Dr. Shashidhar. M

This is the result of uncontrolled or poorly controlled diabetes. YOu send reports of your CBC, FBS, @Hr PPBS & HBA1C and I can prescribe medicines for you.Ask privately. with details of any other disease you have.

YES, lybrate-user. Please go for usg abdomen for prostate ,residual urine. Meanwhile take tab. Efil (tadalafil) 10 mg daily in evening with water. .

All sleeping tablets give temporary benefit. They may need to be taken in higher doses as tolerance develops. They do not give the natural freshness that follows a normal sleep. You should do some exercise like walking before going to bed as well as after waking up. Regular meditation and yoga help. Try to reduce the dosage of the drug while doing the above. The aim should be to discontinue the drug in the long run.

These are probably stretch marks. Will few months treatment of microneedling amd creams can reduce this.

Get following tests done: FT4, TSH, Prolactin level in morning blood sample and USG of lower abdomen. Consult Gynecologist with the report.

Yes lybrate-user you can get the right tips and tricks and advice treatment medicines alternative therapies and diet exercises approach etc All on the phone or in person Etc personally.

lybrate-user, Thanks for the query. The glucose levels mentioned (Fasting 220 mg & PP 340 mg) are very high. These can lead to serious complications of diabetes like neuropathy, kidney damage, problems with retina, peripheral blood vessels leading to affection of blood supply to lower limbs. It is clear that present medication is not adequate at all. There has to be re-look at the total treatment, plus your diet and extent of daily exercise. Plus looking at your weight and height with a BMI of 31.14 kgs/M2 you are having grade 1 obesity. Which is a major contributor for improper glucose control. Your ideal body weight should be 63 kgs, hence there is an extra 27 kg load. Another aspect which needs to be closely looked at is what is your "normal diet" also exercise. Therefore, if you are keen enough, please come in a private conversation (paid consultation) with following details: current fasting, PP glucose levels, HbA1c%, lipid profile, extent of daily exercise, dietary pattern and BP readings. Then I will be able to give specific guidance and even prescribe the drugs that may be needed. In this communication we are supposed to give only general guidelines, no prescriptions are allowed. If not then please contact a good diabetologist locally and get things under control. It is essential. Ideally fasting should be < 100 mg, PP 160 to 170 mg & HbA1c% <7. Thanks.

Start drinking lots of milk and increase protein intake in the your diet. Make a mixture of amla+reetha + shikakai powder, all in equal proportions. Take 4-5 tsp if this powder, boiled in 3 litres of water till 1-1.5 litre remains. Let it cool and then wash your hair with this and not shampoo. Extract juice of onion and add few drops of olive oil to it. Apply in riots of hair and keep for 40 min and then wash off. Start eating 1 amla daily start taking 1 tsp triphala churna daily with water and night with water after food start doing pranayam for 20 min daily. For headache, meditation and good sleep daily is useful

In my view if there is no perforation in your ear drum than retracted ear drum should not be a cause for rejection

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, j 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, a handful of walnut daily (akhrot) 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