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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 34 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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Know About Thyroid Disease, Foods and Drinks

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Know About Thyroid Disease, Foods and Drinks

If you have thyroid disease -- whether you are hypothyroid (underactive thyroid) or hyperthyroid (overactive thyroid), whether you hashimoto's, graves' disease, or other conditions, what you eat can have an impact on your health. Here are ten things to know about thyroid conditions and your diet, food and beverages, and their interaction with your health and medications.

  • Goitrogens are substances -- occurring naturally in certain foods -- that can cause your thyroid gland to enlarge. The main goitrogenic foods are cruciferous vegetables like broccoli, cauliflower, kale, and cabbage, among others, as well as soy foods. Goitrogenic foods can also function like an antithyroid drug and actually slow down the thyroid and make it underactive (hypothyroidism.)
  • Coconut oil recommended for thyroid patients, and while it can be a healthful option, it's not a cure
  • One should not take coffee until an hour after you've taken your thyroid hormone replacement medication. Otherwise, the coffee can affect absorption, and make your thyroid medication less effective.
  • Iodized salt in some areas of the world, iodized salt is an essential way to prevent iodine deficiency, cretinism and retardation due to iodine deficiency in pregnant women.
  • Many thyroid patients struggle with constipation, and extra weight. One of the key tactics that can help is increasing fiber intake, particularly from foods.
  • One of the most powerful things thyroid patients can do to help their health and metabolism is to drink enough water. Water helps your metabolism function more efficiently, and can help reduce your appetite, get rid of water retention and bloating, improve your digestion and elimination, and combat constipation.
     
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Respected sir I am sugar patient. My fasting blod sugar is 218. Please mention the treatment on homeopath.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Syzizium jambolanum q cephlandra indica q gymnema sylvestraq 30 ml each of sbl company mix three of them nd you will get 90 ml medicine. @0 drops of this medicine in 20 ml fresh water 15 minutes before meals three times a day for 3 months nd report.
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I am 55 years, using Metsmall Tablet from the last one year. My blood sugar is not controlling.

CDIABT, MBBS
Endocrinologist, Mumbai
I am 55 years, using Metsmall Tablet from the last one year. My blood sugar is not controlling.
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Medicine will depend on your blood reports.
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I am suffering from sugar so should I have to do and what type of medicine should I take please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am suffering from sugar so should I have to do and what type of medicine should I take please help me.
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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I am suffering from kidney infection. I always have problems while doing toilet. I am also suffering from high blood sugar. Please advise what should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am suffering from kidney infection. I always have problems while doing toilet. I am also suffering from high blood ...
Good morning user, I got you have high bp, and not clear about urinary track infection or glomerulonephritis, it may be due to summer n heat your urine may be concentrated and causing burining pain during urination, if so please urine examination is needed till then have abundent water by mixing khas/ushir/chandan/mustha powder into it.
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I am 57 my sugar level fasting is 160-165 presently i am taking Glyciphase 500 mg only after lunch i take light food in the night pl suggest ayurvedic/alopathic suitable medicine.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
BEST THING IS TO GO FOR NATURAL TREATMENT LIKE AYURVEDA OR YOGA PRANAYAMA THAT WILL PREVENT FURTHER PROBLEMS.
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My cousin of age 18 is suffering from thyroid. What shall she eat and avoid to eat?

MS - ENT
Ear-Nose-Throat (ENT) Specialist,
Take low fat diet n diet rich in fruits n vegetables that is organic diet. Avoid much cauliflower n cabbage.
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How to reduce the level of thyroid I am 30 yes and suffering from hypo thyroid from last 6 years and I am taking thyronorm 150mcg?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sameenaji, Taking Thyroxine tablets in the recommended dosage is only method of controlling hypothyroidism. You should check TSH levels periodically (once in 6 months) to see if the dosage of thyroxine tablet is adequate or needs any change. Plus you should avoid soya beans, soya containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee.\Consume more of green leafy vegetables, salads and fruits. Exercise daily for at least 1 hour a day to maintain weight.
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What is diabetes, how we come to know about it and what precautions should we have to take to control diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is diabetes, how we come to know about it and what precautions should we have to take to control diabetes.
Hello, diabetes is a metabolic disorder affecting carbohydrate, fat and protein metabolism and both small and large blood vessels, with persistent hyperglycemia. In the long run it damages eyes (retina), nerves, kidney, heart and causing problems with lower limbs. It is caused because of either lack of insulin or resistance to its action (t2 dm) or total absence of insulin as in t1 dm. T2 diabetes is a preventable condition, by adapting modified life style one can prevent it. Modified life style means regular exercise, maintaining near normal weight, avoiding smoking and alcohol and eating a healthy diet.
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Hi my age is 23. I am taking fertility treatment from last 4 months. My hsg FSH and lh another tests all are good. I don't have thyroid, But have vitamin d deficiency. Why I didn't get pregnancy. Can you please tell me the tips to get pregnancy early. Thank you.

MS
General Surgeon, Mumbai
Has your husband been investigated, examined. He may have varicocele. Varicocele is the common cause of pain, swelling and low sperm count. For varicocele cdvl tech gives best results.
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Sir, my post prandial sugar level is high (200 approx) even after intake of medicine. please advise whether to increase the doses.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my post prandial sugar level is high (200 approx) even after intake of medicine. please advise whether to increa...
Mr. lybrate-user, You have not mentioned which drug/s you are taking and what is the current dosage. Hence, difficult to advise. If blood glucose is marginally high, then one can bring it down to desired level by 1) increased exercise or 2) reduced food intake. There is no need to always increase the dose. Looking at your weight and height, BMI is 26.49 kgs/M2, which is showing over weight. So reduction weight itself will bring down the blood glucose. Thanks.
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My father is suffering from frequent urination and he is diabetic patient insulin based. Please suggest me medicine to stop urination which is frequent.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
My father is suffering from frequent urination and he is diabetic patient insulin based. Please suggest me medicine t...
If his blood sugars are high, that itself can cause frequent urination. Also, check whether he has conditions such as prostrate gland enlargement. Also, whether he is on meds for hypertension (Diuretics) that can cause frequent urination.
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Homeopathy - Can it Help Treat Infertility in Women?

M.D.Homeopathy
Homeopath, Lucknow
Homeopathy - Can it Help Treat Infertility in Women?

For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.

Infertility in females is often caused by the following reasons:

  1. Irregular menstruation
  2. Hormonal imbalance
  3. Advancing age
  4. Emotional stress
  5. Obesity
  6. Excessive smoking
  7. Alcohol consumption
  8. Sexually transmitted diseases (Chlamydia, gonorrhoea)
  9. Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
  10. Endometriosis
  11. Polycystic Ovarian Syndrome (PCOS)
  12. Pelvic Inflammatory Disease (PID)
  13. Thyroid disorders
  14. Diabetes

With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with doctor to identify what would work best for you. Self-medication is best avoided.

  1. In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
  2. In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
  3. In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
  4. In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
  5. In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.

These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.

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My sugar level is 230mg in fasting & random blood sugar is 350 mg. I use Recliemet thrice in day

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
If u r fasting sugars are not getting controlled, inspite of u taking this tablet for three times daily, then the tablet needs to be changed, please contact under private section for further details Regards Dr Sridhar K
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I am diabetic since 1 year from right beginning I have premature ejaculation. I finish by two strokes I Sm frustrated please help my BG level FBS 180 and ppbs 200 please help.

MBBS
General Physician, Delhi
I am diabetic since 1 year from right beginning I have premature ejaculation. I finish by two strokes I Sm frustrated...
Hi, premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Pe is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation. I recommend that you and your partner practice certain techniques to help delay ejaculation. For example, 1. You may learn to identify and control the sensations that lead up to ejaculation. 2. You may learn to communicate with your partner to slow or stop stimulation. 3. You can try using a condom to reduce sensation to the penis. 4. Or you can try a different position (such as lying on your back) during intercourse.
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Basis of my doctor's suggestion I went through blood test for sugar level and result is very high i. E. 280 which is very high now I want to control the sugar level hence please good medicines and precautions to cure high sugar. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Basis of my doctor's suggestion I went through blood test for sugar level and result is very high i. E. 280 which is ...
control high blood sugar you may have to start on oral anti diabetic drugs or insulin injection. In addition take a restricted diet avoiding deep fried foods, sweets and direct sugar. If you want specific prescriptions then please come in a private conversation with all the following details - weight, height, waist circumference, fasting and pp sugar levels and hba1c%.
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HI, Age 35 Sex Male Weight: 78, height: 160 cm Tested for sugar the count was 330. Fasting count in the morning was 200. Not recognise any of the symptoms normally found on diabetes patients. Please suggest the required diet, exercise and medications if required. Can this be just get to normal level with only exercise and food? Or Do I need to visit doctor? Thanks.

General Physician, Hyderabad
HI, Age 35
Sex Male
Weight: 78, height: 160 cm
Tested for sugar the count was 330. Fasting count in the morning was 2...
Fasting sugar of 200 needs imediate medical attention. You need to start on diabetic medication right away. You need to do the following too 1. Cut down carbohydrates from your diet 2.replace rice with either brown rice or rotis 3.exercise everyday for atleast 45 mts 4. Do not eat fruit like mango, grapes, chikoo 5.get your blood test done regularly 6.take your medication regularly 7.get blood test done to look for other conditions Please contact for prescription. Take care.
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I am 35years old. I have thyroid problem. And I take thyroxine 50 every day. My weight is 70 kgs. My height is 4.11" I want to reduce my weight. I went to gym for a year but hardly could reduce 4kgs. Is there any diet or exercise with which can reduce my weight. Please help.

MSc
Dietitian/Nutritionist, Chandigarh
I am 35years old. I have thyroid problem. And I take thyroxine 50 every day. My weight is 70 kgs. My height is 4.11" ...
, include more of fruits, milk & milk products, high- protein foods, less of carbohydrates & fried foods and sweets. Drink 3-4 lts. Of water daily. Eat early & light dinners. We do not give any medicines or supplements for wt. Loss. Only with balanced diet plans, we help you lose weight and control thyroid level also.
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Binge eating and risk for diabetes

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Binge eating and risk for diabetes
Binge-eating disorder is a serious eating disorder in which you frequently consume unusually large amounts of food and feel unable to stop eating. Binge eating disorder are associated with increased incidence and prevalence of type 2 diabetes, according to a study published in the international journal of eating disorders.
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Would you please tell me what are the precautions we should for diabetes patient?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Would you please tell me what are the precautions we should for diabetes patient?
Avoid extra salt oil & maida products. Avoid fruit juices. Avoid mango banana chickoo grapes custord apple. Avoid dates cashew kismis. You can have almonds. Daily 40 min walking is must. Frequent small snacking instead of large meals. Increase dietary fiber intake.
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