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Dr. Ramu

Endocrinologist, Chennai

Dr. Ramu 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. Ramu
Dr. Ramu is a renowned Endocrinologist in Gopala Puram, Chennai. You can meet Dr. Ramu personally at Dr Mohan's Diabetes Specialities Centre in Gopala Puram, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Ramu on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 39 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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No.6B, Conran Smith Road, Gopalapuram, ChennaiChennai Get Directions
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MBBS, DGO (cal)
General Physician,
Understanding Uric Acid and how to manage them.

Uric acid results from the breakdown of compounds known as purines in the body. Purines are both produced in the body and consumed through the diet. Normal values of uric acid in the blood range from 2.4 to 6.0 milligrams per deciliter for females and 3.4 to 7.0 milligrams per deciliter for males. Uric acid levels higher than 7.0 milligrams per deciliter in the blood can cause crystals to form and build up around joints, resulting in a painful form of arthritis known as gout. Many foods contain high levels of purines, and eating these foods can lead to high levels of uric acid in the blood.

Diet Tips for High Uric Acid Patients:
1. Lower fat intake as excess fat reduces normal excretion of uric acid.
2. Liberal fluid intake to keep the urine dilute and uric acid soluble to facilitate excretion by kidney.
3. Restriction or elimination of alcohol.

What to Avoid:
1. Shell fishes, red meat, mince meat, meat extracts, organ
meats, fishes (sardine, roe, makeral).
2. Whole pulses (masur, rajmah, chana, chole, etc.). Other dals
are allowed.
3. Vegetables and fruits - green peas, spinach, French beans,
brinjal, cauliflower, mushroom, chickoo, custard apple.

Diet Rules:
A. Use less salt while cooking. Avoid adding salt while cooking
rice or in chapatti dough.
B. Use adjuncts like tomato, vinegar, cocum, amchur, lime juice,
curd, pepper powder to make the food cooked with less salt
palatable.
C. Remove the salt shaker from the table.
D. Avoid salted nuts/ biscuits, papads, pickles, chutneys.
E. Avoid excess consumption of processed and preserved
foods; eg. Bakery products
F. Caution - Do not overdo on salt substitutes as that might
cause an electrolyte imbalance.

Recommended Foods:
a. Fresh cherries, strawberries, blueberries and other red-blue
berries
b. Bananas
c. Celery
d. Tomatoes
e. Vegetables including cabbage and parsley
f. Foods high in bromelain (pineapple)
g. Foods high in vitamin C (red cabbage, red bell peppers,
tangerines, mandarins, oranges, potatoes)
h. Low-fat dairy products
i. Complex carbohydrates (whole grain breads, cereals)
j. Chocolate, cocoa
k. Coffee, tea

Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood.
Therefore, rather than attempting to find foods that are free of purines and uric acid, it’s important to know how to increase the body’s alkalinity, which naturally reduces the body’s acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.


Foods identified that lowers your Uric Acid

1. Water
Water flushes out toxins including excess uric acid from the body. Have at least 10- 12 glasses of water daily.

2. Cherries
Cherries have anti–inflammatory substances named anthocyanis that help reduce uric acid levels. It prevents the uric acid from crystallising and being deposited in the joints. Cherries also neutralise the acids and help prevent inflammation and pain. 200 gms per day is very effective in bringing down uric acid.

3. Apple
Malic acid in apple neutralises uric acid and thus provides relief to the sufferers. You should consume one apple daily after a meal.

4. Lime
The citric acid found in lime is a solvent of the uric acid .The juice of half a lime squeezed into a glass of water should be taken twice daily.

5. French bean Juice
Another effective home remedy for gout is French beans juice. The healthy juice can be consumed twice everyday for treating gout or high uric acid.

6. Celery seed
This is a popular home remedy to lower uric acid levels in the body. Have celery seeds extract to get best results.

7. Berries
Berries especially strawberries, and blueberries have anti-inflammatory properties so include them in your diet.

8. Apple Cider Vinegar
Drink apple cider vinegar. Add 3 teaspoons of vinegar to 8 ounces of water and have it 2-3 times every day to treat uric acid.

9. Pinto Beans
A diet rich in folic acid can help lower uric acid naturally. Folic acid rich foods like pinto beans, sunflower seeds and lentils should be included in your diet.

10. Vegetable Juices
Carrot juice in combination with beet and cucumber juice is also very effective. 100 ml each of beet juice and cucumber juice should be mixed with 300 ml carrot juice and taken daily.

11. Low fat dairy products
Low fat dairy products like milk, curd help lower uric acid level.

12. Foods rich in Vit C
Include Vitamin C rich foods and supplements in your daily diet to reduce uric acid in the body. It disintegrates uric acid and forces it out of the body through urine. Good sources of vitamin C are Awla, Guava, Kiwi, Sweet lime, oranges, capsicum, lemon, tomato and green leafy veg.

13. High-fiber foods
According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol , Oats, Broccoli, apples, oranges, pears, strawberries, blueberries, cucumbers, celery, and carrots, barley.

14. Bananas
Bananas are also beneficial in lowering uric acid.A banana-only diet, consisting of eight or nine bananas per day for three or four days, may alleviate the swelling and inflammation of joints caused by gout or other forms of arthritis more rapidly.

15. Green tea
Consume green tea on a regular basis to control hyperuricemia (high uric acid levels) and lower your risk of developing gout.

16. Grains
Eating grains that are more alkaline such as jowar, bajra are helpful to reduce the level of uric acid in the body.

17. Tomatoes, broccoli, and cucumbers
Tomatoes, broccoli, and cucumbers are some of the veggies that you need to start including in your meals. Tomatoes are one of the best vegetables that you could have for lowering uric acid. Fresh tomato is alkaline by nature and when it is exposed to the blood stream it increases the alkalinity of the blood.

18. Dark Chocolate, cocoa
Theobromine is an alkaloid that is similar in structure to caffeine. It is found mainly in the cocoa bean and is at the highest levels in dark chocolates. Theobromine also can relax the bronchial muscles of the lungs and according to a small study, was more effective than codeine in relieving coughing. According to Dr. Shmuel Halevi at Acumedico.com, theobromine has the highest concentration of uric acid per gram of food than any other substance”, as reported by Livestrong.

19. Raw vegetables
Raw vegetables like potatoes or corns are effective to reduce uric acid in the body. Have them raw or steam these vegetables.

20. Omega-3
Essential fat Omega 3 from flaxseeds, walnuts, fishes like salmon, herring, mackerel, sardines reduces inflammation and swelling



12 people found this helpful

I have Diabetes type 2 but due to poor control now have to be on insulin for a few months. Is prolonged insulting use bad for the body.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have Diabetes type 2 but due to poor control now have to be on insulin for a few months. Is prolonged insulting use...
Mr. lybrate-user, Diabetes mellitus occurs either due to deficiency of insulin or resistance to its action or both. Hence, the most suitable medicine for diabetes is insulin itself. Hence there is no question of that causing any bad effect on the body. In T1 DM only insulin is given as the treatment for lifetime. Thanks.
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My tsh level is 2.5 and its normal but my weight is not decreasing even after diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, yes you are over weight with a bmi of 25.95 kgs /m2. With well controlled hypothyroidism, you should be able to reduce the weight. You need to increase the effort both in terms of reduced dietary intake and increased physical effort. It is better if you join a gym and do workout under the guidance of a professional trainer. Plus your diet should provide exact calories based on ideal body weight (70 kgs); but to achieve a bmi of 23 kgs weight has to be down to 67 kgs. So 67 x 30 calories = 2000 calories. If you keep these things in mind and plan your workouts and food intake there is a possibility of meeting the targets. Thanks.
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I am 58 years old Up to 57 years there was no sugar. Recently my Fasting Blood Glusoe results are coming from 120 to 130 and after fasting results are coming from 135 to 200. Please conform I am got Diabetic and give the medicine.

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
I am 58 years old Up to 57 years there was no sugar. Recently my Fasting Blood Glusoe results are coming from 120 to ...
Reduce weight,control eating to balance your normal blood sugar level.Eat small amount of foods.No sugar,sweetened juice,cola,soft drinks.Avoid fast foods,junk foods,processed foods.Eat lots of whole fruits,vegetables.Use unrefined foods but not much.Take extra protein to improve insulin sensitivity.Take walnut,almond.Drink lots of water specially before meals.No smoking,alcohol.Do regular exercise.These two things will help you
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I want to know Some tips for sugar patient that how to maintain sugar and proper diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I want to know Some tips for sugar patient that how to maintain sugar and proper diet.
Mr. Lybrate-user, a person with diabetes mellitus should take a balanced but restricted diet, that provides exact amount of calories based on ideal body weight, extent of time spent on exercise daily and severity of blood sugar. He should avoid sweets, sweetened aerated drinks, deep fried foods, junk foods, pastries and foods containing fructose corn syrup, highly processed foods and high fat containing milk products. Consume more of green leafy vegetables and salads. Consume more of fiber containing foods like fax seeds. Use whole grain products, avoid refined flour like maida. Daily physical exercise of over 1 hour is necessary, to avoid weight increase. Exrcise also helps insulin action and reduced resistance to its action.
2 people found this helpful
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My father suffering from diabetic, what is possibility for me. And how can I prevent. I exercise regularly. Not eating too much sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father suffering from diabetic, what is possibility for me. And how can I prevent. I exercise regularly. Not eatin...
Mr. Lybrate-user, t2 dm is a disease that is hereditary. If one of the parents have then 50 % of the children are likely to get it. If both parents are diabetic then 75% chance of getting the disease. Fortunately t2 dm is a preventable disease. By adapting a modified lifestyle like regular exercising, maintaining normal body weight, taking a healthy balanced diet, refraining from smoking and alcohol keeps one away from diabetes.
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My age is 48 years old and am male.My sugar levels 264 what precaution should I take?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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Which type of food use to diabetic patients?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Which type of food use to diabetic patients?
hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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Having sugar. Diagnosed in July 2015. Kept high control. Fasting level of around 96-105 for last four months. What further action is advised.

MBBS, cc USG
General Physician, Noida
Having sugar. Diagnosed in July 2015. Kept high control. Fasting level of around 96-105 for last four months. What fu...
This is good that you are keeping Blood sugar under control Your Fasting blood sugar is okay You can go for HbA1C test and review with reports
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I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period only when I take tablets and the bleeding is also very little and last nly for 2 days. I have visited gynecologist they suggested ne livogen tablet still there is no regular period. Recently my gynecologist has taken hormonal test in dat leutinizing hormone level was 14.92 she said that iy is poly cyst and prescribed me vofol myo and padmini tablet. I have been using these tablets from past 10 days. I have got bloated stomach from april 2015 and my stool colour is very dark like black and tarry. From past 1 week I have been suffering from sore hands, tongue, mouth, giddiness, and iam unable to sleep also and also burning sensation in hands and feet sumtyms. Are these due to intake of medicines or any other problem. I have seen in net that bloated stomach, dark black tarry stool and sore hands can be the symptoms of any type of cancer. And giddiness blur vision and burning sensation of hands and legs are due to diabetes. please do repl am really worried am I having cancer or its due to the intake of medicines or do I have diabetes. please do repl. than n advance.

MBBS
General Physician, Mumbai
I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period...
As of now it seems to be due to the intake of medication and for your main problem I will suggest you to take tablet folvite 5 mg twice a day for a month and than once a day for another six months and better to stop hormonal tablets after this period and to do daily exercises and revert back to me after six months
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DIABETIC FOOT CARE

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
DIABETIC FOOT CARE

1. Keep the feet clean and dry

2. Wear well fitting soft shoes- keep one for outdoors and one for indoors

3. Never walk barefooted

4. Avoid injuries and burns

5. Nails should be cut properly with nail cutter only, avoid nail pairing

6. Good glycemic control

7. Daily inspection of a foot by self or a responsible relative/helper daily

8. Prompt consultation with a good surgeon/ chiropodist whenever any lesion or injury detected

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Sugar level decrease in evening time between 5 to 6pm. What can I do far it?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
A detailed history of exact b. Sugar levels at various times in day needed. Can be managed with medicines.
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I have hypothyroid 35 years of age. Want to go for a child. Will this problem of mine effect my unborn child. Have been on eltroxin since last 10 years. I already have a healthy boy aged 13 years. Thyroid problem started after my son was born. and the levels keep fluctuating. What do you suggest can I go ahead with conception yes or not.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
I have hypothyroid 35 years of age. Want to go for a child. Will this problem of mine effect my unborn child. Have be...
Thyroid problem can affect both mother and child badly. But if thyroid is controlled, there is nothing much to worry. So, ensure that your thyroid is normal before conception.
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I have thyroid. My tsh is 9.5. I cant take thyroxin medicine as whenever I take it I feel sick. Can you suggest me with a better option? thankyou

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have thyroid. My tsh is 9.5. I cant take thyroxin medicine as whenever I take it I feel sick. Can you suggest me wi...
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 have the problem in my all joint. Then I go to the hospital they are said me the problem is uric acid. What is uric acid?

BPTh/BPT
Physiotherapist, Delhi
I have the problem in my all joint. Then I go to the hospital they are said me the problem is uric acid. What is uric...
For joint pain consult physiotherapist. Learn exercise for joint pain. Use lumber spine belt and knee cap. Don't sit on floor. Don't lift heavy things. Take calcium and multivitamin for joint pain.
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Indians generally have oil usage in their food daily. To lower Diabetes and Cholesterol, Which is the best and healthy oil to use daily? Peanut vs Sunflower vs another Please suggest. Thank you.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Indians generally have oil usage in their food daily. To lower Diabetes and Cholesterol, Which is the best and health...
Not just indians, but all nationalities use oil in their daily lives. Only the type varies. As far as indian cooking is concerned, any of the traditionally used oils, in moderation are ok. It depends on what region you are from, your tastes, style of cooking, availability & cost. Eg: here is kerala, we use quite a lot of coconut oil in our cooking, but to someone from north india, it wouldn't sound very appealing as they mostly use it for hair care! but avoid vanaspathi.
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I have thyroid and all time I'm trouble with pain in my body. Can you help me how can I control my thyroid?

BPTh/BPT
Physiotherapist, Bangalore
I have thyroid and all time I'm trouble with pain in my body. Can you help me how can I control my thyroid?
I believe its Hypothyroidism. If yes then following physical activities will help you relieve Pain and Control Thyroid: * 20 to 60 minutes of near-daily aerobics — really any exercise that gets your heart pumping — can help speed up your metabolism and counter weight gain, a common hypothyroidism symptom and a contributor to joint pain. * But if you have joint or knee pain, choose low-impact aerobics. Go for the elliptical over the treadmill to avoid pounding knee pain. * A stationary bike at the gym is also easier on the knees. * Swimming is the ideal low-impact aerobic exercise — the water buoys your body and cushions joints.
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What are the normal values of blood sugar? Is a person with 130-140 on fasting, a diabetic? Is it safe to take honey with lime in the morning if your blood sugar is 130-140? Is it safe to take almond oil with warm milk?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What are the normal values of blood sugar? Is a person with 130-140 on fasting, a diabetic? Is it safe to take honey ...
Hello, madam, fasting blood sugar value >126 mg is considered as diabetes. So 130 to 140 mg is a confirmed case of diabetes mellitus. In a diabetes patient sweets are not advisable including honey. But if the quantity is small like 10 to 15 ml in a day may be taken. Honey contains fructose, which has a different metabolic pathway than glucose. But is larger quantity it is harmful. Almonds are good about 5 to 8 of them per day either alone or with milk is fine. Milk should be skimmed one. Most important is blood sugar levels should be fasting closer to 100 mg and pp 150 to 160 and hba1c% <7.
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