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Dr. Senthil

Endocrinologist, Chennai

Dr. Senthil Endocrinologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Senthil
Dr. Senthil is one of the best Endocrinologists in Poonamallee, Chennai. You can visit him/her at VeeCare Sundar Hospital - Poonamallee in Poonamallee, Chennai. You can book an instant appointment online with Dr. Senthil 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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No.186, Trunk Road, poonamallee. Landmark: Poonamallee Bus Depot & Government General Hospital, ChennaiChennai Get Directions
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Dark sign on neck? Diabetes

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dark sign on neck? Diabetes
Are dark cracks behind neck a sign of diabetes?

Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications & focussed weight loss.


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I want to as that is levithyroxine sodium and thyroxine sodium same medication. If thyroxine sodium is not available can I replace it with levithyroxine sodium. I was taking thyroxine sodium for almost 10 months.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to as that is levithyroxine sodium and thyroxine sodium same medication. If thyroxine sodium is not available ...
yes both are same. 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 am 18 years old. What is nicotex chewing gum? How is it useful? Is it good for health? Diabetes patient should use or not? It has any side effects? If there any side effects how will it cure? Please! help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 18 years old. What is nicotex chewing gum? How is it useful? Is it good for health? Diabetes patient should use ...
Nicotex chewing gum, contains substitute for nicotine inhaled from smoking, it is used to stop smoking habit. It contains synthetic form of nicotine. Side - effects of using this chewing gum include irritation in the mouth initially, may reduce on usage. Can cause aphthous ulcers, throat irritation and hiccups. May also cause allergy, in hypersensitive patients.
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My Wife has 35.4 hypothyroidism what to do to treat this problem asap.

MD - Internal Medicine, MBBS
Endocrinologist,
My Wife has 35.4 hypothyroidism what to do to treat this problem asap.
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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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I am 50 year old male having type 2 diabetes for last 5 years and taking Janumet 50/1000 twice daily and my Fasting sugar remains 120 and Pp less than 200 with Hba1c 6.6. Please suggest how can this level be bring down.

MBBS
General Physician, Mumbai
I am 50 year old male having type 2 diabetes for last 5 years and taking Janumet 50/1000 twice daily and my Fasting s...
You have superbly controlled sugar levels and in addition you need to exercise and follow a diabetic diet.
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Sir, my father has increased uric acid level and he has pain in the heel. What precaution should he take and also what medicine?

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.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.
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I am diabetic having glucose 1 mg metformin1 mg 1 morning before meals and one at night. But after having break fast sugar after Two hrs. Is 160, 170, 183, also taking Tenepride20 mg immediate after break fast What to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic having glucose 1 mg metformin1 mg 1 morning before meals and one at night. But after having break fast ...
Mr Atul, The information given is not clear. Please give the following details : Current fasting and PP sugar levels, HbA1c%, dietary pattern, extent of exercise and drugs being taken (there is no glucose 1 mg and metformin 1 mg tablets). Please give correct names of tablets and quantity of ingredients. It will be better if you come in a private conversation with all the details, where I will be able to give specific suggestions.
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Hi doctor I am Suffering from unexplained infertility since 5 years. And put on weight also. Please help me out Thank you.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi doctor
I am Suffering from unexplained infertility since 5 years. And put on weight also. Please help me out
Thank...
If you have put on weight that means you r most probably suffering from pcod, which can be diagnosed with ultrasound and fsh, lh test. Primary objective of your treatment is weight reduction and maintain normal bmi of 18-25. This will regularize the monthly cycles and also help you get pregnant. You can take metformin to reduce weight. For reducing your weight you should have brisk walk or jogging for 4-5 km daily, high protein diet (fish, chicken, mutton without fat, pulses, mushrooms), low carbohydrate diet (avoid rice, chapatti, bread, poha, upma, idli, dosa, potato, sugar etc and can use bhakri instead) and low fat i. E. Less oil and preferably use rice bran oil.
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I am suffering from type 2 diabetes, high cholesterol and severe itching since almost 10 years. For diabetes I started with glycomet gp1 once daily, which is now increased to twice daily along with 500mg metformin in the night. I am worried since the dosage of medicine is increasing after every 2 years. Also, for itching I am taking anti-histamines. Also, I am feeling quite weak nowadays. Is there any better medicine or permanant cure?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Also weakness could be due to over restriction of foods. Diabetes is like a state of starvation for the body. It is not about restrictions but about a balanced intake of all foods. Though you can follow some guidelines - have small frequent meals. Do not fast for more than 2-3 hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Fruits should be had as a mid meal. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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Hello sir mere father ko sugar hai or unke foot mai ek jakham hai water se jal gaya tha one month ho gaya hai her din dressing karwate hai jakham sukhne ka naam nahi le raha hum ko kya karna chaiye ?

C.S.C, D.C.H, M.B.B.S
General Physician,
Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. 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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Hello doctor. My mother is having nausea and vomiting problem and she is having headache in back side of her head and she has loss of appetite and anxiety. Her thyroid, TLC, sgot, CST, echocardiography all are normal then what it is it's cause?

MBBS
General Physician, Cuttack
Hello doctor. My mother is having nausea and vomiting problem and she is having headache in back side of her head and...
If she is having chronic headache with nausea and vomiting she may have to take CT scan of brain to exclude any organic brain lesion after consulting neurologist
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Sir I am from Kerala working NSS college mattanu today blood test results sugar 250 BP 130/90 SGPT 90 SGOT53 endoscopy normal abdominal problem please give your advice.

msc in nutrition and dietetics
Dietitian/Nutritionist, Jaipur
Sir I am from Kerala working NSS college mattanu today blood test results sugar 250 BP 130/90 SGPT 90 SGOT53 endoscop...
well ur bp is slightly increased so for that take min.salt .if u r facing abdonimal pblm then it's better to consult ur doctor or speciality that would be better so that ur pblm cn b resolve soon without any other issue.hope u take my advice forward take care sir.
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I am diabetic patient, I take tablet GALVUSMET 50/500, Should i continue this tablet or other one ?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am diabetic patient, I take tablet GALVUSMET 50/500,  Should i continue this tablet or other one ?
It is nice tablet. Contains vildagliptin and metformin. Helps in preserving beta cells increase insulin sensitivity promote weight loss. Check your hba1c level if it is well controlled continue same tablet.
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She got thyroid disease. Is it dangerous to health can we avoid this disease completely is there any side effects to reproduction.

Ear-Nose-Throat (ENT) Specialist, Bangalore
Hypothyroidism is not at all dangerous and can easily be controlled. If thyroid harmone levels are maintained you should not have any problems.
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For pins & needles & hypereasthesia which oral anti-daiabetic is good & its dosage regimen ?

Vaidya Visharad
Ayurveda, Narnaul
Dear, 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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I want to know about hypothyroid If hypothyroid is there Than is it necessary to uterus abdomen scan And hypothyroidism means in future cancer and infertility also psychological problems like aggressive behaviour with friends relatives breast becomes small and thin vulva vagina also becomes thin and small no flexibility in total muscles of body. Is it necessary to consult gynaecologist.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I want to know about hypothyroid
If hypothyroid is there
Than is it necessary to uterus abdomen scan
And
hypothyroidi...
lybrate-user, Hypothyroidism means our thyroid gland starts producing less and less of hormone thyroxine. This hormone is essential for development and day to day functioning of brain, plus takes part in multiple metabolic reactions in the body. Therefore, it deficiency causes multiple problems like - weight gain, slow heart rate, intolerance to cold, dry skin, dry hair, hair fall, irregular menstruation, excess flow, infertility, abortions, miscarriages, anxiety and depressive tendency, joint and muscle pains etc. To find out if one has hypothyroidism a thyroid assay has to be done. If hypothyroidism is detected, thyroxine supplement has to be taken for lifetime. Thanks.
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What is hypothyroidism?

MD - Internal Medicine, MBBS
Endocrinologist,
What is hypothyroidism?
Symptoms of hypothyroidism:- tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, hair loss, difficulty in concentrating and at times in speech.
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I am having sugar. My age is 29 only. Taking glycomet. Now what should I do for escaping from this sugar. Shall I get rid of completely in future. Mild fatigue is coming.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am having sugar. My age is 29 only. Taking glycomet. Now what should I do for escaping from this sugar. Shall I get...
Please consult a homeopathic doctor for this. Your condition requires a proper consultation. It will take time but you will definitely get permanent cure. You can either find a local doctor or you can consult me online.
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I Am suffering from diabetes from diabetes from last two years joint pain problem in knee.Please tell.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I Am suffering  from diabetes from diabetes from last two years joint pain problem in knee.Please tell.
You should take acupressure therapy and take biochemic kali phos 200x 4 tab thrice a day with warm water and take it 5 days
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