25 years male having left sided breast enlargement..isn't it

25 years male having left sided breast enlargement..isn't it gyneconastia?please suggest treatment.It's painless.

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in this problem hormonal imbalance occurred. kancgnar Guggle ,chanderprabha vati,punarvadi mandir, dasmool kwath,sarvkalp kwath

Dr.Rakesh M.Pathak Consultant Ayurvedic Physician True gynecomastia involves an increase in the duct tissue and in the periductal stroma.There is generally palpable glandular tissue behind the areola.If it is lipoma no such tissue is palpable behind areola.Initially there is tenderness but if the condition lasts for longer than a year periductal stroma becomes fibrous and then gynecomastia tends to persist.Other conditions which cause swelling in the breast should be considered such as carcinoma or neurofibroma. The most common pathology for gynecomastia is a decreased ratio of free androgens to free oestrogens.There is considerable controversy about the normal and pathogenic ratio of free T/ Free E.So it is imperative to consult expert endocrinologist for the right interpretation of the report. Hepatitis & Cirrhosis of the liver should be ruled out as the causative factor by ALT,AST and alkaline phosphatase concentrations in the plasma.It is imperative to find out the real cause which are numerous. One shoud go from common to rare etiology logically. Sometimes there may be undue sensitivity of breast tissue to normal circulating hormones. The judicial approach for the treatment is dependent upon the etiological factor(s),presence or absence of tenderness,chronicity and patient's psychological sensitivity for the cosmetic dilemma.

Where it is written the most common cause u mentioned...please show the standard reference...as per I know.its idiopathic
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dear Dr. shinde the differentials are gynaecomastia. Lipoma,cyst, chest lump etc. a s there is no pain. But all those can be ruled out by a plain X Ray, or by FNAC, LIPOMA, cyst definitely need a surgery but if it is a gynaecomastia, for 2/3 week you can try with medicine before that you can examine clinically, gynaecomastia is a hard indurated mass, tender on palpation. you can try with 1. kanchanara Guggulu 1 tab b. d 2. triphala Guggulu 1 tab b. d. 3. chitrakgranthyadi kashaya 20ml b.d. 4. along with this fomentation can be given with a piece of bricks made hot (Prasthara sweda) with a precaution, that it shouldn't suppurate otherwise surgery is the best option.

First of all go for USG and check testosteron level if it is normal and patient is asymptomatic then why think about mastectomy? Start... Varunadi kwath 2 t. Spoon bd Dashmul kwath 2 t. Spoon bd Vrudhdhi vadhika vati 2 bd Arogya Vardhini vati 2 bd Kanchnar Guggul 2 bd Kaisho Guggul 2 bd Unless and until it starts to increase or creats pain then go for surgery. Thanks

Swarn bhasm 100 mg + mukta pishti bhasm 100 mg +tamr bhasm (amruti krit) 75 mg +trailokya chintamani ras 125 mg + manikya bhasm 75 mg --------------------------- mix above all with kanchnar guggul 2 tab.. (powdered) and 1gm ( varahikand powder+ roodanti powder) above mixture should be given with 2 tsp Honey upar se shyama tulsi patr swaras ek tsp. pilaye tds dose me chalaye.

pls explain ur view
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If it's a lipoma cyst u need not worry. Tell the patient to relax but if it is causing cosmetic problem to patient as gynecomastia may cause some psychological stress to patient than a surgical review is advised. As only permanent treatment is excision of lipoma.

please show the anteriar view ,as per the history of patient it seems lipima
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detailed history and investigation should be carried out to reach the final diagnosis and cause. After proper diagnosis only perfect treatment can be advised. If it is due to hormonal imbalance then Ashwagandha is a good choice of drug .

May be increase in or variation in oestrogen harmone!root cause may be Chang's in xy chromosome level.....which cause enlargmnt of one sided or bilateral breast ...producing feminine bodily feature .....ref-sushrutha shareera

it is usually due to nutritional deficiency and liver function impairment. advise liver stimulants like bhoomyamalaki and others.and rasayana drugs of nutritional value

1-Triphala guggal 2bd 2 - Tamara bhasm 125mg 3-punarnava mandur 2bd twice a day with honey use sendhavadi oil for snehan n nadi sewdan for Triphala Kawath

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