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Dr. V.P. Sriram

Endocrinologist, Chennai

400 at clinic
Dr. V.P. Sriram Endocrinologist, Chennai
400 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. V.P. Sriram
Dr. V.P. Sriram is a popular Endocrinologist in Adyar, Chennai. He is currently practising at Meenakshi Diabetic Clinic in Adyar, Chennai. Book an appointment online with Dr. V.P. Sriram on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 38 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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Meenakshi Diabetic Clinic

46/7,18th Cross Street, Indra Nagar, Adyar,Near Indra Nagar Shopping Complex,Chennai Get Directions
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No 55A, Vinayagar Koil Street, Next to Hanuman Temple,Chennai Get Directions
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My father is 65 years old. His uric acid has increased 7.9. Could you pls suggest some measures to keep it in check. Also he has high BP. Thanks Javed.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
The best treatment of Gout consists of restoring the balance of Vata (Air element) and detoxifying the blood. High protein diet should be avoided in cases of increased uric acid. Mix one teaspoon of apple cider vinegar in a glass of water and drink it two to three times daily. If you find this remedy helpful, you can increase the dosage of apple cider vinegar to up to two tablespoons. Take maha rasnadi kwath 2-2 tsf twice a day. Take maha yograj guggul 1-1 twice a day. Kaishor guggul and chandraprabha vati 1-1 twice a day. Avoid junk food. Fermented food. Spicy food. Tea.coffee. Do pranayama early morning. Avoid alcohol consumption. Consult me in private for more details.
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My wife is a diabetes patient. Her RBS Test result is 390. Which medicine to take?

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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My Uric acid level Is 6.9 what should I do to Lower it. Am facing pain in my ankle. Suggest me ways.

MNAMS (Orthopedic Surgery), Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), MBBS
Orthopedist, Pune
Strict diet control. Stop all class II protein intake like yellow pulses, spinach, cabbage, cheese, soya. No red meat. Take a mild pain killer for a few days for ankle pain. Repeat uric acid after 2 weeks. If still high consult an orthopedic surgeon.
2 people found this helpful
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Respected Doctor, I am a diabetic, just want to know can I eat watermelon? Please reply.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
Dear sir Yes you can take watermelon as it has medium GI. Try to take water melon in the mid morning and you can take 1-2 medium bowl of watermelon in a day.
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I am pre diabetic at 118 (fasting) 37 years. Will taking rice in limited quantities be a problem. Also regarding milk and veggies like potato, carrot, beetroot, radish, please let me know.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
No not at all, but try to substitute with multigrains which have low glycemic index and control your blood glucose levels.
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I am type 2 diabetic patient some time I lose my body balance very hungry and tired it's due to human mixtard can I change my insulin injection.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, when on insulin some times hypoglycemia (low blood sugar) develops. That may cause some of the symptoms mentioned. If you are doing self monitoring of blood glucose (smbg), at home then you should check the glucose level when you feel such symptoms and see if there really a low level (<70 mg or lower). If it is so, then dosage of insulin may have to be adjusted. To give exact suggestions I need to now your fasting, pp sugar levels, insulin dosage and hba1c%. Then only I will be able to comment. Thanks.
3 people found this helpful
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Should be done by a diabetic to control the cholesterol and more danger for diabetic compared with common a man. And without eating fat foods also cholesterol will increase. And how much alcohol pegs should be drunk.

C.S.C, D.C.H, M.B.B.S
General Physician,
Cholesterol Is naturally produced by the liver and you need to monitor diet and cholesterol. Only two pegs can be taken
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What should a person avoid eating if he has thyroid. Is thyroid treatable? please reply.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Thyroid is treatable, but we should know the present levels to understand how much intensive its rt now. In hypothyroid patients, better to avoid taking much quantity of cabbage, cauliflower, soya contents, peanuts, bracccoli etc. But in smaller quantity you can take, you need to consume more iodine contained diet. Where in that bhendi contain good amount of iodine.
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Feeling less stamina on body since last 2 years. No medicine resultant. Need natural products to result with few days to generate insulin and other levels in order.

pg general medicene
Ayurveda, Hyderabad
Dear Athul first cause is to be found out Do Pranayama meditation regularly with good exercise and diet.Till then you can take Aswagandha powder with milk Daily morning and evening with milk.
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Endometriosis - How It Results in Infertility?

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
Endometriosis - How It Results in Infertility?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

  • A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
  • A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
  • Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis

Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

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I am 13 years girl and I am diabetic since 2 years I am using insulin from 2 years I just want to come to tablets what should I do for keeping my sugar levels normal.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
From your age, I assume you are a type 1 diabetic. If so, insulin is the only option for you. However, if you are a type 2 diabetic, you have many choices of medicines available today. So, please provide more info.
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I have thyroid problem. O have TSH above 100. Doctor has prescribed me eltroxin 100 and eltroxin 25 mg. Pls suggest men how to cure my thyroid problem. Can I take issue in this period. Can I have normal child. Pls and der.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, To have a baby, first foremost is to control hypothyroidism completely by taking adequate dose of thyroxine. To conceive TSH level has to be below 2 mU/L. Plus during the whole of pregnancy it shuld be maintained between 1 to 2 mU/Lin firts trimester and up to 3 mU/L in 2nd and 3rd trimester. So please control hypothyroidism adequately. Thanks.
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I am a diabetic and since last seven days suffering from back pain that is if I bent even a little I feel a current in my back that is too pin full. I have taken ultracet and today when the pain increased I took Nise Mr. with ultracet. Advice for better treatment.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
Do not self medicate. You are already taking powerful painkillers. Let the doctor assess you and advise accordingly before it becomes a serious issue.
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I am sugar patient for last two years now sugar after food level is 200 I am taking Glynase tablets 1.5 for two times a day. Is it okay kindly suggest please.

MBBS
General Physician, Cuttack
Your pp (post prandial) sugar is still high. 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 6. Consult diabetologist for advice and treatment.
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I have recently gone through LFT. Where I found my SGPT and SGOT Levels are very high. About 5 times from range for SGPT, and about 3 times SGOT. I WANT TO KNOW, IS MY LEVER HAVING SOME PROBLEM? IF YES THEN HOW BIG IT IS?

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
The report is not good. This shows liver is under some infection. SGOT SGPT if both are that much elevated then proper treatment has to be started. So first thing you should do is see a Gastroenterologist immediately. You need to stop alcohol immediately if applicable, avoid fried and fatty foods. Take simple home cooked meal, go for walk daily, have fruits like coconut, banana etc. It will take few months to bring things to normal.
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My mother has been on dialysis for the past 10 years. Her blood sugar has always been in control (with shots of insulin-9 units. Of late her blood sugar has shot up. On Friday night her blood sugar post meals was 370 while the next morning at 7 am it was a mere 75. Is such a great fall in sugar level possible?

PG Diploma in Nutrition & Diabeties, M.Sc. Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
Meena ji , In diabetes sugar level depends upon patients diet, medication and exercise level. Body physical condition, mental state like stress etc. as well as sleeping pattern and eating pattern effect all this. Please discuss all in details to find out the cause and personalised guidance
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I am suffering continue pain on the lower portion of left leg though I am a uric acid patient. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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. tab. naproxen 500 mg sos for pain.
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Dear Sir, I am Diabetic, Type 2, for the past, 35 years, Having heavy burning sensation below hip to feet, hence no good sleep during night so doctor advised me to take Axxit 0.5 mg sleeping tablet 5 years back still I am continuing. Many times I have tried, but no sleep till morning, Now I am not getting the same, hence now I am taking Becalm 0.5. Whether this is OK. Kindly advice me.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
Sleep medicines will not cure the cause of your burning pain. It could be because of uncontrolled or fluctuating blood sugar levels, or a nerve which is getting compressed in your hips, or the effect of vitamin deficiencies, smoking etc. Once this is sorted and the pain settles, you may not feel the necessity of taking sleeping pills.
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