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Dr. Padhma

Endocrinologist, Chennai

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Dr. Padhma Endocrinologist, Chennai
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Padhma
Dr. Padhma is one of the best Endocrinologists in Tambaram, Chennai. Doctor is currently practising at Jawahar Hospital in Tambaram, Chennai. You can book an instant appointment online with Dr. Padhma on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 27 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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Jawahar Hospital

No.1, Lutheran Church Street, Kadaperi,Tambaram. Landmark: Near Ponnu swamy Hotel, ChennaiChennai Get Directions
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I have diabetic neuropathy. It pains all over the feet (sole) of two legs. I take pregabalin M 75 cap. One in the morning and one in the evening. I have swelling in the ankles. I get numbness in the legs if I stand in one place for some time. My Doctor referred me to a neurologist. I have not yet done. Beofe going to a neurologist, I want to get opinion in this forum. I want to know whether this problem can be cured? My sugar level is 150-200 and my weight is 95 Kg. I am able to walk only 2-3 KM with this difficulty.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I have diabetic neuropathy. It pains all over the feet (sole) of two legs. I take pregabalin M 75 cap. One in the mor...
Paramathma diabetic neuropathy is a complication of uncontrolled diabetes You need to get BP and blood sugar under control Get kft hba1c lipids vit b12 checked Problem can be halted symptoms can be controlled but the pathology can’t be reversed
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Thyroid And Its Homeopathy Treatment

BHMS, M.D Homoeopathy ( Practice of Medicine )
Homeopath, Nashik

Thyroid, a small pear-shaped gland located just below your neck does a lot many things than you ever knew it does. It can control your weight; regulate your energy level, make your mood swing and might also create difficulty for you to conceive if you are planning for a baby!

There were times when it was unusual for young women to have thyroid. It was an ailment that worried women above 40. However, according to research estimates, almost 30-35 per cent of women belonging to younger age group are affected with thyroid today.

So, how would you know that there is some problem with our thyroid gland? 

LOOK OUT FOR THESE SYMPTOMS 

Both overactive and under-active thyroid produces numerous symptoms of thyroid problems including:

  • Increased sensitivity to cold
  • Thinning and/or falling out of sides of eyebrows
  • Puffy, swollen face and dull facial expressions
  • Hoarse voice and slow speech
  • Joint pain
  • Weight gain (in Hypothyroidism )
  • Weight Loss ( in Hyperthyroidism )
  • Fatigue
  • Dizziness
  • Ear problems
  • Depression, mood swings
  • Irritability
  • Memory problems
  • Coarse, dry hair and/or thinning of hair
  • Hair loss
  • Palpitation
  • Constipation
  • Dry skin, brittle nails.
  • Inability to conceive
  • Decreased libido
  • Miscarriages
  • Heat intolerance
  • Nervousness
  • Insomnia
  • Difficulty in breathing
  • Increased bowel movements
  • Light or absent menstrual periods

 

Hypothyroidism

The most common cause of hypothyroidism is Hashimoto's thyroiditis, an autoimmune condition where the body makes antibodies that destroy parts of the thyroid gland. Surgical removal and certain medications (e.g., amiodarone, lithium) can also cause hypothyroidism.

Other causes of hypothyroidism include:

  • Pituitary problems
  • Hypothalamus problems
  • Iodine deficiency (affects nearly 2 billion people worldwide)

Some babies are born with hypothyroidism - this is called congenital hypothyroidism.

 

Hyperthyroidism

There are different causes of hyperthyroidism. Graves' disease is the most common cause of hyperthyroidism. This condition occurs when the immune system produces an antibody that stimulates the entire thyroid gland; this leads to over activity and high levels of thyroid hormones.

Another form of hyperthyroidism is called toxic nodular goiter or toxic thyroid adenoma. Adenomas, abnormal nodules of tissue in the thyroid, constantly produce thyroid hormones even when they are not needed.

Secondary hyperthyroidism is caused when the pituitary gland makes too much TSH, leading to constant stimulation of the thyroid gland. A pituitary tumour may cause TSH levels to rise. More rarely, the pituitary gland becomes insensitive to thyroid hormones, no longer responding to high levels.

Another possible cause of hyperthyroidism is a condition called thyroiditis. This condition occurs when the thyroid gland becomes inflamed. Depending on the type of thyroiditis, this may lead to temporary hyperthyroidism that might be followed by hypothyroidism.

 

Homeopathy Treatment

Homeopathy helps in alleviating the symptoms associated with the condition. Moreover, homeopathy works at a deeper level to bring deviations of immunity back to normalcy and to restore the harmony of the body. 

Research-proven homeopathic treatment offers medicines which stimulate the gland, enabling it to secrete normal levels of hormones.

It has to be understood that homeopathic treatment aims at stimulating the Thyroid gland to produce its own thyroid hormones. External supply of the hormone is not the treatment but an arrangement. We are trying to correct the internal imbalance. This is possible in in many cases if not all. If achieved successfully, a lifelong need for thyroid supplement may not require.

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Hi, doctor I am 68 i am diabetic since 14 years height 63 inch weight 75kg active I feel mild knee pain while walking do I need some medicine or excercise I walk 3/4 km every day please help.

MS Orth, Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist, Vadodara
you must continue your level of walking. But use a hinged knee cap and soft cushion sports shoes. Take a break after each 1km walk. Apply ice pack at the end. Your knee will be fine.
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Hi, as per my blood sugar report some blood sugar quantity is in my blood. Fasting sugar is approx 150-160 & after meal is also same. I am having galvus 500 mg after meal in morning and after dinner galvus+glymate.

PDDM, MHA, MBBS
General Physician, Nashik
Drugs are reducing your pp blood sugar levels only. Kindly consult privately for personalized management.
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I am diabetic and on insulin and Gabapentin medication My bowel movement is very constipation Is there any medication to help regularize this condition Since my job involves lot of travel my eating habits are not regular My stomach is always in a bloated condition Any help would be appreciated.

M.sc - Nutrition Science
Dietitian/Nutritionist, Delhi
I am diabetic and on insulin and Gabapentin medication
My bowel movement is very constipation Is there any medication...
Hello sir, if you are taking insulin then don't skip your meal take 3 major meal & 2-3 small meal/ snacks. In traveling time you should carry some food items like roasted chana, sprouts, salad like cucumber, salty lassi or butter milk. Avoid simple sugar / simple carbs. Take high fiber diet it will help you in constipation. Take 4-5 meal of vegetables & salad. Don't forget to take sufficient water. Do regular walk/ exercise/yoga or any other physical activity. One most important thing take sufficient amount of food after taking insulin otherwise it can cause hypoglycaemia (low sugar). So always carry some toffee/sugar or any other sweets.
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My fasting sugar is 110 Am I diabetic. If I am not diabetic then why is it not normal. Mera mu bahut sukhta hai.

MBBS
General Physician, Cuttack
My fasting sugar is 110
Am I diabetic.
If I am not diabetic then why is it not normal.
Mera mu bahut sukhta hai.
Normal fasting blood sugar level is 75-115mg/dl and post prandial (2 hour after breakfast/ meal) is <140 mg/dl. Yours is within normal limit. However do a post prandial blood sugar (2 hours after breakfast) test and consult me for further advice.
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Hi I have thyroid from last 5 years I was using thyronorm 25 mg for a day. Last year it get increased to 65 mg during pregnancy after develery my doctor ask me to continue same mg after 3 months I started taking 50 mg now after a year n half I have done thyroid test in empty stomach and the value is 0.99uIU/ml. Is it a normal range or do I need to reduce my mg level to 25 mg.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
It is ok. Continue 50 mcm. Observe diet restrictions no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat test after 2 months and report on private chat for further advise good luck.
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Here the doctor told me I am a diabetic my blood here under fasting blood glucose. 144 after food. 128. And hb (aic) 9. 4 he suggested medicine k. Glim. M 1 mg daily what is your opinion

M B B S, M. D (Internal Medicine)
General Physician, Nellore
I agree with him. Why? what doubt do you have? in fact, your hba1c is suggesting that you have had far more higher sugar levels since 3 months than what you are mentioning in your reports. Probably, 300 or so.
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Hi Dr. I am a only 24 years and I am positive with diabetes what should I do. Its fasting 180 to 200 always and in pp 300.

MD - General Medicine, Diploma in Diabetology
General Physician,
Hi Dr. I am a only 24 years and I am positive with diabetes what should I do. Its fasting 180 to 200 always and in pp...
Hi you are too young. First of all we have to know you are type 1 or type 2 diabetes, or mody. Then treatment will be decided. Send me your body weight hight, your occupation? your life style active or sedantary. Any body of your close relatives having diabetes like parents brothers sisters. I will need your following investigations - cbc, fbs, ppbs, lft, kft, serum amylase, hba1c, thyroid profile, insulin and c- peptide levels. Glucokinase levels. Send me these reports, then I will be able to advise you.
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All About Diabetic Macular Oedema!

MBBS, MS - Ophthalmology, Diploma in Ophthalmology , Fellowship in Cornea and Anterior Segment
Ophthalmologist, Ahmedabad
All About Diabetic Macular Oedema!

The diabetic eye is considered to be the leading cause of the blindness among the working age. It is usually caused by the change in the blood vessels on the retina of the eye. Retina is that layer of the eye which is light sensitive. In case of diabetic macular oedema, the blood vessels cause the fluid to leak into the retina.

How does diabetic macular oedema cause vision loss:
The loss of vision only occurs when the fluid reaches the macula. Macula is the center of the retina which is responsible for a sharp vision. When the fluid reaches the macula it builds up and causes inflammation. Initially this is not noticed but with time the diabetic macular oedema causes a change in the vision making it more blurred. A healthy macula is very essential for a good vision.

Who is at risk of diabetic macular oedema:
People with type 1 and type 2 diabetes are at a higher risk of getting diabetic macular oedema. Also other risk factors are:

  1. About 0ne in three people with diabetes develop macular oedema
  2. Poor control of blood sugars
  3. High blood pressure
  4. High cholesterol level
  5. Pregnancy
  6. In smokers

How to reduce the risks of diabetic macula oedema:
The risk of diabetic macula oedema can be reduced by quitting smoking, and to make sure that blood sugar and cholesterol levels are under control. This is achieved by regularly measuring the cholesterol and blood sugar levels.

How is diabetic macular oedema detected:
Diabetic macular oedema can be detected during regular visits to the doctor. Patients with diabetes should be offered screening tests. Digital photographs of the patients can be taken as they show the early signs of diabetic macular oedema, though changes in vision might not be noticed at this time.

What happens when you attend the medical retina clinic:
When you go for an eye checkup you will undergo a comprehensive examination which includes:

  1. Visual acuity test: This is a sight test which measures how well you can see the different distances
  2. Eye pressure test: This test is done to measure the pressure of the eyes and usually drops which numb the eyes are used when this test is conducted
  3. Dilated eye examination: In this the drops are placed in the eye to dilate the pupils and then the back of the eye is examined.
  4. Fluorescein angiography: This is a diagnostic test in which an injection of fluorescein dye is given in the hand and then the photographs are taken.
  5. Optical coherence tomography: This is done to measure the retinal swelling

If you wish to discuss any specific problem, you can consult an ophthalmologist.

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