Sjogren Symptoms but nothing is detected investigation - #10777

I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

I am a periodontist with a background in clinical dentistry, and tbh my journey into the field kinda started back when I was a Jr Resident at Dr. R. Ahmed Dental College in Kolkata. That phase was super intense—rotational training in three major departments: Endodontics, Oral Surgery, and Periodontics. Each rotation was like six months long, and ngl that grind really shaped my clinical instincts, especially when it came to diagnostics and surgical stuff. Things weren’t always smooth but those months taught me loads. Later I went ahead and did a 3-year postgrad residency in Periodontics and Oral Implantology at SCB Government Dental College, Cuttack. That phase honestly deepened everything for me—like flap surgeries, mucogingival procedures, regenerative therapies, and full-on implant treatment planning. Was dealing with chronic perio cases pretty much on a daily basis and learning how to customise care based on specific patient profiles.. I kinda leaned more into evidence-based protocols and surgical precision—while still keeping things practical and personal with the patient. Right now what drives me is combining those skills in a way that doesn’t just “fix the gums” but really helps people regain confidence in their oral health long-term. Like, for me, it’s not just about how perfect a flap turns out—it’s also about making sure someone understands what’s going on, why we’re doing it, and how they can stay healthy way past the surgery day. That kinda patient education and maintenance is huge in my book. I try to keep things updated, reading new studies and adapting to better implant techniques—doesn't mean jumping on every shiny trend, tho. My approach is super tailored; I mean every mouth, every patient’s gum profile is diff and I respect that. My aim? Safe, sustainable, clear-headed periodontal and implant care—without unnecessary drama or guesswork.

I am working in the field of Sexual Medicine & Male Infertility for 40+ years now, and honestly it’s still a space that’s not talked about enough. Whether it’s a man dealing with ED or a woman struggling with hormonal ups & downs, I try to look at the whole picture. Not just symptoms. Like, what’s actually causing it and what can we do that’ll actually work long-term—not just patch things up for a moment. I deal a lot with male infertility issues like low sperm count, poor motility, hormonal issues, you name it. I try to not just run tests but also explain what's happening in simple terms. ED and premature ejaculation are common but man, the mental impact is huge! I work on those cases from all angles—medical, lifestyle, even psychosexual support if needed. Anejaculation’s another one people don’t talk about much, but yeah, I've handled several of those too. On the women’s side—there’s PCOS, ovulatory issues, arousal disorders, painful intercourse. These aren't easy to talk about but once patients open up, they want real answers, not vague promises. Sometimes it’s hormonal, sometimes past trauma, and sometimes just no one ever asked them the right questions. I try to make that space for them. My approach blends detailed diagnostics with tailored plans that might include meds, hormone regulation, or even just fixing sleep, stress & diet patterns that mess up the whole system. I believe sexual health isn’t separate from general health, and treating it that way—holistically—is where things actually shift. I work with both men & women, often couples too. What really matters to me is getting people past shame and confusion and into solutions that stick. And yeah sometimes that just starts with a really honest conversation.

Hello, I’m Dr. Sandeep Gupta, a practicing physiotherapist with national and international exposure in the field of sports rehabilitation and manual therapy. Over the years, I've been fortunate to work in dynamic, high-performance environments, including serving as a physiotherapist for the All India Football Federation’s National Sports Team and representing India as part of the medical support staff at the U-20 World Wrestling Championship 2024 in Spain. These experiences have not only sharpened my clinical skills but also given me insight into the unique needs of elite athletes. I work mainly in sports physiotherapy, manual therapy, and musculoskeletal rehab. Along the way, I’ve picked up certifications in cupping therapy, IASTM (which is basically a tool-based technique for soft tissue), myofascial dry needling, and advanced manual therapy. My approach is a mix of evidence-based methods and real, hands-on care that comes from genuinely wanting to help. Whether I’m treating a pro athlete or someone who's been living with pain for years, my goal stays the same—get them moving better, feeling stronger, and living well. I believe therapy is never one-size-fits-all. Each case is different, and I take time to understand the root cause of the issue, rather than just addressing symptoms. I work closely with patients to develop realistic, effective treatment plans that are both progressive and easy to follow. I’ve learned over time that catching things early, understanding body mechanics, and sticking to the right rehab plan can really stop problems from turning into something long-term. What drives me is helping people understand their own bodies so they feel more in control of their healing. I’m very hands-on in my work—literally—whether that means easing tight muscles, using cupping therapy, or helping someone correct their posture and movement, step by step. Honestly, working with international teams taught me that communication and trust are just as important as clinical skill. So I always try to create a space where patients feel heard, respected, and motivated to heal. If you're dealing with pain, injury, or just looking to move better and live pain-free—I'm here to help.

I’ve had the privilege of working across some of Delhi’s most respected government hospitals—Safdarjung, Dr. RML, Lady Hardinge, Charak Palika, and even a brief stint at AIIMS. Each one brought its own pace, pressure, and people, and honestly, nothing can quite prepare you for that kind of real-world clinical exposure until you’re right in the thick of it. In these hospitals, I learned not just about diseases—but about patients. From managing emergency trauma cases at Safdarjung to assisting in maternal and child care at Lady Hardinge, I was thrown into scenarios where both speed and sensitivity mattered. There were nights with barely any sleep, days that blurred into the next, and moments that challenged everything I thought I knew. At RML, I was lucky to work closely with experienced consultants who helped refine my diagnostic skills and decision-making, especially in time-critical cases. AIIMS, of course, was on a whole other level in terms of learning—from rare presentations to multidisciplinary teamwork. It was intense, but it shaped me. I don’t pretend to have it all figured out—honestly, no real doctor should. What I do know comes from real-world experience, not just reading. These days, I focus on being accurate, honest, and treating people like people, not problems. I’m still learning but always trying to show up better than the day before.

I'm currently working as an Assistant Professor at the Government Dental College and Hospital in Aurangabad, where I also completed my MDS in Orthodontics in 2024 with distinction (76%). Teaching gives me a chance to stay closely connected with both the academic and clinical side of dentistry, and honestly—I learn as much from my students and patients as I try to offer them. My core area of interest lies in orthodontics, especially early intervention and esthetic correction for functional bite issues. Whether it's braces, aligners, or space management, I believe a well-planned smile correction can really change how someone feels about themselves. I try to keep my treatment approach practical and conservative, wherever possible—less discomfort, more efficiency. Besides my clinical and teaching duties, I’ve written and published a few papers in both national and international dental journals. Two of them got pretty good response from peers, which honestly meant a lot to me. Research and writing kind of push me to slow down and think more deeply about the issues we face in dentistry today. It also helps me tweak the way I approach both teaching and treatment, you learn stuff as you go. I’m constantly exploring newer techniques in orthodontic care while keeping the basics strong. Patient comfort, treatment stability, and facial harmony are some of the things I pay attention to—because every case is unique, and one-size-fits-all just doesn’t work in orthodontics. Being in a teaching hospital also means I get to treat a diverse population with a wide range of malocclusions and skeletal patterns. That clinical variety, combined with academic exposure, keeps me sharp and grounded. I don’t claim to have all the answers, but I’m always listening, learning, and refining my work—because that's what good dental care should be about.

With over 18 years of clinical experience, I’ve dedicated my practice to the care and management of outdoor ophthalmic patients across varied settings. I have done my Diploma in Ophthalmology from the National Board of Examinations (NBE), and since then, I’ve focused on providing accessible, empathetic, and evidence-based eye treatments. I deal with a wide spectrum of eye conditions—ranging from routine vision complaints to more complex concerns like infections, trauma-related injuries, and chronic conditions affecting ocular health. Whether it's diagnosing early signs of cataract or managing long-term visual issues, my approach always begins with listening carefully to each patient. No two eyes are the same—and neither are the people behind them. I’ve worked extensively in outpatient settings, where timely diagnosis and clear patient communication are absolutely key. I try my best to keep things simple for the patient—eye care shouldn't feel like a maze of medical terms and rushed appointments. Instead, I focus on making every consultation practical, collaborative, and comfortable. I still attend occasional clinical meets or training modules to refine my practice wherever needed. I may not always have fancy words, but I know how to take care of the eyes that walk into my clinic. That’s what matters most to me.

I completed my MBBS from Maulana Azad Medical College, Delhi, in 1982, and soon after, went on to earn a Diploma in Child Health (DCH) from Safdarjung Hospital in 1985. Since then—through all these years—I’ve been practicing medicine privately, offering care that's as thorough as it is personal, for both children and adults. With a foundation built at two of the most respected medical institutions in India, I was fortunate to start my journey in pediatric care early. That specialization taught me a lot—not just about managing illnesses in children, but also how to read their development patterns, address nutritional gaps, and guide parents through those unpredictable early years. Over the past three decades (and counting), my experience has grown beyond pediatrics into a wider spectrum of general medical care. I’ve managed everything from chronic conditions like hypertension and diabetes to more day-to-day concerns like fevers, digestive issues, infections—you name it. One of the most rewarding parts of my work is continuity. I’ve had the privilege of treating not just patients, but entire families—sometimes across three generations. It’s humbling. And it pushes me to stay updated with the latest in medicine, while keeping a holistic perspective. Not every ailment needs a prescription; sometimes, people just need a little more time, or someone to listen carefully. My goal is to provide honest, dependable, and compassionate care to everyone who walks through my door regardless of any age. I do my best to heal all my patients quickly as possible.

I’m a practicing general surgeon with hands-on experience across a pretty wide range of surgical cases, especially ones related to oncology and gut issues. What I’ve learned over the years is that doing a good surgery isn’t only about being precise with your hands—it’s also about seeing the person behind the scans, hearing what they’re really worried about, and keeping your head clear when things get tense. That balance matters more than people often realise. I handle a mix of elective and emergency surgeries pretty often—ranging from tricky abdominal operations to trauma cases and even those more regular, day-to-day procedures. What I focus on most is safety... making sure pre-op planning is solid, the surgery itself is clean and precise, and follow-up care is always thorough. Over time I’ve realised, honestly, every patient’s story is different, and the way you treat them should be too. Compassion matters. During my surgical training and clinical practice, I’ve developed a solid hand in diagnostics, operative procedures, and managing critical post-surgical scenarios. Whether it’s a challenging oncologic resection or a straightforward hernia repair, I treat each case with the same level of focus and responsibility. I also try to stay up to date with surgical advancements—laparoscopic techniques, better suturing methods, evolving anesthetic protocols—because medicine doesn’t stand still, and neither should we. At the end of the day, what matters most to me is that the patient feels safe, informed, and cared for—not just before the surgery, but every step through recovery. Outside the OR, I really try to keep things simple and honest when I talk with patients and their families. Surgery can be felt scary, confusing, and full of unknowns. So I make it a point to slow down, explain things in a way that actually makes sense, and just listen when they need to talk. I’ve seen how much that kind of connection helps people feel calmer and more in control, which I think really does make a difference in how they recover. No matter how many surgeries I’ve done, I never take it lightly. Every incision, every decision—it all counts. And I make sure it’s done with purpose.

I am someone who kinda grew into emergency medicine not just by choice, but honestly by seeing how critical that first few mins can be for any patient. Over the last 5 yrs, I’ve worked across ERs, ICUs, step-down units, and even small community setups where you’re the only doc on floor managing multiple things all at once. My work usually involves handling acute medical emergencies, starting ventilatory support when needed (both invasive and non), managing Hemodialysis sessions, and even doing temporary pacings if required. I’ve also had fair exposure to giving general and regional anesthesia during critical procedures—those moments can get tense real quick. Admissions to nursing homes for continued care is something I handle directly too, acting as a solo consultant at times, where I take over complete patient management once stabilized from ER. It’s tough sometimes tbh, you're constantly juggling—interpreting unstable vitals, responding to collapsing airways, thinking of 3-4 differential diagnoses at once while also explaining things to relatives who are scared and confused. But that’s kind of the thing I like about emergency care... it demands fast thinking, calm hands and clear judgement. Working in high-pressure environments helped me understand how different every patient is. No one protocol works for all, and reading between the lines of clincial signs—like that subtle drop in consciousness or lab value that just doesn’t “fit”—can make or break outcomes. My goal’s always been to stabilize fast but also plan smart. Not just act but act right for long-term safety. Even outside hospitals, I’ve kept learning. The field moves fast—new evidence, new ventilator modes, even how anesthesia interacts with dialysis now gets updated. Staying current is part of the job. And yea, I’ve had my share of nights where decisions had to be made in seconds, no second opinions, just gut and training. Those moments stay with you. Honestly? Emergency medicine isn't just a branch for me, it’s kind of my zone. The rush, the decisions, the unpredictability—it’s hard but it fits how I think and work. And if I can make it a little easier or safer for just that one patient in crisis, I’d say the day was worth it.