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Dr. K. Nagesh

DM - Endocrinology

Endocrinologist, Hyderabad

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Dr. K. Nagesh DM - Endocrinology Endocrinologist, Hyderabad
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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DM - Endocrinology - NA -
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English

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What is the best medicine to cure thyroid? my thyroid glands are swelled (ultrasound) and the tsh is 7.9.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
What is the best medicine to cure thyroid?
my thyroid glands are swelled (ultrasound) and the tsh is 7.9.
IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, 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 can help, take tab. thyroxine 75 mcg.
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TSH ULTRASENSITIVE OBSERVED VALUE IS 0.890 IS IT NORMALdo I have thyroid yes or no reply fast urgent.

MBBS, cc USG
General Physician, Gurgaon
TSH ULTRASENSITIVE OBSERVED VALUE IS 0.890 IS IT NORMALdo I have thyroid yes or no reply fast urgent.
The normal range of TSH levels is 0.4 to 4.0 mIU/l so your TSH is withiin normal range, no treatment is required
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I am 50 yrs old and having type 2 diabetis for last 10yrs and on medication. Since last 6-8mnths uncontolled diabetis besides ibs problem please suggest.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
You have thyroid disease you mention. When was the last time you checked it? what treatment are you taking for it?
2 people found this helpful

Sir I m thyroid patient. T2.342. T3.22. And t4.0. 01. I m taking thyroid medicine regularly. Can you tell me permanent remedy of my dease. Pls give me advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Balmukund, Hypothyroidism is a thyroxine deficiency disorder, hence the treatment is replacement of the hormone through oral tablets. This has to be done for life time as the hormone is needed for day to day normal functioning of our brain and metabolism. Hence this is the only option, There is no permanent cure for it. In addition one has to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, peanuts, radish, mustard and coffee. Plus have to consume more of green leafy vegetables, salads and fruits. Use whole grain flour to make chapati and roti. No refined flour like maida. Daily exercise for 1 hour is also equally important to avoid weight gain.
22 people found this helpful
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Total cholesterol is 230, HDL is 33, Triglycerides is 211, LDL is 157, VLDL is 42.2, TC/HDL is 6.9,LDL/HDL is 4.7 and VOV-HDL is 196.6. Please advice me what I should do. And medicine I should take. I have no BP, SUGAR. ECG IS ALSO NORMAL.

Diploma in Cardiology, MBBS
Cardiologist, Delhi
Total cholesterol is 230, HDL is 33, Triglycerides is 211, LDL is 157, VLDL is 42.2, TC/HDL is 6.9,LDL/HDL is 4.7 and...
Keep your ldl below 100. Exercise daily. It will increase your hdl also no any medications required. Just lifestyle modifications.
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Hi I am male 26 years old, I have hypothyroidism I am using thyronorm 50 mg, one thing troubling me is after an activity in gym or any temporary hectic activity my joints are paining what I this I am not understanding is there any lab test to determine my calcium levels and joints health?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am male 26 years old, I have hypothyroidism I am using thyronorm 50 mg, one thing troubling me is after an activ...
Mr. lybrate-user, If one is on treatment for hypothyroidism, then to be in control of all the symptoms including joint and muscle pains, TSH should be maintained between 3 to 4 mU/L. If that is achieved then most of the symptoms are in check. Thanks.
1 person found this helpful
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He as diabetes problem, I think it's starting stage. Please suggest how to control it. What r all food habits he as to follow.

BAMS
Ayurveda,
He as diabetes problem,
I think it's starting stage.
Please suggest how to control it.
What r all food habits he as t...
See, if it is in starting stage then you just follow food habit and mainly no stress, some exercise will help you better.
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My sugar level was at 85 after tea with sugar and 45 minutes of exercise. But it shoots up to 150 after dinner along with alcohol. Whether this kind of fluctuation is OK!

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My sugar level was at 85 after tea with sugar and 45 minutes of exercise. But it shoots up to 150 after dinner along ...
Sugar level fluctuates at all times of the day, it is related to time of the day, food you take, exercise pattern and many other factors. As far as you are within normal limits, it is ok.
7 people found this helpful
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Diabetes - Why Portion Control Is So Important?

Non-invasive Cardiology
Cardiologist, Thane
Diabetes - Why Portion Control Is So Important?

Diabetes mellitus is a serious medical condition in which your body does not produce enough insulin, the hormone that breaks-down sugar, or is not able to use it properly. So, what happens is that your blood sugar levels shoot up damaging your kidneys, heart, brain, nerves, eyes, and blood vessels. It is diagnosed through a blood test after you have fasted overnight.

Type 1 diabetes is different from type 2 diabetes. Type 1 is predominantly a genetic disorder and is found in even babies but type 2 diabetes is the one we develop as adults mostly because of our eating habits, lifestyle and diet.

If you have diabetes, your doctor will counsel you about making serious changes to your diet to reduce your risk of developing complications. Your doctor will also mandate losing 5-10 percent of your body weight if you are overweight and exercising more to get rid of blood sugar by burning it. 

Portion size control for diabetics

  1. Portion control which essentially means how much you eat at every meal—is key in helping you manage type 2 diabetes.
  2. Portion control also reduces your calorie intake and leads to weight loss which in turn improves your body’s insulin sensitivity and leads to manageable blood glucose levels.
  3. Truth be told, if you have type 2 diabetes, you need to lose weight even if you are not obese. Carrying even a slight bit of extra weight can increase insulin resistance which means that your body can no longer properly use insulin.

This is why portion control is critical to managing diabetes. So downsize your portions and get rid of carbs, especially the processed carbs like pasta, cookies, dessert and sodas, to stay healthy.

What goes on your plate?
According to the American Diabetes Association, your plate at each meal must have lots of non-starchy vegetables and smaller portions of starchy foods like potatoes. Proteins and fats especially the healthy fats are good for you as they don’t trigger insulin.

Here are some tips for portion control at mealtimes

  1. Draw an imaginary line in the centre of your plate.
  2. Divide one side of your plate yet again so your plate is split into 3 sections.
  3. Half of your plate should be filled with non-starchy vegetables like carrots or cauliflower.
  4. One fourth of your plate should be filled with protein or lean meat like egg, turkey or tuna.
  5. The other one-fourth of your plate should be filled with a good carb like whole grain bread.
  6. This method can be followed for breakfast as well.

For the first meal of the day, eat small portions of healthy foods like a bowl of oatmeal with a banana and 2 tablespoons of peanut butter for protein. Following these portion control basic guidelines will lead to guaranteed results in your weight as well as your blood glucose levels. But you need to be patient. It takes about 3 months for the results to start showing so keep up the hard work for your health. If you wish to discuss about any specific problem, you can ask a free question.

3321 people found this helpful

My wife has thyroid from past 10 years and taking medicine and now she has migraine, what is the cause and treatment for both.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi take pranacharya no tens capsule 1_1 twice a day...1-1 drop of cow ghee in both nostrils at night time before sleep...take shirshooladi vajra ras and kanchnar guggul twice a day....avoid tea and coffee
1 person found this helpful
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I am suffering from thyroid from class 8 ,2008 onward. Taking thyronorm 100, I want to know what is the remedy ? Can I recover totally after some stage that I don't have to take medicines for thyroid, I hate medicines, can I ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from thyroid from class 8 ,2008 onward. Taking thyronorm 100, I want to know what is the remedy ? Can ...
hypothyroidism is a hormone deficiency disorder, since thyroxine is needed every day for normal functioning of brain and a variety of metabolic activities, it has to be supplemented every day for the lifetime. Hence only option is to take thyroxine for life. You may hate taking medicine but there is no alternative.
2 people found this helpful
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My brother has diabetes he was taking glynase M F tablets daily morning and night but sugar levels not controlled. Fasting is 150 to 170 RBS is 250 to 300. So please suggest good medication to control the sugar levels.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My brother has diabetes he was taking glynase M F tablets daily morning and night but sugar levels not controlled. Fa...
Mr. lybrate-user, Thanks for the query. The blood glucose levels mentioned are very high, signifying totally uncontrolled diabetes. There has to be complete re-look at the current treatment, dietary pattern and extent of daily exercise. Hence, my suggestion is please come in a private conversation with following details: current fasting, PP glucose level, HbA1c%, drugs being taken with dosage, dietary pattern, extent of daily exercise, lipid profile and BP readings. Then I will be able to give specific guidance. Plus will be able to give necessary prescriptions. In this communication we are not supposed to give any drug prescriptions. Thanks.
1 person found this helpful
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I got injured 45 days ago. Sores are present till now. Applied Betadine. Took 250 mg azithromycin two times daily. For last 20 days. No dryness till now. Sugar levels is 85 random. Please suggest good antibiotic.

BHMS
Homeopath, Bangalore
I got injured 45 days ago. Sores are present till now. Applied Betadine. Took 250 mg azithromycin two times daily. Fo...
Take homoeopathic medicine Arnica Montana+hypericum+ symphytum 1M 4Pills 4Times 4days n again take after 1week for 4 days n Apply calendula tincture over it as there won't b a scar also later..Take care..
1 person found this helpful
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I am diagnosed with Cervical Dystonia. My head involuntarily turns to left. I have had two rounds of botox of 200 units on 6th Feb'16 and another 250 units recently on 17th May' 16 from a reputed movement disorder expert in Mumbai. My agony is that I have had no relief. My neck still remains on left. What should be my further line of action?

LCPS, BAM&S
General Physician, Pune
I am diagnosed with Cervical Dystonia. My head involuntarily turns to left. I have had two rounds of botox of 200 uni...
If it is not causing any discomfort, then no treatment is necessary. It could be your style adopted in childhood and rooted in your psyche. Use this to create your unique identity. It's not a handicap or abnormality.
2 people found this helpful
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I have hyperthyroid. Putting on weight. Acne and delay menses. Irritation is also the big reason of my face's dullness. Body fat is increasing very fast. Need help.

MBBS
General Physician, Mumbai
Apart from taking symptomatic treatment follow few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
3 people found this helpful
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I am 41 years old. Female. My body wait now 81. I am also thyroid patients. Suffering last 8 years. Every 1 hours after very hungry. If I not take any food free vomiting. Stomach pain and like bubbling sound in my stomach. What should I do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 41 years old. Female. My body wait now 81. I am also thyroid patients. Suffering last 8 years. Every 1 hours aft...
where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Hello sir/ma'm this is my urine test result- KIDNEY FUNCTION TEST- blood urea 28. 20 mg/dl, serum creatinine-1.00,serum uric acid-8.60,calcium -9.00 Urine examination test- physical examination - quantity-15 ml, color-pale yellow, transparency-clear, specific gravity -1.025, ph-6. CHEMICAL EXAMINATION -albumin-trace, reducing sugar- nil MICROSCOPIC EXAMINATION -pus cell- 5-6, casts-nil, crystals-nil, rbcs-nil, epithelial cell-15-20, bacteria -present. Please tell me it's all right or not? And please tell me what's the reason of high level uric acid? Please suggest me which type of abstain I have to do?

MBBS
General Physician, Cuttack
Hello sir/ma'm this is my urine test result-
KIDNEY FUNCTION TEST- blood urea 28. 20 mg/dl, serum creatinine-1.00,ser...
Uric acid level is high. 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2.Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6.Reduce weight if overweight 7. Take medicine after consulting physician.
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She is pregnant from 2 months she has also take a medicine 75 mg of thyroid what's your suggestions at this stages.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
She is pregnant from 2 months she has also take a medicine 75 mg of thyroid what's your suggestions at this stages.
It is absolutely alright to continue thyroid medication during pregnancy. In fact it may be hazardous to stop it, abortions, growth retardation, mental defects may occur with the baby. But three monthly thyroid test assays are to be done to see whether there is a tight control or note. The dosage needs titration during pregnancy.
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Hi I have thyroid since many years. But my weight was normal before taking thyroid medicine. Now after taking medicine for so many years I v started gaining weight especially on face. Should I stop taking medicine? I have hypothyroidism n taking medicine since 9 years.

Advanced Aesthetics
Ayurveda, Gulbarga
Thyroid report send me dnt stop medicene. Once you check d thyroid are normal r what. Dieting plans. Early morning when you wake up at that time for r 2glass of water, and in the brekfast you take easy digest the food for like idly. R dosa r upma. Afternoon lunch. 1 bawl vegitable. And 2rotis and sabji. And buttermilk. And 5pm you take fresh juice and dinner 8-9 same as lunch. And avoid oily food rice and sweet. Cold drinks you start for one month and morning walk also important and do some exercise or yoga.
1 person found this helpful
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मैं पिछले 2 सालों से शुगर से पीड़ित हूँ मेरी शुगर आजकल 160 से 170 के बीच है मैं अभी तक कोई भी दवाई नहीं ले रहा हूँ मुझे बताएं की क्या मै दवाई लूँ या ना लूं

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
मैं पिछले 2 सालों से शुगर से पीड़ित हूँ मेरी शुगर आजकल 160 से 170 के बीच है मैं अभी तक कोई भी दवाई नहीं ले रहा हूँ मुझ...
दवाई लेनी पड़ेगी। शुगर कंट्रोलमें आना ज़रूरी है। आप ख़ाली पेट और खाने के बाद की शुगर चेक कर लीजिए
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