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Dr. Sharadha Thulkapian

MBBS

Endocrinologist, Chennai

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Dr. Sharadha Thulkapian MBBS 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. Sharadha Thulkapian
Dr. Sharadha Thulkapian is a renowned Endocrinologist in Chintadripet, Chennai. She is a qualified MBBS . You can visit her at Jeyam Hospital in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sharadha Thulkapian on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 28 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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Jeyam Hospital

No 19, Railway Station RD, Ponneri, ChennaiChennai Get Directions
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Jeyam Hospital

No 19, Railway Station RD, Ponneri.Chennai Get Directions
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I am 42 year old lady. I am suffering by hypothyroid problem. I heard there are so many side effects after getting medicine, so I am very confused what have I to do?

MBBS, JJM MEDICAL COLLEGE , DAVANGERE
General Physician, Navi Mumbai
I am 42 year old lady. I am suffering by hypothyroid problem. I heard there are so many side effects after getting me...
Get latest thyroid profile done at good lab consult a physician and start with thyroid harmon replacement. Under his guidance it is the only treatment and you can't escape.
1 person found this helpful
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HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy
Homeopath, Delhi
HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]
HYPOTHYROIDISM / MYXOEDEMA
Hypothyroidism is a clinical condition, which results from deficiency of thyroid hormones.
Hypothyroidism with deposition of mucinous substance in subcutaneous tissues is known as ‘myxoedema`.
 
CAUSES:
• Primary thyroid gland involvement.
• Lack of pituitary TSH (thyroid stimulating hormone).
• Hypothalamic deficiency of TRH (thyrotropin-releasing hormone).
• Autoimmune thyroiditis.
• Severe iodine deficiency.
 
SIGN AND SYMPTOMS:
• Slowing down of mental and physical functions of the body.
• Easy fatigability and tiredness.
• Sleepiness.
• Body ache.
• Puffiness of face.
• Edema feet.
• Weight gain.
• Increased sensitivity to cold.
• Dryness of skin.
• Brittle nails.
• Constipation.
• Hair fall.
• Hoarseness of voice.
• Hearing loss.
• Tendency for repeated infections.
• Muscle cramps.
• Shortness of breath.
• Anemia.
• Mood swings.
• Forgetfulness.
• Slow speech.
• Infertility.
• Menorrhagia (profuse menses).
• Occasionally rise in blood pressure.
 
DIETARY MANAGEMENT:
Avoid:
• Avoid goitrogens (food that blocks the utilization of iodine): turnips, cabbage, mustard, cassava root, soybeans, peanuts, pine nuts and millets. Cooking usually inactivates goitrogens.
 
CONSUME:
• Increase consumption of iodine, it is an important building block of thyroid hormone:
– Sea food, meat, milk and milk, sea plants- kelp, dulse (vegetable sea food) and Japanese sea vegetables. Plants grown in iodine rich soils are also good source of iodine.
– Iodized salt is a primary source of iodine.
• Increase consumption of copper, selenium and zinc as these minerals are essential for normal thyroid hormone production and metabolism.
• Foods rich in copper:
– Meat gelatin, eggs, yeast, lamb; pork; pheasant quail; duck; goose; squid; salmon; organ meats.
– Soy and soy products, nuts and seeds, beans, legumes; almonds, broccoli, garlic; bran breads and cereals; sea plants and mushrooms.
– Dried beans - soy beans, lima beans, baked beans, dried peas; lentils; barley.
– Dried fruits including raisins, dates, prunes, avocado, Chocolate.
– Some amount of cooper is obtained from cooking in copper vessels.
• Foods rich in selenium:
– Grains, Brazil nuts, garlic, wheat germ and brewer`s yeast, fish, shellfish, eggs, red meat, chicken and liver.
• Food rich in zinc: Good dietary sources of zinc include seafood (especially oysters), beef, oatmeal, chicken, liver, spinach, nuts and seeds.
– Meat, poultry and milk, shell fish, crab, shrimp and sea plants etc.
– Plant foods are low in zinc, Whole wheat grains provide good amount of zinc.
• Increase consumption of Omega-3 fatty acids, one of the PUFA`s (poly unsaturated fatty acids), as it also contributes to normal thyroid function: Fish and fish oils provide excellent forms of omega-3s as well as vitamin A, which improves thyroid receptor binding and thyroid hormone activity. Flax / linseed oil is the richest source of PUFA`s. Other oils that contain PUFA`s are safflower oil, soybean oil, cottonseed oil, maize oil, sesame oil, rich bran oil, ground nut oil, mustard oil and olive oil.
• Increase consumption of proteins - tyrosine, an amino acid is a precursor for making thyroid hormone :
– Milk and milk products, eggs (is the richest source), Flesh food: meat, fish, and poultry.
– Nuts and oilseeds, pulses, cereals.
• Mild to moderate exercise is advisable, exercise stimulates thyroid gland function.
• Practise yoga, helps in increasing tissue sensitivity to thyroid hormone.
 
CONSULT PHYSICIAN:

• If myxoedema presents with complications like cardiac failure or coma consult your physician immediately. Immediate medical attention is necessary.  

Note   Blood test empty stomach ,,,,T3 T4 TSH
Avoid unnecessary use of external hormones & steroids

My SGPT level is 73, SGOT is 34, Bilirubin is 1.20 , Triglycerides level is 180. Are these level are very abnormal and please suggest how to lower down the SGPT and Triglycerides level.

General Physician, Hyderabad
My SGPT level is 73, SGOT is 34, Bilirubin is 1.20 , Triglycerides level is 180. Are these level are very abnormal an...
Normal sgpt level ranges from 7 to 56 units. High levels of sgpt in the blood may indicate liver problems and damage, but they may also be elevated due to strenuous activity. Please do the following 1. Stop drinking alcohol 2. Reduce salt intake 3. Eat fresh friuts and vegetables 4. Exercise daily 5. Quit smoking 6. Stop taking medicataion not prescribed by doctor 7. Get few more blood test and consult doctor for proper treatment of what is causing these condition. High triglycerides can also be manged by changing your life style by the above advise and losing weight, if not reduced consult to get treatment for high triglyceride level. Take care.
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I am a diabetic patient. My health is getting worse and worse day by day, what I can do.

MBBS
General Physician, Cuttack
I am a diabetic patient. My health is getting worse and worse day by day, what I can do.
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet. 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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My age is 26 and Hb is 8, TSH is high 6.22 for dt I am taking thyronorm 12. 5 mcg bt my concern is Hb A2 which is 1.8 what does that mean?

C.S.C, D.C.H, M.B.B.S
General Physician,
My age is 26 and Hb is 8, TSH is high 6.22 for dt I am taking thyronorm 12. 5 mcg bt my concern is Hb A2 which is 1.8...
Hemoglobin A2 (HbA2) is a normal variant of hemoglobin A that consists of two alpha and two delta chains (α2δ2) and is found at low levels in normal human blood.
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Thyroid and pcod together what are the chances of conceiving naturally rather than ivf?

DGO
Gynaecologist, Hyderabad
both can be controlled by medicine. u can try to conceive naturally.but ovulation induction followed by follicular study is useful. if not iui can be done. other option is laparoscopic ovarian drilling.
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I am 48 years old man my blood sugar fasting is 96 and after meal 143. It is risky.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 48 years old man my blood sugar fasting is 96 and after meal 143. It is risky.
pp sugar143 means slightly higher than upper limit of 140 mg/100 ml. It means you are in a prediabetic condition. From now on you have to exercise regularly for more than 1 h a day, maintain your weight with in normal limit for height, avoid deep fried foods, restrict sweets, avoid smoking and alcohol and junk food. Then you may be able to remain free of diabetes.
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I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.
Mr. Lybrate-user, there is no restriction in eating dal (pulses) as it provides a good quantity of proteins. Even if you have jaundice there is no such restriction. Probably only restriction is to avoid alcohol completely. Moderate protein intake is necessary. Only thing is please maintain your blood sugar levels in good control.
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Good evening sir, I am 27 years old, I am done my body check-up yesterday the glucose rate shows 125 is it normal and my BP rate is 90/110. Please advise.

LCPS, BAM&S
General Physician, Pune
Good evening sir,
I am 27 years old, I am done my body check-up yesterday the glucose rate shows 125 is it normal and...
Everything is normal. Repeat after 3 months if required. Hba1c for diabetes is better test. Blood pressure tend to show higher in first reading. Don't worry. Do the bp in morning.
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My mother tested for hemoglobin A1c and it's value is 5.8%. What precautions she should take? It seems like she is pre diabetes. We also got her tested for simple diabetic test and it came out normal. She has high cholesterol too. Her total cholesterol is 235.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
My mother tested for hemoglobin A1c and it's value is 5.8%.
What precautions she should take? It seems like she is pr...
This is not a pre diabetes 5.8 is nornal sugar level. If you have in stress so avoid high carbohydrates food, excess amount of fat, salt and sugar.
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Reasons for Infertility in Men

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Reasons for Infertility in Men

Male infertility is characterized by irregular sperm function or reduced sperm count. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity.

The various symptoms of infertility in men are:

  1. You may experience lumps or swellings in the testicles
  2. You may have chronic respiratory problems
  3. You may experience low libido
  4. You may have ejaculation disorders
  5. Impaired sense of smell
  6. Chromosomal complications such as reduced body hair
  7. Your sperm count may be low

The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

The various reasons for infertility in men are:

  1. Infection: Various infections such as inflammation of the testicles and epididymis, which causes blockage of the tubes carrying the sperm can be a cause.
  2. Varicocele: This condition is characterized by swelling of the veins that are connected to the testicle. This condition is known to change the normal temperature of the testicles, thus leading to complications in sperm production.
  3. Hormonal imbalances: Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body. 
  4. Problems in sexual intercourse: Problems such as erectile dysfunction or premature ejaculation are reasons why you may have infertility. 
  5. Medications: Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus reduce your fertility.
  6. Radiation exposure: If you have been exposed to radiation such as x-rays, your sperm production may be impaired, thus causing infertility. However, this condition can be reversed if you are no longer exposed to the radiation.
  7. Consumption of alcohol and smoking: Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.
  8. Obesity: If you are overweight, then it's time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
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I am 28 year old male having diabetes more than 500 but there is no problem to me like eye pain etc what to do now.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chennai
I am 28 year old male having diabetes more than 500 but there is no problem to me like eye pain etc what to do now.
Hi, Blood sugar may fluctuate for many reasons like food, activity etc. Please make sure that your test was done accurately and do a test again after a week. Consult a doctor before making any conclusion, it can be a technical glitch in your report. But if your blood sugar is high don't leave it unattended. Please note that most of the people are diagnosed with diabetes when blood test is done for some other diseases. Diabetes may not show any evident symptoms for a long time but will be putting extra load on vital organs like kidneys, liver etc. It is always better to prevent diseases than curing them later.
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My mother suffering from sugar diecese, so could you help me tat how to control by food.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My mother suffering from sugar diecese, so could you help me tat how to control by food.
DIABETIC DIET ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●Limit intake of sugar and sugary foods like sweets DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits , salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 5:00 p.m : salads/coconut water/lemon water(without sugar)or tea with roasted chana/bhelpuri 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods/groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean i hope all this information helps u
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I am gaining weight, which is apparently leading me to more health issues like high blood sugar, high blood pressure, also because of raised blood sugar my knee is suffering pain from last 6 Months. What should I do?

MBBS
General Physician, Cuttack
I am gaining weight, which is apparently leading me to more health issues like high blood sugar, high blood pressure,...
1. Do regular aerobic exercise like brisk walking/jogging/running/cycling/swimming for 1 hour daily 2. Reduce weight 3control diet 4. Avoid sweets, sugar, oily, fatty, excess calorie/cholesterol, saturated fat and carbohydrate rich diet. Take green leafy vegetables/fruits/salads. Drink plenty of water. Avoid junk food, bakery items like pizza/burger/cookies, soft drink, etc 5. Do yoga, pranayama, deep breathing exercise.
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What should the daily routine for the diabetes patients? What ahoul They eat so as low their sugar?

MBBS
General Physician, Cuttack
What should the daily routine for the diabetes patients? What ahoul They eat so as low their sugar?
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
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I am 33yrs female. I had gone for thyroid test and the report says thyroid stimulating hormone is 7.82 value. Kindly let us know the impact and curing procedure with medicines to be used and diet to be maintained.

MD - Medicine
Endocrinologist, Ahmedabad
I am 33yrs female. I had gone for thyroid test and the report says thyroid stimulating hormone is 7.82 value. Kindly ...
You need only thyroid medicine will be required. You can get obesity, hairloss and infertility with hypothyroidism.
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What are the symptoms of elevated uric acid what line of treatment is recommended for the same. Also are there any dietary restrictions.

MBBS
General Physician, Mumbai
Swelling and pain over the great toe is a typical symptom of increase uricacid levels and avoid pickles and papads and eat freshly prepared home made food
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Foot Care in Diabetes

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Foot Care in Diabetes
Diabetic Foot care-Check your feet every day-top, bottom, and between the toes. 1-Do you see any redness, cuts,swelling, blisters, or sores?
2-Do you have a cut or sore on your foot that is taking a long time to heal?
If you answered “yes” to any of these questions, Consult doctor.
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