Dr. Sanjay B.S

Thank you for the query. Uric acid is produced in our body by the metabolism of protein (purine to be specific). Increased uric acid may occur either due to increased production or decreased excretion. You may be a poor excretor. Usually, if patient is asymptomatic (for eg. No history of joint pain/gout), medications are not given. The normal uric acid level for men is preferably between 3.5-7 mg% (it may vary between laboratories). I would suggest you to continue with your dietary protein and alcohol restriction. Some medications like low dose aspirin or diuretics (frusemide) can cause raised uric acid levels. Get some blood tests like total wbc count, serum urea and creatinine done. There are some other causes of increased uric acid levels but I think you needn't worry about it right now. However, if gout is precipitated, you will need to continue the medications - febuxostat or allopurinol, after consulting your physician. Regards.

Dear dharmender your b. Sugar is not controlled on this dose. You need dose adjustments of insulin and oral medication with it.

Your sugar levels need to be more in control and small amount of fruit is okay but suga control need to be proper.

Your blood sugar level can be controlled by diabetic diet 1200k cal and, 5 km daily walk. Sleeppiness and tingling may be due unstable blood sugar. Please consult your doctor to change drugs/modify dose.

Maintain ibw take balance d diet walk daily avoid calliflower cabbage vegetables add cap. Tyrowell. Daily for 1 month take low calorie food plenty vegetables and fruits in 2 / 3 servings take high fibre diet avoid sugary items fat food tsh level should be below 5.5.

Hello, don't worry and continue with same medicine. Along with it you should also take homoeopathic medicine Berberis pentarkan , 2 tabs twice daily. Revert me after 15 days. Thanks and take care.

Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.

Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. Plenty of fluids orally. I suggest brisk walking for 40 mins, 5 days a week. Remain stress free as much as possible. Take your medicines regularly

Hi, in a normal person tsh 7.61 milli units is not considered as treatable level. Because it is called as subclinical hypothyroidism. If this accompanied by low t4 and /or there any specific symptoms suggesting hypothyroidism then treatment is recommended. Otherwise thyroxine is given only when tsh crosses 10 milli units/ml. However, if pregnancy is desired then it is recommended that tsh levels should be maintained between 0.1 to 2.5 milli units before conception and during 1st trimester, during second 0.3 to 3 milli units and 3rd trimester 0.3 to 3.5 milli units. This is essential for proper conception, development of fetus and successful outcome of pregnancy.

Hello, include more of fiber rich foods,include beans,sprouts,bulgur wheat,jowar in the diet,they will help you.

There is no pharmaceutical cure for any autoimmune disease lie hashimotos thyroid disease .It can be only controlled with allopathic medication

We need to control sugar levels with medication exercise and following a diabetic diet and for pain take tablet paracetamol 650 mg and avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.

Hi, The precautions to be followed are as follows: - Avoid all whites like rice, sugar, maida, etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Take medicines prescribed by the doctor regularly. - Visit your doctor regularly for follow up check-ups. - Get your sugar levels checked once in a month and try to keep it under control. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels.

first of all cases of diabetes are not genetically prone to diabetes butvsrtain chances are there.one think is very clear that you are fond of sweet that is all right. but take it in moderation. you should maintain your body B M R.have balanced diet and lead healthy lifestyle.

Take thyroid supplements regularly like your routine. Its jus under control bec of medication. No cure.

This is your personal problem, so I can not suggest any medicine to you without any appointment make a appointment on lybrate from me lowest fee.

Can continue 75 mcg dose for thyroid and before going to Asian hospital do five sessions of Panchkarma treatment nearby your locality

Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.

Mr. Lybrate-user, tsh level above 6 milli units is considered as sub clinical hypothyroidism. Usually treatment is given after the tsh level crosses 10 milli units / ml. Your bmi is 34.43 kgs/ m2, which is grade 1 obesity. Is the weight increase recent one or you have been having this from earlier? because hypothyroidism does lead to weight gain. Some experts are of the opinion even at sub clinical level, it is better to give thyroxine tablets. That is done if any symptoms related hypothyroidism are noticed. You should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Use iodinated salt. Exercise regularly and take a restricted diet.

1.Do regular aerobic exercise for 1 hour daily (brisk walking,jogging,running,swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a)Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal,rice, pasta b)avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food,. c)include more fiber like pulse,green leafy vegetable,cucumber, carrot, tomato,h legume. d)Avoid sweetened fruit like banana,mango,litchi, chickoo,sapota, seethaphal jack fruit,grape etc. can have fruits like guava, pineapple,papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato e)Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. f)Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. g)Avoid red meat.take fish/chicken. h)Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment