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Dr. R.Madhavan

Endocrinologist, Chennai

Dr. R.Madhavan Endocrinologist, Chennai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. R.Madhavan
Dr. R.Madhavan is an experienced Endocrinologist in Poonamallee High Road, Chennai. You can visit him/her at The Guest Hospital in Poonamallee High Road, Chennai. You can book an instant appointment online with Dr. R.Madhavan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 40 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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The Guest Hospital

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, ChennaiChennai Get Directions
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I am 31 years old married female. I've been diagnosed with hypothyroidism in 2007 and PCOD in 2004. Although medication for both started in 2007. Underwent laproscopy in 2008. Had an ectopic pregnancy too in 2008. Tired weight loss with renowned nutritionists and gyms but nothing aided result. Anything in homeopathy that can help combat PCOS n thyroidism so that weight loss is consistent and conception is possible. I do have a child born in 2012. But a second can happen with weight loss as advised by gynecology.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
if your all cysts had removed from uterus..then chance of conceive ..pl. give details of reports. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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,
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I am 46 years old and work on my Computers for almost 8 - 10 hours a day. I am gaining weight at my abdomen and hip area. Can you suggest me some exercise and proper diet. I am also having Hypothyroid from past 10 years now. I am married and have 2 grown up children. Please suggest some remedies.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
your bmi (29.47 kg/m2) suggests you are excessively over weight. Main reason for this is inactivity and improper diet. If you want reduce weight then you have to first reduce your present food intake by at least 20 to 25 %, avoid deep fried foods completely, use whole grain flour for breads (rotis), no junk or processed food, plenty of green vegetables (avoiding cabbage, cauliflower, broccoli and mustard, soya and soya containing foods), increase fiber intake. Plus exercise for at least 1 h a day, preferably brisk walking. Periodically check thyroid levels.
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I am 32 yrs old. I have thyroid problem. Is there any permanent solution to remove thyroid completely instead of taking thyronorm tablet everyday?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Hello, if u remove thyroid then u will have to take it for life time, if u have hypothyroidism and taking thyronorm, u have to check s. Tsh monthly initially then 3 monthly and then 6 monthly and then annually if s. Tsh is stabilized at fixed dose of thyronorm. Dose can be decreased depending on tsh level but can not be omitted unless maintained on minimim dose.
1 person found this helpful
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Hello Doctor I am a vegetarian. I eat normal food and brush my teeth during night regularly. In the early morning I get some bad fluid in my mouth and I have to clean and have some sugar or sweet or lemon pickle. Then only I can able to continue my sleep. Can I get a solution for this?

PGD Maternal Child Health, MBBS
General Physician, Akola
What you have stated is suggestive of gastro oesophagial regurgitation disorder, or in simple word the secretions from your stomach ascend back in the food pipe called oesophagus in the chest. This secretion is acidic and when it reaches throat, it produces sour taste in mouth and burning sensation. You should eat small meals some 2 hours before going to bed. Raise the head end of your bed by about 4 to 6 inches. You may need some prokinetic and proton pump inhibitor drugs if there is no relief. You may consult privately.
3 people found this helpful
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I take some tablets I write a name of tablets and the tablets are; sitagliptin phosphate and metformin hydrochloride tablets, pregabalin and mecobalamin capsules, methycobal 500 mg tablets, glimepiride tablets I.P I take these tablets at once so can you please tell me the side effects what occur in my body. Please tell me as early as possible.

C.S.C, D.C.H, M.B.B.S
General Physician,
These are for diabetes and vitamin tablets ( pregalabin ). If you have diabetes at this age you are type 1 diabetic and insulin is a must. The side effects are different for each tablets but not serious to stop tablets as controlling diabetes is the most important aim to avoid umpteen complication of it. Need not worry about side effects ans a all people have these without any bad effects . you can consult me for private guidelines
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Oats and flaxseed laddo is good for diabetes patient so what we add in this for sweetness!

BHMS
Homeopath, Faridabad
Hi. Oats and flaxseeds are very healthy for diabetics! If you want you can add simple sugar or 'gur' in very less percentage (for diabetics), they are more healthier than your synthetic or artificial sugar/ sweetner!
2 people found this helpful
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I have 6 ft 2 inch height now. I am bit afraid of it. Can any thyroid test prove if my pituitary gland is okay or not? If so name the blood test.

B.H.M.S
Homeopath, Patna
T3, t4 and tsh 2. Argentum nitricum 1m one drop only in a cup of water once in a mnth please report in 7 days.
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My mothers age is 50 years and she is suffering from diabetes. While fasting her glucose level is 247 and she has leg ache and she has totally dried up and became more thin. She gets burning sensation in her feet and hand. and she has feet ache. and has more pain in the right side of her back.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, fasting blood glucose level of 247 mg/100 ml is too high. That means after food it will go close to 350 to 400 mg/100 ml. This high level of glucose leads to excess of glucose being excreted from the urine, leading to a great degree of weight loss, tiredness, lethargy, no energy to do work and a host of other symptoms. It will also affect her eyes (retina), small blood vessels, nerves, kidney and heart. So rapid blood glucose control is the only option. She has to be put on appropriate medication and blood glucose levels should be brought down to fasting closer to 100 mg, pp 150 to 160 mg & hba1c%<7. Otherwise situation can be dangerous. Please initiate proper treatment, plus diet control and some physical exercise. Thanks.
31 people found this helpful
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My wife, 50 yrs having thyroid for the past 15 yrs. This blood test taken on 05-11-2015. The results are as follows. Free t3 = 3.52 pg/ml, free t4 = 2.14 ng/dl, tsh 3rd generation (hs tsh) = less than 0.005 miu/ml. Based on these results doctors advise her to reduce tab. Eltroxin to 150 microgram. But while taking for 10 days or so, the face and chest started swelling and even unable to wear the blouse. But on increasing to 200 microgram, the swelling disappeared. But doctors are threatening that organs will fail, if she takes more eltroxin than required. Please help to reduce the swelling and medicine intake. Intake of less than 200 microgram, even 175 microgram gives her the above problem.what is needed to be done?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Dear what is the pulse rate of your wife...if its less than 100 then get the thyroid test done again from a good lab...if its more than 100 then u need not just reduce but STOP altogether the thyroxine for time being...its dangerous to continue taking it at present levels as she is going from hypo to severe hyperthyroidism... What was her initial t4 tsh levels on which she was started thyroxine??? There might be other causes of swelling...get her kidney function tests done also
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Does thyroid affects during pregnancy? My wife is 4 months pregnant and diagnosed with thyroid.

BHMS
Homeopath, Ludhiana
Hello. Yes thyroid affect pregnancy. Consult a doctor for proper cure. Take proper treatment so that her pregnancy will go good.
4 people found this helpful
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If a person has to take lifelong medicine for hypothyroidism, does the medicine have any side effects and what are they?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Dear Madam, Thyroxine replacement medicine can have the usual gastrointestinal side effects like nausea, vomiting etc. But these are temporary and will settle down. Most of these tablets do not have any major side effects. There are lots of patients on these tablets without any major problems. But you need to get your thyroid function tests check periodically once every 3-6 months. If the tablet dose is high and if tests are not done and if the dose is not reduced then patient can become hyperthyroid where he will be having symptoms of weight loss, palpitations etc. Hope this has helped you Thank you.
2 people found this helpful
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I am pcod patient. I want to know tips for conception. How to deal with infertility problem.

MBBS
Sexologist, Panchkula
Do meditation for mental strength by doing slow and deep breathing relaxation exercises in the morning. Take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily. Avoid garlic and red chilly and non veg and eggs. Take all fruits and vegetables. Get treatment for pcod when you are planning for baby.
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Sir my daddy is 76 years and he does not have BP nor Sugar. He is healthy aged man. But in June he suffered paralytic stroke and has a clot in his brain he was in Apollo hospital for 3 days and then discharged so our doctors for 2 months gave him medicines like Ecosprin 150 mg, Remetor 40 mg, Pantocid 40 and Thyronorm 12. 5 mcg. After 2 months Doctor changed my daddy's tablets he asked to stop using all the above medicines and just use Rosufit CV 10 mg everyday after lunch. Now after 1 month today when I went for regular check Doctor said my daddy BP was 120/84 and his pulse says frequent Ectopic. Even after discharge in june from hospital they placed Holter for 24 hrs and even that reading also said SV Ectopic beats 13, And 24 hrs holter analysis shows frequent VPC'S in the form of BIGEMINY NOTED, No runs of VS/SVT MAXIMUM HEART RATE 114 BPM, OCCASIONAL BRADYCARDIA MINIMUM HEART RATE 54 BPM, NO SIGNIFICANT PAUSE. Sir this above reading was in the month of June not todays. But today Doctor when he was holding my daddy hand to check his pulse he said Pulse frequent ectopic. And it's due to his old age and again changed the medicine from Rosufit CV to Rosuvas Gold. Sir I'm really worried because since June after he suffered paralytic stroke every month medicines are changing and I'm scared and worried. Sir as thyroid is borderline he is still advised to take thyronorm 12. 5 mcg and as it is just borderline and is that effecting his pulse? His thyroid is TSH is 5.07. Please tell me is there anything serious with my daddy's heath. Any serious heart or other problem will come or what? Not understanding just suffering. Please help. Thanking you.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Nothing much to worry. At his age, ectopics are quite common. The stroke could have been caused because of ectopics, as they alter hemodynamics of the blood vessels supplying the brain. Thus, the clot & paralytic stroke. Glad to learn he is recovering. He will be fine on these medications. Relax.
2 people found this helpful
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How to keep the blood sugar in normal without medicine. Main problem is i'm very lazy to do exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, if you do not have diabetes, but if family history of diabetes is there, then you need to take precautions so as to avoid developing diabetes in future. One to avoid that is by adapting modified life style- which means taking a balanced diet, avoiding sweets, deep fried foods, junk foods, pastries, other bakery items, sweetened aerated drinks (colas), avoiding highly processed food products, fructose corn syrup containing products, high fat containing milk products and red meat. Consume a good deal of green leafy vegetables and salads. Use whole grain food products than refined foods. Also refrain from alcohol and smoking. Regular exercise of at least 1 hour so as to maintain normal weight, (your bmi is 24.91 kgs/m2). If this is done then diabetes can be prevented or onset can be delayed. Thanks.
9 people found this helpful
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Has a high sugar blood she is using janumet 1000 & Demicron but still the measurement is high over 250. your advise is appreciated.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Hello, clearly more medicines are advised to be taken in this case scenario. More details are required before anything further can be prescribed.
41 people found this helpful
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What is the possibility and kinds of of birth defects that can happen in babies if the mother has normal T3, T4, and TSH values but father has hypothyroidism which is genetic in his family?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
The risk of birth defects is not increased as compared to the general population. So relax, nothing to worry.
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I'm diabetics rather chronic ,but no harm with cuts and injuries,started at 35 now I'm 49.Now i experience sex problems , no erection even at the time of orgasm.Takes gluco norm PG 2 morning and night and have fasting sugar around 175, advice me whether I should start insulin.

Vaidya Visharad
Ayurveda, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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Reason of diabetes in early age like 30 years pla tell me I am suffering this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, There are two types of Diabetes Type 1 and type 2.causes including the followiing:- Type 1 diabetes is caused by the immune system destroying the cells in the pancreas that make insulin. *This is called an autoimmune reaction, or autoimmune cause, because the body is attacking itself. *There is no specific diabetes causes, but the following triggers may be involved: *Viral or bacterial infection *Chemical toxins within food *Breathing difficulties (e.g., sleep apnea, asthma) *Unidentified component causing autoimmune reaction *Underlying genetic disposition may also be a type 1 diabetes cause. **Type 2 diabetes causes are usually multifactorial - more than one diabetes cause is involved. Often, the most overwhelming factor is a family history of type 2 diabetes. This is the most likely type 2 diabetes cause. *There are a variety of risk factors for type 2 diabetes, any or all of which increase the chances of developing the condition. These include: *Obesity *Living a sedentary lifestyle *Increasing age *Bad diet
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Hi, I have thyroid problem, my Tsh level is higher. and also I miss my periods because of thyroid. I want to ask is it very serious problem during in pregnancy. Now I am not pregnant. I just want to know that is baby is fine if we take treatment for thyroid? Please give suggestions. Or is this disease is for lifetime?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
hi priya ur thyroid levels should be normal before starting a pregnancy. and if u r taking medications for same before pregnancy, u ll hv to continue it throughout pregnancy n after delivery as well.. There s no harm to the baby If ur thyroid levels r well in limits with medications. baby can get affected only if thyroid levels go very high or very low keep getting ur TSH levels checked at frequent intervals..
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