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Dr. Jayapal

Endocrinologist, Chennai

100 at clinic
Dr. Jayapal Endocrinologist, Chennai
100 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Jayapal
Dr. Jayapal is one of the best Endocrinologists in Avadi, Chennai. You can meet Dr. Jayapal personally at Sri Krishna Clinic in Avadi, Chennai. You can book an instant appointment online with Dr. Jayapal on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 36 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-2,First Main Road,Baja Nagar,Avadi,Landmark:Beside Govt Hospital, ChennaiChennai Get Directions
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He is suffering with diabetes and don't want to leave sweets. How can I manage the things? Please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
He is suffering with diabetes and don't want to leave sweets. How can I manage the things? Please help me.
the reason sweets should be avoided in diabetes is intake will increase blood sugar straight away. High blood sugar causes multiple problems affecting eyes (retina), small and large blood vessels, kidneys, heart, legs and feet (ulcers not healing, leading to amputation), severe neuropathic pain etc. Plus sweets also contain high fat content, increases caloric intake and may lead to weight increase. So if one has diabetes then there is no option but has to stop eating sweets. You have to convince him and impress that sweets will cause serious problem in the course of the disease. Another possibility is to use sucralose in stead of sugar while making sweets. But still gheee will be plenty.
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Hlo sir. My qustn to you is that my mother has thyroid problem n surgical problem also. She feels very lazy n sleepy. She is a teacher n has to travel long distance 50 km per days. So please suggest some ways that she can recover from her ill ness.

DRCH, BHMS
Homeopath, Bareilly
Hlo sir. My qustn to you is that my mother has thyroid problem n surgical problem also. She feels very lazy n sleepy....
Her thyroid level should be under control to feel well being and active. She might be taking medicine for thyroid, so get check her tsh level in every 6 month. She should take nutritious diet and a glass of milk daily. Give her homeopathic medicine to cure her trouble permanently. Give her homeopathic five phos tablet, 4 tab four times daily to provide some strength.
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I am a thyroid patient - I have facing problems on hair loss any remedies.

MD - Internal Medicine, MBBS
Endocrinologist,
YOU CAN USE HAIR OIL MENOXIDIL APPLY ON HAIR TWICE A WEEK. Some physicians feel that ferritin levels -- ferritin is the stored form of iron -- are integral to healthy hair growth, and that levels that are not optimal may contribute to hair loss, or impede hair regrowth. Have your ferritin levels checked, and if not optimal -- Sara Gottfried, MD says that levels below 80 are not optimal for thyroid patients suffering hair loss -- talk to your doctor about supplementing with iron.In some cases, your dermatologist may recommend that you try drug treatments. The two popular drugs for hair loss -- Rogaine and Propecia -- both interfere with DHT's ability to destroy hair follicles. Neither drug is safe to use during pregnancy, however, and so they are not as commonly used in women of child-bearing age. Rogaine, the brand name for minoxidil, is available without a prescription. Women typically use a 2% minoxidil solution applied to the scalp twice a day, and men use a 5% solution. Improvements with minoxidil are slow - it may take months to see any improvement, and a year or more for any dramatic change in hair loss and regrowth. To maintain improvements, minoxidil needs to be continued daily. Propecia, the brand name for finasteride, is a prescription drug taken in pill form. It is not to be used by women in child-bearing years because of its ability to cause serious birth defects, but it has been shown to help some women. Propecia does not, however, appear to be any more effective than minoxidil, and like minoxidil, it can take a year to see results, and must be taken for life to maintain regrowth.
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I have white color patches on my body, near the elbow area and some on my thighs and back. Is it because of my blood sugar as I am a diabetic?

C.S.C, D.C.H, M.B.B.S
General Physician,
I have white color patches on my 
body, near the elbow area and some on my thighs and back. Is it because of my blood...
It can be fungal infection Tinea Versicolor or Tinea cruris . If diabetes is not in control there are chances of related to diabetes.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 should be under proper guidance for regular follow up and advice. It is not as easy 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 & lifestyle.
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I am 52 years male I am diabetic I am loosing my weight what should I do?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
If diabetes is not in control weight loss does occur. Proper sugar control will help stabilize weight and improve your general health. If oral drugs are not giving relief insulin may be needed.
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I am 47 years male I am diabetic my sugar is 200-230 in empty stomach I am feel very weak and tired I take medicine Galvus met 50/1000 two times in a day so what can I do pls.

MBBS
General Physician, Chennai
I am 47 years male I am diabetic my sugar is 200-230 in empty stomach I am feel very weak and tired I take medicine G...
Diet exercise meds are the pillars of diabetic manage ment check your diet exercise daily do all this regularly for amonth and get your sugar checked.
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I am suffering from severe acidity which causes burning in chest. It increases after eating. I am diabetic and having hypo thyroid n bp increases sometimes. Pl reply.

M.Sc -Food and Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Pune
I am suffering from severe acidity which causes burning in chest. It increases after eating. I am diabetic and having...
Hi lybrate-user, you should avoid foods that may trigger your heartburn spices, citrus fruits, tomato, peppermint, carbonated drinks, fried foods, chocolate, restrict caffiene and alcohol, try eating small and frequent meals, don't eat 2 -3 hrs before bedtime, if you are taking any medicines which are pain reliever like aspirin cut back on it, stop smoking, if you smoke, most importantly reduce your weight, because you have many health problems like diabetes, hypothyroid, blood pressure, severe acidity, you need to reduce your weight, so these problems may no arise if you reduce your weight, for that you need a good dietitian, who can make your diet plan acc. To your health condition and also give proper support and guide for reducing the weight.
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I am 48 years female. Due to a minor accident some 6 months back, I developed a lymphic cyst in neck specifically in thyroid. Can it be cured with medicines or only surgical extraction is feasible.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine------------- adel-48 drops (adel) drink 10 drops in 20 ml fresh water 3 times daily for 30 days nd consult me thereafter----------------
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Which type of diabetes is hereditary? how many generations it can affect? and what are the precautions to take in order to avoid it? Please tell me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Which type of diabetes is hereditary? how many generations it can affect? and what are the precautions to take in ord...
type 2 is hereditory and presents late in life ,type 1 is autoimmune destruction of pancreas and presents early Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible
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I am suffering from toe and knee pain and I check uric acid level is 11 how can I reduce the uric acid and cholesterol level by naturopathy.Please tell.

BHMS
Homeopath, Ludhiana
I am suffering from toe and knee pain and I check uric acid level is 11 how can I reduce the uric acid and cholestero...
Take homoeopathic medicine:- 1. Urtica urens 30 (5 drops three times a day) 2. Chelidonium majus q (10 drops three times a day in half cup water) make a gap of 15 mins between both medicines. Take them for one month. Revert me back with feedback. For any other help consult me.
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I was always plumpy girl since childhood. After started taking medicine of epilepsy and thyroid, I put on lot of weight in my adolescent period. Since then I had tried many ways to reduce and from 90 kg I got down to 80 till my marriage within 1.5 years. After getting married, I put on 15 kgs n now I am 95. Now please guide me how to reduce despite having my hectic working schedule and no time to workout. These conditions are affecting me physically and mentally also. I get tired soon nd feel sad many times. Earlier through disciplined diet and massages and herbal life powder I reduced. After leaving all this I gained again. Now I am regretting since than. But now I need motivation and will power to come back to 80 kgs again. Please guide me. I want to plan my family next year. Thyroid doctor has advised me to reduce minimum 5 kgs. I feel fed up sometimes, crying also. This is all because of my weighty issues. please help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1. Controlling your diet and exercising regularly is the key to losing weight. Taking the following could also help in accelerating the weight loss process: taking pranacharya medohar rasayan (1-1) twice a day; taking medohar guggul (2-2) twice a day; pranacharya slim capsule (1-1) twice a day. 2. It is advisable to avoid junk, fried, fermented or oily food. You should also avoid the intake of alcohol, sugar, dairy products. 3. You should increase the intake of oats and cereals. You should incorporate a walk of at least 45 minutes in your daily regime and prayanama every morning. It is advised not to sleep immediately after taking a meal.
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Is coconut oil used for cooking and is good for diabetic patients? Any side effects. Suggest me which oil is best for cooking purposes?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Is coconut oil used for cooking and is good for diabetic patients? Any side effects. Suggest me which oil is best for...
Hello Sir, Coconut oil is rich in saturated fats, this is bad for your health as it increases the LDL cholesterols. I would suggest you to use Olive oil (there are different types of olive oil - some are used only for salad dressing, some for mild cooking and some for eve deep frying). You could also use ground nut oil, mustard oil, rice bran oil etc for cooking. Thank you
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Dear Sir/Madam My mother if a patient of sugar last 4-5 years but I hav'nt recognize sugar. Last two years I checkup my mother's sugar it is 465. Then I consult a doctor. Doctor give medicines. But after few days sugar is effected in my mother eyesight. The I go to eye doctor and consult the doctor. Doctor operate both eyes approx 4 times. But good response previous week I checkup my mother's sugar, urine, ecg etc. In report sugar is effected in kindly. Please what should I do. Because I love my mother.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Dear Sir/Madam My mother if a patient of sugar last 4-5 years but I hav'nt recognize sugar. Last two years I checkup ...
Dear lybrate-user your mother's sugar is high and that is affecting her many organs including her eyes. High blood sugar levels give rise to multiple problems in body and its not just temporary control of sugar which achieves results but consistent control that matters the most. Pls understand that to help your mother avoid bigger problems in future you need to make dietary adjustments, exercise protocols and medicine optimization for which you follow certain principles. Keep fasting blood sugar below 110 and pp i. E after 2 hrs meals blood sugar below 160. For this cut on all high calorie foods. Ask her to exercise. And follow advice for medicines.
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Hi I am a diabetic n under insulin control. I need to take 20 ml of insulin injections twice a day. The area of insulin insertion has become hard n black due to daily intake of insulin injections. Kindly tell me is it a cause for concern in d long run n how to avoid dis.

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
Hi I am a diabetic n under insulin control. I need to take 20 ml of insulin injections twice a day. The area of insul...
Hi you r a diabetic. Your injection site is not healthy. You need to follow a proper rotation technique for injection. Not at the same site always. The area you are referring need to be left for few days without injection. It will improve on its own. Take care.
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Can thyroid be cured completely?

MD - Internal Medicine, MBBS
Endocrinologist,
Can thyroid be cured completely?
only control it. not cured the thyroid completely. 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,
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My father recently diagnosed diabetes. I want to know what precautions and food he should take?

MBBS
General Physician, Mumbai
My father recently diagnosed diabetes. I want to know what precautions and food he should take?
Diabetes can be controlled by taking low carbohydrate, low fat and high protein diet. Do daily exercise 45 min walk. Maintain a healthy weight. BMI should be between 18.5 and 25 Drink plenty of water. See a dietician for a diet chart which is suitable to your taste and food habit.
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My sister is having diabetes from last 20 years. Shes also taking insulin called novomix. Shes having this from last 20 years. Now I wanna know how to make her at least better. M having no idea. Ty mam:)

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
My sister is having diabetes from last 20 years. Shes also taking insulin called novomix. Shes having this from last ...
Dear Mr. Singh, it's a good gesture on your part to be concerned of your sister's health! as she's got diabetes from the age of 12, it must be type 1 diabetes mostly. Type 1 diabetes means that pancreas is unable to make insulin and hence patient requires to take insulin for the whole life. But at the same time it's very much possible to lead almost normal life and ulmost normal life expectancy. Following are the ways in which you can help her lead a normal life. 1) at home monitoring of blood glucose with a glucose checking machine at home. 2) keeping glucose between 110-160 mg%. As much as possible. 3) avoid low sugar as much as possible. A sugar less than 72 mg% is defined as low sugar. 4) keep checking her for kidney function, hba1c, lipid profile, blood pressure, eye check and foot checkups to diagnose complications and when detected to address it promptly. 5) to take very stringent care during pregnancy. If possible look for newer option of insulin pump should be considered.
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Hi Doctor, I am 60 years old working person. I am diabetic since 2003. Taking Diabetic medicine - Amaryl - 3 mg, Galvus Met 50/1000 mg, Neurobion Fort including Herbal Medicines - like - Karela - Jamun Juice 30 ml, Aloevera Gel 30 ml and 2 coves of Garlic - empty stomach in the morning. Also no Sugar intakes. Using Zero calorie sweetener. Even then my FBS results are coming High between 150 - 170. Can You please advise something from your side.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hi Doctor,
I am 60 years old working person. I am diabetic since 2003. Taking Diabetic medicine - Amaryl - 3 mg, Galv...
This is dawn phenomenon. Or it could be somogi effect. Get blood sugar tests between 2 to 4 am if low it's somogi otherwise it's dawn phenomenon take 2 biscuits marie at midnight and see results after 2 weeks. Do brisk walk early morning on getting up before doing blood sugar fasting test. Consult again.
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MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Low Sperm Count

Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. Remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal.

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal). 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal.

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not.

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS. In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS.

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS.

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results.

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.
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I am hypothyroidism but take Thyronorm and TSH is under control and normal. I take Amodep 5 mg for BP and its normal But I have problem of weak erection. I do get regular erections but they r not strong for deep penetration. I also have low sex desire. My muscles are also weak and loose I am 42 years and weight 85 kg. I do not drink and smoke. My LFT and Lipid profile r normal. My test report Total and free testosterone: 260 and 5 resp, L H and FSH normal Hba1c 6.3, fasting glucose 107, pp 97 Sodium 145 , Calcium 9.2, Vit B12 423, Vit D3 4.2 taking Tayo tab 60k I do not want to steroid medicine like Viagra as they have side effects. Pl suggest some gud medicine without side effects No advise from sex quacks only gud sexologist.

PDDM, MHA, MBBS
General Physician, Nashik
I am hypothyroidism but take Thyronorm and TSH is under control and normal. I take Amodep 5 mg for BP and its normal
...
Overall sex stamina improves by healthy lifestyle. Regular sleep, exercise and meal are the foremost things. In diet cow milk, cow butter and garlic are proven sexual tonic. Regular healthy diet containing carbohydrate, protein and minerals-vitamins is necessary. Specific diet depends on culture and geographic situation. Exercise to control your weight and make you fit. Sleep to relax your mind. All above measures help you to relive mental stress also which indirectly help to perform better. Another aspect is emotional attachment and love between partners in overall life apart from the sex. If it is good no need of any tonic, natural stamina would suffice. Hope I have answered your query, I will be happy to help further, regards,
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