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Dr. Venkateshwarlu

MD

General Physician, Warangal

24 Years Experience  ·  at clinic
Dr. Venkateshwarlu MD General Physician, Warangal
24 Years Experience  ·  at clinic  ·  ₹ online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Venkateshwarlu
Dr. Venkateshwarlu is an experienced General Physician in Hanamkonda, Warangal. He has over 24 years of experience as a General Physician. He has completed MD. He is currently associated with MGM Lab Centre in Hanamkonda, Warangal. Save your time and book an appointment online with Dr. Venkateshwarlu on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 33 years of experience on Lybrate.com. You can find General Physicians online in Warangal 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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MD - University of Calicut - 1992
Languages spoken
English

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Islamia College Ground, Hanamkonda, Warangal Get Directions
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I am suffering from weakness. What would I do?

Diploma in Nutrition
Dietitian/Nutritionist
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I am suffering from weakness. What would I do?
Hello, to be fit you need to take enough, protein, vitamins minerals, fiber, and good fatty acids in your diet, so eat all type of food, from where you get these nutrition. Do some physical activities every day for 1 hour. Drink more water in a day. Have a adequate rest to get better health, especially if we are working in a ac environment, we have better chances to expose to all new kind of diseases, like vitamin-d devifiency, diabetes, cholesterol. Etc etc. Just leave a private question to me, if I can suggest you best supplements. Have a nice day.

My niece is 2days old and is not well. Her bilirubin levels are 11.6. Is it normal?

MBBS, MBA (Healthcare)
General Physician
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My niece is 2days old and is not well. Her bilirubin levels are 11.6. Is it normal?
some times it is normal in new born . it would be normal in 2 weeks. but consult good child doctor , for detail clinical examination.

Hi i am Having a hernia problem.

MBBS
General Physician
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There are various kinds of hernia such as umbilical, ingunal, incisional, femoral, pls let me know which kind you are having and what do you want to ask me?

I am 49 years old woman, having diabetes for the last 4 yrs, fasting is above 260, random is 370. I am taking galvus 50 1000 mg but to no effect. I have also taken wheat water, kerala and amla juice but to no effect. please suggest some measures to maintain blood sugar level so that I can go for cataract operation.

Diploma in homeopathy, B. Sc
Homeopath
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I am 49 years old woman, having diabetes for the last 4 yrs, fasting is above 260, random is 370. I am taking galvus ...
Without exercising it will be very difficult to reduce blood glucose. Go for brisk walks twice a day. Take homeo remedy: gymn mt; syzyg mt; ceph mt. 6 drops of each in half glass water six times a ady.

Sir I masturbate maximum in my childhood in the age between 12-16 and then I reduce that. But some times I masturbate but now I am suffering premature ejaculation and my penis become slightly bend, and when I masturbate all the joints of my body become paining. And my penis become small and thin as compare to my past, and now my family pressurised to marry, Please say me, what shall I do no?

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician
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Sir I masturbate maximum in my childhood in the age between 12-16 and then I reduce that. But some times I masturbate...
Who doesn’t lasting longer in bed articlewant to last longer in bed? Most men have issues in at least one of the areas below. Focus on the one (s) you feel is most important to you (e.g. Relaxation, masturbation habits, etc.). Read on to learn everything you need to know about increasing your sexual stamina. How do I last longer in bed? What can I do to make sex last as long as I want? What products or exercises will really increase my sexual stamina? The Essentials Sexual Stamina isn’t a Number – There is no magic number of minutes you should last in bed. Even research gives conflicting averages for sexual stamina. Instead, your focus should be on lasting as long as you and your partner want, whether that’s 3 minutes or 3 hours. Stress Negatively Affects Stamina – Stress and anxiety are prominent factors in reduced sexual stamina. Relax! Be confident in your abilities! Masturbation can be Good or Bad – If you want to last longer at sex, correct masturbation habits can help. Incorrect masturbation habits, however, can harm your ability to have sex for as long as you want. Check out these articles about the benefits and negatives about masturbation: Masturbation and Sex and 5 Reasons Why Masturbation is Good for You and 5 Things You Probably Didn’t Know About Masturbation. Why Do I Want to Last Longer in Bed? OK, you’re probably thinking the answer to that last longer in bed stamina benefitsquestion is pretty obvious. However, don’t make the mistake of thinking that more time clocked between the sheets equals better sex. It doesn’t. The desire to increase your sexual stamina isn’t about racking up the hours — it’s about having the control to make sex last as long as you and your partner want it to last. Sometimes a five-minute quickie is just as desirable as a marathon sex session. The point is: With sexual stamina, the choice is yours! Once you have that control, your entire sex life can change. You can try new things, knowing if they don’t quite work for your partner, you can do something else, because you’re going to be totally in control. You’re also going to avoid the negative qualities associated with lack of control – embarrassment, shame, anxiety, etc. What Role Does My Penis Play in Sex? Stamina cartoonYour erection doesn’t begin with your penis, it actually begins in your brain! Stimulation causes the brain to send chemical messages to the nerves in your penis, that allow the blood vessels to relax, so blood can fill the tissues of the penis, causing it to expand. This constricts the veins, so the blood cannot leave the penis, keeping it erect. On average, men stay erect for 7.3 minutes. That may not seem very long, but if you consider how long women say they prefer to have sex, you can see how this isn’t too far off what women want. In one study in The Journal of Sexual Medicine, researchers found the amount of time women preferred for actual intercourse ranged between 3 and 13 minutes. However, whether it’s ego or the natural drive to be better, most men want to last longer and be in complete control of their ejaculation. How Do I Make Sex Last as Long as I Want? There are several techniques you can use to increase your sexual stamina. Stamina issues can be related to psychological components (anxiety, guilt, etc.), physical components or a combination of both. Here are some of the most effective ways you can last longer in bed. Following are the best ways to increase your sexual stamina. Stamina Trainers fleshlight-1One of the best stamina trainers on the market is the Fleshlight Stamina Trainer. The Fleshlight was specifically designed to help you train yourself to last longer in bed. Made with patented SuperSkin and featuring pillow-like bumps on the inside, the Fleshlight feels just like the real thing! Plus, the case is designed to look like a flashlight, so no one will be the wiser, should they see it! With the Fleshlight, you’ll: Overcome premature ejaculation, and Relieve performance anxiety. Breathing Exercises for More Control in Bed Staying relaxed is one of the best last longer in bed breathing exercisesways to remain in control during sex. Breathing exercises can help you keep your arousal level under control. When you’re stressed, the urge to fight-or-flight takes over. This is your sympathetic nervous system taking control of your body and leads to ejaculation. Instead, through meditative, breathing exercises, you can keep your body in the sympathetic mode — the relaxed, controlled mode. Breathing exercises will also help you last longer in bed by keeping your focus on breathing, distracting you from the physical, sexual stimuli your body is feeling. Semi-deep breathing is more effective than deep breathing. Semi-deep breathing will allow you to be relaxed and in control. Deep breathing can become too relaxing, allowing you to lose your focus on the breathing, which can result in loss of control of your arousal level. If you can, take a class on meditation. It’ll not only help you in the sack, but in other areas of your life as well. Try Triangle Breathing: Breathe in slowly for 2 to 6 seconds. Hold the breath for the same amount of time (2 to 6 seconds). Exhale slowly for the same amount of time (2 to 6 seconds). Serotonin Levels and Sexual Stamina Serotonin is the calming hormone your body releases. Remaining calm and relaxed, as we’ve noted is key to maintaining control during sex. There are natural ways to increase your serotonin levels, as well as supplements that can be taken. These include: Deep Breathing – Naturally increases your serotonin levels. That’s why you get that calm, relaxed feeling when doing those deep breathing exercises! Positive Outlook – Keeping a positive outlook on life keeps your serotonin levels up. This is why anxiety is such a detriment to sexual stamina, because it lowers your serotonin levels. Have confidence in yourself and your abilities and think positively about your sexual experiences. Carbs for a Serotonin Boost – Serotonin levels rise when we eat carbohydrates, which helps explain quite a few “comfort” foods. Stay away from high protein meals before sex, as this can block serotonin. Instead, try a candy bar to last longer in bed. Serotonin Supplements – There are several supplements you can buy, over-the-counter, to boost your serotonin levels. Climinax offers a variety of benefits, including helping you increase your sexual stamina. Confidence and Lasting Longer in Bed last longer in bed self fulfilling prophecyOftentimes, problems with sexual stamina stem from, or are at least complicated by, lack of confidence. This is a self-fulfilling prophecy. You doubt your abilities between the sheets, and that raises your anxiety, which makes you ejaculate sooner than you wanted to (thanks to that fight-or-flight response), which then feeds into your self-doubt even more. No matter what you feel is the catalyst for your sexual stamina challenges, Be confident in yourself and your abilities! Have faith that you can last longer in bed! Believe in your ability to satisfy your lover! Know you can overcome these stamina obstacles! The right mindset is half the battle. And, even when things don’t go as planned, don’t dwell on it. Know that sometimes you have to take a step backward to move two steps forward in life. Mindset and Lasting Longer During Sex Along with believing in yourself, your last longer in bed little engine that couldgeneral mindset can also affect how long you last in bed. Stop over-thinking the situation. Sex isn’t rocket science. Focus on sensuality of the situation, not the sexuality. Stop thinking and start perceiving. Although you’ll be receiving a lot of pleasure, pay attention to the sensation of giving that pleasure to help control your arousal level. Remember the Little Engine that Could, who succeeded by starting off with, “I think I can. I think I can.” What you focus on becomes your reality. Keep positive. Keep confident. Most importantly – Enjoy yourself! Don’t treat sex like an occasion. Instead, treat it like a fun, learning experience. Sex doesn’t have to be perfect to be enjoyable. Use each opportunity as a time to learn something new and do a little bit better. Relax Your Pelvic Floor Muscles last longer in bed pelvic floor muscleYour pelvic floor muscles are a key component to ejaculation control. With strong, healthy muscles, you will enjoy harder erections, an increased erection angle and can even become multi-orgasmic! This, plus the myriad of other health benefits, are why Kegels should be a part of every man’s penis exercise routine. Check out our Kegel Exercises for Men article for more details on Kegeling! However, although strong pelvic floor muscles are needed for a great sex life, overactive pelvic floor muscles are one of the leading causes of stamina issues. Relax your pelvic floor muscles during sex, keeping your body in the parasympathetic mode and in control. Unintentional contractions can lead to unintentional ejaculation. To Kegel to stop ejaculation, try the following: 2 to 5 seconds BEFORE you reach the Point of No Return (PONR), contract your pelvic floor muscles (Kegel.) Hold this contraction for between 10 and 15 seconds, until the urge to orgasm passes. This is a very difficult technique to master. Plus, your body is unique, so adjust the time frames accordingly. Practice Good Masturbation Habits Masturbation can either help you increase your sexual stamina or be part of your stamina problem. Too many times guys masturbate with the goal of orgasming as quickly as possible. This can train your ejaculatory reflex to ejaculate too quickly, when it comes time for sex with your partner. If you want to last longer in bed, you need to practice good masturbation habits. Following are tips to ensure you’re practicing good masturbation habits that will help, not hinder, your performance in the bedroom. 20 Minutes a Session – Masturbate with premature ejaculation & masturbationthe goal of taking at least 20 minutes a session. If you don’t have 20 or more minutes to spend, don’t even start. The goal is to not let yourself orgasm until you’ve spent at least 20 minutes masturbating. Take that time to focus on your body cues. Back off when you feel you might be reaching the PONR. Relax and control your arousal level. Practice Edging or Stop & Starts – With Edging and Start & Stops, you use the PONR as a guide to controlling your arousal. Bringing yourself to the brink, and then easing back during masturbation, helps you learn to remain in control, when it comes time for the real deal. Cold Erection Only – Always begin your masturbation session with no erection, and only become erect through manual stimulation only – no visual or thought stimulation. Get a Performance Trainer – The Performance Trainer is the most lifelike feeling masturbator on the market today. It will help you get used to the feeling of a vagina, preparing you more thoroughly for real sex than simple masturbation alone. Don’t Cum for the Sake of Cumming – It’s OK to masturbate and not orgasm. If you can, wait until the next day to ejaculate, and you’ll have a lot more energy. Take Preventative Measures last longer in bed something about maryIf it’s been days, or even weeks, since the last time you orgasmed, your body is going to be raring to go at the slightest sexual stimulation. There’s truth in the scene where Ben Stiller’s character is told to masturbate before going out on his date with Cameron Diaz, in Something About Mary. A preventative masturbation session before date night can help you keep control later in the evening, when you’re with your partner. However, remember, in addition to cleaning up after you’re done… Always use good masturbation habits, as outlined above! Remain Calm for Arousal Control No matter what issue is negativelylast longer in bed 3cs of control affecting your sexual stamina, the key here is to teach your body (and your mind) to relax. Focus on that – remaining calm. Again, when we’re stressed, our body goes into fight-or-flight mode (sympathetic mode), which will lead to ejaculation. Keep calm and stay in the parasympathetic mode, so you can keep control of your arousal. Remember: Use breathing exercises or meditation to keep calme Relax your pelvic floor muscles. On a scale of 1 to 10, keep your arousal level at or below a 7, to remain calm and in control. REMEMBER: Stay calm. Be confident. Keep a clear mind. Focus on Her premature ejaculation womanAs we discussed earlier, there is no magic number when it comes to how long you should last. Instead, it more about how long you and your partner want you to last. By focusing on pleasuring your partner and making her orgasm first, it takes a lot of pressure off of yourself. You have other ways to please her, outside of straight intercourse. Make her orgasm with oral sex or manual stimulation (perhaps multiple times!), and she won’t mind you’re not marathon man between the sheets. Here are a few tips: Enhance her experience by telling her how much you enjoy being with her – how she feels – how she tastes – how she looks. Pay attention to her entire body — remember, even places like the nape of the neck and the backs of the knees can be erotic hotspots for her. Take your time. Don’t rush. Savor every moment. On average, it takes women 11 minutes to become fully aroused. If you’re rushing foreplay, you may just be making things that much more difficult for both you and her. Watch and listen for her body cues. She may tell you, “Oh, God, that feels good.” or she may not, but her body will speak volumes, if you are paying attention. Don’t assume the same thing that worked last time will necessarily work this time for her. It may or may not. Don’t assume what she likes or doesn’t like. Communicate, and most importantly, listen. Other Ways to Help You Last Longer Following are more techniques to help you last longer in bed. Counseling – If your stamina issues are due tobaseball stress or other anxiety-type issues, speaking to a mental health professional can help you sort things out. Additionally, try some of the physical cures below, as they can help you improve your confidence in the sack, while also improving blood flow to your penis, strengthening muscles, and improving the overall health of your best friend. Distraction – The old cliche – “Think about baseball” – may work for some men, but others have a harder time fully pulling away from the sexual moment before orgasm. Instead of baseball or some other unrelated topic, distract yourself instead by thinking about what your other body parts are doing. Focus on feeling your arms supporting your weight. Are your knees bent or straight? You’re in the moment but not too in the moment. Switch Positions – If you feel like you’re going to orgasm too quickly, change positions. The few seconds it may take to move around may be just the breather you need to regain control. You’ll also learn which positions are easier for you to increase your sexual stamina. Sexual stamina note Condoms – Condoms have two benefits for those who’d like to last longer in bed. First, they do slightly reduce the sensation to your penis, which may help your sexual stamina. Second, condoms protect against STDs and unplanned pregnancies, which are worries that can sometimes affect a man’s stamina. Desensitizing Creams – There are climax control gels and creams available that are also designed to numb your penis slightly. Some condoms also come with cream on the inside. The primary challenge with desensitizing creams is it can affect your partner’s ability to orgasm. Cognitive Behavioral Therapy – If you feel like there may be a psychological component to your stamina concerns, a therapist can be very beneficial in helping you deal with these issues. Whether it’s anxiety, guilt, or even relationship problems affecting your performance, they can help you resolve these issues. Herbal Supplements – There are several herbs that have been proven effective in helping you last longer in bed. These include: Peruvian ginseng, kava, 5-flavor berry, withania somnifera, linden flower, and the Himalayan goji berry. Most of these work by improving your libido while also reducing your anxiety, a known cause of loss of control.

How to prevent diabetes?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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More details have to be known. Is there anyone in family suffering from diabetes? you can ask privately. as an initial advice, you avoid too much carbohydrates and eat more vegetables and avoid sweets/refined sugars/soft drinks and keep on exercising, keep in touch.

I experience constipation sometime. Is it the symptom of piles ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, PG Diploma in Emergency Medicine Services (PGDEMS)
Ayurveda
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I experience constipation sometime. Is it the symptom of piles ?
Take pranacharya allergin capsule 1-1 twice a day. Take abhayarishta 2-2 tsf twice a day. Apply pranacharya pilescure ointment on piles. Avoid junk food. Spicy food. Fermented food. Take fresh buttermilk empty stomach.

I am 61 years old male. During sexual intercourse it takes me extra ordinary long time to ejaculate. Prior to penetration, I do get full erection. What should I do?

BHMS
Homeopath
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I am 61 years old male. During sexual intercourse it takes me extra ordinary long time to ejaculate. Prior to penetra...
Dear lybrate user, you may be suffering from erectile dysfunction. To get rid of erectile dysfunction you need to take homoeopathic mother tincture agnus castus q q, 30 drops, thrice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition.

Sir. My friend of mine years age is suffering from stammering. It came geniticallyfrom his grandfather. Is there is any cure in any type of medicine. Or atlest control the intensity. He is feeling shy nowadays as he is growing up. Pls suggest.

B. Sc. Speech and Hearing
Audiologist
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Stammering is a learned behavior, ask him to be confident and speak slow. Speech therapy will be of greater help. Ask him to consult a speech therapist.

5 Causes of Heart Failure

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist
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Heart failure occurs when the heart fails to pump blood around the body and organs for oxygen and nutrients. As blood moves through the heart and body at a slower rate, pressure in the heart increases. The chambers of the heart stretch to hold more blood to be able to pump through the body. This helps the blood to move but eventually the heart muscle walls weaken, unable to pump blood efficiently. The kidneys, in response cause the body, to retain fluids. The leakage of fluid in the tissues and the organs congests the heart, leading to heart failure.

Any of the following conditions can be responsible for weakening the heart and causing heart failure.

1. Coronary artery disease: this is a disease of the arteries supplying blood and oxygen to the heart that causes decreased blood flow to heart muscle. If the arteries get blocked or narrowed (due to the buildup of fatty deposits), the heart fails to get oxygen and nutrients, which may eventually lead to heart failure.

2. Heart attack: if the artery becomes suddenly blocked or the plaques formed by fatty deposits rupture, it can lead to a heart attack. This happens due to the formation of a blood clot which may block blood flow to an area of heart muscle.

3. High blood pressure: high blood pressure puts an extra strain on the heart for it to work harder to circulate blood throughout the body. As a result, the heart muscle may become stiff or weak to effectively pump blood.

4. Heart muscle weakness: this condition can have many causes including diseases, infections, drug and alcohol abuse. Genetic factors may also contribute to the weakening of heart muscles.

5. Other diseases: chronic diseases like diabetes, HIV, hyperthyroidism or a buildup of iron or protein can also lead to heart failure.
5 Causes of Heart Failure

I am 25 years old female I am suffering from asthma how I can manage it?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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do you have family history of asthama? the right medications for you depend on a number of things, including your age, your symptoms, your breathing triggers and what seems to work best to keep your breathlessness under control. Preventive, long-term control medications reduce the inflammation in your airways that leads to symptoms. Quick-relief inhalers (bronchodilators) quickly open swollen airways that are limiting breathing. In some cases, allergy medications are necessary. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.

Headache and eyes burning from 3 days.

General Physician
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Headache and eyes burning from 3 days.
Take crocin pain relief one sos. check your BP. check your check your eye sight. take healthy diet. take proper sleep rest. avoid stress and anxiety.

How to get sleep as quickly as possible.

MBBS
General Physician
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How to get sleep as quickly as possible.
Hello, I am giving you some tips for sound sleep and early awaking in morning Kindly follow advises given below: 1. strict to sleep time schedule 2. Do regular Physical activity 3. Regular meditation/ yoga 4. avoid Tea coffee after 7 pm 5. you can take bath at bed time 6. Avoid day time sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes Consult Physician for Further Management

I always suffer from constipation. Please suggest some remedies.

MBBS
General Physician
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I always suffer from constipation. Please suggest some remedies.
Hello, I am giving you some tips to prevent constipation: 1. take 6-8 glass of water in a day 2.Regular Physical activity Keeping mobile and active will greatly reduce your risk of getting constipation. Ideally do at least 150 minutes of physical activity every week. 3.You should have about 30 g of fibre a day. You can increase your fibre intake by eating more: I am giving you list of some fibre containing food fruit vegetables wholegrain rice whole wheat pasta wholemeal bread seeds oats 4.Toilet habits Never ignore the urge to go to the toilet Consult Physician for Further Management

I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MD - Homeopathy, BHMS
Homeopath
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Hi, try to avoid caffeine in the late evening / night. Take a paracetemol at night with your dinner. Listen to light music before you sleep. Take a warm glass of milk at bedtime. If these tips don't help, please consult a homeo doc for further advise.

There are 10-15 rbc's in my urine test .is it a serious problem? Can it be curable and what are reasons behind this.

MD, MBBS
General Physician
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There are 10-15 rbc's in my urine test .is it a serious problem? Can it be curable and what are reasons behind this.
Repeat the test after some time. If still blood in urine, get it investigated by kidney function tests and ultrasound upper abdomen it may be without any importance or may be very serious like secondaries in kidney.

Green tea helps control diabetes. Let me know how best to take it from following options:- 1- without adding anything. It feels dry on the palate and not at all tasty. 2- with honey - 5 gm. 3- dash of lime - 10-15 drops. 4- tinge of black salt. 5- cinnamon powder -1 gm. 6- ginger - 1-2 gm 7- combination of the above. If so, which items? 8- How many cups a day are needed to give maximum benefits?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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Green tea helps control diabetes. Let me know how best to take it from following options:-
1- without adding anything...
No single food helps control diabetes. The green tea can just be another addition to a healthy diet. So, if your diet is planned well you can have your green tea which ever way you like it. (except with honey or jaggery).

My grandpa is coughing for past 6 -7 days.. Wet and dry cough. Please suggest some medicines or home remedies to cure.

PGDCC, MD(Chest), PG Dip.Clin.Cardiology
Pulmonologist
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Steam inhalation, saline (0.9% nacl in water solution) nebulization are recommended. This is to cleans his lungs, what he is trying to achieve by coughing.

I have mouth ulcers frequently how to cure it?

MD - Internal Medicine, MBBS
Endocrinologist
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use local liquid glycerin in mouth.and You can take syp. Ulgel-A 15 ml thrice a day . tab. charcol at night. avoid fast/oily foods,alcohol,smoking,junk foods,fatty foods, take plenty of liquid diets.dalia,green veg.,fiber meals, if not cure go for tests endoscopy upper abdomen,stool r/m, cbc, blood sugar,lft,and consult with doctor .
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