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Dr. Jalaja Ramesh

Endocrinologist, Chennai

Dr. Jalaja Ramesh Endocrinologist, Chennai
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Personal Statement

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. Jalaja Ramesh
Dr. Jalaja Ramesh is one of the best Endocrinologists in Mylapore, Chennai. You can consult Dr. Jalaja Ramesh at Dr. Jalaja Ramesh@St.Isabel's Hospital in Mylapore, Chennai. You can book an instant appointment online with Dr. Jalaja Ramesh on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 42 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. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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I am Having thyroid, tsh-6.75, but t3 and t4 is in normal but sometimes spinning head problem occurs with weakness. and obesity. Please do help.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Recheck again after 1 month and let. Me know report. Any symptoms of wright gain, easy fatiguability, joint pain, breathlessness on exersion etc?
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My blood sugar level is 140 early in the morning . Is it ok It keeps on changing. Why.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood sugar level is 140 early in the morning . Is it ok
It keeps on changing. Why.
Mr. Lybrate-user, fasting or pp blood glucose levels depend on the intake of food and ability of insulin to help glucose utilisation by cells. So levels will vary depending on our daily food intake. If one eats more, level will go up. 140 mg is high, ideally it should be around 100 mg. Levels may also change if treatment is not adequate. Thanks.
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I m 46 yrs old. Suffering for high B. P And sugar. I fell very tired restless. please help me.

MBBS
General Physician, Cuttack
I m 46 yrs old. Suffering for high B. P
And sugar. I fell very tired restless. please help me.
1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2.Reduce your weight if overweight 3.Reduce salt, and sugar intake intake 4. Drink plenty of water 5. Take bland diet, plenty of green leafy vegetables, Fruits 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8.Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp, Fasting&PP blood Sugar, HBA1c regularly and consult Physician for treatment
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I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypothyroidism causes increase in weight, lethargy, weakness, swelling of feet and face, increased size of the gland, intolerance to cold, slow heart rate, sluggishness, speech may get affected etc. Any way it is better to get your thyroid assay done, which will reveal if there is any problem.
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I am aged 60 type 2 diabetic and underwent CABG in 2003. I have a problem of erectile dysfunction can I use tadafil 20 or any other tablet you can suggest.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I am aged 60 type 2 diabetic and underwent CABG in 2003. I have a problem of erectile dysfunction can I use tadafil 2...
Hello, It is better to take your cardiologist's opinion before taking the drug mentioned, as it has certain effect on heart. Thanks.
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I am 22 years old girl from india. From last 2 years I am gaining weight day by day. I have irregular periods. Uric acid is around 7 mlc. I am having pcos as per doctors report. Please help to improve my health.

Certificate course in Dietician
Dietitian/Nutritionist, Delhi
I am 22 years old girl from india. From last 2 years I am gaining weight day by day. I have irregular periods. Uric a...
Hello lybrate-user, as per your report your health parameter are not in balance. So first of all limit your protein intake for your uric acid and start doing walk and jog for your pcod and stop having junk food. Increase your water intake and do eat salad with every meal. Have fennel tea twice daily. Follow it for 1 month and report.
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My mother was suffering hypertension and blood clots, thyroid, swelling legs. Please advice what should i do?

MBBS
General Physician, Jalgaon
My mother was suffering hypertension and blood clots, thyroid, swelling legs. Please advice what should i do?
Please For your mother. Wake up early go for morning walk in greenery daily Go for evening walk also Do some light exercise daily Avoid oily spicy and fast food, non veg food, maida containing items like biscuits toast bread khari etc Take salads, vegetable juices, soups more Send me report, current medicine names, present clinical condition. On Lybrate So that I can guide you precisely about medicines also.
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My blood sugar is 180-fasting, what I do?

MBBS
General Physician,
Also do ppbs and take diabetic diet for now and if ppbs is also more than 250 then we will start with glyciphage.
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Sir Meri age 26 hai. Khana khane ke pahle mera sugar 105 aur khane ke 2 hour baad mera sugar 152 h kya yah normal h. Ya mujhe kisi medicine ki jarurat h.

MD - General Medicine, MBBS
General Physician, Karimnagar
Sir Meri age 26 hai. Khana khane ke pahle mera sugar 105 aur khane ke 2 hour baad mera sugar 152 h kya yah normal h. ...
Hello, both the sugar levels are slightly on the higher side suggestive of igt - impaired glucose tolerance. Kindly tell me what is your height and weight. So initially we need to start with dietary modifications and repeat sugars after 1 month if they come down its fine. If sugars are persistently elevated and your bmi is high then some medications need to be started do hba1c blood test. This will show wat is our blood sugar status in previous six months, if this is elevated it will confirm diabetes. Diet: stop sweets, no potato, no beetroot. Daily 30 min walking or jogging, no grapes, banana and watermelon, rice once a day.
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She is a diabetic patient. Sometimes she feel very fatigue. Please give me a suggestion.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is a diabetic patient. Sometimes she feel very fatigue. Please give me a suggestion.
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are:-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. 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.
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I have type 1 diabetes and sugar level is also in under limit. I want to gain my weight. How can I do that? please suggest me a working idea.

MD Pediatrics
Pediatrician, Faridabad
I have type 1 diabetes and sugar level is also in under limit. I want to gain my weight. How can I do that? please su...
Weight and height always have a degree of genetic component. Moreover, insulin therapy leads to weight gain. If your sugar Evels are nicely controlled, you can plan a gym workout amd exercises to build muscles. But it need to be in collaboration with your doctor and dietician as exercise tend to lower the requirement of insulin and you will need to readjust ypur insulin dosage.
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What was the main symptoms of diabetes and what precautions take in diabetes to prevent from it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What was the main symptoms of diabetes and what precautions take in diabetes to prevent from it.
Diabetes mellitus invariably does not cause any symptoms, that is one of the reason why people do not realise that they have problem. When fully developed may cause excess urination, excess hunger, excess thirst, unexplained weight loss and tiredness. In most patients detection of diabetes is by chance. There are two types t1 dm where there is no insulin produced, an autoimmune disease, most often starts in early age. Second is t2 dm a familial disease, most common form. It is a preventable disease. If one maintains normal weight, takes a controlled diet, exercises regularly avoids too much of sweets, junk foods, pastries and sweetened aerated drinks then there is a possibility preventing or postponing t2 dm.
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My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl suggest.

BHMS
Homeopath, Raebareli
My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl su...
Give him Mag phos 6x - 4 times a day -- and additional dose for acute pain when required. Also do hot and cold compress alternately if this gives him relief.
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I am 24 years girl. My question is regarding my diet I am fasting for 9 days as my weight has gained so Wat should be my diet during these fasting days and boiled potatoes wil be fatty for me so what should I prefer. And I am having hypothyroidism TSH 6.57.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
I am 24 years girl. My question is regarding my diet I am fasting for 9 days as my weight has gained so Wat should be...
Hi First: medicines are mandatory. Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH If ypu have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs. Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially you need to do the TSH test every 6 weeks till normal TSH then every 3 months As your thyroid hormone status normalises you will find it easier to shed weight. Fasting occasionally is okay but not as a weight decreasing method. Exercise. Walk/run/yoga/weight training 30 minutes every day. 50gram protein atleast one source of protein with every meal. No deep fried junk food sugary drinks, cola, excessive fatty food. You can have one cheat treat a day. Hope this helps Take care
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What is the best treatment on diabetes?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
What is the best treatment on diabetes?
Following are the best treatment tips on diabetes 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. kindly let me know your current blood sugar levels
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It was diagnosed that my mother aged 65 years and has diabetes. She also has a lot of itching on her hands and there are dark patches on her hand as it itches. She also has tiny lumps on her hands. Has high bp. Kindly advise the medicines she needs to take.(In 2007 she had a 1kg mass removed from her stomach, also had hernia operated in Kidwai hospital. But still there is a small lump in her stomach. Kindly advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
It was diagnosed that my mother aged 65 years and has diabetes. She also has a lot of itching on her hands and there ...
First thing is her sugar levels should be well controlled, so she has to take appropriate medicines regularly, if possible she should exercise at least 30 to 45 minutes a day. Follow all dietary restrictions as advised. For other problem of the mass in the abdomen (earlier removal and present one) only a surgeon can advise, hence please do consult one.
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I am 48 years old & just this month observed diabetes in blood & urine both, hba1c 8.1 183. Please advice for better control ?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I am 48 years old & just this month observed diabetes in blood & urine both,
hba1c 8.1 183.
Please advice for better ...
Drink max. of 1 ltr water in 24 hrs with dhania seeds boiled in it maintain a gap of 5-6 hrs between meals don't eat anything after sundown. Take ayurveda medicine for better control. Please message me if you want guideline on ayurveda medicine.
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From past 6 years suffering from diabetic and taking medicine GLYSIS-M AND JALRA 50/500 I M WORRIED STILL HOW MANY DAYS.

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
From past 6 years suffering from diabetic and taking medicine GLYSIS-M AND JALRA 50/500 I M WORRIED STILL HOW MANY DAYS.
this has to be taken whole life. But if you want to reduce the dosage or want to feel better, then eat balanced diet...
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I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other hormonal tests are fine. I am not taking any sugar medicine but has family history of diabetes. Why this happens to me? What can I do pls help.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other...
Hello You need not worry. You need to take precautions as you have family history. Low sugar levels can be due to improper meal timing. Take 3 main meals and 2 side meals. Don't skip breakfast. Sleep for 7-9 hours per night. Exercise regularly. Avoid fried foods, sweets, carbonated drinks and processed foods. Include whole grains, sprouts, seasonal fruits and vegetables. Avoid mango, cheeku, banana, arbi and zimikand. Take flaxseed powder 1 tsp with lukewarm water on empty stomach. Take green tea 3-4 cups a day. Drink plenty of water. Thank you
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Wow can I maintaining my lipid profile and uric acid in normal range with the help of medicine or physical exercise.

MBBS
General Physician, Mumbai
Lipid profile can be maintained with diet and exercise and uric acid can be maintained by diet alone.
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