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Dr. D.Durairaj

Endocrinologist, Chennai

Dr. D.Durairaj Endocrinologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. D.Durairaj
Dr. D.Durairaj is one of the best Endocrinologists in Thiruvottiyur, Chennai. You can meet Dr. D.Durairaj personally at Saraswathy Hospital in Thiruvottiyur, Chennai. You can book an instant appointment online with Dr. D.Durairaj on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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If tsh comes from 9.01 to 4.5 after taking eltroxin for a month should supplement be stopped?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
If tsh comes from 9.01 to 4.5 after taking eltroxin for a month should supplement be stopped?
Hello, Eltroxin should not be stopped now, at the most the dose can be reduced. If Eltroxin is stopped now the TSH will rise again. Please consult your doctor so that he can look at your T3 and T4 results in addition to your TSH results and advise you about the dose of your eltroxin. Thank you .
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Male Infertility Types and Treatment Options

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Male Infertility Types and Treatment Options

Low sperm count. This is most often the cause of male infertility.  

Low sperm motility. Second most common reason 

Abnormal sperm. Another common reason

Low sperm count should not be viewed as a definitive diagnosis of infertility but as one indicator of a fertility problem. A normal sperm count is considered to be 20 million per milliliter of semen. 

Male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the cause of the problem may be found out. Roughly 2/3rd of infertile men have a problem with making sperm in the testes.

Male infertility affects approximately 7% of all men it is commonly due to deficiencies in the semen, and semen quality is used as a alternate measure of male fertility.

A lower amount of semen may indicate an issue with the seminal vesicles, blocked ducts or a prostate gland issue. Sperm count – 20 million to 300 million per milliliter is considered in the normal range. Below 10 million is considered “poor.”

Types of infertility and causes of infertility in men:*

* Male subfertility

* Low concentration of sperm in the semen

* Sperm abnormalities/abnormal semen

* Abnormal shape/morphology of the sperm

* Problems with movement/motility that makes sperm delivery difficult

* Abnormal liquefaction, absence of viable, healthy sperm,

Blockages or obstructions in the genital tract that prevent sperm delivery that can occur due to:

* Developmental disorders of the epididymis, vas deferens or seminal vesicles

* Scarring from inflammation

* Vasectomy

* Infertility caused by medical conditions, such as varicoceles and testicular torsion

* Genetic abnormalities

* Hormonal imbalances

* Lifestyle choices and environmental exposure.

* Idiopathic Infertility. 

 

Initial testing will likely include:

Semen analysis, Ultrasound,  Post-ejaculation urinalysis,  Genetic testing, Sperm function tests, Hormone testing, Blood tests

 

Treating Male Infertility -

Assisted reproductive technologies (ART)

Artificial insemination

IVF, GIFT, and other techniques

Drug therapy for hormonal disorders

Treatment for problems with sexual intercourse.

Treating  infections

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What is thyroid and how to test? and please tell me how to remove piless give any tips for me and solve it please any medical solution tell me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Thyroid can be tested by blood test for tft. Ii will reveal hypo or hyper thyroid disease. If you send me the report I can analyze. For piles there is cryotherapy, banding and other methods as planned by a surgeon.
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My mom is suffering from thyroid and cholesterol any suggestions to overcome it or any recommendations what to eat and what not to ?

PDDM, MHA, MBBS
General Physician, Nashik
My mom is suffering from thyroid and cholesterol any suggestions to overcome it or any recommendations what to eat an...
Following are the recommendations for your mother :- Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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Hello Mam, Good morning. I'm Harika, having hypo thyroid problem from last 2 years and I'm using 75 MCG tablet but in recent reports my T3 and T4 range is normal but TSH range is 0.55.So can I continue 75 MCG tablets or can I decrease the tablet number. Please guide Thank you.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello Mam, Good morning. I'm Harika, having hypo thyroid problem from last 2 years and I'm using 75 MCG tablet but in...
Herbal tea with ginger is beneficial for thyroid functioning. In fact, beverages including coffee, tea, carbonated drinks and alcohols should be avoided by patients afflicted with thyroid disorders. In its place herbal tea may be an alternative option. Take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day. .take arogyavardhini vati 1-1 tab twice a day with warm water.
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If sugar is there means there is no effect for pregnant lady and also for inside baby. Please advice

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
If sugar is there means there is no effect for pregnant lady and also for inside baby. Please advice
Take high fiber diet. Avoid potatoes, sugar, white rice, glucose, honey, mango, banana. Take salad, buttermilk, coconut water. Do normal walk. Have small nd frequent meal. Avoid maida products.
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My age is 47 years old female and I am a diabetic so please tell me what diet should a diabetic patients should take in breakfast, lunch, dinner, an in between and which things should be avoided.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My age is 47 years old female and I am a diabetic so please tell me what diet should a diabetic patients should take ...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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Hi Doc. Can diabetes patient can have mousami juice. And After eating sweet after how much time the sugar reflects in sugar test. Fasting or Non. How much sugar content does mousami has. Awaiting Reply. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Doc. Can diabetes patient can have mousami juice. And After eating sweet after how much time the sugar reflects in...
mosambi one fruit usually provides about 43 k cals, plus good amount of vitamin c. It is good and can be taken by a diabetic person but just one serving in a day. If juice is taken blood sugar rise is pretty rapid as absorption is very fast. But quantity is less.
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I have gone through thyroid test so many times and each time t3 & t4 is normal but tsh is between 30-40 which is super high. Is it due to any food and how do I fix it? I am taking elthroxing 100mg.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have gone through thyroid test so many times and each time t3 & t4 is normal but tsh is between 30-40 which is supe...
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. 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, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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My mother suffers for diabetes and has had it for a couple of years now. She has visited and consulted various expertise in this field. Even though she does avoids the substances that makes this prolong disease much of a disaster her blood sugar level tends not to diminish, rather it is always at its peak. She also does feel weakness, body pain and itching in her foot.

C.S.C, D.C.H, M.B.B.S
General Physician,
My mother suffers for diabetes and has had it for a couple of years now. She has visited and consulted various expert...
Diabetic control is very difficult and you need to take strict measures and add or change the drugs. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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What rule should a diabetic patient follow. I mean that which fruit n vegetable he should eat and which fruit n vegetable he should avoid. Plzz ansr me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What rule should a diabetic patient follow. I mean that which fruit n vegetable he should eat and which fruit n veget...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months...take pranacharya diabeto and shilajeet capsule twice a day with water....take vasant kusumakar ras twice a day...avoid sweets....take small meals in less time interval....do pranayama early morning....avoid alcohol consumption...
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I am 31 year and 48 days pregnant. In blood test report my thyroid level is 11.6 so I am suffering from hyperthyroidism. Is it dangerous for my pregnancy? which medicine can decrease my thyroid level?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 31 year and 48 days pregnant.
In blood test report my thyroid level is 11.6 so I am suffering from hyperthyroidi...
Hypothyroidism is a condition which can only be treated by taking tab thyroxine (thyronorm), to begin with start on 50 mcg daily, to be taken early morning on empty stomach and after that for 2 h nothing to be taken. Since you are pregnant medication has to be started right away and to be continued with out break. After 3 - 4 weeks check tsh, t3 & t4 levels.
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I'm diabetic. I check my sugar regularly. Keep diet control but don't take medicine. In one month about 5 to 6 times my sugar spikes to 250. It comes to normal in 3-4 hours when I drink 1500 ml water. My only concern is shall I take medicine? My all other tests Renal, liver, lipid are normal. Only I hv gone thin. I'm 47 years old.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I'm diabetic. I check my sugar regularly. Keep diet control but don't take medicine. In one month about 5 to 6 times ...
Probably your diet is not proper.you need to reschedule your timings and control on the portion size of food.take small frequent meals with a watch on the carbohydrate content of the meal.u need to meet a Dietician for the same. If the diet is unable to control the sugars,then medicine may become necessary
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Best measures to eradicate or to decrease the sugar levels in body. Please advise.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Best measures to eradicate or to decrease the sugar levels in body. Please advise.
hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian maintain a healthy body weight eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period only when I take tablets and the bleeding is also very little and last nly for 2 days. I have visited gynecologist they suggested ne livogen tablet still there is no regular period. Recently my gynecologist has taken hormonal test in dat leutinizing hormone level was 14.92 she said that iy is poly cyst and prescribed me vofol myo and padmini tablet. I have been using these tablets from past 10 days. I have got bloated stomach from april 2015 and my stool colour is very dark like black and tarry. From past 1 week I have been suffering from sore hands, tongue, mouth, giddiness, and iam unable to sleep also and also burning sensation in hands and feet sumtyms. Are these due to intake of medicines or any other problem. I have seen in net that bloated stomach, dark black tarry stool and sore hands can be the symptoms of any type of cancer. And giddiness blur vision and burning sensation of hands and legs are due to diabetes. please do repl am really worried am I having cancer or its due to the intake of medicines or do I have diabetes. please do repl. than n advance.

MBBS
General Physician, Mumbai
I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period...
As of now it seems to be due to the intake of medication and for your main problem I will suggest you to take tablet folvite 5 mg twice a day for a month and than once a day for another six months and better to stop hormonal tablets after this period and to do daily exercises and revert back to me after six months
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I am diabetic 2 & gone heart stent two years back with normal diabetes taking glimp mp 1 and for heart rosuvastatin 20, prolomet xl 50, clopivas150, cobadex. Can I do exercise and slow jogging in the morning.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am diabetic 2 & gone heart stent two years back with normal diabetes taking glimp mp 1 and for heart rosuvastatin 2...
Yes you can go for simple walks (preffered) or slow jogging, depend upon your stamina to bear it but please do not burden yourself extra for the sake of exercise and do not follow another person who may be in a position to exercise more than you.
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Hi. My uric acid has gone up and because of that my knees and toes are paining. Could you let me know what I can take for the pain and also what I can eat and what I can not eat.

MBBS
General Physician, Cuttack
Hi. My uric acid has gone up and because of that my knees and toes are paining. Could you let me know what I can take...
Normal level are 2.4-6 mg/dl in male and in female and 3. 4-7 mg/dl .High uric acid can cause Gout, arthritis,Kidney stone) 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2.Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6.Reduce weight if overweight 7. Take medicine after consulting physician.
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Sr, My father has got diabetes so many year. And this time increase uric acid. That's why having pain in joint and not controlled. So tell me any home remedies ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Sr, My father has got diabetes so many year. And this time increase uric acid. That's why having pain in joint and no...
There is lot of info on net but selection should be as per medical history, body nature and availability of certain herbs. As a primary measure, karela powder (or cap. Karela), methidana seeds or powder, turmeric powder, shigru (sahinjana) and meshashringi, manjishtha capsules/ powder should be used to address both the problems. Prolonged use will show curing trends without side effects.
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I am a women of 46 years. I have diabetes. What should be my diet daily to reduce sugar to nil and at what time should I take it?

MSc
Dietitian/Nutritionist, Chandigarh
I am a women of 46 years. I have diabetes. What should be my diet daily to reduce sugar to nil and at what time shoul...
Be particular about food choices & timings. Follow the proper do's and don't of diabetes avoid all refined foods from your diet such as maida, pasta. Avoid high starchy foods such as rice, potato & colocasia. Include more fiber, pulses & green leafy vegetables in your diet. Avoid sweetend fruits such as banana, mango, litchi, chickoo, grapes from your diet.
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