Dr. Sangeeta Avivazhagan

Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.

We need to avoid pickles and papads in your diet and eat only freshly prepared home made food and for medication we have to know your symptoms

Take diet in hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, 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. flax oil, 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, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and control weight also. welcome.

hi... You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. cycling and walking are good exercises. Welcome in lybrate.

Dear Lybrateuser, - To control your blood sugar have more of fibrous food vegetables, fruits, whole grains, legumes, beans, sprouts, nuts - have 4-5 small meals rather than three large meals, have a light dinner with protein food in it & vegetables, take a walk for 10-15 min after dinner, have a well balanced diet with controlled portion from all the food groups as not having a particular group will lead to deficiency disease & metabolic imbalance - control weight with diet & exercise + sleep well for at least 7-8 hrs at night, keep sleep & wake up time fixed.

Low Sperm Count

Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. Remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal.

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal). 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal.

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not.

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS. In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS.

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS.

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results.

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.

To improve HB% you need to take iron tablets depending upon your current hemoglobin value kindly send me your report so that I can prescribe you accordingly same for thyroid also how much mg your using.

Dear lybrate-user, no doctor wants to operate the patient when sugar is high. You've to check fasting, post lunch sugar and hba1c and visit a diabetologist in your area who'll decide about the line of treatment appropriate to your mom's profile. Doctor may suggest insulin for a short period. Also monitor bp with home machine and remember to inform the doctor if mom is taking aspirin. Aspirin needs to be stopped 2 days prior to surgery until one day post surgery. Regards.

high cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines .

Mr Sanjeet, If you have been diagnosed to have diabetes mellitus (T2), then only way to remain fit and healthy is to take prescribed medication regularly, without missing the dose, take a planned restricted diet, that gives exact calories based on your ideal body weight, sugar levels and extent of physical exercise. Avoid sweets, direct sugar and jaggery, deep fried foods, junk foods and pastries. Consume more of green leafy vegetables and salads, permitted fruits (100 g a day). Refrain from alcohol and smoking. This changed life style has to be adapted for your life. The disease does not go away, you have to learn to live with it.

1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water you ned medicine also, for medicine contact on private chat. With latest bloosd sugar f/pp. Lipid profile Bp. And hba1c good luck.

Hi, It's very important to manage renal issues. Diet n Medication is the best way to manage diabetic Nephropathy. Management of sugar, creatinine n electrolytes are very important.

Dear , you are stage 3 chronic kidney disease, you should have protein less than 0.6 gm/kg day low potassium i. E restrict fruits and fruit juices to less than 100 gm day follow a diabetic diet please give details of your other reports and medications such that we can help you better.

U have to take a low calorie low fat diet and monitor your sugar levels you can go for a package for diabetes mine and book an appointment with me follow a diabetic diet do not eat any form of sugar items.

If your bp is 120/80 without medicine in multiple measurement, you may stop medicine. Make sure to get it measured by qualified doctor after few days of stopping medicine. Best wish.

. Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Mr. lybrate-user, The particular tablet which is being advertised heavily in TV, is just a combination of some herbal remedies, based on encient ayurvedic texts. There is very little scientific evidence to support. Unless a patient is on modern medicine to treat diabetes or to control blood glucose, there is no way to control it. The medicine mentioned by you can be at best can be taken as a supportive therapy. I have absolutely no belief on the various claims made. Thanks.

Avoid papads pickles and eat fresh food only and drink plenty of water and for medication we need to examine you.

Diabetes patients with obesity may have high uric acid levels. If patient is not having symptoms like joint pains, it does not require treatment.

1) continue physiotherapy. 2) start tab janumet 50/500 1-0-1. Repeat fbs & ppbs after 2 weeks. 3) stop" ramdev medicines" immediately.