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Dr. Parameshwaran

Endocrinologist, Chennai

150 at clinic
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Dr. Parameshwaran Endocrinologist, Chennai
150 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Parameshwaran
Dr. Parameshwaran is a trusted Endocrinologist in Perambur, Chennai. Doctor is currently associated with Sri Narayana Nursing Home in Perambur, Chennai. You can book an instant appointment online with Dr. Parameshwaran on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 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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Sri Narayana Nursing Home

No 7, Bharathi Road,Perambur. Landmark:Near Perambur Bus Terminus, ChennaiChennai Get Directions
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I have recently been diagnosed with thyroid, my T3 is 163 from reference range of 58-159, T4 is 13 from reference range of 4.9-11.7 and lastly TSH is 4.720 from reference range of 0.35-4.97. My doctor has prescribed me thyroid medicine for 1 month and asked to do prayaam, walking and avoid food rich in iodine. Now I have 2 situations, first is I can take all precautions along with medicine and second without medicine, as because he said its slightly more than reference range. Please help me out with this. Also let me know what all food including vegetables and fruits, I can have and what not. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have recently been diagnosed with thyroid, my T3 is 163 from reference range of 58-159, T4 is 13 from reference ran...
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 a hypothyroid patient since long, I was on 75 mcg medicine. Now my latest report shows my Ft3 and Ft4 is in normal range, but my TSH is .006. So how much thyronorm medicine I need to take now. I am 71 kg post section and 29 yrs Note-Sep 2015-may 2016 I was pregnant so Dr. advised me 75 mcg and I am still taking same.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a hypothyroid patient since long, I was on 75 mcg medicine. Now my latest report shows my Ft3 and Ft4 is in norm...
lybrate-user, With TSH 0.006 mU/L, and T3 & T4 being normal, thyroxine dosage can be reduced to 50 mcg per day. But it is better to check TSH after 6 weeks to see if that dose has worked well or if TSH has increased abnormally. Ideally TSH should remain between 3 to 4 mU/L for good control in a non prgnant state. Thanks.
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Being diabetic I am drinking brandy 6 pegs every day. Is it a threat to my organs?

BHMS
Homeopath, Secunderabad
Being diabetic I am drinking brandy 6 pegs every day. Is it a threat to my organs?
Yes, its not at all healthy. Make up your mind and bring it down to 1-2 pegs, and if possible quit the habit. Please go for a complete checkup to know about the status of your health. Also do USG abdomen to know the status of the abdominal organs especially the liver. Do tests like Liver profile test, renal profile test, CBC, ESR, Urine routine, (diabetic profile) and followup regularly so that the sugar levels are in control. Please follow a healthy life style which can support your body and its healing mechanism. Please revert after the reports are done. Feel free to ask about your problems and their solutions.
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I am taking eltroxin 50 mcg for hypothyroidism. Is there any medication alternative possible?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am taking eltroxin 50 mcg for hypothyroidism. Is there any medication alternative possible?
lybrate-user, Thanks for the query. For hypothyroidism only appropriate medication is taking adequate dose of Levothyroxine. There is NO OTHER MEDICINE. On treatment TSH should be maintained around 3 to 4 mU/L, to be free from all the symptoms of hypothyroidism. Thanks.
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Hello, I am 27 year old married women. I am suffering from hypothyroidism and pcod. My triglycerides are high. Since 6 months I am suffering from high bp. So my cardiologist had prescribed nebicard 5. Then switched to 2.5 and then 1.25. Now my bp is normal and I am not taking any bp medication. Heartbeat is high when I am resting and sitting around 95 and when I am walking its around 120 due to which I feel very tired and I have to take rest. Heartbeat was a issue before high bp. There is a pain in left side chest also. I have done echo and its normal. What should I do.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hello,
I am 27 year old married women. I am suffering from hypothyroidism and pcod. My triglycerides are high. Since ...
i m recommending you an following remedy which will surely help you Natural home remedy using watermelon seeds and cuscus powder: 1. Take 1 tsp of dried watermelon seeds 2. Add 1 tsp of cuscus powder 3. Crush the mixture 4. Have this once in the morning and the evening 5. Consume for 3-4 weeks This will surely help you.
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I am taking metosartan 25,-od, ecosprin Av 75/20, _od Gtn sorbitrate cr 2.6 _bd and gluconorm Sr 500 bd my sugar is 108 fasting and bp 124/78 and pulse 80 my question is what precautions is best for me to avoid heart attack sometimes I feel light pain in my chest but not always and TMT is positive please give advise.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am taking metosartan 25,-od, ecosprin Av 75/20, _od Gtn sorbitrate cr 2.6 _bd and gluconorm Sr 500 bd my sugar is 1...
Since you already have chest pain with a positive TMT and are taking medications then you must have already got evaluated by a cardiologist, who also must have suggested that you these medicine lifestyle precautions and that should get a angiography done to find out the level of blockage in your heart arteries. And in case you have not consulted a cardiologist then you should at the earliest. CAG is the only way to find out if there is blockage and if that blockage is significant then to stent it timely before it leads to a heart attack.
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I have found I am having diabetes. It was 169 fasting. 229 after lunch. Can you prescribed me the diet plan which I need to follow.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have found I am having diabetes. It was 169 fasting. 229 after lunch. Can you prescribed me the diet plan which I n...
Mr. Lybrate-user, you have to first take appropriate treatment with anti- diabetes drugs, plus restricted diet and regular exercise. As regards giving an exact diet plan, it has to be very individualised. So I need to know sugar levels, hba1c%, present dietary habits and extent of daily exercise being done. Unless those details are there, I may not be able to give any plan. Still a few things you should are: avoid sweets, deep fried foods, junk foods, pastries, white bread, other bakery item, sweetened aerated drinks, high fat milk products, fructose corn syrup containing products and highly processed foods. You should consume good deal of green leafy vegetables, salads and permitted fruits (100 g a day). Thanks fooor the question.
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Dear sir my wife is diabetes and BP patients last 10 years she is 39 years old last few days she is not doing her daily work n so much tired n weakness n also feel unhealthy. So kindly suggest.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
Dear sir my wife is diabetes and BP patients last 10 years she is 39 years old last few days she is not doing her dai...
General tiredness and unhealthy feeling may be due to various factors. Uncontrolled bp and/or diabetes, underlying complications for example blockages in heart, another condition like hypothyroidism or simply lack of fitness. You need to consult any physician and find out the exact cause. It may not be possible to advise online in such cases.
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About Diabetes

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About Diabetes

Diabetes often referred as diabetes mellitus is a metabolic diseases in which the person has high blood glucose (blood sugar) either because insulin production is inadequate or because the body's cells do not respond properly to insulin or both. There are three types of diabetes:

1. Type 1 diabetes: The body doesn't produce insulin. People usually develop type 1 before their 40 th year often in early adulthood or teenage years. It is nearly 10% of total diabetes 

2. Type 2 diabetes: The body doesn't produce insulin for proper function, approximately 90% of all cases of diabetes of this type 

3. Gestational diabetes: This type affects females during pregnancy, uncontrolled or undiagnosed gestational diabetes can raise the risk of complications during child birth

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B.D.S. (Dental Surgeon) , House Surgeon
Dentist,
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I'm a diabetic patient, what kind of diet should I maintain and what kind of exercise I should do to keep sugar level down.

MBBS
General Physician, Mumbai
I'm a diabetic patient, what kind of diet should I maintain and what kind of exercise I should do to keep sugar level...
We need to control sugar levels with medication exercise and following a diabetic diet and to eat food with low glycemic index levels
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My Mom got sugar and thyroid for last two months. Please suggest me some diet chart.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My Mom got sugar and thyroid for last two months. Please suggest me some diet chart.
Mr. Lybrate-user, diet has to be very specific for each patient. To suggest that one needs to know height, weight, fasting & pp blood glucose levels, present treatment with dosage, present dietary pattern and extent of daily exercise. With out these details diet can not be prescribed or suggested. However, she should avoid sweets, deep fried foods, junk foods, pastries, white bread, other bakery items, sweetened aerated drinks and fructose corn syrup containing products. She should consume more of green leafy vegetables, permitted fruits (about 100 g a day). She should use whole grain flour for chapati and roti. Because of hypothyroidism she should avoid taking soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Thanks.
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Sir I found that I have 235 pp sugar level and 193 fasting. Do I need to consult a doctor or maintain diet and exercise?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Sir I found that I have 235 pp sugar level and 193 fasting. Do I need to consult a doctor or maintain diet and exercise?
You need to consult an endocrinologist immediately for diet and life style planning along with medicines. Your target fasting sugar should be <100 mg/dl and 2h post meal blood glucose should be <140 mg/dl as you are really young and you deserve a long healthy life ahead.
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I suffer from thyroid disease from 3 months. My TSH is 550 and I take 100MG DOSE Of tyronoram medicine. MY problem is I am very poor in my studies. So; please help me to sort out my problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you have overactive thyroid..Good Foods For Hypothyroidism Foods that are rich in iodine are highly recommended in the struggle to ward off hypothyroidism. Below is a categorized list of good food sources. Iodine-Rich Foods For Hypothyroidism Iodized Salt Seaweeds and Seafoods Salt Water Fish Sushi Nori Rolls Celtic Sea Salt Selenium-Rich Foods For Hypothyroidism Meat Chicken Salmon Tuna Whole Unrefined Grains Brazil Nuts Dairy Products Garlic Onions Iodine For Hypothyroidism The thyroid gland needs iodine, therefore if you have an underactive thyroid gland you should increase the iodine intake in your diet. A well-balanced diet that includes iodine can help in alleviating the symptoms that you encounter with your condition. With the simplest intake of the foods mentioned above, you can greatly assist your thyroid in keeping up with your body's metabolism. (See Hypothyroidism and Iodine for more information) Foods To Avoid For Hypothyroidism These foods must be avoided in order to prevent recurrence of hypothyroidism symptoms. Avoiding them will also prevent aggravating the already aggravated thyroid glands. Here is a list of foods to be avoided: Cassava Linseed Kohlrabi Peanuts Kale Turnips Mustard Greens Mustard Millet Cauliflower Rutabagas Peaches Coffee Spinach Goitrogenic Foods To Avoid For Hypothyroidism The food items listed below can impede your body's ability to absorb iodine. And when your body can't absorb iodine, your thyroid gland will swell and you will eventually develop goiter. Some of the food listed above can also be goitrogenic. Bamboo shoots Soybeans and related products Canola Oil Horseradish Bok Choy Foods with Gluten Garden Kres Tempeh Babassu Sweet Potato Goitrogenic Chemicals These chemicals, when ingested through processed food or medications can cause goiter: Amiodarone Lithium Oxazolidines Iopanoic acid Minocycline (MN) Propylthiouracil Thioureylene Sulfadimethoxine Carbamazepine Phenobarbitone Treatment of stage I and II papillary and follicular thyroid cancer may include the following: Total or near-total thyroidectomy, with or without radioactive iodine therapy. Lobectomy and removal of lymph nodes that contain cancer, followed by hormone therapy. Radioactive iodine therapy may be given following surgery.
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Hello ma'am /sir. Please advise I am 5thmonth 1 week (21 week) pregnant lady nd hypothyroid patient. So I am taking thyronorm 50 mcg as advised by doctor. But now also in second trimester my tsh level is 5.24.my sugar fasting is 115nd random130. Hemoglobin is 10.4.according the ultrasound my baby weight is 415gram in 21 week. Please advise everything is normal. We are enclosing report for better understanding.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
You need to increase the dose of thyronorm since upper normal level of TSH during pregnancy is 2.5. Kindly do so under the supervision of the Endocrinologists. Beyond 12 weeks of pregnancy fetus's thyroid functions independent of mother's thyroid. So fetus is not likely to be harmed due to present dose that the patient is taking.
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My Blood Sugar levels for PP and FF are very high. How to bring it under control?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My Blood Sugar levels for PP and FF are very high. How to bring it under control?
Hello, If blood glucose level is "very high" then one has to take appropriate medication, take a restricted diet, exercise regularly over 1 hour every day and maintain normal weight, by observing these things blood glucose can be controlled. Thanks.
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My fathers age 53 diabetes, thyroid patient And also abdominal pain since 6 months USG, endoscopy,colonoscopy, CT abdominal all are normal and Hb is 11.3 please suggest right advice. For needful. Thanks Thanks.

MBBS
General Physician, Mumbai
For stomach pain take tablet Meftalspas-Ds eight hourly if necessary and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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My tsh 12.06, t4 0.74, t3 2.74, hba1c 7.5 mg/dl fbg 94 mg/dl, ppbg 205 mg/DL, mean glucose levels, 189, mg/dl am already on Thyrocare 50 mcg, not taking any medicine for blood sugar. Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My tsh 12.06, t4 0.74, t3 2.74, hba1c 7.5 mg/dl fbg 94 mg/dl, ppbg 205 mg/DL, mean glucose levels, 189, mg/dl am alre...
lybrate-user, Thanks for the query. When a patient is on treatment for hypothyroidism with adequate dose Levothyroxine TSH is maintained <3 mU/L, at that level all the symptoms of hypothyroidism are in check. With TSH level of 12.06 mU/L, you are bound to have all the symptoms of hypothyroidism reappearing. So there is a need for increasing the dose. Secondly you are having T2 DM, which again needs to be treated with appropriate medication, diet control and regular exercise. Even hypothyroidism needs regular exercise to prevent weight gain. Since there is no mention of weight and height, no way to know the situation and even to calculate the dose of thyroxine. Thanks.
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Hi I was suffering from thyroid and paid. Because this two things my weight was increasing day by day. Can I have some suggestions for this.

BAMS
Ayurveda, Dhubri
Hi I was suffering from thyroid and paid. Because this two things my weight was increasing day by day. Can I have som...
Please take this. 1tsp coriander powder in the early morning with lukewarm water for 1 month. Very good results in thyroid disease.
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