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Dr. Thelmariappan

Endocrinologist, Chennai

Dr. Thelmariappan Endocrinologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Thelmariappan
Dr. Thelmariappan is a trusted Endocrinologist in Vasantha Hospital, Chennai. You can visit him/her at Nagamani Hospital in Vasantha Hospital, Chennai. You can book an instant appointment online with Dr. Thelmariappan 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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#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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What is the treatment for thyroid and what is the period to take medicine and risk for take long time medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the treatment for thyroid and what is the period to take medicine and risk for take long time medicine.
Mr Umesh, By mentioning thyroid, are you referring to hypothyroidism? If so then treatment is taking Thyroxine tablets (hormone replacement). This has to continue for life time. Because thyroxine is required for development and functioning of brain, plus an essential part of various vital metabolic activities. Hence it has to be made available daily. Since it is an essential hormone there are no side effects when taken in correct dosage.
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I am 68 year old diabetic. Can I follow high carb food suggested by you? If not then what should be my ideal breakfast items?

M.Sc. in Foods & Nutrition, PhD in Foods & Nutrition
Dietitian/Nutritionist, Udaipur
I am 68 year old diabetic. Can I follow high carb food suggested by you? If not then what should be my ideal breakfas...
If you are diabetic should take low carb, high fibre diet with modrate protein like. Example: veg+daliya /oats/sprouts/multigrain roti etc is ideal for you.
2 people found this helpful
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I am 24 years old girl. I am unmarried. I have irregular periods. I suffer hypothyroidism. I feel stressed a lot. I am having a lot of hair fall. I tale thyronorm 100mcg medicine daily.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 24 years old girl. I am unmarried. I have irregular periods. I suffer hypothyroidism. I feel stressed a lot. I a...
Your problem can be due to hormonal imbalance related to Hypothyroidism. I will advice you below given homoeopathic medicinesfor 5-6 months nd surely you will be normal--------------- PULSATILLA NIG 30 (Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night----- AGNUS CASTUS PENTARKAN (Wilmar Schwabe India) Chew 2 tab 3 times daily-------------------- MENSOAID SYRUP (BAKSON) Drink 2 sspoons in evening.------------- FERRUM SIP (SBL) Drink 1 spoon twice daily------------ Things to do------------------ 1. Daily intake of atleast 2 fruit either from Apple, banaba, pomegranate, papaya, grapes,--------- 2.2 glass milk daily------------- 3. Lots of water daily------------ 4. Have a sound sleep------------ 5. Start taking a good iron supplement------------------------- 6. Daily 15 times BRAMARI PRANAYAM …. To start from do it 5 times daily slowly increasing upto 15 times--------------------- 7. Try to reduce your weight to 60 Kg-------------------- 8. Undergo Abdomen Ultrasound to rule out PCOD----------
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I have pcod problem, the count is 8. Have irregular periods like 3 month once. I had thyroid problem. I was taking homeopathy medicine For both thyroid and pcod. Now tsh is 3: 36. Doc told you no need to Take medicine For thyroid. Ydy I took 4 d scan to check pcod level. That Time one dominant follicle founded in my ovary. Doc gave me home medicine to reduce pcod and to get regular periods. What can I do. Please tell. Can I do pregnancy plan now. With this pcod problem. And while taking tablets. Will pcod or regulating periods medicine will affect my pregnancy. Please tell. I am so confused. Even if I get conceive also, will these medicine affect my child.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have pcod problem, the count is 8. Have irregular periods like 3 month once. I had thyroid problem. I was taking ho...
Although PCOD is not treatable but many a times during pregnancy nd after delivery PCOD is treated automatically.There r very good nd effective hopmoeopathic medicines which helpss to lessen the effect of PCOD nd also effective in females who wants to conceive.So I will; suggest you to go for homoeopathic treatment.
3 people found this helpful
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I am suffering from. Thyroid. My t3 is 23. Due to it I am suffering from constipation, belly fat, and fatigueness.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from. Thyroid. My t3 is 23. Due to it I am suffering from constipation, belly fat, and fatigueness.
You can take 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. 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 alcohl if you take. for constipation you can take digestive foods,anzyme ...tab. charcol 1 at night dail.
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Hello sir/madam good evening,my age is 18. I have reading at any site or magazine that frequent urine and excessive thirst is sign of diabetes. I have this problem excessive thirst and have to urine too many times in day and I have also habit of eating too much sweet thing. please help me am I suffer from diabetes, if yes then suggest me what to do now,

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Hello sir/madam good evening,my age is 18. I have reading at any site or magazine that frequent urine and excessive t...
Please do hba1c test and ogtt 75 gm glucose test. To confirm prediabetes. The above symptoms may be due to anxiety neurosis.
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I am 23 (Female) and I have Type 1 Diabetes and have fungal infection on my whole body looking very dark and scary itching so much from last two month, my treatment is going but still no any improvement, what should I do now? Please help me sir please please.

MD - Dermatology , Venereology & Leprosy, Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Udupi
I am 23 (Female) and I have Type 1 Diabetes and have fungal infection on my whole body looking very dark and scary it...
You must keep diabetes under control. you apply canestan cream twice in a day for one month and itrasys 200mg 1 capsule daily at bedtime for one week.
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I am suffering from head yeak I consult a doctor she Chen bp and sugar she said its normal and I am taking medicine for gastric problem also can I consult a neurologist what is the problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from head yeak I consult a doctor she Chen bp and sugar she said its normal and I am taking medicine f...
Hello, madam get your eye sight checked, some times due to refraction problems headaches occur. First get that done and if a spect is prescribed start using that, which may relieve head ache. If not then think of seeing a neurologist.
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I am 65 yrs old my blood sugar before food is 103 after 2 hours of my food intake is 240 I take tablets. To test the blood glucose level it should be after 2 hrs?

MBBS, MD - General Medicine
Endocrinologist, Faridabad
I am 65 yrs old my blood sugar before food is 103 after 2 hours of my food intake is 240 I take tablets. To test the ...
Do you take oral tablets on day of test or not. If not donot omit medicine on day of test. At your age fasting is good and 2hrs pp of 160 is acceptable.
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I am 52 years old with type 1diabetes since 15 years. Yesterday found vit. D deficiency 6.09. What should I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 52 years old with type 1diabetes since 15 years. Yesterday found vit. D deficiency 6.09.
What should I do?
vit d is available as sachets in 60000 strength..that is to be taken daily till 1 week thereafter once weekly for 6 weeks and then once monthly
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Is there any Ayurvedic/herbal/homoeopathic (or any other pathy) treatment available in the world for permanent cure of diabetes? My elder brother's sugar level is 580/450. He has been diagnosed with diabetes first time in his life. He was a heavy drinker for more than 30 years but now he is not drinking for more than two years and free from any bad habit. His age is 47 years. Please suggest suitably.

BHMS
Homeopath,
Is there any Ayurvedic/herbal/homoeopathic (or any other pathy) treatment available in the world for permanent cure o...
Dear lybrate-user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Your brother can take homoeopathic mother tincture gymnemna sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also he needs to walk at least 1 hour daily without any interval. Also he needs to take a low carbohydrate rich diet & avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
3 people found this helpful
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She is diabetic type 2 and is loosing her eyesight rapidly. We need advice for proper diagnosis?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
She is diabetic type 2 and is loosing her eyesight rapidly. We need advice for proper diagnosis?
Mr. Lybrate-user, please get her retina checked for diabetic retinopathy in a good eye hospital and initiate the treatment. Plus her blood sugar also should be very well controlled. She needs immediate retinal examination. I hope you understand. Take care.
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My mother has thyroid problem. Due to this her neck was swelling and have itching to gulp anything. Her thyroid report reading as follows:- Thyroid Thyronine T3= 2.48 ng/ml (0.79-1.58 ng/ml) thyroxine T4=16.0 ug/ml (4.00-11.00 ug/ml) Thyroid Stimulating hormone Tsh=0.010 uIU/ml (0.28-5.00 uIU/ml) And doctor prescribed her TAB. Thyrocab So what will we do now this treatment is ok with the recent thyroid conditions or not please help me to get a proper treatment.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
Kindly get an evaluation done by a DM Endocrinology person at the earliest. Low TSH can be due to either the gland that is function more which appears to be more likely in your mothers case. However, low TSH can also be due to leakage of thyroid hormones from the gland which is caused due to thyroiditis that is self limiting condition. Since both these conditions have different treatment it is always better to find the cause for low TSH before starting thyroid medicine. This is done by performing a Nuclear scan under supervision of an Endocrinologist. If nuclear scan shows that both the lobes of thyroid are functioning more then thyrocab treatment as has been given can be started and repeat blood tests be done after 6 weeks. Hope this helps.
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Hi, I am 31 years old, suffering from hypothyroidism for past 3 years. Though my reports are normal my hair is falling at an alarming rate. My height is 166cm and weight is 64kg, mother of a 14 months baby. I am on oral contraception.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Hi,
I am 31 years old, suffering from hypothyroidism for past 3 years. Though my reports are normal my hair is fallin...
Hairfall can be due to thyroid disorder. However there are many other reasons as well. You need to provide detail information about your medical history in order to suggest you further.
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I am a married female wid a son of abt 4 years old. I am 34. I hv throat pain fr abt a year. My ESR is 30. Typhi h is positive to 160. My TSH is 5.73.These days I am feeling extremely fatigued. Specially knees n legs below knees r all d time fatigued. Pain in throat and legs and lower back. Kindly suggest smthng.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a married female wid a son of abt 4 years old. I am 34. I hv throat pain fr abt a year. My ESR is 30. Typhi h is...
Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. for back-Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am 65 years old male. I have fatty liver, My urine protein discharge is 15000. My kidneys, prostate, triglycerides, cholesterol are in normal limits. My creatinine is 1.4 and uric acid is 46. I want medication or foods to be avoided to bring back to normal levels. Thanks

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 65 years old male. I have fatty liver, My urine protein discharge is 15000. My kidneys, prostate, triglycerides,...
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. Tab. Bencid 500 mg once a day.
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Sir I am 42 yrs and taken medicine daily eltroxin 50mg 1 no from last 13 years, please suggest me is any permanent solution from homeopath if yes please suggest medicine. I have also suffering with joint pain (uric acid) problem but medicine not used for this.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Take calcarea carb 10m 1 dose in a morning / buy german medicine Just 1 dose = 4-5 drops directly in mouth. Fruit juice daily 2 times Calcara phos 6x / 6 tabs 3 times a day / 3 weeks. Report me after 3 weeks.
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I am an diabetic patient my eyes having slight burning sensation what to do help me please.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am an diabetic patient my eyes having slight burning sensation what to do help me please.?
Burning of eyes is not necessarily related to diabetes. It may be due to strain due to over working or hot weather etc. You may try moisol eye drops 1 drop twice a day for a few days. If no relief is noticed then seek an opinion of an eye specialist.
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HOW METFORMIN ACTS AT MOLECULAR LEVEL TO REDUCE SUGAR LEVEL, iS THERE ANY ALTERNATIVE TABLETS TO THIS

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Metformin acts peripherally at the tissue level and Pioglitazone is one of the alternative but depends on patient to patient
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