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Dr. Irfan

Endocrinologist, Bangalore

Dr. Irfan Endocrinologist, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Irfan
Dr. Irfan is one of the best Endocrinologists in V-Care Hospital, Bangalore. You can visit him at V-Care Hospital in V-Care Hospital, Bangalore. Book an appointment online with Dr. Irfan and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 39 years of experience on Lybrate.com. You can find Endocrinologists online in Bangalore 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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No 29, 1st main Road, A 1st Block, Devegowda Road, R T NagarBangalore Get Directions
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My father 83+ years old is diabetic. He is having constipation entire of last week. We put him to oral laxative but no improve. He now throw up black bile and mucous from mouth. Ref attach picture of same. Every 15 min or so he feel like vomiting bit nothing much comes out. I gave Ondem 8 MG to placate the vomiting spasms. Is this right? Pls suggest more.

MPH
General Physician, Dehradun
My father 83+ years old is diabetic. He is having constipation entire of last week. We put him to oral laxative but n...
Dear sir it is very complicated situation and the advise on line may harm you need to have either consultation with one of the physician on lybrate or you should contact the doctor in city where he can be physically checked since even to start the advise on line it will take one week to understand patient s actual suffering then only treatment will be advocated may be he is suffering with some ulcer - what you say black bile as far the constipation is concern just -just give him liqquid parrafin 1 spoon before sleep it will give him relief I hope this may not be definitive - I presume, and say the safest to relieve constipation, this may relieve the vomiting since the gases will be relieved to ease the irritation to diaphragm to relieve the reflex also is essential to control sugar to control acidosis- due to diabetes please feel free to contact.
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What is treatment for thyroid?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist,
Thyroid is gland. There are no treatment of it. treatment is of thyroid dysfunction problem. kindly ask your question in specific manner
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Hello sir, I tested my diabetes after my lunch it was 220. Now what should I can, what is my precaution of diabetes & what is symton of it ?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hello sir, I tested my diabetes after my lunch it was 220. Now what should I can, what is my precaution of diabetes &...
Hi lybrate user. Your sugar levels indicate that you are in a diabetic stage. Random glucose test. Reading above 200 is considered as diabetic. Since your weight is also much below normal. You should get hba1c test done to confirm your sugar levels + + plus get a complete body package tests done to see if you are facing any other problem. I think you would have done this test at home or relatives with the home glucose test gadgets. Please get a complete health check done including thyroid, blood, lipid, liver, sugar, urine. Etc. And refer to a physician.
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I have total cholesterol 239 LDL 161 HDL 41, sugar pressure are normal, I am 33, is it necessary to take statin?

ICR Study, M. B. S.(H)
Homeopath, Mumbai
I have total cholesterol 239 LDL 161 HDL 41, sugar pressure are normal, I am 33, is it necessary to take statin?
How's your activity levels what's your profession. If you are active and exercising regularly. Then no need of stations. Of course family history is also important for me further to advise you and how your nature of work all are important to know. It's statins.
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Thyroid Gland Removal - Procedure and Aftercare

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Thyroid Gland Removal - Procedure and Aftercare

The thyroid may be a small gland, but plays a large role in the functioning of the body. It is located just below the voice box. Along with producing hormones that help in the transportation of blood, it also helps regulate metabolism, keeps the organs functioning optimally and helps the body conserve heat. In some cases, when the gland produces excessive hormones or when it develops structural problems, it may become necessary to remove the thyroid gland. 

There are several ways of removing the thyroid gland. The most common amongst these are:

  1. Lobectomy: A lobectomy is performed when only half the thyroid gland is affected. In such a case, the doctor will remove only one of the two lobes. 
  2. Subtotal Thyroidectomy: In such cases, the doctor will remove the thyroid gland but leave behind a small amount of thyroid tissue. This tissue can preserve some thyroid function but hormone supplements are often required to supplement the production of hormones. 
  3. Total Thyroidectomy: In cases of thyroid cancer or when swelling and inflammation affects the entire thyroid gland, it may become necessary to remove the whole gland along with all thyroid tissues. 

You will need to be admitted into a hospital for a thyroid removal surgery. Once admitted, meet the surgeon and anesthesiologist to answer any questions you may have about the procedure. It is important not to eat or drink anything after midnight on the night before your surgery. The surgery is performed under anesthesia so you will not feel a thing. 

Once you are asleep, the surgeon will make an incision in your throat and remove a section or all of the thyroid gland. This procedure can take between 2 to 3 hours. After the surgery, you will be kept in observation for 24-48 hours.
The surgery can result in a slightly raised scar that can take upto 6 weeks to heal. You can resume normal daily activities a day after the surgery. However, it is advised to wait for a week before undertaking any strenuous activities. Your throat may feel sore for a few days following the surgery. This can be treated with over the counter pain medication. You may also develop hypothyroidism. 

The most major risk of a thyroid removal surgery is an allergic reaction to anesthesia. Other risks of this surgery are damage to the nerves connected to the vocal cords and damage to the glands controlling calcium levels in the body.

Related Tip: "Diet Tips to Improve the Health of Your Thyroid Gland"

3041 people found this helpful

Doctor I Havilland problems off diabetes so doctor sir tell me what can I eat daily replay me doctor.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Doctor I Havilland problems off diabetes so doctor sir tell me what can I eat daily replay me doctor.
Mr. Lybrate-user, if you have diabetes, is it t1 or t2, are you on tablets or insulin injection please tell me that. Looking at your age it is necessary to know. Diet will depend on severity of diabetes, (blood sugar levels), body weight. The person with diabetes has follow these guidelines: avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat milk products, highly processed foods and alcohol. Consume more of green leafy vegetables and salads. You can eat permitted fruits about 100 g a day. Use whole grain products and avoid refined flour like maida. But most important is to control sugar levels very effectively. Fasting should be closer to 100 mg, and pp should 150 to 160 mg and hba1c% <7.
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My wife has thyroid. Her tsh is 7.7 she is taking" eltroxin 50mg" daily. May she have to increase or decrease her dose, if yes then how much dose she have to take. Or any better medicine from it to control her thyroid.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
If this is the value of tsh on regular treatment. Then yes. Dose adjustment is needed. For which latest t3 t4 tsh reports are must.
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Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the morning I feel I have not got a complete sleep. I am diabetic, asthmatic and do not do any exercises. I smoke and drink too. Kindly advice how I can get a proper sleep?

MD - Psychiatry
Psychiatrist, Chennai
Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the mo...
I am not sure who got you hooked onto sleeping pills. On a longer run they will shrink your brain, resulting in early onset dementia, personality changes, memory changes, even withdrawal seizures. Kindly consult a psychiatrist, get your sleep evaluated, and he will gradually wane you off the sleeping pills and give pills which promote sleep by acting on the cause of sleep disturbance, he may also educate you on sleep hyigiene.
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I am diabetic last 9 year's taken insulin two times.My fasting never came normal what can l do?

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent bsl reports and ongoing treatment and revert back to me for further assistance.
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Blood tests done yesterday showed the following. Fasting 103mgms/dl, postprandial 88mgms/dl, hba1c 5.6%. Should I start treatment?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Blood tests done yesterday showed the following. Fasting 103mgms/dl, postprandial 88mgms/dl, hba1c 5.6%. Should I sta...
No. I assume you have not taken any medications for diabetes. As per your present lab reports, you are not a diabetic.
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Hi I have blood sugar fast 130 do I need any medication sir

MD - Medicine, MBBS
Cardiologist,
Try to achieve an ideal weight. Avoid oily food and sugars. Do regular exercise. Keep a watch on your blood sugar. Also get a pp sugar done. If the levels are still high then you need medicines.
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How Diabetes Can Affect Vision

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Can Affect Vision

Diabetes is the condition where the blood glucose levels in your body tend to be quite high and can have an adverse effect on many of the organs in your body. The eyes are no exception and can be quite adversely affected by diabetes as well.

Let's look at the various problems you could face if you have diabetes:

1. Blurry vision: Diabetes can cause the lens in the eye to swell and this will affect the way you see. Because of the increased lens size, the eyes have difficulty in focusing on objects resulting in blurry vision. You will have to get your blood sugar levels back to normal and only then the vision will begin to correct itself. This will however take time to happen.

2. Cataract: Blurry vision for an extended period of time which progressively gets worse can be a symptom of cataract. Although cataracts can develop even with normal patients, they tend to accelerate and happen earlier in adults who have diabetes. Cataracts are usually fixed with surgery where the natural lens is removed and replaced with an artificial lens.

3. Diabetic retinopathy: Diabetic Retinopathy and Retinal Detachment are one of the leading causes of blindness in adults who suffer from diabetes. The retina is a very important part of the eye which allows us to see the images by capturing light and then sending them to the brain via the optical nerve. With diabetic retinopathy the smaller blood vessels in your retina may get damaged and thus end up causing damage to your vision. This can be of three types:

  1. Proliferative Retinopathy: In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye , and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels.
  2. Background Retinopathy: Background or nonproliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. With this condition, damaged blood vessels in the retina begin to leak extra fluid and small amounts of blood into the eye.
  3. Maculopathy: The macula is the central area of your retina. It is responsible for all your sharp vision, such as used for watching TV or reading. It can become damaged in diabetes, with leaks developing (oedema).

4. Glaucoma: This is a condition where fluids build up inside the eye and it results in the pressure within it building up. This may damage the blood vessels within the eye and cause vision changes. Problems within the eye may not be detected till you experience vision loss. Some of the symptoms of glaucoma may include:

  1. Blurry vision
  2. Watering from Eyes
  3. Difficulty in vision
  4. Pain in the eyes
  5. Lights appear to have halos
  6. Headaches

Treatments: Blurry vision also tends to go away slowly once the level of blood glucose is controlled either via medicines or by diet changes. However, glaucoma or diabetic retinopathy may require a range of medicines to ease the pressure on the eye or to discharge fluid buildup. If none of these works, then relevant surgery may be required to resolve the problems.

4916 people found this helpful

What is good for blood sugar person my mom have a blood sugar I want to know what is good for her health what fruit and vegetables.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is good for blood sugar person my mom have a blood sugar I want to know what is good for her health what fruit a...
Mr. Lybrate-user, first and foremost is a person with diabetes should achieve excellent control of the blood sugar. Fasting should be around 100 mg and pp 150 to 160 mg. Hba1c% <7. Along with this there has to be a strict diet control. Plus daily exercise of at least 1 hour is a must. Both these help in better control of blood sugar. All green leafy vegetables are good, can be eaten in any quantity. Fruits permitted are papaya, pear, apple, water melon, orange, sweet lime, pomegranate and guava. To be avoided are mango, banana, chikkoo and grapes.
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I am 51 years male, for the last three years my glucose level varies from 140 to 180 fasting, what should I do ?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a registered dietitian , certified diabetes educator and a doctor(General Physician) who will help you in your diabetes problem. You need to provide me your daily food intake details .There are many lifestyle and dietary guidelines that can be followed : take high fiber prescribed diet. Get more physical activity by prescription from a registered dietitian Maintain a healthy body weight Eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian , If you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I am 59 seffering diabetic since last 15 yrs fasting 180 pp >200 generally, now showing increasing trend, advise.

B.H.M.S
Homeopath, Patna
Syzygium q 5 drop 8 hourly in a cup of water 2. Chelidonium q drop in a cup of water 8 hourly daily in a cup of water.
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How to control blood sugar?

BAMS
General Physician,
How to control blood sugar?
Avoid intake of direct sugars. Follow strict diabetic diet. Go for 1hr walk daily, take your medicines regularly. Get your blood sugar levels tested at regular intervals and consult your doctor for follow-up check-up.
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Dear doc I am hypothyroid from 17 years taking thyroid supplements now I am 57 years ht 4'10 and wt 73 kg. Recently i'm diagnosed with rheumatic arthritis. How do I loose weight?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Dear doc
I am hypothyroid from 17 years taking thyroid supplements now I am 57 years ht 4'10 and wt 73 kg. Recently i...
Hello, Walking will help you to reduce symptoms of most rheumatic arthritis and hypothyroidism. In both the cases, the more ideal weight you maintain the better it is. You should not weigh more then 53-54 KGS, Body demands good 20 KGS weight loss. Eating balanced meals and eliminating refined and processed products will surely help. Optimising fluid intake will help you. Having plenty of fresh fruits and vegetables will also help.
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Does whole grains like wheat flour, oats give glucose supply for brain as I have read in the Lybrate as I am diabetic 39 years old pls advice.

MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)
Dietitian/Nutritionist, Bangalore
Does whole grains like wheat flour, oats give glucose supply for brain as I have read in the Lybrate as I am diabetic...
Dear lybrate-user, Glucose is the end product of carbohydrate digestion. Any food that has carbs will finally be broken down to simple sugar glucose for absorption into the body. This glucose gives energy to brain. Hence consumption of complex carbs like whole wheat flour or multigrain flour or oats does give glucose and it is released slowly into the blood stream helping to manage diabetes. Regards
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Having fungal infection on toungue and diabetic, male 40 years.

C.S.C, D.C.H, M.B.B.S
Pediatrician,
Fungal infections occur in diabetics. Can be treated. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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I am 45 male suffering from high Blood pressure. Presently taking Telma 80H. Also have diabetes problems. Suggest me the best medicine to control my above diseases.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 45 male suffering from high Blood pressure. Presently taking Telma 80H. Also have diabetes problems. Suggest me ...
Mr Manoj, Hypertension and diabetes usually are seen together in many persons. Apart from taking appropriate medication, it essential to adapt a modified lifestyle, which means having a balanced and restricted diet, exercising regularly for more than 1 hour a day, avoiding sweets, deep fried foods, junk foods, alcohol and smoking. In case of hypertension salt intake also has to be low(2.3 g/day). From the data it is not clear what is level of blood pressure, which drugs are being taken for treating diabetes and current fasting and PP sugar leves and HbA1c%. Plus also inform you are exercising regularly, as your BMI is 26.19 kgs, which is high. Plus inform about dietary pattern. It will be good if you come in a private conversation with these details, where I will be able to give specific suggestions.
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