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Yashoda Hospitals,Malakpet, Hyderabad

Yashoda Hospitals,Malakpet

  4.4  (28 ratings)

Rheumatologist Clinic

near nalgonda x roads Hyderabad
1 Doctor · ₹600 · 1 Reviews
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Yashoda Hospitals,Malakpet   4.4  (28 ratings) Rheumatologist Clinic near nalgonda x roads Hyderabad
1 Doctor · ₹600 · 1 Reviews
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Yashoda Hospitals,Malakpet
Yashoda Hospitals,Malakpet is known for housing experienced Rheumatologists. Dr. Dheeraj Kondagari, a well-reputed Rheumatologist, practices in Hyderabad. Visit this medical health centre for Rheumatologists recommended by 67 patients.

Timings

MON-SAT
10:00 AM - 01:00 PM

Location

near nalgonda x roads
Hyderabad, Andhra Pradesh - 500036
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Doctor

Dr. Dheeraj Kondagari

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist
88%  (28 ratings)
6 Years experience
600 at clinic
Available today
10:00 AM - 01:00 PM
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World Arthritis Day - October 12

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
World Arthritis Day - October 12

When should a patient consult a rheumatologist?

  • If the patient is suffering from any of the below symptoms, he might be having rheumatic diseases.
  • Joint pains and swellings
  • Severe joint pains and stiffness in the morning
  • Severe back pain and stiffness in the morning
  • Unexplained generalized body pains 
  • Recurrent mouth ulcers/hair loss
  • Dryness of mouth/eyes, red rashes on cheeks
  • Recurrent heel pains
  • Prolonged unexplained fevers after detailed work up by physicians
  • Wounds on skin not healing over a period of time referred by a surgeon and physician
  • Persistent problems regarding abortions referred after primary work up by a gynecologist
  • Recurrent uvietis after primary work up by an ophthalmologist.
  • Unexplained pulmonary renal syndromes at primary care level.


It is important to see a rheumatologist, who has the training and experience to diagnose various forms of inflammatory arthritis 

When the initial diagnosis is in doubt

  • To pick up and manage extraarticular manifestations like vasculitis, eye involvement, pleuropulmonary involvement, lymphadenopathy etc in rhematoid arthritis
  • Arthritis not controlled by traditional dmards
  • Connective tissue disorders like sle, sjogrens syndrome, systemic sclerosis, mixed and undifferentiated connective tissue disorders etc 
  • Vasculitidis and other rare autoimmune diseases.
1 person found this helpful

I am a male 64 years age. 2 years ago I had developed knee pain which occurred quite suddenly while working at my computer in the office. Pain was initially on the right knee. After examination by an orthopedic doctor he advised me of arthroscopic surgery. I had undergone this surgery with subsequent physiotherapy for 6 months. During this time pain started in the left knee also. The doctor says it is arthritis. Now after the physiotherapy I am able to walk, but have lost the flexibility of both knees. (Cannot bend more than 90 degrees) I would like to know if there is any treatment to restore this flexibility other than knee replacement surgery.

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
I am a male 64 years age.
2 years ago I had developed knee pain which occurred quite suddenly while working at my com...
Flexibility limitation of the knee can be due to collection of fluid (inflammatory. Or any structural changes in or around the knee joints, since you have already consulted an orthopedic surgeon, do consult a rheumatologist not to miss out on any diagnosis of inflammatory arthritis which can be easily managed.
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Dear Dr, I am a 45 year old man 5' 8" tall and 76 Kg weight with healthy structure, my mother and my elder sister are suffering from arthritis problems and last 3 months I also started getting some pain in my right knee and I doubt it may be an initial stages of Arthritis, kindly suggest how to find it is an Arthritis or other pain and how to be safe or avoid these problems.

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Dear Dr,
I am a 45 year old man 5' 8" tall and 76 Kg weight with healthy structure, my mother and my elder sister are...
Hi lybrate-user. It can be early arthritis. Your physician or orthopedician or rheumatologist can check for any signs of joint effusion (swelling) or inflammation. Pain not decreasing even on rest, early morning stiffness may be an important clue history wise. How you can prevent it is not clearly proven, but there seems to be some place for maintaining oral hygiene, increasing intake of omega 3 fatty acids, avoiding smoking if you have the habit. Get an appointment with a rheumatologist preferably. Early diagnosis and aggressive management go a long way in saving your joint. All the best.
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Living With Arthritis - Foods To Pick OR Kick

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Living With Arthritis - Foods To Pick OR Kick
Foods to eat/ avoid for arthritis and inflammatory pain

Different foods have different properties. Here are some foods to have and a few you must refrain from if you are suffering from arthritis and inflammatory pain:

Include these foods in your diet.
1) cherries - these contain anthocyanocides which assist in lowering uric acids, thus reducing the level of pain.
2) ginger - eating fresh ginger of drinking ginger root tea is advisable if suffering from arthritis and inflammatory pain. The gingerols present in it include anti-inflammatory compounds which are extremely helpful.
3) pineapple - there exists in pineapples, an element called bromelain which is a very effective anti-inflammatory.
4) raw apple cider vinegar - anti-inflammatory properties of raw apple cider vinegar are also very beneficial. It can be consumed by drinking a tablespoon of the vinegar mixed in about 250ml water or as salad dressing.
5) turmeric - turmeric or as we call it haldi, has anti-oxidant as well as anti-inflammatory properties.
6) omega 3 fatty acids - omega 3 fatty acids also have anthocyanocides. Which lower the levels of uric acids. Eating more of chia seeds, flax seeds and fish is also encouraged.

And the foods to avoid are,
1) sugary foods - sugary foods are like toxins which cause inflammations and lead to more pains in the body. Hence, avoid foods with excessive sugar when suffering from arthritis and inflammatory pain.
2) omega 6 oils - these oils, if consumed in high amounts, cause inflammations. It is advisable to replace these foods with healthier foods.
3) fried foods: deep fried foods are cooked at high temperatures and thus induce inflammation.
4) salt - this happens to some people where excess intake of sodium increases the pain in the joints. Hence, lowering consumption is not a bad idea.

2722 people found this helpful

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
10 TH MAY- WORLD LUPUS DAY
WHAT IS LUPUS?
SLE (or simply "lupus") is a treatable, chronic, autoimmune, inflammatory disease that can affect any organ in the body. Lupus is an autoimmune disease where the body's immune system becomes hyperactive and attacks normal, healthy tissue. This results in symptoms such as inflammation, swelling, and damage to joints, skin, kidneys, blood, the heart, and lungs.
The word LUPUS in greek means a wolf. It seems the face of an untreated SLE patient sometimes resembles a wolf. With the availability of modern drugs to treat SLE nothing of that sort ever happens.
Under normal function, the immune system makes proteins called antibodies in order to protect and fight against antigens such as viruses and bacteria. Lupus makes the immune system unable to differentiate between antigens and healthy tissue. This leads the immune system to direct antibodies against the healthy tissue - not just antigens - causing swelling, pain and tissue damage.
Women of child-bearing age (15 to 45) are most often affected. It can affect males very rarely. Children and the elderly can also be rarely affected. Lupus is not an infection.
There are several forms of lupus. Discoid or cutaneous lupus is limited to the skin. Systemic lupus can involve any system of the body, including the joints and other connective tissue, as well as major organs, including the heart, lungs, kidneys and brain. Drug-induced lupus is caused by extensive use of certain medications. Its symptoms are similar to systemic lupus but usually go away when the medications are discontinued. Neonatal lupus is an additional form of lupus that can affect the fetus or newborn involving the skin, blood, and vital organs, such as the heart and liver.

Systemic lupus accounts for approximately 70 percent of all cases of lupus. In approximately half of these cases, a major organ, such as the heart, lungs, kidneys or brain, will be affected. Cutaneous lupus (affecting only the skin) accounts for approximately 10 percent of all lupus cases. Drug-induced lupus accounts for about
10 percent of all lupus cases and is caused by high doses of certain medications.

SYMPTOMS
SLE is often called a disease with a thousand faces because the symptoms from person to person can vary a lot. All of the symptoms described can occur either at the onset (beginning) of SLE or at any time during the course of the disease.
? Fatigue is the commonest symptom that affects patients with SLE.
? Prolonged unexplained fever with recurrent low platelet counts, low WBCs, Anemia can be the presenting manifestations of SLE.
? The butterfly rash happens in 50% of all SLE patients is a red rash that occurs over the cheeks and often over the bridge of the nose. This is a very characteristic feature of the disease.
? Photo sensitivity is an excessive skin reaction to sunlight (causing rash) that occurs in at least 50% of patients.
? Mucosal ulcers are small sores that occur on the mucous lining of the mouth or nose in as many as 40% of SLE patients.
? Arthritis is very common in SLE. It causes pain in the joints of the hands, wrists, elbows, knees or other joints in the arms and legs. The pain may be migratory, meaning that it goes from one joint to another, and it may occur in the same joint on both sides of the body.
? In 50% of patients, kidney damage may occur. SLE kidney involvement tends to remain silent until damage has already occurred. Then the patient will complain of weight gain and swelling, particularly in the feet and legs.
? Seizures (epilepsy) and psychosis are serious problems caused by central nervous system (CNS) involvement in SLE, and occur in 15-25% of patients. Psychosis is a serious mental condition where thinking and behavior are disturbed, often including hallucinations (seeing or hearing things that aren't there) and delusions (false notions or ideas, for instance the belief that one is being poisoned).
? A persistent increase in hair loss involving the whole scalp may be due to SLE. Headaches, persistent high blood pressure (hypertension), anemia, thrombocytopenia, skin rash and ulcers, repeated abortions, unexplained weight loss, low-grade fever that lasts a long time or sudden, high fevers are the other symptoms of SLE.
The diagnosis of SLE is made based on a combination of symptoms, signs and test results and after other illnesses have been ruled out. There is no single disease symptom, sign or test which, alone, will give a diagnosis of SLE.
? Detection of autoantibodies like ANA, dsDNA, Sm can aid in the diagnosis of SLE.
? Urine analysis and tests of kidney function are performed to detect renal involvement. A kidney biopsy provides valuable information on the type, the degree and the age of lupus lesions and is very helpful in choosing the right treatment.
? A skin biopsy may help to make a diagnosis of skin vasculitis, of discoid or sub acute lupus or of the lupus nature of various skin rashes.
? In some cases the time to diagnose SLE may take years.

TREATMENT
The vast majority of SLE patients can be treated successfully. Various forms of treatments are available. Treatment regimens are based on the type of presentation.
? NSAIDS, METHOTRXATE, are often used for controlling moderate to severe forms of arthritis.
? Sunscreen lotions are advised for photosensitivity. Hydroxychloroquine is used to treat fatigue, arthritis and other milder symptoms of SLE. Hydroxychloroquine also helps to prevent flares in patients who have taken this medication continuously over a six month period.
? Major organ involvement like lupus nephritis, CNS lupus requires usage of drugs like AZATHIOPRINE,MYCOPHENOLATE MOFETIL , CYCLOPHOSPHAMIDE, which are immunosuppresants for certain period of time along with steroids.
? Newer drugs called Biologics, like RITUXIMAB, BELIMUMAB offer hope for patients whose disease is resistant to traditional drugs.

PREVENTION
Unfortunately there is neither a cure nor a way to prevent it. However lupus patients can keep their disease under control by avoiding certain things.
? Protection from the sun exposure by using Sunscreen lotion with a minimum SPF of at least 25 and which blocks both UV-A and UV-B rays. It is generally
? Advised to avoid sun exposure between 10 am to 4 pm or to minimize direct sun exposure below 20 minutes maximum,avoid halogen or fluorescent lights indoors/at places of work,use sunshades when travelling in a car, wear clothes covering maximum portions of your body, Hats etc. To limit sun exposure.

? Avoiding tobacco in all forms.
There is no special diet that can cure lupus. Any advertisement that claims otherwise is quackery. Say NO to quackery and to miracle cures.
Planning for pregnancy is a critical decision that has to be taken in consultation with the treating Rheumatologist as a flare up of lupus during pregnancy can be life threatening for both mother and fetus. The ideal time would be when the disease has remained in remission without any medication other than a small dose of prednisone or no prednisone at all (other medications may be harmful to the baby). SLE is also associated with a higher risk of miscarriage, premature delivery and other serious problems. These can be controlled by appropriate medication and achieving remission prior to conception.

All patients need not suffer from all of the manifestations. It is all about regular follow up as advised,to check clinically and lab wise, catch any manifestations at the beginning and manage them aggressively.Lupus is a little like a freight train; it is much easier to stop if the brakes are applied before the train has gained too much speed. With regular follow up, medications and proper care morbidity and mortality with SLE can be considerably reduced.

I am suffering from arthritis since 3 years due to it there' s pain in my backbone. So I can' t do my work easily so please suggest me. How to solve this problem?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Back ache needs thorough assessment. You need to consult a rheumatologist before coming to a diagnosis of arthritis with back pain. Did you? if so what treatment are you on? it can be managed very well. Do post a private question with all your details for help from my side. All the best.
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My husband is a ra patient past 2 years. he is 35 yr old .he taking medetion only at the paining time is that correct and what should do next?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Intermittent treatment invariably leads to poor outcomes. Do we extinguish fire stub in our house at the beginning or after the entire house is on fire and run for a fire engine? even if the fire engine arrives and extinguishes the fire. What remains is burnt out house. Similarly. Acting early and aggressively is important in arthritis. If we wait up for inflammation and swelling to occur and cause pain. Not only the inflammation leads to silent destruction of the joints and irreparable damages. But also we will require higher doses of medicines. Regular intake of medications and maintenance of minimum possible blood levels of these medicines to avoid inflammation is the key. All the best. Remember. Time * inflammation = damage. Acting early and aggressively avoiding/minimizing inflammation is the key.
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Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
When should a patient consult a Rheumatologist?
If the patient is suffering from any of the below symptoms, he might be having Rheumatic Diseases.
• Joint pains and swellings
• Severe joint pains and stiffness in the morning
• Severe back pain and stiffness in the morning
• Unexplained generalized body pains
• Recurrent mouth ulcers/hair loss
• Dryness of mouth/eyes,red rashes on cheeks
• Recurrent heel pains
• Prolonged unexplained fevers after detailed work up by physicians
• Wounds on skin not healing over a period of time referred by a surgeon and physician,Persistent problems regarding abortions referred after primary work up by a gynaecologist,Recurrent uvietis after primary work up by an ophthalmologist,Unexplained pulmonary renal syndromes at primary care level.

It is important to see a Rheumatologist, who has the training and experience to diagnose various forms of inflammatory arthritis
• when the initial diagnosis is in doubt
• to pick up and manage extraarticular manifestations like vasculitis, eye involvement, pleuropulmonary involvement, lymphadenopathy etc in rhematoid arthritis
• arthritis not controlled by traditional DMARDS
• connective tissue disorders like SLE, sjogrens syndrome, systemic sclerosis, mixed and undifferentiated connective tissue disorders etc
• Vasculitidis and other rare autoimmune diseases.



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For your ready reference, I briefly describe my wife?s case. She is a 74-year- old housewife. She is a patient of chronic rheumatoid arthritis and osteoporosis and has been taking a steroid, wyslone 5 mg /day, for the last about 30 years and RISOFOC kit (calcium and vitamin D3) for osteoporosis for the last about two years. She has been taking other medicines also for hypertension (UDP 5 mg twice daily) diabetes (Glyson 5 mg thrice a day), high cholesterol (Zivast 20) etc. Now her BP and sugar levels are within the normal levels. She has terrible pain below the knee and above the ankle in the right leg and cannot walk. Her problem has been diagnosed as Rt side L5 radiculopathy and chronic steroid-induced neuropathy. An MRI done in Dec. 2014 showed L4-L5 Rt side foraminal compression. She has undergone a spine surgery on Dec. 29, 2014 and a transforaminal epidural injection at Rt side L5 level. Now she takes Lyrica 75 once every evening, tab Instrel ? thrice /day, tab Nexpro 20 twice /day, tab Rockbon once /day, and tab Mazetol 200 once in the morning, and tab Neurokind once at night. But there is no relief from the pain when she attempts to stand up and walk; there is no pain, however while she is in bed lying or sitting up. Please advise what can be done to alleviate the pain. Thanks for your attention and advice.

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Relief on lying down.And pain present only on attempting to walk may indicate degeneration.In the knees or at the ankles due to prior arthritis. If possible do consult. Reevaluation may be of some help. Will try to help you in the best possible way.
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Sir/madam i am 27 years old suffering from reactive arthritis from 6 months. I did my blood test as per advised by doctor all tests are normal except HLAB27. I have pain and swelling in my left ankle and right knee. Right knee joint margin also effected. Is this arthritis curable or not. I m taking medicine regularly. Tab. Is saaz 500mg b.D. Please give me answer ?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
If it is lasting for more than 6 months.Your arthritis naming has to be reevaluated.However the swelling in your knee has to be dealt with.If its long lasting. It indicates inflammation that may lead to damage at such a young age.Early diagnosis and aggressive management is the key.As time inflammation = damage.Prevent damage at any cost.If possible do consult me
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My mother is suffering from ra postive since 14 yrs and taking folotrax 7.5, saaz ds and hcqs but no recovery is seen.She is having pains in all joints.Please guide us

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Pains in all joints can be due to ongoing active inflammation/Secondary damange due to pre existent arthritis/ due to secondary sensitization called as fibromyalgia.The cause has to identifed first for the ongoing pains.Do consult a competent Rheumatologist.
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Sir i am taking steroid medicine for rheumatoid arthrities past three years. I need alternative or complete cure.https://www.lybrate.com/questions/improving-sexual-health-male

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Apart from steroids there are newer drugs known as biologics for Rheumatoid arthritis which are costly.Steroids also can be used at a low dose avoiding major side effects, using them in a wise manner on the advise of your doctor.Try discussing all your concerns and various treatment options with your Rheumatologist.
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My hands are swollen ,my ESR was 55, doctors have told me that i am suffering from RA ,these days i am undergoing unani treatment for the same ,but still have pain . What should i do ? shall i go for allopathic treatment?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Please go ahead.Removing your fears about using allopathic medicines.Knowing the facts.Discuss all your concerns with a Rheumatologist.The more you delay.The more you are going to damage your joints
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What is RA rheumatic Arthritis ? for a female aged 40yrs, blood test value of 150 means what ? what is diagnosis & prognosis ?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Blood tests can be positive with or sometimes without the disease also.You should have the disease ruled in or out thorough clinical exam also.Do consult your nearest Rheumatologist
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