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Dr. Ramzan Begum

Endocrinologist, Chennai

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Dr. Ramzan Begum Endocrinologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ramzan Begum
Dr. Ramzan Begum is a trusted Endocrinologist in Perambur, Chennai. He is currently practising at SRS Healthcare Clinic in Perambur, Chennai. You can book an instant appointment online with Dr. Ramzan Begum on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 42 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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SRS Healthcare Clinic

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I am a diabetic patients for the last 7 years. I was taking GP -2 BD for last 4 year. During my last annual check up fatty liver was detected in ultrasound test and higher ot pt level in liver blood test what should I do ?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
I am a diabetic patients for the last 7 years. I was taking GP -2 BD for last 4 year. During my last annual check up ...
Do liver flush with juices of water melon ĺìme juice loki torai pineapple barley water avoid fatty foods.
1 person found this helpful
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Infertility In Men

MD
Sexologist, Srinagar
Infertility In Men

Because of the fallowing causes:-

1. Obstructions 

2. Vaicocele 

3. Irregular sperms. 

4. Sperm allergy 

5. Unexplained fertility problems 

6. Combination fertility problems.

82 people found this helpful

My wife is having problem for last3days. The outer wall of her vagina is severe itching problem. She is diabetic too Using Candid ointment but not helping. Pl suggest.

LCPS, BAM&S
General Physician, Pune
My wife is having problem for last3days. The outer wall of her vagina is severe itching problem. She is diabetic too ...
At the age of 62, dryness of vagina can also cause itching. So she should go for creams that moisturise vagina. Take her to a Gynaecologist who will decide what exactly she needs. Fungal infections are common in diabetics. So the Gynaecologist will decide from that angle also.
1 person found this helpful
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Unani Specialist, Delhi
Best Treatment for Diabetic food is papaya and honey dressing in unani system

I would like to know the treatment for focal small thyroid cyst benign. Is this any serious diseases.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. In case of benign cyst it is better to do a ultrasonography and assess the cyst. If needed it is better to do FNAC (fine needle aspiration cytology) to rule out any serious problem. Benign cysts some times resolve on their own. But if there is sudden increase in size then needs to be properly assessed. It is usually not a serious condition. But observation is necessary. Thanks.
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Hi I have hypothyroidism and recently checked my TSH level it showed 7.39. Should I be worried? I take tablets of 50 mg daily. What should I do now?

MD - Medicine, MBBS
Endocrinologist, Delhi
Hi I have hypothyroidism and recently checked my TSH level it showed 7.39. Should I be worried? I take tablets of 50 ...
If you’re taking thyroid medicine regularly and empty stomach then you should increase the dose. Better consult endocrinologist.
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What are the symptoms of diabetes? Is drinking tea again and again that is more than 5 times a day is injurious for me?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What are the symptoms of diabetes? Is drinking tea again and again that is more than 5 times a day is injurious for me?
Mr. Lybrate-user, diabetes mellitus is of mainly two types t1, where there is no insulin at in the body, this occurs early in childhood or teen ages most often. Patients have to take insulin for treatment and for survival. T2 usually occurs in later years, here there is either lack of insulin or resistance to its action or both. Most often these patients are over weight and lead a very sedentary life style. Treatment is with either oral anti-diabetes drugs or with insulin or both together. As regards in general diabetes hardly produces any easily recognisable symptoms, hence most people do not come to know about the presence of the disease. Commonly associated symptoms are excess urination, excess hunger, excess thirst, unexplained weight loss and early fatigue and tiredness. Taking tea more number of times has really no effect on diabetes, unless it has a lot of sugar. Otherwise tea can lead to hyperacidity, nothing to with diabetes. It can also disturb sleep, if taken late in the evening or night. Thanks for the question.
3 people found this helpful
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How Should Diabetic Patients Take Care Of Their Oral Health?

BDS
Dentist, Delhi
How Should Diabetic Patients Take Care Of Their Oral Health?

If your diabetes is not under control, you are more likely to develop problems in your mouth. The good news is you can keep your teeth and gums healthy. By controlling your blood glucose, brushing and flossing every day, and visiting a dentist regularly, you can help prevent serious problems in your mouth.

The Symptoms of Untreated Diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low. 

If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:

  1. You may have less saliva, causing your mouth to feel dry. (Dry mouth is also caused by certain medications.)
  2. Because saliva protects your teeth, you’re also at a higher risk of cavities.
  3. Gums may become inflamed and bleed often (gingivitis).
  4. You may have problems tasting food.
  5. You may experience delayed wound healing.
  6. You may be susceptible to infections inside of your mouth.
  7. For children with diabetes, teeth may erupt at an age earlier than is typical.

Diabetes is a chronic, systemic disease and affects all parts of the body. While its effect on the nerves, eyes, kidneys, and skin is more common, their oral effects are less known. However, diabetes will vouch how they lost tooth and have dry mouth after their sugars went out of control.

  1. Oral Symptoms in Diabetics: There is a strong correlation between oral health and poorly controlled blood sugars. Some of the common oral indications of diabetes are as follows.
  2. Dry Mouth: There is less amount of saliva, which brings with it a whole lot of symptoms including soreness of the mucosa, ulcers, increased chances of infection, gum inflammation and tooth decay.
  3. Thrush: The saliva has higher sugar levels and attracts fungus (Candida in particular) which thrives in this dry, sugary environment. This produces a burning sensation in the mouth.
  4. Periodontal Disease: The gums get severely infected with gingival recession, where the gum line recedes exposing more of the tooth (tooth length seems to have increased). There is “pocket” formation, or space between the tooth and the gum which hosts a variety of bacteria. The periodontal ligament loses its strength to hold the tooth in place, and thereby teeth become mobile. If not worked upon in time, there could be multiple teeth lost.

Why People with Diabetes Are More Prone to Gum Disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.

Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

As much as it sounds alarming, it is not. There are easy, simple ways to manage these. In fact, good overall management of diabetes will ensure the oral symptoms are also maintained under control. Following are some things to do which will help in managing diabetes in general and the oral symptoms in particular:

As soon as diabetes is diagnosed, visit a dentist to take stock of the oral health condition. Any identified problem should be treated to avoid progression.

  1. Keep a close watch to ensure blood sugar remains as close to normal as possible.
  2. Switch to a toothbrush with soft or extra-soft bristles. This will help reduce the pressure on the gums and thereby prevent gum bleeding
  3. After every meal, remember to brush the teeth.
  4. Flossing at least once a day will help remove food deposits between the teeth. Alternately, use interdental brushes.
  5. Rinse at least twice daily using an antiseptic mouthwash.
  6. Denture-wearers should always clean them daily and never go to sleep with the denture in the mouth.
  7. Smoking with diabetics is a strict no-no, work on quitting at the earliest.
  8. Visit a dentist every 3 months to ensure oral issues are identified at the earliest and treatment done with minimal intervention.
  9. Any dental procedure should be done only when sugar levels are under control.

Managing diabetes is a lifelong commitment, and that includes proper dental care. Your efforts will be rewarded with a lifetime of healthy teeth and gums. If you wish to discuss about any specific problem, you can consult a Dentist.

5904 people found this helpful

I have hypothriod last 2 yrs. My first tsh is 20, then 14, then 6, then 8. I asked my doc he said ups and down are normal and not increase the power of tablet I did this. I take thyronorm 50 first six months but no relief so my doc increase its power. Now I take 62.5 mg thyronorm. My recent tsh is 23.82 which is more than my first tsh. I am so scared now. Pls suggest me what to do I am 29 years unmarried girl Guide me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothriod last 2 yrs. My first tsh is 20, then 14, then 6, then 8. I asked my doc he said ups and down are no...
In fact you should have started with 75 mcg per day in the beginning only. However now you will have take 87.5 mcg and test the tsh after 6 weeks, to if tsh has come down. On treatment tsh should be around 3 to 4 milli units/ml, to control all the symptoms. Thanks for the question.
2 people found this helpful
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Diabetes and Oral Health- Tips For Diabetics

BDS
Dentist, Delhi
Diabetes and Oral Health- Tips For Diabetics

We know that diabetes can harm your eyes, nerves, kidneys, heart and other important systems in your body. But did you know it can also cause dental and gum problems in your mouth?

The link between diabetes and oral problems is real, though lesser known. Diabetics are at a higher risk for periodontal or gum disease which is an infection of the gum and bone that hold your teeth in place.

Untreated periodontal disease can lead to pain on chewing and even tooth loss, if it’s left untreated. Gum disease can also more severe and take longer to heal if you are a diabetic.

Research also shows that alternatively, periodontal disease may also make it hard for you to control your blood glucose.

If your diabetes is not under control, you are more likely to develop problems in your mouth like-

  1. Dry mouth, a condition that happens when you do not have enough saliva—the fluid that keeps your mouth wet. It is a common symptom of undetected diabetes and can also cause mouth soreness, ulcers, infections, and tooth decay.
  2. Another problem diabetes can cause is a fungal infection called thrush or candidiasis because diabetes usually causes the glucose levels in your saliva to increase. And this encourages the fungus causing thrush to grow in your mouth, leading to painful white patches.
  3. When diabetes is not controlled, high glucose levels in your saliva also help harmful bacteria grow in your mouth. These bacteria combine with food particles to form a soft, sticky film called plaque which causes tooth decay. Plaque also comes from eating sugary and starchy foods.
  4. And some types of plaque cause tooth decay or cavities and other types of plaque cause gum disease and bad breath.
  5. Diabetics have a higher incidence of Gingivitis which causes unhealthy, red, inflamed gums. You need regular flossing as well as cleaning at the dentists to prevent it.

What can you do?

  1. You must keep your blood glucose under control to prevent mouth problems. Diabetics with poor blood glucose control get gum disease more often and more severely than diabetics whose blood sugar is under control.
  2. If you have diabetes, you should brush and floss every day and follow this up with regular dental check-ups.
  3. Call your dentist when you notice a problem in your mouth. Keep observing and checking your mouth regularly for any problems. Don’t ignore minor stuff like gum bleeding during brushing and flossing. And also notice dryness, soreness, white patches, or a bad taste in the mouth. All of these are big enough reasons to visit your dentist.
  4. Tell your dentist if your dentures suddenly don’t fit right or if your gums are sore.

Also, take care to quit smoking. Smoking makes gum disease worse and causes dry mouth which aggravates oral problems.

Needless to add, good blood glucose control is your best defence against the oral complications of diabetes like gum disease. If you wish to discuss any specific problem, you can consult a dentist.

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