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Dr. Natrajan

Endocrinologist, Chennai

300 at clinic
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Dr. Natrajan Endocrinologist, Chennai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Natrajan
Dr. Natrajan is one of the best Endocrinologists in Anna Nagar, Chennai. You can meet Dr. Natrajan personally at A Natarajan Clinic in Anna Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Natrajan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 42 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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A Natarajan Clinic

#272, 58/B,5th Avenue, Anna Nagar,Landmark: Next to Hotel Saravanabava,Anna nagar, ChennaiChennai Get Directions
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I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opinion to know about the medicines and other general advice.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opi...
Pls message your questions about medicines for diabetes and other general information. Will be glad to answer your questions.
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I'm 30 years, female. I have history of hypothyroidism. Lately I have started having pain in my knees, ankles, lower back, neck, groin. I got MRI done, thankfully nothing specific showed up. I'm taking calcium daily. Can you suggest something to change in my diet or some specific tests to be undertaken for any future precaution. I'm married but no kids yet.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm 30 years, female. I have history of hypothyroidism. Lately I have started having pain in my knees, ankles, lower ...
Good to know that reports are normal and you are taking calcium supplements. Get an ultrasound abdomen. You will get more information about your gyne and liver and kidneys etc. With thyronorm, the basic metabolic rate increases, means your body is working more even when you are sitting, it's as if you are running and consuming more of your own resources. Take high protein, high calcium diet like toned milk and curds and boiled eggs plus proteins supplements plus seasonal vegetables and fruits plus eating according to constitution. Take more water as a routine. If joints hurt you but reports are normal, use less of ýour lower limbs. Remember our ancestors are monkeys who use all the 4 limbs but we humans use only 2 our legs, specially within kitchen also standing for hours without realising the load. No additional pain killers are suggested. Get massage to improve circulation of joints, any good oil will do plus hot fomentation with a heating pad.
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Infertility - Is it only a Problem for Women?

Fellowship and Diploma in Laparoscopic Surgery, FOGSI Advanced Infertility Training, Royal College of Obstetricians and Gynaecologists (MRCOG), MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Infertility - Is it only a Problem for Women?

Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.

Is infertility a common issue?
Infertility has become a common problem for the new age women. Sedentary lifestyle and stress are believed to hamper the fertility of women nowadays. According to a report, about 6 percent women in US in the age group 15-44 years are infertile.

Infertility: It’s not just a woman’s problem
Infertility is not an issue with only women. Both, men and women can be infertile or are responsible for the condition. The process of reproduction requires mutual co-operation from both sexes. Therefore, they can together contribute towards infertility as well. It is wrong to blame the woman only. According to the 2002 National Survey of Family Growth data, it has been found that about 7.5 % men in the age group of 18-45 years (who have has sexual exposure) visited infertility clinics at least once in their lifetime. Of these men, about 18% were affected with male-related infertility issues.

Infertility in men: Men can suffer from infertility due to various factors. The infertility can be detected by analysis of the semen. A doctor can evaluate the concentration of the semen or determine the sperm count, the mobility of the sperm and its shape or morphology. These are important for fertility. Semen analysis can be hampered due to the following conditions:
1. Varioceles - The veins on the man’s testicles are unnaturally large and leads to overheating of the sperms
2. Diseases like diabetes, cystic fibrosis, trauma and infection.
3. Unhealthy lifestyle
4. Environmental toxins

Infertility in women: Women must have proper functioning of the reproductive organs to become fertile. The fallopian tubes, ovaries and uterus must be physically and physiologically fit for getting pregnant. A woman may get infertile due to following reasons:
1. Irregular periods that suggests the woman is not ovulating properly.
2. Polycystic ovary syndrome (PCOS)
3. Functional hypothalamic amenorrhea (FHA) or excessive physical or emotional stress causing missed periods
4. Diminished ovarian reserve (DOR) or inability of the ovary to produce sufficient eggs
5. Premature ovarian insufficiency: The ovary stops functioning properly before 40 years of age
6. Blocked, swollen or open fallopian tubes
7. Menopause 

If you wish to discuss about any specific problem, you can consult a gynaecologist.

3984 people found this helpful

Hi. My mum has her sugar levels high. 382mg/dl and sr. Creatinine as 1.7 mg/dl. Could you please tell me is this serious. And what is the next step. And how do we treat this!

MBBS
General Physician, Mumbai
Hi. My mum has her sugar levels high. 382mg/dl and sr. Creatinine as 1.7 mg/dl. Could you please tell me is this seri...
For your mom we need to control your sugar levels and treat her symptomatically and her creatnine level should go down.
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I am sugar patient. I want good medicine for sugar. Which type of food good for me?

CDIABT, MBBS
Endocrinologist, Mumbai
I am sugar patient. I want good medicine for sugar. Which type of food good for me?
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.
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If fasting sugar between 70 to 110 is considered as normal .then why lab test mentioned 70 to 100 as normal category and 101 to 125 as prediabetes and 125 and above as confirmed diabetic. .kindly revert n confirmed what is correct version.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If fasting sugar between 70 to 110 is considered as normal .then why lab test mentioned 70 to 100 as normal category ...
Hello, Thanks for the query. Blood glucose 70 to 110 mg is considered as normal level. However some guidelines recently have mentioned that glucose above 100 mg that is 101 to 125 mg (some other guidelines consider 108 to 125 mg) as pre-diabetes. All the guidelines state fasting > 126 mg and above as diabetes. We consider 108 mg to 125 mg as prediabetes and PP 141 to 199 mg as pre-diabetes. Those variations are minor. Thanks.
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I have thyroid from last 5 years and its fluctuating. Last June 2017 I checked it was normal 3.55 and taking 100 mcg thyronorm. Due to irregular period, I checked again its 6.88 now. Do I need to increase dosage? I regularly do 40-45 mins exercise on treadmill and few yogasanas for 30 mints. My weight is 55. 8 kg and height 5.1 ft.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have thyroid from last 5 years and its fluctuating. Last June 2017 I checked it was normal 3.55 and taking 100 mcg ...
Hello, Thanks for the query. When on treatment with adequate dose of levothyroxine TSH is maintained around 3 to 4 mU/L, at that level all the symptoms of hypothyroidism are well in check. When levels go up (6.88 mU/L), most of the symptoms may return. So it is essential to maintain TSH as mentioned above. Hence, you may have to increase the dose by 12.5 mcg per day. Then check TSH again after 6 weeks. As regards your weight and height, both are fine, as your BMI is 23.25 kgs/M2.(normal < 23 kgs/M2) Thanks.
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I got Fish oil capsules from US. My husband age 50, suffering with blood pressure and diabetes but still control with medicines. Shall he use this capsules? Have any benefits for health?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I got Fish oil capsules from US. My husband age 50, suffering with blood pressure and diabetes but still control with...
Hello, Thanks for the query. Fish oil capsules contain omega 3 fatty acids which are having multiple benefits. Following lines will explain "Two of the most important omega-3 fatty acids contained in fish oil are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA. Fish oil is FDA approved to lower triglycerides levels, but it is also used for many other conditions. It is most often used for conditions related to the heart and blood system" So the capsules can be used by him. But it is essential that he achieves a strict glucose control. Thanks.
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How Diabetes Can Affect Vision

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Can Affect Vision

Diabetes is the condition where the blood glucose levels in your body tend to be quite high and can have an adverse effect on many of the organs in your body. The eyes are no exception and can be quite adversely affected by diabetes as well.

Let's look at the various problems you could face if you have diabetes:

1. Blurry vision: Diabetes can cause the lens in the eye to swell and this will affect the way you see. Because of the increased lens size, the eyes have difficulty in focusing on objects resulting in blurry vision. You will have to get your blood sugar levels back to normal and only then the vision will begin to correct itself. This will however take time to happen.

2. Cataract: Blurry vision for an extended period of time which progressively gets worse can be a symptom of cataract. Although cataracts can develop even with normal patients, they tend to accelerate and happen earlier in adults who have diabetes. Cataracts are usually fixed with surgery where the natural lens is removed and replaced with an artificial lens.

3. Diabetic retinopathy: Diabetic Retinopathy and Retinal Detachment are one of the leading causes of blindness in adults who suffer from diabetes. The retina is a very important part of the eye which allows us to see the images by capturing light and then sending them to the brain via the optical nerve. With diabetic retinopathy the smaller blood vessels in your retina may get damaged and thus end up causing damage to your vision. This can be of three types:

  1. Proliferative Retinopathy: In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye , and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels.
  2. Background Retinopathy: Background or nonproliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. With this condition, damaged blood vessels in the retina begin to leak extra fluid and small amounts of blood into the eye.
  3. Maculopathy: The macula is the central area of your retina. It is responsible for all your sharp vision, such as used for watching TV or reading. It can become damaged in diabetes, with leaks developing (oedema).

4. Glaucoma: This is a condition where fluids build up inside the eye and it results in the pressure within it building up. This may damage the blood vessels within the eye and cause vision changes. Problems within the eye may not be detected till you experience vision loss. Some of the symptoms of glaucoma may include:

  1. Blurry vision
  2. Watering from Eyes
  3. Difficulty in vision
  4. Pain in the eyes
  5. Lights appear to have halos
  6. Headaches

Treatments: Blurry vision also tends to go away slowly once the level of blood glucose is controlled either via medicines or by diet changes. However, glaucoma or diabetic retinopathy may require a range of medicines to ease the pressure on the eye or to discharge fluid buildup. If none of these works, then relevant surgery may be required to resolve the problems.

4917 people found this helpful

Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becomes very difficult for her to get up yesterday I got her sugar and uric acid reports what I am sending you in picture please tell me that does her these reports and pain in joints has any concern.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becom...
Lybrate-user, madam, looking at her height and weight it is clear that she has (bmi 51.94kg/m2) morbid obesity, which is the main reason for her problems with joints and joint pain. Unless the weight is reduced joint pain will not go away. She may have to look the option of bariatric surgery, which can help in reduction weight.
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Hi doctor I am 40 year old and I have diabetes from last 2 years. My sugar lavel becoming change up and down. Initially this was 370. And now 130 to 200. And as per my doctor my medicine is gimmer fort 3ds. But my other diagnosis are normal like cholesterol etc. Please advise how I can make my sugar level control.

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Please take a herbal medicine nutridiabe - 1 tablet a day. Check your bloodsugar weekly basis to adjust dosage. Nutridiabe is totally herbal medicine and very good for diabetics. Nutridiabe is totally herbal medicine and safe. For detailed discussion/suggestions about your blood sugar control, please send details privately. Thanks.
1 person found this helpful
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I am a diabetic since last 17 years but lately my PP after breakfast is going un controlled. I take lipaglyn, Amaryl 1 mg. MET, before breakfast and 18u of actrapid. My sugar level is between 270 and 350 mg. I take 2 spoons of Oats with milk in the morning as breakfast and one cup green tea early in the morning after medicines. The fasting sugar is 140 to160. Can anyone guide me the reason. The Lunch and dinner pp levels are below 200.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
I am a diabetic since last 17 years but lately my PP after breakfast is going un controlled. I take lipaglyn, Amaryl ...
hello balan , u should start walk daily. take high fiber diet, include salad , apple,butter milk.take milk oats, milk cornflakes without sugar in breakfast .take milk porridge ,green veg.have small and frequent meals. u should take meals in fix time . don't skip ur breakfast and meals.
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I M diabetic since 12 years I have heart problem as well I am on insulin once a day I take angispan 2.5 and ramistar, tonact and clopitab a75 I am having sexual problems like stiffness and ejaculation as I am taking heart tablets what type of tablets I can take to improve my sexual problems.

BAMS, MD Ayurveda
Sexologist, Lonavala
I M diabetic since 12 years I have heart problem as well I am on insulin once a day I take angispan 2.5 and ramistar,...
i m recommending you an following remedy which will surely help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day this is very helpful, if it dosent work then you must consult ayurvedic doctor.
1 person found this helpful
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I am 55 years old I am a diabetes (@) patient since 7 years. Any advice to cure diabetes (2)

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 55 years old I am a diabetes (@) patient since 7 years. Any advice to cure diabetes (2)
Diabetes is a disease which remains for life time. There is no cure, only control is possible by taking regualr treatment either with oral anti diabetic drugs or with insulin injections. Apart from taking drugs one has to exercise for at least 1 h a day and eat restricted diet avoiding sweets and deep fried foods. Plus consume good amount of green salads.
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Hi I am a vegetarian, over the last 8 years post my daughters delivery I have gained 8 kilos, which I am unable to spread. I am a thyroid patient as well. Please suggest what should I do.

PDDM, MHA, MBBS
General Physician, Nashik
You need to follow diet and exercise daily for at least 30 minutes. Take your Thyroid medications properly. Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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My mother is 60 years old. She have sugar, cholesterol and high blood pressure problem. She was suffering since 5 year last. We do various type of treatment but not get permanent solutions. What we do now?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 60 years old. She have sugar, cholesterol and high blood pressure problem. She was suffering since 5 yea...
Mr Ramkrishna, I am sure you are aware that diabetes mellitus and Hypertension are two conditions which can only be controlled. There is no permanent cure or solution. Treatment with specific drugs and suggested life style changes have to be adhered to all the while. Similarly for reducing cholesterol or correcting dyslipidemia appropriate drugs with diet control and exercise also are equally important. To give any suggestions I need to know present fasting and PP sugar levels, HbA1c%, diet pattern, extent of exercise, height and weight. Based on those details I will be able to give some guidelines. It will be better if you come in a private conversation where I will be able to give specific suggestions.
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I am 30 years old male and last week I gone through Thyroid Profile Test. Although T3 and T4 found normal but TSH found higher than normal range. It is 6.96 uIU/ml. I haven't consult any doctor yet. 1) How will it effects me? 2) What precaution should I take? 3) What medicine should I take and for how long?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. you can take tab. thyronorm 100mcg before meal in morning daily. consult endocrinologist every 3 to 6 months for whole life.
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I am 50 years old and I have diabetic fill sleepy but can't get good sleep plus always get mussel pull while sleeping can you help me.

BHMS
Homeopath, Faridabad
I am 50 years old and I have diabetic fill sleepy but can't get good sleep plus always get mussel pull while sleeping...
Hello, take Rhus tox. 200 ch, 5 drops , twice daily. Mag phos 6x , 6 tabs with hot water twice daily. Revert after 7 days.
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I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are increased to 7.10.d doctor whom I consult is out of town. Shld I continue using 62. 5 mg medicine or my dose to b changed?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are...
Lybrate-user, when hypothyroidism is in good control tsh values should be between 3 to 4 milli units/l. 7 milli units, means there is no proper control. This can lead to reappearance of some of the symptoms. So it is essential to increase the dose to 75 mcg, then after 6 weeks check the tsh level, and if level as mentioned above, then continue the same dose. Thanks.
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Blood Pressure Medicines!

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Blood Pressure Medicines!

High blood pressure, also called hypertension, usually has no symptoms. But it can cause serious problems such as stroke, heart failureheart attack and kidney failure. If you cannot control your high blood pressure through lifestyle changes such as losing weight and reducing sodium in your diet, you may need medicines.

Blood pressure medicines work in different ways to lower blood pressure. Some remove extra fluid and salt from the body. Others slow down the heartbeat or relax and widen blood vessels. Often, two or more medicines work better than one.

FDA has approved many medications to treat high blood pressure, including

  • Diuretics, or “water pills,” which help the kidneys flush extra water and salt from your body and decrease blood volume
  • Angiotensin converting enzyme (ACE) inhibitors and Angiotensin II receptor blockers (ARBs), reduce blood pressure by relaxing blood vessels
  • Beta blockers, which also cause the heart to beat with less force
  • Drugs that directly relax the blood vessels. These include calcium channel blockers (CCBs) and other direct dilators (relaxers) of blood vessels
  • Alpha blockers, which reduce nerve impulses that tighten blood vessels
  • Nervous system inhibitors, which control nerve impulses from the brain to relax blood vessels

Many people with high blood pressure may need more than one medication to reach their goal blood pressure. Your health care provider can tell you if you should be on medication and, if so, which drug(s) may be best for you.

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