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Dr. Rashmi N.P

Endocrinologist, Chennai

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Dr. Rashmi N.P Endocrinologist, Chennai
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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. Rashmi N.P
Dr. Rashmi N.P is an experienced Endocrinologist in Royapuram, Chennai. She is currently practising at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Rashmi N.P 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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M.V. Hospital for Diabetes & Diabetes Research Centre

No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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M.V. Hospital for Diabetes & Diabetes Research Centre

#4, West Mada Church Street, Royapuram, Landmark: Near To Axis Bank ATM.Chennai Get Directions
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Hi. I have pcos and thyroid problem. For pcos im using pco care tablets. I have 6.2 thyroid. Is it necessary to use medicines for thyroid. Previously I used thyronorm. Now can I use this thyronorm. Pls tell anyone.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
If this is your tsh value, in uiu/ml then yes you require to take thyroid medicine. Along with that start doing weight loss exercise, and proper dietary intake including lots of fruits, vegetables and dairy products.
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My father got surgery of kidney and my mother was the donor but now my dad's blood sugar level is increasing. So what precautions should we take now to get rid of this?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father got surgery of kidney and my mother was the donor but now my dad's blood sugar level is increasing. So what...
Mr Abid Ali, If he has developed diabetes then it should be treated with appropriate drugs right away. In his case insulin injections are required, because of renal transplant. Dose of the drug will depend upon blood sugar levels (Fasting, PP and HbA1c%). Plus it is essential to quickly control sugar levels.
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I am 50 years old male have been suffering from uric acid pain in my legs (ankles) for five years. I use Zyleric tablets daily pain killers. Kindly advise me some other medicines and your valuable precautions if any. I will be grateful of you. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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My father's prostate has enlarged. What should he eat and what he should not eat. Please help. His age 78. He has blood sugar 180 pp mg /dl. And now also facing problem with speak.

MBBS
General Physician, Mumbai
My father's prostate has enlarged. What should he eat and what he should not eat. Please help. His age 78. He has blo...
Few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I am 46 years male, having RH factor positive, Uric Acid and IBS problem please suggest remedy.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
In many cases, simple changes in your diet like taking high fibre foods and lifestyle can provide relief from irritable bowel syndrome. Although your body may not respond immediately to these changes, your goal is to find long-term, not temporary, solutions. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am 23 weeks pregnant and suffering from thyroid and my legs got swell. So, what can I do at my home. I can already take medicines also for thyroid. Can I take hot water treatment for my swelling legs. Is, it safe in pregnancy.

BHMS
Homeopath, Chennai
Swelling feet (oedema) happens because your body is holding on to more fluid than usual. The increased pressure in your leg veins, and pressure from your growing baby on the big veins in your groin, add to the problem. Swelling is common. About half of all pregnant women experience it around their ankles, particularly in the last few months of pregnancy. You may find your fingers, face and lower back become swollen too. The swelling in your legs usually gets worse towards the end of the day, especially if you're on your feet a lot. Gravity makes fluid collect at the lowest point in your body. Hot weather and being tired can also make swelling worse. Follow these tips to get relief 1. While sleeping keep your legs above hip level, you can keep some pillows below your legs 2. Eat a balanced diet with more vegetables, fruits, drink plenty of water 3. Sleep (7-8 hrs) 4. Go for regular exercise 5. Don't stand for long time go for constitutional homoeopathic treatment, since homoeopathic medicines act best during pregnancy, it will not only solve your basic issues but will make your baby also more healthy and immune.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block injection is effective for six months
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Dear Sir/Madam, I am 46 years old, a thyroid patient, my T3: 101 ng/dl, T4: 6.7 mug/dl and TSH: 20.39 mu1u/ml, taking 125 mcg thyronorm tablets daily morning, kindly suggest me how I can control this disease. Pl help me. If you require my all reports, I can attach, which was done by Thyrocare recently.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dear Sir/Madam, I am 46 years old, a thyroid patient, my T3: 101 ng/dl, T4: 6.7 mug/dl and TSH: 20.39 mu1u/ml, taking...
Take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day...if TSH level is high then you have to take thyroxin tab depending on your condition....
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I am 41 years old diabetic patient and my SGPT is 65. How to lower my SGPT? Last 5 years I face this problem, When I take medicine udiliv 150 than it's low but if I stop medicine it's high. Please tell me how to lower my SGPT? I don't take alcohol neither eat spicy food also than why I face this problems? My latest fb is 98, pp is 80, creatinine is 1.12.

Master In Diabetologist, Post Graduation In Public Health
Endocrinologist, Kolkata
I am 41 years old diabetic patient and my SGPT is 65. How to lower my SGPT? Last 5 years I face this problem, When I ...
U can ignore this value. Type 2 diabetes usually associated with fatty infiltration of liver as a part of insulin resistance. Maintain blood sugar under control.
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I am 31years old I have sugar used tablets when in control I stopped taking tablets I thought my sugar level increased what to do now.

MBBS, cc USG
General Physician, Gurgaon
I am 31years old I have sugar used tablets when in control I stopped taking tablets I thought my sugar level increase...
Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT 4.Urine R/M
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I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Two type hypothyroidism which causes weight gain with lethargy and hyperthyroidism which causes weight loss and heat intolerance.
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I was suffering from thyroid and pcod. For thyroid I was using dose 75g but for pcod I was not using anything. Because of these two problems I was gaining weight day by day. Give some suggestions to reduce my weight to normal in 6 months. Now weight-95, height-5-5.Please help sir .

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I was suffering from thyroid and pcod. For thyroid I was using dose 75g but for pcod I was not using anything. Becaus...
Is your thyroid controlled, for pcod start doing regular exercise for weight loss . Also get a diet chart from dietitian for PCOD. Quit coffee and fried food.
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Hi, Meri ma ko sugar hai kabhi kabhi 400 bhi ho jaati jai koi upaay bataye. Please advise.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Hi, Meri ma ko sugar hai kabhi kabhi 400 bhi ho jaati jai koi upaay bataye. Please advise.
Hello rahul, 400 is above peak level. She should really take fiber and protein supplement and eat less carbohydrates and fats.
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Hello doctor, I am diabetic for the last 12 years. I am 63 years old. My recent sugar levels are FBG 120 mg PPBG 140. HBA1c is 6.2. I am taking daily one table glyciphage 500 mg before breakfast, one tablet before lunch and one tablet before dinner which is prescribed by my doctor. In addition, I am also taking Telvas 40 mg for BP and one tablet of Calchek-5 and one vitamin tablet. Daily I will go for walking for 40 minutes. Though I am fond of sweets I am always remember I am diabetic. Kindly advise me what precautions I have to take.

BAMS
Ayurveda, Bangalore
Hello doctor, I am diabetic for the last 12 years. I am 63 years old. My recent sugar levels are FBG 120 mg PPBG 140....
Hi, The precautions to be followed are as follows: - Avoid all whites like rice, sugar, maida, etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Take medicines prescribed by the doctor regularly. - Visit your doctor regularly for follow up check-ups. - Get your sugar levels checked once in a month and try to keep it under control. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels.
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My doughter is 12 years old, she is suffiring fron diebities from last 3 years. And now she takes insuline dose" mixtard 30" before every meel. Her blood sugar reports is very flixible_high & low. I want to know that can it be she get ride off to take insuline dose?

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Mostly your daughter is suffering from type-i diabetes, i. E insulin dependent diabetes, please do not stop insulin.
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Suffering from High Blood Sugar/High Blood Pressure/Thyroid/cholesterol taking medicine olmezest h 40 once daily,Arkamin twice daily, gp2 twice daily,metformin 1gm thrice daily, rosuvas 10mg once daily,euthyroid 25mg once daily

MD - Consultant Physician, MBBS
Cardiologist, Ludhiana
You have written about your condition but not asked any question - please write exactly what you want to know.
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Infertility - A Complete Guide!

MD - Obstetrics & Gynaecology, DGO, MBBS, MCPS
Gynaecologist, Mumbai
Infertility - A Complete Guide!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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My sugar level is usually before breakfast around 110 to 120 and after break fast around 160 to 170. How to control for future. Tw.

BHMS
Homeopath, Moradabad
My sugar level is usually before breakfast around 110 to 120 and after break fast around 160 to 170. How to control f...
take a fibrous and protein rich diet less carbohydrates and fats... take walnuts 2-3 daily. take a walk for 45 minutes regularly. do for 1 months for good results. for medicines I need complete case...
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