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Dr. Shilvi Mathew

Endocrinologist, Chennai

600 at clinic
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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 T.Nagar, Chennai. You can consult Dr. Shilvi Mathew at Endocrine Diagnostic Centre & Diabetes Care Centre in T.Nagar, 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 32 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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Endocrine Diagnostic Centre & Diabetes Care Centre

# 1, Moosa Street, T Nagar.Landmark; Next to Masjjid Road, ChennaiChennai Get Directions
600 at clinic
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Sir, I am 55 years old. My uric acid remains 6.2 to 6.5. Please guide me what type of treatment I must be obtained. I am also diabetic but take one tablet daily in the morning before breakfast. My sugar remains normal i. E. Fasting 96 on 23/08/2015.

MBBS
General Physician, Faridabad
Sir, I am 55 years old. My uric acid remains 6.2 to 6.5. Please guide me what type of treatment I must be obtained. I...
your uric acid is in normal range. upto 7 it is normal. you may take less of protiens like milk paneer, cheese, pulses etc.
2 people found this helpful
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My mom has been through total thyroidectomy 2 years ago. Doctor has recommended 125 mg of thyroxine tablets. B4 the tsh level was within the limit but now the level is increased to 9.8. Kindly suggest us the remedies to make the tsh level upto normal range. Thank you.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
My mom has been through total thyroidectomy 2 years ago. Doctor has recommended 125 mg of thyroxine tablets. B4 the t...
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. This requires dosage modifications of the same. Have to take 1.5 times of the current dose for 1 month and consult with report after 1 month. Hope this clears your query. Wishing her fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
1 person found this helpful
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I am suffering in diabetic since 1yr. Please give me some tips. How to I solve this problem. Please give diet chart also. So that I can solve this problem.

BHMS
Homeopath,
I am suffering in diabetic since 1yr. Please give me some tips. How to I solve this problem. Please give diet chart a...
Dear lybrate user, only home remedies may not be sufficient enough to lower your blood sugar level. If home remedies could lower the blood sugar then there won't be such worldwide research on diabetes. Home remedies help to confine your blood sugar level to a certain extent. But if you want to lower your blood sugar level then you will surely need some medicine. Take homoeopathic mother tincture gymnemma sylvestra q, 30 drops, thrice daily, after meals, in a cup of water.
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I am diabetic and take lantus and novorapid twice daily and still my sugar is not in control what should be done?

MBBS
General Physician, Cuttack
I am diabetic and take lantus and novorapid twice daily and still my sugar is not in control what should be done?
Your insulin dose may need modification. Consult Diabetologist with Fresh blood sugar and HBa1c report
2 people found this helpful
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I am suffering from diabetes maletus, so what are the ways by which I protect my self from this disease?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from diabetes maletus, so what are the ways by which I protect my self from this disease?
following are the steps you have to follow: 1) maintain weight near normal, (ideal body weight = height in cms - 100 x 0.9 = kgs), 2) exercise for more than 1 h a day, 3) avoid sweets, direct dugsr, deep fried food, fruits like mango, chikkoo, banana & grapes, 4) take a restricted diet meeting exact caloric need based on ibw and per kg caloric need, 5) take prescribed medications as advised by the doctor, 6) avoid smoking and alcohol.
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I go bathroom 4 5 times in night. My sugar label is 69. Feeling heavy head. Sleepy , Weakness.Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I go bathroom 4 5 times in night. My sugar label is 69. Feeling heavy head. Sleepy , Weakness.Please tell.
Mr. Lybrate-user, if your sugar level is 69 mg/100 ml, then it is actually very low, that does not cause excess urination. But please check after food glucose level, if that is high (>200 mg/100 ml), then there is diabetes. Otherwise there may be some other reason for increased frequency of urination. Get routine urine test done for checking if there is urinary tract infection. Also get your bp checked, plus you are over weight, that also must be contributing for weakness. Please come back with all the above details, then I can be of help. Thanks for the question.
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I regularly take 100mcg thyronorm tab. But my thyroid symptoms never goes even when my levels are normal. So do I need t3 tablets along with thyronorm so that symptoms go? symptoms-swelling, brain fog, dry hairs, low energy. These remain same even on normal levels. They never goes. Why they are not going? do I need t3 tab also. Age-18, male.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I regularly take 100mcg thyronorm tab. But my thyroid symptoms never goes even when my levels are normal. So do I nee...
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 consult doctor on time.
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Hi, I am 22 years old and I have thyroid problem from last 4 years and I ate the tablet thyrox 25 so my tsh level is normal due to this tab. And I also have cysts in ovary due to this I have problem in periods. I try lot of medicine but it work only when I take them when I left those medicines again I am suffering from irregular periods. please suggest me something.

BHMS
Homeopath, Secunderabad
You can try Homeopathy which is a holistic science and does not have any side effects. Based on your body and mind nature and your specific complaints Homeopathic medicine can be started. You can contact me for a detailed case history and further management. You can also chose online consultation.
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The Effects of alcohol on the Body

Masters in Clinical Psychology
Psychologist, Lucknow
The Effects of alcohol on the Body

When you drink alcohol, it’s absorbed into your bloodstream and affects every part of your body. In the long term, this can put your health at serious risk. 

When you drink alcohol, it’s absorbed into your bloodstream and affects every part of your body. In the long term, this can put your health at serious risk.

Even a small amount of alcohol has an affect on your body. When you drink, alcohol is absorbed into your bloodstream and distributed throughout your body. A tiny amount of alcohol exits your body in your urine and your breath.

You absorb alcohol more slowly if you eat, especially if the food is high in fat. However, if you drink more than your body can process, you’ll get drunk. How quickly alcohol is metabolized depends on your size and gender, among other things.

Alcohol consumption causes physical and emotional changes that can do great harm to your body. The long-term effects of alcohol abuse are many, putting your health in serious jeopardy and endangering your life.

Excretory System

The excretory system is responsible for processing and eliminating waste products like alcohol from your body. As part of that process, the pancreas secretes digestive enzymes that combine with bile from the gallbladder to help digest food. The pancreas also helps regulate insulin and glucose.

Excessive alcohol use can cause the pancreas to produce toxic substances that interfere with proper functioning. The resulting inflammation is called pancreatitis, a serious problem that can destroy the pancreas. One of the most frequent causes of chronic pancreatitis is alcohol abuse.

The liver’s job is to break down harmful substances, including alcohol. Excessive drinking can cause alcoholic hepatitis which can lead to the development of jaundice (yellowing of the skin and eyes). Chronic liver inflammation can lead to severe scarring known as cirrhosis. This formation of scar tissue can destroy the liver. When the liver fails to perform, toxic substances remain in your body. Liver disease is life threatening. Women are at higher risk for alcoholic liver disease than men, because women’s bodies tend to absorb more alcohol and take longer to process it.

When the pancreas and liver don’t function properly, the risk of hypoglycemia (low blood sugar) rises. A damaged pancreas can cause the body to be unable to utilize sugar due to a lack of insulin, which can lead to hyperglycemia. Unbalanced blood sugar levels can be a dangerous problem, especially for people with diabetes. Alcohol abuse also raises your risk of liver cancer.

Central Nervous System

One of the first signs of alcohol in your system is a change in behavior. Alcohol travels through the body easily. It can quickly reach many parts of your body, including your brain and other parts of your central nervous system. That can make it harder to talk, causing slurred speech, the telltale sign that someone who has had too much to drink. It can also affect coordination, interfering with balance and the ability to walk.

Drink too much, and your ability to think clearly is in trouble, as are your impulse control and ability to form memories. Over the long term, drinking can actually shrink the frontal lobes of your brain. Acute alcoholic withdrawal can lead to seizures and delirium. And severe alcoholism can progress to permanent brain damage, causing dementia.

Damage to your nervous system can result in pain, numbness, or abnormal sensations in your feet and hands. Alcoholism can cause a thiamine (vitamin B1) deficiency, which can result in involuntary rapid eye movements, weakness, or paralysis of the eye muscles.

Men and women metabolize alcohol differently. It generally takes less alcohol to affect women.

Over time, a heavy drinker can become physically and emotionally dependent on alcohol. It may be very difficult to gain control. Unlike most other common addictions, acute alcohol withdrawal can be life threatening. Cases of severe, chronic alcohol addiction often require medical detoxification.

When an alcoholic stops drinking abruptly, they’re likely to experience symptoms of withdrawal, such as:


nausea
anxiety
nervousness
tremors


In severe cases, it may lead to confusion, hallucinations (delirium tremens), and seizures. Detoxification can take between two and seven days. Medications can help prevent side effects of withdrawal.

Digestive System

Alcohol can wreak havoc on your digestive system, from your mouth all the way to your colon. Even a single incidence of heavy drinking can injure parts of your digestive tract.

Alcohol abuse can damage the salivary glands and irritate the mouth and tongue, leading to gum disease, tooth decay, and even tooth loss. Heavy drinking can cause ulcers in the esophagus, acid reflux, and heartburn. Stomach ulcers and inflammation of the stomach lining (gastritis) can occur.

Inflammation of the pancreas interferes with its ability to aid digestion and regulate metabolism. Damage to the digestive system can cause gassiness, abdominal fullness, and diarrhea. It can also lead to dangerous internal bleeding, which may be due to ulcers, hemorrhoids, or esophageal varices caused by cirrhosis.

Alcohol makes it harder for your digestive tract to absorb nutrients and B vitamins or control bacteria. Alcoholics often suffer from malnutrition. Heavy drinkers face higher risk of mouth, throat, and esophagus cancers. Moderate drinking in the presence of tobacco use can raise the risk of these upper-gastrointestinal cancers. Colon cancer is also a risk. Symptoms of alcohol withdrawal may include nausea and vomiting.

Circulatory System

In some cases, a single episode of heavy drinking can cause trouble for your heart. It’s even more likely your heart will suffer if you’re a chronic drinker. Women who drink are at even higher risk of heart damage than men.

Circulatory system complications include:


poisoning of the heart muscle cells (cardiomyopathy)
irregular heartbeat (arrhythmia)
high blood pressure
stroke
heart attack
heart failure


People with diabetes have an increased risk of low blood sugar levels, especially if they use insulin. Deficiencies in vitamin B6, vitamin B12, thiamine, and folic acid can cause lowered blood counts. A common symptom of anemia is fatigue.

Sexual and Reproductive Health

Erectile dysfunction is a common side effect of alcohol abuse in men. It can also inhibit hormone production, affect testicular function, and cause infertility.

Excessive drinking can cause a woman to stop menstruating and become infertile. It also can increase her risk of miscarriage, premature delivery, and stillbirth. Alcohol has a huge effect on fetal development. A range of problems, called fetal alcohol spectrum disorders (FASD), can occur. FASD symptoms, which include physical abnormalities, learning difficulties, and emotional problems, can last a lifetime.

For women, the risk of breast cancer rises with alcohol use.

Skeletal and Muscle Systems

Long-term alcohol use makes it harder for your body to produce new bone. Drinking puts you at increased risk of osteoporosis (thinning bones) and bone fractures. Muscles become prone to weakness, cramps, and even atrophy.

Immune System

An immune system weakened by alcohol abuse has a hard time fighting off viruses, germs, and all types of illness. Heavy drinkers are more likely to get pneumonia or tuberculosis than the general population. Chronic alcohol use increases your risk of many forms of cancer.

16 people found this helpful

Diabetes - How Exercise Can Help Keep It In Check?

MD - Internal Medicine, MBBS
General Physician, Delhi
Diabetes - How Exercise Can Help Keep It In Check?

Obesity and diabetes usually go hand in hand and both of them have one common solution - physical exercise. It is a known solution to obesity related problems and after fat loss, many people have stated reduction in health problems caused by it.

However diabetes, whether caused by obesity or not can also be kept in check by regular physical exercise. Let's see how it does so:

1. Keeps body insulin in check - Exercising regularly ensures that insulin levels within your body are kept in check. Insulin is what makes the blood sugar get absorbed into the muscles for energy in the form of glucose. Thus this reduces blood sugar levels within the body and keeps the levels within the body under control for patients who have higher blood sugar counts.

2. Exercising helps reduce depression and stress - Exercising is known to have a very positive effect mentally as endorphins are released after a workout. This makes you feel happier and better about yourself and reduces stress or depression. Both depression and stress are known to have triggered Diabetes related issues in the long run and exercising can definitely help keep them in check.

3. Exercise can actually correct insulin resistance - It is a myth that people who suffer from insulin resistance cant benefit from exercise and it helps regulate resistance. If you start exercising and working out, then the insulin resistance is checked and regulated where in the capacity of the body to absorb blood sugar in the form of glucose actually increases.

4. Reduces the chance of heart problems caused by diabetes - Diabetes increases the chances of heart problems and also the blocking of arteries through arteriosclerosis. These blockages could result in a heart attack or other related problems and exercising can help reduce their possibilities as well.

5. Exercising also helps to keep your appetite in check - it is known that proper exercising works as a hunger killer and thus will help control your appetite. This is good in two ways:

  • A controlled appetite will helps you lose weight which may be a contributing factor to your diabetes
  • If you have non obesity related diabetes, then appetite suppression will help you eat better and stop you from eating foods or untimely snacks that may contribute to blood sugar issues.

However, it is prudent to visit your doctor and discuss how you can optimize your exercise routine to get the best results. If you wish to discuss about any specific problem, you can consult a General Physician.

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