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Dr. Kalaiselvi Vairavel

Endocrinologist, Chennai

300 at clinic
Dr. Kalaiselvi Vairavel Endocrinologist, Chennai
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Kalaiselvi Vairavel
Dr. Kalaiselvi Vairavel is a trusted Endocrinologist in Mandaveli, Chennai. She is currently associated with Sri Ranga Nursing Home in Mandaveli, Chennai. You can book an instant appointment online with Dr. Kalaiselvi Vairavel on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 39 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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Sri Ranga Nursing Home

#4/13, Devanathan Street, Mandaveli. Landmark: Opp. To RTO Office, ChennaiChennai Get Directions
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I have a diabetic patient since 2012. How can I cure my diabetic without any medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, diabetes mellitus is a disease occurring due to either lack of insulin or resistance to its action or both. Hence the treatment is give drugs that stimulate insulin secretion or reduce the resistance to its action by giving oral anti diabetes drugs or use insulin itself. This disease can only be controlled by drug treatment plus diet and exercise. There is no cure even with medicine. You will have to continue the treatment for lifetime. It is good to maintain sugar levels - like fasting closer to 100 mg, pp 150 to 160 mg and hba1c% <7. This helps in either preventing or postponing the long term complications of diabetes. With regards.
9 people found this helpful
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Hi, my father had opted for full body check up and TSH level comes to be 6.1 and he is 70 years old. Is this level normal or should he take medicine? Please suggest.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
HI, No need to take any tablet. He is @ 70 and healthy, don't use any medicine basing on a just blood test only. That is normal for his age.
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I am 60 and my post pp blood sugar is 145. Should I start taking medicines? Subhash.

MBBS
General Physician, Cuttack
No it is not required. However you can go for regular walk, control your diet by avoiding excess sugar, sweet, high calorie and carbohydrate rich diet. Monitor your blood sugar three monthly and consult physician if required
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BHMS, MD - Homeopathy
Homeopath, Chennai
9 Foods to Avoid With Hypothyroidism
What you eat can affect your thyroid gland as well as your body's ability to use thyroid hormone. Learn which foods to avoid when managing hypothyroidism.

Hypothyroidism can be a tricky condition to manage, and what you eat can interfere with your treatment. Some nutrients heavily influence the function of the thyroid gland, and certain foods can inhibit your body's ability to absorb the replacement hormones you may take as part of your thyroid treatment. There's no such thing as a "hypothyroidism diet" that will make you well, but eating smart can help you feel better despite the condition. Here are nine foods to limit or avoid as you manage hypothyroidism:

Soy
The hormone estrogen can interfere with your body's ability to use thyroid hormone, says Stephanie Lee, MD, PhD associate chief of endocrinology, nutrition, and diabetes at Boston Medical Center and an associate professor at the Boston University School of Medicine. Soy is loaded with plant-based phytoestrogen, and some researchers believe too much soy may increase a person's risk for hypothyroidism. People with hypothyroidism should moderate their intake of soy. However, because soy hasn't been definitively linked to hypothyroidism, there are no specific dietary guidelines.

Cruciferous Vegetables
Cruciferous vegetables, such as broccoli and cabbage, can interfere with the production of thyroid hormone, particularly people who have an iodine deficiency. Digesting these vegetables can block the thyroid's ability to absorb iodine, which is essential for normal thyroid function. People with hypothyroidism may want to limit their intake of broccoli, 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.

Gluten
People with hypothyroidism should consider minimizing their intake of gluten, a protein found in foods processed from wheat, barley, rye, and other grains, says Ruth Frechman, RDN, a dietitian and nutritionist in the Los Angeles area and a spokesperson for the Academy of Nutrition and Dietetics. Gluten can irritate the small intestine and may hamper absorption of thyroid hormone replacement medication.

Fatty Foods
Fats have been found to disrupt the body's ability to absorb thyroid hormone replacement medicines, Dr. Lee says. Fats may also interfere with the thyroid's ability to produce hormone as well. Some health care professionals recommend that you cut out all fried foods and reduce your intake of fats from sources such as butter, mayonnaise, margarine, and fatty cuts of meat.

Sugary Foods
Hypothyroidism can cause the body's metabolism to slow down, Frechman says. That means it's easy to put on pounds if you aren't careful. "You want to avoid the foods with excess amounts of sugar because it's a lot of calories with no nutrients," she says. It's best to reduce the amount of sugar you eat or try to eliminate it completely from your diet.

Processed Foods
"Processed foods tend to have a lot of sodium, and people with hypothyroidism should avoid sodium," Frechman says. Having an underactive thyroid increases a person's risk for high blood pressure, and too much sodium further increases this risk. Read the Nutrition Facts label on the packaging of processed foods to find options lowest in sodium. People with an increased risk for high blood pressure should restrict their sodium intake to 1,500 milligrams a day, according to the U.S. Centers for Disease Control and Prevention.

Excess Fiber
Getting enough fiber is good for you, but too much can complicate your hypothyroidism treatment. Guidelines currently recommend that older adults take in 20 to 35 grams of fiber a day. Amounts of dietary fiber from whole grains, vegetables, fruits, beans, and legumes that go above that level affect your digestive system and can interfere with absorption of thyroid hormone replacement drugs. If you're on a high-fiber diet, ask your doctor if you need a higher dose of thyroid medication. Your maintenance dose may need to be increased if you aren't absorbing enough medication.

Coffee
Caffeine has been found to block absorption of thyroid hormone replacement, Lee says. "People who were taking their thyroid medication with their morning coffee had uncontrollable thyroid levels, and we couldn't figure it out," she says. "I now have to be very careful to tell people, 'Only take your medication with water.'" You should wait at least 30 minutes after taking your medication before having a cup of joe.

Alcohol
Alcohol consumption can wreak havoc on both thyroid hormone levels in the body and the ability of the thyroid to produce hormone. Alcohol appears to have a toxic effect on the thyroid gland and suppresses the ability of the body to use thyroid hormone. Ideally, people with hypothyroidism should cut out alcohol completely or drink in careful moderation.

3 people found this helpful

Diabetics can eat fruits? Some nutrition's suggests for using of fruits in regular basis but doctors are restricting for intake of fruits, please guide me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Avoid Banana. Chikoo. Dates. Mango etc. You can take Apple. Mousmi. Papaya. Guava. Orange etc You can take foods with low Glycemic Index (GI) and avoid high GI foods.
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What is the diabetes type of diabetes mellites and characters of the diabetes mellites.

MBBS
General Physician, Cuttack
There are 2 types of Diabetes mellitus. In Type 1 Diabetes, Insulin is not secreted by the pancreas, hence it is known as insulin dependenent Diabetes and in Type 2 Insulin is secreted by blood but is not effective in reducing blood sugar and hence it is known as Non insulin dependent Diabetes mellius. The symptoms in both type are same Excessive Thirst Frequency of urination especially in night Excessive Hunger Fatigue Blurring Of Vision Sores or cuts that won’t heal Prevention 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
3 people found this helpful
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How anyone can control his sugar and also what is the comparison about diabetics malitous and incipitious?

MBBS, cc USG
General Physician, Gurgaon
Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available consult Diabetologist for further management Diabetes insipidus (DI) is a rare disease that causes frequent urination and excessive thirst. DI is not related to diabetes mellitus (DM) Diabetes mellitus is characterized by high levels of sugar in the blood
1 person found this helpful
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I have detected high prolactin level of 20.2 ng/mL where normal was 18.6 ng/mL will it affect my fertility.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
You have slightly higher level. It should not cause much trouble. Adopt a healthy lifestyle, workout daily.
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Sir, I am a diabetic patients and my sugar level very high. How I control my sugar level? Advice me.

MBBS, MD - Medicine
General Physician, Delhi
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.
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I am a patient of thyroid now I have a serious problem of hair fall when I apply any oil it cause lose of hairs what should I do?

Trichologist
Dermatologist, Mumbai
Thyroid itself is the cause. It triggers the hair fall as well as it is the reason even for thinning. In this disorder it is must to check the scalp and then treat it. Consult trichologist.
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I am 31 old male and I am a thyroid patient, I used thyronorm 100 mg. Tab. Daily in empty stomach and take breakfast after half an hour. Recently I checked TSH and report is 8.22, where normal range is 4.92. So please suggest me how can I do in this situation and how to control it by medicine and diet chart.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, when on treatment with thyroxine, you should aim at getting tsh levels between 3 to 4 milli units / l. Then only good control is achieved and all symptoms are in check. Tsh 8.22 milli units/l means present dose is not enough. It needs an increase. Initially itself dose should have been a bit more than what you have been advised. Diet does not help in reducing tsh. I am sure you are already avoiding soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Plus consume more of green leafy vegetables, salads and fruits. Use whole grain flour for chapati and roti. Avoid refined flour like maida and items made of that. Plus you will have to continue exercising daily for 1 hour. Thanks for the question.
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Hi I have thyroid problem, yesterday done my thyroid test. I got value is more than 150. So I was shocked and I am planning for pregnancy due to that I am using medicines and injection beta hcg 10000. After taking that injection I went for thyroid test. So what should I do now. Is there any problem.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
First of all, get this test repeated from a different laboratory of good reputation. It may be that this test report may have varied result. Secondly, if your report is this high then your medicine dose need to be adjusted as soon as possible. In this regard, I would further advice to get tested asap and follow up on Lybrate.
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I am 49 m. Thyroid + cholesterol. Dr. Advised for 37.5 mg thyronorm + 20 mg atrovastatin daily. I wanted to have some ayurvedic medicine. Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
How far ayurveda can help is doubtful and you may taking risk. Howeverr you have to check regularly and make sure you get good control.See the ayurveda line of treating,but you have to very careful before stopping allopathy and completely changing to this. Any further doubts in health, can be asked privately. Following are the Ayurvedic measures to control and maintain optimum cholesterol levels: Drink 6 to 8 glasses of water daily. Start your day with fresh fruits and grains such as oats that are high in soluble fiber. Minimize consumption of animal products including dairy products. This is because animal foods are high in saturated fatty acids and dietary cholesterol. Consume fish viz salmon, sardine and tuna as well as oysters, clams and mussels. These help lower LDL and improve HDL. Restrict consumption of Omega-6 rich oils such as corn oil and safflower oil. Instead, use olive oil, sesame oil and rapeseed oil that have ‘good fat’. Eat a lot of anti-oxidant foods such as strawberries, apples, nuts, carrots, broccoli and spinach. Use turmeric and curry leaves when cooking dishes. They have cholesterol lowering properties. Ayurvedic remedies to fight cholesterol: 1. Boil water with 2 tsp coriander seed. Strain and drink this water twice daily. It helps reduce cholesterol, flushes out toxins, and improves digestion. 2. Guggulu (Commiphora mukul) is effective in lowering cholesterol. Buy it from any reputed Ayurvedic store and use it as per instructions on the container. 3. Grill 1 or 2 small cloves of garlic and take it daily with your main meal. 4. Take 1 to 2 capsules per day of Arjun (Terminalia arjuna) extract available in a capsule form. Arjun is rich in co-enzyme Q-10 (CoQ10) that helps lower LDL cholesterol and enhances HDL recovery. Keep in personal touch.
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I have taken up a preventive test and few items are inbred, please help interpret the report Cardiac Risk Makers:- apolipoprotein -A1 (APO-A1)-97mg/DL apolipoprotein -B (APO-A1)-97mg/DL High Sensitivity C Reactive Protein (hs-CRP)- 8.81mg/L APO B/APO A1 Ratio: 1 Liver apart amino transferase (SGOT)-38.5U/l Alanine Transaminase (SGPT)-52.7U/l Please note I have diabetes 2 and its avg of 140 I am on no medication from past 1 year.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Liver enzymes are normal, c reactive protein is high -it can be due to infection/inflammation anywhere in the body, need not be due to heart or only due to heart in absence of specific symptoms of other organs, apo-1 is normal it is a fat+protein combo in blood that is water soluble and keeps circulating in the blood, in a way it reflects the good cholesterol which should be at a higher level to prevent blockages in the blood vessels, apo-b is very high -means it is a precursor of bad cholesterol in the blood that is responsible for blockages and plaque formation. Your dm-2 is under control with medication. You have to bring down apo-b by cutting down bad fats like transfats, oily food, etc which I am sure you are doing to control your dm. By increasing good cholesterol precursors like apo-1 & other apos except b (remember b for bad) your chances of getting bad fats on higher levels will get reduced. Take water with a spoon of honey (allowed for dm) with juice of a lemon every morning on empty stomach -it does burn bad fats, eat a spoon of good fats like desighee/ butter + a katori of assorted nuts every day (allowed for dm) cut down extra carbs in place of good calories gained.
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How many types of diabetes in our body what is the medicine for diabetes patient.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, commonly seen diabetes are of two types: t1 dm due to total absence of insulin, where the treatment is only insulin injection for lifetime. T2 dm where there is lack of insulin or resistance to its action or both. This is the most prevalent form this can be treated by oraldrugs and or insulin or both.
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Dear sir, I have a problem of having ejaculating very early. I think I have very sensitivity at private parts. I have tried to have my control but I can't control more than a minute. I also am aroused very quickly. I also have high uric acid. Is it a reason for quick release? please help.

Sexologist, Jodhpur
Pe is common problem and can be cured with proper guidance and ayurvedic medicines. Consult in private for detailed discussion.
6 people found this helpful

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Actually, there's no specific hypothyroidism diet.

Your diet has to be well balanced with fruits, vegetables, whole grains, dairy, nuts etc. Your hormonal vibrancy is improved only if your diet is balanced and not lacking in essential nutrients.
Crash dieting or diet fads will only further lower your metabolism and help further fat gain and hormonal imbalance.

If you have hypothyroidism, take thyroid hormone medication as directed by your physician — generally with an empty stomach. The reason being that too much dietary fiber, food supplements and other medications and some foods can impair the absorption of synthetic thyroid hormone.

Avoid taking your thyroid hormone at the same time as:

Walnuts, Soybean flour, iron or calcium rich foods and supplements or multivitamins, antacids, some ulcer medications and cholesterol-lowering drugs.

To avoid potential interactions, eat these foods or use these products an hour before or after you take your thyroid medication.

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In right hand there is sensation almost at every night & lot of pain dr says it is due to inflamation ,diabetic patient ,65 year age suggest medicine.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
You have Diabetic neuropathy. Control diabetes by controlling diet/exercise and medication you are taking. Control Blood sugar by checking HBA1C ,keep around 6.6 mmol/L. Take nutritional supplements like vitamin B complex and keep an eye on your Lipid level also and BP/CAD/ TIA?if any. Check for Chronic Disease management.
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