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Night falls, Surgical replacement of joint, diet to reduce weight - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   How can I help you ?
User :   Good Morning Doctor
Doctor :   Good Morning .
User :   I have discharge while sleeping
Doctor :   Ok
User :   and i feel i ejaculate soon
User :   may be less than 01 min
Doctor :   Please provide these details -Age: Occupation: Location: Marital Status:
User :   i am worried when i get married what will happen
User :   Single/33/Cochin
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long you have?
User :   i used to drink, i have stopped in 04 yrs ago, even that time i am decent drinker
Doctor :   Do you have any other health problems?
User :   no smoking etc
User :   like what
Doctor :   Like asthma, diabetes, hypertension, allergies anything
User :   as of now, no such problem, in child hood during teenage i has asthama, but not now
Doctor :   it is a common problem and is usually due to stress and anxiety. You can overcome this by indulging in more foreplay activities.
Doctor :   You should also stop your urine flow for 5-6 secs as many times as possible whenever you urinate.
Doctor :   This helps in improving the time to an extent
Doctor :   Hi
User :   infact, i did not have sex for long time 8 yrs
User :   as i broke with my girl friend, and it was quiet sentiment
Doctor :   Ok
Doctor :   The most common reason could be anxiety and stress
User :   i think you are perfectly right
User :   may i can go for Yoga classes
Doctor :   Yes, stress relaxation helps a lot.
Doctor :   Whenever you have sex try to have it at a time when both of you are relaxed
User :   Sure, Dr. I need some more advice on how to reduce weight,
User :   if i take ayurveda pills will it be ok, does it has side effect
Doctor :   Rather than the pills it is better if you take a good low calorie diet and
Doctor :   exercise rather than take pills
Doctor :   Can you mention your height and weight?
User :   178 cms/90 kg
Doctor :   Ok
User :   as i am living single, i eat all my food outside
Doctor :   Ok
Doctor :   You should try to cut down on junk foods
User :   i am my family all are well built,
Doctor :   You should try to eat more salads and fruits
User :   sure, i dont take junk foods, i will try
Doctor :   You should also avoid rice, sugar and maida
Doctor :   Steamed foods are preferred to baked or fried foods
User :   oh, i eat lots of parata which is made by maida
Doctor :   You should try to eat small frequent meals instead of large ones
User :   sure
Doctor :   Parathas are very high calorie. I suggest that you replace them with either phulkas or whole wheat bread
Doctor :   whatever you eat, order them without oil
Doctor :   Take skimmed milk and butter milk instead of whole milk and curd.
User :   sure, thats good idea
Doctor :   Take fish instead of poultry and meat, if possible try to restrict the non-vegetarian foods
Doctor :   Fruit juices are better avoided, take fruits directly instead
Doctor :   Egg yellow is better avoided, boiled eggs are preferred to fried eggs
Doctor :   You should exercise regularly at least 1/2 hr of cardio with
Doctor :   15-20 min of weights or toning exercises if required
Doctor :   The cardio can include walking, jogging, swimming, treadmill
Doctor :   Are you with me ?
User :   yes ofcourse
Doctor :   ok
Doctor :   You should also eat small frequent meals instead of large ones.
Doctor :   Alcohol is better restricted. Avoid beer as it adds empty calories
User :   actually, the reason of me to stop excercise, once i was doing skiping, i got a strange sound in my hip, i developed pain, when i consulted the doctor, he said disc prolapes etc
Doctor :   Ok
Doctor :   Then moderate walking or treadmill is good.
User :   which i did not believe, i did some physotherpy, then its ok, by the time weight increased
Doctor :   Better to slowly and gradually increase the level of exercise depending on how you can handle it.
Doctor :   first start with 1/2 hr moderate exercise and slowly try increasing the time and the intensity
User :   sure, i will surely do it. but doc tell what is the ideal weight for me
Doctor :   Try to vary the exercise routine daill
Doctor :   You should be between 70-78kgs
Doctor :   Not less than 65 kgs and not more than 78 kgs
User :   that means i am over weight by 12 kgs
Doctor :   Yes
Doctor :   Your BMI is 28 while the normal for men should be between
Doctor :   20-25
User :   yes you are right, noramlly for reduce 10 kgs how many month will it take,
User :   since the movie actors are changing drastically
Doctor :   Ideally your target should be 3-4 kgs per month, a minimum of 2 kgs per month is healthy
Doctor :   That is not a healthy way to reduce weight
Doctor :   When you are aiming for ling term health, then it is better to take it easy and gradually
Doctor :   That way it will be a way of life rather than a short term measure
User :   ok, i think i will seriously work on that
Doctor :   We will also send you a document on some techniques to overcome Premature Ejaculation
Doctor :   Email : YYYY@YYYY
Mobile : 0000 Please confirm your contact details
User :   now coming back to ejaculation during sleep
User :   yes you are right
Doctor :   That is a normal phenomenon, during sleep the wet dreams that come cause an erection and
User :   is it normal
Doctor :   as you cannot ejaculate during sleep, the semen escapes.
Doctor :   There is nothing to worry about.
Doctor :   Regular masturbation or sexual activity will prevent this from happening
User :   Oh ok, during masturbation only i found i ejaculate within a minute even though i try to hold for atleast 2 min but
Doctor :   Yes, that is due to the stress and anxiety. Also lack of practice can lead to this.
Doctor :   The document will help you to a large extent.
User :   oh, ok
Doctor :   Try the techniques mentioned in the document and also the technique I advised
Doctor :   Is there any thing else that I could help you with?
User :   sure doc
User :   as of now it is ok, if i have anything i will come to you, tell me were are you chatting from
Doctor :   Bangalore
Doctor :   Please fill the feedback form say done when done
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   Are you with me ?
Doctor :   If in future you want to chat with us and there is a technical problem encountered then please close the browser and open with a new one.
User :   oh, ok, in South Inda
User :   sure Doctor, i have one question regarding stroke
Doctor :   If there is still a problem encountered then please take a screen shot of the problem and mail us at YYYY@YYYY and one of our team members will call you and assist you immediately.
Doctor :   Ok
Doctor :   Please proceed
User :   my mother had a stroke last year due to BP
Doctor :   Ok
User :   she is 57, she has sugar, arthritis
Doctor :   Ok
User :   since we lost our father in jan, she did not sleep for few months properly and finaly she got sroke in april
Doctor :   Ok
Doctor :   How is her present condition?
User :   now she is able to speak, face is clear no symtoms os stroke, she can walk with the stick,but hand is not in action, she can lift her hand, but fingers are not 100 % ok, she can take small object like mobile, empty glass, she has tremdous pain in her hip because of arthiritis, fYI, now sugar is normal
Doctor :   Ok
Doctor :   Since she is improving now, I suggest that she continue with Physiotherapy exercises and
Doctor :   massages are also helpful
Doctor :   She should try to exercise her fingers everyday
User :   ok, will ayurveda help for arthirits and to develop the hand
Doctor :   Yes, it is known to help in many.
User :   tell me doc, will this stroke can be completely cured
Doctor :   especially for arthritis
Doctor :   It will take time to slowly improve
Doctor :   In some, permanent cure is possible
Doctor :   But that depends on many factors
Doctor :   like Control of sugars, type of the stroke, the level of nursing care given
User :   you mean by ayurveda
Doctor :   Stroke requires nursing care than any medicines, either allopathy or ayurveda
Doctor :   Physiotherapy is essential
Doctor :   She needs to be on strict control of Hypertension and Diabetes
Doctor :   There are some medicines which have to be taken life long and she should continue them.
User :   ok, but arthirits can be cured by ayruveda
Doctor :   Yes
Doctor :   Putthur Thailam is known to improve the symptoms
User :   were do i get tha
Doctor :   However permanent cure for arthritis is only Surgical replacement of the joint
Doctor :   It is found in any medical or ayurvedic stores
User :   ok, surgical re placement will be finaly solution for pain ?
Doctor :   Yes
User :   but with storke, once cannot go for that operation
Doctor :   Yes, hence the ayurvedic therapy helps
Doctor :   Anything else ?
User :   i will consult with ayurveda doc soon
User :   thank you so much for your advice and help
Doctor :   Ok
Doctor :   You are welcome
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
User :   sure, i will
Doctor :   Bye for now
User :   bye bye, have a nice day
Doctor :   Thank you Happy Diwali to you and your family.
User :   Wish you and your family the same, Thank you
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