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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
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Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
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I have uric acid at 9 and after taking medicine of zurig 40 mg it came down to 4.3, now doctor advised to take the medicine further 3 months. I presently using I have uric acid at 9 and after taking medicine of zurig 40 mg it came down to 4.3, now doctor advised to take the medicine further 3 months. I presently using some ayurvedic tablets of Shilajit at safe musli. Shall I take both medicine or not? Some ayurvedic tablets of Shilajit at safe musli. Shall I take both medicine or not?
Lybrate - Dr. Anirban Biswas talks about Thyroid Problems
Hello friends, I am Dr. Anirban Biswas. I am practicing diabetologist in Fortis C-Doc Hospital in New Delhi.
Today I am going to discuss with you about thyroid disease as you know thyroid disease is very common these days and most of the patients when they check their TSH is high, doctors suddenly declare that they have hypothyroidism. Now basically you have to understand what is thyroid disease? Thyroid is a disease which is a cause of a poor functioning of thyroid glands. It is a butterfly shaped organ which is located in our throat, basic function of a thyroid gland is to produce thyroid hormone and when thyroid hormone is deficient it is known as hypothyroidism. Basically the T4 and T3 are the active thyroid hormones.
TSH is a thyroid stimulating hormones which is not secreted by the thyroid gland but it is secreted by the pituitary gland. In response to the lesser secretion of thyroid, it is a feedback mechanism which is developed in our body. So whenever a patient has hypothyroidism, T3 and T4 levels are low or normal. TSH is high and it is compensating for the lack of the thyroid hormones. So this stage is known as sub-clinical hypothyroidism. And the symptoms of sub-clinical hypothyroidism is that patients may have sudden weight gain, patient may feel weak, lethargic, dryness of skin, patients may have other difficulty in managing their memory, routine activities, issues with their sexual and hormonal problems as well, heat and cold intolerance may also be there. So all these things are very common with thyroid patients, most of the patients come with the problem of weight and usually thyroid patients improve after substituting the thyroid hormone which is in the form of tablets.
Now a days, once a weekly tablets are also available for thyroid. Many of the doctors and patients don’t know but I have started once weekly which has a very good response and better come plans and I recommend the patients to take once weekly. Management of thyroid is easy but dose has to be titrated with frequent checkup of the thyroid function. And I am organizing thyroid checkup camps in my clinic on regular basis. The other problem of thyroid is hyperthyroidism which is the reverse of the hypothyroidism and in this, thyroid gland secretes the excessive thyroid hormone which causes the reverse action like weight loss, increases basal metabolism rate, eyes may start to protrude. These are the symptoms of hyperthyroidism. For this also, treatment is available.
Other things we should be careful about is that if we are having thyroid problem then we should avoid having too much of soya product and few vegetables like cabbage, cauliflower and broccoli and we should take our medicine regularly.
If you have any queries regarding thyroid, you can please contact me through Lybrate.
Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.
The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:
- Severe, uncontrolled diabetes
- Family history
- Prior kidney disease, even chronic infection
- Race or ethnicity (native Americans, African Americans, etc.)
- Preexisting hypertension or high cholesterol levels
If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.
There would be no symptoms in the initial stages
- If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
- There could be swelling of the feet and ankles
- Urine tests may indicate increased levels of protein in the body (serum albumin in particular)
The idea is to arrest or stop damage to the kidneys.
- Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
- Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
- Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
- Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
- Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
- Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
- If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
- Maintain weight under optimal levels. If you wish to discuss any specific problem, you can consult an endocrinologist.
As soon as I got up my sugar level will be more ie 112, 107, 110 like that after some time it will be less than that like 100 ,102 r 104, is it prediabetes? I am worried or else it's normal? I left taking rice in my daily routine, no tea no coffee. Only millets & oats that's all I am having. I really worried a lot. After food it's shows normal ie 135, 128 r 120.
I am 40 years old l have sugar and bp. I get 1 year sugar leave bp for 15 years I want normal personality what l should do now please tell me.
Please doctors sir I am diabetes and his percentage 115 after breakfast please suggest me any domestic treatment and all treatments.
I have thyroid problem. I want to conceive. I am working lady. I get fully exhausted by evening. I have no energy left for intercourse. The same routine exist every day. Please help. How should I go.
Sir, My father's blood sugar level is 210 in P.P. He is getting tablet Glycomet GP 2 Fort before taking meal at 10.00 clock, but level is continuing within 190 to 210. I think medicine is duplicate. Please advice me for further course of action and also diet chart. Thanking you.
I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under control. Lately I am developing cramps in my hand finger tips which aggravated in sleeping position. What is this problem called and how can this be treated.
My wife has higher fbs ie 110 to 131. Her ppbs is about 123 to 145. She had this problem for 10 yrs but now Dr has told her to take Glycomat GP 0.5 but fbd is still high. Kindly suggest remedy
While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.
Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.
- Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
- Tests for women:
- Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
- Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
- Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
- Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
- Tests for men
- Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man’s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
- Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing. If you wish to discuss about any specific problem, you can consult a gynaecologist.