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Dr. Prashanth Nayak

General Physician, warangal

Dr. Prashanth Nayak General Physician, warangal
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Prashanth Nayak
Dr. Prashanth Nayak is a popular General Physician in Postal Colony, Warangal. She is currently practising at prashanth in Postal Colony, Warangal. You can book an instant appointment online with Dr. Prashanth Nayak on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 25 years of experience on Lybrate.com. Find the best General Physicians online in Warangal. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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SIR/ MADAM I am diabetic since one year. Now the sugars level are normal and HBA1c I 5.7. Shall I have water melon during summer in small quantity.

mbbs
General Physician, Hyderabad
SIR/ MADAM
I am diabetic since one year. Now the sugars level are normal and HBA1c I 5.7. Shall I have water melon du...
Watermelon is one of the good fruits for diabetics. But advice you to not eat more than two bowls a day.(aprox total 100grams a day). As per height and weight you mentioned I suggest you also to reduce your weight slowly because the more you weigh there are more chances of poorly controlling the blood sugar levels and it's complications.
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I am 42 yeas old. I am facing premature ejaculation since some days. I used to travel about 100 K.M per day so I feel fatigue in the evening. What can I do for the same. I also suffering from headache. Please help me.

MBBS, MHSc (Reproductive & Sexual Medicine), Certified Sexologist
Sexologist, Bangalore
I am 42 yeas old. I am facing premature ejaculation since some days. I used to travel about 100 K.M per day so I feel...
There two treatment strategies for premature ejaculation. 1. Medicines - Temporary increase time 2. Sex Therapy - Permanent Cure.
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I have stomach problem please give me suggestion please, do tablet side effect, please reply by email. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have stomach problem please give me suggestion please, do tablet side effect, please reply by email. Thanks.
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Panchamrut parpati 1 tab before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.
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I am 44 year old male. I having sweating problem While working small small works like cleaning the furniture, Gardening etc I found my self wet b y sweat.

MBBS
General Physician, Mumbai
It is normal for you to sweat while doing work and then also can take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Hi I am 34 and a male I have an allergic problem with dust and some smell, if I start sneezing I am not able to control Myself, and at 1 time I sneeze minimum 10 to 15 times continuously what can I do to come out of this problem permanently.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
Using intranasal corticosteriod sprays can stop the symptoms of allergic rhinitis. Take them with advice and guidance of doctor.
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I got lump near anus, which grown quit big and painful. I have already done proctoscopy which indicate fistula. Actually when I did proctoscopy that time lump was not there. I came back to job away from home with limited medical facility and I noticed this lump, I have applied for leave next week may be I will back to home and can treat. I need to know for time being how can I take care of this lump I can not see blood of pus draining through anus just lump is there. I work as field engineer on oil rig so need to be back with complete cure of this lump ASAP. How much day it will take if I went through surgery for fistula and will it be cured permanently. Currently I am taking antibiotics and pain killer for this time. I have also done my piles treatment kshar sutra in 2015 jan.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Home Remedy- 1-Boil 1 ripe banana in 1 cup of milk, mash well. Take 3-4 times a day. 2-Make an ointment by mixing an equal amount of powdered long pepper and turmeric with milk (preferably cow’s milk). Apply this on the external piles. Treatment- 1-Take arshantak vati 1-1 twice a day with warm water. 2-take pranacharya pilescure capsule 1-1 twice a day. 3-Pranacharya abhayarishta 2-2 tsf twice a day. 4-apply pranacharya pilescure ointment on anal region. 5-if motions are not clear then take virechan churna 1 tsf in warm water before night. Diet-take fresh buttermilk early morning. Avoid spicy food. Junk food. Fermented food. Tea.coffee. Take slitz bath. Note-you can take my 'piles treatment package' which is available on Lybrate in health packages.
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Want to ask a Paediatrician - what should we carry (medicines and other first aids) during our visit to southern India in this hot burning summer while travelling specially for kids? What precautions n measures to be followed? Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Want to ask a Paediatrician - what should we carry (medicines and other first aids) during our visit to southern Indi...
You need to carry only paracetamol syrup in case her eid fever and you have not told the age of your children. You wear light cotton cloths and now rains ahve started and is not so hot now. You can ask me personally if you need help
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While having sex early pre ejaculations happened. I don't get satisfy my partner due to which life is not running good. I am recently married.

BAMS, MD Ayurveda
Sexologist, Lonavala
While having sex early pre ejaculations happened. I don't get satisfy my partner due to which life is not running goo...
I am recommending you an following remedy which will surely help you Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle it will surely help you.
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I'm 19 and I have habit of masturbation since 4-5 years. Weekly I do it around 4 times. But whenever I masturbate. I feel low and low energy and power. So please guide me.

MBBS
General Physician, Cuttack
I'm 19 and I have habit of masturbation since 4-5 years. Weekly I do it around 4 times. But whenever I masturbate. I ...
1. Masturbation is a normal way of relieving sexual tension. 2. It is, not harmful if done in moderation, preferably 1-2 times a week. 3. Excess indulgence may cause physical problem like weakness, tiredness, loss of memory, lack of energy, lack of concentration, behavioural disorder, stress, depression, and sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Etc.
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My brother has problem with nose is unable to breath properly he is facing more trouble with ac and in winter season kindly suggest precautions to be taken.

Fellowship in Interventional Pulmonology, DNB (Respiratory Diseases)
Pulmonologist, Thane
Avoid cold foodstuffs and avoid blower of ac directly coming over face and chest. Take proper treatment from an ent specialist or a chest physician near you. Avoid things or situations that lead to increase in your symptoms.
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Hello, How accurate are finger prick hiv rapid test? I mean "one blood drop taken after pricking finger and put in rapid kit card and then some drops of buffer diluent is added and after 20 minutes results was given.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hello,
How accurate are finger prick hiv rapid test? I mean "one blood drop taken after pricking finger and put in ra...
Good Morning ~ The sensitivity and specificity of the TRI-DOT test which is the test that is done usually for screening the first time you walk into a clinic to get an HIV test were 99.48% and 99.99%, respectively, compared with the fourth-generation ELISA. So the Tri-Dot test is fairly accurate. If you have any other questions or clarifications regarding your current HIV status or any HIGH RISK sexual activity, contact me as soon as possible.
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My wife is having loose motions from last two days. She is 12 week pregnant. Suggest me the medicine or home remedies for her.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
My wife is having loose motions from last two days. She is 12 week pregnant.
Suggest me the medicine or home remedies...
Dear lybrate user, if the loose motions are not much, she otherwise feels alright and there is no fever it is best to take ors (oral rehydration solution) or lemon juice with salt, sugar and pinch of baking soda. Consult doctor if the intensity is more and/ or there are other associated symptoms.
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Sir hamko raat mai nind nahi aati hai kyonki mai kuch sochta rahta hu or jiske chalte aankh lal rahta hai pleace sir iska koi upay bataye ?

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, obsessive thinking could be the main cause for your lack of sleep. You must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. Therefore no medicines are required. Mental disorder can be successfully treated with the help of awareness, meditation, psychotherapy techniques, life style changes etc. I think two or three counseling sessions and psycho therapy techniques should solve your problem. Let me know if you are willing to undergo counseling sessions and tailor made psycho therapy through mobile. Take care.
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Do sugary soft drinks lead to diabetes and I have stomach pain week in three time?

MBBS
General Physician, Cuttack
Do sugary soft drinks lead to diabetes and I have stomach pain week in three time?
It does not cause diabetes unless you have risk factors like obesity, hereditary tendency etc. It is better to minimise sugar consumption in any form since it can add on to calorie causing overweight and related complications.
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There is a little swelling in my wife's right ankle due to improper dance step. Slight pain is also there Her age is 43 Kindly what should be done ?

PGDHHM, MBBS
General Physician, Delhi
There is a little swelling in my wife's right ankle due to improper dance step. Slight pain is also there
Her age is ...
It could be due to sprain or strain. Apply ice pack locally every 2 hrly for 10 min. Apply painkiller on locally. Rest with foot end raised. Hope this helps u. If pain increases then get xray done.
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I am 24 and some strip of foreskin is attached to my gland by which I am unable to retract my foreskin completely. I can retract completely when not erect. Does it cause problem during intercourse. If yes what is the solution.

MBBS
General Physician, Jalgaon
I am 24 and some strip of foreskin is attached to my gland by which I am unable to retract my foreskin completely. I ...
Please It cause painful intercourse. Put some coconut oil drops below penile skin and do forward and backward movements of penile skin slowly avoiding masturbation Do it for 3 months It will be free If not relived, consult nearby surgeon in person and go for circumcision if needed.
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I am suffering from dry cough for the last 4 weeks and I have chest pain whenever I cough hard can you suggest what should be done?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from dry cough for the last 4 weeks and I have chest pain whenever I cough hard can you suggest what s...
Take pranacharya kasantak syrup 2-2 tsf in hot water twice a day...Take sitopaladi..praval and tankan bhasm churna with honey 3-4 times a day...take ginger black pepper and basil leaves tea.. ..gargle with hot water(salted) avoid milk...cold drinks....take hot water steam.......
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My age is 22, weight 50 kgs Im masturbating day after day ,thrice in a week .is this responsible for my weak body? .please give some tips to overcome this if it is not good.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
My age is 22, weight 50 kgs Im masturbating day after day ,thrice in a week .is this responsible for my weak body? .p...
Regular shukra dhatu loss by masturabation will make you weaker day by day eating shukravardhak aahar and taking medicine is very important avoiding madturabation is very neccessory drink cow milk empty stomach consult privetly for more details and ayurvediy medications.
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All You Need to Know About Premature Ejaculation Part-2

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation Part-2

In my previous health tip, featured here last time, I talked about what actually is Premature Ejaculation (PE) or early ejaculation, what is its actual condition and how is it defined. Today I will share some statistics, diagnosis, variants and causes of PE.

Statistics of PE:

  1. You are not alone!  PE is a common sexual complaint.
  2. Estimates vary, but as many as 30-40% men across the world experience PE at some point in their lives. 
  3. In US alone, about 60%-70% of people experience premature ejaculation. The National Health and Social Life Survey (NHSLS) indicate a prevalence of 30%, which is fairly spread across all adult age groups. 

Diagnosis of PE:

As per DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), the specific criteria for PE are as follows:

 

  1. In almost 75-100% sexual activities, the experience of ejaculation occurs within one minute of vaginal penetration.
  2. The problem of PE has persisted for at least six months
  3. The symptoms cause significant mental stress to the person
  4. It occurred due to a nonsexual mental disorder, a medical disease, effects of a drug or medication, etc.

Severity of PE:

The severity of PE or early ejaculation is broadly defined as follows:

  1. Mild: Occurring within 30 seconds to one minute
  2. Moderate: Occurring within 15-30 seconds
  3. Severe: Occurring even before sexual activity, at the start of it, or within 15 seconds of vaginal penetration

Even the severe form is not uncommon. Many times men approach the doctors with complaint that they are not able to penetrate the vagina. They ejaculate on minor physical stimulation and it occurs again and again. In such case, pregnancy will not be possible unless artificial insemination is used. 

Types and characteristics of P.E.

PE can be Chronic or Acquired

Chronic (lifelong) PE is when the person has been experiencing it since he became sexually active (i.e., post puberty). Usually it is seen that PE starts occurring from the beginning of sexual activity, probably the first sexual intercourse or even on masturbation, when the discharge occurs early.

Acquired (recent) PE means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and had successful sexual escapades but only recently (couple of weeks to months) has developed the tendency to ejaculate early. 

 

What causes P.E?

Not a particular cause is responsible for causing PE.  However, the causes of PE can be divided into two broad sub-heads, which are psychological and biological cause:

 

Psychological causes:

PE is believed to be a psychological problem and does not represent any known defect in the brain or nervous system. Psychological causes behind PE may include a certain pattern that is hard to change as result 
of your previous sexual experiences. They may arise from following:

  1. Atmosphere at Work or school
  2. Relationships with peer groups
  3. General attitude toward sex
  4. Any bad feelings about sex that relates to one or more bad experiences encountered
  5. Erectile dysfunction  
  6. Performance anxiety, where men want to show a good performance of sexual act with the female partner.

 

Type of the relationship/sexual engagement (e.g., married/unmarried/live in relationship)

Sexual attitude or interest of the female partner

Early sexual experiences, like development of habit of reaching climax soon for pleasure or ejaculating quickly because of fear of being discovered by others when masturbating as teenagers or during early sexual experiences with female partner.   This pattern of rapid attainment of sexual release is difficult to change in later stage of life during marriage or long-term relationships. 

Last but not least, a situation in which you may have hurried climax/ejaculation in order to hide your problem from your female partner; or feelings of guilt that make you rush through sexual encounters. 

 

Biological causes of PE:

Many scientists have questioned whether PE is purely psychological. A number of investigators have found differences in nervous stimulations and hormonal differences in men who experience PE as compared 
to individuals who do not.  Some believe that some men have hyper-excitability or oversensitivity in their genitalia, which is again not proven.  So, among the biological causes of PE, the most common are:

  1. Abnormal functioning of the ejaculatory system
  2. Thyroid problems
  3. Infection or inflammation of the urethra or prostate
  4. Nerve damage occurring due to trauma or surgery (a very rare cause)
  5. Abnormal levels of hormones and/or neurotransmitters (which are chemicals present in the brain)
  6. Higher, free and total testosterone levels have been demonstrated in men with PE than in men without premature ejaculation. Recent article in a Chinese andrology journal showed that semen from men  with PE contained significantly less acid phosphatase and alpha-glucosidase than the counterparts 
  7. Another study found that many men with PE have low serum prolactin levels.

Somehow these biochemical markers play only a partial role in contributing to PE. Further research is needed. Abnormal functioning of the ejaculatory system. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

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Hi dear Sir madam I am suffering from stomach pain since three weeks ago as I walked into the local doctor but it's still continuing please assist me what should I do.

BAMS
Ayurveda, Ambala
Hi dear Sir madam I am suffering from stomach pain since three weeks ago as I walked into the local doctor but it's s...
Follow these best tips to get relief from stomach pain - *take 10 gms powder of carom seeds (ajwain, 10 gm powder of cumin (jeera), 10 gm of rock salt. Mix them well and take 1/2 teaspoon (3-5 gm) of mixture daily after meal. *take 1/2 teaspoon of black pepper (kali mirch), 1/ 2 tea spoon of jeera (cumin), 2-3 slice of ginger. Boil it in one glass of water for 2-3 minutes. Drink 5-10 teaspoons (15-20 ml) in morning and evening. * take 1 tea spoon of liv-52 syrup daily one time. * walk for atleast 15-20 minutes daily and avoid long duration continuos sitting. * avoid taking nonveg at night & in day time after taking food, do not sleep in day. You can consult me privately for medicine treatment & details.
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