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Dr. Vijaya Sarathi

Endocrinologist, Bangalore

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Dr. Vijaya Sarathi Endocrinologist, Bangalore
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Vijaya Sarathi
Dr. Vijaya Sarathi is an experienced Endocrinologist in Whitefield, Bangalore. He is currently associated with Vydehi Institute of Medical Sciences & Research Centre in Whitefield, Bangalore. You can book an instant appointment online with Dr. Vijaya Sarathi on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 37 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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Vydehi Institute of Medical Sciences & Research Centre

Vijaynagar, Nallurhalli, WhitefieldBangalore Get Directions
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Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

Ovarian cysts are fluid-filled sacs in the ovaries, often in multiples, which are very common in women. This is absolutely different condition from polycystic ovaries. Most of them are benign and not indicative of an underlying problem. They produce no specific symptoms and even if detected, can be watched over a period of time. Treatment may be required only if there are serious symptoms or there is higher possibility of cancerous nature of the cyst. Read on to know more. 

Types 

  1. Functional: There are two types in this. The follicular variety is when the egg that is ready for fertilization does not completely shrink and stays for a few more days before it disappears. Another variety, the luteal ovarian cysts are formed when after the release of the egg, there is blood filling up in the corpus luteum. 
  2. Pathological: There are many types here – dermoid, cystadenomas, endometriomas, cancerous cystadenocarcinomas etc. These are worrisome and need to be treated. Both varieties, once identified, should be monitored. The functional variety, though may not cause a problem, can cause infertility and so necessitate treatment. 

Symptoms 

Any ovarian follicle larger than 2 cm can be called as an ovarian cyst. They are usually benign and do not produce any symptoms. However, if they turn pathologic or grow in size, they can cause various symptoms such as: 

While cysts are often quiet and do not produce any symptoms, they can cause intermittent, nonspecific symptoms like above. If there is a family history of ovarian cancers in mothers, maternal aunt, Sisters, Grandmothers etc then women should have regular Gynaecological checkups to have a check done for ovarian cysts. 

Why go for laparoscopic surgery? 

  1. Laparoscopic surgery is considered to be one of the most effective ways of treating the condition of ovarian cysts. During the surgery, problem causing non-cancerous cyst can be removed without harming the ovaries. In the case of cancer, both ovaries along with uterus etc may have to be removed. This decision is taken by the operating surgeon depending upon age of the patient, characteristics and nature of the cyst and future fertility desires of the patient. 
  2. The patient is given general anesthesia during the surgery. After the surgery, one is suggested to rest for a day and may be permitted to return to normal activities within a day’s time. However, one needs to avoid any strenuous activity for almost a week. 
  3. While some cysts can be watched for years, others need treatment. This would be specifically true in cases where the couple is facing infertility issues or if there is a higher possibility of cancerous cysts. Such cysts need urgent intervention and should be monitored by a gynecologist with an experience in oncology. There are few blood tests that are needed to be done to know the nature of the cyst if it is benign or cancerous.
7 people found this helpful

My mother is suffering from diabetes since 5 years. Is her kidney will damage? Please suggest.

MBBS
General Physician, Cuttack
My mother is suffering from diabetes since 5 years. Is her kidney will damage? Please suggest.
If the diabetes is not under control and she has long standing diabetes risk of kidney damage is there.she should monitor her blood sugar three monthly along with Hba1c and consult diabetologist for treatment and advice.You can do renal function test like blood urea.creatinine and urine R/E for albumin to find out whether kidney is affected or not.Along with medicine she should go for regular walk,reduce weight if overweight,control diet by avoiding sweets and excess carbohydrates.she should strictly follow diabetic diet after consulting dietician
4 people found this helpful
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I am 60 years old woman. I have gotten Arogyam 1.3 blood Tests. Reports shows following highlights: Test Reading Range HBA1c 6.1 below 6 Average blood Glucose 128 90 -120 eosinophil 8.1 0-6 MONICYTES (Absolute counts) 0.17 0.2 -1 basophil (------'---do----------)0.01 0.02-0.1 Total RBC 4.98 3.9 - 4.8 Mean Corp. Hemo Conc (MCHC) 30 31.5 - 34.5 Red Cell Distribution -width (RDW -SD) 51.2 39 -46 Red Cell distribution (RDW - CV) 15.2 11.6 - 14 EST. GLOMERULAR filtration Rate (eGFR) 76 Mild Decrease creatine Serum 0.84 0.5 - 0.8 Uric Acid 7.3 2.6 - 6 Calcium 8.76 8.8 - 10.6 Total cholesterol 229 15- 200 LDL cholesterol 138 85-130 Non HDL cholesterol 180.7 <160 Testosterone 89.2 14-76 Vitamin B -12 165 211 - 911 Pl advise me the problems with my health indicators. Which Specialist Doctor we should consult in adhere West, Mumbai 400053. Thanks. Ms. Renu Suri.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 60 years old woman. I have gotten Arogyam 1.3 blood Tests. Reports shows following highlights: Test Reading Rang...
Thanks for the query. I have gone through the details given. Your blood reports look good. There is no reason to worry. However, blood glucose and HbA1c% show that you are in a prediabetic stage. Which means if proper care is not taken, then within next few months to years there is possibility of developing T2 diabetes. Another important point with regard to your weight and height, with a BMI of 31.66 you are having grade 1 obesity. This can lead to getting diabetes. So it is necessary for you to consider reducing the weight. Your ideal body weight should be closer to 50 kgs. There is no other issue. Thanks.
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I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch linagliptin 20 .mg At dinner sitagliptin 50 mg with metformin 1000 mg. Is it correct to take both gluttons. please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch ...
doctor must have prescribed depending on level of sugar and sugar control . just follow medicine diet chart and regular exercise.
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I gastritis and sugar, pressure patient and also heart side pain .sugar 180 ppbs and pressure 140/80. My daily problem is gas it fill in stomach within 5 minutes and then my heart tight and also back pain, and half hand pain ,then my pressure up 150 and I am worried go to hospital doctor give pantropzole and lesuride injection then I relax. This problem week 3 times. Number of doctor's like gastroenterologist ,Md visited but I suffer from that. 2 d eco, ecg,endoscopy done but nothing comes on. Some doctor's say anxiety and suffer from panic attacks. But I still not relax so let me guide whom I consult and which type of medical examination?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I gastritis and sugar, pressure patient and also heart side pain .sugar 180 ppbs and pressure 140/80. My daily proble...
Good to know that your reports for heart are normal, blood sugar pp levels are under control. Keep it up reduce anxiety. Change food habits so that there is no need to take ppi s group for acidity (lots of side effects are reported over long term use) drink some warm liquid every 2 hours so that acid in stomach is washed away, does not get chance to get collected. You can take warm water with lemon and honey (calories? cut it in other items) warm clear soup. Green tea with lemon coconut water-fresh. Ginger tea. Dry toast absorbs acid too but look into calories and make adjustments. Good luck.
2 people found this helpful
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MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Type 1: This type of Diabetes is caused due to autoimmune disease / viral infection . In simple words the immune system destroys the insulin producing cells of the pancreas
Type 2: This is generally due to hereditary cause. The pancreas produces insulin but it is not sufficient for the body. It is common for patients with this type of Disease to the overweight
Other causes:
Drugs , Pregnancy can also cause diabetes , which can temporary in nature , diabetes seen during pregnancy is called as Gestational Diabetes.
4 people found this helpful

I think i have pre diabetes. To check my condition periodically should I go for H1BC test only or also fasting blood sugar test? Please advice

MBBS
General Physician, Cuttack
I think i have pre diabetes. To check my condition periodically should I go for H1BC test only or also fasting blood ...
Do blood sugar (fasting&pp) testing 3 monthly and hba1c 6 monthly and consult physician/diabetologist with report for advice and treatment.
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I have uric acid problem. My uric acid level is 7.2 My toe is very painful. In morning when I wakw up from bed or after sitting in one place for long time I am unable to work properly. Lower part of my leg very painful. Please suggest how to overcome from this pain.

BHMS,NDDY
Homeopath, Jaipur
I have uric acid problem. My uric acid level is 7.2 My toe is very painful. In morning when I wakw up from bed or aft...
Mr. Lybrate-user you should take benzoic acid 30 thrice in a day and urtica urens q 15 drps twice in a day avoid pulses and fruit.
3 people found this helpful
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I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid and feelings of troubles during walk. Sir pl explain this nature and treatment for this situatuion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a patient had a operation in 2013 for thyroid cancer. But nowthistime I am having some toubles of speach colloid...
GARGLE with warm water. tests lipid profile,blood sugar, cbc,. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
1 person found this helpful
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Tomorrow I am checked sugar in blood is 148 at night, 30 minutes after taking dinner. Is it leads to diabetics? Please help me.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Tomorrow I am checked sugar in blood is 148 at night, 30 minutes after taking dinner. Is it leads to diabetics? Pleas...
You can not say with guarantee of diabetes with one random value of sugar. Diagnosis of diabetes depends on many factors and blood test in detail.
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I am a diabetic for the last 18 years. And i have used insulin 4 units in 2013 to control along with tablets , at present i am using tablets and my reading ranges are 108 to 130 fasting and 180 to 230 after food. I am 65 yrs old. It fluctuvate very frequently. I am gaing weight now.Please advise.

Vaidya Visharad
Sexologist, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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I am diabetic for the last 4yrs. Taking medicine all under control. Gluconorm sr 1mg, aztor10mg, and ativan 1mg for sleep. Whether I should go for change of medicine?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Why change? continue the same if it is under control. But, you definitely have to start on antiplatelet drugs since you are a diabetic in order to protect the heart. You definitely should lose weight. You are atleast 20 kg overweight.
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Is there any particular way to taking insulin for diabetes. Are there any complications if not taken correctly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is there any particular way to taking insulin for diabetes. Are there any complications if not taken correctly.
Mr. Lybrate-user, insulin injections are usually taken with the help of special syringe ment for that. It has very thin needle. The injection has to be taken below the skin, in the subcutaneous layer. (in between skin and muscle). Now a day there are specially designed pens which give correct preset doses, with almost painless prick. The sites also are explained to the patient- like on the abdomen, around the umbilicus, on the lateral (outer) aspect of the thigh and on upper arm. It is always advised to shift the injection site, otherwise there may be local irritation & inflammation. Sometimes local subcutaneous fat may be affected called as lipolysis. But usually problems are very limited, particularly if correct technique is followed. Thanks.
5 people found this helpful
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I m 47 yrs old man and I suffering with pre stage of diabetic for last 10 months and I m feeling pain on my legs while wake up morning please advise.

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
I m 47 yrs old man and I suffering with pre stage of diabetic for last 10 months and I m feeling pain on my legs whil...
Hi you need to have small frequent meals, keeping long gaps and not eating low glycemic index foods may lead to uneven ruse in sugar levels, which may give you some complaints as above kindly consult privately for a detailed diet thanks.
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Pz suggest me some interesting yoga or exercise which I can do regularly. Recently im diagnosis with diabetic and tgl. My weight is also more. But feel bore n lazy to do exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Pz suggest me some interesting yoga or exercise which I can do regularly. Recently im diagnosis with diabetic and tgl...
lybrate-userji, There is no exercise or asana which is "interesting" Exercise and yoga asanas are both need self motivation and dedication, to do regularly. Simplest of all exercises is brisk walking. Otherwise it is better if you join a gym and do workouts under the guidance of a professional trainer. Plus if you have diabetes, then taking appropriate medication is most vital. Blood glucose should be maintained: Fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. If one has excess weight then that is a triger for diabetes. Apart from drugs, diet and weight reduction with exercise is equally important. Thanks.
1 person found this helpful
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In the case of a diabetic person, fast and post prandial test should be taken with the prescribed intake of medicines (glycomet recommended to be taken after food) or without medicines to check the actual glucose level.

MBBS, CCEBDM
Diabetologist, Bangalore
In the case of a diabetic person, fast and post prandial test should be taken with the prescribed intake of medicines...
Hi Blood sugars in diabetics are always checked with intake of medicines to make sure the medicines are helping them in controlling their diabetes and also it helps in deciding the dose. If you check it without taking medicines it will definitely show high values as you are a diabetic. So always check your blood sugars without stopping your diabetes medicines.
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Hello sir ,I need to know why the clinician should stand back to palpate thyroid gland?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user Prasanth, Thanks for the query. Thyroid gland can be palpated (felt) better by standing behind the patient and plcing the fingers on the gland and feeling it. It can also be felt from the front also. Plus patient is also asked to drink water to see if the swelling is visible and moves with swallowing movement. These are methods to see and feel the swollen gland. Thanks.
1 person found this helpful
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