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Dr. Sriram

Endocrinologist, Chennai

0 - 600 at clinic
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Dr. Sriram 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. Sriram
Dr. Sriram is a trusted Endocrinologist in Royapuram, Chennai. Doctor is currently practising at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Sriram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 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.

Location

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M.V. Hospital for Diabetes & Diabetes Research Centre

No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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M.V. Centre for Diabetes

No.110/111, Ground Floor, Burma Colony,Perungudi . Landmark: Behind State Bank of India, ChennaiChennai Get Directions
600 at clinic
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M.V. Hospital for Diabetes & Diabetes Research Centre

#4, West Mada Church Street, Royapuram, Landmark: Near To Axis Bank ATM.Chennai Get Directions
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My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please help me.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please hel...
You should consult your doctor locally, for glossitis... please keep her sugar level in control, it helps in recovery from glossitis..
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Hi I have hypothyroidism. My weight 65 my age 26 years kg. What is healthy diet I followed and what are the exercises preferred for me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I have hypothyroidism. My weight 65 my age 26 years kg. What is healthy diet I followed and what are the exercises...
The diet that you take should provide exact amount of calories based on ideal body weight and extent of daily exercise being done. You should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salads and fruits. Use whole grain flour for chapati and roti. As regards exercise any exercise that you enjoy is good enough.
4 people found this helpful
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My uric acid value is 7.7 and creatinine serum is 1.13. My age is 40, and I am regular gym-er please guide me how to reduce it or control it.

BAMS
Ayurveda, Zirakpur
My uric acid value is 7.7 and creatinine serum is 1.13. My age is 40, and I am regular gym-er please guide me how to ...
Stop taking protiens related products.Avoid pulses, curd,cheese,rice.Drink plenty of water in copper vessel and start taking wheat grass juice 20 ml daily with water.
1 person found this helpful
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I am an diabetic patient and I just wanted to know about insulin pump my aunty says its very expensive it cost almost 2 lakhs is it true?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am an diabetic patient and I just wanted to know about insulin pump my aunty says its very expensive it cost almost...
Mr. Lybrate-user, yes insulin pump is expensive, may cost 1 to1.5 lacs. But these are also available on rental basis.
8 people found this helpful
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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.
1 person found this helpful
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He is suffering from diabetes and age is just 20 years old? how to control sugar level of such patient. Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
He is suffering from diabetes and age is just 20 years old? how to control sugar level of such patient. Please advise.
Depends on whether you are type 1 or type 2 diabetic. Starting so early is likely to be , though not sure, type 1. send me reports of your FBS, 2Hr PPBS & HbA1C so that I can suggest the best treatment,/drsajeev
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Thyroid Disorders: Symptoms, Treatment and Types

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Thyroid Disorders: Symptoms, Treatment and Types

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one’s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

  1. Weight loss and weight gain

  2. Changes in heart rate (arrhythmia)

  3. Hair loss

  4. Frequent mood swings

  5. Swollen neck

  6. Sudden bouts of moderate to high fever

Other symptoms include:

  1. Numbness or a tingling sensation in the hands

  2. Constipation

  3. Abnormalities or irregularities in menstruation

  4. Brittle nails and dry skin

  5. Blurred vision

  6. Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.

Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

  1. Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

  2. Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

  3. Thyroid cancer: It is a type of cancer of the thyroid gland.

  4. Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

  5. Thyroid nodules: This is marked by swelling of the thyroid gland. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.

3301 people found this helpful

I am diabetic from last 2 years. My regular / average sugar is near by red line. Can I get sugar free body?

Vaidya Visharad
Sexologist, Narnaul
Dear, for Diabetic the best Ayurvedic medicine is there, but let me know the Blood report ie Sugar,fasting, PP, HbA1c.
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My mother suffering thyroid for an one year .blood pressure is normal position .thyroid also normal .then how to get out from this .what is the reason behind it. Rply soon.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Hi, Thyroid disturbance and usually less thyroid secreting is common these days due to polluted weather, adulterated food and mental stress. You will have curative treatment for your mother in Homeopathy. Do consult an Homeopath or consult me in private with help of Lybrate.
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I am 40 years old, suffering of diabatic for the last 2 years. Last result - fbs 160, ppbs 200 (2hrs), medicne used diabata sr500 - 2 nos (morning & enening.) should I have take insulin or coninue this tablet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Your sugar levels are more. You have check hba1c level, it should be around 6 per cent. You can add glimepiride 1 mg along with metformin. Tablet k - glim m 1 in the morning and plain metformin at night. Check sugar regularly.
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Infertility - Causes And Treatment

MBBS, DGO
Gynaecologist, Delhi
Infertility - Causes And Treatment

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

  1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

  2. Female factor - Tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

  3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

  1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

  2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

  3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

  4. Obesity: An overweight person has a higher chances of having sperm abnormality.

  5. Workout: Less or very heavy work out is said to increase the chances of infertility.

  6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

  7. Sexually Transmitted infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

  1. Hormones treatment

  2. Drugs for fertility

  3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

  1. Intrauterine insemination

  2. In Vitro Fertilization

  3. Intracytoplasmic sperm injection

  4. Donation of Sperm or Egg

  5. Assisted Hatching

  6. Electric or Vibratory Stimulation to achieve ejaculation

  7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication! If you wish to discuss about any specific problem, you can consult a gynaecologist.

4466 people found this helpful

I'm having fatigue especially In morning when I wake up. I feel tired whole day. and my penis do not excite. What should I do i'm a hypothyroidism patient taking thyronorm 125 since 3 months. Having little anxiety. Tsh-38, wgt.-78 age 22.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm having fatigue especially In morning when I wake up. I feel tired whole day. and my penis do not excite. What sho...
Mr. Lybrate-user, your hypothyroidism is not in control, hence all the symptoms are seen. On treatment tsh levels should come down to 3 to 4 milli units/l. So there needs to be an increase in the dosage, plus dietary restrictions and regular exercise. Once tsh levels are in control things will improve. Thanks.
1 person found this helpful
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Laparoscopy for Infertility!

Masters of Surgery Obstetrics & Gynaecology
Gynaecologist, Pune
Laparoscopy for Infertility!

Laparoscopy is a procedure that helps a doctor to view the abdomen of a woman. The pelvis of a female consists of the uterus, ovaries and the fallopian tube right at the bottom of the abdomen. The process of laparoscopy allows a doctor to witness any abnormalities that might be interfering the ability of a woman to conceive. Some of the common problems that women encounter in this regard include ovarian cysts, endometriosis, uterine fibroids, pelvic adhesions, pelvic adhesions etc.

Advantages of Laparoscopy:
Laparoscopy allows correct diagnosis of infertility problems that are often missed by the conventional method of diagnosis. For instance, a woman suffering from severe endometriosis can be rightly diagnosed by employing ultrasound. However, if a woman suffers from mild endometriosis, ultrasound cannot pick it up. Laparoscopy, in this case, can do the trick. Another instance where laparoscopy comes handy is during the diagnosis of pelvic adhesions or scar tissue. Adhesion is a disorder that restricts the fallopian tube to hold the egg during ovulation. Conventional methods such as x-rays, ultrasound, and CT scan fail to rightly diagnose the problem in this case.

Another important advantage of laparoscopy is the fact that, it is a less invasive technique as compared to conventional surgery. Traditional surgery requires making an incision that is several centimeters long. This necessarily means that a patient requires at least 2-3 days in the hospital to heal. In laparoscopy, on the other hand, make several small incisions that heal quickly.

Who has to go undergo laparoscopy?
Laparoscopy surgery is suggested for those women, who have gone through the basic assessment for infertility. Some of the infertility tests that should be undergone before approaching for a laparoscopy include ultrasound, ovulation, ovarian reserve, hysterosalpingogram etc. For men, a basic semen analysis should be done to test fertility. There are instances, where a doctor recommends laparoscopy, if the woman has a history of severe pelvic infection or ruptured appendix.

Things to expect after surgery:
Typically, the incisions are covered with bandages that are removed after twenty-four hours. Medications for nausea and pain are prescribed, to deal with them after the surgery. The recovery time depends on the length and type of the procedure, the present health of the patient, the number of incisions made, complication level of the surgery etc. Usually, there are no restrictions on food and drink after the procedure is performed. Since anesthesia is given for undergoing the surgery, it is recommended that a person takes rest for at least twenty-four hours before resuming normal activities. The woman cannot return to normal life and work after a few days, from the day of the surgery. But it is recommended to take rest for two weeks.

2 people found this helpful

I am using 33 unit human mixtard u40. Yesterday I bought an insulin pen novo4. That's unit is different in u100. How many unit is taken in U100 pen?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
U100 and u40 is different. If you will commit mistake in that than there can be dangerous outcome.And your sugar will go haywire. And also both insulin is different. Ask your diabetologist about it.
1 person found this helpful
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I am 25 years old female and having hypothyroidism. Earlier I was having 75 mg but now as per me new reports my doctor advisese to again continue with the same dose. Though my reports are normal but my t4 is raises to 4. Am very confused. Should I go for a second opinion?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 years old female and having hypothyroidism. Earlier I was having 75 mg but now as per me new reports my docto...
pl. give detailed about of reports.here is not report of tsh level.. IN HYPOTHYROIDISM:--- 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help,
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M.D (HOMEOPATHY), MBA (Healthcare)
Homeopath, Gulbarga
Cauliflower should be avoided for lifetime who have hypothyroidism.
5 people found this helpful

Hi doctors. My dad have sugar patient. I will. Go to gym daily n workout. I will eat fruits, juice milkshakes, beetroot juice, carrot juice. Is there any effect to my health. Someone told me that. Don't have fruits, juice n all you will get sugar an all. Is that true?

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hi doctors. My dad have sugar patient. I will. Go to gym daily n workout. I will eat fruits, juice milkshakes, beetro...
Have fruits and juices without any fear if your fasting and pp sugars are well in range. Of course, you must avoid unnecessary sugar intake whenever possible.
1 person found this helpful
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Recently I knw that I have a problem of tuberculosis. From the reports it is found that it is the earlier stage so it can be cured. But I am not sure about about my disease. So can you please tell me the symptoms of tuberculosis and how it can be cured in earlier stage. And one more thing I am a diabetes patient also since 25 years.

MBBS
General Physician, Mumbai
Recently I knw that I have a problem of tuberculosis. From the reports it is found that it is the earlier stage so it...
Fever with cough since many days with loss of appetite and weight are few symptoms of tuberculosis and we have to start medication if we have confirmation of the disease and take medicine properly for cure.
1 person found this helpful
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Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?
check your BP. Check your eye sight. take crocin pain relief in case of severe headache. take good sleep and rest. avoid stress. inform if not ok.
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Hello doctor! My parents are diabetic. How can I try my best to stop it in coming me in near future. I eat very less or almost no to rice, potato and drink tea without sugar. Thanks.

PGD Maternal Child Health, MBBS
General Physician, Akola
Hello doctor! My parents are diabetic. How can I try my best to stop it in coming me in near future. I eat very less ...
Merely because your parents have diabetes you need not restrict eating sugar or carbohydrates unless you too have got Diabetes. It is for diabetics that we need to restrict sugars because their system is unable to transport the blood glucose in to the cell. A non diabetic person is capable of transporting his/her glucose in to the cell so there is no problem One should ensure that the quantity of carbohydrates (Sugar) is not more than desired calorie demand to be generated from carbohydrates else the excess gets converted in to fats and causes obesity, which predisposes for diabetes in years after middle age. That is because increased body weight means more tissue, means more requirement of insulin to transport glucose, and the pancreas even if supplying normal quantity of insulin may not do so in such increased demand situations. So eat moderately, keep burning your fat by regular exercises and live healthily.
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