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Dr. Vijayalakshmi

Endocrinologist, Chennai

Dr. Vijayalakshmi Endocrinologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Vijayalakshmi
Dr. Vijayalakshmi is a renowned Endocrinologist in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Book an appointment online with Dr. Vijayalakshmi on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 34 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I checked 10 days before my sugar level with empty smotach is 260 and after taking food is 379. Can I control the diabetic level without medicines. If yes, then how. Reply me madam/sir.

MBBS
General Physician, Cuttack
I checked 10 days before my sugar level with empty smotach is 260 and after taking food is 379. Can I control the dia...
Your blood sugar is very high. You have to take medicine or insulin after consulting diabetologist. In addition to medicine, follow the advice given below 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 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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What are the symptoms of diabetes in primary stage. Please reply I will be thankful.

DHMS (Diploma in Homeopathic Medicine and Surgery)
General Physician,
What are the symptoms of diabetes in primary stage. Please reply I will be thankful.
Tingling, polyurea, execive thust, pain in calf muscle, and giddiness, it's the symptoms somewhat, dimness vision, hungery all time.
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I am 27. My father and grandpa are Diabetic patients. I am over weight of 10 kgs as per BMI. Is there any chance to get diabetes?

MD - Pathology, MBBS
Pathologist, Ahmedabad
Yes, genetic roll in diabetec patients is definately there. Plus you are obese. Do you smoke, consume alcohol, high blood pressure? if associated risk factors are present then you have all chances. Genetic roll cannot be avoided but can be delayed by changing life style, food habit etc.
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My age is 24 yr. 1.5 years back. I was a victim of T.B .and I used medicine to get rid of it. But later I found uric acid is increasing in my body. I HV taken medicine. It decreased. But later again it started increasing in the body. And the doctors told that you HV to take medicine regularly for that. May I know why uric acid is increasing in my blood. What wrong I HV done in taking medicine?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My age is 24 yr. 1.5 years back. I was a victim of T.B .and I used medicine to get rid of it. But later I found uric ...
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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I am 36 years old and for last five year I have thyroid tsh 40 so can you suggest the medicine? Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
With such a high level of tsh you still not on treatment is it? please tell me if you are taking thyroxine tablet and what is the dosage. If no treatment is being taken then you have to start on thyroxine tablets. You may begin with 50 mcg per day, to be taken early in the morning on empty stomach and nothing to taken for two hours after that. After 3 to 4 weeks check tsh levels again if still high then increase the dosage.
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How effective is the oral anti diabetic Ii drug Forxiga from Asta Zeneca labs?

C.S.C, D.C.H, M.B.B.S
Pediatrician,
How effective is the oral anti diabetic Ii drug Forxiga from Asta Zeneca labs?
Since dapagliflozin leads to heavy glycosuria (sometimes up to about 70 grams per day) it can lead to rapid weight loss and tiredness. The glucose acts as an osmotic diuretic (this effect is the cause of polyuria in diabetes) which can lead to dehydration. The increased amount of glucose in the urine can also worsen the infections already associated with diabetes, particularly urinary tract infections and thrush (candidiasis). Dapagliflozin is also associated with hypotensive reactions. There are concerns it may increase the risk of diabetic ketoacidosis.
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Endometriosis - Can It Lead to Infertility?

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Endometriosis - Can It Lead to Infertility?

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.  Here is everything you need to know about this ailment.

Symptoms: Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

Stages:

There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

  1. Minimal stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
  2. Mild stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
  3. Moderate stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
  4. Severe stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

Treatment: There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone,  Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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For decades I was a rice eater and since two months, I have switched over to wheat rava[coarse] eaten in the same way as rice with sambar, rasam and buttermilk. Besides my morning breakfast comprises oats mixed with 1 to 1.5 tsp of jaggery and milk. I have stopped eating ghee, oily products except small qty. Oil used in making curry, sambar and rasam, outside foods, etc. Am I still open to risk of contracting diabetes and/or other health disorders? is jaggery better than sugar? please advice. Thanks doctor.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
You don't need to switch over to a routine that is different from what you have grown up eating. Avoiding rice and ghee and your traditional breakfast foods is not the way to good health. The reason for your health being affected is not your traditional foods but the lack of discipline, stress, inactivity and intake of junk and packeted foods. Rice is easy to digest than wheat or other cereals and your body us used to it so go for your traditional unpolished rice in moderation and even ghee is good for health because fat is needed by your body even to manage sugar levels. Organic jaggery is fine to take. So don't demonise the traditional foods and stick to it. Try to look into other aspects of your lifestyle in order to maintain good health and avoid lifestyle disorders.
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My son's age is 14 years, his BP is around 130/70 to 140/70. His height is 164 cm and weight is 66 kgs. His father has diabetes and BP. Whether my son will have any problem in future?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My son's age is 14 years, his BP is around 130/70 to 140/70. His height is 164 cm and weight is 66 kgs. His father ha...
At 14 years his bp particularly systolic is high. Ideally it should be closer to 105 to 110 and diastolic around 60 to 70 mm. If father has diabetes, then children can get it. But it is a preventable condition. By maintaining a healthy lifestyle one can prevent or postpone it.
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My sugar level was 215 before breakfast. And 3 months average was 12. Please guide me to control my blood sugar level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My sugar level was 215 before breakfast. And 3 months average was 12. Please guide me to control my blood sugar level.
Hi, it is clear that your diabetes is totally uncontrolled. Well controlled diabetes should have fasting blood glucose near 100 mg, pp 150 to 160 mg/100 ml & hba1c% <7. Looking at your information treatment needs to be properly adjusted so that blood glucose is brought to desired level.
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My mother is 50 year old and suffering from high thyroid stimulating hormone disorder, she feels tires and body pain always, please advise.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
My mother is 50 year old and suffering from high thyroid stimulating hormone disorder, she feels tires and body pain ...
Hello lybrate user...High Thyroid Stimulating Hormone condition is seen in Hypothyroidism and it presents with generalised body weakness and proximal muscle weakness with difficulty in climbing stairs or getting up from squatting position etc. Also may present with depression and can be easily treated by thyroxine supplementation. For further queries get in touch.
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Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened is she has reduced her sugar dosages n feeling great? What should I do to loose her weight, her body is not responding.

C.S.C, D.C.H, M.B.B.S
General Physician,
Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened i...
You need to have diet plan based on your bmi & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. To burn off fat. Some tips 1) drink three or four cups of water whenever you feel hungry and just before eating food 2) take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 kms and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests.
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I have diabetes what should I do? Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have diabetes what should I do? Please advise.
Drink meethi water empty stomach early in the morning (1tsp meethi dana soaked in 1 glass of water for overnight)
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I am 47 years. I am having sugar level fasting-135 & after food 170. What shall I do?

MBBS
General Physician, Hyderabad
I am 47 years. I am having sugar level fasting-135 & after food 170. What shall I do?
Hi! That means you are diabetic You must consult a physician who will put you on medication Explain you about the dos and donts Regarding the diet and hygiene also u will be well guided.
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I am suffering from diabetes how to take care of it ?

Diploma in Diabetology, MBBS
Endocrinologist,
Take your prescribed medicines on time. Follow a regular diet and exercise schedule. Get your blood tests done as advised. And never miss any follow-up with the doctor. Diabetes is easily manageable if you follow these simple routines. :)
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She is having hypo thyroid, is it so that we can't have a baby?

MD - Internal Medicine, MBBS
Endocrinologist,
She is having hypo  thyroid, is it so that we can't have a baby?
yes thyroid can affects the pregnancy. pl. send your reports us. we may help to your wife . if all hormones are normal then your wife can conceive . till then eat as following ...Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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I have diabetes from 4 years can it be permanently cured?

Post Graduate Diploma In Dietetics
Dietitian/Nutritionist,
I have diabetes from 4 years can it be permanently cured?
No diabetes cannot be cured completely but can be kept under control. Diabetes is a vast subject and normally one diabetic differs from another. The best thing about diabetes is unlike other ailments this if taken care off can be controlled effectively. Diabetes is a problem which requires lot of self-control. Certain foods and lifestyle changes can show long term results on your health. Depending on the type of diabetes you have, your food habits, age and body type your treatment, insulin counts and monitoring should be scheduled. I can help you with carbohydrate counting to correct insulin techniques and monitoring your sugar levels whatever the need be. Diabetics require personalized care when it's about the diet-plans and activities that are needed to be done. A professional advice in this regard is a must in order to manage diabetes effectively. I hold expertise with diabetics as I am a certified diabetes educator apart from being a consultant dietitian. You can consult me privately online for any advice related to diabetes.
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