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Dr. P M Gopinath

Endocrinologist, Chennai

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Dr. P M Gopinath Endocrinologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. P M Gopinath
Dr. P M Gopinath is an experienced Endocrinologist in Saligramam, Chennai. He is currently associated with Sooriya Hospital in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. P M Gopinath on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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Sooriya Hospital

No 1/1, Arunachalam Road, Saligramam. Landmark: Opposite AVM Studio, Near To Vodafone Mini Store & Behind Hitech Diagnostic Center, ChennaiChennai Get Directions
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How to overcome chronic ITP, hypothyroidism and recently detected fibroids/cysts to enter into marital life and become pregnant at the age of 41?

MS - ENT,MBBS
ENT Specialist, Kolkata
How to overcome chronic ITP, hypothyroidism and recently detected fibroids/cysts to enter into marital life and becom...
Hi  First: medicines are mandatory.  Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If ypu have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: 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. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Chronic ITP and fibroid will have to be answered by other specialists. Hope this helps Let me know.  Take care
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I am increasing weight month by month. I am a diabetic & on insulin 200 units a day. With hypertension. Please suggest weight loss and reduction of insulin, if possible elimination of it.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I am increasing weight month by month. I am a diabetic & on insulin 200 units a day. With hypertension. Please sugges...
take readyslim capsule twice a day for weight loss and basant kusumakar ras swarn yukta 125 mg BD diabeto powder 1 gm twice a day gudmar kshar 500 mg bd
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I have sugar and high pressure. What I can eat? What should I do to control my sugar and high pressure?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have sugar and high pressure. What I can eat? What should I do to control my sugar and high pressure?
For control high T.G. and high/ bad cholesterol /diabetes eat as whole grain foods, green veg., juice, plenty of water at least 8 glass of water in a day. Avoid high cholesterol foods, oily, fatty, junk, fast foods, foods from out sided, sweat foods. Go for walk daily, do yoga, cycling, any good exercise i.e cycling , avoid stress, try to take good sleep at night. Checkup your body by blood tests and physical examination at regular time.
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Before my tsh value is 7.61, I used 50 mg dose of thyronorm tablet, now its came 4.5. Whats the dose should I follow?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Before my tsh value is 7.61, I used 50 mg dose of thyronorm tablet, now its came 4.5. Whats the dose should I follow?
continue your thyronorm . 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. 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, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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I have a thyroid problem from 12 now I am fine but I am taking daily a tablet of 25mg and now a Days I am loosing hair frequently please give some solution to get rid of it.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
I have a thyroid problem from 12 now I am fine but I am taking daily a tablet of 25mg and now a Days I am loosing hai...
It's because of thyroid problem and lack of sufficient iron in the body Is ur thyroid hormone levels normal What is your serum ferritin levels

I am 60 years old & retired from govt job. I am diabtic since 2000. Taking medicine homeopathy" syzygium jamb" 20 drops twicely my sugar lavel is between 150 to 200 randum. Suggest anymore medicine in homeopathy

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Very good to see that u love yourself nd know the consequences of being diabetic nd what are the advantages and disadvantages of taking allopathicor homoeopathic medicines in diabetes. People like u r an example setter. Thanx to u sir. Nw, as you r having slight elevated blood sugar levels I will advise u some very good homoeomedicine to take alongwith. Vincetoxinum ( adel ) 10 drops empty stomach in 1 glass fresh water take early dinnes atleasst 2 hrs before sleep nd a 10 minevening walk after dinner. Morning brisk walk for 20 minutes is a must. Report me after 30 days.
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I have sugar patient how I maintain sugar level my sugar is about, 250 after meal.

M D PHYSICIAN
General Physician, Delhi
I have sugar patient how I maintain sugar level my sugar is about, 250 after meal.
Your sugar level before meals should be less than 125 and after meals less than 175. Check your hba1c. Lft kft and urine routine. Need to increas the dose or change medicines. Also strict diet and regular exercise.
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Hi ,Im female age 24, my husband's age is 33 .He is suffering from diabetes from one year. It has been 3 years from our marriage .we are planning to have kids but my husband is experiencing some illness and cannot participate in intercourse effectively. Is there any method to insert my husbands sperm into my body so that I can conceive. Please kindly provide me the details about the procedure and cost required for that method.

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
Hi ,Im female age 24, my husband's age is 33 .He is suffering from diabetes from one year. It has been 3 years from o...
dear don't worry ,due to diabetes it occurs ,first tell me whether his diabetes under control ,give me detail history so that we prepare accordingly and cure your problem.take our power plus kit for treatment
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I am a 40 years old diabetic patient last 8 years, my fbs is 119 mg/dl, ppbs is 108 mg/dl, HBA1c is 5.7 mg/dl but my creatinine is 1.4 mg/dl and blood pressure is 150/90 mg/dl. What are my Ricks? How to control my creatinine and pressure by diet? Earlier I eat too much salt but now I don't eat salt. Give some diet tips of blood pressure and creatinine.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am a 40 years old diabetic patient last 8 years, my fbs is 119 mg/dl, ppbs is 108 mg/dl, HBA1c is 5.7 mg/dl but my ...
Please take one small tea spoon of salt daily means restricted salt (normaly we allow 2 tsf salt) use iodised salt. No ghee to chapati brisk walking 30 min/day. Use plenty of salad and fruits. Tension free life.
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My tsh level is 11 and I am taking thyronorm 50 and I was on yasmin for 2 years on and off nw I have stopped 3 months over no period I have done ultrasound of the abdomen no evidence found can I take meprate 10 mg for 5 days. Shall I take this?

MD - Alternate Medicine, BHMS
Homeopath, Surat
My tsh level is 11 and I am taking thyronorm 50 and I was on yasmin for 2 years on and off nw I have stopped 3 months...
Take Ashoka Q 10 drops in a cup of water once daily for 1 week. It will be alright. Still if you have any queries, please let me know. Take care. :)
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I am diabetic patient aged 62 years. Daily I used to walk around 6 KM and taking medicine and food control. Inspite of that my sugar will be 220 and 170 Why? I understand that with walk there will be more relief for diabetics. I never talk rice daily only once in a month and thrice in a month. Morning iddlis, afternoon Chappatis, biscuits and Night also I used to take Chappatis, but stopped due to doctors advise and started taking iddlis or dosa.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic patient aged 62 years. Daily I used to walk around 6 KM and taking medicine and food control. Inspite o...
Mr. lybrate-user Moorthy, Thanks for the query. The blood glucose levels mentioned show that diabetes is not at all in control. This means either the medication being taken is inadequate or the food intake is much more than that is needed plus there is less physical activity. All these in combination are contributing to the uncontrolled high blood glucose. Following are a few of my observations: 1) Your ideal body weight should be 58.5 kgs. 2) The caloric intake has to be based on this weight (58.5 X 20 cal = 1170 calories per day). 2) This means your total food intake has to provide only this many calories in a day. 3) This means about 2 to 3 idlis in breakfast, or just 2 small dosas, lunch and dinner also have to be on the similar lines. Not more than 1 chapati or roti, a small bowl of rice, plus vegetables, salads, plus curd one cup. 4) No biscuits or any other item made of maida. To me your over all food intake is much higher than needed. Plus there has to be walking as you have been doing. If you have any doubts please come back. Thanks.
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As I am suffering with b. P. Diabetic and from 8 months I am suffering with creatinine of 1. 6 to 1. 7 continuously. As I am consulted nephrologist, he gave me medicines and I am using it since 8 months please give me advice.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Start having chandraprabha vati 2 bd before food & varunadi kwath 3 tsf bd after meals. Creatinine & sugar will be positively affected.
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I am diabetic for 20 years. Insulin dependent, high bp. Under control. Suffering with gastric trouble. How to control gastric trouble. Nexpro L using but no relief. Sugest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic for 20 years. Insulin dependent, high bp. Under control. Suffering with gastric trouble. How to control...
Mr T Subba Rao, are you having T1 or T2 DM? By referring as 'Insulin dependent" you mean, to control sugar levels along with oral drugs Insulin injections are also being used is it? Any way, If your fasting level is closer to 100 mg and PP around 150 to 160 mg and HbA1c% <7, then the disease is in good control. Gastric trouble is very non specific description. Are you having hyperacidity or belching with gaseousness or burning sensation in the epigastric region ? What is the problem? Most often hyperacidity occurs due to a number of reasons like over weight, smoking, alcoholism, eating too much of spicy food, remaining hungry for very long time, irregular food habits etc. To control this you should develop regular food habits, eat a small quantity every 2 to 3 hours, avoid spicy, oily and too sweet foods. Refrain from smoking and alcohol. Remain erect afer food for at least 2 to 3 hours. Avoid taking pain killers and other drugs which initiate gastric secretions. Use antacids if need be.
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Hello Sir /Madan, My postprandial blood sugar was 98 one year back. When I tested it again today it was 123. Why it has raised? Am I in danger of getting diabetes? Reason for the raise?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Homeopath,
Hello Sir /Madan, My postprandial blood sugar was 98 one year back. When I tested it again today it was 123. Why it h...
sugar various with food taken, also internal harmones also affect ur sugar levels, u don't have sugar, enjoy don't worry.
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My inner thighs (both left and right) has some patches of skin growth, presently in the size of a rice grain. Itching occurs when sweating and nothing when dry. I have one or two such thing on my right and left forearms also. I am male, age is 63 years, diabetic (controlled with tabs). Please help with remedies. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My inner thighs (both left and right) has some patches of skin growth, presently in the size of a rice grain. Itching...
Mr. Lybrate-user, looking at your height and weight, you have grade 2 obesity with a bmi of 37.5 kg/m2. With this kind of weight, controlling blood sugar is very difficult. If diabetes is in control then fasting should be near 100 mg and pp 150 to 160 mg/100 ml and hba1c%<7. If you have these levels then it is god. The lesions mentioned look like skin tags, a sign of resistance to insulin as well as are seen in obesity. These are harmless lesions. Can be removed by various methods like cuterisation, cryo surgery or excision.
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Know Everything About Tubal Scarring and Infertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Noida
Know Everything About Tubal Scarring and Infertility

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:

  1. Blocked fallopian tubes
  2. One blocked and one open fallopian tube
  3. Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

  1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however does not say much about tubal scarring. 
  2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types. 

  1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. She may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
  2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.

In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.

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I'm suffering from body pains from two days and head ache. I bought Dolo 650 and had it but the symptoms are still there. What could it be?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm suffering from body pains from two days and head ache. I bought Dolo 650 and had it but the symptoms are still th...
Mr. Lybrate-user, body pain can be due to many reasons like over strin, having indulged in sudden exercise or a game cricket or any other after a very long gap, doing excess house hold work or simply due to fever. Dolo 650 is paracetamol 650 mg, mainly fever reducing drug with mild analgesic effect. So just taking that may not relieve the pain completely. Some times viral fevers also cause fairly severe body ache. It may just recover completely in next day or two. Thanks for the question.
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Sir, I am diabetic when I eat some type of sweets my sugar level is in control when I don't eat sweet my sugar level go high.

MBBS
General Physician, Cuttack
Sir, I am diabetic when I eat some type of sweets my sugar level is in control when I don't eat sweet my sugar level ...
To know your Diabetic status over preceeding three months Hba1c is the best guide. Monitor your blood sugar both fasting and PP and Hba1c every three months and consult Diabetologist
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