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Dr. Siddharth Nakkana

Endocrinologist, Hyderabad

500 at clinic
Dr. Siddharth Nakkana Endocrinologist, Hyderabad
500 at clinic  ·  ₹ online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Siddharth Nakkana
Dr. Siddharth Nakkana is a trusted Endocrinologist in Koti, Hyderabad. He is currently practising at Kamineni Hospital - Koti in Koti, Hyderabad. Save your time and book an appointment online with Dr. Siddharth Nakkana on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 31 years of experience on Lybrate.com. You can find Endocrinologists online in Hyderabad 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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#4-1-1227, Abids Road, Bogulkunta, Koti. Landmark: Near To Taj Mahal Hotel, HyderabadHyderabad Get Directions
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I am 36 years old, suffering from thyroid and joints pain since 6 months. What should I do.

BHMS
Homeopath
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I am 36 years old, suffering from thyroid and joints pain since 6 months. What should I do.
Hello, There are few lifestyle changes like brisk walking daily, avoid intake of Yoga-Poses: Kalapbhati: This is a very effective form of pranayama. Sit down on the floor in a comfortable cross-legged position. Take a deep breath & then exhale quickly, while making a sound. Always remember while doing Kapalbhati – you have to forcefully and quickly exhale, but slowly and deeply inhale. Continue doing this for 10 times & then release. Ujjayi Pranayam: Sit down on the floor in a cross-legged straight position. Inhale slowly and deeply by both the nostrils. Try to make a hissing sound while you are sucking in the air. After that, stretch your inhale time for a while & then exhale as much as you can without giving any kind of pressure to your other body parts. This type of pranayama is very effective for those suffering from bronchitis, asthma & thyroid. Yoga Nidra (Corpse Pose) also works well in both hypo and hyperthyroidism in reducing stress and calming down. Foods to be avoided in Hypothyroidism: Hypothyroidism causes skin to become dry. Once it is controlled with tsh levels becoming normal, most symptoms will disappear. Carrots and beet root are fine, can be eaten. Only cabbage, cauliflower, broccoli, radish, mustard, peanuts, soy beans and soy containing products and coffee need to be avoided. For pain in joints: Apply Bakson’s Rheum Aid oil gently (2-3 times a day) and take orally Bakson’s Rheum-Aid syrup/ 1 tablespoon thrice daily. Also, increase your dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15min. 2-3 times a day is mandatory. Apart from this, do walk daily along with physiotherapy will also help you.

What should be a perfect meal for a sugar patient and what exercise she should do and what medical treatment she should get for ge relief soon.

MBBS, MBA (Healthcare)
General Physician
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What should be a perfect meal for a sugar patient and what exercise she should do and what medical treatment she shou...
Diabetic diet. Avoid sweet and sweet product. regular exercise for 40 min, like walking. consult diabetologist for detail medication.

I have high uric acid. Give me a suggestion please.

MD - Internal Medicine, MBBS
Endocrinologist
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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.

Sir my sister is 26 yrs, she is married and pregnant. She has diabetics and thyroid problem. Can you suggest a diet plan for her. Including vegetables.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Sir my sister is 26 yrs, she is married and pregnant. She has diabetics and thyroid problem. Can you suggest a diet p...
Dear, first suggest your sister totake regular medicines prescribed by her doc to maintain the blood sugar and hormone level. Following diatery guidelines will be helpful for her- *take small frequent meals at every 2-3 hours. *she can take sprouted methidana. *take protein rich foods like milk milk products pulses sprouts. *have mix grain rotis instead of only wheat ata roti. *have vegetable juices. *avoid coffee fruit juice n sugary products bakery items. *stay hydrated drink plenty of water.

Hello doctor I am Deepak I am 23 yrs old man n I have suffering from diabetes problem so what should I do.

Diploma in Dietetics, M.Sc. Food & Nutrition, B.Sc. Home Science
Dietitian/Nutritionist
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Hello doctor I am Deepak I am 23 yrs old man n I have suffering from diabetes problem so what should I do.
Besides consulting a doctor you should consult a dietician to plan out your diet routine and control sugar levels. There are lot of myths existing about diabetes

I have problem of weakness body pains joint pains fells weak all the day and tired my tsh level is 14.32 and today my doctor prescribe thyroxine sodium ip 100 mg for 15 day is my all problem is cause by tsh.

MD(EH)/AM/Accupressure
Acupressurist
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I have problem of weakness body pains joint pains fells weak all the day and tired my tsh level is 14.32 and today my...
Dear lybrate-user You should start Th. Medicine, you will feel better after some days. Take onion and cut it into two pcs. Rub it on both sides of neck daily for some days. You will get rid of.

Is drinking sugarcane juice 3-4 glass every week in summer can increase sugar level. I have not any sugar related problems. But I want to know if there is chance for it by drinking these drinks.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Is drinking sugarcane juice 3-4 glass every week in summer can increase sugar level.
I have not any sugar related pro...
Mr. lybrate-user, If you do not have diabetes, then drinking sugar cane juice is not going to cause any problem. However, too much of sugar is not advisable even in a normal healthy person. Thanks.

Can a Person suffering from diabetes use any of the following sugars: Just Organic- Raw n Unrefined Sugar Organic Origins-Organic Sulphurless White Sugar Artisan Palate-All natural Vanilla Demerara Sugar Ecolife-Organic brown Sugar Ekgaon Palm Sugar Crystal.

Dietitian/Nutritionist
Dietitian/Nutritionist
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Can a Person suffering from diabetes use any of the following sugars:
Just Organic- Raw n Unrefined Sugar
Organic Ori...
All Suger form which are you written above these are same sugar family so no form of Suger is not recommended by any dietician or Endocrinologist. Please avoid all Suger and Suger products. If any products which contains sucralose you can have it only but in little form in diabetes.

Hi, I am on some drugs. So I feel very hungry & eat a lot. I exercise almost thrice a week. My question is how sedentary my life needs to be for me to catch diabetes. , With Thanks,

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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Hi, 
I am on some drugs. So I feel very hungry & eat a lot. I exercise almost thrice a week. My question is how seden...
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.

Meri marrige ko 6 month ho gaye hai meri wife pregnent nahi ho pa rahi jab maine test karwaye maine apne aur apni wife ke to meri wife ko thyroid ki problem nikli 17.7 kuch thi thyroid iska koi solution ho to please bata dijiye taki woh pregnant ho jaye.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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give her tab. thyroxine 125 mcg before meal in morning daily. do all hormonal tests also. if done then tell us. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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,

My dad is 48 years old and he is recently discovered with a 15 mm gallbladder stone. He has also high blood sugar level. So my question is, is it necessary to have surgery only for removal of stone or it can be dissolved with medicine? if surgery is required than what kind of surgeries are available.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My dad is 48 years old and he is recently discovered
with a 15 mm gallbladder stone. He has also high
blood sugar lev...
a 15 mm stone is a fairly big one, if the surgeon has advised about surgical removal, he must have done considering all the aspects. Only medication is not going to be helpful in resolving the stone. If there is no major symptoms and difficulties the surgery can be delayed. Ursodiol is the drug used to dissolve the stones but stones do come back. Hence surgical removal of gall bladder is a better option even in a diabetic patient. Removal of gall bladder is done in most well equipped hospitals.

Hi Doctor, I am 21 years old boy I am concerned about my health I do not want any problem in future like joint pain, diabetes, heart problem etc. What routine should I follow in terms of food and exercise to avoid these things.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist
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Hi Doctor, I am 21 years old boy I am concerned about my health I do not want any problem in future like joint pain, ...
You should take acupressure treatment and take biochemic mag phos12x 4 tab thrice a day with warm water and take it 5 day & you don't get more sweet and sour. Do walking.

Hi am 42 years old. Am a diabetic since 2006, two years back I was detected demylenation, I am on a ayurvedic treatment. What do you suggest.

Master Of Science ( Home Science) , B.Sc
Dietitian/Nutritionist
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Hi am 42 years old. Am a diabetic since 2006, two years back I was detected demylenation, I am on a ayurvedic treatme...
* you can take methi seeds water to control sugar. (overnght saoked 1tsp methi seeds in 1 glass of water and take it nxt morning) * take more of veggies in your diets and fruits which are low in sugar are- apple, papaya, gauva, jamun. * take plenty of water (2.5-3 litres per day) * avoid skipping of meals. * choose whole grain like - jowar, bajra, oats, barley, ragi, wheat. * take 3-4 almonds and walnut (1/2) (overnght saoked)

Actually I wanted to confirm whether my neck pain is related to hypothyroidism as it is there in mensuration more. And also. I was diagnosed with stiffness in neck coz I was having left shoulder and arm pain along with the neck pain.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician
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Actually I wanted to confirm whether my neck pain is related to hypothyroidism as it is there in mensuration more.
An...
Hypothyroidism as such does not cause any neck pain. Ordinarily it is due to stffening around soft tissue of neck called Cervical spondylosis resulting in pain in neck sometimes radiating to shoulders, upper arms and shoulder blade or back of head

I have thyroid and I need advise, what should I do? so that it will decrease by each day. Please suggest me some ways.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I have thyroid and I need advise, what should I do? so that it will decrease by each day. Please suggest me some ways.
IN HYPOTHYROIDISM:--- 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.

My triglycerides level was 370 now my level is 152 after taking lipicard160mg but again it rises when I stop talking lipicard160mg.

DM, MD
Endocrinologist
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Triglycerige can be taken care by adopting a healthy lifestyle i.e. avoiding simple sugars in all form, and avoiding oil. Omega3 fatty acid are also helpful in reducing triglycerides.

I am having history of miscarrage, 1st is threatning abortion and another is d& c. As there is only gesteral sac no yolk sac no fetal pole at 12 week. I did my biopsy done, tbpcr, torch test and anti phospolipid antibodies but all reports is good no problem found. I am thyroid patient my tsh is 15.14. I am on 75 mcg medic. My endocrinology asked me not to plan a baby until my tsh fall 2.5. Is i. Empty gesteral sac can cause due to thyroid?

C.S.C, D.C.H, M.B.B.S
General Physician
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You have to increase thyronorm to 100 mcg and improve health. Test your thyroid antibodies also and tell confidentially by asking privately. Regarding online consultation there are certain points which all should know and follow. 1) The description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) Your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) It is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) For personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter.

Sir my daddy is 76 years and he does not have BP nor Sugar. He is healthy aged man. But in June he suffered paralytic stroke and has a clot in his brain he was in Apollo hospital for 3 days and then discharged so our doctors for 2 months gave him medicines like Ecosprin 150 mg, Remetor 40 mg, Pantocid 40 and Thyronorm 12. 5 mcg. After 2 months Doctor changed my daddy's tablets he asked to stop using all the above medicines and just use Rosufit CV 10 mg everyday after lunch. Now after 1 month today when I went for regular check Doctor said my daddy BP was 120/84 and his pulse says frequent Ectopic. Even after discharge in june from hospital they placed Holter for 24 hrs and even that reading also said SV Ectopic beats 13, And 24 hrs holter analysis shows frequent VPC'S in the form of BIGEMINY NOTED, No runs of VS/SVT MAXIMUM HEART RATE 114 BPM, OCCASIONAL BRADYCARDIA MINIMUM HEART RATE 54 BPM, NO SIGNIFICANT PAUSE. Sir this above reading was in the month of June not todays. But today Doctor when he was holding my daddy hand to check his pulse he said Pulse frequent ectopic. And it's due to his old age and again changed the medicine from Rosufit CV to Rosuvas Gold. Sir I'm really worried because since June after he suffered paralytic stroke every month medicines are changing and I'm scared and worried. Sir as thyroid is borderline he is still advised to take thyronorm 12. 5 mcg and as it is just borderline and is that effecting his pulse? His thyroid is TSH is 5.07. Please tell me is there anything serious with my daddy's heath. Any serious heart or other problem will come or what? Not understanding just suffering. Please help. Thanking you.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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Sir my daddy is 76 years and he does not have BP nor Sugar. He is healthy aged man. But in June he suffered paralytic...
Nothing much to worry. At his age, ectopics are quite common. The stroke could have been caused because of ectopics, as they alter hemodynamics of the blood vessels supplying the brain. Thus, the clot & paralytic stroke. Glad to learn he is recovering. He will be fine on these medications. Relax.

Diet in Diabetes a commonly asked Question ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda
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Dear friends, a proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of the food with it. Check fasting sugar, sugar one hour prior to lunch and 2 hrs post lunch, and note down the details of her breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Keep a regular exercise schedule, around 45 mins walk would also do. Best of luck.
Please note self glucose monitoring and diet control is the only way to manage diabetes.
Diet in Diabetes a commonly asked Question ?

How can I control my diabetes?

DNB (General Medicine), MBBS
Cardiologist
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How can I control my diabetes?
Yes only you can control your diabetes. No one else can. Diabetes is an illness that comes closest to your habits and gets affected by it everyday. What/when/how much you eat? how physically active you are? when you developed diabetes and what type you have? do you take your meds regularly? just about everything impacts your control. So take charge and control your diabetes. Needless to say, you would require the supervision of a professional diabetologist to lead you through this.
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