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Dr. Sireesha

Endocrinologist, Hyderabad

Dr. Sireesha Endocrinologist, Hyderabad
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Personal Statement

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. Sireesha
Dr. Sireesha is an experienced Endocrinologist in Somajiguda, Hyderabad. You can consult Dr. Sireesha at Dr. Sireesha Gynec Care in Somajiguda, Hyderabad. Don’t wait in a queue, book an instant appointment online with Dr. Sireesha on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 36 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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#6-3-1186/A/5, Begumpet Land Mark: Near Somajiguda Circle, Opposite Pullareddy SweetsHyderabad Get Directions
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My wife is having thyroid. T3. T4. FT3. FT4 are in range. But TSH is high. It is 6.3. What should be done? Is it hypo or hyper. What care should be taken? Is it OK to have baby in this condition.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is having thyroid. T3. T4. FT3. FT4 are in range. But TSH is high. It is 6.3. What should be done? Is it hypo...
Tsh value of 6.3 m units/ml is high, signifies that the person has hypothyroidism. This means immediate treatment should be initiated with thyroxine tablets. Dosage has to be based on patients weight and tsh level. Regular dosing as would be advised by the doctor and regular exercising for more than 1 h and avoiding soya beans, soya containing products, cabbage, cauliflower, broccoli, mustard and coffee, and consuming more fruits and green vegetables, using whole grain flour for making rotis and consuming onions, garlic these are other precautions to be taken.
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Hi. My mom 65 yes old. In health check, found her hemoglobin, wbc count and palette count below. Palette count 1.25 *10" 5. Does it symbolize any virus? she is normal and put on weight due to tsh hypothyroidism (her no. 9.85 against normal 3, t3/t4 normal). She is regular in taking bp and diabetes tablets. What kind of home remedies (first aid) to do? what treatment need to carry out? or which specialist to consult?

MD - General Medicine, Diploma in Diabetology
General Physician,
Hi. My mom 65 yes old. In health check, found her hemoglobin, wbc count and palette count below. Palette count 1.25 *...
Low count does indicate virus infection but it indicates bone marrow depression due to various reasons. She has a strong reason that is hypothyroidism. She needs to be seen by an endocrinologist
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In case of sugar patients ,how are fruits to be consumed ,how many minutes of exercise per day. I had sugar 120/165 and had Mclazide 500 (hb1ac-12. Now my fasting is 91.5 (hb1ac is 7.1) should I take only metformin 500 (suggest dosage)

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
In case of sugar patients ,how are fruits to be consumed ,how many minutes of exercise per day. I had sugar 120/165 a...
What are contents of your medicines. I think it contain two salt 1. Glipizide 2. Metformin. Then why you are changing to only metformin. Be careful. Talk with me online.
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My any is 40 years old & she is suffering from diabetes from last 10 years. She takes regular insulin but still diabetes not remaining under control. What should she do? Please help.

MBBS
General Physician, Cuttack
My any is 40 years old & she is suffering from diabetes from last 10 years. She takes regular insulin but still diabe...
She may have to modify insulin doses after consulting physician. in addition to treatment she has to follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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Sir, kya me bina prescription ke thyroid test kara sakti hu. It is safe or not kya yeh test empty stomach karana hota hai.

MD - General Medicine, DTM & H
Internal Medicine Specialist, Motihari
Ha, jarur kara sakti hai. Eske liye koi local pathology center ya phir corporate pathology lab jaise thyrocare/srl/lal path etc ke authorized collection center se contact kar sakti hai. Safe hai.
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My sugar leval is 6.9, what medician I must take.

MBBS, MD-PHARMACOLOG, Certificate in Diabetes Mellitus
Doctor,
This is probably your hba1c level is gives the idea of diabetic control the level of 6.9 indicates good control if you have any symptoms like increase frequency of urination or unexpected weight loss get a blood sugar level done blood sugar fasting/pp.
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Dear sir, I am 33 years old. I am suffering from primary hypothyroidism and high blood pressure last 15 month. My esonophil count is 11 which is out of range. I have ellergic problem. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear sir, I am 33 years old. I am suffering from primary hypothyroidism and high blood pressure last 15 month. My eso...
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. 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. lcz for allergy.
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My mother is 77 year old and done health check up. Following values are out of range. Please suggest medicine & give your advise Vitamin D-Total 13.1 (Range 30-100 ng/mL), HbA1c - 6.3 (Range < 5.7 % of total Hgb), GFR 64 (Range >73 mL/min/1.73m2), Glucose Fasting (Plasma): 102 (Range 70-99 mg/dL), cholesterol Total 298 (Range <200), HDL 56 (Range >50), Direct LDL 220 (Range <100), Triglycerides 235 (<150) mg/dL, cholesterol/HDL Ratio - 5.3 (Range < 5)

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
My mother is 77 year old and done health check up. Following values are out of range. Please suggest medicine & give ...
Please give her following medicines:- medo. 1m / 5 drops in little water thrice a day for one day only. Next day Dr. Reckeweg's r - 34 / 10 drops in little water thrice a day for one month. Syz. Jambol. Q / 10 drops in little water thrice a day for one month cholestrinum - 3x / 4 tabs thrice a day for one month. Revert back after one month with feedback.
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Seven Easy Steps to Improve Your Fertility and Get Pregnant

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Seven Easy Steps to Improve Your Fertility and Get Pregnant
Seven Easy Steps to Improve Your Fertility and Get Pregnant

About 85% of couples get pregnant within one year, but 1 in 7 couples take longer than a year to get pregnant. The good news is that you can improve your fertility in 7 simple steps in less than 4 weeks:
1. Control Your Weight
2. Timing of Intercourse
3. Improve HIS health
4. Test Your Fertility
5. Eat Healthy
6. Reduce Stress
7. Acupuncture


1. Control Your Weight

Being under or overweight decreases your fertility, and maintaining an optimal weight improves your fertility. The best way to find out whether you weigh too much or not is to calculate your body mass index, the BMI.
Losing some pounds is cheaper than expensive fertility treatments , PLUS with a betterw eight you decrease major pregnancy complications and significantly improve your chances having a healthy baby. So why not try it first?

2. SEX:

Timing of Intercourse in Relation to Ovulation
First of all do you know your fertile days? Do you ovulate? Do you hav e a regular menstrual cycle?
Your fertile days are the 5-6 days leading up to ovulation and the day of ovulation. Many couples don’t seem to realize that you need to make love regularly to improve your fertility. That means making love regularly throughout the menstrual cycles and more frequently, probably every 24-48 hours during your fertile days.
The egg can only be fertilized for about 24 hours after ovulation but sperm can live in the lower portion of a woman's reproductive tract up to five days. You can potentially increase your chances of conceiving by making love during the 2-3 days prior to ovulation.
Finding out when you ovulate is the key:
Create your own Fertility and Ovulation Calendar
Chart your basal body temperature (BBT)
Chart your fertility signs like symptoms and cervical mucus:
Use Ovulation predictor kits (OPKs)

3. Improve HIS Health and Get Him Tested

It takes two to get pregnant. Over 50% of infertile couples have a male issues. Which means that if he doesn't have enough sperms or his sperms are not healthy enough then your chances getting pregnant significantly decline. Do a sperm count and find out if his sperms are healthy and if he has enough of them. Follow these ten tips to improve his sperm count.
Get him checked for varicocele
Remove all toxins from his diet
Add a vitamin and herbal supplement to his diet
Make him lose weight if he is overweight
Keep the testes cool

4. Test Your Fertility at Home

There are several easy ways to quickly assess major aspects of your fertility at home.
Do a Basal Body Temperature Fertility Chart
Check your LH levels
Measure his sperms
Check your vaginal pH

5. Stay Away From Bad Stuff and Eat A Healthy Diet

Alcohol and smoking decrease fertility, make it less likely to get pregnant and increase pregnancy complications once you get pregnant.
Stop smoking. It is common knowledge that smoking is bad for your health, but studies have also shown that women who smoke are less fertile than those who do not. Also, women whose mothers smoked during their pregnancies are less likely to conceive.
Reduce alcohol intake. Drinking alcohol, even in moderation, can decrease fertility. The results of once study show a greater than 50% reduction in the probability of conception when the participants consumed alcohol.
You are what you eat and many doctors now believe a healthy diet PLUS supplements like folic acid can improve your fertility.
So what should you eat?
More monounsaturated fats (like olive oil) and less trans fats (like the kind found in many baked goods or fast foods).
Increase intake of vegetable protein (like soy), while reducing animal protein (like red meat).
More high fiber, low-glycemic foods — like whole grains, vegetables, and some fruits, while reducing the intake of refined carbohydrates and sugars.
Consume moderate amounts of high-fat dairy products — like ice cream, whole milk, and cheese.
No more caffeine. Studies have shown that women who drink excessive amounts of caffeine have delayed conception. In one study, women who drank more than one cup of coffee per day had a 50% reduction in fertility compared to those who did not consume coffee.
Take your vitamins. Especially vitamin E. Women trying to conceive should take a multivitamin or prenatal vitamin in addition to vitamin E. When couples were given vitamin E in one study, their fertility increased significantly.
Try herbal supplements. Herbs like Vitex (Vitamins AND Vitex are in FertilAid), have been used to successfully increase fertility.
The right diet can made a difference because the majority of women experiencing ovulatory dysfunction were also suffering from undiagnosed or sub clinical PCOS (polycystic ovary syndrome), a condition related to insulin resistance that also affects ovulation.
Check your current prescriptions. Some medications can interfere with fertility. Consult your doctor or pharmacist to see if your current medications could be hindering your chances of conception.

6. Reduce Stress

It’s rarely healthy to live with a lot of stress and the relationship between stress and infertility is less clear. But there are several studies showing that reducing stress may improve fertility.
What can you do to reduce Stress?
Cook
Get regular massages
Exercise
Take long weekends off
Listen to music
Do yoga
Read and write journals
Garden
Pamper yourself
Spend more time with your family and friend
Hold hands with your partner

7. Acupuncture

There are some studies done in women with fertility treatments which show that acupuncture can improve fertility. If after a thorough fertility work-up no specific reason for your infertility has been found, why not try acupuncture? There is little harm to use these methods and it can save you money getting pregnant.
93 people found this helpful

I have high TSH count have gained weight of around 35kG in last 2 years. Below are the count T3 - 0.90 T4 - 5.8 TSH - 8.04 Please advice medication for the same. I am not so keen on taking the medicine looking for natural recovery.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have high TSH count have gained weight of around 35kG in last 2 years. Below are the count T3 - 0.90
T4 - 5.8
TSH -...
Take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day...if TSH level is high then you have to take thyroxin tab depending on your condition....
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If a 28 guy has sugar, can he control it? What are the precautions he should take?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If a 28 guy has sugar, can he control it? What are the precautions he should take?
Mr. Lybrate-user, any age person can control raised blood sugar, or diabetes provided he/she takes appropriate medicine, observes dietary control and does regular physical exercise. Precautions in general include taking prescribed drugs regularly, avoiding sweets, sugar and gur, deep fried foods, junk foods, pastries, high fat milk products, sweetened aerated drinks and highly processed foods. Consumes a good deal of green leafy vegetables, salads and permitted fruits (100 g a day). Avoids alcohol and smoking. Does regular physical exercise of at least 1 hour a day. In other words follows a modified lifestyle. Regards.
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How do I maintain my sugar levels without medication?

C.S.C, D.C.H, M.B.B.S
Pediatrician,
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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Thyroid gland was formed and t3 t4 is functioning high and tsh is 0.1 what would you suggest to me? Please give quick reply.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Thyroid gland was formed and t3 t4 is functioning high and tsh is 0.1 what would you suggest to me? Please give quick...
If this is reported first time and already not on treatment. And you are symptomatic -have palpitation, wt loss tremors. We need to rule out thyroiditis versus hyperthyroidism. Hyperthyroidism requires treatment while thyroiditis self recovers. So please get raiu (radioactive iodine uptake) scan 2 and 24 hrs done. If multi nodular goitre, also get 99mtc scan done.
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I have a problem of early sperm ejaculations during sex. How can I control it. I am also suffering from diabetes. Please give me some useful tips.

Diploma In Anesthesiologist, MBBS
Anesthesiologist, Jamshedpur
I have a problem of early sperm ejaculations during sex. How can I control it. I am also suffering from diabetes. Ple...
Is your diabetes controlled properly check your blood sugar and if not consultant your physician regarding medication try foreplay before sex don't be in hurry. U can use topical lignocaine on glans just 20 min before just a picnh of it. But don't apply regularly. 1st apply on skin of forearm over night for seeing any reaction is there or not. With any type of allery like burning itching just wash the area not use it. Review back be happy Be Healthy.
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I am 68, having type 2 diabetic. Blood sugar fluctuate. What dietry will help in control.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Eat whole grains,porridge/dalia/oats/green tea/biscuit marie brown bread butter light.dal karekarela,methi,jamun,saragwa/drum sticks,light curds,salt restricted food if bp high,chicken/fish three times a week,soya is good substitute,chana mamra in between if hungry.take four square meals,have dinner early exercise mor and eve and keep active after meals if no cardiac problem.light milk with haldi/almonds.
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My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.
Mr. Lybrate-user, in case of increasing insulin resistance there is darkening of skin on the neck including back of neck, under arms and groin. It is call as acanthosis nigricans. It is also a major sign in t2 diabetes particularly in overweight and obese patients.
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What is the best healthy diet for a diabetic patient like low calories and good for health?

PDDM, MHA, MBBS
General Physician, Nashik
What is the best healthy diet for a diabetic patient like low calories and good for health?
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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I am a patient of DM, IHD, PPM, HTN. taking regular medicines. What will be my ideal diet? My age is 72 years.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am a patient of DM, IHD, PPM, HTN. taking regular medicines. What will be my ideal diet? My age is 72 years.
I hope every condition is under control. Ideal diet is not according to charts. You eat according to your constitution without comparing with others. No sugar or sweets, no bad fats, only good fats like a spoon of pure ghee/ butter and a katori of assorted nuts. Minimal salts and no packaged food as it contains lots of salt, being a preservative. Lemon juice with honey but cut down on other calories (just 30 cals in a spoon of honey) it helps to burn the fat and sugar. Fruits like guava, orange, apple can be had. Exercise like walking also burns sugar and fats.
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I am a thyroid patient. My weight is increasing day by day. How can I check this? Need help.

DHMS (Hons.)
Homeopath, Patna
I am a thyroid patient. My weight is increasing day by day. How can I check this? Need help.
Hi, dear lybrate user, communicate your reports. Please. * go for a brisk walk in d morning. * take, easily digestible, home made diet, timely. * take, plenty of water to eliminate toxins, * go for meditation to reduce your stress. Till, your reports r received, take *homoeo-medicine* @ thyroidinum 30-6 pills, thrice a day. Take, care, your report will modify your medication.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
FEW HOME REMEDIES TO KEEP BLOOD SUGAR IN CONTROL :
1)Consume the mixture of fresh juice of CUCUMBER, BITTER GOURD and TOMATO(one each in quantity ) early in the morning on an empty stomach.
2)Jamun fruit seeds should b powdered n consumed twice/day with warm water on empty stomach.
3)Chew 7 leaves of neem on empty stomach early in the morning.
4)Powder of fenugreek seeds,neem leaves,bitter gourd, black jeera. .When consumed twice a day on empty stomach is highly beneficial.

NOTE: people with allergy to bitter gourd can skip it.To avoid allergic reactions.
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