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Mr. Keven Liam William - Endocrinologist, ernakulam

Mr. Keven Liam William

Endocrinologist, ernakulam

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Mr. Keven Liam William Endocrinologist, ernakulam
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Mr. Keven Liam William
Mr. Keven Liam William is a popular Endocrinologist in Perumbavoor, Ernakulam. He is currently practising at KEVEN CLINIC in Perumbavoor, Ernakulam. Save your time and book an appointment online with Mr. Keven Liam William 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 Ernakulam 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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My tsh level is 2.5 and its normal but my weight is not decreasing even after diet.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, yes you are over weight with a bmi of 25.95 kgs /m2. With well controlled hypothyroidism, you should be able to reduce the weight. You need to increase the effort both in terms of reduced dietary intake and increased physical effort. It is better if you join a gym and do workout under the guidance of a professional trainer. Plus your diet should provide exact calories based on ideal body weight (70 kgs); but to achieve a bmi of 23 kgs weight has to be down to 67 kgs. So 67 x 30 calories = 2000 calories. If you keep these things in mind and plan your workouts and food intake there is a possibility of meeting the targets. Thanks.
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Hello Dr. I am tariq from India recently I diagnosed diabetic I am only 27 years old. I want to know how to control my sugar level without take any medicine. And I also want to know I go to gym so can we take protien supplements or suggest me anu sugar free body building protien thanking you.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
Hello Dr. I am tariq from India recently I diagnosed diabetic I am only 27 years old. I want to know how to control m...
Diabetes can be controlled without medicene for sometime by diet and exercise but ultimately you have to be on medicene.Avoid sugar,junk food,friedfood andfruit juices. Exercise regularly .You can have whey proteins available in market by different names.But not more than 30gms per day along with normal diet.
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Is Your Thyroid Gland Working Against Your Body?

MBBS, MD - General Medicine, Certification In Diabetes
Endocrinologist, Delhi
Is Your Thyroid Gland Working Against Your Body?

Thyroid is a small gland situated in front of the neck and secretes hormones like thyroxine (T4) and tri-iodothyronine (T3). These hormones control various functions of our body like heart, blood pressure, digestion, metabolism, growth, blood formation, brain function etc. Any fluctuation in the functioning of the thyroid gland can have a great impact on health. The thyroid gland is primarily responsible for energy and metabolism. This gland triggers the genes that make all the cells in the body conduct their specific jobs. But over a period of time, the optimum functioning of the thyroid may reduce because of specific reasons. The gland may start to under-produce or overproduce the thyroid hormone, which may lead to conditions known as hypothyroidism or hyperthyroidism, respectively.

  • Patients with hypothyroidism may feel extreme tiredness and fatigue even though they may be sleeping more than before. An unexplained gain in weight, constipation, inability to stand cold temperatures, and constant pain in muscles and joints are some of the other symptoms of hypothyroidism.
  • Hyperthyroidism, or overactive thyroid, is an endocrine disorder. Patients with this disorder may experience excessive sweating, fatigue, and intolerance to heat. They may even experience restlessness, puffy or protruded eyes, hair loss, and muscle weakness. Such patients may lose weight and are unable to sleep properly at night. In some cases, palpitations or abnormal heart rhythm may also be experienced.

Complications of Thyroid Disorder

Hypothyroid and hyperthyroid can cause a number of complications if patients don’t take medications. It is important for you to not to ignore any of the aforementioned symptoms and speak to your doctor as soon as possible.

Hypothyroid complications

  • Myxedema: This condition is characterized by slowed thinking, swelling of tissues, and accumulation of fluid around major organs like brain, lungs and/or heart. This condition may prove life-threatening if not treated on time.
  • Enlarged goiter: This is characterized by enlargement of the thyroid gland because of a constant increase in the TSH levels. High cholesterol and triglycerides: This may eventually pave way for heart disease and stroke.
  • Sleep apnea: Sleep apnea is a disorder that affects nighttime breathing where the brain that temporarily stops sending signals to the muscles that control breathing, or by an obstruction in the airway. This may prove fatal if left untreated.
  • Low blood pressure: This means not enough blood is getting to capillaries and tissues, particularly in your hands, feet, and brain. You may have chronic nail fungal infections and cold hands and feet if so.

Hyperthyroid complications

  • Heart disorders (cardiac arrest): If left untreated, excess thyroid hormones can lead to congestive heart failure and heart rhythm disorders.
  • Osteoporosis: Too much thyroid hormones interfere with the body’s ability to use calcium to build bone. This may lead to brittle bones and osteoporosis.
  • Thyrotoxic crisis: This is a rare yet life-threatening complication characterized by high fever, vomiting, irregular heartbeat, and agitation.
  • Hypertension or high blood pressure: It is a condition in which a patient has high blood force striking the walls of the artery An early diagnosis can help make the treatment of this disorder easier.

Depending on the condition of the thyroid condition, it requires different ways to manage it. The conventional TSH (thyroid-stimulating hormone) and T-4 (thyroxine) blood tests will be advised and the results should provide a reasonable confirmation of the condition. If doubts still persist an ultrasound or scan can also be ordered. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

 

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Mera pair ke talway mai pain rahata hai, in morning. Age-37, job-computer related. I check the uric acid, report is normal, kindly sugguest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Flat foot at times causes pain. But we must rule out other causes as well rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take paracetamol 250mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days you will need other supportive medicines also. It may have to be further investigated do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem. You must have x rays of your feet done. Make sure you are not allergic to any of the medicines you are going to take. Heat in feet could be due to some neuropathy.
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Dear sir /ma'am .My father is diabetes patient so I want to know while testing of blood sugar in morning (fasting) by accu-chek meter it's shows normal (102 mg/dl) .But 2 hours after the start of meal it exceeds 300 mg/dl ,even my father takes regular medicine.

MD - Internal Medicine
General Physician, Khammam
Dear sir /ma'am .My father is diabetes patient so I want to know while testing of blood sugar in morning (fasting) by...
Hello Lybrate user May be the dosage he is taking is not sufficiant to control the post meal rise in sugars. There are specific drugs to control the postprandial rise in sugars. Consult your physician and get the dose adjusted. Take care.
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My mother in law suffering from type 1 diabetic having blood sugar above 160 always even 20 ml insulin taking three time a day. Now a days she started discharging urine day night with knowing her. Please advise what to do.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My mother in law suffering from type 1 diabetic having blood sugar above 160 always even 20 ml insulin taking three t...
she might have got urine infection...get her urine examined for infection by a local lab first..antibiotics to be given based on the culture report..her insulin also needs to be changed ... but provide details which insulin type is she taking
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My sugar level is 240 at morning what should i do, my parents are sugar free persons, its not heridity.

MBBS
General Physician, Guwahati
Single report of sugar level is not conclusive. You can go for Fasting and PPBS and HbA1c and after getting the reports you might have to start lifestyle modifications in terms of excercises and if needed medications
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I am 61 diabetic for the last 27 years and on insulin for the last15 years. I have a problem in my right foot. Doctor called it charkoot foot. Is there any treatment for it?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Most foot problems that people with diabetes face arise from two serious complications of the disease: nerve damage and poor circulation. One of the more critical foot problems these complications can cause is charcot arthropathy, which can deform the shape of the foot and lead to disability. Is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch. Www.Lybrate.Com/drsajeev.
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Hi. My tsh level is 20.68 and doctor prescribed me 100 mcg thyronorm. My height is 5 ft 6 inch and weight 70. Please advise if the dosage is correct.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi. My tsh level is 20.68 and doctor prescribed me 100 mcg thyronorm. My height is 5 ft 6 inch and weight 70. Please ...
lybrate-user ji, Thanks for the query. The given dosage appears to be on the higher side. It is better to start with 50 mcg, then check TSH after 6 to 8 weeks if the desired level (3 to 4 mU/L) is not reached, then increase by either 12.5 or 25 mcg. Thanks.
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Is pomegranate, mangoes, bananas bad for diabetics. Which fruits are good for diabetes.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
Is pomegranate, mangoes, bananas bad for diabetics. Which fruits are good for diabetes.
All fruits are good for diabetics, they have to be taken in moderate amounts and at proper time. Fruit juices are harmful as they raise sugar suddenly but fruits contain lot of fibre,raise sugar slowly.
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