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Dr. John Punnoose  - Endocrinologist, Delhi

Dr. John Punnoose

MD - Medicine, DM - Endocrinology

Endocrinologist, Delhi

37 Years Experience  ·  550 at clinic
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Dr. John Punnoose MD - Medicine, DM - Endocrinology Endocrinologist, Delhi
37 Years Experience  ·  550 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. John Punnoose
Dr. John Punnoose is a popular Endocrinologist in Bapa Nagar, Delhi. You can meet Dr. John Punnoose personally at St Stephens Hospital in Bapa Nagar, Delhi. Book an appointment online with Dr. John Punnoose on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 36 years of experience on Lybrate.com. You can find Endocrinologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD - Medicine - University of Kerala, - 1981
DM - Endocrinology - P.G.I.M.E.R. - 1986
Languages spoken
English
Hindi
Professional Memberships
Delhi Medical Council
Medical Council of India (MCI)

Location

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St Stephens Hospital

St. Stephen's Hospital Landmark : Near kashmiri GateDelhi Get Directions
550 at clinic
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My TSH is increasing, this time it was 8.6, last time it was 6.2 I am taking thynorom 12.5 please suggest what to do for controlling it.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My TSH is increasing, this time it was 8.6, last time it was 6.2 I am taking thynorom 12.5 please suggest what to do ...
Mr. lybrate-user, Thans for the query. In spite of taking thyroxine (12.5 mcg/d) TSH is increasing means the dose is inadequate. In the beginning itself you should have stared on a higher dose. Thanks.
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I am 24 years old (female. I am suffering due to hypothyroidism from last 12 years. I am take Thyrox 50 mg. But suddenly my TSH level is increased. Now my TSH level is 6.48.And I have suffering due to hair fall from 2 months. Now what can I do? Please give me opinions. Please help me out.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 24 years old (female. I am suffering due to hypothyroidism from last 12 years. I am take Thyrox 50 mg. But sudde...
Thanks for the query. When one is on treatment for Hypothyroidism with adequate dosage of Levothyroxine, then TSH is well controlled and maintained around 3 to 4 mU/L, at that level all the symptoms are in check. Since your TSh level is 6.48 mU/L, there is a need for increasing the dose of thyroxine from present level to 62.5 mcg per day. Then check the TSH after 6 to 8 weeks and values come to the above mentioned level, then same dose needs to be continued. If TSH is still higher than recommended, then there has to be a further increase in the dosage. Only maintaining correct TSH level will help in overcoming all the symptoms including hair fall. Thanks.
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HIV Positive Women - 4 Associated Issues

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
HIV Positive Women - 4 Associated Issues

People who have the Human Immunodeficiency Virus, commonly known as 'HIV', are known as HIV positive people. The virus is the agent of AIDS that is currently incurable. HIV is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections. Body fluids such as semen, blood, breast milk, vaginal fluids etc. of an infected individual contain the virus which can be passed from one person to another during blood-to-blood and/or sexual contact. HIV positive women may even pass on this virus to their children during pregnancy, delivery or by breastfeeding them. HIV is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion. 
Mentioned below are a few issues that an HIV positive woman has to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment. 

1. Menstrual Disorders: Changes in menstrual cycles are frequently reported by HIV infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the HIV positive women suffer from amenorrhea i.e. the unusual absence of periods, it is not just due to HIV but also because of weight loss or immunosuppression.  

2. Contraception: It is very important that the contraception an HIV positive woman chooses not only acts as birth control but also to prevent the transmission of sexually transmitted diseases and HIV. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the HIV virus. Permanent sterilization is usually the most chosen contraceptive method for HIV serodiscordant couples.

3. Surgical Complications: HIV positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulval cancer in HIV positive women. 

4. Fertility: There has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal HIV transmission. Studies show that undergoing HIV treatment and having an undetectable viral load is helpful in preventing the transmission of HIV. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in HIV positive women than HIV negative women. 

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How to reduce my weight. I am 42 years old man suffering from hypothyroidism and hypertension since last 8 years. At present my weight is 103 kg.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to reduce my weight. I am 42 years old man suffering from hypothyroidism and hypertension since last 8 years. At ...
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. 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 bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, avoid more protein diet,milk products.avoid alcohol. for hypertension Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines .
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My mom has blood sugar level 121 mg/dl. It is considered as impaired. As it remains at this level as sometimes got down to 100 mg. please suggest the best advice for her as she has already avoided sugar containing products. please suggest what to eat and what to avoid.

MBBS, MD
Endocrinologist, Delhi
My mom has blood sugar level 121 mg/dl. It is considered as impaired. As it remains at this level as sometimes got do...
Cvid sugar, jaggery,honey, sweets,sweet fruits like banana, mangoe,grapes, cheekoo etc. Regular exerise like walking, yoga are must. She should take small frequent meals. She can take all vegetables, cereals,pulses and nonsweet fruits in moderation like guava, papaya,apple, orange,kiwi, jamun,khumani etc.
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Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

For pregnancy to occur, every part of the complex human reproduction process has to take place just right. The steps in this process are as follows:

  • One of the two ovaries releases a mature egg.
  • The egg is picked up by the fallopian tube.
  • Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization.
  • The fertilized egg travels down the fallopian tube to the uterus.
  • The fertilized egg implants and grows in the uterus.

In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of these factors.

Ovulation disorders

Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 25 percent of infertile couples. These can be caused by flaws in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or by problems in the ovary itself.

  • Polycystic ovary syndrome (PCOS). In PCOS, complex changes occur in the hypothalamus, pituitary gland and ovaries, resulting in a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It’s the most common cause of female infertility.
  • Hypothalamic dysfunction. The two hormones responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — are produced by the pituitary gland in a specific pattern during the menstrual cycle. Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt this pattern and affect ovulation. The main sign of this problem is irregular or absent periods.
  • Premature ovarian insufficiency. This disorder is usually caused by an autoimmune response where your body mistakenly attacks ovarian tissues or by premature loss of eggs from your ovary due to genetic problems or environmental insults such as chemotherapy. It results in the loss of the ability to produce eggs by the ovary, as well as a decreased estrogen production under the age of 40.
  • Too much prolactin. Less commonly, the pituitary gland can cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Most commonly this is due to a problem in the pituitary gland, but it can also be related to medications you’re taking for another disease.

I am 37 year old male. Having piles problem for last 15 years. Found of rice it is my main meal for dinner. Want to improve HDL. As my HBA1C is 5.7 do not want go to be diabetic range. Madam please suggest diet for me so I can handle all these problems.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
I am 37 year old male. Having piles problem for last 15 years. Found of rice it is my main meal for dinner. Want to i...
Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take two walnuts every day to improve your hdl. Or take 5 almonds daily.
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Hyperuricemia

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology, ADVANCED CERTIFICATE COURSE IN DIABETES
Diabetologist, Dehradun
Diabetics should check their blood uric acid level because increase in uric acid in blood can interfere your control of blood sugar and blood pressure both besides other consequences on health.
39 people found this helpful

Hi I am 47 female I am diabetic patient over wait I have thyroid and blood pressure. Please help me to reduce weight and my sugar level. I am taking insoline 3rd time. and sugar medicine too

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I will recommend you homoeopathic treatment along with your medicines and few changes in your daily routine with which your blood sugar, thyroid nd excess weight will come down. Diabonil (sbl) 20 drops in 20 mlfresh water 15 minutes before meal uranium nitricum 1x (wilmar schawe india) 2 tab twice daily direct in mouth nd chew eat little at a time every 2-3 hourly. Don? t eat too much at a time brisk morning walk for 30 minutes regularily dinner 2 hours before goin to sleep 10 minutes evening walk after dinner avoid sweets, mango, grapes, colddrinks in particular start doing kapalbhati pranayam daily for 15 minutes but start from 5 minutes daily if you r first timer. Procedure o sit in a comfortable crossed leg posture, sukasana (using padmasana or vajrasanais the best) and keep your back straight. Rest your hands on the knees using gyana mudra or chin mudra. O inhale deeply trough your nose, this will expand you abdomen. O exhale using a great force so that your abdominal muscles contract to the maximum o these exhalations are similar to your breath outs, but they should be forceful o make sure while exhaling, the air should be pushed out of your lungs by contracting the diaphragm o after exhalation again do inhalation, but this time with out any effort. To do this just relax your lungs, they will automatically expand and fill with air o one cycle of kapalabhati pranayama include one deep inhalation, then forceful exhalation and an effortless inhalation. O a learner can practise up to three rounds, each with 15 exhalations. Small breaks between each round are allowed report after 3 months.
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26years marage Im 46 age Wife 42 age No child Iwant ask about (ivf-icsi &pgd )cost From me and my wife no donor And success rate Thanks

MD - Maternity & Child Health
Gynaecologist, Bangalore
Pls do consider adoption. Its the best thing give a life to a kid. It really makes u feel good in life thnq stree health care centre bangalore
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