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Dr. A.Panneerselvam

Endocrinologist, Chennai

400 at clinic
Dr. A.Panneerselvam Endocrinologist, Chennai
400 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. A.Panneerselvam
Dr. A.Panneerselvam is an experienced Endocrinologist in Nungambakkam, Chennai. You can meet Dr. A.Panneerselvam personally at Aruna Diabetic Clinic in Nungambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. A.Panneerselvam on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai 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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#56, Thiruvenkatapuram, Choolaimedu. Landmark: Near Nungambakkam Railway Station, ChennaiChennai Get Directions
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My father has pain and swelling on his finger joins throughout and happens twice or less or more in a month Uric acid level is below or on border line when tested What may be reason please reply fast.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father has pain and swelling on his finger joins throughout and happens twice or less or more in a month Uric acid...
Mr Sandhu, It is possible that he may be having rheumatoid arthritis. So get his RF(Rheumatoid factor) checked. RF may or may not be positive in Rheumatoid arthritis (RA). If positive and concentration is high then prognosis of the condition is poorer. RA usually affects smaller joints in the beginning. Increased uric acid is usually associated with gouty arthritis. That invariably starts with great toe and very severely painful and red.
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I am 35 yrs old female suffering from pcos & hypothyroidusm. What to do.?

MD - Internal Medicine, MBBS
Endocrinologist,
I am 35 yrs old female suffering from pcos & hypothyroidusm. What to do.?
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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help, take treatment for pcos.....tab. ovral-l once a day for 21 days. regular for 3 to 6 cycles.
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There is no symptomatic sign of diabeties 2. But my fasting suger remains between 150-160 at 6, 30 am. Till lunch it comes down between 120-130. Before dinner also it remains in the same range. Glycosylated hemoglobin is 8.2. Please advise the diet and some ayurvedic remady to lower the fasting suger. Random suger in day time ranges between 160-170.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
There is no symptomatic sign of diabeties 2. But my fasting suger remains between 150-160 at 6, 30 am. Till lunch it ...
Please start with chandraprabha vati 2 bd before meals & syrup ayaskruthy 3 tsf bd after meals. Don't have excess water. Have only when you feel thirsty. Keep a gap pf min 6 hrs between meals.
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I am from a village of west Bengal and suffering from sugar in blood. I want a permanent relief from insulin. Please suggest me about best available treatment.

MBBS
General Physician, Mumbai
I am from a village of west Bengal and suffering from sugar in blood. I want a permanent relief from insulin. Please ...
Insulin is given only after diet exercise and medicine do not work. Please continue with insulin it is a very effective drug and you can lead an almost normal life with it.
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My father has diabetic and bp. He has leg swelling for past 15 days and he contacted doctor and he changed the doctor for tablets change. But my dad had the pain in right leg and skin turned to black. Could any one suggestion whether I need to take lower limb doppler? or any other doctor I need to suggest

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Go to cardiologist or vascular surgeon. As you need colour doppler of leg. As their are possibilities of dvt. Go early n do check up.
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I am suffering from blood sugar last 5 years please tell me how to stay a normal level. I take a tablet everyday.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am suffering from blood sugar last 5 years please tell me how to stay a normal level. I take a tablet everyday.
Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take medicene perscribed by your doctor regularly.
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Can I eat fruits in diabetes?

DNB (General Medicine)
General Physician,
Can I eat fruits in diabetes?
Yes surely! actually eating fruits daily before your major meals will help controlling blood glucose levels due to its high fibre content only precaution to be taken is to avoid fruits with high sugar content e. G.Mangoes,chikoo,grapes etc.
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I have uric acid problem. Kindly tell me the best information. Which things I can avoid and which I can eat.

MBBS
General Physician, Jalgaon
I have uric acid problem. Kindly tell me the best information. Which things I can avoid and which I can eat.
Please Avoid high protein diet like sprouted cereals, milk, non veg food, paneer etc Do yogasanas and pranayam daily Go for morning and evening walk regularly Take salads and fruits more Take Cap shigru by Himalaya 2 2 for 3 mths.
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how to reduce diabetic eye pressure

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
how to reduce diabetic eye pressure
Diabetes causes vascular damage throughout the body. Because the blood vessels within the eye are so tiny, any damage at all can have a tremendous impact on eye health.

One of the most prevalent of the diabetes-related eye diseases is glaucoma. In fact, people with diabetes are between 40% and 50% more likely to develop glaucoma than non-diabetics.

Glaucoma causes the pressure within the eye to increase gradually, damaging the optic nerve and leading to partial or complete vision loss. The exact mechanisms for this are unknown. While there are several types of glaucoma, the most common form is open-angle glaucoma.
Open-angle glaucoma

The eye is full of fluid which continually refreshes. Normally, fluid drains at a point in the eye where the iris and the cornea meet. If this opening becomes even partially blocked the fluid drains out of the eye too slowly, even as new fluid is added. This backup of fluid causes an increase in pressure within the eye, damaging the optic nerve.

Open-angle glaucoma does not cause any symptoms until the disease is well-advanced. By that time, vision is impacted, with loss of peripheral vision first, advancing to tunnel vision and then total vision loss as the disease progresses.
Treatment

The goal of treatment is to lower intraocular pressure. This can be approached one of three ways: lower eye pressure, improve drainage of fluid from the eye or decrease the volume of fluid produced within the eye.

There are a variety of eye drops that may be prescribed.

Prostaglandins (xalatan, lumigan) and cholingeric agents (isopto carbine and isopto carbachol) act to increase outflow of fluid from within the eye.

Beta blockers (betimol, timoptic, betoptic) and carbonic anhydrase inhibitors (trusopt, azopt) reduce the production of fluid within the eye.

Alpha-adrenergic agonists (iopidine, alphagan) both lessen fluid production and increase fluid outflow.

Physicians may prescribe a combination of the above.

Oral medications may also be prescribed, if eye drops alone are not sufficient. These are usually in the form of a carbonic anhydrase inhibitor.

If medications are not sufficient to halt progression of the disease, then surgery might be necessary.

Drainage implants might be inserted within the eyes to facilitate drainage.

Laser surgery, known as laser trabeculoplasty, can be done to open clogged drainage canals.

Filtering surgery, known as trabeculectomy, removes a small piece of tissue from the location of the drainage canals, widening the opening and improving drainage.

The best possible treatment for glaucoma is prevention. Everyone above 40 years of age should have an eye exam at least every three years. Diabetics should have a dilated examination of their eyes annually.

Well-controlled blood sugar level are another preventive measure that will lessen the odds of developing glaucoma.
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I am 58 years old. I have pain in my knees whenever I climb a slope or staitrs. My blood uric acid count is 9. 0. How do I bring down my uric acid ?

BPTh/BPT, MSc Yoga, MD - Acupuncture
Physiotherapist, Chennai
Hi, I would recommend you to take 2 litres of water /day to bring down your uric acid level. For your knee pain is concerned, I would recommend you to visit nearby physiotherapy centre to take pain relieving modalities, and once your pain subsides start doing strengthening exercises. Its better to continue exercises regularly through out your life for being healthy. If you are obese, try to reduce weight gradually. Dont try to go for any supplements to reduce weight. Check your uric acid level and creatine levels next month to avoid complications of kidney. Regards rekha srinath
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I am married ,age-29 years and we are trying for baby past six months, I have hypothyroidism with recent tsh value -8.3micro IU/ml and dosage is 50 mcg of eltroxin, So Am I good enough to conceive with above tsh level or need to take any care or precautions to conceive faster. And what could be the reasons for not conceiving so far. Kindly give your suggestions and help me out in this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am married ,age-29 years and we are trying for baby past six months, I have hypothyroidism with recent tsh value -8...
Lybrate-user, if tsh level is high then conception will not occur. It is recommended that tsh should be <2 mu/l before conception. Similarly trough out the pregnancy also levels should be: 1st trimester 0.1 to 2 mu/l, 2nd trimester 0.3 to 3 mu/l & 3rd trimester 0.3 to 3.1 mu/l. With these levels good fetal development and healthy baby is delivered. If levels are high then pregnancy out come is not good. So please see that before attempting for the baby recommended tsh level is achieved. If you need any help please come in a private conversation with mentioning of current tsh levels. Thanks.
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Doctor I'm thinking of taking lemon juice to cure IBS. Should I add sugar or salt while taking lemon juice? And preferably what time? Please suggest. Thank you.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Doctor I'm thinking of taking lemon juice to cure IBS. Should I add sugar or salt while taking lemon juice? And prefe...
If you are taking for ibs do not add any thing. Just have lemon water. May be in the morning when you get up.
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Hi I am 45 years male, weight abt 70 kgs. Also blood sugar is 105mg % and 78 mg% for pp and fasting bp normal, tlc 3690, total lipid 424, hdl 46mg%, ldl 110mg%, s. Triglyceride 101. I am for few days have a little pain in my left hand. This comes and goes, and at some angles is slightly more. Can you pls advice what could be the cause.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
The pain you r experiencing is of nervous origin and nothing to do with your heart, but be cautious as you already have high cholesterol levels I will suggest you a homoeo treatment for 2 months nd thereafter we will review gelsemium 30 (dr. Reckeweg) 5 drops twice daily in 1 spoon fresh water hypericum q (dr. Reckeweg) 10 drops in 20 ml fresh water 3 times a day cholestrinum 3x (wilmar schawe german) 2 tabs twice daily chew directly in mouth. Report after 2 months.
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I am 17 years old male and I have problem of excessive urination. Sometime I even feel I pee more than I drink. The frequency increases in the evening before sleeping. I got ultrasound and blood, sugar tests they were okay.

BHMS
Homeopath,
I am 17 years old male and I have problem of excessive urination. Sometime I even feel I pee more than I drink. The f...
Dear lybrate user, the patient must follow the given medication as directed:- 1) 5 drops of homoeopathic causticum 30 at early morning daily before brushing teeth 2) 5 drops of homoeopathic conium mac 30 before going to bath daily. 3) 5 drops of homoeopathic baryta carb 30 just one hour before dinner daily. 4) homoeopathic mother tincture equisetum q, 30 drops, twice daily, after meals, in a cup of water. Along with the aforesaid medication few changes in the lifestyle of the patient are also necessary. Lifestyle alterations to address the symptoms include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule.
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My aunt is pregnant she also has diabetes. What to do now?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
My aunt is pregnant she also has diabetes. What to do now?
in pregnancy diabetes is managed with insulin as it doesnot harm fetus...get in touch with nearest endocrinologist/diabetologist with hba1c reports fasting and pp sugar reports to adjust the dosage of insulin
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What precautions to be taken to reduce the sugar level and also if having Diabetes what diet to be followed?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What precautions to be taken to reduce the sugar level and also if having Diabetes what diet to be followed?
Take pranacharya diabeto capsule and shilajeet capsule 1-1 twice a day. Avoid sugar. Sweets. Potatoes. Rice. Tea. Drink bitter gourd juice. And walk for atleast 1 hr in a day. Do light exercise. And do pranayama early morning. Avoid alcohol consumption.(if do)
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I am not getting sound sleep for the last so many months. Aged about 57 years and diabetic. Can say totally disturbed sleep .pl. Advice.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
I am not getting sound sleep for the last so many months. Aged about 57 years and diabetic. Can say totally disturbed...
Dear lybrate-user, I can understand your anxiety. But to evaluate your sleeplessness you must visit a doctor in person. He'll evaluate all parameters including diabetes status. In the meanwhile please increase physical activities which will help you sleep better. Meditation in form of art of living, vipassana will surely help. Regards
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I am 75 years old diabetic and bp also. I suffer constipation in spite of consuming plenty of food contains fibre. I do not get the urge to go to toilet. I feel my muscle in the rectum is not pushing the stool and water is absorbed and solid mass stool comes out after lot of effort. Lease let me know what is the real problem.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hello sir try being physically active. Walk for 45 min. Drink lots of fluids. A glass of veg juice with flaxseed powder can help you. Always establish a routine.
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Hi I was check my mother sugar level 2 time in lab and the first time the level of sugar is 114 this time my mother is on fasting. And the second time my mother take test after eating the level of sugar is 212, so please suggest me what can do, consult a doctors or again take another test.

MBBS
General Physician, Jalpaiguri
Hi I was check my mother sugar level 2 time in lab and the first time the level of sugar is 114 this time my mother i...
This is a case of diabetes mellitus type 2, due to deficiency of insulin production probably. Insulin is a hormone which helps to metabolize sugar in our blood. Fasting blood sugar may remain normal sometimes, which does not mean that she cannot be diabetic. In your case, it is postprandial hyperglycemia which is also a feature of diabetes mellitus type 2. So, consult any endocrinologist or diabetologist very urgently. If she is left untreated at this moment, than her blood sugar may rise more. High blood sugar is very harmful heart, brain, kidney, nerves and eyes. So, maintain diabetic diet from now onward.
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My red cell distribution width is 16%. Is everything ok. My hb is 14.5, t3 t4 tsh test normal But I always feel very tired.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
My red cell distribution width is 16%.
Is everything ok.
My hb is 14.5, t3 t4 tsh test normal
But I always feel very ...
check your vitamin d3 and b12 status as well. If low it can cause weakness, tiredness, pains and aches in the body. You need a diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oils like ghee, cold pressed coconut oil, cold pressed til oil, cold pressed mustard oil, olive oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, White rice and products, bread. Drink a lot of water.
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