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Dr. P. D. Pahwa

MBBS, MD - General Medicine

Endocrinologist, Gurgaon

41 Years Experience  ·  400 at clinic
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Dr. P. D. Pahwa MBBS, MD - General Medicine Endocrinologist, Gurgaon
41 Years Experience  ·  400 at clinic
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Personal Statement

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. P. D. Pahwa
Dr. P. D. Pahwa is one of the best Endocrinologists in New Gurgaon, Gurgaon. He has helped numerous patients in his 41 years of experience as a Endocrinologist. He studied and completed MBBS, MD - General Medicine . You can visit him at Pahwa Medical Centre in New Gurgaon, Gurgaon. Book an appointment online with Dr. P. D. Pahwa and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 34 years of experience on Lybrate.com. You can find Endocrinologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Medical College,Rohtak] - 1976
MD - General Medicine - Medical College,Rohtak - 1980
Languages spoken
English
Hindi

Location

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Pahwa Medical Centre

Shop.number -2, New Railway Road, New Railway Road,Opposite LAL Nursing Home,Miya Wali ColonyGurgaon Get Directions
400 at clinic
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I am 47 yrs old female. 9months ago my sugar level was 465-160 and wrigt was 68kg. Now my sugar level is in normal range and weight 51kg. Now I consume 1pcs metadose 850 ipr and amway daily. Now my problem is body weakness. Energyloss. I have no power to cook or home work.

MD - Pulmonary Medicine, MBBS
Pulmonologist, Pune
Hello, as you said your sugar level and weight both are under control, there is no worry about that. But worry is about side effects of metadose tablets. It can cause sugars to go down or lactic acidosis. So be sure about these side effects and check your sugar regularly. If sugar is low, then dose of metadose tablet must be reduced. Also check your abg to find out acidosis. Second thing is check your daily calorie intake. If you are having less calories, you may feel weak and dizzy. One of the above tests will find out your problem.
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I have type 2 diabetes. My fasting is regulating as 250 approx. what should i do ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have type 2 diabetes. My fasting is regulating as 250 approx. what should i do ?
Mr. Lybrate-user, fasting 250 mg us very high, signifies there is uncontrolled diabetes. You need to be on appropriate drug treatment either oral or insulin injection, when in control fastin should be 100 mg, pp 150 to 160 mg and hba1c% <7. Plus you have to take restricted diet and do daily one hous exercise.
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I have come to know that 2tsp powder of alsi (teesi) once daily with a glass of water for six months/one year or so can cure diabetes permanently. Is this a correct one feedback. Please confirm, if yes. Please suggest alternate herb (s) which can surely cure diabetes.

MBBS, MD - Medicine
General Physician, Delhi
I have come to know that 2tsp powder of alsi (teesi) once daily with a glass of water for six months/one year or so c...
No nothing can cure diabetes, but it can help you lose some weight which may improve your sugar control. 1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream 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, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, 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 sugars monthly and hba1c six monthly.
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Due to diabetes attack ,my mental condition are getting worse day by day ,is there any treatment for it?

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
Due to diabetes attack ,my mental condition are getting worse day by day ,is there any treatment for it?
Hi I will prescribe some harmless but effective flower remedy. Mix 3 drops of Aspen+ 3 drops of Mimulus + 3 drops of Cherry plum + 3 drops of Scleranthus + 3 drops of White chestnut Mix these with 100 ml water and drink it every morning and night.(same dose) on empty stomach. If problem continues consult me online.
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I am 43 years old suffering frm frozen shoulder and diabetic from 10 yrs. .and is under control Is there any medication fr frozen shoulder. Aart from physiotherapy? ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 43 years old suffering frm frozen shoulder and diabetic from 10 yrs. .and is under control Is there any medicati...
Mr. Lybrate-user, frozen shoulder is a common complication seen in a diabetes patient. One of the primary need is to have strict blood glucose control, secondly following instructions regarding exercise and getting physiotherapy done. There is no other option. Thanks.
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I am facing problem of sugar Fasting is 278 and PP is 329 so need advice about dieting and cholesterol is 400.

M.D. Internal Medicine
Endocrinologist, Mumbai
I am facing problem of sugar Fasting is 278 and PP is 329 so need advice about dieting and cholesterol is 400.
Kindly do your HBA1C, TSH, CBC, complete lipid profile ,S.creat ,urine .R to plan or change your current treatment. Low carbohydrate ,low fat, high protein diet with regular exercise is recommended .You seem to be under weight for your height .Some times Diabetes in young (lean) requires insulin therapy and may require C.PEPTIDE, S INSULIN and GAD antibody tests.
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I think I have thyroid problem. What food I should avoid and what food should I take and recommend some exercise.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
All food items are safe in thyroid disorders. No food should be avoided. Exercise has no link with thyroid dysfunction.
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I am a subclinical hypothyroid patient. Taking thyronorm 50 1 year ,I have done ft3, ft4,t3t4, tsh,tpo antibody, I didn't done ultrasound scanning, because nothing visible tumours not available in my neck, because of that my Doctor does not prescribed ultrasound .but I have breathing problem and slowly eating food, taking too much time to complete food, my friends insults me when eats food because of too late. No deep breath, not able to take speed breath. And not able to eat food speed. I feel something have in my chest near the neck, I think that my thyroid should be enlarged to chest. If my thyroid enlarged to my chest. If it is goiter. Can it treated with medication? Can it treated iodine supplement? Or it require surgery? Please tell how it can be treated? What types of treatment available? I fear to do surgery!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a subclinical hypothyroid patient. Taking thyronorm 50 1 year ,I have done ft3, ft4,t3t4, tsh,tpo antibody, I di...
Mr. lybrate-user, Thanks for the question. Based on your description there could be some problem with your thyroid gland. But if the doctor examining has not found anything serious, then there is no reason to worry about. In hypothyroidism particularly due to Hashimoto's Thyroiditis, the gland may have grown a bit or become nodular or firm. But there is unlikely to be a growth towards chest. Still if you are feeling so strongly, ask your your doctor to get an ultra sono graphy done, that will clarify your doubt. Once the condition is confirmed or clear, then further line of treatment can be decided. Thanks.
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What are the possible causes for increase of uric acid in blood. What are problems it can cause in the body? How it can be cured?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, disturbance purine metabolism produces excess uric acid. Normal uric acid levels in female are 2.4 to 6 mg and in male 3.4 to 7 mg increased uric acid may be produced because derangement in purine metabolism. This is called primary uricemia. Seconday increase in uric acid may occur due to disease of kidneys, certain chemotherapeutic drugs, diabetes or acidosis can cause increase in uric acid. Elevated uric acid does not produce problem in every one, only 20% people suffer with gout. In some with gout uric acid may not be high. Gouty arthritis is the main manifestation of hyperuricemia. Gout is painful swelling of joints, great toe is first to get involved, other joints may also get affected. It is very painful condition especislly in acute attacks. Itcan only be controlled, there is no cure.
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Life seems to have no purpose. It seems to be a cycle between fertilization and cell death/degradation. Everything around seems to be a construct aka make believe. What activities of the mind and body would give me positive energy and sense of meaningful purpose?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
what problem you are facing exactly. Share your problem will try to help you out surely. And start doing some work out now onwards, it will release your stress to some extent.
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My adams apple is very large Is it reducible or not? Large adams apple is it ok or not.Please tell.

PDDM, MHA, MBBS
General Physician, Nashik
Yes, adam's apple reduction requires careful thinning of the voice box cartilages. It is not commonly done in most males but is extremely commonly done in sex change (gender reassignment) surgery. You may want to consult a surgeon who specializes in these procedures.
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MD - Medicine, Bechelors of Alternative Medicine
Alternative Medicine Specialist, Delhi
यह डायबिटीज मेलिटिस में ग्‍लूकोज के स्‍तर को कम करने में बहुत मददगार होती है। सेम की फली में आयरन, कैल्शियम, मैग्नीशियम, फास्फोरस और विटामिन 'ए' पाया जाता है। डायबिटीज में एक मुठ्ठी सेम की फली को थोड़े से पानी में उबाल लें। ठंडा होने के बाद इसे फिज्र में रख दें। आप स्‍वाद बढ़ाने के लिए इसमें ताजा नींबू की कुछ बूंदे मिला सकते हैं। इस मिश्रण को दिन में तीन बार भोजन से पहले लें। यह बहुत ही हल्‍के ग्‍लूकोज की चाय है।
2 people found this helpful

Ma nephey is 9 yr old. He is suffering with hypothyroidism when he is on prescribed medication the condition leading to hypothyroidism. So is there particular treatment available or not?

BHMS
Homeopath, Secunderabad
Nothing to worry, homoeopathy is the permanent solution for hypothyroidism. Is there any family history of thyroid problems? Better to avoid cabbage and cauliflower along with medicines.
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This is 57 years female from Kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 154 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. Taking medicines Inj. Folitrax 20 mg (weekly) + (Daily - HCQ 300 mg + Leflunomide 20 mg) for last 6 months. All medicines at the same times .No diet restriction was given. Suggested some tests. Here is the test results. Test was done after 6 month of taking medicines for RA & Glycomet GP 1& Panlipase CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5), Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), Amylase 78.2 (range 30 -110) CRP 1.20 (range <10), Test was done in SERUM, Kolkata in 15th june 2017. But saw no improvement in finger's pain. Seeing result of Lipase & Amylase, Dr. Advised not to take panlipase 25000. Shall I discontinue it? I'm in great confusion. How changing my diet plan I can get rid of RA symptoms. One more info, many women of my village are seen same finger problem, we drink water from same tube well. May it be any water disease? Is this trigger finger problem if so then why there will be pain in first 3 fingers of both hands & shoulder?.

MBBS, DNB TRAINEE(General Medicine), Post Graduate Diploma in Healthcare Management (P.G.D.H.M)
Internal Medicine Specialist, Durgapur
This is 57 years female from Kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) ...
You can stop panlipase if you donot have much signs of pancreatic exocrine insufficiency, which your physician might have already evaluated clinically. You are on optimum treatment for RA .What was your pretreatment level of RA antbody titre. Occasional newer generation painkillers can be taken for symptomatic relief, if indicated.
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I also feel pain in my both the legs front side bone lower leg just below the knee. I think I need some calcium, could you suggest some thing for the same. Got uric acid test its normal. I am 28 years old.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability like tab etoshine 60 mg twice a day can be taken for 5-7 days - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance.
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6 Lifestyle Changes To Prevent Diabetes!

Multi Speciality Clinic
Multi Speciality, Gurgaon
6 Lifestyle Changes To Prevent Diabetes!

Diabetes features as one of the most common ailments in the contemporary times. Mostly assumed as a congenital disease, diabetes is growingly targeting different age groups and often the outburst of diabetes is mostly unmapped. Diabetes is mainly spurred by the presence of high blood sugar content in the patient's blood. In cases where insulin, the sugar absorbing hormone, is not produced normally, the patient becomes more prone to diabetes. Many attribute this phenomenon to the changing lifestyles of the people and their food choices. In clinical terms, however, diabetes is said to be triggered off by the destruction of insulin-producing beta cells in the body.

Besides the genetic susceptibility, there are a variety of causes that result in diabetes:

  1. Obesity and physical inactivity: An imbalance between calorie intake and the burning of the same often results in the storage of excess sugar. This aggravates the risks of cardiovascular diseases. The food and lifestyle choices are directly related to the phenomenon.
  2. Abnormal glucose production by the liver: Normally the pancreas secretes glucagon when the natural percentage of insulin is low and stimulates the liver to produce glucose which is then released into the bloodstream. But under certain conditions, the glucagon level is already high in some people. In such cases, the liver produces glucose thus increasing the risk of diabetes.
  3. Beta cell dysfunction: The beta cells are responsible for the secretion insulin in your body. In case the beta cells stop functioning normally, a medical condition called insulin resistance arises. Under this condition, your body cells stop responding to the insulins secreted and consequently, the glucose content increases thus causing diabetes. Various endocrine diseases contribute to the malfunctioning of the beta cells.
  4. Medicines and chemical toxins: Often certain medications like diuretics, anti-seizure drugs, psychiatric drugs, and drugs to treat HIV may lead to the worsening of the beta cell functions and cause diabetes.

Diabetes can be medically treated as well as its adverse effects can be assuaged by ushering in a few lifestyle changes:

  1. Periodically checking your blood sugar levels
  2. Taking adequate dental care often keeps the blood sugar levels in control
  3. Regularly exercising and being physically active
  4. Avoiding junk food and food with high glucose content
  5. Consuming relevant drugs prescribed by the doctors
  6. Being wary of the side-effects in cases of organ transplantations.

If you wish to discuss any specific problem, you can consult a doctor.

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My mother having an thyroid problem which type of treatment should take for it and what to does or what to not in this case.

MS - ENT,MBBS
ENT Specialist, Kolkata
Hi  First : medicines are mandatory.  Otherwise you might have weight gain,muscle ache, sleep and anxiety issues as well as reproductive  and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio ,weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly.Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms.No soya ,nugget,chunk,tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres .Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried)and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food,chips,pickles,sauces as they contain  large amount of sodium .Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess.And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol.It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines,diet and exercise.  You will start  better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation :5 pillars of health needed to live the healthiest Hope this helps Let me know.  Take care Dr.Amrita Basu
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Sir I am type 2 diabetic since 4 years. My average Fbs is 130. And hba1c is below 6.But sometimes when I take 90 ml of whisky in the night then my mouth becoming dry in the midnight. After getting up within 5 minutes it is becoming normal. Can you suggest me what is the problem. My age is 56 and height is 182 cm and weight 110 kgs.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Sir I am type 2 diabetic since 4 years. My average Fbs is 130. And hba1c is below 6.But sometimes when I take 90 ml o...
Drynes in the mouth after drinking alcohol is due to the mild dehration caused by the diuretic action of alcohol and probably you drink water which corrects the mild dehydration. Diabetes is alifestyle disease which is completely reversible with dietary changes and lifestyle changes. Cut down your weight Stop Alcohol stop dairy products You need supplements to reduce blood sugar. I am a wellness and lifestyle Physician who can help you. Take a consult for specific advice.
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You asked me about my blood sugar level, my present blood sugar level: fasting 101. PP 175. This is for your information and for advising medicine. Regards, Abdur Rahaman.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Faridabad
You asked me about my blood sugar level, my present blood sugar level: fasting 101. PP 175. This is for your informat...
If you are taking any medicine you should continue same. If you don't take anything for diabetes just exercise regularly and maintain healthy eating habits. Repeat fasting blood glucose and hba1c after 6 months.
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