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Dr. S.ranjith Pratap

Endocrinologist, CHENNAI

Dr. S.ranjith Pratap Endocrinologist, CHENNAI
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. S.ranjith Pratap
Dr. S.ranjith Pratap is a popular Endocrinologist in Chromepet, Chennai. He is currently associated with VIJAYA DIABETES CENTRE in Chromepet, Chennai. Save your time and book an appointment online with Dr. S.ranjith Pratap on Lybrate.com.

Lybrate.com has a number of highly qualified 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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My mother in law is 58 years old, she is suffering from tb, diabetes. She has increased level of uric acid in her body. Please suggest the diet suitable for her.

Advance diploma in dietitics
Dietitian/Nutritionist, Patna
My mother in law is 58 years old, she is suffering from tb, diabetes. She has increased level of uric acid in her bod...
She actually needs high protein diet but increasing the amount of protein will also increase her uric acid level. So, she should take high biological value protein like milk and milk products, egg white, baked fish, these won't increase the uric acid level when taken in appropriate amount. For diabetes, she should take high fibre, low carbohydrate, moderate fat diet and her diet should be small and frequent.
2 people found this helpful

I am 40 years old suffering from hypo thyroid since last 20 years and taking eltroxin 50. How long I have to take the medicine?

Homeopath, Anand
I am 40 years old suffering from hypo thyroid since last 20 years and taking eltroxin 50. How long I have to take the...
As if now you are taking the medicine since 20 years your body has become dependent on it so you need to continue for lifetime. Else, you could continuosly monitor the tsh level and decrease the dose of medicine gradually under the guidance of physician.
2 people found this helpful
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I am suffering from hypothyroid, please suggest me how to control it. And what are medications for the same. Do ayurvedic medicines work to clear thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from hypothyroid, please suggest me how to control it. And what are medications for the same. Do ayurv...
lybrate-user, If you have confirmed hypothyroidism with high TSH (more than 10 mU/L), then treatment with adequate dose of Thyroxine has to be started. Dosage will be based on TSH level, T4 level and body weight. Looking at your weight and height the BMI is 31.25 kgs/M2, showing grade 1 obesity, meaning ther is extra 20 kgs weight. This can only be reduced only if TSh levels are brought under control. Only treatment option for hypothyroidism is taking the hormone supplement in recommended dose. No other drug/s work. Thanks.
9 people found this helpful
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Age -67. Reaccurance of uti, since last 3 years. On first occurance treatment neglected, infection had spread to kidneys. Presently, on septran. I'm diabetic.

MD - Pathology
General Physician, Amritsar
Get culture and sensitivity of urine done. Urine infection is very resistant at times especially in elderly and diabetics. Consult a urologist at earliest.
1 person found this helpful
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I am a diabetic, taking 500 mgs glycomate morning one and evening one. I am a vegetarian. I am not having sufficient energy to attend my day to day work.

MBBS
General Physician, Delhi
Are you taking any multivitamins? if not start taking tablet neurobion forte once daily for 1 month.
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Can Abortion Affect Fertility?

M.Sc, MD, MBBS
Gynaecologist, Delhi
Can Abortion Affect Fertility?

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas, surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance:
It is advisable to seek medical help if you have the following symptoms post abortion:

  1. Persistent pain in the lower abdomen, which lingers even after taking medication
  2. Excessive bleeding
  3. A high temperature

Possible effects of surgical abortion on fertility:

  1. Infection after abortion: Infections post abortion like Pelvic Inflammatory Disease (PID), if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.
  2. Damage to the cervix during abortion: Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.
  3. Damage to the womb during abortion: There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check up with your gynaecologist.

3603 people found this helpful

M having sciatica problem since dec2015 I hav tried naturopathy yoga n went for ayurvedic treatment n took med for 15 days bt I was told der I no further med which could help me please suggest me treatment should I go for I also hv thyroid n my tsh is raised. Thank yu.

Diploma In NAturopathy & Yoga, Diploma In Panch Karma, B.A.M.S.(Alt. Med.)
Ayurveda, Delhi
Dear 1. First of all, if you are obese then try to reduce weight which will automatically reduce your pain by 50%. 2. Avoid forward bending, lifting heavy objects and high heel foot wears. 3. Take giloy juice 15 ml twice daily 30 minutes after food. 4. Go for ayurveda panch karma treatment, which will cure your sciatica and knee pain problem. 5. For thyroid problem do simha asan (loin posture) twice daily. Thanks
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Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar level, I use 15 ml insulin at night and 26 ml at morning and also takes some medicines like zomat-th , please tell me what would be best medication and diets from me if nothing else my sugar can be controlled.

MBBS
General Physician, Cuttack
Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar l...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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Sir, I am a 28 year old male. I would like to vaccinate myself for Hepatitis B, but I was diagnosed for sub clinical Hypothyroidism (hashimoto hypothyroidism) from an year with Anti TPO of 282.9 IU/ml. TSH (5.2). T3 (1.11) and T4 (7.0).The tests were of 6 months back. I am not on any medication. I have read in wikipedia that Hep-B vaccine can be a doubted-causative factor to another auto immune disease called Multiple sclerosis. I am little worried to take vaccine for this reason. Please clarify if I can take the vaccine ? Thanks for your help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, I am a 28 year old male. I would like to vaccinate myself for Hepatitis B, but I was diagnosed for sub clinical ...
Mr. Lybrate-user, millions of people world over have taken hepatitis b vaccine, there no cases seen of multiple sclerosis after the vaccination. A number of studies have ben conducted to see if there is any linkage between hepatitis b vaccine and auto immune disorder. The results are reassuring, there is no such development. So you can go ahead with the vaccination.
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What are the symptoms of diabetes &what precautions should we have in this disease?

MBBS
General Physician, Cuttack
What are the symptoms of diabetes
&what precautions should we have in this disease?
Symptoms of Diabetes 1. Excessive Thirst 2. Frequency of urination especially in night 3. Excessive Hunger 4. Fatigue 5. Blurring Of Vision, irritability, tingling and numbness in hand/feet, fatigue 6. Recurrent boil/fungal infection, Sores or cuts that won’t heal 1. Do regular exercise 2. Reduce weight 3. Control diet 4. Avoid excess sweets, sugar, fried food, fast food like pizza/burger/cookies, maida biscuits. Oily, fatty, excess calorie, saturated fat and cholesterol rich diet, Take high fiber diet like whole grain rice, multigrain chapati/bread, green leafy vegetables/fruits 5. Monitor your fasting, PP blood sugar 3 monthly and Hba1c six monthly 6. Consult diabetologist/physician for advice and treatment.
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I am 24 years old. Now my thyroid report is here TOTAL TRIIODOTHYRONINE (T3) =122 ng/dl TOTAL THYROXINE (T4) C.L.I.A 7.4 μg/dl TSH level is 24.54 μIU/ml. What can I do. I am very afraid about my TSH level.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Do no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat tsh after one month and report good luck.
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Hi I have hypothyroid I get operation also fo my neck. Im not taking any tabs. My wait is increasing too much. If I take tabs og thyroid can it helps to reduce my fatness.

Vaidya Visharad
Ayurveda, Narnaul
Hi I have hypothyroid I get operation also fo my neck. Im not taking any tabs. My wait is increasing too much. If I t...
Dear you have hypothyroid problem but don`t worry you loss your weight and get your fitness again. Home remedies are A glass of warm water mixed with the juice of half a lemon. A teaspoonful of honey can be added Have it early in the morning. Breakfast – Wheat or Mung (green beans) sprouts and one cup skimmed milk.
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I am 72 years male, suffering from diabetes and under treatment. I also suffered head injury due to road accident and hospitalized for a month, in coma for nearly 3 weeks & still under treatment. My current problem is joint pain and have difficulty in walking, which I am doing to reduce my blood sugar. Please suggest me ways to remain healthy, including reducing joint pains.

BHMS
Homeopath, Sindhudurg
I am 72 years male, suffering from diabetes and under treatment. I also suffered head injury due to road accident and...
Hello sir, homoeopathic treatment- arnica 30 - 4 pills 3 times nat sulph6x 4 pills 3 times syz jamb q-15 drops 3 times iar arthritis - 15 drops 3 times for 15 days and revert to me back for further treatment.
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I am 25 year old female I had a random glucose test last week and the result is 158 but I gave the blood after 10 minutes of eating food.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 25 year old female I had a random glucose test last week and the result is 158 but I gave the blood after 10 min...
Hello, Thanks for the query. Madam random value of 158 mg / 100 ml glucose is high. But with that it is not possible to diagnose whether one has diabetes. For that you need to get a fasting (10 to 12 hrs after dinner), blood glucose, PP (2 hrs after food) and HbA1c%, these values will help in whether a person has diabetes. Following are the criteria: 1)Normal: FBG :70 to 110 mg, PP <140 mg & HbA1c% <5.9. 2) Pre-dibates: FBG: 108 to 125 mg, PP 141 to 199 mg & HbA1c% 5.9 to 6.4. 3) Diabetes: FBG: 126 mg and above, PP 200 mg and above & HbA1c%: 6.5 and above. It looks like a prediabetes state. But better to get tests as mentioned above. Thanks.
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Cow Urine Therapy for Thyroid

Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
Ayurveda, Indore
Cow Urine Therapy for Thyroid

Cow Urine Therapy has been in practice for many health problems in India for centuries. In India, cow is a symbol of spirituality and cow urine is not only used in devotional practices, but also comes packed with a bunch of health benefits.

'Kamadhenu' is worshipped for thousands of years as the Goddess who fulfils desire. In Ayurveda, cow is considered as the mother of all entities as the products obtained from cow are beneficial to all mankind in many ways. The milk, urine, curd, ghee and dung obtained from cow are beneficial in different ways as food supplement and medicine. Cow urine or Gomutra destroys the poisonous effects of residues and makes body disease free. The medicinal usage of Panchgavya, especially cow urine is practiced in Ayurveda which is classified as complementary and alternative medicine.

The two Indian epics, Shushruta samhita and Charaka samhita, have described that the consumption of cow urine produces body warmth. In modern medical science, it has been well established that the thyroid hormones are responsible for producing body warmth. The oral administration of cow urine has thyroid stimulating effect and therapeutic value of urinary iodine present in the cow urine is immense. Cow urine or Gomutra contains iodine, which is easily absorbable from the gastrointestinal tract. The mean urinary iodine levels in dairy cows may vary from 79.2 to 94.8 micrograms of iodine per litre of urine depending upon their physiological conditions. Iodine is an essential element to produce thyroid hormones such as triiodothyronine and thyroxine. These are catabolic hormones that generate heat and cause body warmth. It has been proven that the cow urine contains iodine in required level for normal functioning of thyroid gland.

Urinary iodine concentration in cow urine varies depending upon its biological status and it could stimulate the patient's thyroid gland activity on oral administration of iodine. Thyroxine stimulates more oxygen utilization and heat production by many different cells of the body.

During iodine deficiency, the pituitary gland secretes enhanced amounts of thyroid stimulating hormone (TSH), which causes compensatory adjustment. This leads in the production of more extensive secretory epithelium which in turn will result in enlargement of the thyroid gland and loss of colloid material in the thyroid follicles. In this scenario, exogenous supplementation of iodine brings back the normal thyroid status.

The administration of cow urine, which contain good levels of iodine, can keep the thyroid gland activity on a better footing. We now have the support of scientific validation for the experience of warming up of the human body after consumption of cow urine or Gomutra.

4644 people found this helpful

Doctor I have been suffering from thyroid from last 10 years. The value of TSH remains in range. I take 75 potency thyronorm. But I have gained lot of weight within a year. Unable to shed it. I am 78 kg now. Kindly suggest some solution.

American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Doctor I have been suffering from thyroid from last 10 years. The value of TSH remains in range. I take 75 potency th...
Please adopt a healthy diet and exercise regimen. For areas of fat accumulation that do not respond to diet and exercise liposuction is a good option.
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Stress and infertility

Bachelors in Psychology, Masters in Psychology, Post Graduate Diploma in Guidance and Counselling
Psychologist, Jalandhar
Stress and infertility

It is not clear how exactly stress impacts fertility. It is not known whether high levels of stress can prevent pregnancy or affect a woman's chance of conceiving. We do know that reducing stress provides a better quality of life during times of intense personal challenge. 

What is stress? 

Stress is often defined as an event that a person sees/ feels is threatening. In order to protect itself, the body responds with a fight or flight response. How can stress impact a fertility patient? sometimes, infertility patients respond to the stress of being unable to conceive by aggressively pursuing treatment and procedures. Other patients withdraw and isolate from family, friends, and community. Neither of these extremes is ideal for patients who seek to treat their infertility and build a family. 

How can I reduce my stress? 

Having less stress in your life while pursuing fertility treatment may not, in and of itself, result in a pregnancy. However, developing better coping strategies to manage stress related to an infertility diagnosis and treatment can help you feel more in control and improve your overall well-being. 

It has been shown that stress does interfere with making rational and well-thought-out decisions. Reducing stress can allow patients to research, explore, and consider all the options available with a clearer mindset. By reducing stress, the pros and cons of one treatment course over another can be more effectively weighed and considered. 

Reduced stress is good for your health. While no one expects patients to approach fertility treatment stress free, finding ways to minimize stress while pursuing treatment can help. It is helpful for patients to look for ways to reduce the burden of infertility treatments and medical protocols. 

There are many stress-reducing techniques; some of the more popular methods recommended to fertility patients are: 

acupuncture 

aerobic exercise (may be reduced during treatment) 

collaboration with experts in stress reduction 

guided imagery 

journaling 

listening to music 

massage therapy

meditation 

mind-body groups 

mindfulness 

progressive muscle relaxation 

psychotherapy and cognitive behavioral therapy 

self-help books

support/educational groups 

visualization 

walking/hiking 

yoga

 

How can I help my friend/loved one? 

Friends and loved ones are facing a challenge. Telling patients to be less stressed can make them feel more responsible for causing their own infertility and feel blamed. Telling someone to relax can cause greater stress. However, asking how couples/friends are doing and suggesting concrete and pragmatic ways to reduce stress will enhance quality of life and give the patient back some sense of control. For many struggling with infertility, just having friends/loved ones available for listening is greatly appreciated. 

The goal of stress reduction is to minimize, not eliminate stress, by finding the technique that serves the patient's needs the best.

2 people found this helpful

I was pregnant with 10 weeks. Doctors told me that I have diabetes my fasting sugar was 97, and had given glycomet 500. The very next day I had bleeding and aborted my child. Does it was an affect of metformin. I think my fasting sugar was not that much high. please answer. I am very much in grief.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was pregnant with 10 weeks. Doctors told me that I have diabetes my fasting sugar was 97, and had given glycomet 50...
Gestational diabetes (diabetes detected during pregnancy) is quite common in india. Usually a 75 g glucose is given for doing a oral glucose tolerance test (ogtt), to detect gestational diabetes. Gdm is diagnosed if 2 hour blood sugar is above 140 mg. The recommended management is to start the patient on medical nutrition and help control blood sugar for 2 - 3 weeks if not controlled, start on insulin injections. Oral drugs are not recommended.
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I am diabetic so what is the effect of sugar on physical relationships and sex organs? Six months ago I had a fungal infection. Dr. Increase the dose of medicine and prescribed antibiotics for a month now I am fine, but in future I must be careful about that.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I am diabetic so what is the effect of sugar on physical relationships and sex organs?
Six months ago I had a fungal ...
Uncontrolled diabetes causes autonomic neuropathy and atherosclerosis. Diabetes also causes fungal infection. Please conrol all these factors.
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I am 23 years old female. I am having hypothyroid and I take medicines since last 1 month. My friends are saying that there is no cure for thyroid. Is it true? Please tell me sir. Is I have to live life long with thyroid or otherwise may I recover from this? Please help me some suggestion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 23 years old female. I am having hypothyroid and I take medicines since last 1 month. My friends are saying that...
yes thyroid medicines is for life time. Go for walk daily . Avoid stress. Some Relax during work. 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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