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Dr. Mala Natrayan

Endocrinologist, Chennai

500 at clinic
Dr. Mala Natrayan Endocrinologist, Chennai
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Mala Natrayan
Dr. Mala Natrayan is a trusted Endocrinologist in Alwarpet, Chennai. She is currently associated with Dr. Mala Natrayan@Girishwari Hospital in Alwarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mala Natrayan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 29 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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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
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I am 32 years old and since 2009 I was suffering from leg pain and was diagnosed as sciatic pain initially and was using some pain killers and anti biotic. The problem was resolved, but again in 2012 it repeated and doctors suggested to go for MRI scan and noticed that L5 disk bulge is there and suggested to take rest for one month (bed rest) and the problem was solved. But again in 2014 same problem occurred. This time it was ok with yoga course. But whereas, one doctor suggested to take complete health check up and he identified with the results that due to diabetes I was suffering all these days. Now blood sugar levels are 130 (fasting) and 200 pp.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am 32 years old and since 2009 I was suffering from leg pain and was diagnosed as sciatic pain initially and was us...
Your problem seems to be due to the disc bulge that you mentioned. Its unlikely that diabetes would cause a typical scaitica pain which is one sided since so long. However your levels of blood sugar currently warrant treatment. If left untreated, it can aggravate your nerve problems.
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I am 46 years old male n m a diabetic patient type 2 n taking gluconorm g2 forte n now hav been diagnosed wit lungs tb n taking tab akurit 4 n tab benadon 40 mg, so my question is will I b able to take ime-9 tab along wit diabetic medicine n tb medicine.

MBBS, DNB (Respiratory Diseases)
Pulmonologist, Mumbai
I am 46 years old male n m a diabetic patient type 2 n taking gluconorm g2 forte n now hav been diagnosed wit lungs t...
Hi lybrate-user ime-9 is a costly supplement with unproven benefits. If you can afford to put in money on such supplement without getting an assured benefit please go ahead but consult a doctor whether these tablets have a side effect on liver. I am a TB expert but don't know anything about ayurveda, I will not recommend it to anyone under any circumstances. Regards.
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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 a female 49 years old. My pressure is always 140/80 -180/90. I was given to understand that my pressure is due to my thyroid (Hypothyroid). My right hand fingers except the little finger is numb and cramped. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a female 49 years old. My pressure is always 140/80 -180/90. I was given to understand that my pressure is due t...
Agnesji, I am not aware if hypothyroidism increases blood pressure. Your blood pressure particularly systolic seems to be varying quite a bit, it is not good. Appropriate medication should settle it. Ideally on treatment bp should 130 / 80 mm hg, altering present drugs or adding some new compound should be able to help in reducing the systolic pressure. You also control hypothyroidism effectively (maintaining tsh between 3 to 4 milli units/ml). That will help in over all well being.
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Female Infertility - When Should You Actually Worry?

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
Female Infertility - When Should You Actually Worry?

Trying to get pregnant can go either ways for most couples that is it can be a breeze, or it can be a difficult process that ends up with lots of fertility clinic visits. While in some cases, the reasons for not being able to conceive may come down to male infertility, there are many cases where the reason may be female infertility too. In many other cases, both male and female infertility may be the cause.

Let us discuss female infertility in more details here.
When can it be called Infertility?

When a couple is not being able to conceive even after trying for a period of over a year, then a case can be made in favour of infertility. Infertility can result from females in at least one third of the cases, as per various medical studies. While the actual cause may be difficult to diagnose, there are many available treatments that one can use in order to fix the underlying issues.

When to Start Worrying? 

Female infertility comes with many symptoms, while the main symptom may be the inability to conceive, the other symptoms include excessively long menstrual cycles that show signs of slowing down only after 35 days or so, or even cycles that are too short where they appear within 21 days. Irregular and absent periods can point at the lack of ovulation which is the main sign of infertility. Other than that, there are no outward signs of infertility as such apart from pelvic pain and cramping or heavy bleeding during periods. If you are 30 years of age, or younger, then you may want to see a doctor regarding irregular and absent periods, or the lack of conception even after trying for a year. Also, if you are between 35 and 40 years of age, you can discuss the inability to conceive with your doctor, after efforts for six months. If you have been trying to conceive and you are over 40 years of age, then the doctor will put you through tests on an immediate basis.

The Requirements for Conception? 

In order to conceive, you will need to ovulate on a normal basis and have regular menstrual cycles as well as intercourse. Also, your fallopian tubes and uterus must be in normal working condition without any infections and other conditions.

Causes

There may be many causes for female infertility including ovarian faults like polycystic ovary syndrome (PCOS), hypothalamic dysfunction, premature ovarian insufficiency and excessive prolactin in the ovaries. Also, pelvic inflammation disorders that lead to damage of the fallopian tubes and other uterus related issues like endometriosis can lead to female infertility. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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I am 55years old male having diabetes Fasting blood sugar level 130-180 n Hba1c level of 6.3. I take semi glynase 2mg before meals both morning n evening but some time sugar level drops to 70 n gives me lot of problems. Other parameters which are not in range in my recent blood report areTC/Hdl cholesterol ratio 5.1Vldl cholesterol 42.74Thyroid stimulating hormones TSH 8.6625-OH vitamin D 5.83.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 55years old male having diabetes Fasting blood sugar level 130-180 n Hba1c level of 6.3. I take semi glynase 2mg...
Mr. M s sodhi, you have mentioned fasting sugar level as 130 - 180 mg, which appears pretty high. What is the recent pp level? hba1c% looks good. When does the sugar level go down is there a specific pattern or time of the day? your lipid profile details are not given fully. Important ones are total cholesterol, hdl, ldl and triglyceride, you have not mentioned those. Tsh level is also high, it should be below 5 mill units / ml. Are you taking any medications for hypothyroidism and dyslipidemia? plus also let me know your dietary pattern and extent of daily exercise. It will be better if you come in a private conversation with all the details, where I can give specific suggestions.
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Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I also have motion problem. Can you suggest me what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I als...
Mr. P lybrate-user, Thanks for the query. It is not clear what you are actually referring to by saying. When I am trying to sleep my nerves in head are beating and unable to sleep" Because nerves do not beat. What you saying may be related to some feeling of pulsation. This kind of a feeling may be there if your BP is high. Please tell me if you have hypertension and are you on treatment for that? If yes, what is the BP level now and the drugs with dosage. About the "motion problem" Due to diabetes some times there may be constipation as well as loose motions on some occasion. Please see that you take enough liquids every day. Plus consume a good deal of green leafy vegetables, salads and fruits (permitted. Ones, 100 g a day) that to with well controlled blood glucose. Ideally when in control fasting glucose should be <100 mg, PP 160 to 180 mg & HbA1c% <7. For reducing constipation drink a glass of hot water every morning after you are up in the morning. That will help in clear motion. Thanks.
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I am a 23 year old feeding mother and suffering from thyroid. Is it necessary to stop feeding.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Thyroid problems are not contraindications for feeding. You can continue feeding but some medicines are not advised in lactating mothers.
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Hello, sir/madam I'm diabetes patience, I checkup with so many doctor. But its not controlling. So, please give me some suggestions.

ditetics & food service management
Dietitian/Nutritionist, Indore
Hello, sir/madam
I'm diabetes patience, I checkup with so many doctor. But its not controlling. So, please give me so...
Hello Mr. Lybrate-user, 1:- avoid some fruits (mango, sapota, berry, sitaphal, banana) because there glycemic index is very high. 2:- avoid rice because high amount of starch. 3:-avoid sugar & sugar product. 4:-take multi grain flour chapati. Because of high amount of fibers. 5;- use seasonal vegetable and fruits. (fruits -more than 200g per day) 6:-choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. 7:-keep eating habits consistent. 8:-have a cup of green tea in place of milk tea 9:-drink water to save calories and stay hydrated. 10:-exercise to boost energy & improve sleep 11:-don't skip meal. All the best.
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I am 64 years old. A diabetic for more than 10 yrs, but under control with medicines. Latest HBA1C is 6.3During the last two months, I feel pain in myright hand -between shoulder and knee- and also in the shoulder whenever I lift the hand or turn it. With muscle relaxant tablets and/or with ointment massage (moov or Himami) I get relief considerably. But the discomfort returns from time to time. Can you kindly advice on further course?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I am 64 years old. A diabetic for more than 10 yrs, but under control with medicines. Latest HBA1C is 6.3During the l...
Proper shoulder and knee exercise and vitd3 and calcium and vit. B12 means green vegetables salad and fruits. You will get benefit definetely.
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I have diabetic and high bp problem but I have been doing regular exercise in the gym along with weight lifting. Can I have the roasted or gravy chicken whether it is beneficial for me please guide me or provide the suitable alternate if any. My age is approx 41 years old.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I have diabetic and high bp problem but I have been doing regular exercise in the gym along with weight lifting. Can ...
You can take roasted chicken and fish. No fried things. Control your diabetes and blood pressure. Please.
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3 Causes Of Infertility In Women!

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
3 Causes Of Infertility In Women!

The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full-term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.

Treatment of infertility depends on:

  1. Cause of Infertility
  2. Duration of Infertility
  3. Age of both partners
  4. Personal preferences

Causes:
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following

2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:

3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy. Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments. In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:

  1. Medications
  2. Surgery
  3. Change in lifestyle
  4. Sperm retrieval

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI)
  2. Stimulation of ovulation with fertility drugs
  3. Surgery to restore fertility

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:

  1. Intracytoplasmic sperm injection (ICSI)
  2. Assisted hatching
  3. Donor eggs or sperm
  4. Gestational carrier

Some complications that may occur during the treatment of infertility are:

  1. Multiple pregnancy
  2. Ovarian hyperstimulation syndrome (OHSS)

    If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

My sugar is 209 p. P & 126 fasting I am taking zeta 100mg daily, my b. P. Always fluctuing some time 80/140, 90/155 and 110/155 I am taking olmezest 10 mg please Give advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
It appears your bp &diabetes both are not in control. To control sugar add tab k glimpses m 1 once before break fast and for bp add mode 5 mg once a day. Then check your sugar and bp after a wee.
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I have thyroid. My tsh is 9.5. I cant take thyroxin medicine as whenever I take it I feel sick. Can you suggest me with a better option? thankyou

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have thyroid. My tsh is 9.5. I cant take thyroxin medicine as whenever I take it I feel sick. Can you suggest me wi...
In hypothyroidism:-- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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I am 32 suffering from lower back pain nd joint pain. Uric acid is 7.9. What medicine will I take?

MBBS
General Physician, Cuttack
I am 32 suffering from lower back pain nd joint pain. Uric acid is 7.9. What medicine will I take?
your uric acid level is high. It should be less than 7. Follow the advice given below 1. Avoid protein rich diets like mutton, egg, fish,sea food(sardines)/prawn 2.Avoid pulses,, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water(8-10 glass) daily 5. Avoid caffeinated drinks, excess sweets cakes/cookies 6.Reduce weight if overweight 7. Take medicine after consulting physician
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Hi my tsh level is 2.77. But i'm still having symptoms of thoriod like fatigue, rough hair, pimples on my face. What should I do?

DM - Endocrinology
Endocrinologist, Hyderabad
with normal TSH one thing which is clear is that. this symptom r not due to thyroid problem. plz see ur doctor for this symptom
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I am 32 year old male and have sugar more for the last 6 months. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 32 year old male and have sugar more for the last 6 months. What should I do?
If you have been diagnosed of having diabetes, then proper treatment has to be initiated with either oral antidiabetes drugs or insulin depending on sugar levels. In addition a changed life style has to be adapted like - regular exercise every day for more than 1 h, avoiding sweets, direct sugar, deep fried foods, fruits like mango, chikoo, grapes and bananas and also avoid smoking & alcohol. Plus maintain weight near normal (ideal body weight = height in cms - 100 x 0.9 = ibw kg). Waist line should be 85 cms.
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What are the general symptoms of type 1 diabetes and what are the methods to detect the symptoms at home?

MD - General Medicine, MBBS
General Physician, Karimnagar
What are the general symptoms of type 1 diabetes and what are the methods to detect the symptoms at home?
Hello lybrate user, type 1 diabetes usually symptoms begin as polyuria, polydispsia and polyphagia with associated weight loss in a young person 15-20 yrs. Any intercurrent illness may precipitate diabetic ketoacidosis during which they develop severe abdominal pain, vomitings. Most of the people come for evaluation of weight loss.
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MY father has diabetes and he is in hospital Bcz of paralysis attack. So kindly advise me for liquid food and paralysis exercise and recovery.

B.Sc.- Dietitics / Nutrition, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
MY father has diabetes and he is in hospital Bcz of paralysis attack. So kindly advise me for liquid food and paralys...
Hi, liquid foods can be boiled dal water, rice kanji, boiled black chana water, clear soup, kichidi ground in a mixi with buttermilk, coconut water, diluted fruit juices. For exercise advise I will recommend you to consult a physiotherapist.
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