Dr Vikas Singla, Gastroenterologist, Gastron, DGOC
Dr Vikas Singla, Gastroenterologist, Gastron, DGOC
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GERD, Heartburn, burning Jalan in chest, gastro esophageal reflux disease, in Hindi Dr Vikas Singla
What is GERD?
Gastroesophageal reflux disease occurs when stomach acid flows back into the esophagus also known as food pipe. Esophagus is a conduit like organ meant for transfer of food from oral cavity into the stomach. Lower esophageal sphincter a valve between esophagus and stomach, protect against reflux of acid or stomach back into stomach. Weakness of lower esophageal sphincter lead to weakening of this barrier eventually leading to reflux. Although occasional acid reflux is common and experienced by many individuals, the diagnosis of GERD is established when this reflux becomes a regular occurrence over time, resulting in troublesome symptoms and potential complications disturbing quality of life.
Esophagus is virtually a straight tube connecting the oral cavity to the stomach. It lacks the protective lining against the acid, which is inherently present in the stomach. Stomach produces acid for digestion, but is protected against the same, by virtue of protective lining with columnar epithelium which produces mucus and other protective molecules against injury by acid present in lumen of stomach. When stomach acid flows back into the esophagus, an environment that is ill-equipped to handle such acidic environment, causing painful symptoms and inflammation and ulceration.
Differentiating GERD from acid reflux?
Many people have occasional acid reflux, which can be triggered by factors like specific foods, lying down after eating, physiological conditions like pregnancy, or lifestyle choices. It's usually a temporary and occasional discomfort.
However, when acid reflux becomes frequent, affecting quality of life and well being, it's diagnosed as GERD. Unlike occasional acid reflux, GERD is persistent and indicates a malfunction in the mechanisms that typically prevent stomach acid from flowing back into the esophagus.
Hiatus hernia and GERD
Hiatus hernia is a condition often diagnosed on endoscopy or barium swallow, result from migration of part of stomach into chest. Stomach is an abdominal organ, weakening of supportive structures, may lead to migration of stomach into chest, a condition known as hiatus hernia. Predominant symptoms of hiatus hernia occur due to reflux of gastric contents into esophagus.
Prevalence of GERD in India/ How common is GERD ?
The prevalence of these conditions can vary over time and across different regions. According to Indian consensus on gastroesophageal reflux disease in adults, the prevalence of GERD in India ranges from 7.6% to 30%, being less than 10% in most population studies.
Common signs and symptoms of GERD
GERD can cause various signs and symptoms, and their intensity can differ from person to person and at different times.
• Heartburn: This is a burning sensation or discomfort that might move from the chest to throat. It often occurs after eating spicy/oily food or when lying down.
• Regurgitation: This involves the backflow of stomach contents, including acid or food, into the throat or mouth, leading to a sour or bitter taste.
• Dysphagia: It refers to difficulty swallowing or the feeling of food getting stuck in the throat. It occurs due to weakening of esophageal muscles due to prolonged acid exposure.
• Chest Pain: Similar to the pain of a heart attack, GERD-related chest pain needs to be distinguished from cardiac-related chest pain. A thorough clinical history can help identify GERD as the main cause of pain in patients with non-cardiac chest pain.
• Chronic Cough: GERD can cause a persistent cough, often accompanied by the sensation of a lump in the throat. This may result from aspiration of acid into lungs.
# Best treatment of is available at
#Gatron, I 103, Kirti Nagar, New Delhi and
#Max Superspeciality Hospital, Saket, New #Delhi, #India
For more information or appointment Please call us +91-9968407407
Visit us at: www.drvikassingla.com
mail us at : singlavikas1979@gmail.com
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This video is for information only. The creator of this video/channel will not be held responsible for any damage or loss caused. All contents provided by this channel is meant for EDUCATIONAL purpose only.
Best wishes
Vikas Singla
มุมมอง: 1 706

วีดีโอ

Achalasia cardia : Symptoms, causes, diagnosis, treatment in Hindi, Dr Vikas Sing
มุมมอง 3.1K10 หลายเดือนก่อน
Achalasia Cardia is a rare disorder of the esophagus or food pipe, characterized by difficulty in swallowing the food. In normal conditions, swallowed food passes through food pipe into the stomach. This requires coordinated action of esophagus known as peristalsis and relaxation of lower esophageal sphincter known as lower esophageal sphincter (LES). In patients with achalasia cardia, both the...
Bile duct, pitt,(pit, pith)nali, obstruction, dilation, rukawat, causes treatment, Dr Vikas Singla
มุมมอง 1.3K11 หลายเดือนก่อน
Dr. Vikas Singla is a well-known name in the medical fraternity and is one BIle duct obstruction ot dilation need proper evaluation Causes are Bile duct stone Ascaris in bile duct Chronic pancreatitis Tumors or ampulla, pancreas, gall bladder and bile duct Diagnosis can be done with EUS, USG abdomen, CT or MRI Most of cases are treatable with ERCP or surgery Dr Vikas Singla is one of the most r...
Reasons for increased SGOT/ SGPT, SGOT/SGPT badne ke karan, ilaz, how to treat, Dr Vikas Singla
มุมมอง 2.3K11 หลายเดือนก่อน
SGOT also SGPT are enzymes in liver, muscle and heart Main reasons for increased SGOT/SGPT is liver disease Causes of elevation of SGOT (Also known as AST) and SGPT (also known as ALT) High levels (More than 500) Acute viral hepatitis : hepatitis A and E Drug induced Level increased but less than 300 Hepatitis B and Hepatitis C Autoimmune hepatitis Wilson disease hemochrmomatosis Alcohol Non al...
Liver function test, SGOT/PT, Liver Disease in Hindi, Dr Vikas Singla
มุมมอง 82111 หลายเดือนก่อน
Liver Function test and fibroscan are important tests to detect diseases of liver Liver function test is blood testa and comprises of 1. Liver enzymes, Bilirubin, SGOT/SGPT, Serum alkaline phosphatase, Gamma Glutamyl transpeptidase 2. Bilirubin 3. Serum Alkaline Phosphatase 4. gamma glutamyl transpeptidase Dr. Vikas Singla is a well-known name in the medical fraternity and is one of the most re...
Treatment of large stone in bile duct : Cholangioscopy, laser, EHL, पित्त नली में बड़ी पथरी का इलाज
มุมมอง 87111 หลายเดือนก่อน
Cholangioscopy and EHL/Laser is effective technique for large or impacted stone in bile duct. Dr. Vikas Singla is a well-known name in the medical fraternity and is one of the most respected doctors in the field of Gastroenterology. In February 2021, Dr. Vikas Singla took over as Director and Head of the Max Centre for Gastroenterology, Hepatology, and Endoscopy at Max Hospital, Saket. After fi...
Treatment of fatty liver : Good sleep, फैटी लीवर का इलाज, By Dr Vikas Singla
มุมมอง 1.9Kปีที่แล้ว
Fatty liver cases have increased due to change in life style. Reduced physical activity, excessive calorie intake are responsible for the increased cases of fatty liver. Treatment for fatty liver Good sleep Physical activity Optimum diet Have good sleep of 8 hours Avoid social jet leg restrict tea/coffee/alcohol intake Dr. Vikas Singla is a well-known name in the medical fraternity and is one o...
Pancreas pseudocyst : Endoscopy treatment Causes, Symptoms, Treatment in Hindi, by Dr Vikas Singla
มุมมอง 16Kปีที่แล้ว
Pancreatic pseudocyst or walled off pancreatic necrosis Fluid collection around the pancreas with the well defined wall (Pseudocyst) Fluid collection with certain solid tissue around the pancreas with the well defined wall (Walled off pancreatic necrosis) Causes Acute pancreatitis Chronic pancreatitis Treatment Endoscopic drainage Surgery Percutaneous drainage Dr. Vikas Singla is a well-known n...
Gastric stomach and duodenum ulcer : Causes symptoms diagnosis and treatment, by Dr Vikas Singla
มุมมอง 4.7Kปีที่แล้ว
Gastric and duodenal ulcers are common site of ulcer. Common causes are 1. H pylori infection 2. Pain killer intake 3. Liver and kidney problems 4. Smoking and alcohol Symptoms 1. Upper abdomen pain 2. Vomiting 3. Bleeding from mouth 4. Black stool Endoscopy : Purpose of endoscopy is 1. To diagnose ulcer 2. To rule out ulcer due to cancer 3. To take biopsy for h pylori Treatment 1. 2 weeks anti...
H pylori : Symptoms, diagnosis and treatment in Hindi, Dr Vikas Singla
มุมมอง 48Kปีที่แล้ว
H pylori is a bacteria which can affect our stomach H pylori lead to Chronic Gastritis Gastric ulcer Gastric Cancer Daignsis Endoscopy and biopsy Rapid urease test Stool antigen for H pylori Treatment Antibiotics and acid reducing medications for 2 weeks # Best treatment of is available at #Gatron, I 103, Kirti Nagar, New Delhi and #Max Superspeciality Hospital, Saket, New #Delhi, #India For mo...
Colon Cancer : Symptoms, diagnosis, surgery, treatment in Hindi, Dr Vikas Singla
มุมมอง 111Kปีที่แล้ว
Colon Cancer : Symptoms, diagnosis, surgery, treatment in Hindi, Dr Vikas Singla
Small bowel diseases and endoscopy : Symptoms, diagnosis and treatment, Dr Vikas Singla
มุมมอง 4.4K2 ปีที่แล้ว
Small bowel diseases and endoscopy : Symptoms, diagnosis and treatment, Dr Vikas Singla
Achalasia cardia, best treatment
มุมมอง 6K2 ปีที่แล้ว
Achalasia cardia, best treatment
What is colonoscopy : By Dr Vikas Singla
มุมมอง 3.4K2 ปีที่แล้ว
What is colonoscopy : By Dr Vikas Singla
Alcohol liver damage disease effects treatment क्या शराब लीवर खराब करती है Vikas Singla 996840407
มุมมอง 351K2 ปีที่แล้ว
Alcohol liver damage disease effects treatment क्या शराब लीवर खराब करती है Vikas Singla 996840407
Achalasia Cardia : Swallowing problem, esophageal manometry, POEM, treatment Cure Vikas Singla Hindi
มุมมอง 7K2 ปีที่แล้ว
Achalasia Cardia : Swallowing problem, esophageal manometry, POEM, treatment Cure Vikas Singla Hindi
What is IBD : Symptoms, diagnosis and treatment in Hindi by Dr Vikas Singla
มุมมอง 14K2 ปีที่แล้ว
What is IBD : Symptoms, diagnosis and treatment in Hindi by Dr Vikas Singla
Constipation : Symptoms, DIagnosis and treatment in Hindi, Qabz ka ilaz, Dr Vikas Singla
มุมมอง 7K2 ปีที่แล้ว
Constipation : Symptoms, DIagnosis and treatment in Hindi, Qabz ka ilaz, Dr Vikas Singla
Liver Disease Symptoms in Hindi, लीवर की बीमारी के लक्षण, Dr Vikas Singla
มุมมอง 104K2 ปีที่แล้ว
Liver Disease Symptoms in Hindi, लीवर की बीमारी के लक्षण, Dr Vikas Singla
Gall bladder stone, pathari : Symptoms, diagnosis, ultrasound, treatment, cure and surgery in Hindi
มุมมอง 83K2 ปีที่แล้ว
Gall bladder stone, pathari : Symptoms, diagnosis, ultrasound, treatment, cure and surgery in Hindi
Acute Pancreatitis, Symptoms Diagnosis and treatment, in Hindi, Dr Vikas Singla
มุมมอง 76K2 ปีที่แล้ว
Acute Pancreatitis, Symptoms Diagnosis and treatment, in Hindi, Dr Vikas Singla
ERCP CBD stone, पित की नली की पथरी, Vikas Singla, Director, Gastroenterology, Max, Delhi.
มุมมอง 107K2 ปีที่แล้ว
ERCP CBD stone, पित की नली की पथरी, Vikas Singla, Director, Gastroenterology, Max, Delhi.
ERCP-CBD (Bile Duct) stone, pitt nali pathari, Dr Vikas Singla, Head Gastroenterology Max Saket
มุมมอง 56K2 ปีที่แล้ว
ERCP-CBD (Bile Duct) stone, pitt nali pathari, Dr Vikas Singla, Head Gastroenterology Max Saket
Difficulty in swallowing food, drinking water, aahar nali or food pipe problem, how to get cured.
มุมมอง 25K3 ปีที่แล้ว
Difficulty in swallowing food, drinking water, aahar nali or food pipe problem, how to get cured.
IBD in Hindi Crohn's disease क्रोहन'स डिजीज Inflammatory bowel Disease Symptoms & treatment Dr Vikas
มุมมอง 123K3 ปีที่แล้ว
IBD in Hindi Crohn's disease क्रोहन'स डिजीज Inflammatory bowel Disease Symptoms & treatment Dr Vikas
Blood vomiting in Hindi, blood in vomiting, ulti mein khoon, khoon ki ulti, Dr Vikas SIngla
มุมมอง 145K3 ปีที่แล้ว
Blood vomiting in Hindi, blood in vomiting, ulti mein khoon, khoon ki ulti, Dr Vikas SIngla
Loose motion, stool in Hindi. Chronic Diarrhea (Diarrhoea). Causes & treatment, By Dr Vikas Singla.
มุมมอง 248K3 ปีที่แล้ว
Loose motion, stool in Hindi. Chronic Diarrhea (Diarrhoea). Causes & treatment, By Dr Vikas Singla.
Colon cancer in Hindi. Large Bowel, large intestine cancer. Symptoms, treatment, Dr Vikas Singla.
มุมมอง 254K3 ปีที่แล้ว
Colon cancer in Hindi. Large Bowel, large intestine cancer. Symptoms, treatment, Dr Vikas Singla.
Chronic pancreatitis, stone in pancreas, Treatment in Hindi. Is cure possible. Dr Vikas Singla.
มุมมอง 91K3 ปีที่แล้ว
Chronic pancreatitis, stone in pancreas, Treatment in Hindi. Is cure possible. Dr Vikas Singla.
Pet mein pani bharna, पेट में पानी भरना. Ascites. What should a patient know.
มุมมอง 323K3 ปีที่แล้ว
Pet mein pani bharna, पेट में पानी भरना. Ascites. What should a patient know.

ความคิดเห็น

  • @surenderauto859
    @surenderauto859 9 ชั่วโมงที่ผ่านมา

    क्या कोई तकलीफ दोबारा ना हो उसके लिए हमें क्या जांच करानी चाहिए

  • @surenderauto859
    @surenderauto859 9 ชั่วโมงที่ผ่านมา

    सर यह ऑपरेशन हुआ है हमारा इसकी सावधानियां के लिए हमें खाने पीने में क्या परहेज करनाचाहिए

  • @UlcerativecolitisTreatment
    @UlcerativecolitisTreatment วันที่ผ่านมา

    It’s cureable I have cured for this disease

  • @NancyNancy-y1l
    @NancyNancy-y1l วันที่ผ่านมา

    Sir pancreas ko Punjabi mai kya kehta hain

  • @RickyKumar-oi9us
    @RickyKumar-oi9us 2 วันที่ผ่านมา

    Sir mujhe chest me jakadan hoti h aur dabaw sa lagta dakar ane se hi chest ka jakdan thik lagta or gas bhi bohut banta sir mujhe ky hua h bta sakte ho

  • @kpsvihar7210
    @kpsvihar7210 2 วันที่ผ่านมา

    Sir Mai bhut jada garm pi liya,,,,ak ghuut,,,,,koi problem to nhi n ho sakti????

  • @caddcentre1753
    @caddcentre1753 3 วันที่ผ่านมา

    Sir my father survive liver asthic...unka treatment kaha hoga..

  • @vijayasawant559
    @vijayasawant559 4 วันที่ผ่านมา

    Thanks

  • @ForrestSky1
    @ForrestSky1 5 วันที่ผ่านมา

    lagta hai mere paap ka ghada bhar chuka hai

  • @MohiniYadav-rl9pp
    @MohiniYadav-rl9pp 6 วันที่ผ่านมา

    Breanhemarej konsi bimari h sir pls reply 😢😢😢😢😢😢 mere friend koblood ki ulti hoti h pls reply 😢😢😢😢😢😢

  • @HafizTraders-i7u
    @HafizTraders-i7u 7 วันที่ผ่านมา

    Please doctor help me my mother suffering from Acits

  • @JagdishKumar-kx5zd
    @JagdishKumar-kx5zd 9 วันที่ผ่านมา

    Nice sir ji

  • @deepaksoniMR
    @deepaksoniMR 9 วันที่ผ่านมา

    Please share cost of ERCP + GALL BLADDER STONE SURGERY

  • @JohnVessely
    @JohnVessely 9 วันที่ผ่านมา

    Planet Ayurveda’s IBS treatments are a game-changer. After just a few weeks, I noticed significant improvements in my digestion. So grateful for their help

  • @SumanMukheja-jp1mh
    @SumanMukheja-jp1mh 10 วันที่ผ่านมา

    "After watching this video, I decided to try Planet Ayurveda's liver treatment, and I'm so glad I did! My liver health has improved significantly."

  • @mohammadhashim3443
    @mohammadhashim3443 10 วันที่ผ่านมา

    Sir mera gallbladder remove hone ke bad bile duct me stone thi to dr ne stent dal diya but abhi 2.5 month ke bad ercp kraya he fr se dr ne stent replace kr diya he, and still i have 13 mm stone in bile duct, please guide me Love from Saudi Arabia

  • @vishalchaudhary-nf6gr
    @vishalchaudhary-nf6gr 10 วันที่ผ่านมา

    Thank you for explaining this! I had difficulty swallowing due to dysphagia, and Planet Ayurveda’s Digestion Support Capsules and Chitrakadi Vati were a game-changer. My symptoms improved, and I can eat comfortably now. Their products are worth trying!

  • @ZeniaRajpoot
    @ZeniaRajpoot 11 วันที่ผ่านมา

    Sir Kindly tell me my mother vonited many times with blood .. Doctors injected her .. A lot of blood loss So one blood bottle is also injected Kindly tell what is the reason ? Now she is better

  • @Binod2013
    @Binod2013 11 วันที่ผ่านมา

    हे भगवान ये बीमारी कभी भी किसी को न हो

  • @mamanovlogs6131
    @mamanovlogs6131 12 วันที่ผ่านมา

    Sir please apka contact number mil sakta hai ...I am from Tripura Agartala...

  • @JagdishRaj-o4z
    @JagdishRaj-o4z 12 วันที่ผ่านมา

    Logu kyu darate ho sir

  • @bkarmakar2075
    @bkarmakar2075 13 วันที่ผ่านมา

    Sir, dilated cbd 11 mm ka kya ilaz hai

  • @ms.lavender_11
    @ms.lavender_11 13 วันที่ผ่านมา

    Sir,mother ke cbd me 23×11 mm ka stone hai.kripaya medical treatment ke bare me batane ka kast karen.

  • @ms.lavender_11
    @ms.lavender_11 13 วันที่ผ่านมา

    Sir,mother ki cbd me 23×11 mm ka stone diagnose hua hai.kripaya ke medical solution kya hai?

  • @Aloosinghthakur
    @Aloosinghthakur 15 วันที่ผ่านมา

    Great video information

  • @Aloosinghthakur
    @Aloosinghthakur 15 วันที่ผ่านมา

    Great video

  • @jaidev1324
    @jaidev1324 15 วันที่ผ่านมา

    Mere pass iska parment ilaj hai kyoki mujhe bhi tha ab 3year se ab bilkul accha hu

  • @rehanansari-pz2wk
    @rehanansari-pz2wk 17 วันที่ผ่านมา

    Sir mjhe 1 mahina se stool me blood aa rha..maine antibiotic ka 2 cycle bhi chlaya h doctor ne dia tha...fir bhi thk nhi hua ....kch bataiye kya kru

  • @rockbabulchannel3708
    @rockbabulchannel3708 17 วันที่ผ่านมา

    Sir kuch v batt bolu to esa lagta hain k battain kut kut ke aaraha hain clear voise nehi nikalta hain voise bar bar drop hota hain

  • @rockbabulchannel3708
    @rockbabulchannel3708 17 วันที่ผ่านมา

    Sir mujain mujko kobi kobi hiscki ata hain or batt korne main problem hota hain.kobi kobi bat atak jata hain q esa ho raha koi upai boliya sir

  • @mohammedaslam6937
    @mohammedaslam6937 17 วันที่ผ่านมา

    Very Very good information........!

  • @Amit-i6i9u
    @Amit-i6i9u 17 วันที่ผ่านมา

    ✨ "The combination of herbs used by Planet Ayurveda is so effective for ulcers. My digestion feels better, and the ulcer pain is almost gone. Highly recommend giving it a shot!"

  • @Carl6483
    @Carl6483 17 วันที่ผ่านมา

    Can I contact you through whatsapp?

  • @duazara5308
    @duazara5308 18 วันที่ผ่านมา

    How can I contact you please

  • @vishalchaudhary-nf6gr
    @vishalchaudhary-nf6gr 19 วันที่ผ่านมา

    Appreciate this detailed video! I experienced dysphagia, and eating became a challenge. Planet Ayurveda’s herbal supplements supported my throat and esophagus health, making a noticeable difference. My neighbor also had success with their products for a similar issue. Highly recommend their natural solutions.

  • @mirjaimam4975
    @mirjaimam4975 22 วันที่ผ่านมา

    Life style change karo, antibiotics lo bas no tenson.....

    • @PraveenKumar-rc3uh
      @PraveenKumar-rc3uh 14 วันที่ผ่านมา

      Antibiotic kills the good bacteria of gut.

  • @DeepakVerma-si7ko
    @DeepakVerma-si7ko 22 วันที่ผ่านมา

    Sir cbd stent kaise nikalte hain gall bladder ke sath main nikal sakte hain kya ya fir nahi

  • @KeerthiAdikari
    @KeerthiAdikari 25 วันที่ผ่านมา

    Abdo, left side pain only six year.all blood report normal.must i undergo colonoscopy.from srilanks

  • @ANSH-GAMING-d2w
    @ANSH-GAMING-d2w 25 วันที่ผ่านมา

    🩸🩸🩸🩸🩸🩸🩸🩸🩸🩸

  • @ParamjeetSingh-ym4nl
    @ParamjeetSingh-ym4nl 25 วันที่ผ่านมา

    I appreciate all of u for giving right information about colon cancer treatment.

  • @attacker6666
    @attacker6666 27 วันที่ผ่านมา

    Is kiwi helpful in recovery

  • @SumanMukheja-jp1mh
    @SumanMukheja-jp1mh 28 วันที่ผ่านมา

    Planet Ayurveda's expert team guided me through a personalized treatment plan, addressing my unique IBD needs. Their support and guidance have been invaluable in managing my condition.

  • @juhisingh2246
    @juhisingh2246 หลายเดือนก่อน

    Mujhe h.pylori +ve hai..3nov se medicine le rhi..or ab 1-2 din se kuch bhi khane ke baad washroom jana pad rha..?? Kya ye normal ya doctor se milna chahiye

  • @suvadippaul9973
    @suvadippaul9973 หลายเดือนก่อน

    Sir pani pina ki time chest ma cold fill hota ha ya normal ha

  • @Indrabeka
    @Indrabeka หลายเดือนก่อน

    Sir mujhe 6 mahine se dakare aa rahi he

  • @PankajKumar-hj5ph
    @PankajKumar-hj5ph หลายเดือนก่อน

    Sir 9mm stone ka process

  • @prashantofficialsharma8936
    @prashantofficialsharma8936 หลายเดือนก่อน

    Sir best medicine kya h

  • @shivanipkl5843
    @shivanipkl5843 หลายเดือนก่อน

    Sir i have a gallbladder stone of 1.9 cm do i need surgery?

  • @dinugautam8468
    @dinugautam8468 หลายเดือนก่อน

    नमस्कार सर जी मै बिहार से हु और मेरे भाई 21वर्ष का जिन्हें BHU वाराणसी में 17/5/2024/को H M विधि से अकलासिया कार्डियो का ऑपरेशन कराया था । दो तीन माह तक बिल्कुल सही से खाना पीना ठीक से हुआ लेकिन इधर 20,25दिन से फिर पहले जैसा खाना ,पानी उल्टी हो जाती हैं ।। बहुत तरह की जांच कराए । क्लियर नहीं हुआ तो मैनेमेट्री के लिए डॉ द्विवेश सर को बोल गया । मेनोमंट्री जांच क्लियर नहीं हुआ ।तो मुझे द्विवेश सर बुलाए और समझाए कि H M विधि से हुआ है । बैलून विधि सक्सेस नहीं है खासकरके इस उम्र के लिए ।तो उन्होंने POEM विधि द्वारा ऑपरेशन कराने की सलाह दिए और आपका नाम एड्रेस दिए हैं और बोले कि हम भी कभी कभी बुलाते है ।। तो सर की मै poem विधि द्वारा ऑपरेशन की किया फीस और कितना खर्च पड़ेगा ।। सर आप कष्ट बताने की कृपा की जाय ।। ताकि हम आपके हाथों से मेरा काम हो और दिवेश सर जी का प्रेरणा सफल हो 🙏🙏मेरा m 9955820383

  • @xokaloaxoman9954
    @xokaloaxoman9954 หลายเดือนก่อน

    Sir mujhe 5 sal ho gaya oppression hona abhi or kavi kavi atak rahahe