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Dr. Vijayakumar

Endocrinologist, Bangalore

Dr. Vijayakumar Endocrinologist, Bangalore
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vijayakumar
Dr. Vijayakumar is a renowned Endocrinologist in BTM Layout, Bangalore. He is currently practising at Karanth Speciality Hospital in BTM Layout, Bangalore. Book an appointment online with Dr. Vijayakumar on Lybrate.com.

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Karanth Speciality Hospital

#72, 35th Main, 1st Cross, 100ft Ring Road, Btm Layout 2st Stage.Landmark: Near HDFC Bank AND DOMINOSBangalore Get Directions
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My thyroid function test report is T3--3.03, T4--1.29 and TSH is 0.02 which is quite less. My age is 46 and I have pcod problem I bleed excessive during my periods and my hemoglobin is always less, currently it is 10.4 I am taking homeopathy medication. I facing lot of hair loss and acne problem also also please suggest what I should do. Thanks and waiting for your suggestions.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
My thyroid function test report is T3--3.03, T4--1.29 and TSH is 0.02 which is quite less. My age is 46 and I have pc...
Use antidandruff shampoo. Use keshkanti oil from ramdev at bedtime. Do pranayam daily for ten minutes. Take tablet keralego eva for six months. Avoid junk food and fried food.
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My dad is 67 years old. He is diabetic which he keeps under control by taking regular medicines. These days he is facing a urination problem. Means he can not hold his urge to urine for long. It comes out drop by drop. Please advice what all test we should carry out? Thanks in advance!

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
My dad is 67 years old. He is diabetic which he keeps under control by taking regular medicines. These days he is fac...
HELLO, Nocturia is defined as nocturnal urination. This means the need to get up in the night to go to the toilet. Needing to go to the toilet up to once during the night is considered to be normal. Needing to urinate more than once during the night could indicate a temporary or longer term problem may be present. Mainly Causes Diabetes insipidus High blood glucose levels Autonomic neuropathy Urinary tract infections Cystitis Prostate diseases Pregnancy Excessive fluid intake - particularly alcohol or caffeine intake Taking diuretic medications Parkinson’s disease Multiple sclerosis SO i advice daily monitor sugar and some times bp check
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I am a patient suffering from gout, taking medicine since a month (uric acid level 12.44) .My face, hands,and feet swell even though I am taking the medicine regularly. What's the reason behind it.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am a patient suffering from gout, taking medicine since a month (uric acid level 12.44) .My face, hands,and feet sw...
YOu have souty arthritis and it is the uric acid crystals depositing in your joints and cause inflammation and pain. Pain and inflammation occur when too much uric acid crystallises and deposits in the joints. It will take time to stop this crystal formation as the uric acid has to come down Symptoms of gout include severe pain, redness and swelling in joints, often the big toe. Attacks can come suddenly, often at night. During an acute attack, anti-inflammatory medication (NSAIDs) can help to relieve pain and shorten the duration of the attack. Patients with chronic gout can use behavioural modification such as diet, exercise and decreased intake of alcohol to help minimise the frequency of attacks. Additionally, patients with chronic gout are often put on medication to reduce uric acid levels.The joint at the base of the big toe is the most common site of an acute gout attack. These attacks can recur unless gout is treated. See your doctor even if the pain from gout is gone. Over time, they can harm joints, tendons, and other tissues.
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My weight at present is 94 kg. There is no thyroid problem nor any diabetic conditions. I want to lose weight, we are also planning for baby. My height is 5'4.pls suggest diet plan n exercises to lose weight gradually. I am also on multivitamin tab as prescribed by my gynae.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
My weight at present is 94 kg. There is no thyroid problem nor any diabetic conditions. I want to lose weight, we are...
1. No alcohol 2. Reduce body wt 3. No smoking 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. Less sugar, potato, rice 5.30 mts walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. Do for 30 days and repeat test for medicine contact on private chat with complete blood reports and your problems good luck.
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Hi I am 23, Female, my Tsh is 6.1, Doctor has prescribed me thyronorm 50. Its been a more than a month I am consuming this medicine but my weight does not seem to come down. I exercise a lot almost 1.5 hours 4 days a week and consume 1200 calories everyday strictly. Still my weight has increased from 50 to 55. I am really worried. Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am 23, Female, my Tsh is 6.1, Doctor has prescribed me thyronorm 50. Its been a more than a month I am consuming...
Arpitaji, Looking at details given your BMI is only 21.48 kg/ M2, which actually lower than normal (<23 kg/M2). Plus according to your height 160 cms, the ideal body weight should be 60 kgs, where as it is only 55 kgs. So I do not understand why you are saying that the weight is more. Further, if you are on thyroxine treatment then TSH levels should be around 3 milli units/ml. So the dosage of thyroxine is less. It needs to be increased.
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Dear sir, I am 49 year old my blood sugar is 250pp 200 fasting bp 140 /80 any good titement for your side sir.

BHMS
Homeopath,
Dear sir, I am 49 year old my blood sugar is 250pp 200 fasting bp 140 /80 any good titement for your side sir.
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. Take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I am diabetic sense 1 year taking capative 0.2mg 1morning. 1night. Voglitor 0.2 1afternoon. I am 33years weight 70kg my sugars 96 fasting 129 post lunch. My question is while having sex I am feeling burning at the time of climax. Please suggest me medicine.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I am diabetic sense 1 year taking capative 0.2mg 1morning. 1night. Voglitor 0.2 1afternoon. I am 33years weight 70kg ...
Maintain hygiene. Continue tight glucose control. Try using condom and lubricants. If still problem persists, consult doctor for check up and treatment.
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Mujhe chikangunia 25 din pehle hua tha lekin jodo me dard abhi tak he bahut jyada .mujhe diabetes 8,9 year se he aap bataye mujhe kya karna chahiye.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Mujhe chikangunia 25 din pehle hua tha lekin jodo me dard abhi tak he bahut jyada .mujhe diabetes 8,9 year se he aap ...
Check b.p. Cbc and hba1c. Chikangunia take time. Take plenty of fluids. Control your sugar and take tab. Dolo 650 three times a day for pain.
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How control diabetes by medicine or food and which type of pathological test for it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How control diabetes by medicine or food and which type of pathological test for it?
Mr. Lybrate-user, test to know is check blood sugar levels (fasting and after food) and hba1c%. These will tell the severity of the disease. Once diabetes is diagnosed then treatment with appropriate drugs is a must. The drugs could be oral anti diabetic or insulin injection depending on the severity and the need. Along with drugs, diet control and exercise are equally important. Diet should be based on ideal body weight, sugar levels, extent of daily physical exercise. Plus one should avoid sweets, sugar, deep fried foods, junk foods, pastries, sweetened aerated drinks, fructose corn syrup containing products, highly processed foods. Plus refrain from alcohol and smoking. In very young usually t1 diabetes is seen which needs insulin injections, no other drug works in that condition.
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Doctor advised to take Glycomet GP 1 forte (glimepiride 1 mg Metformin 1000 mg) twice a day, Can I take two tablets (glimepiride 1 mg + metformin 500 mg in one tablet & metformin 500 mg in another tablet) at the same time, i.e 4 tablets in a day. Will that combination work same as the Glycomet GP 1 forte?

MD - General Medicine, DM - Endocrinology
Endocrinologist, Faridabad
Doctor advised to take Glycomet GP 1 forte (glimepiride 1 mg Metformin 1000 mg) twice a day, Can I take two tablets (...
Yes, you can use these two tablets instead of one. That will work as one tablet of glycomet gp1 forte.
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Hi, I went to thyroid test and there in the report they have written 5.92 along with that in down they have written something like this PREGNANCY: First trimester: 0.1-2.5 Second trimester: 0.2-3.0 Third trimester: 0.3-3.0mclU/mL What does this mean? Can some one help me pls.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
During pregnancy the above ranges are required. Otherwise in non-pregnant stage normal range is 0.35 - 5.5.your tsh is slightly raised. Please consult. I can guide you fully.
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Sir my age is 46 my sugar is 193 after meal my bp is normal and pulse rate is 100.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Normal b. Sugar after meals is upto 140 mg/dl. Get your hba1c checked for confirmation of diabetic status.
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My grand father is suffering from diabetes 140-150 on fasting and he had a minor heart attack few months ago . What diet we should follow ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My grand father is suffering from diabetes 140-150 on fasting and he had a minor heart attack few months ago . What d...
Give up sugar and sweets if not done so far, only healthy fats like a katori of assorted nuts to get good fats + proteins. Lots of seasonal vegetables and fruits but eating according to constitution e g it is not a must to eat sprouts if it leads to distention. Clear soups of pulses like moong, kale chane. Besan is good and it can be mixed with wheat flour to add on proteins and to reduce calories. Fresh juice of a lemon + 1 spoon of honey with warm water, if taken on empty stomach does reduce weight, bad fats and sugar in blood. Calories of honey can be compensated by taking 1 chapati less. Reduce carbs anyway but do take whole fruits, never mind the sugar content in whole fruits, look at the fresh vitamins & minerals. No juices or fizzy drinks. Light exercises loke walking helps the heart and burns extra sugar. Level of sugar is on borderline at 140 for fasting, upper limit is 120- it means that you are already taking good care of him. Keep it up and be careful about other factors responsible for a good heart- no smoking or exposure to pollution, no bad fats like transfats even occassionally for a party.
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I have elevated uric acid (8.75). Alopurinol just weakens me. What should I do? I eat food as per the urci acid content of each food. I had got five years ago. Thereafter, I am managing by changing food habits. Regards

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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Dr. Presently I am taking Janumet 50mg / 500 mg twice daily for my type 2 diabetes. Can you suggest me generic medicine for above as this is very costly for me as i am retired person.

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello You are Diabetic and taking Janumet twice daily, can i know exact duration of diabetes and your last report of FBS, PPBS and HBA1c, please revert with the same Thanks Dr Joozer Rangwala
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I am a diabetic traced just 3 months back and I'm a hypertensive also suffering from glaucoma. Dr. suggested that I have to exercise. I am working in underground coalmine suffering from knee joint pain some other Dr. is suggested that I should go for pranayama instead of brisk walking. What can I do if pranayama which type.

M. sc Psychology, BHMS
Homeopath, Hyderabad
I am a diabetic traced just 3 months back and I'm a hypertensive also suffering from glaucoma. Dr. suggested that I h...
Mr. Lybrate user, yes, that advise is good to fllow, you need to practce pranayama daily twice[morning night]. There are types of pranayamas, like anuloma, & viloma. Its better to take any yoga therapist/instructor/s help,& also, you better to do few asanas, atleast practicing suryanamaskaras daily minimum 4-5 times also will give good results. Take care. Try to take water atleast 3-4 litres. Irrespective of thirst, daily. Taking 1/2litres [or 1 litre}in morning itself is good cleanser for body.
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I am 63 year old male suffering from hypothyroid. I am taking 150mg eltroxin every day morning. Beside taking control diet, my weight remains the same i. E. 97 kgms (ht 178 cms). Please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 63 year old male suffering from hypothyroid. I am taking 150mg eltroxin every day morning. Beside taking control...
Antioxidant-rich fruits and vegetables: 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. 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,
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Hi Please give some hints We are newly married. If we use condom For sexual relation for every time at least upto one year 1) is there any problem ? Bcz we don't have any baby plan due to thyroid. 2) if we use coconut oil for sexual relation many times but not always . Is there any problem ?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi Please give some hints
We are newly married. If we use condom For sexual relation for every time at least upto one...
Hello- Use of condom is absolutely safe for pregnancy and for genital health so there is absolutely no harm in continuing that. Use of coconut oil for lubrication is also good however take precaution that the oil should not be contaminated with a dirty finger or a dirty surrounding.
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Female Age-41 Weight-65 Kilograms According to my latest reports the THYROID PROFILE TOTAL T3 is 67.41,T4 is 7.00 and TSH is 3.71, I am taking 150 mg of thyronorm what would you recommend now. Thanks

MBBS, MD
Endocrinologist, Delhi
Female
Age-41
Weight-65 Kilograms
According to my latest reports the THYROID PROFILE TOTAL
T3 is 67.41,T4 is 7.00 and...
Continue with the same dose if you do not have any symptoms. If you have any problem consult your physician. Repeat TSH after 1 month if you do not have any symptoms.
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What is the best way to control BP and sugar. Inorder fully control that. I need some best suggestions. Please help me out.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What is the best way to control BP and sugar. Inorder fully control that. I need some best suggestions. Please help m...
Following are the tips to control bp/sugar: 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual.
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