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Dr. Ramesh Goyal

MD - Diabetology

Endocrinologist, Ahmedabad

18 Years Experience
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Dr. Ramesh Goyal MD - Diabetology Endocrinologist, Ahmedabad
18 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Goyal
Dr. Ramesh Goyal is a renowned Endocrinologist in Bhat, Ahmedabad. He has been a practicing Endocrinologist for 18 years. He has completed MD - Diabetology . You can meet Dr. Ramesh Goyal personally at Apollo Hospitals in Bhat, Ahmedabad. You can book an instant appointment online with Dr. Ramesh Goyal on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 25 years of experience on Lybrate.com. You can find Endocrinologists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - Diabetology - AIIMS - 2000
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English
Hindi

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Apollo Hospitals

Plot No. 1 A, Bhat GIDC Estate, GandhinagarAhmedabad Get Directions
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Sexual Health - Ways Diabetes Can Affect it!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Sexual Health - Ways Diabetes Can Affect it!

Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost the entire system of your body. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

Listed below are issues diabetic men and women face in terms of sexual health:

In Men:

  1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction. Pregnant
  2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

In Women:

  1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes and therefore, there is a definite decline in the urge.
  2. The above mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.
  3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help. If you wish to discuss any specific problem, you can consult a sexologist.

5231 people found this helpful

I am suffering from diabetes & there is black spots growing everywhere in my body. Even I don't have energy & I feel unconscious. What to do. Please help.

MD - Internal Medicine, FUPDA, FICP, FIACM, FDI
Internal Medicine Specialist, Faizabad
I am suffering from diabetes & there is black spots growing everywhere in my body. Even I don't have energy & I feel ...
Feeling unconscious means you are having hypoglycemic attacks which needs correction in your insulin doses. Eat sweets or buiscuits when feeling weak and consult an endocrinologist or a physician for proper checkup and correction of your insulin doses.
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I'm suffering from blood sugar this is a new problem but since 26 years I'm on blood pressure medicine. What can I do for blood sugar.

MBBS
Internal Medicine Specialist, Kendujhar
I'm suffering from blood sugar this is a new problem but since 26 years I'm on blood pressure medicine. What can I do...
Hello, Thanks for your query on Lybrate "As"per your clinical history is concerned please follow like this - 1)Take your blood pressure medication as usual 2)Add [PIOBIT-GM tab]for sugar and start with one tab and increase to twice a day after 15 days,as per your clinical response . Do take few preventive steps like this- 1)Try to eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. 2)Get more physical activity. Aim for 30 minutes of moderate physical activity a day. Take a brisk daily walk. If you can't fit in a long workout, break it up into smaller sessions spread throughout the day. 3)Try to lose excess weights. If you're overweight, losing even 7 percent of your body weight can reduce the risk of diabetes. To keep your weight in a healthy range, focus on permanent changes to your eating and exercise habits. Hope that helps
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I am loosing weight constantly from past 3 months and even my skin colour is changing. What should I do? for reference I am a hypothyroidism patient.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am loosing weight constantly from 
past 3 months and even my skin colour is changing. What should I do? for referen...
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, pl. tell us tests reports.
2 people found this helpful
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I am having diffuse hairfall from few months. My scalp is visible in some parts. My blood test reports are normal including thyroid.

MD - Homeopathy
Homeopath, Aurangabad
I am having diffuse hairfall from few months. My scalp is visible in some parts. My blood test reports are normal inc...
Hair fall is due to many reasons now a day it is common due to stress and busy life check your haemoglobin level if less then take hamatinic any multinational company take proper diet (dal vegetables sprouts fruits) and do exercise minimum 15 min if possibles do yoga for 10 min increase water intake minimum 3 to 4 litres per day also take homoeo medicines homoeo medicines are known for to stop hair fall and it actually happens phosphrus 30 (30 no glouble) 2 tds x 2 weeks and reply also comb your hair gently and 2/3 time per day wash with homoeopathic shampoo (sbl or any company) twice a week preaper oil by mixing arnica montana q 30 ml + any regular hair oil and apply before wash
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How to make your menstrual cycles regular- 8 simpke ways

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
How to make your menstrual cycles regular- 8 simpke ways

How to make your menstrual cycles regular?

First, you should know what is meant by the word 'irregular'? In most women period movers at an interval of 28 to 30 days. But it is said to be normal if it happens every 21-35 days. That means you should have periods not more frequently than every 3 weeks or not less frequently than every 5 weeks. But if you had previous cycles at an interval of every 4 weeks but now you are having periods every 5 weeks, that is ABNORMAL, although it is occurring every 35 days. In other words, change in interval up to 7 days is normal, nit beyond that. For example, if you had periods every 30 days previously and for last 2 months it is happening every 33 days or every 25 days, then it's normal. But if it happens at an interval of more than 37 days (30 + 7) or less than 23 days (30- 7) then it's, of course, abnormal.

So what are the things you can do for regular periods?

1. Normal weight
Ideal weight varies according to the height. We express it in terms of BMI (Body Mass Index) that is the weight in Kg divided by the square of the height in centimeters. Ideal BMI should be between 19 to 25. If it's more than 25, reduce weight by diet and exercise. IT can resume normal menstruation without any drugs. IF despite your sincere efforts, you are unable to lose weight or even after normalization of weight menstruation remains irregular, you must consult your gynaecologist for treatment.
On the other hand, very low BMI can also cause irregular menses. Treatment is weight gain. This is often seen in athletes and they are even at the risk of losing bone calcium because if excessive exercise and strict diet control. If gaining weight does not help, you must consult your doctor for having regular periods.

2. Stress, Anxiety, Tension, Depression
These are an inevitable part of modern lifestyle. These may not only cause mental problems but will also cause physical problems by altering the hormone levels. The result is an abnormal menstrual cycle. Try to avoid them by relaxation, counseling and if necessary by taking help of doctors.

3. Thyroid disorders
The problem of the thyroid gland is common in females and causes abnormal weight and changes the action of many hormones. The result is irregular menstruation. So if you feel lethargy, extreme cold, weakness or increased weight, do not forget to check thyroid status after consulting a doctor.

4. Pituitary disorders
The pituitary gland is a gland situated inside the brain that controls hormone of other glands of the body. If there is soMe tumour or soNe abnormalities in its function, there will be high level of prolactin hormone secretion or there will be a deficiency of hormones like FSH and LH. As a result, ovaries cannot produce enough hormones and you will have irregular menstruation. So in the case of abnormal menstruation, please Check your prolactin level.

5. PCOS
Polycystic Ovarian Syndrome is common nowadays. Apart from causing abnormal menstruation, it increases the risk of infertility, high blood pressure, diabetes, heart disease and even cancer. It is diagnosed by clinical features, hor tests and ultrasonography. It may also cause weight gain, male like the growth of hairs in body and oily skin. The treatment is weight control and drugs to regularize menses. This is particularly important in young women teenagers, in whom timely treatment can prevent many serious consequences.

6. Premature Ovarian Failure
In some women, menopause can come earlier and irregular menstruation may be the early indication of this. This may be followed by permanent cessation if periods. So if you are planning for family expansion but have irregular menses, do not delay pregnancy.

7. Problems in uterus
Excessive trauma to the uterus by repeated surgical abortion or infections like STD are tuberculosis can damage the lining of the uterus. The result is irregular menses followed by total cessation of menses. But this problem can be easily treated if you consult your gynecologist in time.

8. Systemic diseases and drugs
Irregular menSes should never be ignored. Sometimes it may be because if so e undiagnosed diseases like diabetes, diseases if heart, liver, kidney, chest etc. Often it may be the side effect if the drugs you are taking- like antacids containing domperidone, psychiatric drugs, Steroids or chemotherapy.

In conclusion, irregular menstruation may sometimes warn you about serious diseases and may be associated with infertility and early menopause. Stay healthy, have healthy diet and lifestyle, maintain a normal weight, get rid of tension and attend your doctor's clinics in time.

38 people found this helpful

Hello doctor. I am 22. Recently I discovered that my blood sugar level has gone high (230-280) and also hba1c is 10.8. I'm planning to reduce this with proper diet. Please suggest me a good diet plan. Tell me what all I can eat without fear and what all I should avoid. Rice, chapati, phulka, vegetables, curries, chicken, eggs. Etc.

BAMS, YIC, DEC
Ayurveda, Bangalore
Hello doctor. I am 22. Recently I discovered that my blood sugar level has gone high (230-280) and also hba1c is 10.8...
Hi for breakfast you can have brown bread sandwich, one egg, one multigrain chapathi are dosa, ragi idili and dosa, oats dosa are idili are any other form then after noon one small cup of wheat rice are normal rice with lot of veggies, i. E palya are sabji, and only one chapathi, evening have cup of green tea are coffee with out sugar, and only one slice of fruit like one piece of apple are sapotha etc, are you can also have sprouts, again in night 2 chapathi are any other food mentioned from above, here make sure you have 4 meals a day and qualitative and quantitative avoid sweets, potatoes, bannans, ice creams, junk food are out side food, juices with sugar, include all veggies and green vegetables in food avoid red meat and chicken, you can have sea food s, fish prons etc, for more results you can try ayurvedic medicine, for more details you can consult me.
2 people found this helpful
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I want to lose weight. I have thyroid too. What are the foods to be avoid for hypothyroid? What foods are to be taken for hypothyroid?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I want to lose weight. I have thyroid too. What are the foods to be avoid for hypothyroid? What foods are to be taken...
Hye, Thanks for the query.     For a hypothyroid condition there is no specific or special food. And it is best advised to have a diet planned as per the thyroid levels, lifestyle and history. Though you can follow some guidelines - Have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar if having insulin resistance. You just have to avoid raw, unprocessed soya, raw peanuts and raw cabbage. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into lowered metabolism. Sleep well.            It's all a matter of discipline.
3 people found this helpful
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I am 68 year old diabetic. Can I follow high carb food suggested by you? If not then what should be my ideal breakfast items?

M.Sc. in Foods & Nutrition, PhD in Foods & Nutrition
Dietitian/Nutritionist, Udaipur
I am 68 year old diabetic. Can I follow high carb food suggested by you? If not then what should be my ideal breakfas...
If you are diabetic should take low carb, high fibre diet with modrate protein like. Example: veg+daliya /oats/sprouts/multigrain roti etc is ideal for you.
2 people found this helpful
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I am 7 week pregnant and on scan my fetal heart rate is 119 bpm. Is this normal? and my thyroid is 5.15 is there any complications? please suggest me.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
I am 7 week pregnant and on scan my fetal heart rate is 119 bpm. Is this normal? and my thyroid is 5.15 is there any ...
Heart rate is ok. But thyroid should be controlled. Otherwise it can affect both mother and specially the baby.
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