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Dr. Durai

Endocrinologist, Chennai

Dr. Durai Endocrinologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Durai
Dr. Durai is a renowned Endocrinologist in T.Nagar, Chennai. You can consult Dr. Durai at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Durai on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 43 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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My father is 52 years old. He has diabetes. Right now his sugar level is high. He also has blood pressure. Doctor says there has been leakage in his kidneys. Can anybody educate me on this?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
My father is 52 years old. He has diabetes. Right now his sugar level is high. He also has blood pressure. Doctor say...
High blood suagr and pressure can cause changes in kidney. Think of it like the holes of the filter are bif and protiens are leaking out into the urine. He will need to control both sugar and pressure very fast and keep it maintained in normal levels.
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I am a patient of diabetes and I want to control it what should I do.

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
I am a patient of diabetes and I want to control it what should I do.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For women: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won?t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. 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. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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What is diabetic constipation and how can I treat it. I am diabetic from 2010 and I take metformin 500mg sr and glimepiride 2 mg with acarbose 25 mg twice a day before breakfast and dinner and from last six months my stool is more hard than normal.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is diabetic constipation and how can I treat it. I am diabetic from 2010 and I take metformin 500mg sr and glime...
There is no specific type of constipation as mentioned by you. However, if constipation is there one has to increase the intake both soluble and insoluble fibers by taking adequate quantities of green salads, flax seeds or fenugreek seeds and plenty of water. Also increase intake fruits (which are permitted). If still constipation remains mild stool softeners may be used with advise from your doctor.
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How to get rid of urid acid?

MD - Internal Medicine, MBBS
Endocrinologist,
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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What is diabetes. What is symptoms of diabetes. What causes diabetes. What is normal diabetes level.

MBBS
General Physician, Mumbai
What is diabetes. What is symptoms of diabetes. What causes diabetes. What is normal diabetes level.
When the beta cells of the pancreas is damaged than there is less production of insulin and hence sugar levels rises and we call it as diabetes and random normal value should be less than 150
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How to control thyroid?

MD - Internal Medicine, MBBS
Endocrinologist,
How to control thyroid?
You can take 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. 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. Tests every 3 to 6 months.
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I am suffering from hypothyroid since last 10 yrs. What is the exact cause of this dieses.& waht are the risks involve?what precaution i have to take?

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello, Hypothyroid is common problem where thyroid gland is functioning less than actually required so it is not able to secreate its hormone as per the need as a result we need to supplement this hormone from outside in form of tablet which you are taking i.E. Thyronorm. Exact cause is not known almost 90 % it is autoimmune dysfunction Once you are on medication nothing to be worried just continue doasge and do check your TSH and FT4 level at regular interval to keep TSH between 3 to 4 unit Thanks
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She is suffering for thyroid how to can control from that she is gaining weight every month.

MSc
Dietitian/Nutritionist, Chandigarh
She is suffering for thyroid how to can control from that she is gaining weight every month.
Hello lybrate-user, 1 need to understand your food habits (veg / non-veg), your lifestyle (sedentary / active), blood group, on the basis of which we will plan your daily diet chart. So i recommend you buy a one-month package of neha diet clinic from lybrate app at discounted price and achieve your weight loss in a effective way with a balanced diet plan or consult me privately
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I am 58 year old male suffering from hyper thyroid. What I can do, please advice.

DM - Endocrinology
Endocrinologist, Gurgaon
U need to take your medication regularly for at least 1.5 to 2 yr. Take also calcium. Be in touch with endocrinologist for same regularly.
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Common Signs of Thyroid in Children

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
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Here are some common signs of thyroid in children

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Squint in my right eye. It started about three years back after being diagnosed diabetes type 2. Please suggest suitable treatment. If it is surgery whether it is painful. Suggest suitable treatment to be undergone.

M.S. Ophthalmology
Ophthalmologist, Vadodara
Squint in my right eye. It started about three years back after being diagnosed diabetes type 2. Please suggest suita...
It is necessary to examine you for the type and cause of your squint and whether it is related to diabetes or not. Suitable anesthesia will ensure it is painless.
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HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]

MD - Homeopathy, Certificate in Gynaecology & Obestric, BHMS
Homeopath, Delhi
HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]
HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]

HYPOTHYROIDISM / MYXOEDEMA
Hypothyroidism is a clinical condition, which results from deficiency of thyroid hormones.
Hypothyroidism with deposition of mucinous substance in subcutaneous tissues is known as ‘myxoedema`.
 
CAUSES:
• Primary thyroid gland involvement.
• Lack of pituitary TSH (thyroid stimulating hormone).
• Hypothalamic deficiency of TRH (thyrotropin-releasing hormone).
• Autoimmune thyroiditis.
• Severe iodine deficiency.
 
SIGN AND SYMPTOMS:
• Slowing down of mental and physical functions of the body.
• Easy fatigability and tiredness.
• Sleepiness.
• Body ache.
• Puffiness of face.
• Edema feet.
• Weight gain.
• Increased sensitivity to cold.
• Dryness of skin.
• Brittle nails.
• Constipation.
• Hair fall.
• Hoarseness of voice.
• Hearing loss.
• Tendency for repeated infections.
• Muscle cramps.
• Shortness of breath.
• Anemia.
• Mood swings.
• Forgetfulness.
• Slow speech.
• Infertility.
• Menorrhagia (profuse menses).
• Occasionally rise in blood pressure.
 
DIETARY MANAGEMENT:
Avoid:
• Avoid goitrogens (food that blocks the utilization of iodine): turnips, cabbage, mustard, cassava root, soybeans, peanuts, pine nuts and millets. Cooking usually inactivates goitrogens.
 
CONSUME:
• Increase consumption of iodine, it is an important building block of thyroid hormone:
– Sea food, meat, milk and milk, sea plants- kelp, dulse (vegetable sea food) and Japanese sea vegetables. Plants grown in iodine rich soils are also good source of iodine.
– Iodized salt is a primary source of iodine.
• Increase consumption of copper, selenium and zinc as these minerals are essential for normal thyroid hormone production and metabolism.
• Foods rich in copper:
– Meat gelatin, eggs, yeast, lamb; pork; pheasant quail; duck; goose; squid; salmon; organ meats.
– Soy and soy products, nuts and seeds, beans, legumes; almonds, broccoli, garlic; bran breads and cereals; sea plants and mushrooms.
– Dried beans - soy beans, lima beans, baked beans, dried peas; lentils; barley.
– Dried fruits including raisins, dates, prunes, avocado, Chocolate.
– Some amount of cooper is obtained from cooking in copper vessels.
• Foods rich in selenium:
– Grains, Brazil nuts, garlic, wheat germ and brewer`s yeast, fish, shellfish, eggs, red meat, chicken and liver.
• Food rich in zinc: Good dietary sources of zinc include seafood (especially oysters), beef, oatmeal, chicken, liver, spinach, nuts and seeds.
– Meat, poultry and milk, shell fish, crab, shrimp and sea plants etc.
– Plant foods are low in zinc, Whole wheat grains provide good amount of zinc.
• Increase consumption of Omega-3 fatty acids, one of the PUFA`s (poly unsaturated fatty acids), as it also contributes to normal thyroid function: Fish and fish oils provide excellent forms of omega-3s as well as vitamin A, which improves thyroid receptor binding and thyroid hormone activity. Flax / linseed oil is the richest source of PUFA`s. Other oils that contain PUFA`s are safflower oil, soybean oil, cottonseed oil, maize oil, sesame oil, rich bran oil, ground nut oil, mustard oil and olive oil.
• Increase consumption of proteins - tyrosine, an amino acid is a precursor for making thyroid hormone :
– Milk and milk products, eggs (is the richest source), Flesh food: meat, fish, and poultry.
– Nuts and oilseeds, pulses, cereals.
• Mild to moderate exercise is advisable, exercise stimulates thyroid gland function.
• Practise yoga, helps in increasing tissue sensitivity to thyroid hormone.
 
CONSULT PHYSICIAN:
• If myxoedema presents with complications like cardiac failure or coma consult your physician immediately. Immediate medical attention is necessary. 
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MD - Medicine
Endocrinologist, Ahmedabad
Walking 20 minutes at a moderate pace each day is associated with improved cardiovascular outcomes in patients with impaired glucose tolerance and Diabetes.
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I am 28 years old I have thyroid and I got married dec 1st 2014 and would like to know I have not yet conceived.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 28 years old I have thyroid and I got married dec 1st 2014 and would like to know I have not yet conceived.
do all hormones tests if all normals then you can conceive . IN HYPOTHYROIDISM:--- 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 may help,
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I am 18 years female. I usually get very lethargic and hav excessive urination and extreme thirst. I fear that I may have diabetes. So what should I do?+

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Rather than fear diabetes, please go and find out if you really have it. Get your blood tested. Do the following tests: FBS, 2 hour PPBS & HbA1c.
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Doctor I having problems of diabetes so doctor tell me the solutions off what can I do daily basis from what can you eat or not not.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Doctor I having problems of diabetes so doctor tell me the solutions off what can I do daily basis from what can you ...
Hye, Thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - The sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well.            It's all a matter of discipline.
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Having sugar. Diagnosed in July 2015. Kept high control. Fasting level of around 96-105 for last four months. What further action is advised.

MBBS, cc USG
General Physician, Noida
Having sugar. Diagnosed in July 2015. Kept high control. Fasting level of around 96-105 for last four months. What fu...
This is good that you are keeping Blood sugar under control Your Fasting blood sugar is okay You can go for HbA1C test and review with reports
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May I know about full details of diabetes like symptoms, care, control etc. As well as some Ayurveda medicine and diet chart also.

C.S.C, D.C.H, M.B.B.S
General Physician,
May I know about full details of diabetes like symptoms, care, control etc.
As well as some Ayurveda medicine and die...
Symptoms include excessive thirst urination and hunger and tiredness obesity excessive perspiration delayed wound healing problems in your gums. You need to monitor your blood glucose level regularly and take insulin or any other oral hypoglycaemic drugs accordingly an have less carbohydrate diet. And minimise or completely avoid sugar intake.
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Hi I have hypothyroid I get operation also im not taking any tabs. My wait is increasing so much if I take tabs for thyroid can I reduce my wait. please suggest me.

BHMS
Homeopath, Faridabad
Hi
I have hypothyroid I get operation also im not taking any tabs. My wait is increasing so much if I take tabs for t...
Hello, you should take treatment for thyroid first. And along with this treatment you have to take care of your weight also through diet control, medication and proper and regular exercises.
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I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopathic) medication?

BHMS
Homeopath, Solan
I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopat...
Thuja 1m 3 doses. 1 acid phos q 10 drops in half luke water. 2 syzygium jambolanumq 10 drops in luke warm water. 3 sanicula q 10 drops in luke water 10 drops daily twice aday. And biocombination number 7. Remove sugary things and do exercise, yoga daily.
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