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Dr. Bijay Patni

Endocrinologist, Kolkata

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Dr. Bijay Patni Endocrinologist, Kolkata
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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. Bijay Patni
Dr. Bijay Patni is a trusted Endocrinologist in Golf Green, Kolkata. You can visit him at Dr. Bijay Patni's clinic in Golf Green, Kolkata. Book an appointment online with Dr. Bijay Patni and consult privately on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 38 years of experience on Lybrate.com. You can find Endocrinologists online in Kolkata 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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B 10/1 Phase 1, Golf Green Complex, KolkataKolkata Get Directions
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I am a Diabetic patient, when I ate water Rich Vegetable / fruits, immediately I will be affected with severe Cold which will continue more than 15 days. During the cold blood also coming from nose. What is the remedy for this.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
I am a Diabetic patient, when I ate water Rich Vegetable / fruits, immediately I will be affected with severe Cold wh...
Avoid water rich fruits and vegetables now because you are suffering from cold if you will have than your condition will be worse.
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I am writing this mail on behalf of my father, age 53 who is a sugar patient. At present he intakes the following medicines as prescribed by his doctor. 1. Glizen MF 12. Glizen MF 23. Tellzy 404. thyroxine 100mgHe heard about an ayurvedic medicine BGR34I want your opinion on, whether it is good to take this ayurvedic medicine instead?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
I am writing this mail on behalf of my father, age 53 who is a sugar patient. At present he intakes the following med...
In my opinion, his current medications are good and he should continue them. There is no need to change to the Ayurvedic medicine.
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I am facing thyroid problem. It is 5.45 THS. Is it dangerous fraction? Which is its normal rage? Our family doctor advised me to take 1 tab daily in the morning for whole life. How can I heal it.

MD - General Medicine
General Physician, Delhi
Tsh value is slightly above normal range, different labs have different normal values. You must be taking levothyroxine, I advise you to continue it for lifetime since it doesn't have any side effects and it will prevent you from many complications arising due to thyroid problem if not taken regularly.
1 person found this helpful
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Pregnancy - Understanding Fertility After Early Miscarriage!

MD, MBBS
Gynaecologist, Gurgaon
Pregnancy - Understanding Fertility After Early Miscarriage!

Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.

Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.

The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.

Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.

The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.

Ways to Increase Fertility

If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-

  1. The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
  2. Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
  3. Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.

Talk to a Doctor

If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.

If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.

The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.

Bottom Line

Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.

The decision to try again is not an easy one. However, fertility won't typically be an issue.

3779 people found this helpful

Thyroid Surgery: Types and Its Benefit!

MBBS
General Surgeon, Guwahati
Thyroid Surgery: Types and Its Benefit!

Thyroid is a small butterfly shaped gland, which  is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.
4 people found this helpful

I have hypothyroid and vitd3 is 15, calcium 9.2,haemoglobin is 11, I have severe pain in my joints and muscles, feel very tired always, mood swings, I don't want to take allopathy medicines, does homeopathy or ayurveda can help in bringing my thyroid levels in control and bringing my vit d, calcium and hb in good range.

MBBS
General Physician, Cuttack
I have hypothyroid and vitd3 is 15, calcium 9.2,haemoglobin is 11, I have severe pain in my joints and muscles, feel ...
Normal level of vit D is between between 20-50 ng/ml. A level less than 20 ng/ml indicates Vitamin D deficiency. 1. Expose yourself to sunlight for 15-20 minutes daily in the morning 2. Take Milk, cheese, egg yolk, Fish (salmon/mackerel/ trout/sardines/tuna) cod liver oil, Mushroom, cereals, orange juice. 3. If you have deficiency of Vitamin D you have to take Vitamin D supplement 60000IU/week fo r 3 months after consulting physician.
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I'm 48 yrs. My hba1c & blood sugar is 6.5. Uric acid is 480. Dr. Prescribed me janumet (sitagliptin phosphate 50mg/metformin hcl 1000mg) 1 tab daily as mild diabetic, with neurobion & aspirin. Shall I need to start this medication right now or with regular exercise and strict diet it can be reduced? once I start this medicine, I have to continue for life long? how this medicine works? what is your expert advice? thanks.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I'm 48 yrs. My hba1c & blood sugar is 6.5. Uric acid is 480. Dr. Prescribed me janumet (sitagliptin phosphate 50m...
If you haven't tried exercise and strict diet control as yet then be assured that both these measures can control your diabetes. Sadly, though these approaches are the best way to control diabetes but are also the toughest to practise. Its a myth that diabetes medicines once started cant be stopped. Infact its the patient ongoing test reports and conditions which define the need for medicines.
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My uncle age 53. His weight s 93. How to reduce weight. What are the symptoms for diabetes. How to prevent from diabetes.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
My uncle age 53. His weight s 93. How to reduce weight. What are the symptoms for diabetes. How to prevent from diabe...
Life style modification brisk walking low calorie diet salat and fruits low carbohydrate diet advisable.
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I am 56 old male and have diabetic for the 3 years now my blood sugar random 131 gm hba1c test glycosylated hb 8.99% glucose level 213 mgm over the past 90 days.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, several strategies for better sugar control. Some of them below: 1. Small, frequent meals through the day 2. Physical activity 180 minutes/week 3. Break the pattern of stuffing and starving and eat each meal only till you feel comfortably full as opposed to completely stuffed hope this helps.
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Sugar patients are advised not to eat vegetables which are beneath soil i.e potato. Whether vegetables like carrot, beat, reddish can be consumed as salad or not by a diabetic patient not?

MBBS
General Physician, Ahmedabad
Sugar patients are advised not to eat vegetables which are beneath soil i.e potato. Whether vegetables like carrot, b...
diabetes patient can eat everything in moderate amount it is OK to eat boiled potatoes. only fried food /junk food and excessive sugar /jaggery to be avoided. refer my health tips on diabetes and diet ,feel free to ask privately with details for more scientific suggestions.
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I am suffering from diabetes. Last day when I measured it was found 300. Please tell me treatment and guide about diet chart. Please Tell me what should be eat or what should be avoided. Which fruits drinks food should eat or what should be avoided.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I am suffering from diabetes. Last day when I measured it was found 300. Please tell me treatment and guide about die...
diabeto powder ( naag bhasm paradeeya + swarn vang ) 1 gm twice a day basant kusumakar ras 125 mg twice a day gudmar kshar 500 mg twice a day for 60 days only to get completely cured
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I'm a male 45 yrs, a diabetic, sugar around 200, past few years I'm feeling my erection is going down. How I can regain it?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I'm a male 45 yrs, a diabetic, sugar around 200, past few years I'm feeling my erection is going down. How I can rega...
Control your sugar. Avoid sugar,fruit juices,junk food and fried food. Exercise regularly and see your doctor every month.
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Hi! i am having Junuvia 100 mg n Glyciphage(metformin tab) in the morning n Amaryl M2 in the evening before dineer, for the past six months n i got my fasting n pp test done yesterday n the report says that its 102 fasting n 133 PP n my glycosylatedHb was 5.4%. So, is it ok for me to stop taking this medicine called Junuvia100mg n continue with glyciphage n amaryl M2?

MD - Pathology, MBBS
Pathologist, Ahmedabad
It seems that drugs and doses are well set to you.So better do not do any experiment.How ever if you are very keen to have an experiment you may try by reducing doses and/or drug and see the result
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I am 29 yrs male and I have tsh value 8.85 which is higher than normal value (0.35-5.50). But my t3 and t4 values are normal. Should I contact to doctor?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 29 yrs male and I have tsh value 8.85 which is higher than normal value (0.35-5.50). But my t3 and t4 values are...
you can take tab. thyroxine 75mcg before meal in morning. 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. 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, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Mere mom ko kabhi kabhi Apna head mein chakker ana jeise lagta hai aur woh bolte hai ki mera head bohoot bhari (heavy) lag raha hai. Unko thyroid ki bemari hai aur woh daily thyrox 150 mg TABLET khate hai. Eye glass use karte hai.

Pain Management Specialist, Ahmedabad
Mere mom ko kabhi kabhi Apna head mein chakker ana jeise lagta hai aur woh bolte hai ki mera head bohoot bhari (heavy...
Get her thyroid profile done again, get any eye check for her glasses. Also you should get her blood pressure and sugar level checked up. For pain you can take basic paracetamol medication.
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Respected doctor, am 22 years teen boy am listening that sugar disease is very powerful if it once come in our life then that life is very observable daily in anything like that So please clarify me that how should this sugar come to an human life and why it is independent age? And how bp will come And how both come at a time for an person who already affected? Give me symptoms for each and Precautions how to avoid them?

MDP, MD - Alternate Medicine, BHMS
Homeopath, Koraput
Respected doctor, am 22 years teen boy am listening that
sugar disease is very powerful if it once come in our life t...
You are litte bit obese.Maintain BMI as per index.If your family history not suggestive.There is less chance to affect.If you are student,collect a hand book about the disease and go through ot.
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Homeopathic Treatment For Diabetes!

MD - Homeopathy, BHMS
Homeopath, Surat
Homeopathic Treatment For Diabetes!

Diabetes is a disease that results in an excessive amount of glucose in the blood stream. It is a metabolic disorder that leads to various symptoms such as frequent urination, thirst and increased hunger. Diabetes is primarily of two types:

Type 1 (marked by reduced secretion of insulin by the pancreas in the body)
Type 2 (caused by reduced sensitivity of the body to insulin or increased resistance to insulin).

Side effects of high amounts of glucose in the bloodstream include frequent urination, increased thirst and increased hunger. On the off chance of being left untreated, diabetes can bring about numerous complicated situations such as damage to the kidneys (nephropathy), damage to the nerves (neuropathy), damage to the eyes and other severe cardiovascular disorders.

Treat diabetes with homeopathy:
Controlling blood sugar level is the major goal of diabetes treatment, in order to prevent complications of the disease. Treatment may be in Allopathy or Homeopathy, conventional medicine often uses insulin itself in the treatment of diabetes. Since this is kind of replacement, so diabetes becomes a life-long disease. Homeopathy can be used effectively in the treatment. Let’s see how diabetes can be worked with Homeopathy.

In homeopathy, the main focus is on the functioning of the pancreas in an efficient insulin production. There are specific homeopathic medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar. These are classical homeopathic remedies.

Depending on the level of the blood sugar and the requirement of the patient, doses are given with doctor’s consultation. It’s a holistic approach in medicine. This treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is affected with this state. The treatment will be to bring into balance the various systems involved in diabetes, for example, pancreas, hormones, and your immune system.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it’s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor. If you wish to discuss about any specific problem, you can consult a Homeopath.

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My Father has Diabetic foot, left side. And is severely swelled up form past 2 years. Swelling is on toes and right beneath toes therefore he is not able to walk properly. MRI and Colour Doppler shows nothing. What is your opinion. Doc.?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
My Father has Diabetic foot, left side. And is severely swelled up form past 2 years. Swelling is on toes and right b...
You will have to see if there is any bone involvement (charcot's foot). He will need customized footwear to prevent development of wounds or ulcers on the pressure points. Please keep checking feet everyday to ensure immediate treatment incase of any infection.
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