प्रिय सैफुल्लाह खान जी,

अगर डॉक्टर कह रहे हैं कि यह दिल से जुड़ी नहीं है, तो फेफड़ों (Pulmonology) या गैस्ट्रोइंटेस्टाइनल (GI) विशेषज्ञ से परामर्श लेना जरूरी होगा।

👉 अगला कदम

• Redo बायपास के लिए सही अस्पताल/डॉक्टर खोजें – यदि यह ही एकमात्र समाधान बताया जा रहा है, तो किसी अनुभवी कार्डिएक सर्जन से परामर्श लें।

• सही जांच कराएं – क्या आपने फेफड़ों की जांच (PFT, HRCT) या गैस्ट्रिक टेस्ट करवाया है? यदि नहीं, तो यह जरूरी हो सकता है।

⚠️ सावधानियां

• संक्रमण से बचाव – धूल, धूम्रपान और ठंडी हवा से बचें।

• आराम और संतुलित आहार – भारी भोजन से बचें, छोटे-छोटे हिस्सों में हल्का भोजन करें।

• दवाएं डॉक्टर के परामर्श से लें – बिना जांच के कोई नई दवा न लें।

• चलते समय सावधानी बरतें – सांस फूलने पर बैठकर आराम करें, जल्दबाजी न करें।

जल्द स्वास्थ्य लाभ की कामना! 

Dear Abhijeet,

Based on your concerns, consulting a urologist is the best option. A urologist specializes in both premature ejaculation (PE) and frequent urination and can provide the right diagnosis and treatment plan. Additionally, for drug addiction, a psychiatrist can help you with de-addiction therapy and mental health support.

Treatment for Premature Ejaculation (PE)

• Behavioral Therapy: Techniques like the start-stop method and squeeze technique can help delay ejaculation.
• Counseling & Therapy: Cognitive Behavioral Therapy (CBT) can help manage anxiety and stress related to sexual performance.
• Medical Treatment: After proper evaluation, a urologist may prescribe topical creams, selective serotonin reuptake inhibitors (SSRIs), or other medications. Do not take any medication without a doctor’s advice.
• Surgical Options: In rare cases, dorsal nerve desensitization surgery may be recommended for persistent PE that does not respond to other treatments.

Lifestyle Tips for Better Sexual Health

• Maintain a Healthy Diet: Include zinc- and magnesium-rich foods like nuts, spinach, and seafood to improve sexual health.
• Regular Exercise: Pelvic floor exercises (Kegels) can strengthen muscles and improve ejaculatory control.
• Stress Management: Practice meditation, yoga, and deep breathing techniques to reduce anxiety.
• Avoid Smoking & Alcohol: These can negatively impact sexual performance.
• Quality Sleep: Ensure 7-8 hours of restful sleep to maintain hormonal balance.

Hello Kiran,

Thank you for reaching out. Since you already have a diagnosis of 2nd-degree AV block (2:1) for one episode, it suggests you have undergone an ECG or another test. However, to determine the best course of action, I need more details:

Key Questions for Further Assessment

1. Current Symptoms: Did you experience dizziness, fainting, palpitations, chest discomfort, or breathlessness during the episode? Have these symptoms occurred again?

2. Underlying Heart Conditions: Do you have a history of heart disease, high blood pressure, diabetes, or previous heart attacks?

3. Medications: Are you taking any medications that could contribute to the AV block?

4. ECG Details: Was the AV block transient or persistent? Did the doctor mention if any underlying condition caused it?

5. Other Medical Conditions: Any history of thyroid disorders, electrolyte imbalances, or infections (e.g., Lyme disease)?

Recommended Next Steps & Tests

Since this was a single episode, further evaluation is crucial to determine if it was a temporary issue or a sign of a progressing conduction problem.

• Holter Monitoring (24-48-hour ECG monitoring): This is to check whether the AV block persists or recurs.
• Echocardiogram – To assess heart function and rule out structural heart disease.
• Electrolyte Panel (Blood Test) – To rule out potassium, magnesium, or calcium imbalances.
• Thyroid Function Tests (T3, T4, TSH) – To check for thyroid-related causes.
• Troponin Test (if suspected heart damage) – To evaluate possible heart muscle injury.

Treatment Plan

The treatment depends on the test results and symptoms:

1. If the AV block was an isolated event and you are asymptomatic

• Observation & Follow-up – If the block occurred once and is not progressing, regular monitoring may be enough.
• Avoid AV node-affecting medications – If you are on beta-blockers, digoxin, or calcium channel blockers, a dose adjustment or discontinuation might be required.

2. If the AV block recurs or causes symptoms (dizziness, fainting, fatigue)

💡 Permanent Pacemaker Implantation may be required if:

• You experience recurrent syncope (fainting), extreme fatigue, or slow heart rate, which affects your daily life.
• The AV block is progressing to a higher-degree block (like a complete heart block).
• The Holter monitor shows frequent AV block episodes.

More About Pacemakers

A pacemaker is a small device implanted under the skin, usually near the collarbone, to regulate the heartbeat. It helps maintain a normal heart rate by sending electrical impulses when needed. Modern pacemakers are MRI-compatible, long-lasting (10-15 years), and minimally invasive to implant.

Precautions & Lifestyle Changes

• Monitor Symptoms Closely – Report any dizziness, fainting, or fatigue.
• Stay Hydrated & Maintain Electrolyte Balance – Low potassium or magnesium can worsen conduction issues.
  
• Avoid Excess Alcohol & Smoking – Both can trigger abnormal heart rhythms.
• Regular Follow-Ups – Even if asymptomatic, periodic ECG and Holter monitoring are necessary.
• Emergency Awareness – Seek immediate medical attention if you experience severe dizziness, fainting, or chest pain.

How HexaHealth Can Help You?

• 🏥 Connect with Top Cardiologists – We can arrange consultations with the best heart specialists in Hyderabad.
• 🩺 Diagnostic Assistance – We help you schedule ECG, Holter monitoring, or echocardiogram tests easily.
• 💰 Cost Transparency – Get estimates for pacemaker implantation, follow-up tests, and treatment options with no hidden charges.
• 📞 24/7 Support & Guidance – Our medical coordinators assist you at every step of your treatment journey.

Would you like us to arrange an appointment with a cardiac specialist in Hyderabad for further evaluation?

Dear Zahid Khan,

Your consistently high blood pressure (ranging from 150/90 to 110) can increase the risk of long-term complications, including damage to brain nerves, leading to headaches and other neurological issues. While Amnurite Beta (Amlodipine 5mg + Metoprolol 20mg) helps manage BP, persistent headaches could indicate uncontrolled hypertension, vascular changes, or other underlying issues.

To better manage your condition:
✅ Check your BP at home daily at the same time and maintain a record.
✅ Reduce salt intake, exercise regularly, manage stress, and ensure a balanced diet with potassium-rich foods.
✅ You may need an adjustment in your BP medication. Please consult a cardiologist or physician for an evaluation.
✅ Since you are experiencing persistent headaches, a neurological assessment (including an MRI/CT scan if needed) can help rule out serious concerns.

🔹 Consultation with a specialist is strongly advised. Based on your symptoms, you may require additional medications or investigations. Let us know if you need a consultation with a specialist or have any other health concerns. 

Hello Vijay Ji,

Gamma Knife radiosurgery is a highly advanced, noninvasive procedure used to treat brain conditions such as tumours, arteriovenous malformations (AVMs), and certain neurological disorders like trigeminal neuralgia. Despite its name, it is not a surgical procedure in the traditional sense—there’s no incision, no general anesthesia, and minimal recovery time.

How It Works:

• The procedure uses precisely focused beams of gamma radiation to target abnormal brain tissue while sparing surrounding healthy tissue.

• A specialized head frame or mask is used to ensure accuracy.

• The treatment is typically completed in a single session, lasting a few hours.

• Patients remain awake throughout, though mild sedation may be given for comfort.

Benefits:

✅ No incisions, stitches, or hospital stay required
✅ Minimal side effects compared to traditional surgery
✅ High precision targeting, reducing damage to surrounding tissue
✅ Quick recovery—most patients resume daily activities within a day or two

Possible Side Effects:

Some patients may experience mild headaches, temporary fatigue, or swelling in the treated area. Serious complications are rare.

If you’re considering Gamma Knife treatment, we recommend consulting a specialist to determine if it's the right option for your condition.

Hello Prema Ji,

Knee locking and knee pain can happen due to several reasons, such as:

🔹 Meniscus Tear – A torn cartilage in the knee can get stuck, causing pain and difficulty in movement.
🔹 Ligament Injury – Damage to ligaments, such as ACL injuries, can lead to instability and locking.
🔹 Osteoarthritis – Wear and tear of knee joints can cause stiffness, pain, and locking, especially in older adults.

What You Can Do Now:

✅ Rest & Avoid Strain – Try not to put excess pressure on the knee.
✅ Apply Ice – This helps reduce swelling and pain. Use an ice pack for 15-20 minutes at a time.
✅ Gentle Knee Movements – If possible, try slow, controlled bending and straightening of the knee.
✅ Pain Relief Medication – Over-the-counter pain relievers like paracetamol or ibuprofen may help, but consult a doctor before use.
✅ Physiotherapy – Strengthening exercises guided by a physiotherapist can help in many cases.

Since you are unable to walk properly, we highly recommend seeing an orthopaedic doctor as soon as possible. An X-ray or MRI may be needed to diagnose the exact cause of the problem and provide the right treatment.

Please take care, and let us know if you need more guidance!

Wishing you a speedy recovery!

Hello Payal,

We understand your concern. A missed period does not always mean pregnancy, but the first step is to confirm it with a home pregnancy test (urine pregnancy test kit). These are easily available at medical stores and should be taken with the first-morning urine for the most accurate results.

If the Test is Negative:

• Your period may be delayed due to stress, hormonal imbalance, lifestyle changes, or PCOS.

• Wait a few more days. If your period hasn’t started, consult a gynaecologist for further evaluation.

If the Test is Positive & You Do Not Want to Continue the Pregnancy:

• DO NOT take any medicine on your own—abortion pills can have serious side effects, including heavy bleeding, infection, or incomplete abortion.

• Consulting a gynaecologist immediately for safe and legal medical guidance is important.

• In India, medical abortion is legal but should always be done under a doctor’s supervision for safety.

We strongly advise seeing a doctor as soon as possible for proper counselling and a safe course of action.

If you need help finding a specialist, let us know.

नमस्ते दिनेश जी,

पार्किंसन रोग एक न्यूरोलॉजिकल (तंत्रिका तंत्र से जुड़ी) बीमारी है, जो धीरे-धीरे बढ़ती है और मुख्य रूप से हाथों में कांपना, चलने में कठिनाई, शरीर में अकड़न और संतुलन की समस्या जैसी दिक्कतें पैदा कर सकती है।

पार्किंसन रोग को मैनेज करने के लिए कुछ महत्वपूर्ण सुझाव:

✅ नियमित दवाएं लें – डॉक्टर द्वारा बताई गई दवाएं सही समय पर लें।
✅ योग और व्यायाम करें – रोजाना हल्के खिंचाव वाले व्यायाम (stretching), वॉकिंग, और ब्रीदिंग एक्सरसाइज करें।
✅ डाइट का ध्यान रखें – फाइबर युक्त भोजन करें, ज्यादा प्रोटीन एक साथ न लें क्योंकि यह कुछ दवाओं के असर को कम कर सकता है।
✅ नींद और मानसिक स्वास्थ्य का ध्यान रखें – पर्याप्त आराम करें और तनाव कम करने के लिए ध्यान (meditation) करें।
✅ फिजियोथेरेपी और सपोर्ट ग्रुप – यदि चलने में कठिनाई हो रही है, तो किसी फिजियोथेरेपिस्ट से सलाह लें।

क्या करना चाहिए?

🔹 यदि हाल के दिनों में लक्षण बढ़ रहे हैं, तो न्यूरोलॉजिस्ट से परामर्श लें।
🔹 यदि हाथ कांपना, चलने में दिक्कत, नींद की समस्या या बोलने में कठिनाई हो रही है, तो डॉक्टर नई दवाएं या थेरेपी सुझा सकते हैं।
🔹 यदि आप दवाओं के बावजूद अत्यधिक अकड़न या कांपने की समस्या महसूस कर रहे हैं, तो डीप ब्रेन स्टिमुलेशन (DBS) सर्जरी एक संभावित विकल्प हो सकता है।

डीप ब्रेन स्टिमुलेशन (DBS) – एक नया विकल्प

यदि आपकी दवाओं का असर कम हो रहा है या लक्षण गंभीर हो रहे हैं, तो डीप ब्रेन स्टिमुलेशन (DBS) सर्जरी एक प्रभावी विकल्प हो सकता है।

🔹 यह क्या है?
डीबीएस एक न्यूरोसर्जिकल प्रक्रिया है, जिसमें मस्तिष्क के विशेष हिस्सों में छोटे इलेक्ट्रोड (electrodes) लगाए जाते हैं। ये इलेक्ट्रोड न्यूरोलॉजिकल संकेतों को नियंत्रित करते हैं, जिससे कांपना, अकड़न और गति की समस्याओं में सुधार होता है।

🔹 डीबीएस के फायदे:
✔️ दवाओं पर निर्भरता कम होती है
✔️ हाथों के कांपने और अकड़न में सुधार होता है
✔️ चलने-फिरने और शरीर के संतुलन में मदद मिलती है
✔️ जीवन की गुणवत्ता बेहतर होती है

🔹 क्या यह सभी के लिए सही है?
डीबीएस सभी मरीजों के लिए उपयुक्त नहीं होता। यह उन लोगों के लिए फायदेमंद है जिनकी दवाएं असर नहीं कर रहीं और जिनका शरीर बहुत ज्यादा अकड़ रहा है या कांप रहा है। निर्णय लेने से पहले न्यूरोलॉजिस्ट से विस्तार से चर्चा करना जरूरी है।

Hello Vijay Ji,

To provide the best advice, we need a little more information:

1️⃣ How long have you had the pain? (Days, weeks, or months?)
2️⃣ Where exactly is the pain? (Lower back, upper back, or middle back?)
3️⃣ Is the pain constant, or does it come and go?
4️⃣ Did the pain start after lifting something heavy or an injury?
5️⃣ Do you feel numbness, tingling, or weakness in your legs?
6️⃣ Does the pain worsen with movement or while resting?
7️⃣ Do you have any existing medical conditions like arthritis, osteoporosis, or diabetes?

Precautions & Self-Care Tips:

✅ Rest, but avoid complete bed rest – Too much inactivity can worsen back pain.
✅ Apply Ice or Heat – Ice packs (first 48 hours) can reduce inflammation; heat (after 48 hours) helps relax muscles.
✅ Maintain Good Posture – Sit and stand straight to avoid straining your back.
✅ Gentle Stretching & Walking – Helps improve flexibility and reduce stiffness.
✅ Avoid Heavy Lifting – If necessary, bend your knees and keep your back straight.
✅ Use a Supportive Mattress – A firm or orthopaedic mattress can help relieve pain.

When to See a Doctor?

🚩 If pain lasts more than 2 weeks or worsens
🚩 If you experience numbness, tingling, or weakness in your legs
🚩 If pain is severe at night or wakes you up
🚩 If you have fever, weight loss, or difficulty controlling urine/stool

If your pain is mild to moderate, physical therapy, posture correction, and simple pain relievers may help. However, if your pain is persistent or severe, a doctor's evaluation, X-ray, or MRI may be needed to check for issues like a herniated disc or arthritis.

Dear Sejal,

I understand that having heavy breasts can cause discomfort, back pain, and posture issues. Let me walk you through the treatment options available, starting with the most effective solution:

1️⃣ Breast Reduction Surgery (Reduction Mammoplasty) – The Most Effective Option

If you’re looking for a permanent and effective solution, breast reduction surgery is the best option. The procedure removes excess fat, glandular tissue, and skin to achieve a smaller, more proportionate breast size.

💠 Advanced Techniques in Surgery:

• Liposuction-assisted reduction (for mild to moderate reduction with minimal scarring)

• Traditional breast reduction (for larger reductions with reshaping for a natural appearance)

• Anchor or vertical incision techniques (used to lift and contour the breasts)

💠 Benefits of Surgery:
✔️ Significant reduction in breast size and weight
✔️ Relieves back, neck, and shoulder pain
✔️ Improves posture and physical activity comfort
✔️ Enhances body proportion and self-confidence

💠 Recovery Timeline:
⏳ 1-2 weeks: Rest and avoid heavy activities
⏳ 4-6 weeks: Gradual return to normal activity, with swelling reducing
⏳ 2 months+: Full results visible as the shape settles

2️⃣ Supportive Non-Surgical Options

While these methods cannot significantly reduce breast size, they can help manage discomfort:

✅ Well-Fitted Bra: Provides proper support and reduces strain on your back.
✅ Hormonal Balance: If hormones contribute to breast size, a doctor can evaluate and suggest treatment.
✅ Healthy Diet & Exercise: While weight loss can slightly reduce breast size (if due to fat), it won’t impact glandular tissue significantly. Cardio (running, swimming) and strength training (chest presses, push-ups) may help tone the area.

How HexaHealth Can Help You

At HexaHealth, we connect you with top breast reduction surgeons and guide you through every step—from consultation to recovery. If you’re considering surgery or want expert advice on managing discomfort, feel free to reach out. 💙

Hello,

Under the PMJAY (Ayushman Bharat) scheme, cataract surgery is covered at empanelled government and private hospitals. You can get the surgery done free of cost at a hospital that accepts PMJAY.

You can view empanelled hospitals near your area by visiting this link:https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew.

If you need any additional support or wish to explore private hospital options for your treatment, please feel free to contact us. We're here to help!

Hello Surender Ji,

Under the Ayushman Bharat Yojana (PM-JAY), urological procedures like PCNL, URS, and TURBT are covered. However, these surgeries are typically performed by urologists (specialist surgeons), not general surgeons.

In Uttar Pradesh, whether a general surgeon can perform these procedures depends on the hospital's facilities, the surgeon’s qualifications, and government guidelines.

🔗 For a list of empanelled hospitals and covered procedures, visit:
https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

Dear Anil,

Thank you for reaching out to us with your medical concern. 

🔍 Possible Medical Causes

1. Neurological Disorders: 
   Stroke (especially if symptoms are one-sided) 
   Peripheral neuropathy (often linked to diabetes or vitamin deficiencies)
   Parkinson’s disease or multiple sclerosis
2. Musculoskeletal Issues:
   Arthritis (affecting joints and mobility)
   Cervical or lumbar spondylosis (spinal nerve compression)
3. Metabolic Disorders:
   Vitamin B12 or D deficiency
   Thyroid disorders (hypothyroidism)
4. Autoimmune Diseases:
   Guillain-Barré Syndrome (sudden weakness in limbs)
   Myasthenia gravis (muscle fatigue and weakness)
   
   
   

❓ Additional Information Needed for Diagnosis

To provide a better assessment, please share:

• When did the symptoms start? (Sudden or gradual onset)
• Is the weakness/pain on one side or both?
• Do you have any medical conditions? (Diabetes, BP, thyroid, past stroke)
• Any history of recent infections, injuries, or surgeries?
• Are there any other symptoms? (Numbness, tingling, vision issues, dizziness)
• Has the weakness worsened over time?
• Have you got any medical tests done?

⚠️ Precautions to Take

• Safety First: Use support while walking, avoid uneven surfaces, and have someone assist you if needed.
• Pain Management: Apply warm or cold compresses and take mild pain relievers (after consulting a doctor).
• Nutritional Support: Maintain a diet rich in vitamins (B12, D, magnesium) and stay hydrated.
• Avoid Strenuous Activity: Don't strain muscles; opt for light stretching if possible.
• Monitor for Worsening Symptoms: If you experience sudden paralysis, slurred speech, facial drooping, or difficulty breathing, seek urgent medical care.

🩺 Recommended Treatment Plan

1. Immediate Medical Evaluation: Visit a neurologist or orthopaedic specialist for a detailed check-up.
   
2. Diagnostic Tests May Include:

   MRI or CT scan (brain and spine)
   Nerve conduction studies (to check for nerve damage)

3. Blood tests (to check for diabetes, vitamin deficiencies, thyroid function)

4. Physiotherapy & Rehabilitation: Depending on the diagnosis, physiotherapy may help improve mobility and reduce pain.

5. Medication: Treatment will depend on the cause but may include pain relievers, nerve supplements, or other specific medications.

Please seek medical attention as soon as possible to prevent symptoms from worsening.

Dear Mohit,

Your Liver Function Test (LFT) results show SGOT (AST) = 81 and SGPT (ALT) = 73, which are slightly elevated. While these levels are higher than normal (typically SGOT <40 and SGPT <45), they are not critically alarming but do indicate some liver stress.

🔍 Possible Causes of Elevated SGOT & SGPT

• Fatty Liver Disease (common in alcohol use, obesity, or diabetes)
• Viral Infections (Hepatitis A, B, C, or recent viral fever) Alcohol Consumption (excessive drinking damages liver cells)
• Medications or Supplements (painkillers, antibiotics, or herbal supplements)
• Liver Inflammation (Hepatitis) or Liver Damage
  
  

Diet & Lifestyle Recommendations for Liver Health

• Increase: Fruits & Vegetables – Papaya, apple, berries, beets, carrots
• Whole grains – Brown rice, oats, quinoa
• Healthy fats – Nuts, seeds, olive oil
• Lean protein – Fish, chicken, eggs, tofu
• Hydration – Drink plenty of water and fresh coconut water
  
  

Avoid

• Alcohol & Smoking – These worsen liver health
• Fried & Processed Foods – High in trans fats and preservatives
• Sugary & Refined Foods – Avoid sweets, bakery items, soft drinks
• Excess Salt & Red Meat – Can strain the liver
  
  

Is It Alarming? When to Worry?

If SGOT & SGPT continue to rise, further liver ultrasound and tests (Hepatitis B, C, lipid profile) may be needed.

If you experience jaundice (yellow skin/eyes), fatigue, nausea, or abdominal pain, consult a gastroenterologist immediately.

Repeat the LFT in 4–6 weeks after following a liver-friendly diet.

Stay healthy! 

Dear Sudha Ji,

Thank you for contacting HexaHealth. Heart blockage treatment, including angioplasty or bypass surgery, is covered under the Ayushman Bharat scheme in several hospitals across India.

You can check empanelled hospitals near your location by visiting this link: 👉 Ayushman Bharat Hospital Search

If you need assistance in finding the best hospital or wish to explore private hospital options for your mother’s treatment, feel free to contact us. We’re here to help! 

Wishing your mother a speedy recovery. 🙏

प्रिय विकाश जी,

यदि डॉक्टर द्वारा दिए गए इलाज से कोई राहत नहीं मिल रही है, तो आपको एक साइनस सर्जरी या FESS (Functional Endoscopic Sinus Surgery) के बारे में सोचना पड़ सकता है।

सावधानियाँ और देखभाल

• नाक को न रगड़े और न ही नाक को जोर से साफ करें।
• सर्दी, बुखार या नाक में इंफेक्शन होने पर तुरंत डॉक्टर से संपर्क करें।
• गर्म पानी में नमक डालकर नाक धोने (नेटी पॉट) से आराम मिल सकता है।
• हवा में प्रदूषण से बचें और बाहर जाते वक्त मास्क पहनें।
• अच्छा पानी पिएं और हल्के आहार को प्राथमिकता दें।
• साइनस समस्या से निपटने के लिए भाप लेना (स्टीम इनहेलेशन) भी मदद कर सकता है।
  
  

उपचार योजना (Treatment Plan)

FESS (Functional Endoscopic Sinus Surgery)

यह एक मिनिमलली इनवेसिव प्रक्रिया है जिसमें एंडोस्कोप के माध्यम से साइनस के ब्लॉकेज को हटाया जाता है और जो नाक के अंदर के एरिया को साफ कर देता है।

इसके फायदे हैं:

• साइनस की स्थायी समस्या का समाधान नाक में ब्लॉकेज, म्यूकस, और सूजन को कम करता है
• जल्दी रिकवरी, क्योंकि इसमें कोई बड़ा चीरा नहीं लगता
• सामान्य जीवन में जल्दी वापसी

स्टीरॉयड स्प्रे (Nasal Steroid Sprays)

यह सूजन को कम करने में मदद करता है और नाक के मार्ग को साफ करता है।

एंटीबायोटिक्स

यदि डॉक्टर को लगता है कि बैक्टीरियल इंफेक्शन है, तो एंटीबायोटिक्स की सलाह दी जा सकती है।

इलाज के बाद रिकवरी:

FESS सर्जरी के बाद आमतौर पर कुछ दिन आराम करना पड़ता है। आपको अपने डॉक्टर से फॉलो-अप चेकअप जरूर करना होगा ताकि यह सुनिश्चित किया जा सके कि आपका इलाज सही दिशा में है।

Hello Saifullah Khan Ji,

Thank you for reaching out.

Before proceeding further, could you please let me know if you have had any investigations done, such as a PSA test, ultrasound, or DRE (Digital Rectal Exam), to confirm whether you have an enlarged prostate?

For sexual problems, these can sometimes be linked to prostate issues, medications, or other factors like hormone levels, stress, or lifestyle. I recommend:

1. Consulting a urologist to assess both your prostate health and sexual function.

2. A hormonal evaluation to check for testosterone levels.

3. Exploring medications or therapies for erectile dysfunction if necessary.

4. Lifestyle modifications such as regular exercise, a healthy diet, and stress management.

Additionally, please do not take any medication without consulting your doctor, as certain medications may have side effects or interactions that need to be carefully managed.

Feel free to reach out for further assistance.

Wishing you good health!

Dear Mahruf,

Thank you for reaching out. To assist you better, could you please confirm if you have been diagnosed with gallstones and are looking to undergo gallbladder stone surgery?

If yes, there are generally two main treatment options:

1. Cholecystectomy (gallbladder removal surgery) – This is the most common treatment for recurrent or symptomatic gallstones, where the gallbladder is removed. Done with advanced technique via laparoscope offers quick recovery, short hospital stay and minimal risk of complications.
2. Stone removal without gallbladder removal – In some cases, due to age or associated medical conditions, they may be removed without removing the gallbladder.

A consultation with a gastroenterologist or surgeon will help determine the best treatment plan for your specific condition.

Please feel free to share more details so we can guide you further.

Wishing you the best of health!