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Dr. Shilvi Mathew

Endocrinologist, Chennai

600 at clinic
Dr. Shilvi Mathew Endocrinologist, Chennai
600 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shilvi Mathew
Dr. Shilvi Mathew is a renowned Endocrinologist in Ambikapuram, Chennai. You can consult Dr. Shilvi Mathew at Endocrine Diagnostic Centre & Diabetes Care Centre in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Shilvi Mathew on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 43 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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# 1, Moosa Street, T Nagar.Landmark; Next to Masjjid Road, ChennaiChennai Get Directions
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Hi I am 31 years old I have a severe back pain when I consult doctor, he checked my uric acid level which is quite high its 7. what should I do to control my uric acid level? Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi I am 31 years old I have a severe back pain when I consult doctor, he checked my uric acid level which is quite hi...
Avoid protein diets,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. Bencid 500 mg once a day.
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My father is nearly 80years age, diabetic and today his hemoglobin count was 7.5. How to raise the hemoglobin.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father is nearly 80years age, diabetic and today his hemoglobin count was 7.5. How to raise the hemoglobin.
Hi, raising the hemoglobin from 7.5 g/100ml to normal is a bit difficult. Many a time packed cells may have to be given, otherwise start on hematinics daily and those to be taken for over 8 plus months. Plus he should increase the intake of green leafy vegetables daily.
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How I change Sweets may be delicious, but they contain an excess amount of sugar, which is harmful for my health.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
How I change Sweets may be delicious, but they contain an excess amount of sugar, which is harmful for my health.
yes that is absolutely true as sugar is a source of empty calories. replace sweets with fruits like dates, banana, mango, jackfruit, pomegranate, watermelon, grapes, etc. you may try desserts prepared with fruits ex: dates-nuts laddoo, dates payasam, orange srikhand
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My father is 59 years old having diabetes from many years, his sugar is too high any natural remedies? I am very much tensed please help he has lost weight.

MBBS
General Physician, Srinagar
My father is 59 years old having diabetes from many years, his sugar is too high any natural remedies? I am very much...
Hello, don't worry do following all will be fine. 1. No carbohydrates. 2. No suger. 3. No smoking 4. Regular exersice. 5. Drink lots of water. 7. Blood glucose tests should be done frequently. Thanks.
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Graves' Disease - Things You Should Know About It

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Graves' Disease - Things You Should Know About It

The body has multiple chemicals called hormones, which regulate many of its functions. Increased or decreased levels of these hormones affect various functions including metabolism, growth and sexual functions. Thyroxin produced by the thyroid (situated in the front of the neck) is one such hormone, which has a significant role to play in metabolism.

Graves’ disease is one of the main causes of hyperthyroidism, where there is excessive production of thyroid hormones. Graves’ disease is an autoimmune disorder, wherein the body reacts against its own tissues. It is very common in women than men, especially after 20 years of age. Family history also has a strong correlation in developing Graves’ disease. The high levels of thyroid hormone increase the rate of metabolism, thereby altering weight, mental energy levels, physical stamina, and also mood.

Thyroid hormone is related to metabolism and more amount of it lead to higher metabolism. This causes the following symptoms.

  1. Intolerance to heat
  2. Excessive sweating
  3. Nervousness and anxiety
  4. Inability sleep, as the mind is always excited
  5. Increased appetite (sometimes despite weight loss) due to higher metabolism
  6. Irregular menstrual cycles
  7. Palpitations (rapid, loud heartbeat)
  8. Irregular heartbeats (tachyarrhythmia)
  9. Fine tremors of the extended arms
  10. Breast enlargement in men, known as gynecomastia
  11. Extreme moodiness, causing irritability and anger
  12. Inability to focus and concentrate
  13. General fatigue and shortness of breath with any exertion
  14. Increased frequency of bowel movements

In addition, the eye symptoms are quite diagnostic including:

  1. Protrusion of the eyes (exophthalmos), giving an impression that they are going to fall out
  2. Double vision
  3. Excessive tearing
  4. Increased irritation in the eyes

Diagnosis: The first symptom would be the presence of an enlarged thyroid gland (front of the neck above the collarbone), and the some of the above symptoms would be present.
In addition, tests to check for thyroid gland functioning including T3 and T4 levels would reveal increased amounts of hormone in the blood stream.
As a confirmatory test, the radioactive iodine uptake test also is done, which will indicate increased uptake by the thyroid gland. This indicates that the gland is functioning at an increased pace and requires additional iodine for the production of thyroid hormones.

Treatment: There are two approaches to it, one to control the symptoms and the other to control the thyroid gland per se.

  1. Beta blockers are very useful in controlling rapid heart rate and anxiety.
  2. Prednisone may be used to control eye irritation and swelling
  3. Antithyroid drugs are used to control the production of thyroid
  4. Radioactive iodine is given orally to control excessive thyroid production
  5. In severe cases, thyroid gland may be surgically removed partially or completely

Graves’ disease is not life-threatening and once symptoms are controlled, the patient’s quality of life improves drastically. If you wish to discuss about any specific problem, you can consult a endocrinologist.

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i am suffering from diabeties from last 14 years now my age is 49 years, i use dialy 2 times glynase mf tablet. But i have a back pain & legs are tired, some times very trouble to walk.

Vaidya Visharad
Ayurveda, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. 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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HAI my father is a sugar patient with in 3 years and he control his daily routine but sugar is not control. He check today his sugar is 265 and taking karela juice also why sugar is not control.

CDIABT, MBBS
Endocrinologist, Mumbai
HAI my father is a sugar patient with in 3 years and he control his daily routine but sugar is not control. He check ...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Insulin will work better if taken in combination with diet and exercise. Medication will depend on your blood sugar level.
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I'm 53 yrs and suffering from Proteinuria ++ from last 1 year. Though diabetic and hypertensive these diseases are under control thru medication. Is proteinuria curable.

MBBS
General Physician, Delhi
Welcome presently you are on cilicar(clinidipin) is a calcium channel blocker. Discuss with your doctor to start A C E /A R B inhibitors medicines to check protienuria. Thanks
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My wife is 41 years old. She is suffering from thyroid since five years. She has consulted the reputed doctor and undergoing the treatment. But still she is not getting rid of this disease. Kindly give me the expert advice.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi , an under-functioning thyroid is a hormonal disruption that could be fixed via good eating habits and an active lifestyle. At our company, we do have several clients come in with a thyroid disorder which we successfully rectify with 3-6 months of lifestyle intervention and behavioral modification. This would be a great platform to put your wife on as well. Do consult us for a preliminary consult and we could discuss this in more depth. .
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I have a high blood sugar and I take insulin regularly. But yet my sugar level is always high. What should I do?

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
I have a high blood sugar and I take insulin regularly. But yet my sugar level is always high. What should I do?
The most important thing is in diabetes is diet and exercise.These two things will help you to lower blood sugar levels and to reduce medicinal dose.So do regular exercise.Take small amount of foods.Eat 5-6 times instead of 3 big meals.Avoid fast foods junk foods,processed foods.No sugar,sweetened juice,cola,soft drinks.No underground vegetables,banana,pumpkin.Take lots of watery and whole fruits,vegetables.Use unrefined foods.Take more protein which will help to improve insulin sensitivity.Use healthy fats small amount.Drink lots of water specially before meals.Avoid smoking,alcohol.Use nutritional supplement to manage your diabetes.you can use fenugreek seeds with1/2 glass water on an empty stomach in the morning.Adjust your medication with diet.Stay stress free and take proper rest.These will be helpful.
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I am 43 years old,from past one year i am a diabetic,it was under control when i last did my hba1c test,it was 7,now after three months when i did yesterday it was 9.2,i go for walking and do exercise every day excepet sundays, so i dont know why this sudden change in my body,i take k glim 2mg,tablet morning one and night one,please help sir

SENIOR RESIDENCY-ENDOCRINOLOGY, FELLOWSHIP IN DIABETES AND ENDOCRINOLOGY, MD, MEDICINE
Endocrinologist, Bangalore
As the duration of diabetes progresses response to medicine varies. I hope u r taking ur tablets regularly and u have not stopped. If u have stopped meds then tht explains the rising sugars. Also always do the tests in a NABL accredited lab. U can add metformin 500mg one in the morning n evening
1 person found this helpful

What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?

Diploma in Diabetology, MBBS
General Physician, Amritsar
What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?
Life style modification and walk for 150 minutes a week or other mild exercise will be of great help.
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Maximum sugar level require during Orthopaedic surgery. ? And aspirin tablet is harmful on operation. ? Plzzz reply must.

MBBS
General Physician, Jalgaon
Maximum sugar level require during Orthopaedic surgery. ? And aspirin tablet is harmful on operation. ? Plzzz reply m...
It should be within normal range Aspirin hampers clotting mechanism, so it must be stopped 3 to 4 days prior to operate
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I am suffered by thyroid and uric acid. My body weight is increasing. What should do me.

MBBS
General Physician, Cuttack
Normal level are 2.4-6mg/dl in male and in female and3.4-7mg/dl. High uric acid can cause gout, arthritis, kidney stone) 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight 7. Take medicine after consulting physician do a thyroid function test and consult physician for treatment.
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I'm 58 years old male & due to my feet swelling, doctor advised me to test lipid profile, uric acid, sugar, but all are normal, only ldlcholesterol is below normal. What do I do, give me advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm 58 years old male & due to my feet swelling, doctor advised me to test lipid profile, uric acid, sugar, but all a...
Hello dear High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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I am a lady of 24 years. From last 5 years I am suffering from hypothyroid. Taking thyronorm 112.5, I have put on 4 kgs in last 4 months. I need to reduce my weight immediately as I am planning to conceive on or after october 2015. So started to eat brown bread with soup at dinner & brown rice at lunch. Just want to know that is the diet helpful for me or not.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am a lady of 24 years. From last 5 years I am suffering from hypothyroid. Taking thyronorm 112.5, I have put on 4 k...
Hi ! hypothyroidism usually doesn't cause a rapid weight gain and if its controlled with treatment then it is not the cause. Your weight gain is probably due to excessive calorie intake. In my view this diet is not a good idea. Include lot of vegetables, salad & fruits rather than bread and rice for weight loss.
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Which are the food to avoid for patients having uric acid ? And what are the medicine for this ?

MBBS
General Physician, Cuttack
Which are the food to avoid for patients having uric acid ? And what are the medicine for this ?
1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight 7. Take medicine after consulting physician.
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