer contagious.
  • Since antibiotics began to be used to fight tb, some strains have become resistant to drugs. Multidrug-resistant tb (mdr-tb) arises when an antibiotic fails to kill all of the bacteria, with the surviving bacteria developing resistance to that antibiotic and often others at the same time.
  • Mdr-tb is treatable and curable only with the use of very specific anti-tb drugs, which are often limited or not readily available. In 2012, around 450, 000 people developed mdr-tb.

Symptoms

Although tuberculosis (tb) is most frequently associated with symptoms involving the lungs—because the disease most often affects the lungs—it can affect any organ of the body. The disease can cause a variety of symptoms. If you have symptoms, your doctor will want to know when they began.

People with latent tb infection (an infection without active disease) have no symptoms.

The usual symptoms of tb include:

  • Fever
  • Chills
  • Night sweats
  • Cough
  • Loss of appetite
  • Weight loss
  • Blood in the sputum (phlegm)
  • Loss of energy

The symptoms may be mild and may not seem particularly worrisome to the patient. In other people, the symptoms become chronic and severe.

Other symptoms of active tb disease depend on where in the body the bacteria are growing. If active tb disease is in the lungs (pulmonary tb), the symptoms may include a bad cough, pain in the chest, and coughing up blood. If active tb is outside the lungs (for example, the kidney, spine, brain, or lymph nodes), it is called extrapulmonary tb and has other symptoms, depending on which organs are affected. For example, tuberculosis in the spine may cause back pain or stiffness.

Diagnosis and test

  • During the physical exam, your doctor will check your lymph nodes for swelling and use a stethoscope to listen carefully to the sounds your lungs make while you breathe.
  • The most commonly used diagnostic tool for tuberculosis is a simple skin test, though blood tests are becoming more commonplace. A small amount of a substance called ppd tuberculin is injected just below the skin of your inside forearm. You should feel only a slight needle prick.
  • Within 48 to 72 hours, a health care professional will check your arm for swelling at the injection site. A hard, raised red bump means you’re likely to have tb infection. The size of the bump determines whether the test results are significant.
  • If your gp suspects you may have tb, they will send you for testing. If you do have tb, it’s best to know as soon as possible. Delaying treatment makes it more likely you may develop long-term health problems and could put people close to you at risk.

Types of tb test

There are a range of tests to show if you have tb, such as a sputum test, a culture test and x-rays.

Chest x-ray

A chest x-ray can show damage in your lungs, but you might need further tests to prove you have tb, such as sputum and culture tests or scans.

Testing sputum

A lab will use a microscope to look at any sputum (phlegm) that you cough up. If there are tb germs in your sputum, you have tuberculosis of the lungs or throat (pulmonary tb). This test also helps doctors to understand how infectious you may be.

Biopsy

If it is thought that you have tb, but not in your lungs or throat, the doctor may take a biopsy to test for tb. This is a small sample of tissue or fluid taken from the area where the tb is thought to be.

Culture test

This test uses your sputum or tissue sample to grow any tb bacteria that may be there. It tells doctors how infectious you are and also whether your tb is resistant to any antibiotics. This helps ensure they put you on a combination of drugs that will cure you. As tb culture grows slowly, it may take up to eight weeks to get some of the results.

Treatment and medications

Treatment for active tb

If you have this form of the disease, you’ll need to take a number of antibiotics for 6 to 9 months. These four medications are most commonly used to treat it:

  • Ethambutol
  • Isoniazid
  • Pyrazinamide
  • Rifampin

Your doctor may order a test that shows which antibiotics will kill the tb strain. Based on the results, you’ll take three or four medications for 2 months. Afterward, you’ll take two medications for 4 to 7 months.

You’ll probably start to feel better after a few weeks of treatment. But only a doctor can tell you if you’re still contagious. If you’re not, you may be able to go back to your daily routine.

Treatment of latent tb

The treatment of latent tb is considered by many people to be an important part of tb prevention.

It is not recommended that everyone with latent tb infection (ltbi) should have tb treatment. Rather it is recommended that certain “target” groups should receive treatment. The main “target” groups considered by the world health organisation (who) to be most at risk from progressing from latent to active tb include people in low tb burden countries:

  • Who have had recent contact with an infectious patient;
  • With silicosis (there is more about tb & mining);
  • Infected with both tb and hiv;
  • Who have been or who are in prison;
  • Who are immigrants to a low burden country from a high burden country;
  • Who are homeless;
  • Who are an illicit drug user;

Who have certain clinical conditions, or conditions which compromise their immune system, such as people with diabetes, and people with chronic renal failure.

In high tb burden countries the populations that are most strongly recommended for the treatment of latent tb infection are people living with hiv, and children under five who are household contacts of pulmonary tb cases.

Treatment for miliary tb

  • Antibiotics
  • Corticosteroids
  • Sometimes surgery
  • Generally, treatment of miliary tuberculosis is similar to thetreatment of pulmonary tuberculosis.
  • Antibiotics are given usually given for 6 to 9 months, unless the meninges are affected. Then antibiotics are given for 9 to 12 months.
  • Corticosteroids may help if the pericardium or meninges are affected.
  • Tuberculosis bacteria can easily develop resistance to antibiotics, particularly when people do not take the drugs regularly or for as long as they are supposed to.
  • Surgery is needed for some complications of military tuberculosis.

Prevention

If you test positive for latent tb infection, your doctor may advise you to take medications to reduce your risk of developing active tuberculosis. The only type of tuberculosis that is contagious is the active variety, when it affects the lungs. So if you can prevent your latent tuberculosis from becoming active, you won’t transmit tuberculosis to anyone else.

Protect your family and friends

  • If you have active tb, keep your germs to yourself. It generally takes a few weeks of treatment with tb medications before you’re not contagious anymore. Follow these tips to help keep your friends and family from getting sick:
  • Stay home. Don’t go to work or school or sleep in a room with other people during the first few weeks of treatment for active tuberculosis.
  • Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn’t move. If it’s not too cold outdoors, open the windows and use a fan to blow indoor air outside.
  • Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.
  • Wear a mask. Wearing a surgical mask when you’re around other people during the first three weeks of treatment may help lessen the risk of transmission.
  • Finish your entire course of medication
  • This is the most important step you can take to protect yourself and others from tuberculosis. When you stop treatment early or skip doses, tb bacteria have a chance to develop mutations that allow them to survive the most potent tb drugs. The resulting drug-resistant strains are much more deadly and difficult to treat.

Vaccinations

In countries where tuberculosis is more common, infants often are vaccinated with bacillus calmette-guerin (bcg) vaccine because it can prevent severe tuberculosis in children. The bcg vaccine isn’t recommended for general use in the united states because it isn’t very effective in adults. Dozens of new tb vaccines are in various stages of development and testing.

What Are Urinary Tract Infections (UTIs)?

MBBS, MS - General Surgery
General Surgeon, Kota
What Are Urinary Tract Infections (UTIs)?

Urinary tract infections (UTIs) are bacterial infections in the urinary system. They’re very common and usually not serious, though there can be exceptions.

Your urinary tract includes your bladder, kidneys, ureters (two tubes that go from your kidneys to your bladder), and urethra (how urine goes out of your body from your bladder).

If you have a UTI in your kidneys, doctors call it pyelonephritis. If it’s in your bladder, the medical term is cystitis.

Who Gets Urinary Tract Infections?

Anyone can. But UTIs are more likely if you:

  • Are a woman
  • Have had UTIs before
  • Have a condition that affects your bladder's nerve supply (including diabetes, multiple sclerosis, Parkinson's disease, and spinal cord injuries)
  • Have been through menopause
  • Are overweight
  • Have something that blocks the passage of urine, such as a tumor, kidney stone, or an enlarged prostate
  • Use a contraceptive diaphragm or spermicide for birth control
  • Have a catheter, a tube placed into the bladder to drain urine from the bladder into a bag outside the body
  • Are a man who has sex with men, has HIV infection, or hasn’t been circumcised

Most of these traits also raise the chance that a simple bladder infection may become a more serious kidney infection, or turn into sepsis (an infection that has gotten into your bloodstream). For pregnant women, a kidney infection can raise the odds of delivering a baby too early.

Causes

  • Most UTIs are due to bacteria that are normally found in your gut, such as E. coli. Other bacteria that can cause them include staphylococcus, proteus, klebsiella, enterococcus, and pseudomonas.
  • Some bladder infections in both men and women are linked to two sexually transmitted bugs: Chlamydia trachomatis and mycoplasma. Another parasite, trichomonas, can cause similar symptoms.
  • Women are more likely to get urinary tract infections, because the tube that goes from the bladder to the outside (the urethra) is much shorter than in men. Because the urethral opening is closer to the anus in women, it’s easier for bacteria from stool to get into the female urethra. A urinary tract infection may be linked to sex.
  • In men, a bladder infection is almost always a symptom of another condition. Often, the infection has moved from the prostate or some other part of the body. Or it may mean that a tumor or something else is blocking or interfering with the urinary tract.
  • Chronic kidney infections in children sometimes happen because of a structural problem that allows urine to flow back from the bladder to the kidneys (reflux), or because the bladder doesn’t empty completely.

Foreskin of my penis does not retract back completely its little tight. Is it medically fine or it might create problem while intercourse?

MS - General Surgery, MCh Urology
Urologist, Hyderabad
Foreskin of my penis does not retract back completely its little tight. Is it medically fine or it might create probl...
Respected Sir 1.Based on your symptoms, you might be having phimosis (tight foreskin). 2.Are you able to retract it completely? Try to slowly retract the foreskin back daily and clean the undersurface with soap and water and keep the area dry. 3.A tight foreskin presents with difficulty in the intercourse, like you may develop cracks and tears on the foreskin. 4.Please consult a Urologist who would assess the condition and provide you appropriate treatment. 5.You might require surgical removal of the foreskin (Circumcision) if the problem persists. Do not worry, it is a minor day care procedure with minimal complications. Hope this helps Good Day.
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When I went to bed for sex my sperm will flow out quickly how to control it. And my foreskin is very tight it's not going back. please solve this problem.

MS - General Surgery, MCh Urology
Urologist, Hyderabad
When I went to bed for sex my sperm will flow out quickly how to control it.
And my foreskin is very tight it's not g...
Respected Sir 1.From the symptoms you presented, you might be having a tight penile foreskin (phimosis) with difficulty in retracting the foreskin. 2. You are prone to infection of the foreskin and head of the penis (balanoposthitis) due to phimosis. 3.Please consult a Urologist who would examine you and advice proper management. 4.persistent problem might require surgical removal of the foreskin (Circumcision) Hope this helps Get well soon Thanks.
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I have very poor digestion and quality of sleep from last 3 years, I sleep only for. 5 hours and wake up in morning with bloated stomach around 4 am and that is affecting my health, kindly tell some methods to get better sleep, also I incurred fit due to sleep deprivation 3 years ago.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I have very poor digestion and quality of sleep from last 3 years,
I sleep only for. 5 hours and wake up in morning w...
You are suffering from vataja and pittaja roga. Maintain regular pattern of lifestyle. Drink warm water after every meals. Avoid bakery, fast, spicy and oily foods. Practice yoga and pranayama every day. Drink sufficient water every day. 2-3 km of regular walk is good. Massage your body with coconut oil or Tila taila following hot water bath. Take Avipattikar choorna 1-0-1tsp with 30 ml warm water before meals.
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4 Ways To Stop Nightfall!

M.D.Medicine, Diploma in Diabetology
Sexologist, Jaipur
4 Ways To Stop Nightfall!

Nightfall or night discharge is a condition when some men ejaculate in sleep usually in the early hours of the morning or late night. This problem usually worsens due to the weakness in muscles and nerves of the penis due to past bad history of excessive masturbation, thinning of semen viscosity, fluctuation in hormones and a full bladder. Usually, men are able to hold the semen, but when in excess then it is eliminated in the form of nightfall or late night. This problem usually worsens due to the weakness in muscles and nerves due to bad history of excessive masturbation, thinning of semen viscosity, fluctuation in hormones and a full bladder. Men are able to hold the semen but when it excess then it is eliminated in the form of nightfall.

In the case of excessive semen flow and nightfall, a person might experience insomnia, dizziness, weakness, loss of memory and sight, pain in knees, weaker sexual incapacity, infertility, erectile, dysfunction and not to forget stress. In rare cases, a person might pass urine along with semen. of excessive semen flow and nightfall, a person might experience insomnia, dizziness, weakness, loss of memory and sight, pain in knees, weaker sexual incapacity, infertility, erectile, dysfunction and not to forget stress. In a rare case, a person might pass urine along with semen.

Treatment for nightfall:

It is believed that the best way to stop nightfall is by changing the lifestyle and treating with guidance of doctor. This includes reducing the frequency of masturbation and avoiding porn and nude pictures. However, there are some ways to cure nightfall naturally by doing the following:

  1. Meditation increases concentration and inner feelings can be controlled. This helps distract men from indulging in unwanted activities and is very effective in controlling nightfall.
  2. Exercise and yoga allow a person to have full control of their mind, body and soul. By doing regular yoga and exercises sex-related activities which induce nightfall can be avoided.
  3. Bathing with essential oils before going to bed is helpful as it relaxes the body and mind and allows a good sleep.
  4. Change in diet can prevent nightfall. Men who suffer from this problem should avoid acidic food.

And if the nightfall persists you need to consult a sexologist and with proper treatment of the underlying cause you can cure your problem completely with your lost physical and sexual strength.

Curing nightfall is easy and should be recognized so that it does not hamper the sex life of a man.

Following home remedies can also be taken to control or prevent the situation:

  1. Bottle gourd has a cooling effect thereby cools the system which is responsible for nightfall. It can be used in two ways, either by drinking bottle gourd juice before bedtime or by mixing the juice with sesame oil and massaging it.
  2. Gooseberry or amla helps in increasing the immunity of the body. It is believed that drinking a glass of gooseberry juice can help get rid of nightfall.
  3. Onions and garlic are known to cure many health related conditions. 3-4 cloves of raw garlic and onions in the form of salads should be had to cure nightfall.
  4. Milk, when combined with pre-soaked almonds, banana, and ginger, helps to eliminate this problem. Banana has a cooling property which helps to control the problem. Also, eating curd is beneficial as it has healing properties which cool the system and increase immunity.
  5. Juice of celery and fenugreek are very helpful in nightfall as well as premature ejaculation. These juices can be mixed with honey in a ratio of 2:1.

erectile dysfunction

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Pulmonary Embolism: What You Need To Know About It?

MBBS, DNB - Respiratory Medicine
Pulmonologist, Bangalore
Pulmonary Embolism: What You Need To Know About It?

When blood clot blocks one or more arteries in your lungs the condition is known as pulmonary embolism. It can cause a decrease in the oxygen levels in your blood, damage to your lungs due to sudden restrictions in the flow of blood along with adverse effects on other parts of your body. Life threatening blockage can cause death if left untreated and you should immediately contact your health care provider to get proper diagnosis. Pulmonary embolism requires various lab tests and generally requires short time to resolve.

Symptoms: The symptoms of pulmonary embolism mainly depend upon many factors pertaining to your previous medical history. Pulmonary embolism varies with the size of your lungs, the size of the clots formed in your blood, and any other underlying history of the heart or lungs. That said, pulmonary embolism has symptoms which are not similar to any two persons and will vary accordingly.

The common symptoms however may include the following and you are advised to opt for a health checkup if these are persistent in your body:

  1. Cough along with bloody sputum is a common symptom.
  2. Shortness of breath, which will become worse as the days passes by. They will appear suddenly and cause huge discomfort in breathing.
  3. Chest pain which may give you the feeling of a heart attack. The pain will intensify when you sit to eat or cough. Deep breath will cause problems too and will not go away easily with exertion.
  4. Some other symptoms include fever, excess sweat, irregular heartbeat and dizziness.

Pulmonary embolism can be diagnosed by the following methods:

  1. Electrocardiography (also known popularly as ECG) to measure your heart's electrical activity and functioning.
  2. CT plumonary angiography is gold standard for diagnosing pulmonary embolism.
  3. Chest x ray, which is a common and non invasive test to check your heart and lungs as well as the problems with any bones surrounding them.
  4. ECHO can detect secondary changes in heart due to pulmonary embolism.

Treatment of pulmonary embolism can be done with medicines if it is detected at an early stage or also if the clot is small. However, if the size of your clot is problematic and blocks the blood flow to your lungs or heart then surgery may be necessary. Open surgery and clot removal surgery are common in the treatment of pulmonary embolism and will require good regular follow up check ups. Regular leg exercises will also reduce the chances of any underlying disease and you should hence consult your doctor.

Sir my age is 18-19 I am not able to leave masturbations I do it once time daily what future effect will occur?

MD - Psychiatry
Psychiatrist, Chennai
Sir my age is 18-19 I am not able to leave masturbations I do it once time daily what future effect will occur?
Once or twice daily is normal. Do not feel guilty. Masturbation is a very healthy form of sexual outlet, do not feel guilty about it. Nearly 99% of men and more than 60% of women masturbate. It starts from adolescence and goes on in some people even till death. The pleasure (orgasm) from masturbation is said to be unique from sexual intercourse. In men, most of the liquid contains only water and some fructose and hormones. Hence it does not drain your energy. Many equate masturbation/ seminal fluid loss to lack of energy, impotency and so on. Many quacks, religious heads and pseudo healers also propagate the idea that masturbation is a disorder/ and wrongful behavior and instill fear on the mind of innocent men and women (we can see posters in train and bus stand, offering help for this behavior). Consult a psychiatrist, if you have excessive masturbation guilt or compulsive masturbation. Compulsive masturbation is when a person continues with frequent masturbation neglecting his/ her other work like education, job or social obligations. In fact masturbation reduces the sexual tension and helps focus on task at hand better.
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Hello doctor. I had a 4 years relatnshp with my x bf. ND we had sex atlst 6 or 7 times in a month. We were sexually active in that tym. Bt due to some reason we broke up. Now after a gap of 4 yr. I am going to marry with a guy. He is doctor. Does he will find I had a sexual relationship with someone else. Is my vagina will b tight for not doing intercourse for 4 yrs. please help me. ND in wedding night when we will do sex. Does I feel pain like the first tym I did sex. Plzzzz help. Me.

MBBS
General Physician, Greater Noida
Hello doctor. I had a 4 years relatnshp with my x bf. ND we had sex atlst 6 or 7 times in a month. We were sexually a...
No, it is not a compulsion that penetration for first time means bleeding in a girl or if penis goes inside vagina easily does not mean that she is not a virgin as hymen may be torn during games, cycling and various day to day activities and as most of the boys masturbate, girls also masturbate through clitorial or vaginal stimulation. Having relations today is not uncommon, concentrate on your love life rather than sex life with your new partner. You can go for the intercourse from the very first night but a good foreplay including oral sex will bring both of you closer and happier. There should not be much pain but male partners expect pain during initial days. All the best for a happy married life. For details consult privately.
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I do not get sleep at night. Whenever I go to bed it takes around one hour to get sleep. What should I do?

BHMS, MD - Alternate Medicine
Homeopath, Thrissur
I do not get sleep at night. Whenever I go to bed it takes around one hour to get sleep. What should I do?
Sleep is induced by the hormone called serotonine. Normally and regularly sleep gets if go to bed in time daily. It is a natural process essential for health. To get good sleep, you must have a systematic lifestyle, scheduled day today work, regular food habits, avoid Iate night supper. Etc. Milk, dried fruits, chopped raw vegetables. Etc are good for evening food.
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Dr. I masturbate when I am 13 years old 3 times a day due to lack of sex knowledge. Now I have no interest in girls. Give me suggestion to regain interest in girls.

MBBS
General Physician, Greater Noida
Dr. I masturbate when I am 13 years old 3 times a day due to lack of sex knowledge. Now I have no interest in girls. ...
Hi, Contrary to general belief ,Masturbation is almost certainly ok for your sex life. The fact is that most males masturbate. Masturbation isn't only about sex, it's a routine way of relieving stress, clearing your head before work, or going to sleep. But off course too much of anything can be bad. It leads to anxiety and loss of control over body mechanics. Though it may be ok thrice in a week, too much of it affects the senses and sensibility of an individual. Suggestions for you to reduce frequency of masturbation: 1. Read good books, newspaper 2. Spend time with family members 3. Daily walk 30 minutes 4. Avoid porn 5. Avoid spending times with not so good friends and alone. A video consultation with us is recommended. Just interest for your body inner and outer look and interest for girls will be created automatically.
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Suffering from increased levels of uric acid in body having severe joint pain done blood check up also which showed elevated level of uric acid please suggest do's and do nodes in such condition.

BHMS, MD - Alternate Medicine
Homeopath, Thrissur
Suffering from increased levels of uric acid in body having severe joint pain done blood check up also which showed e...
Uric Acid increases in blood due to improper elemination from body after metabolism. This waste may accumulate in vulnerable small joints such as big toe, wrist, ankle, etc. All berries are good for this elemination process-strawberries, mulberries. Etc. Black Tea, raw papaya juice also good. Avoid all junk foods, bakery items, Animal protein foods. Etc. Homoeopathic Medicines a every effective for this conditions. You mayConsult a good physician nearby and get well soon.
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I am masturbating form 8th class everyday ,and known ia m 21 years old I found that my penis size is very small .then normal men have what should I do so that I can have big penis.

MBBS
General Physician, Greater Noida
I am masturbating form 8th class everyday ,and known ia m 21 years old I found that my penis size is very small .then...
Unfortunately, for men who desire to increase their size of penis, the penis size is determined by genetics; therefore, no foods can accomplish making it bigger. However, there are some foods that can help accelerate your training for penis. If you combine a specific diet plan together with your exercises for penis, you can get the result you want quickly. Some foods may help you a lot in the training process; however, they can increase blood flow to your penis. Some examples of these foods are milk, eggs, liver, tuna, salmon, and vegetables like tomatoes, broccoli, carrots, and sweet potatoes. If you want to increase the size of your penis and improve the health of your masculinity without side effects and pain, you can try these foods in your diet plan. Ginkgo Biloba, Dark chocolate, ginger, almonds and pumpkin seeds.
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I always suffer frm headache. Please help m .please share medicine as soon as possible.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I always suffer frm headache.
Please help m
.please share medicine as soon as possible.
First of all pl see that Ayurveda has given a principle that Pitta causes headache. Vitiation of pitta dosh is prevalent in you it seems. So pittashamak and pittarechan herbs are the primary need. Go for Avipattikar sitopaladi prawal push to giloy and godanti mixture in desired ratio. Also take Kalmegh extract capsules 1 bd. Take all med for 2 weeks. Powders mix with honey and cap with water. Liquid Pathyadi kwath is also desirable after food. Pl consult on private Lybrate text immediately.
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My throat is aching alot and I get dry cough & my nose is totally chocked. I have gargled lot of times but I didn't get rid of that. There is a lot of irritation in my throat. This has been from 5 days.

MBBS
General Physician, Greater Noida
My throat is aching alot and I get dry cough & my nose is totally chocked. I have gargled lot of times but I didn't g...
Hi, for cold, cough and fever 1. Try to keep body warm 2. Do not eat and drink cold food items 3. Try to avoid persons affected with cold and cough because it spreads through droplet mode by coughing and sneezing 4. Take a tablet of levocetrizine and a basic antibiotic with an expectorant cough syrup for 4 days 5. Consult through audio video for details.
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Sir, I want to know one thing. When my penis gets erect during thinking about sexual things and talking to girls on phone. During this sperm doesn't come out of my erect penis. But during sleep my penis gets erect due to sexual dreams. During this Sperm comes out of my erect penis. Why does not sperm come out of my erect penis when I am awake. Why does this happen? Pls reply Sir.

MBBS
General Physician, Greater Noida
Sir, I want to know one thing. When my penis gets erect during thinking about sexual things and talking to girls on p...
EMISSION OF SEMEN DURING SLEEP IS NIGHTFALL WHICH IS COMMON IN YOUR AGE. Night fall or wet dreams is a very common occurrence among men, especially among adolescents. 1. Should start jogging or brisk walking for at least 30 minutes every day. 2. Should avoid consumption of any liquid for at least 2 hours before going to sleep. 3. Should go for urination just before going to bed. 4. Should avoid watching porn or erotic chats etc. 5. Start listening to soothing music which gives peace of mind and gives soothing effects like the meditation gives. 6. Should start reading good books at the time to keep the brain relaxed for a sound sleep.
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I had done sex two times between one hour on the first round of sex my partner felt pain I can't Evan penetrate much when I push she say pain so I gradually slow down but I got more time enough for me. On second sex I had stimulate her clitoris and vagina by oral and finger before having sex on second time she is not have pain then before its so easy to penetrate I think she had orgasm for me got only little time for enjoy I don't why on second sex I get only few minutes sir how can improve my sexual desire. Sometimes I also have masturbation also but I have limit for that also. Thank you sir.

MBBS
General Physician, Greater Noida
I had done sex two times between one hour on the first round of sex my partner felt pain I can't Evan penetrate much ...
With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation. A private consult is strongly recommended to you.
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I am 26 years old. Sir blood pressure, sugar fatty liver, sab kuch hai Kya karu. Medicine boliye sir.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 26 years old. Sir blood pressure, sugar fatty liver, sab kuch hai Kya karu. Medicine boliye sir.
Mr. lybrate-user, Thanks for the query. Aap ka ilaj karane ke liye ya koi dava batane ke liye, bahut sari cheejon ki jankari milani chahiye jaise: Fasting & after food glucose level, HbA1c%, BP reading, agar aap koi dava lete ho to usaka detail, aap ka lipid profile, liver function test details. Isake saath aap ka present diet pattern, extent of daily exercise isaka bhi detail chahiye. It is better if you come in a private conversation (paid consultation) with all those details, then only I can give specific guidelines as well as prescriptions.
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I am 27 years old married man, I come across Google and my friends about fill hot chocolate over my partner's body, even in her private area for more foreplay and pleasure is this safe for my wife to do so, my is will on this please advice on this.

MBBS
General Physician, Greater Noida
I am 27 years old married man, I come across Google and my friends about fill hot chocolate over my partner's body, e...
No, that does not include good foreplay. Its personal desires only and you should avoid these. Concentrate on sex which involves love and passion.
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When I do masturbate now a days problem arises I dnt get any relief when sperm comes.

MBBS
General Physician, Jalgaon
When I do masturbate now a days problem arises I dnt get any relief when sperm comes.
Please Stop masturbation totally It is not good for health It decrease your oaz and saptadhatu It exhausts your urogenital system prematurely affecting future sexual and reproductive life.
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