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Dr. P. Indirasena Reddy

Endocrinologist, Hyderabad

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Dr. P. Indirasena Reddy Endocrinologist, Hyderabad
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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. P. Indirasena Reddy
Dr. P. Indirasena Reddy is an experienced Endocrinologist in Hyderguda, Hyderabad. He is currently practising at Indira Diabetic Clinic in Hyderguda, Hyderabad. Book an appointment online with Dr. P. Indirasena Reddy 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. Find the best Endocrinologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Indira Diabetic Clinic

Pillar No.143, Hyderguda, Attapur, HyderabadHyderabad Get Directions
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Tubal Scarring and Infertility

M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Tubal Scarring and Infertility

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

  1. Blocked fallopian tubes
  2. One blocked and one open fallopian tube
  3. Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

  1. STDs such as chlamydia trachomatis and neisseria gonorrhea
  2. Adhesions caused by ruptured ovarian cysts
  3. Appendicitis
  4. Peritonitis
  5. A history of ectopic pregnancies

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

  1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
  2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types:

  1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
  2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
3793 people found this helpful

Ovarian Cysts - Symptoms And Treatment

DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Ovarian Cysts - Symptoms And Treatment

Ovaries are a part of a woman’s reproductive system. The primary function of ovaries include producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.

There are primarily two types of ovarian cysts:

1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.

2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.

Symptoms

Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.

Treatment

The treatment options for ovarian cysts are:

  1. LaparoscopyLaparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
  2. Birth control pillsFor chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
  3. Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.

Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition.

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I am type 2 diabetic at the age of 25. Can you suggest me some diet plan and exercise so I can gain weight without disturbing blood sugar. Is it possible that pancreas can work again properly by doing exercise.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am type 2 diabetic at the age of 25. Can you suggest me some diet plan and exercise so I can gain weight without di...
Hello, Thanks for the query. To suggest specific diet, I need to know following things: Your present diet pattern, blood glucose levels, extent of daily exercise, medicines with dosage General guidelines to be followed are: Avoid sweets, deep fried foods, junk foods, pastries, bakery items and foods made from maida. Refrain from taking colas and alcohol. Total caloric intake has to be exact based on actual body weight. Increase the intake of green leafy vegetables and salads. Thanks.
6 people found this helpful
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Yes sir my father suffering from diabetic foot with gangrene. Pls give some good medicines, some tablets, injunctions.I forgot one thing he control his diet ,cutting off sugar an sweets from his diet.

MBBS, CCEBDM
Diabetologist, Bangalore
Yes sir my father suffering from diabetic foot with gangrene. Pls give some good medicines, some tablets, injunctions...
Hi Diabetes control is not just cutting sugar and sweets its reducing carbohydrates and balancing the diet with extra proteins and lots of fibre. Make sure the blood sugars are within normal range. FBS: 80-120 PPBS: 140-180 Prefer citrus foods and papaya for him as the vitamin C and Vitamin A in it will help in faster healing but in small quantities. Daily dressing is important. If there is any infection, culture of the wound has to be done and treated accordingly.
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Hello Dr. I am a 33 year old female. My T3 is 85, T4 is 7.8 and TSH is 7.81. On the morning of the test I also registered low BP (which could be due to the 10 hours fast I was on for checking fasting blood sugar and was empty stomach for long) I began with a dosage of 75 mcg Thyroxine. First 2 days I experienced dizziness so on day 3 took a break .the dizziness did not come. On day 4 I took the Thyroxine again and felt very dizzy. Overall my health is good except that I feel tired easily and fatigued. I feel weak. My skin has recently began looking sallow. Kindly help with your expert advise if I need to continue with the 75 mcg or shift to a lower dose to begin with. Also, is the dizziness due to Low BP or side effect of Thyroxine 75 mcg? Kindly advise. Warm regards,

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello Dr. I am a 33 year old female.
My T3 is 85, T4 is 7.8 and TSH is 7.81. On the morning of the test I also regist...
Hello, Madam you can start a lower dose like 50 mcg or even if that is not tolerated may start with 25 mcg initially. Then check TSH level after 6 weeks. If the level is lower (target level 3 to 4 mU/L), you may continue the same dose. If not then increase the dose by about 12.5 mcg, then again check TSH after 6 weeks. Thanks.
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Hi Doctors, I am 28 years old married woman (2 years of marriage). In 2012 I had a dermoid cyst of 12 cm in my left ovary but after laparoscopy that cyst was removed and my ovary was saved. But now I am facing this kind of problems again. I am trying to conceive but I use to feel abdominal pain after intercourse. My menses are with less bleeding from last two months. After TVS doctor found a simple cyst in my left ovary now she said to me that it is dissolve by her treatment (Dronis 30). I had thyroid.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi Doctors, I am 28 years old married woman (2 years of marriage). In 2012 I had a dermoid cyst of 12 cm in my left o...
Simple cysts generally dissolves by itself or by medication, so no need to worry about that. But since you have thyroid also,if its not controlled this may also cause scanty or irregular menses. These are the reasons which is why you might not be producing good quality eggs, so get an AMH test of you done . According to the report proceed further.
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My uric acid level has come down from 7.2 to 2.3 after I used Ebuxo 40 for nearly six weeks. The pain in the ankle, traced to the high uric acid level, as also swelling continue to plague me. What is the way out?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. ultracet sos.
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I have a problem of uric acid from several years. Can I got a permanent solution of this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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What are the symptoms of diabetes melitus & High blood pressure? Please help me. Give suggestion.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
What are the symptoms of diabetes melitus & High blood pressure? Please help me. Give suggestion.
Diabetes mellitus most often produces very few recognisable symptoms, hence most people fail to identify that they have diabetes. But when fully grown it may produce following symptoms: excess urination, especially getting up at night to pass urine 2 or 3 times, which disturbs sleep, excess thirst, excess hunger, unexplained weight loss and tiredness. Blood sugar level in such situations shows hyperglycemia. High bp also very rarely causes any recognisable symptoms. Hence, mostly it is found out only on checking at clinic. Occasionally one may feel dizziness. Earlier there was feeling that high bp causes headache and nose bleeds. But this can happen in hypertensive crisis, since these conditions are familial, it better for a person to get blood sugar and bp check up done regularly, particularly after 30 to 40 years. Both these conditions can be prevented by regular exercise, weight maintenance, proper diet. In case of bp salt restriction is very essential. But if one has already developed both these conditions then appropriate drug treatment is a must, in addition to adapting a modified lifestyle.
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